Question 1

Meredith (CNA) is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to:
A)Immediately walk out of the client's room and answer the phone call.
B)Cover the client, place the call light within reach, and answer the phone call.
C)Finish the bed bath before answering the phone call.
D)Leave the client's door open so the client can be monitored and the nurse aide can answer the phone call.

Accepted Answer

Because the telephone call is an emergency, the nurse aide may need to answer it, in which case the proper course of action is to cover the client and place the call light within reach before answering the call. Additionally, the client's door should be closed or the room curtains pulled around the bathing area. This maintains the client's privacy and safety. The other appropriate action is to ask another nurse aide or staff member to accept the call.

Question 2

A client asks you, "Do you think, I have cancer?" The most appropriate response is:
A)"I will refer you to your doctor."
B)"If I were you, I will not worry unnecessarily."
C)"You sound concerned about what the doctor may find."
D)"You will undergo different tests before cancer can be diagnosed."

Accepted Answer

The most appropriate response is, "You sound concerned about what the doctor may find." This response by the nurse aid focuses on the client's feelings and promotes therapeutic communication. Choice A neglects the feelings of the client in the present situation. As the client verbalizes some concern, it is important to respond immediately and appropriately. Choice B is inappropriate response because this gives a false reassurance to the client. Choice D dismisses the client's feelings and focuses too much on the diagnosis.

Question 3

Nika Harris, CNA, is assigned to the medical ward, and she is assigned to a new client for the shift. She wants to know about the client's case and the past nursing care and therapeutic management. Ms. Harris therefore reads the:
A)Flow sheet.
B)Kardex.
C)Progress notes.
D)Nursing discharge summary.

Accepted Answer

The Kardex is a widely used, concise method of organizing and recording data about a client, making information quickly accessible to all members of the health care team. The Kardex reveals specific data about the client, including therapeutic management and nursing care. A flow sheet, on the other hand, enables nurses to record nursing data quickly and concisely to provide an easy-to-read record of the client's condition over time. Progress notes provide information about the progress a client is making. Lastly, the nursing discharge summary is completed only when the client is being discharged.

Question 4

Communication is an ongoing, dynamic, and multidimensional process. Which component of communication is also known as the decoder?
A)Sender
B)Receiver
C)Referent
D)Feedback

Accepted Answer

The receiver is the person who receives and decodes the message. The sender (Choice A) is the person who encodes and delivers the message. The referent (Choice C) motivates one person to communicate with another. Feedback (Choice D) is the message returned by the receiver.

Question 5

In order to effectively employ therapeutic communication, it is important to use techniques that encourage clients to open up and speak more freely. All of the following statements made by the nurse aide are therapeutic, except:
A)"I'm not sure I understand that."
B)"Would it help if you discuss your feelings?'
C)"What is your opinion about that?"
D)"You'll feel better soon."

Accepted Answer

Saying, "You'll feel better soon," is not therapeutic. This is an example of unwanted reassurance, in which the nurse aide uses clichés or comforting statements of advice as a means to reassure the client. The other choices convey therapeutic communication techniques such as seeking clarification (Choices A and B) and reflecting (Choice C).

Question 6

As a certified nurse aide, you are aware of your roles and responsibilities. To protect clients from harm, you must understand what you can do, what you cannot do, and the legal limits of your role. Which of the following duties would be most appropriate for a CNA, as delegated by a licensed nurse?
A)Assist in bathing a client with Guillain-Barre' syndrome who is on the ventilator.
B)Assist in bathing a client with pneumonia who is acutely short of breath.
C)Assist in ambulating a client with a hemothorax and chest tube to water seal.
D)Assist in feeding a client with a stroke and swallowing difficulties.

Accepted Answer

The lowest priority client in this instance is the one with a hemothorax and a chest tube, which does not require that the client be connected to suction. All of the other clients have conditions that require the assessment and attention of the registered nurse.

Question 7

The nurse aide made an error when recording a new entry in the progress notes. Which method would be the best way to correct the recording error?
A)Draw a single line through the entry, and write "error" and your initials above the entry.
B)Discard the page where the error occurred, and begin charting on a new page after hand-copying the previous entries.
C)Use a black marker to cover up the entry, and continue to chart.
D)Use a correction fluid to cover the entry, and write over the correction fluid once it dries.

Accepted Answer

To correct a recording error, the nurse aide would draw a single line through the entry and then write "error" and her initials above or beside the entry. The medical record is a legal document, so standards for charting must be followed when errors in recording occur.

Question 8

On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client's medical record?
A)"It is most likely that the client attempted to climb over the side rails and fell."
B)"Upon entering the room, the client was found lying on the floor."
C)"The client had been restless all evening and was trying to get out of bed."
D)"The presence of a bed alarm could have prevented the fall."

