Question 1

A nurse can delegate&#10;A)Responsibilities&#10;B)Accountability&#10;C)The five rights of delegation&#10;D)Tasks

Accepted Answer

A nurse can delegate tasks, which are specific activities or actions that can be completed by another healthcare team member under the nurse's supervision and guidance. Responsibilities, accountability, and the five rights of delegation remain with the nurse.

Question 2

OBRA requires a training and a competency evaluation progr4am for nursing assistants working in&#10;A)Out-patient clinic&#10;B)Nursing centers&#10;C)Hospices&#10;D)Doctors' offices

Accepted Answer

OBRA (Omnibus Budget Reconciliation Act) requires a training and competency evaluation program for nursing assistants working in nursing centers. This act sets federal standards for the training and evaluation of nursing assistants in long-term care facilities, including nursing homes. It does not apply to nursing assistants working in out-patient clinics, hospices, or doctors' offices.

Question 3

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

Accepted Answer

The Omnibus Budget Reconciliation Act (OBRA) requires a minimum of 75 hours of instruction for nursing assistant training programs.

Question 4

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

OBRA (Omnibus Budget Reconciliation Act) allows at least 3 testing attempts for individuals, ensuring they have multiple opportunities to pass required tests.

Question 5

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 outlines the requirements for obtaining a nursing license and defines the scope of practice for nurses. It also provides legal authority to penalize individuals who practice nursing without a license.

Question 6

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 term “omnibus” refers to the act encompassing a range of different provisions covering many different topics. The Omnibus Budget Reconciliation Act of 1987 (OBRA ’87) is a federal law that had a significant impact on nursing home care and regulation.

Question 7

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 authorized to administer drugs or insert tubes. They also cannot take verbal or telephone orders from doctors. Reporting changes in the person's condition is within the nursing assistant's scope of practice. Discussing the person's diagnosis with the family may be seen as providing medical advice, which is outside the scope of practice for nursing assistants.

Question 8

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

Nursing assistants are primarily responsible for assisting with personal hygiene needs, such as bathing and grooming, and helping with activities of daily living. Giving drugs and performing sterile procedures are tasks reserved for licensed nurses and doctors, while telephoning the doctor may be delegated to a nursing assistant but is not a primary responsibility.

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 requires both a written test and a skills test. This is outlined in the OBRA regulations for nursing homes and ensures that nursing assistants have both the knowledge and practical skills necessary to provide quality care for residents. A licensing examination may also be required in certain states, but it is not specifically part of the OBRA competency evaluation.

Question 10

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 has regulations that govern the nursing practice and includes specific guidelines for the duties and responsibilities of nursing assistants.

Question 11

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

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

Question 12

The duty or obligation to perform some act or function is known as being&#10;A)Accountable&#10;B)Responsible&#10;C)Defamed&#10;D)Liable

Accepted Answer

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

Question 13

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 The following determine the tasks you can...

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

Before a nurse delegates a task to you,the nurse must know 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 knowledge and skills are required to perform the task&#10;D)What your role is in the agency

Accepted Answer

The answer of Before a nurse delegates a task to...

Question 16

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

The answer of Which tells you what your employer expects?&#10;A)Your...

Question 17

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 18

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 19

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

The answer of OBRA requires re-training and/or a new competency...

Question 20

Home care assistants may need to do the following except&#10;A)Laundry&#10;B)Washing windows&#10;C)Light housekeeping&#10;D)Shopping for groceries and household items

Accepted Answer

The answer of Home care assistants may need to do...

Question 21

A nursing assistant also is 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 answer of A nursing assistant also is an EMT...

Question 22

When you agree to perform a delegated task,you are responsible for your own actions.

Accepted Answer

The answer of When you agree to perform a delegated...

Question 23

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

Accepted Answer

The answer of The five rights of delegation involve&#10;A)The right...

Question 24

You can refuse to perform 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 perform a delegated...

Deck 3: The Nursing Assistant