1.Easy
During handwashing at a sink, in which direction should the fingertips point?
- AAny direction, as long as soap is used
- BUpward, higher than the elbows
- CDownward, lower than the wrists
- DToward the nursing assistant's face
2.Easy
When a resident lies on their back, which areas are at the greatest risk of pressure injury?
- AThe palms of the hands
- BThe tailbone (sacrum) and the heels
- CThe knees and the fronts of the thighs
- DThe abdomen and the chest
3.Easy
On which side does a resident with one-sided leg weakness usually hold a cane?
- AThe weak (affected) side
- BIn front of the body, with both hands
- CThe strong (unaffected) side
- DEither side, changing every few steps
4.Medium
How should the drainage tubing of a urinary catheter be arranged while the resident is in bed?
- ATied in a knot to keep it from moving
- BCoiled on the bed, secured and free of kinks
- CTucked under the resident's leg to hold it in place
- DLooped below the bag so urine collects in the loop
5.Medium
During a warm soak, the resident's skin becomes very red and she says it burns. What should the nursing assistant do?
- AStop the treatment and report it to the nurse
- BContinue because redness shows it is working
- CCover the area with a towel and continue
- DAdd cold water and continue the soak
6.Medium
What is a chemical restraint?
- AA drug used to control behavior for convenience, not as treatment
- BA soft belt that is treated with a chemical to keep it clean
- CA medicine that is given to relieve pain
- DA cleaning chemical that is kept locked away from the residents
7.Hard
A resident with COPD is short of breath and asks the nursing assistant to turn up her oxygen. What should the nursing assistant do?
- ATell her to rest quietly and wait until the nurse comes by on the next round
- BHelp her sit up, explain only the nurse adjusts oxygen, and call the nurse
- CTurn the oxygen off for a while and open a window for fresh air
- DTurn the oxygen up a little, then tell the nurse what was done
8.Hard
Which action best prevents a nursing assistant from leaving a resident unattended in a raised bed while making an occupied bed?
- AGathering all the needed linen before starting
- BWorking as quickly as possible without stopping
- CAsking the resident to hold the edge of the mattress
- DRaising the bed only after the linen is removed
Answer key
- 1. C · Downward, lower than the wrists
- 2. B · The tailbone (sacrum) and the heels
- 3. C · The strong (unaffected) side
- 4. B · Coiled on the bed, secured and free of kinks
- 5. A · Stop the treatment and report it to the nurse
- 6. A · A drug used to control behavior for convenience, not as treatment
- 7. B · Help her sit up, explain only the nurse adjusts oxygen, and call the nurse
- 8. A · Gathering all the needed linen before starting
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