Important Nursing Concepts and Practices

Questions and Answers

What is one important reason why the bed should remain wrinkle-free?

to help keep the skin healthy and prevent pressure sores

What is the term for a device that replaces a missing body part?

prosthesis

To convert four ounces of water to milliliters (ml or mL), the nurse assistant should multiply four by:

Which healthcare setting is for people who will die in six months?

hospice Signup and view all the answers

Which of the following abbreviations means 'nothing by mouth'?

NPO Signup and view all the answers

Exercises that put each joint through its full arc of motion are called:

range of motion Signup and view all the answers

What is the medical term for high blood pressure?

hypertension Signup and view all the answers

What is a task that is outside the scope of practice for a nursing assistant?

inserting tubes into a resident's body Signup and view all the answers

Standard Precautions should be practiced

on every single person in your care Signup and view all the answers

Which kind of care helps restore a resident to the highest level of functioning possible?

rehabilitation Signup and view all the answers

If an activity is not listed on the care plan, what is the responsibility of a nursing assistant?

The NA should not perform the activity if it is not listed on the care plan. Signup and view all the answers

Restraints can be applied:

only with a doctor's orders Signup and view all the answers

Generally, the last sense to leave a dying person is the sense of

hearing Signup and view all the answers

What is a normal range of blood pressure?

varies; 119/75 is an example Signup and view all the answers

Incontinence may be caused by:

nervous system diseases Signup and view all the answers

Standing with the legs shoulder-width apart is using

good body mechanics Signup and view all the answers

After an amputation, a resident may experience phantom sensation. Phantom sensation is

pain or sensation caused by remaining nerve endings Signup and view all the answers

How should a fracture pan be positioned?

with the handle toward the foot of the bed Signup and view all the answers

What does palliative care involve?

pain relief and comfort Signup and view all the answers

Nursing assistants do not usually perform procedures that require

sterile technique Signup and view all the answers

Insulin reaction can be caused by

too little food Signup and view all the answers

Which of the following is a requirement of OBRA?

nursing assistants must have at least 75 hours of training Signup and view all the answers

What is a good way for a nursing assistant to care for a mentally ill resident?

support the resident and his or her family and friends Signup and view all the answers

When should sheets be changed?

whenever they are soiled, wrinkled, or damp Signup and view all the answers

What does the chain of command do?

describes the line of authority Signup and view all the answers

What is a good way for a nursing assistant to respond to inappropriate sexual behavior?

take the resident to a private area Signup and view all the answers

What should a nursing assistant do if she suspects a resident is being abused?

she should report it to the nurse immediately and let him/her handle it from there Signup and view all the answers

What is one good way a nursing assistant can assist residents with normal changes of aging related to the urinary system?

offer frequent trips to the bathroom Signup and view all the answers

Transmission-Based Precautions are practiced in addition to Standard Precautions.

True Signup and view all the answers

What can nursing assistants do in regards to IVs?

Nursing assistants will observe the IV site for problems Signup and view all the answers

Passive range of motion exercises are done

when a resident cannot move on her own Signup and view all the answers

Which of the following is used when documenting the amount of fluid a resident drinks?

milliliters Signup and view all the answers

When encountering a fire, a nursing assistant should first

remove resident from danger Signup and view all the answers

What is a common cliche?

It will all work out in the end. Signup and view all the answers

What member of the care team might help a resident learn to use adaptive devices for eating or dressing?

occupational therapist Signup and view all the answers

A way to prevent aspiration during oral care of unconscious residents include:

using as little liquid as possible when giving oral care Signup and view all the answers

Providing privacy while giving care is a patient's

legal right Signup and view all the answers

What is something a nursing assistant needs to observe and report regarding the musculoskeletal system?

white, shiny, red, or warm areas over a joint Signup and view all the answers

What is one way a nursing assistant can promote a resident's independence?

allowing a resident to do a task by himself no matter how long it takes him Signup and view all the answers

To treat a minor burn, a nursing assistant should

use cool, clean water Signup and view all the answers

For a nursing assistant, confidentiality means

keeping private things private Signup and view all the answers

When leaving a resident's room, a nursing assistant should

restock supplies and leave the call light within reach Signup and view all the answers

What should a nursing assistant do each time a patient is repositioned?

