Deck 3: Role of the Aide

Question 1

You are resigning from your work as a nursing assistant. What is the most appropriate action for you to take?

A)Call the agency and inform the employer that you will not be reporting for work the next day.
B)Call the agency and submit a resignation letter afterwards.
C)Find somebody to replace you and recommend him/her to the Human Resource Department.
D)Write a resignation letter indicating your reason for leaving, last date you will work, and gratitude to the employer for the opportunity to work in the agency.

Answer 1

Write a resignation letter indicating your reason for leaving, last date you will work, and gratitude to the employer for the opportunity to work in the agency.

Question 2

Which of the following techniques would you use when interviewing a 94-year-old patient?

A)Use a low-pitched voice.
B)Enunciate each word slowly.
C)Vary voice intonations.
D)Reinforce the words with pictures.

Answer 2

Use a low-pitched voice.

Question 3

Sandra Hawks, 69 years old, was diagnosed with colon cancer. Upon the request of her daughters, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. How should you respond?

A)"I'm sorry, I don't know."
B)"I'm sure it's nothing to worry about. You look fine to me."
C)"I don't have any information at this moment, but I'll find out for you."
D)"You need to ask your doctor about that, not me."

Answer 3

"I don't have any information at this moment, but I'll find out for you."

Question 4

Legally, clients' charts are:

A)Owned by the government, since they are legal documents.
B)Owned by the doctor in charge and should be kept from the administrator.
C)Owned by the hospital and should not be given to anyone who requests them other than the doctor in charge.
D)Owned by the client and should be given by the nurse to the client as requested.

Question 5

A client in the long-term facility tells the nurse assistant, "I am too depressed to talk to you, leave me alone." Which of the following responses is most therapeutic?

A)I'll be back in an hour.
B)Why are you so depressed?
C)I'll sit with you for a moment.
D)Call me when you feel like talking to me.

Question 6

The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nurse assistant admits forgetting the resident. This is an example of which of the following?

A)Accountability
B)Flexibility
C)Dependability
D)Respectability

Question 7

A client says to you, "I am worthless person. I should be dead." What should be your response?

A)"Don't say you are worthless, you are not a worthless person."
B)"We are going to help you with your feelings."
C)"What makes you feel you're worthless?"
D)"What you say is not true."

Question 8

Which of the following clients needs to be attended to first by the nurse aide?

A)Mr. Tomm - 72 years old, with left-sided paralysis, confined on bed - calls for a change in his diaper.
B)Mrs. Smith - 80 years old, recently lost her husband - requests the nurse aide accompany her in the garden.
C)Mr. Brown - 69 years old, constantly asks for your company - calls you as he finishes his 3000-piece jigsaw puzzle.
D)Mr. Chin - 65 years old with Parkinson's disease - is scheduled for his bed shampoo today.

Question 9

The nurse attendant has several clients who need to be referred to a nurse. Which of the following clients should she refer first?

A)The client with a cough or cold
B)The client with chest pain
C)The client with fever due to infection
D)The client who is for discharge

Question 10

Monique stopped working as a nursing assistant when she gave birth to her daughter. After two years of being a full-time wife and mother, she now decides to go back to work to help in paying their bills. What are the requirements that Monique has to comply with before going back to work again?

A)Enroll in a refresher course.
B)Undergo a retraining and a new competency evaluation.
C)Undergo a new competency evaluation only.
D)No other requirements are required. Just present letter of intent to the Board to go back to work.

Question 11

The nursing staff is taking their morning break in the lounge. A nursing attendant tells the group that she thinks that the unit secretary has AIDS and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. Which legal tort has the nursing assistant violated?

A)Libel
B)Slander
C)Assault
D)Negligence

Question 12

It's a busy day in the ward, and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Terramycin ointment and gave instructions to apply it to Mrs. Harris' eyes. How would you respond to this?

A)Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure.
B)As assistant to the nurse, follow the nurse's request and apply the ointment to Mrs. Harris' eyes.
C)Ask the nurse to be with you during the application of the ointment.
D)Politely refuse the nurse's request, and explain your job limitations as a nursing assistant.

