1.Easy
Which single measure is most important for preventing the spread of infection in a care facility?
- AKeeping windows open in all rooms
- BAsking the doctor to prescribe antibiotics
- CWearing gloves for every task
- DHand hygiene
2.Easy
What is a healthcare-associated infection (HAI)?
- AAn infection that the person already had before being admitted
- BAn infection caught while receiving care in a health care setting
- CAn infection that is passed only through food
- DAn infection that affects only health care workers
3.Easy
Which of these is an objective observation?
- AThe skin on the resident's left heel is red
- BThe resident reports feeling sad today
- CThe resident says his stomach hurts
- DThe resident says she feels dizzy
4.Medium
After a stroke, a resident tends to leave food in the cheek on her weak side. How can the nursing assistant help?
- APlace food on her stronger side and check for pocketed food
- BGive her only liquids until the problem goes away
- CPlace all food on her weaker side to exercise those muscles
- DFeed her lying flat on her weak side
5.Medium
When are anti-embolism (elastic) stockings usually put on?
- AAfter the resident has walked for a while
- BWhenever the legs start to look swollen
- CIn the morning, before the resident gets out of bed
- DOnly at night, while the resident sleeps
6.Medium
How should cleaning chemicals be stored in a care facility?
- AIn residents' rooms, so that staff can reach them quickly when needed
- BIn their original labeled containers, locked away from residents
- CIn empty drink bottles to save space
- DIn unlabeled bottles on the hallway shelf
7.Hard
A resident who is usually alert and oriented is suddenly confused today. Her urine is dark and has a strong smell. What should the nursing assistant report?
- ANothing, because these changes are part of normal aging
- BOnly the change in the urine, because confusion is normal in older people
- CThe new confusion and the change in the urine, right away
- DOnly the confusion, and only at the end of the shift
8.Hard
A resident with heart failure tells the nursing assistant that she now needs three pillows to breathe at night instead of one. What should the nursing assistant do?
- ARemove her pillows so she sleeps better
- BReport it, because it may mean her heart failure is worse
- CGive her more pillows and say nothing, since she is comfortable
- DTell her to sleep flat to strengthen her lungs
Answer key
- 1. D · Hand hygiene
- 2. B · An infection caught while receiving care in a health care setting
- 3. A · The skin on the resident's left heel is red
- 4. A · Place food on her stronger side and check for pocketed food
- 5. C · In the morning, before the resident gets out of bed
- 6. B · In their original labeled containers, locked away from residents
- 7. C · The new confusion and the change in the urine, right away
- 8. B · Report it, because it may mean her heart failure is worse
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