Question 1

A nursing assistant is also an EMT who works for the fire department.In her EMT role,she is allowed to start IVs.On the weekend,she works as a nursing assistant at a nursing center.The RN asks her to start an IV on a resident.What should the nursing assistant do?

A) Perform the task that was delegated to her.
B) Politely refuse to do the task and explain why.
C) Tell another nurse to do the task.
D) Report the RN to the doctor.

Accepted Answer

The nursing assistant should politely refuse to do the task as starting IVs is outside the scope of practice for a nursing assistant. Although the nursing assistant is also an EMT who is allowed to start IVs, it is important to recognize that different roles have different scopes of practice and responsibilities. It would be a violation of professional boundaries and potentially unsafe to perform a task outside of one's legal scope of practice. Therefore, the best course of action would be to respectfully decline and explain why.

Question 2

Which state law affects what nursing assistants can do?&#10;A) The state's nurse practice act&#10;B) The nursing assistant registry&#10;C) OBRA&#10;D) Civil law

Accepted Answer

The state's nurse practice act outlines the scope of practice for all nurses and nursing assistants within the state. It defines what tasks can and cannot be performed by nursing assistants and under what circumstances they must be supervised by a licensed nurse.

Question 3

A nurse asks you to perform a task that is beyond the legal limits of your role.What should you do?&#10;A) Perform the task so that you do not lose your job.&#10;B) With respect,firmly refuse the task.&#10;C) Ignore the request.&#10;D) Think about it for a few days.

Accepted Answer

It is important to stay within the legal limits of your role to ensure patient safety and avoid liability. Refusing the task is the best option as it upholds professional and ethical standards while also protecting the nurse, patient, and employer from legal consequences.

Question 4

OBRA requires re-training 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 re-training and a new competency evaluation for nursing assistants who have not worked in that role for 24 months or more.

Question 5

The Omnibus Budget Reconciliation Act of 1987 is a:&#10;A) State law&#10;B) Nurse practice act&#10;C) Federal law&#10;D) Criminal law

Accepted Answer

The Omnibus Budget Reconciliation Act of 1987 is a federal law that made many changes to Medicare and Medicaid program regulations. It included provisions related to long-term care, nursing homes, and hospice care.

Question 6

Which tells you 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

Your job description outlines the specific duties and responsibilities you are expected to perform in your role within the organization. It is an important document to refer to in order to understand what is expected of you by your employer.

Question 7

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

A state's nurse practice act enforces the regulations and requirements for nursing licensure within that state, including prohibiting individuals from practicing nursing without a license.

Question 8

The official recognition by a state that standards or requirements have been met is known as:&#10;A) Accountability&#10;B) Responsibility&#10;C) Certification&#10;D) Reciprocity

Accepted Answer

Certification refers to the official recognition that standards or requirements have been met. Accountability refers to being responsible for one's actions or decisions. Responsibility refers to being accountable for one's actions and duties. Reciprocity refers to the exchange of privileges or obligations between two or more parties. Therefore, Certification is the best choice as it directly relates to the given definition.

Question 9

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. This is to ensure that individuals have both theoretical knowledge and practical skills necessary to perform their job effectively. A licensing examination is a separate requirement for individuals seeking professional licensure in certain fields.

Question 10

You may lose your certification as a nursing assistance for which of the following reasons?&#10;A) Giving unsafe care&#10;B) Being late to work&#10;C) Bringing your children to work&#10;D) Refusing to give family members confidential information

Accepted Answer

Giving unsafe care can put patients at risk and is a violation of the standards and ethics of the nursing profession, which can lead to losing certification. Being late to work or bringing your children to work may be grounds for reprimand but not necessarily losing certification. Refusing to give family members confidential information shows proper respect for patient privacy and is not a reason for losing certification.

Question 11

How many testing attempts does OBRA allow?&#10;A) Only 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)...

Question 12

Which of the following determines the tasks you can do?&#10;A) The doctor's orders&#10;B) The lead nursing assistant&#10;C) The person's family&#10;D) State laws

Accepted Answer

The answer of Which of the following determines the tasks...

Question 13

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

The answer of A nurse asks you to do a...

Question 14

As a nursing assistant,you are responsible for:&#10;A) Giving drugs&#10;B) Performing sterile procedures&#10;C) Meeting the person's hygiene needs&#10;D) Telephoning the doctor

Accepted Answer

The answer of As a nursing assistant,you are responsible for:&#10;A)...

Question 15

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)...

Question 16

OBRA requires a training and a competency evaluation program for nursing assistants working in:&#10;A) Out-patient clinic&#10;B) Nursing centers&#10;C) Hospices&#10;D) Doctors' offices

Accepted Answer

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

Question 17

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

The answer of As a nursing assistant,you can:&#10;A) Report changes...

Question 18

How many hours of instruction does OBRA require?&#10;A) 16&#10;B) 32&#10;C) 48&#10;D) 75

Accepted Answer

The answer of How many hours of instruction does OBRA...

Deck 3: The Nursing Assistant