1.Easy
Which is an example of verbal abuse?
- ASpeaking slowly to a resident who is hard of hearing
- BExplaining a procedure before starting it
- CCalling a resident names or using insulting words
- DAsking a resident what clothes she wants to wear
2.Easy
Which process kills all microorganisms, including spores?
- ADisinfection
- BSanitizing
- CSterilization
- DHand hygiene
3.Easy
Which is a common sign that death is near?
- AA sudden large increase in appetite
- BA rising amount of urine output
- CCool, mottled skin on the hands and feet
- DWarm, pink skin on the hands and feet
4.Medium
When measuring blood pressure in the arm, where is the stethoscope placed?
- AOver the brachial artery at the inner elbow
- BOver the heart on the chest
- COver the carotid artery in the neck
- DOver the radial artery on the thumb side of the wrist
5.Medium
A resident with an intellectual disability is learning to make his own bed. Which approach helps most?
- AMake the bed for him because it is faster
- BCorrect every mistake in front of others
- CTeach one simple step at a time, praise success and be patient
- DExplain all the steps at once, then leave him to try it on his own
6.Medium
A resident is on contact precautions for MRSA. How should the blood pressure cuff and stethoscope be handled?
- AShare the cuff with the roommate without cleaning it
- BUse equipment that stays in that resident's room
- CWipe the cuff with plain water and take it to the next room
- DUse the hallway cuff on every resident in turn
7.Hard
During morning care, a usually talkative resident is quiet, her face is flushed and her skin feels hot. What should the nursing assistant report?
- AThat the resident is in a bad mood today and does not want to talk
- BHer change in behavior, flushed face, hot skin and temperature if taken
- CNothing yet, because she may simply be tired from a poor night's sleep
- DThat the resident probably has the flu and should stay in her room
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 abdominal thrusts and call for help; DNR does not forbid this
- BWait for the nurse to read the DNR order before doing anything
- CDo nothing, because the DNR order means no emergency care at all
- DGive the resident water to wash the food down
Answer key
- 1. C · Calling a resident names or using insulting words
- 2. C · Sterilization
- 3. C · Cool, mottled skin on the hands and feet
- 4. A · Over the brachial artery at the inner elbow
- 5. C · Teach one simple step at a time, praise success and be patient
- 6. B · Use equipment that stays in that resident's room
- 7. B · Her change in behavior, flushed face, hot skin and temperature if taken
- 8. A · Give abdominal thrusts and call for help; DNR does not forbid this
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