1.Easy
Under OSHA rules, how is the hepatitis B vaccine offered to nursing assistants who may be exposed to blood?
- AOnly to workers older than 50
- BBy the employer, free of charge
- COnly after an exposure has happened
- DOnly if the worker pays for it
2.Easy
Who directs and supervises the work of a nursing assistant in a care facility?
- AThe resident's closest family member
- BA more experienced nursing assistant on the same shift
- CThe facility's activities coordinator
- DA licensed nurse
3.Easy
What does NPO mean on a resident's care plan?
- ANormal portions only
- BNutrition plan optional
- CNo physical outings
- DNothing by mouth
4.Medium
An 88-year-old resident with dementia says she must hurry home because her baby needs feeding. What is the best response?
- ATell her firmly that her children are all grown up now and live elsewhere
- BAcknowledge her feelings, ask about her children and then redirect her
- CIgnore the comment and continue with the task
- DTell her you will drive her home after lunch
5.Medium
How can a nursing assistant make daily weights as accurate as possible?
- ARight after breakfast, so the resident has more energy
- BWearing shoes and a coat, so the clothing is always the same
- CSame time, same scale, similar clothing, after urinating
- DAny time of day, as long as the scale is checked beforehand
6.Medium
Blood has spilled on the floor of a resident's room. What should the nursing assistant do?
- AWipe it up quickly with a dry paper towel and bare hands to save time
- BLeave it until housekeeping comes the next morning
- CWear gloves and clean it with the facility's approved disinfectant
- DCover it with a towel and continue working
7.Hard
A resident is confused, breathes through her mouth and has a history of seizures. Which temperature method is usually safest?
- AAn oral glass thermometer under the tongue
- BA tympanic (ear) or temporal artery thermometer
- CAn oral digital thermometer held in the teeth
- DSkipping her temperature for the whole day
8.Hard
A resident with arthritis is slow to button his shirt but wants to do it himself. The nursing assistant is running late. What should the nursing assistant do?
- AButton the shirt for him to save time
- BAllow him time and encourage him to finish it himself
- CLeave him alone and come back after lunch
- DTell him to wear a shirt without buttons from now on
Answer key
- 1. B · By the employer, free of charge
- 2. D · A licensed nurse
- 3. D · Nothing by mouth
- 4. B · Acknowledge her feelings, ask about her children and then redirect her
- 5. C · Same time, same scale, similar clothing, after urinating
- 6. C · Wear gloves and clean it with the facility's approved disinfectant
- 7. B · A tympanic (ear) or temporal artery thermometer
- 8. B · Allow him time and encourage him to finish it himself
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