1.Easy
What happens in heart failure?
- AThe heart stops beating completely and cannot be restarted by any means
- BThe heart does not pump well enough, so fluid can build up in the body
- CThe blood vessels of the brain become blocked
- DThe heart beats too fast only during exercise
2.Easy
With which residents are standard precautions used?
- AOnly when blood can be seen
- BOnly with residents in isolation rooms
- COnly with residents who have a known infection
- DWith every resident
3.Easy
What does the top number (systolic) of a blood pressure reading measure?
- AThe amount of oxygen carried in the blood
- BThe pressure in the arteries when the heart contracts
- CThe pressure in the arteries when the heart rests
- DThe number of heartbeats in one minute
4.Medium
With aging, which kind of sounds are often the first to become hard to hear?
- ALow-pitched sounds
- BThe person's own voice
- CLoud sounds
- DHigh-pitched sounds
5.Medium
How quickly should a blood pressure cuff be deflated during a manual reading?
- AAll at once, by opening the valve fully and quickly
- BAbout 20 mmHg per second to save time
- CIn large jumps, stopping between them
- DSlowly and steadily, about 2 to 4 mmHg per second
6.Medium
A resident has swollen feet and ankles. Which measure is usually helpful, if the care plan allows?
- ARaising the legs on pillows or a footstool
- BWrapping the ankles tightly with tape
- CHanging the legs down from the bed all day
- DRubbing the swollen areas firmly
7.Hard
A resident complains to the nursing assistant that her meals always arrive cold. What should the nursing assistant do?
- AListen, report it to the nurse and assure her she may complain without punishment
- BTell her that all residents get cold food, so it is normal
- CIgnore the complaint because meals are not part of the nursing assistant's job
- DTell her that complaining may make the kitchen staff angry
8.Hard
A resident says her knee hurts. Which information is most useful to report to the nurse?
- AYour own opinion that the pain cannot be very severe, because she is smiling
- BThat she often complains about pain and probably wants attention
- CWhere it hurts, how bad it is (0–10), what it feels like and when it began
- DOnly that she has pain, since the nurse will ask the details later
Answer key
- 1. B · The heart does not pump well enough, so fluid can build up in the body
- 2. D · With every resident
- 3. B · The pressure in the arteries when the heart contracts
- 4. D · High-pitched sounds
- 5. D · Slowly and steadily, about 2 to 4 mmHg per second
- 6. A · Raising the legs on pillows or a footstool
- 7. A · Listen, report it to the nurse and assure her she may complain without punishment
- 8. C · Where it hurts, how bad it is (0–10), what it feels like and when it began
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