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TRUE or FALSE A physician's order is necessary to apply a restraint to a resident.
The early sign of a pressure ulcer is:
- Stage 1. An are is red, pale or dark, and the normal color does not return within a few minutes of relieving the pressure. The area may be firmer, softer, warmer, cooler or more painful that the surrounding tissue. Detection may be more difficult in people with darker skin.
- Stage 2. The area may look like a shallow, open ulcer with pink or red exposed tissue at the bottom. Sometimes, instead of looking like an ulcer, the area looks like a blister.
- Stage 3. More tissue is lost. The fat that lies beneath the skin may be visible.
- Stage 4. A deep crater forms. Muscle of bone may be visible.
When a CNA repositions a person in bed, he/she should a/an _________ to prevent shearing and friction.
Use a draw sheet
Mrs. Smith is to be placed in a suspine position. The means she should be lying how?
Mr. Jones is supposed to have a rectal temperature taken. Which is best position to use to accomplish this task?
Another term for a side-lying position is a ____position.
When performing ROM exercises with a resident, you usually perform each exercise how many times?
Mrs. Jones is re-learning to perform ADL's following her stroke. Which communication technique would help her the most to master theses skills?
A. Telling her when she makes a mistake
B. Telling her what to do next if she seems to get stuck
C. Reviewing the entire procedure for accomplishing the task
D. Giving her a clue about the next step if she appears to get stuck
D. Giving her a clue about the next step if she appears to get stuck
(this multiple choice question has been scrambled)
Mr. Simpson cannot bear weight at all. What is the safest way for the nursing assistant to transfer him from his bed to his geri-chair (lounge chair)?
Mr. Carey can bear weight, but one of his legs is stronger than the other. Which assistive device for ambulating would he use?
You should check on a restrained person every _____minutes and remove restraint how often?_____________
15 Minutes & Every two hours totally remove all restraints
The instrument used to listen to sounds produced inside the body is called a/an _________
T or F To ensure an accurate weight measurement, a CNA should alternate the times of day and amount of clothing that a resident wears. If false, explain what CNA should do:
False. Always use the same scale in the same place. Weigh the person at approximately the same time of day each time, and have the person wear the same type an amount of clothing. Consistently give the person an opportunity to use the bathroom before obtaining the weight measurement.
Where should you place the call signal for someone who has had a stroke and has one side of the body weakened (affected)?
On the good side
List three signs or symptoms of an impending heart attack (MI):
- *Chest pain,discomfort, pressure, or squeezing that last longer that 3 to 5 minutes and is not relieved by resting, changing position, or taking nitroglycerin, or that goes away and then comes back
- * Discomfort or pain that spreads to one or both arms, the back, the shoulder, the neck, the jaw or the upper part of the stomach
- *Dizziness, lightheartedness or loss of consciousness
- *Trouble breathing, including noisy breathing, shortness of breath and breathing that is faster than normal
- * A heartbeat that is faster or slower than normal, or irregular
- * Nausea
- * Pale, ashen or slightly bluish skin
- * A cold sweat
- * A feeling of anxiety or doom
- * Extreme fatigue (tiredness)
The name of the technique used to sustain breathing and circulation for a person who has gone into cardiac arrest is
Cardiopulmonary resuscitation (CPR)
The ABCs of good body mechanics are:
Alignment, Balance, Cordination
you suspect your resident is having a stroke. You use the acronym FAST to determine if this is happening. FAST stands for:
Face, Arms, Speech, Time
A fire alarm sounds in your facility. What is the FIRST action that a nursing assistant should take?
R A C E: Rescue-Alarm-Contain-Extinguish (pg 96)
The nurse tells you to use a tympanic thermometer on Ms. Sands. You would insert that thermometer where?
Mrs. Jackson's rectal temperature is 100 degrees Fahrenheit. Is that within normal limits for an adult?
What is the location for taking a radial pulse?
Thumb side of wrist
A cane should be placed on a resident's strong side when ambulating -why?
They walk on the strong leg and use the cane and weak leg together for support.
Your resident is having painful, labored breathing. The medical term for this condition is:
If a person does not move his or her joints regularly, the joints may become permanently bent. This is called a
Contracture (pg 146)
A bed with the top linens folded back is called a _____bed.
