Deck 2: The Nursing Assistants Job

Question 1

A nursing assistant program provides training on topics that include: (Select all that apply.)

A) infection control
B) pest control
C) feeding techniques
D) residents' rights
E) communication skills

Answer 1

infection control
feeding techniques
residents' rights
communication skills

Question 2

The nursing assistant returned to work after 4 years working at a non-health care-related job. What is the priority action for the nursing assistant?

A) Retake the state of hire-mandated written test and the skills test.
B) Schedule first for the extensive orientation at the place of hire.
C) Prepare by taking the state-mandated training of the state of hire.
D) Determine the state's reciprocity agreement for previous training.

Answer 2

Prepare by taking the state-mandated training of the state of hire.

Question 3

Depending on the nurse's level of education, a nurse may be a: (Select all that apply.)

A) licensed practical nurse
B) team nurse
C) licensed vocational nurse
D) registered nurse
E) charge nurse

Answer 3

licensed practical nurse
licensed vocational nurse
registered nurse

Question 4

"Each member of the nursing team carries out the same assigned task for all clients or residents." This situation is an example of what type of nursing?

A) Team
B) Primary
C) Secondary
D) Functional

Question 5

The nursing assistant works in a facility that has a "patient-focused care" approach. The nursing assistant caring for a client experiencing chest pain should determine which best action to take?

A) Interpret the results of all ordered STAT labs.
B) Assess the type of chest pain and provide meds.
C) Teach about the causes of cardiovascular disease.
D) Collect the electrocardiogram (ECG) as ordered.

Question 6

To "delegate" a task means to:

A) give another person permission to perform that task on the nursing assistant's behalf.
B) consider the client's or resident's individual needs.
C) perform all assigned tasks properly.
D) ask for help with an assigned task when necessary.

Question 7

The nursing assistant should question the nurse when the nursing assistant is delegated which task?

A) Differentiate if the skin breakdown has tunneling present.
B) Ambulate the client the full length of the hall using the cane.
C) Calculate the amount of food and drink the client had for lunch.
D) Obtain a urine specimen for urinalysis and send it to the lab.

Question 8

The term "scope of practice" means:

A) the act of assigning nursing tasks related to routine care.
B) the range of tasks the assistant is legally permitted to do.
C) maintaining the skills required of a nursing assistant.
D) having graduated from a nursing assistant training program.

Question 9

The nursing assistant uses the five rights of delegation to determine which delegated task to question?

A) Remind the client to put on their sleep apnea mask.
B) Monitor the vital signs of an unstable client and report any worsening.
C) Collect the supplies listed for a procedure and bring them to the bedside.
D) Prepare the client's room for additional guests the client is expecting.

Question 10

The nursing assistant recognizes that the effectiveness of the nursing care plan is addressed by which step of the nursing process?

A) Implementation
B) Assessment
C) Planning
D) Evaluation

Question 11

The nursing assistant examines the client's written care plan. What action should the nursing assistant take?

A) Employ the interventions noted in the nursing care plan designated for the nursing assistant.
B) Assess the client's response to the respiratory treatment by auscultating the lungs.
C) Develop a comprehensive interdisciplinary discharge plan for the client going home.
D) Write an evaluation of the effectiveness of the client's plan of care at the end of the shift.

Question 12

The resident tells the nursing assistant, "My hearing aid was stored by the nurse in the medication cart and the nurse cannot find it. The administrator told me that they don't have it anymore, and the facility is not going to replace it. I need to talk to someone who will protect my rights." What is the best action for the nursing assistant to take?

A) Search the room for the missing hearing aid.
B) Explain how to contact the ombudsman.
C) Report the issue to the charge nurse.
D) Schedule a meeting with the chief officer.

Question 13

What term is used to ensure that clients will have their health care bill explained to them?

A) A liability
B) An ethical code
C) A responsibility
D) A right

Question 14

When guidelines concerning the rights of residents of long-term care are not followed, the result can be that:

A) the facility will have problems receiving federal payment from Medicare.
B) the resident will lose the right to information about Medicare or Medicaid.
C) the resident will not be protected against Medicaid discrimination.
D) the facility will not be able to hire qualified personnel.