Question 13

Janine (CNA) avoids deliberate harm, risk of harm, and harm that occurs during her performance of nursing actions. The nurse aide is promoting which ethical principle?

A)Autonomy
B)Nonmaleficence
C)Beneficence
D)Justice

Question 14

When a nursing assistant commits a procedure error, she should accurately document the client's response and her corresponding action. This is very important for which of the following purposes:

A)Research
B)Legal documentation
C)Nursing Audit
D)Vehicle for communication

Question 15

A nursing assistant is initiating strategies to address an ethical dilemma. Which of the following strategies would indicate that the nursing assistant is in error and needs further study?

A)Clarifying any misunderstandings in the situation
B)Analyzing the case by organizing the facts
C)Identifying outcomes by which to plan care
D)Using personal values to determine interventions

Question 16

While working in an acute care setting, the nurse aide can best reduce the risk of malpractice litigation by doing which of the following?

A)Not discussing errors with the client and family
B)Keeping incident reports on file
C)Maintaining expertise in practice
D)Providing value judgments when appropriate

Question 17

A nurse aide enters the room of a female client and asks her how she is doing. The client states, "I'm a little nervous this morning." Which of the following would be the best reply?

A)"Why are you feeling nervous?"
B)"You certainly look like you're nervous."
C)"Can I give you a backrub to calm your nerves?"
D)"What do you mean by nervous?"

Question 18

A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client's needs while preventing sensory overload?

A)Allow all the client's family members to stay with the client.
B)Have conversation at the bedside be directed to the client.
C)Keep the television or radio on for the client continuously.
D)Keep the overhead light on at all times.

Question 19

To foster optimal hearing for the client who has a hearing aid, the nurse aide should:

A)Speak more loudly.
B)Repeat what is said, using the same words.
C)Speak slowly and clearly.
D)Stand close to the client's ear.

Question 20

During Clarice's orientation to the home facility, the nurse supervisor emphasized that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, Clarice should do all of the following except:

A)Use terms with many meanings.
B)Be brief and concise.
C)Present information logically and in sequence.
D)Give facts and be specific.

Question 21

Joan answers an incoming phone call only to find out that the caller was calling a different unit. How should Joan facilitate the call transfer?

A)Ask the caller what telephone number he is trying to reach.
B)Ask the caller to "Please hold, an operator will get to you shortly," then go back to unfinished tasks.
C)Refer the call to the nurse on duty. The nurse will transfer the call herself.
D)Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy.

Question 22

Meredith (CNA) is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to:

A)Immediately walk out of the client's room and answer the phone call.
B)Cover the client, place the call light within reach, and answer the phone call.
C)Finish the bed bath before answering the phone call.
D)Leave the client's door open so the client can be monitored and the nurse aide can answer the phone call.

Question 23

A client asks you, "Do you think, I have cancer?" The most appropriate response is:

A)"I will refer you to your doctor."
B)"If I were you, I will not worry unnecessarily."
C)"You sound concerned about what the doctor may find."
D)"You will undergo different tests before cancer can be diagnosed."

Question 24

Nika Harris, CNA, is assigned to the medical ward, and she is assigned to a new client for the shift. She wants to know about the client's case and the past nursing care and therapeutic management. Ms. Harris therefore reads the:

A)Flow sheet.
B)Kardex.
C)Progress notes.
D)Nursing discharge summary.

Question 25

Communication is an ongoing, dynamic, and multidimensional process. Which component of communication is also known as the decoder?

A)Sender
B)Receiver
C)Referent
D)Feedback

Question 26

In order to effectively employ therapeutic communication, it is important to use techniques that encourage clients to open up and speak more freely. All of the following statements made by the nurse aide are therapeutic, except:

A)"I'm not sure I understand that."
B)"Would it help if you discuss your feelings?'
C)"What is your opinion about that?"
D)"You'll feel better soon."

Question 27

As a certified nurse aide, you are aware of your roles and responsibilities. To protect clients from harm, you must understand what you can do, what you cannot do, and the legal limits of your role. Which of the following duties would be most appropriate for a CNA, as delegated by a licensed nurse?

