Question 1

Joan answers an incoming phone call only to find out that the caller was calling a different unit. How should Joan facilitate the call transfer?

Accepted Answer

Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy. Nurse aides may have to answer phone calls at the nurses' station or in the clients' rooms. Good communication skills are needed. Giving the phone to the nurse will only delay and may hamper an emergency call. When transferring a call, first find out who is calling, and transfer calls only if appropriate. Respond politely by referring the caller to the operator instead of putting them on hold and eventually putting the phone down.

Question 2

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:

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 3

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

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 4

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:

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 5

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

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 6

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:

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 7

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?

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 8

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?

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 9

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?

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 10

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

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 11

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

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 12

Kristine (RN) is orienting Shella, the new certified nurse aide, to the unit. Kristine mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, Shella is aware that she should:

Accepted Answer

It is best to have an interpreter present when communicating with clients who speak different language. This is arranged by the nurse. Choices A and B are inappropriate and are ineffective ways in which to communicate. Choice D is inappropriate because it violates privacy and does not ensure correct translation.

Question 13

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?

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 14

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:

Accepted Answer

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

Question 15

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

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 16

While you are obtaining a client's vital signs, he tells you that he is experiencing pain on his IV site. You check his right arm where the intravenous line is connected and notice that it is reddened. What should be your priority action?

Accepted Answer

As a nurse assistant, you help meet the safety, hygiene, and activity needs of persons with IVs. You are never responsible for maintaining IV therapy. Nor do you regulate the flow rate or change IV bags. You never give blood or IV drugs. Follow the nurse's directions and care plan. Other signs and symptoms of IV complications that you need to report to the licensed nurse are:
§Bleeding
§Puffiness or swelling
§Pale skin
§Hot or cold skin near the site
§Fever itching
§Drop in blood pressure
§Pulse rate greater than 100 beats per minute
§Cyanosis
§Changes in mental function
§Difficulty breathing
§Shortness of breath
§Decreasing or no urine output
§Chest pain
§Nausea
§Confusion

Question 17

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

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 18

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:

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 19

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:

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 20

The supervisor is orienting newly hired nursing assistants to the policies of the facility and their job responsibilities. The supervisor reminds them that they can refuse to perform a task for any the following reasons except:

Accepted Answer

The nursing assistant has the right to say "no" in performing tasks even if delegated by a licensed nurse. Sometimes refusing to follow the nurse's directions is your right and duty. You should refuse to perform a task when:
§The task is beyond the legal limits of your role.
§The task is not in your job description.
§You are not prepared to perform the task.
§The task could harm the person.
§The person's condition has changed.
§You do not know how to use the supplies or equipment.
§Directions are unclear or inappropriate.
§Directions are unethical, illegal, or against agency policies.
§A nurse is not available for supervision.

Quiz 3: Role of the Aide