1.Easy
In Fowler's position, how is the resident placed?
- ASitting up, head of the bed raised about 45–60°
- BLying on the left side with the upper knee bent
- CLying flat on the back
- DLying on the stomach with the head turned to one side
2.Easy
What does the suffix "-itis" mean?
- ASurgical removal
- BTumor
- CInflammation
- DPain
3.Easy
What does the top number (systolic) of a blood pressure reading measure?
- AThe amount of oxygen carried in the blood
- BThe pressure in the arteries when the heart rests
- CThe pressure in the arteries when the heart contracts
- DThe number of heartbeats in one minute
4.Medium
Which signs may point to dehydration?
- ASudden weight gain over one day
- BMoist skin and swelling of the feet and ankles
- CLarge amounts of pale urine
- DDark, strong-smelling urine and a dry mouth
5.Medium
A resident wears a nasal cannula. Where should the nursing assistant check for skin irritation?
- AOn the soles of the feet and the heels
- BBehind the ears and around the nostrils
- COn the back of the hands
- DUnder the arms and around the neck
6.Medium
Unless ordered otherwise, why is the head of the bed usually kept at 30 degrees or lower for a resident at risk of pressure injury?
- AHigher angles make it much harder for the resident to see the television screen
- BLower angles help the resident digest food
- CLower angles prevent the side rails from being used
- DHigher angles make the resident slide down, causing shearing over the tailbone
7.Hard
A resident on airborne precautions for tuberculosis must be taken to another department for an X-ray. Which precaution is usual?
- AThe resident's door is left open during the trip
- BThe resident wears a surgical mask while out of the room
- CThe resident goes without a mask so breathing is easier
- DThe resident is told never to leave the room for any test
8.Hard
A resident with a do-not-resuscitate (DNR) order starts choking on food at lunch and cannot speak. What should the nursing assistant do?
- AGive the resident water to wash the food down
- BGive abdominal thrusts and call for help; DNR does not forbid this
- CWait for the nurse to read the DNR order before doing anything
- DDo nothing, because the DNR order means no emergency care at all
Answer key
- 1. A · Sitting up, head of the bed raised about 45–60°
- 2. C · Inflammation
- 3. C · The pressure in the arteries when the heart contracts
- 4. D · Dark, strong-smelling urine and a dry mouth
- 5. B · Behind the ears and around the nostrils
- 6. D · Higher angles make the resident slide down, causing shearing over the tailbone
- 7. B · The resident wears a surgical mask while out of the room
- 8. B · Give abdominal thrusts and call for help; DNR does not forbid this
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