Question 15

The nursing assistant is moving the resident from the wheelchair to the toilet and the resident falls. What negligent act likely caused the fall?

A) The seat belt was unfastened.
B) The wheelchair was unlocked.
C) The footrests were removed.
D) Nonslip shoes were in place.

Question 16

Which right is protected by the Health Insurance Portability and Accountability Act (HIPAA)?

A) The right to privacy
B) The right to respectful care
C) The right to control finances
D) The right to information about advocacy groups

Question 17

Abuse is best defined as:

A) violating another person's right to keep certain personal information private.
B) the act of stealing another person's property.
C) any deception that could cause harm to another person.
D) repetitively and consciously causing injury to another person.

Question 18

The nursing assistant entered a room to help another nursing assistant and noticed a red mark on the resident's face, and the glasses were bent on the same side. The resident flinches every time the nursing assistant moves toward the resident's face. What is the best action for the nursing assistant who observed the injury to take?

A) Follow the nursing home guidelines for reporting suspected abuse.
B) Ask the other nursing assistant privately what happened to the resident.
C) Chart the observation of the skin breakdown and bent glasses.
D) Examine the resident further for other signs of a fall injury.

Question 19

Because a nursing assistant failed to reposition a resident frequently, the resident developed a pressure injury. What kind of violation of criminal law has the nursing assistant committed?

A) Involuntary seclusion
B) Psychological abuse
C) Physical abuse
D) Neglect

Question 20

Which one of the following could be considered psychological abuse?

A) Handling a resident roughly
B) Teasing a resident in a cruel way
C) Failing to change wet and soiled bed linens
D) Forcing another resident to engage in sexual activity

Question 21

The nursing assistant answered a client's call light observing a visitor leaving the client's room in a hurry. The client was having problems breathing and had a swollen red face and neck with a red mark around the neck. What is the priority action for the nursing assistant?

A) Call for additional emergency help.
B) Notify security to stop the visitor.
C) Report the suspicions to the nurse
D) Place the head of the bed up.

Question 22

Which client is most at risk for being abused?

A) A young adult who has a broken leg
B) An older adult who is confined to bed
C) A teenager who has an ear infection
D) An adult who is recovering from hand surgery

Question 23

Ethics are important to the nursing assistants because they:

A) help identify the kind of nursing care the client needs.
B) define the nursing assistant's scope of practice.
C) guide their behavior in the workplace.
D) are taught in all nursing assistant programs.

Question 24

The nursing assistant witnesses a grandchild yelling that he wants more money and slapping the resident as the nursing assistant enters the room. The resident tells the nursing assistant that they were just playing. What action should the nursing assistant take?

A) Establish that the two of them were just kidding.
B) Report suspected physical and financial abuse.
C) Confront the grandson about the abusive behavior.
D) Call for security to remove the visitor immediately.

Question 25

The nursing assistant should refuse which assignment(s)? Select all that apply.

A) Increase the oxygen on the flowmeter to 4 liters per minute.
B) Administer wet to dry sterile dressing to the leg wound.
C) Prepare the liquids using thickener to a nectar consistency.
D) Remove the indwelling urinary catheter and dispose of it.
E) Supervise the new nursing assistant using the gait belt.

Question 26

According to civil law, which situation is an example of negligence by a nursing assistant?

A) The assistant tells his/her peers that the new nursing assistant has a reputation for partying on the weekends and taking illicit drugs.
B) The assistant is distracted by a resident's roommate yelling that he/she forgot to lock the wheels on the wheelchair, which rolled away as the resident was beginning to sit, resulting in a hip fracture from the fall.
C) The assistant writes a note to his/her supervisor stating that he/she heard the newly hired nursing assistant was fired at his/her last job for "being rough" with the residents.
D) A fellow employee reports that the newly hired assistant locked one of the residents inside the bathroom for an extended time.