1.Easy
When washing the hands with soap and water, how long should the hands be rubbed together with soap?
- AOnly until the soap has foamed
- BAt least 5 minutes
- CAbout 5 seconds
- DAt least 20 seconds
2.Easy
What is syncope?
- AFainting, a brief loss of consciousness
- BRinging in the ears
- CA sudden muscle cramp
- DA fast, irregular heartbeat with chest pain
3.Easy
What is a contracture?
- AA sudden, painful muscle cramp that goes away quickly with rest
- BA bruise caused by a fall
- CA tear in the outer layer of the skin
- DA permanent shortening of a muscle that limits joint movement
4.Medium
During postmortem care, how is the body usually positioned?
- AOn the stomach, with the face turned down toward the mattress
- BSitting upright in a chair
- COn the back, with a pillow under the head and shoulders
- DOn the left side, with the knees bent
5.Medium
A resident with schizophrenia says the television is sending him secret messages. What is the best response?
- AAgree that the television is sending him messages, so that he feels understood
- BArgue with him calmly until he admits that the messages are not real
- CStay calm, don't argue, and say you don't hear messages but see he is worried
- DLaugh to show him the idea is silly
6.Medium
What is needed before a physical restraint may be used on a resident?
- AA decision by the nursing assistant when the unit is short-staffed
- BA doctor's order, after less restrictive measures have been tried
- CAgreement from the resident's roommate
- DA request from the resident's family
7.Hard
A resident who returned from surgery yesterday has a dressing that is now soaked with bright red blood. What should the nursing assistant do?
- ARemove the dressing and put on a new one
- BWait to see if the bleeding stops by itself
- CStay with the resident and call the nurse immediately
- DRecord it and tell the nurse at the end of the shift
8.Hard
After 10 minutes, a resident's skin under an ice pack looks pale and white, and she says it feels numb. What should the nursing assistant do?
- ARemove the ice pack and report it to the nurse
- BAdd more ice to the pack
- CMove the ice pack directly onto the skin
- DLeave it on because the cold is working well
Answer key
- 1. D · At least 20 seconds
- 2. A · Fainting, a brief loss of consciousness
- 3. D · A permanent shortening of a muscle that limits joint movement
- 4. C · On the back, with a pillow under the head and shoulders
- 5. C · Stay calm, don't argue, and say you don't hear messages but see he is worried
- 6. B · A doctor's order, after less restrictive measures have been tried
- 7. C · Stay with the resident and call the nurse immediately
- 8. A · Remove the ice pack and report it to the nurse
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