1.Easy
Which signs are typical of shock?
- ARed, hot, dry skin and a slow, strong pulse
- BWarm skin and a very high blood pressure
- CPale, cool, clammy skin and a rapid, weak pulse
- DNormal skin color and a steady pulse
2.Easy
For most healthy adults, which pulse oximeter (oxygen saturation) reading is normal?
- A95% to 100%
- B60% to 65%
- C80% to 85%
- D70% to 75%
3.Easy
What is Alzheimer's disease?
- AA normal part of growing old that affects everyone over 80
- BA heart disease that reduces blood flow to the body
- CA short-term confusion that is caused by an infection
- DA worsening brain disease, the most common cause of dementia
4.Medium
How can a nursing assistant encourage a resident to drink more fluids?
- APut the water pitcher on a shelf across the room
- BTell the resident to drink a liter at once in the morning
- COffer preferred drinks often and keep fresh water within reach
- DOffer fluids only at mealtimes
5.Medium
A resident with an IV line needs a clean gown. How is the old gown removed?
- AFrom the arm with the IV first, after clamping the tubing
- BAfter disconnecting the IV tubing from the bag
- CBy cutting the sleeve off the IV arm
- DFrom the arm without the IV first, then the bag and tubing are slid through the sleeve
6.Medium
When a resident is discharged, what does the nursing assistant usually do?
- ADecide whether the resident is ready to go home and sign the discharge
- BHelp pack, check belongings against the list and help the resident out safely
- CGive the resident instructions about new medicines to take at home
- DKeep the resident's belongings at the facility until the family asks for them
7.Hard
A resident on droplet precautions for influenza wants to go to the bingo game. What should the nursing assistant do?
- AExplain she must stay in her room for now, offer an activity there and tell the nurse
- BTake her to bingo without a mask, since she has had the flu shot
- CTell her she is being selfish and that the other residents do not want her at the bingo game
- DTake her to bingo and seat her in the middle of the group so she feels included
8.Hard
At lunch, a resident suddenly grabs her throat, cannot speak and is not coughing. What should the nursing assistant do?
- APat her back while giving her sips of water
- BWait to see whether she starts to cough
- CLay her flat in bed to rest
- DCall for help and give abdominal thrusts
Answer key
- 1. C · Pale, cool, clammy skin and a rapid, weak pulse
- 2. A · 95% to 100%
- 3. D · A worsening brain disease, the most common cause of dementia
- 4. C · Offer preferred drinks often and keep fresh water within reach
- 5. D · From the arm without the IV first, then the bag and tubing are slid through the sleeve
- 6. B · Help pack, check belongings against the list and help the resident out safely
- 7. A · Explain she must stay in her room for now, offer an activity there and tell the nurse
- 8. D · Call for help and give abdominal thrusts
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