check resident's skin each time they are repositioned Signup and view all the answers

Which is the most essential nutrient for life?

water Signup and view all the answers

Which sense is usually last to leave the body when a person is dying?

hearing Signup and view all the answers

What is a function of the nervous system?

senses and interprets information from outside the body Signup and view all the answers

During a seizure an NA should

keep the resident safe Signup and view all the answers

The ability to think logically and quickly is called

cognition Signup and view all the answers

How can a nursing assistant help residents with their spiritual needs?

learn about resident's beliefs and listen carefully Signup and view all the answers

If a resident with Alzheimer's disease has problems with dressing, the nursing assistant should:

lay out clothes in the order they should be put on Signup and view all the answers

What is a type of advance directive?

Durable Power of Attorney for Health Care Signup and view all the answers

Which type of urine specimen does not include the first and last urine in the sample?

clean catch Signup and view all the answers

___________ is maintaining equal intake and output.

fluid balance Signup and view all the answers

How should a resident with chronic obstructive pulmonary disease (COPD) be positioned?

sitting upright Signup and view all the answers

The first sign of skin breakdown is

pale, white, reddened, or purple skin Signup and view all the answers

The single most important thing you can do to prevent the spread of disease is to

wash your hands Signup and view all the answers

Which temperature site is generally considered to be the most accurate?

rectal Signup and view all the answers

What may influence a food preference?

religion Signup and view all the answers

A ___________ is the permanent and painful stiffening of a joint and muscle.

contracture Signup and view all the answers

Diabetes can lead to what complications?

impaired wound healing Signup and view all the answers

Where should the call light be placed when a nursing assistant leaves a resident's room?

within the resident's reach Signup and view all the answers

Why should a nursing assistant be concerned if he notices that areas of a resident's skin have become pale, white, or a reddened color?

it could be the beginning of a pressure sore Signup and view all the answers

What can an overbed table be used for?

placement of meals Signup and view all the answers

Pressure sores can lead to:

life-threatening infections Signup and view all the answers

If a resident starts to fall, the best thing an NA can do is to:

widen her stance and bring the resident's body close to her Signup and view all the answers

Ten ounces is equal to ____ milliliters (mL)

300 Signup and view all the answers

An attitude that is helpful in hospice work is

respect privacy and independence Signup and view all the answers

If a resident with Alzheimer's disease shows violent behavior, the nursing assistant should

remove triggers Signup and view all the answers

In which of the following procedures must a nursing assistant always wear gloves?

shaving Signup and view all the answers

What thermometer is used to take a temperature from the ear?

tympanic thermometer Signup and view all the answers

HIV can be transmitted

to a fetus by an infected mother Signup and view all the answers

When assisting a resident with a standard bedpan, where should the wider end of the bedpan be placed?

in alignment with the resident's buttocks Signup and view all the answers

The artificial opening in the abdomen of a resident with an ostomy is called a

stoma Signup and view all the answers

Nursing Assistants observe and report regarding catheters.

True Signup and view all the answers

Pain is a different experience for each person.

True Signup and view all the answers

What is a guideline for good skin care?

check the resident's skin daily and report changes Signup and view all the answers

When a resident has left-sided weakness, which sleeve should be put on first?

left sleeve Signup and view all the answers

With whom may a nursing assistant share a resident's medical information?

other staff members involved in the resident's care Signup and view all the answers

How many rubber-tipped feet does a quad cane have?

four Signup and view all the answers

If a nursing assistant sees a letter for the resident at the front desk, she should

take the opened letter to the resident's room Signup and view all the answers

Where should the nursing assistant stand when helping a resident who is recovering from a stroke to walk?

on the resident's weaker side Signup and view all the answers

When communicating with a resident who is visually impaired, the nursing assistant should

tell the resident what the nursing assistant is doing while caring for him Signup and view all the answers

A nursing assistant should wear gloves when

giving perineal care to a resident Signup and view all the answers

In order to communicate with a resident who is hearing-impaired, the nursing assistant should

face the resident directly when speaking Signup and view all the answers

Before helping a resident eat, how should the nursing assistant position the resident?

sitting as upright as possible Signup and view all the answers

When speaking with residents, nursing assistants should

use simple, non-medical terms Signup and view all the answers

To prevent falls, a nursing assistant should

keep walkways free of clutter Signup and view all the answers

Which position is a resident in if he is lying on his stomach?

