1.Easy
In 24-hour (military) time, how is 3:00 p.m. written?
- A0300
- B1300
- C1800
- D1500
2.Easy
Under standard precautions, when are gloves worn?
- AOnly when a resident has a known infection or is in isolation
- BOnly when the resident is an older adult with thin skin
- CWhen touching blood, body fluids, mucous membranes or broken skin
- DWhenever talking to a resident
3.Easy
What happens in heart failure?
- AThe heart does not pump well enough, so fluid can build up in the body
- BThe heart beats too fast only during exercise
- CThe blood vessels of the brain become blocked
- DThe heart stops beating completely and cannot be restarted by any means
4.Medium
How should a nursing assistant hold a gait belt while walking with a resident?
- AWith one finger hooked through the belt from the front of the resident
- BWith an underhand grip, from behind and slightly to the side
- CBy holding the resident's hand instead of the belt
- DBy tying the belt to the nursing assistant's own waist
5.Medium
When speaking with a resident who has dementia, which nonverbal approach helps?
- AStanding over the resident with crossed arms
- BApproaching quickly from behind so that care can start sooner
- CSpeaking while walking out of the room
- DApproaching from the front with eye contact and a calm tone
6.Medium
A resident speaks only Spanish, and the nursing assistant speaks only English. What is the best way to communicate important information?
- AAsk the nurse to arrange a trained interpreter
- BAsk the resident's 9-year-old grandchild to translate
- CSpeak English louder and more slowly
- DAvoid talking to the resident as much as possible
7.Hard
A busy nurse asks the nursing assistant to give a resident the pills in a medicine cup. What should the nursing assistant do?
- AGive the pills only if the resident clearly agrees to take them
- BGive the pills but not write anything down
- CPolitely decline: giving medicines is outside their scope
- DGive the pills, because the nurse is the supervisor
8.Hard
A resident's oral temperature is 101.8 °F (38.8 °C), and he says he feels cold and is shivering. What should the nursing assistant do?
- ARecord it in the chart at the end of the shift
- BGive him a fever tablet from the resident's drawer
- CCover him with several blankets and not mention it
- DReport the temperature to the nurse promptly
Answer key
- 1. D · 1500
- 2. C · When touching blood, body fluids, mucous membranes or broken skin
- 3. A · The heart does not pump well enough, so fluid can build up in the body
- 4. B · With an underhand grip, from behind and slightly to the side
- 5. D · Approaching from the front with eye contact and a calm tone
- 6. A · Ask the nurse to arrange a trained interpreter
- 7. C · Politely decline: giving medicines is outside their scope
- 8. D · Report the temperature to the nurse promptly
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