1.Easy
Hepatitis is an inflammation of which organ?
- AThe kidney
- BThe lung
- CThe liver
- DThe heart
2.Easy
Which sign may point to depression in an older resident?
- AAsking to call family more often to share good news
- BWanting to join every social event
- CLoss of interest in activities they used to enjoy
- DEating and sleeping more regularly than before
3.Easy
Why are leg exercises encouraged after surgery?
- ATo improve circulation and help prevent blood clots
- BTo help the resident fall asleep
- CTo lower the resident's appetite before meals
- DTo make the surgical incision close and heal faster
4.Medium
A resident's radial pulse is irregular. How should it be counted?
- AFor a full 60 seconds
- BFor 10 seconds, then multiplied by six
- CFor 30 seconds, then multiplied by two
- DFor 15 seconds, then multiplied by four
5.Medium
For which resident is an oral temperature not appropriate?
- AAn alert resident who last ate an hour ago
- BA resident who walks with a cane
- CA resident who wears reading glasses
- DA resident who is unconscious
6.Medium
During catheter care, in which direction is the catheter tubing cleaned?
- AFrom the urinary opening outward, about 4 inches (10 cm)
- BAfter disconnecting the tube from the drainage bag
- CBack and forth along the tube with the same washcloth
- DFrom about 4 inches down the tube toward the urinary opening
7.Hard
A resident rarely complains, but he moans when turned and holds his side. When asked, he says, "I'm fine." What should the nursing assistant do?
- AReport his moaning and guarding as possible signs of pain
- BAccept his words and report nothing, since he says he is fine
- CTurn him faster next time so that the discomfort is over quickly
- DTell him that his moaning disturbs the other residents at night
8.Hard
During perineal care, a nursing assistant notices that a female resident's perineal area is red and there is a strong-smelling discharge. What should be reported?
- AThe redness, the discharge and its smell, and any discomfort
- BA guess about which infection she has, so the nurse can treat it
- COnly that perineal care was completed as usual for the shift
- DNothing, because discharge is normal in older women
Answer key
- 1. C · The liver
- 2. C · Loss of interest in activities they used to enjoy
- 3. A · To improve circulation and help prevent blood clots
- 4. A · For a full 60 seconds
- 5. D · A resident who is unconscious
- 6. A · From the urinary opening outward, about 4 inches (10 cm)
- 7. A · Report his moaning and guarding as possible signs of pain
- 8. A · The redness, the discharge and its smell, and any discomfort
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