prone position Signup and view all the answers

When assisting a patient with dentures, a nursing assistant should

clean dentures and return them to the resident or store them in a denture cup that is labeled Signup and view all the answers

When providing perineal care for a female resident, the nursing assistant should

wipe from front to back Signup and view all the answers

When observing catheters, a nursing assistant should be sure that

the drainage bag is kept lower than the hips or bladder Signup and view all the answers

Which member of the care team diagnoses disease and prescribes treatment?

physician (MD) Signup and view all the answers

A resident's protected health information (PHI) may be shared with:

only those who need the information for care or processing of records Signup and view all the answers

What is an example of physical abuse?

pinching a resident Signup and view all the answers

What is the correct conversion of 4:10 p.m. to military time?

1610 hours Signup and view all the answers

Joking with a resident's roommate about the resident's incontinence is what type of abuse?

psychological abuse Signup and view all the answers

What is the correct conversion of 1900 hours to standard time?

7:00 p.m. Signup and view all the answers

When should a nursing assistant identify a resident?

before helping with feeding Signup and view all the answers

What is an example of a normal change of aging?

weaker muscles Signup and view all the answers

When using a transfer belt, the NA should:

place it over a resident's clothing Signup and view all the answers

Study Notes

Important Nursing Concepts

Keeping beds wrinkle-free aids in maintaining skin health and prevents pressure sores.
A prosthesis refers to a device used to replace a missing body part.
Conversion from ounces to milliliters involves multiplying ounces by 30; four ounces equals 120 mL.

Care Settings and Abbreviations

Hospice care is designated for individuals expected to live six months or less.
"NPO" stands for "nothing by mouth," commonly used in medical settings.
Range of motion exercises ensure each joint is exercised through its full arc.

Medical Terms and Responsibilities

Hypertension is the medical term for high blood pressure.
Nursing assistants (NAs) should refrain from performing tasks outside their scope, such as inserting tubes.
Standard Precautions apply to all patients, emphasizing universal safety measures.

Care Practices and Rehabilitation

Rehabilitation focuses on restoring residents to their highest level of function.
Restraints may only be used under the orders of a doctor.
A normal blood pressure reading typically ranges around 119/75.

Elderly Care Considerations

Frequent bathroom assistance can help address changes in urinary function due to aging.
Terminal care includes palliative measures that prioritize comfort and pain relief.
Changes in resident skin color may indicate developing pressure sores; it's critical to monitor skin integrity regularly.

Communication and Privacy

Providing privacy during care is a legal right for patients.
Nursing assistants should respect confidentiality and only share health information with authorized staff.
It's essential to use accessible language when communicating with residents.

Safety Protocols

Hands should always be washed as the most effective method to prevent disease spread.
In emergencies like a fire, residents should be moved away from danger first.
Observing residents for signs of falls or skin breakdown is crucial to preventing injuries.

Sensory Changes and Cognition

Hearing is typically the last sense to leave individuals who are dying.
Cognition refers to the ability to process and logically interpret information.

Special Needs and Directives

Advance directives, such as Durable Power of Attorney for Health Care, designate representatives for medical decisions.
Observing and reporting changes concerning catheters or other medical devices is a key responsibility of nursing assistants.

Laws and Ethical Responsibilities

NAs must report any suspected abuse to supervising nurses promptly.
Physical abuse includes actions such as pinching or hitting.
Psychological abuse can manifest through inappropriate jokes or comments about a resident's condition.

General Care Guidelines

Clean and return dentures within labeled containers.
Wipe with a front-to-back technique during perineal care for females to prevent infection.
Always check the positioning of equipment like drainage bags to ensure proper health protocol.

Emergency and Daily Care Procedures

In case of falls, NAs should widen their stance and support the resident closely.
The call light should always be within the resident's reach when leaving a room.
For residents with Alzheimer's, laying out clothes in order can assist them with dressing independently.

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Description

Test your knowledge on essential nursing concepts, including patient care practices, medical terms, and commonly used abbreviations. This quiz covers topics like hypertension, rehabilitation, and the importance of maintaining skin health. Perfect for nursing students and professionals alike.