List at least three things that a nursing assistant can do to prevent pressure ulcers:
- Providing good skin care
- Encouraging movement
- Observing for signs of skin breakdown
- Assisting with regular toileting and providing perineal care
- Encouraging good nutrition and fluid intake
- Assisting with re-positioning and avoiding friction and shearing injuries
- Ensuring clean, dry, wrinkle-free linens
Your resident is sitting up in bed with the HOB (Head of Bed) raised at least 45 degrees. This position is called
List at least three things that increase a person's chance to develop pressure ulcers:
- Advance age
- Fragile, dry skin
- Moisture (for example, where one skin surface touches another, or where skin is in contact with soiled linens or clothes)
- Poor nutrition
- Poor hydration (not enough fluid intake)
- Poor circulation (for example, as a result of cardiovascular disease)
- Poor oxygenation (for example, as a result of respiratory disease)
Pressure ulcers can easily develop on what areas of the body?
The back of the head, shoulder blades, elbows, hips, coccyx (tailbone), knees, ankles and heels
What is a thready pulse?
A weak pulse that is very difficult to feel
T P R and BP are usually referred to as:
Describe where you would find these pulses:
- A. Apical: Over the apex of the heart
- B. Brachial: Inside the elbow
- C. Carotid: Neck
The traditional way to measure a person's BP is with a stethoscope and a
True or False. It is acceptable to place a BP cuff over a person's clothing
What is one of the most important safety steps that a nursing assistant should do before he/she transfers a resident to a w/c?
Make sure the lock or break is on the wheels
towards the body
away from the body
True or False: When providing restorative care, nursing assistants are responsible for helping the person practice the skills he/she learned in therapy
loss of muscle mass
A bed cradle is
a frame that keeps the top bed linens from rubbing against and putting pressure on the tops of the person's legs, feet and toes. The top linens are placed on the bed over the bed cradle.
What is used to prevent foot drop?
A foot board
True or False When changing linens on an unoccupied bed, a nursing assistant should check linens for misplaced items such as eyeglasses or hearing aids before removing the used linens from the bed.
An elevation of body temperature is called a/an
What are the three qualities that should be evaluated when checking a resident's pulse?
pulse rate, rhythm, force
True or False One respiration is counted after one rise and one fall of the chest
What should a nursing assistant ask BEFORE he/she takes and oral temperature on a resident?
Have you had anything to eat or drink within the last 15 minutes?
Drooping eyelid, slurred speech, corner of the mouth sagging and/or weakness on one side of the body could be signs of a
Mrs. Avery starts to fall as the nursing assistant is assisting her to walk to the dining room. What should the nursing assistant do?
- Do not stop the fall. Put your arms around the person's waist or under his arms, and hug the person's torso close to your body.
- Place one foot behind the other to side your base of support.
- Bend your knees and lower the person slowly to the floor by sliding him down your leg.
- Lower yourself to the floor and sit beside the person. Call for help. While waiting for help o arrive, stay with the person. Provide assurance and make the person comfortable.
The basic steps that guide a nursing assistant's actions in and emergency are:
In _______, a person's head or other body part gets trapped between, under or on side rails which can lead to suffocation and even death.
The temperature of hot tap water should be lass than ________ degrees Fahrenheit to prevent burns in a facility.
The poison control hotline number is
List at least three complications of restraints
- Skin tears
- Tissue damage
What is an incident in health care
Is something unusual that happens to a person receiving care, a staff member or a visitor to the facility and has the potential to care harm.
Restraints can either be __________or ______________.
Physical or chemical
Correct positioning of body parts relative to each other to maintain good posture is known as
A pulse rate less that 60 beats per minute is known by the medical term
The terms in first aid, what should a nursing assistant do if a person has a wound that is bleeding?
Apply direct pressure after washing hands
Mrs. Jones is choking on her lunch. She cannot speak or cough. what should the nursing assistant do?
Call for help, give 5 back blows, 5 abdominal thrust, clear mouth, repeat until everything is clear and they are good to go
The portable device that delivers a defibrillation shock automatically or with a push of the button is called a/an
In using a fire extinguisher, we follow the acronym PASS. What does PASS mean?
Your resident's shirt is on fire. What should you do?
Stop, drop, roll, smolder
Your resident has just finished having a seizure. what position should you place him in?
True or False In older people, the body temperature may decrease or only slightly increase in response to an infection.
High blood pressure 140/90
Low blood pressure 90/60