A)Assist in bathing a client with Guillain-Barre' syndrome who is on the ventilator.
B)Assist in bathing a client with pneumonia who is acutely short of breath.
C)Assist in ambulating a client with a hemothorax and chest tube to water seal.
D)Assist in feeding a client with a stroke and swallowing difficulties.

Question 28

The nurse aide made an error when recording a new entry in the progress notes. Which method would be the best way to correct the recording error?

A)Draw a single line through the entry, and write "error" and your initials above the entry.
B)Discard the page where the error occurred, and begin charting on a new page after hand-copying the previous entries.
C)Use a black marker to cover up the entry, and continue to chart.
D)Use a correction fluid to cover the entry, and write over the correction fluid once it dries.

Question 29

On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client's medical record?

A)"It is most likely that the client attempted to climb over the side rails and fell."
B)"Upon entering the room, the client was found lying on the floor."
C)"The client had been restless all evening and was trying to get out of bed."
D)"The presence of a bed alarm could have prevented the fall."

Question 30

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station?

A)Logging out and signing off all computer screens before leaving a terminal
B)Sharing passwords for computer access with colleagues who have forgotten their own passwords
C)Periodically changing computer access passwords
D)Preventing an unidentified healthcare worker from viewing computer records

Question 31

Which action by the nurse aide would demonstrate a lack of concern for a client's privacy?

A)The nurse aide knocks on the door before entering the client's room.
B)After a client who is admitted in a semi-private room has a biopsy, the nurse aide prepares a small conference room for the client and the healthcare provider to discuss the results of the biopsy.
C)The nurse aide forgets to cover up a client when transporting the individual in the hallway.
D)A curtain is drawn and the door to the room is shut when a client's wound dressing is changed.

Question 32

Kristine (RN) is orienting Shella, the new certified nurse aide, to the unit. Kristine mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, Shella is aware that she should:

A)Speak loudly and slowly.
B)Stand close to the client and speak slowly.
C)Ask an interpreter to facilitate communication.
D)Speak to the client and family together to increase the chances that the topic will be understood.

Question 33

A nursing assistant observes a client pacing the halls, and it appears that the client has been crying. Which of the following is the most appropriate action?

A)Consider the behavior a normal reaction to illness.
B)Validate perceptions with the client.
C)Discuss the client's actions with another nursing assistant for verification.
D)Discuss the morning schedule provided by the staff nurse with the client to decrease apprehension.

Question 34

Tyra is taking a course for nursing assistants. In one of her classes, the instructor introduces the members of the health care team and the roles and responsibilities of each member. Tyra learns that if she works in a hospital, she will be supervised by:

A)Licensed nurses.
B)Doctors.
C)The health team.
D)The nursing team.

Question 35

The client verbalizes, "I'm nothing." Which of the following is the most appropriate response by the nurse aide?

A)"Are you suggesting that you feel worthless?"
B)"Of course, you're everything."
C)"That's not true."
D)"You should not feel that way."

Question 36

While you are obtaining a client's vital signs, he tells you that he is experiencing pain on his IV site. You check his right arm where the intravenous line is connected and notice that it is reddened. What should be your priority action?

A)Change the position of the clamp.
B)Regulate the flow rate to facilitate flushing.
C)Report the observation immediately to the licensed nurse.
D)Stop the flow rate, pull out the IV line aseptically, and report to the licensed nurse. This is a sign of phlebitis.

Question 37

Which assignment would be most appropriate for a certified nursing assistant (CNA)?

A)Giving tube feedings initiated by the nurse
B)Bathing a client in Russell's traction
C)Changing an empty IV bag
D)Administering acetaminophen to a client with a temperature of 99.8 F°

Question 38

A father who is a member of a prominent family in the community is admitted to the hospital following a motor vehicle crash. A reporter for the local television station telephones the nursing unit and asks for an update on the client's status. The nurse attendant who answered the call is aware that she must:

A)Confirm the reporter's identity.
B)Deliberately answer "No comment at this time."
C)Answer each question.
D)Report the matter to the nurse in order to obtain a signed client authorization.

Question 39

A client starts shouting during medication time. You heard the nurse saying, "If you will not take your medications, I will lock you in your room and will not allow you to view the TV in the day room." You know that the nurse's actions constitute:

A)Assault
B)Battery
C)False imprisonment
D)Defamation

Question 40

The supervisor is orienting newly hired nursing assistants to the policies of the facility and their job responsibilities. The supervisor reminds them that they can refuse to perform a task for any the following reasons except:

A)The task is beyond the legal limits of your role.
B)The task is not in your job description.
C)You do not like the task.
D)A nurse is not available to supervise you.

Question 41

A co-worker is always out of post during duty hours and spends more time in the nurses' lounge. To resolve this conflict you may do any of the following except:

A)Explain the problem to you supervisor.
B)Discuss the matter with the nursing team.
C)Give facts and specific behaviors.
D)Suggest ways to solve the problem.

Question 42

Which of the following is a correct documentation made by the nurse assistant?

A)In bed. Complains of headache. T 98.4 orally, radial pulse 72 and regular, respirations 18 and unlabored. BP 134/84 left arm lying down. Alice Jones, RN, notified of resident complaint and vital signs. Ann Adams, CNA
B)Complains of abdominal pain after eating hamburger, fries, and milkshake during lunch. Vital signs taken in normal readings. Referred to nurse-on-duty. Monitored for further abdominal pain. Vicky Tomms, CNA
C)Appears depressed after visited by relatives probably due to bad news. Will follow-up later. Mary Atkins, CNA
D)Warm to touch. Applied cold compress on forehead. Referred to physician for prn medications. Temperature above normal. Jane Craig, CNA

Question 43

Hyacinth is beginning to practice as a nurse assistant. She has to remember always that when relating to clients:

A)She is entitled to her moods since she is only human, too.
B)Her needs should be discussed with the family before the care starts.
C)She should be careful and sensitive listener but need not document all the information.
D)She should document information even if she is not sure it will affect the client's care.

Question 44

You are assisting the nurse in the admission of Mrs. Anderson in the nursing home. While you are arranging her clothes and other personal belongings in the closet, she instantly grabs a teddy bear from you and angrily shouts, "Nobody touches my Teddy! Go away!" Which of the following is the best response?

A)"This is not allowed here. I will place this in the office for safe keeping."
B)"I understand that this is special to you. I will not take it away from you."
C)"You can only have your teddy bear if you are in the day room."
D)"I will ask my supervisor if you will be allowed to have it here with you."

Question 45

Which of the following statements is true about implementing an advanced directive?

A)The directive is applicable to a client who can understand and make choices.
B)The physician has evaluated the wishes as expressed in the document to determine what the client may want or not want.
C)The relatives will be given the legal right to decide for the client's condition.
D)Advance directives mean do not resuscitate orders (DNRs).

Question 46

Sunisa is applying for the position of nurse assistant in a long-term facility. After the interview, she wants to ask the employer some questions. Which is not a good question for Sunisa to ask?

A)What is the greatest challenge of this job?
B)What are the uniform requirements?
C)Can I have 4 days off next month?
D)How will my performance be evaluated?

Question 47

Sunisa is now completing her two-week preceptor program in the long-term facility, yet she is still not comfortable with some of her job duties. What should Sunisa's next step be?

A)Resign from the job.
B)Discuss concerns with the administrator.
C)Do her very best in the work setting.
D)Ask for more orientation time.

Question 48

Nurse assistants should know their own feelings, strengths, and weaknesses. This quality is called:

A)Caring
B)Self-awareness
C)Cooperation
D)Courtesy

Question 49

Which statement about resident care conferences is correct?

A)Family members are not allowed to attend.
B)The resident is required to attend.
C)Residents may refuse suggestions made by the health team.
D)Residents attend only if invited by the doctor.

Question 50

Which of the following tasks is performed by a nurse assistant?

A)Performing wound care and changing a non-sterile dressing
B)Inserting an indwelling catheter
C)Inserting a nasogastric tube
D)Changing an empty intravenous solution bag

Question 51

Direct questions focus on specific pieces of information that the nurse assistant needs from the client. Which of the following is an example of a direct question?

