Question 1

A nurse asks you to perform a task that is beyond the legal limits of your role.You should&#10;A)Perform the task so that you do not lose your job&#10;B)Politely refuse and explain why&#10;C)Ignore the request&#10;D)Think about it for a few days

Accepted Answer

It is important to know your legal limits and responsibilities in your role. Performing tasks that are beyond your legal limits can put the patient's safety at risk and put you at risk of facing legal consequences. Politely refuse and explain why you cannot perform the task. It is always better to prioritize patient safety and follow legal requirements rather than risking it all for a job.

Question 2

The competency evaluation required by OBRA involves a&#10;A)Written test only&#10;B)Skills test only&#10;C)Written test and a skills test&#10;D)Licensing examination

Accepted Answer

The OBRA competency evaluation involves both a written test and a skills test, as it is necessary to assess both knowledge and practical skills in order to ensure that a nursing assistant is capable of providing safe and effective care to patients.

Question 3

The Five Rights of Delegation involve the&#10;A)Right task,the right circumstances,the right person,the right directions and communication,and the right supervision&#10;B)Right law,the right job description,the right policies and procedures,the right supervision&#10;C)Right task,the right job description,the right person,the right training,and the right supervision&#10;D)Right job description,the right task,the right person,the right directions and communication,and the right supervision

Accepted Answer

The Five Rights of Delegation are the right task, the right circumstances, the right person, the right directions and communication, and the right supervision. This means that the task delegated should be appropriate for the delegate's skills and abilities, the circumstances should be appropriate for the task, the person delegated to should be competent and capable of performing the task, clear communication and directions should be given, and supervision should be provided to ensure the task is completed correctly. Choice A is the only option that includes all five rights in the correct order.

Question 4

Which law protects the public from persons practicing nursing without a license?&#10;A)OBRA&#10;B)The Older Americans Act&#10;C)A state's nurse practice act&#10;D)Criminal law

Accepted Answer

The state's nurse practice act specifies the legal requirements for nursing practice within that state, including the requirements for nursing licensure. It also contains provisions for disciplinary action against individuals who practice nursing without a license.

Question 5

As a nursing assistant,you can&#10;A)Report changes in the person's condition to the nurse&#10;B)Give drugs and insert tubes into body openings&#10;C)Take verbal or telephone orders from doctors&#10;D)Discuss the person's diagnosis with the family

Accepted Answer

Nursing assistants are not licensed healthcare professionals and therefore are not authorized to administer medications or perform invasive procedures such as inserting tubes. Nursing assistants should report any changes in the person's condition to the nurse in charge and follow their directions. They should also not discuss the person's diagnosis or take verbal or telephone orders from doctors without proper authorization.

Question 6

Before a nurse delegates a task to you,the nurse must know all of the following except&#10;A)The tasks included in your job description&#10;B)If you are willing to perform the task&#10;C)What was taught in your education program&#10;D)What tasks your state allows nursing assistants to perform

Accepted Answer

While it is important for the nurse to know all of the options listed, the nurse's assessment of the nursing assistant's willingness to perform the task is not necessarily a determining factor. Instead, the nurse must assess the nursing assistant's competency to perform the task and ensure that it falls within the nursing assistant's scope of practice.

Question 7

Which nursing team members cannot delegate?&#10;A)RNs&#10;B)LPNs&#10;C)LVNs&#10;D)Nursing assistants

Accepted Answer

The answer of Which nursing team members cannot delegate?&#10;A)RNs&#10;B)LPNs&#10;C)LVNs&#10;D)Nursing assistants...

Question 8

Certification of the nursing assistant is maintained at the ________ level.&#10;A)Local&#10;B)State&#10;C)Federal&#10;D)Community

Accepted Answer

Certification of nursing assistants is maintained at the state level. Each state has its own requirements and certification process for nursing assistants.

Question 9

OBRA requires retraining and/or a new competency evaluation for persons who&#10;A)Have not worked as a nursing assistant for 24 months&#10;B)Were found guilty of abuse or neglect&#10;C)Were convicted of a crime&#10;D)Did not have good performance evaluations

Accepted Answer

OBRA requires retraining and/or a new competency evaluation for persons who have not worked as a nursing assistant for 24 months. The other options may also require further action, but they are not explicitly stated in OBRA.

Question 10

A nurse asks you to do a urinary catheterization.This involves sterile technique and inserting a tube into the person's bladder.The nurse gives you very clear instructions.What should you do?&#10;A)Perform the task.The nurse's directions were clear.&#10;B)Perform the task if the nurse is available to answer questions.&#10;C)Refuse the task.It is beyond the legal limits of your role.&#10;D)Perform the task if another nursing assistant can help you.

Accepted Answer

Catheterization is a procedure that requires specific medical training and licensure. Performing such a task without the proper credentials can result in harm to the patient and legal consequences for the individual performing the task.

Question 11

Which of the following indicates what your employer expects?&#10;A)Your job description&#10;B)The state nurse practice act&#10;C)OBRA&#10;D)Code of ethics

Accepted Answer

The answer of Which of the following indicates what your...

Question 12

The duty or obligation to perform some act or function is&#10;A)Accountability&#10;B)Responsibility&#10;C)Defamation&#10;D)Malpractice

Accepted Answer

The answer of The duty or obligation to perform some...

Question 13

Does a nurse have to delegate a task to you?&#10;A)Yes,if the task is in your job description.&#10;B)Yes,if the nurse teaches you how to perform the task.&#10;C)No.The nurse makes delegation decisions that are best for the person.&#10;D)No.The nurse performs the task unless he or she is busy.

Accepted Answer

The answer of Does a nurse have to delegate a...

Question 14

The nursing assistant registry includes information about&#10;A)Prior education&#10;B)Children&#10;C)Marriages&#10;D)Findings of abuse,neglect,or dishonest use of property

Accepted Answer

The answer of The nursing assistant registry includes information about&#10;A)Prior...

Question 15

A nursing assistant may report to another nursing assistant if that person has more experience.

Accepted Answer

The answer of A nursing assistant may report to another...

Question 16

OBRA requires training and a competency evaluation for nursing assistants working in&#10;A)Hospitals&#10;B)Nursing centers&#10;C)Hospices&#10;D)Doctors' offices

Accepted Answer

The answer of OBRA requires training and a competency evaluation...

Question 17

All of the following determine the tasks you can do except&#10;A)The doctor's orders&#10;B)Your job description&#10;C)Your training&#10;D)State laws

Accepted Answer

The answer of All of the following determine the tasks...

Question 18

A nurse can delegate&#10;A)Responsibilities&#10;B)Accountability&#10;C)The Five Rights of Delegation&#10;D)Tasks

Accepted Answer

The answer of A nurse can delegate&#10;A)Responsibilities&#10;B)Accountability&#10;C)The Five Rights of...

Question 19

How many testing attempts does OBRA allow?&#10;A)1&#10;B)At least 2&#10;C)At least 3&#10;D)At least 4

Accepted Answer

The answer of How many testing attempts does OBRA allow?&#10;A)1&#10;B)At...

Question 20

How many hours of instruction for nursing assistant training does OBRA require?&#10;A)At least 16&#10;B)At least 32&#10;C)At least 48&#10;D)At least 75

Accepted Answer

The answer of How many hours of instruction for nursing...

Question 21

You can refuse to do a delegated task if&#10;A)You are too busy&#10;B)You do not like the task&#10;C)It is the end of your shift and you are ready to go home&#10;D)The task is not in your job description

Accepted Answer

The answer of You can refuse to do a delegated...

Deck 3: The Nursing Assistant in Long-Term Care