Accepted Answer

The nurse aide should document only the facts of the situation. Based on the scenario, the cause of the fall was not identified. Thus the facts for documentation are that the client was found lying on the floor upon entering the room.

Question 9

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station?
A)Logging out and signing off all computer screens before leaving a terminal
B)Sharing passwords for computer access with colleagues who have forgotten their own passwords
C)Periodically changing computer access passwords
D)Preventing an unidentified healthcare worker from viewing computer records

Accepted Answer

The nurse aide should never share computer access passwords with other colleagues, as another person could then use the nurse aide's personal identifier to compromise a client's confidentiality. The confidentiality of computerized medical records must be maintained.

Question 10

Which action by the nurse aide would demonstrate a lack of concern for a client's privacy?
A)The nurse aide knocks on the door before entering the client's room.
B)After a client who is admitted in a semi-private room has a biopsy, the nurse aide prepares a small conference room for the client and the healthcare provider to discuss the results of the biopsy.
C)The nurse aide forgets to cover up a client when transporting the individual in the hallway.
D)A curtain is drawn and the door to the room is shut when a client's wound dressing is changed.

Accepted Answer

Forgetting to cover a client when transporting him or her would be a violation of the client's physical privacy. Hospitalized clients are vulnerable due to illness, and members of the health care team should be sensitive in facilitating a client to maintain his or her privacy.

Question 11

A nursing assistant observes a client pacing the halls, and it appears that the client has been crying. Which of the following is the most appropriate action?
A)Consider the behavior a normal reaction to illness.
B)Validate perceptions with the client.
C)Discuss the client's actions with another nursing assistant for verification.
D)Discuss the morning schedule provided by the staff nurse with the client to decrease apprehension.

Accepted Answer

The nursing assistant should validate his or her perceptions with the client to ensure the correct interpretation of the client's nonverbal behavior. Choice C is inaccurate. The nursing assistant should not make false assumptions (Choice A) and should not ignore the client's behavior (Choice D).

Question 12

Tyra is taking a course for nursing assistants. In one of her classes, the instructor introduces the members of the health care team and the roles and responsibilities of each member. Tyra learns that if she works in a hospital, she will be supervised by:
A)Licensed nurses.
B)Doctors.
C)The health team.
D)The nursing team.

Accepted Answer

Nursing assistants give basic nursing care under the supervision of a licensed nurse.

Question 13

The client verbalizes, "I'm nothing." Which of the following is the most appropriate response by the nurse aide?
A)"Are you suggesting that you feel worthless?"
B)"Of course, you're everything."
C)"That's not true."
D)"You should not feel that way."

Accepted Answer

Responding with, "Are you suggesting that you feel worthless?" is an appropriate communication technique because it attempts to translate the client's remark into feelings. Using denial (Choice B), disagreeing (Choice C), and advising (Choice D) are not appropriate responses and do not elicit therapeutic outcomes.

Question 14

Which assignment would be most appropriate for a certified nursing assistant (CNA)?
A)Giving tube feedings initiated by the nurse
B)Bathing a client in Russell's traction
C)Changing an empty IV bag
D)Administering acetaminophen to a client with a temperature of 99.8 F°

Accepted Answer

Bathing is an activity that CNAs can perform as long as the client is not compromised or does not need a licensed professional. All the other options should be performed by a licensed nurse.

Question 15

A father who is a member of a prominent family in the community is admitted to the hospital following a motor vehicle crash. A reporter for the local television station telephones the nursing unit and asks for an update on the client's status. The nurse attendant who answered the call is aware that she must:
A)Confirm the reporter's identity.
B)Deliberately answer "No comment at this time."
C)Answer each question.
D)Report the matter to the nurse in order to obtain a signed client authorization.

Accepted Answer

The role of a nurse attendant is to direct any questions about the client or the client's care to the licensed nurse. In addition, the client's privacy must be protected, and in this particular scenario, a written consent must be obtained prior to the release of information.

Question 16

A client starts shouting during medication time. You heard the nurse saying, "If you will not take your medications, I will lock you in your room and will not allow you to view the TV in the day room." You know that the nurse's actions constitute:
A)Assault
B)Battery
C)False imprisonment
D)Defamation

Accepted Answer

False imprisonment is the unlawful restraint or restriction of a person's freedom of movement. It involves threatening to restrain a person, restraining a person, or preventing a person from leaving the agency. Assault is intentionally attempting or threatening to touch a person's body without the person's consent. Battery is touching a person's body without his or her consent. Defamation is injuring a person's name and reputation by making false statements to a third person.

Question 17

A co-worker is always out of post during duty hours and spends more time in the nurses' lounge. To resolve this conflict you may do any of the following except:
A)Explain the problem to you supervisor.
B)Discuss the matter with the nursing team.
C)Give facts and specific behaviors.
D)Suggest ways to solve the problem.