A)"What are your plans for home?"
B)"What will you do when you get home?"
C)"You said that you can't work."
D)"Do you feel better now?"

Question 52

Mr. Fleer is being visited by his golf club friends. After an hour, you observed that Mr. Fleer appears tired and sleepy. What should you do?

A)Ask the visitors to leave now because the client needs to rest.
B)Report your observations to the nurse.
C)Ask the visitors to come back after 30 minutes, when the client has taken a short nap.
D)Allow the visitors to stay. The client can still sleep if they are around.

Question 53

In caring for American Indian clients, the nurse assistant should:

A)Maintain eye contact during conversations.
B)Speak slowly and distinctly.
C)Avoid direct eye contact.
D)Be silent while clients are speaking.

Question 54

The nurse assistant needs to eliminate barriers that impede communication. Which of the following is an example of a communication barrier?

A)Use of accepted medical abbreviations
B)Cultural differences between clients and nursing staff
C)Use of silence
D)Having an interpreter speak in behalf of the client

Question 55

In communicating with a blind person, which of the following should you not do?

A)Describe the foods present in the meal tray.
B)Provide a pen and paper for the client to write her concerns.
C)Give specific instructions while performing a procedure.
D)Introduce yourself every time you enter the client's room.

Question 56

Anita overheard a co-worker saying that the nurse assigned to their floor is having an illicit affair with a physician. Anita then informs the supervisor of this information. Which of the following statements best describe the situation?

A)Anita is doing her part in protecting a co-worker from gossip.
B)Anita is eavesdropping and wants to clarify the whole matter with the supervisor.
C)Anita wants the supervisor to intervene in this scandalous situation to protect the reputation of the her employer.
D)Anita is participating in a gossip and is acting unprofessionally.

Question 57

Which of the following statements made by a nurse assistant signals a bad attitude?

A)"Can you repeat the steps in changing the urinary bag? It's my first time doing it."
B)"I work harder than anyone else."
C)"I'm taking my break now. I'll be back after 15 minutes."
D)"I may need some assistance in changing the resident's diaper."

Question 58

Tina informed the staff nurse that she'll take her 30-minute break. After a short snack in the cafeteria, she then went into the nurses' lounge and talked with her sister who came in to visit her. Which of the following statements best describe the situation?

A)Tina should be aware that this is not allowed. Entertaining visitors during duty hours is not appropriate.
B)Tina should inform the nurse of her sister's visit.
C)Tina should entertain her sister. She is on her break time and she can do anything she wants.
D)Tina should bring her sister to the locker room and converse with her there. The nurse's lounge is not the appropriate place to entertain visitors.

Question 59

Every client has certain rights and expectations of the people caring for him or her. Each of the following actions demonstrates a client's right - as stated in the Resident's Bill of Rights - except?

A)The nurse assistant ushered Mrs. Mcleen's sons to her room and closed the door behind her.
B)Mr. Brown's physician consulted with him about a new treatment plan for his hypertension.
C)Mr. Rashid, a Muslim client, was instructed by the nurse assistant to limit his praying time to make time for the group activities scheduled for the day.
D)Mr. Anderson complained to the supervisor that the food in the cafeteria is too bland.

Question 60

If the agency wishes to do a background check on the newly hired nurse assistant, who is the correct authority to provide such information?

A)Previous employer
B)The Nursing Assistant Registry
C)The Omnibus Budget Reconciliation Act of 1987
D)The National Council for State Boards of Nursing

Question 61

Which of the following ways can a nursing assistant demonstrate empathy?

A)Putting others ahead of self
B)Sharing of emotions with residents
C)Imagining self in the place of others
D)Going the extra mile for someone

Question 62

Which of the following are qualities of good recording?
I.Brevity
II.Completeness and chronological order
III.Appropriateness
IV.Accuracy

A)I and II
B)III and IV
C)I, II, and III
D)All of the above.

Question 63

The nurse assistant is documenting her findings from a client who is complaining of chest pain. While organizing her notes, which of the following findings will she record as objective data?

A)Dizziness
B)Chest pain
C)Anxiety
D)Bluish discoloration of the skin