Question 1

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:

Accepted Answer

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

Question 2

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?

Accepted Answer

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."

Question 3

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

Accepted Answer

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 4

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?

Accepted Answer

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 5

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

Accepted Answer

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 6

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:

Accepted Answer

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 7

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:

Accepted Answer

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 8

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

Accepted Answer

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

Question 9

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:

Accepted Answer

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 10

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

Accepted Answer

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

Question 11

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

Accepted Answer

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 12

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

Accepted Answer

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 13

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?

Accepted Answer

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 14

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

Accepted Answer

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 15

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?

Accepted Answer

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 16

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?

Accepted Answer

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 17

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?

Accepted Answer

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

Question 18

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:

Accepted Answer

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 19

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?

Accepted Answer

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 20

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?

Accepted Answer

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?"

Exam 3: Role of the Aide