Accepted Answer

When resolving a conflict, never discuss the matter with the nursing team. Approach the person with whom you have a conflict. Ask to talk privately. Be polite and professional, and talk in a private setting.

Question 18

Which of the following is a correct documentation made by the nurse assistant?
A)In bed. Complains of headache. T 98.4 orally, radial pulse 72 and regular, respirations 18 and unlabored. BP 134/84 left arm lying down. Alice Jones, RN, notified of resident complaint and vital signs. Ann Adams, CNA
B)Complains of abdominal pain after eating hamburger, fries, and milkshake during lunch. Vital signs taken in normal readings. Referred to nurse-on-duty. Monitored for further abdominal pain. Vicky Tomms, CNA
C)Appears depressed after visited by relatives probably due to bad news. Will follow-up later. Mary Atkins, CNA
D)Warm to touch. Applied cold compress on forehead. Referred to physician for prn medications. Temperature above normal. Jane Craig, CNA

Accepted Answer

This option is the correct answer because it follows all the rules for recording:
-Record only what you observed and did yourself.
-Never chart a procedure or treatment until after it is completed.
-Be accurate, concise, and factual; do not record judgments or interpretations.
-Record in a logical and sequential manner.
-Be descriptive. Avoid terms with more than one meaning.
-Record any changes from normal or changes in the client's condition. Also record that you informed the nurse (include the nurse's name), what you told the nurse, and the time you made the report.

Question 19

Hyacinth is beginning to practice as a nurse assistant. She has to remember always that when relating to clients:
A)She is entitled to her moods since she is only human, too.
B)Her needs should be discussed with the family before the care starts.
C)She should be careful and sensitive listener but need not document all the information.
D)She should document information even if she is not sure it will affect the client's care.

Accepted Answer

Although each client is different, certain basic guidelines must be followed:
-Reporting and recording objective observations is important to protect the client and enable the health care team to deliver the best care possible.
-Reporting and recording objective observations protects the nurse assistant from being held responsible for a possible mistake.
-Do not allow personal feelings to get in the way of providing care to clients.

Question 20

You are assisting the nurse in the admission of Mrs. Anderson in the nursing home. While you are arranging her clothes and other personal belongings in the closet, she instantly grabs a teddy bear from you and angrily shouts, "Nobody touches my Teddy! Go away!" Which of the following is the best response?
A)"This is not allowed here. I will place this in the office for safe keeping."
B)"I understand that this is special to you. I will not take it away from you."
C)"You can only have your teddy bear if you are in the day room."
D)"I will ask my supervisor if you will be allowed to have it here with you."

Accepted Answer

The client has the right to keep and use personal items. Some items provide comfort and security. The client may not know why or even always recognize the item. Still, it is important to keep personal items safe from loss or damage.

Quiz 10: Role of the Aide

Meredith (CNA) is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to:

A client asks you, "Do you think, I have cancer?" The most appropriate response is:

Nika Harris, CNA, is assigned to the medical ward, and she is assigned to a new client for the shift. She wants to know about the client's case and the past nursing care and therapeutic management. Ms. Harris therefore reads the:

Communication is an ongoing, dynamic, and multidimensional process. Which component of communication is also known as the decoder?

In order to effectively employ therapeutic communication, it is important to use techniques that encourage clients to open up and speak more freely. All of the following statements made by the nurse aide are therapeutic, except:

As a certified nurse aide, you are aware of your roles and responsibilities. To protect clients from harm, you must understand what you can do, what you cannot do, and the legal limits of your role. Which of the following duties would be most appropriate for a CNA, as delegated by a licensed nurse?

The nurse aide made an error when recording a new entry in the progress notes. Which method would be the best way to correct the recording error?

On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client's medical record?

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station?

Which action by the nurse aide would demonstrate a lack of concern for a client's privacy?

A nursing assistant observes a client pacing the halls, and it appears that the client has been crying. Which of the following is the most appropriate action?

Tyra is taking a course for nursing assistants. In one of her classes, the instructor introduces the members of the health care team and the roles and responsibilities of each member. Tyra learns that if she works in a hospital, she will be supervised by:

The client verbalizes, "I'm nothing." Which of the following is the most appropriate response by the nurse aide?

Which assignment would be most appropriate for a certified nursing assistant (CNA) ?

A client starts shouting during medication time. You heard the nurse saying, "If you will not take your medications, I will lock you in your room and will not allow you to view the TV in the day room." You know that the nurse's actions constitute:

A co-worker is always out of post during duty hours and spends more time in the nurses' lounge. To resolve this conflict you may do any of the following except:

Which of the following is a correct documentation made by the nurse assistant?

Hyacinth is beginning to practice as a nurse assistant. She has to remember always that when relating to clients: