Name: ________________________________

PRACTICE FINAL-50 QUESTIONS

1. Which of the following care team members are licensed professionals who may assign tasks to nursing assistants (NAs)?(A) Other NAs, nurses(B) Resident’s family(C) Nurses, PTs, OTs(D) Other NAs, physicians

2. Another name for 24-hour skilled care that takes place in extended care facilities is(A) Hospice care(B) Long-term care(C) Assisted living(D) Acute care

3. One basic federal regulation that applies to NAs is(A) NAs must complete at least 75 hours of training and/or they must pass a competency evaluation before they begin

working.(B) NAs must be certified in medication management before they begin working.(C) NAs must have been trained to diagnose certain diseases before they begin working.(D) NAs must have at least 50 hours of in-service education training every year.

4. Which of the following tasks is considered outside the scope of practice for an NA?(A) Giving a resident a bath(B) Changing a sterile dressing(C) Helping a resident eat dinner(D) Transferring a resident from the bed to a chair

5. Which of the following is a major cause of admission to a care facility?(A) Dementia(B) Arthritis(C) Loneliness(D) Lack of appetite

6. The best type of jewelry for a nursing assistant to wear to work is(A) A ring(B) A waterproof watch(C) A bracelet(D) A necklace

7. What is one way that a nursing assistant can show respect for a resident’s sexual identity? (A) By assuming that the resident is gay(B) By avoiding the resident if she disagrees with his lifestyle(C) By not automatically assuming the resident is heterosexual(D) By assuming that the resident’s sexual identity is all that defines him as a person

8. The main part of a word that gives it meaning is the(A) Root(B) Prefix(C) Suffix

Name: ________________________________

(D) Abbreviation

9. Which of the following shows the correct conversion of 9:00 p.m. to military time?(A) 2300 hours(B) 2100 hours(C) 2400 hours(D) 2000 hours

10. When a client makes an inappropriate request of an HHA, the HHA should(A) Ignore the request if it is not in the care plan(B) Offer to do additional tasks for extra pay(C) Agree to do the task if the client keeps it confidential(D) Explain that only tasks assigned in the care plan are allowed

11. Which of these is a healthier kind of fat?(A) Monounsaturated(B) Saturated(C) Animal fats(D) Trans fats

12. Which of the following blood pressure measurements falls within the normal range? (A) 112/68 (B) 142/90 (C) 89/72 (D) 157/110

13. Insulin reaction can be caused by (A) Too little food (B) Physical or emotional stress (C) Too much food (D) A cerebrovascular accident

14. Which of the following is a common reason why a resident may be on a fluid-restricted diet?(A) The resident has urinary incontinence.(B) The resident has heart disease. (C) The resident has chronic obstructive pulmonary disorder.(D) The resident has pressure ulcers.

15. Which of the following can cause stress incontinence?(A) Normal changes of aging(B) An increase in fluid intake(C) An increase in intra-abdominal pressure(D) An increase in fiber in the diet

16. Which of the following is a requirement of the Omnibus Budget Reconciliation Act (OBRA)? (A) Resident assessments must be completed on some residents who need them. (B) Nursing assistants must have at least 45 hours of training. (C) States are suggested to keep a current list of nursing assistants in a state registry. (D) Nursing assistants must pass a competency evaluation (testing program).

Name: ________________________________

17. A person who does not believe in the existence of God is known as a(n) (A) Methodist(B) Atheist(C) Muslim(D) Rabbi

18. If a resident faints, an NA should(A) Lower him to the floor(B) Step away from the resident as he falls(C) Elevate his legs approximately one inch(D) Help him stand up immediately

19. According to OBRA, what temperature range must long-term care facilities maintain?(A) 61-71°F(B) 71-81°F(C) 81-91°F(D) 91-101°F

20. Which of the following is a good way for an NA to care for a mentally ill resident? (A) Do everything for the resident (B) Administer the resident’s medication when needed(C) Support the resident and his family and friends (D) Encourage the resident to stop being mentally ill and just get better

21. How often should sheets be changed?(A) Daily(B) Twice a week (C) Every other day (D) When they are soiled, wrinkled, or damp

22. The chain of command is(A) A legal term meaning a person can be held responsible for harming someone else(B) The person in charge of the department for each shift(C) The line of authority in a facility(D) The department that a nursing assistant goes to if he wants to report a problem

23. Which of the following is the best way for an NA to respond to a resident who is demonstrating inappropriate sexual behavior? (A) The NA should inform other residents what is happening so they can avoid the resident.(B) The NA should take the resident to a private area. (C) The NA should inform the resident’s family so that they can help get the resident to stop.(D) The NA should clearly reprimand the resident to shame him into stopping.

24. What is required of an NA if he suspects that a resident is being abused? (A) The NA should call the police and let them know that the resident is being abused.(B) The NA should discuss the issue with the resident and ask if it is okay for him to report what he suspects.(C) The NA should directly confront the abuser before reporting anything.(D) The NA should report the abuse immediately to his supervisor.

Name: ________________________________

25. Passive range of motion (PROM) exercises are done (A) When a resident cannot move on her own (B) By the resident herself (C) By the resident with some help and support from the NA (D) By a doctor or physical therapist only

26. Which of the following factors helps explain the increasing need for home health care?(A) Hospitals discharge patients later than they used to.(B) There are shrinking numbers of older and chronically ill people.(C) Family members are more able to care for aging relatives at home than in the past.(D) People who are ill or disabled feel more comfortable at home.

27. Which of the following remarks is a cliché? (A) “Can you tell me more about how you’re feeling?” (B) “I’m truly sorry to hear that.” (C) “What can I do to help you?” (D) “We’ve all been there before.”

28. What member of the care team might help a resident learn to use adaptive devices for eating or dressing?(A) Speech-language pathologist(B) Occupational therapist(C) Charge nurse(D) Dietician

29. Which of the following is true about sterile dressings?(A) They can be applied and changed by nursing assistants.(B) They are applied to dry wounds.(C) They are applied to open wounds.(D) They are applied to closed wounds.

30. The inhalation of food, fluid, or foreign material into the lungs is known as (A) Aspiration(B) Expiration(C) Respiration(D) Inspiration

31. How should a baby be placed in a crib?(A) On his stomach(B) On his side(C) On his back(D) On a pillow

32. In which type of environments do microorganisms thrive?(A) Cool, dry environments(B) Clean, cold environments(C) Dry, hot environments(D) Warm, moist environments

Name: ________________________________

33. Which of the following statements is true of providing privacy while giving care? (A) Providing for a resident’s privacy is a legal right. (B) Providing for a resident’s privacy does not need to happen if the resident is unconscious. (C) Providing for privacy does not affect a resident’s dignity. (D) Providing for privacy is optional.

34. Which of the following is something a nursing assistant needs to observe and report regarding the musculoskeletal system?(A) Red or warm areas over a joint(B) Dry or flaking skin(C) Discomfort or difficulty with urination(D) Dizziness

35. Which of the following falls within the normal range for a person’s respiratory rate?(A) 8 respirations per minute(B) 10 respirations per minute(C) 14 respirations per minute(D) 26 respirations per minute

36. Which of the following falls within the normal range for a person’s temperature when taken orally?(A) 98.2 degrees Fahrenheit(B) 100.3 degrees Fahrenheit(C) 95.8 degrees Fahrenheit(D) 96.7 degrees Fahrenheit

37. A type of care that focuses on the comfort and dignity of the resident, rather than on teaching the resident to recover and/or care for himself is called (A) Psychosocial care(B) Adult day care(C) Palliative care(D) Curative care

38. To treat a minor burn, a nursing assistant should (A) Use burn ointment (B) Use a type of grease, such as butter (C) Use ice (D) Use cool, clean water

39. ___________________ are areas of the body where the bone lies close to the skin.(A) Pressure points(B) Open wounds(C) Bony prominences(D) Pressure ulcers

40. One way an NA can help with normal changes of aging related to the circulatory system is to(A) Leave hot water bottles on the resident’s skin for long periods of time(B) Encourage residents with heart conditions to exercise vigorously(C) Layer clothing(D) Encourage residents to go barefoot while in their rooms

Name: ________________________________

41. A resident who is lying in the supine position is lying on her (A) Stomach(B) Back(C) Side(D) Arms

42. A resident drinks 12 ounces of iced tea at lunch. How many milliliters is this? (A) 240(B) 360(C) 480(D) 600

43. Which type of urine specimen is collected any time a resident voids?(A) Routine (B) Clean-catch (C) 24-hour (D) Mid-stream

44. Which of the following is a correct response if a resident is having a seizure?(A) Hold the resident down if he is shaking severely.(B) Give the resident a hard piece of candy to prevent choking.(C) Move furniture away to prevent injury to the resident.(D) Open the resident’s mouth to move the tongue to the side.

45. The abbreviation I&O stands for(A) Input and oral (B) Intake and output(C) Insert and order(D) Input and off

46. Why should a nursing assistant never ignore a resident’s request?(A) The resident might report it to the NA’s supervisor.(B) Ignoring a request is rude.(C) Ignoring a request is considered negligent behavior.(D) Residents only make reasonable requests.

47. Which of the following complications can result from diabetes? (A) Chronic cough (B) Weak hands (C) Lack of appetite (D) Impaired wound healing

48. Why should a nursing assistant be concerned if she notices that a resident has a reddened area on his skin?(A) The resident might have cancer.(B) It is a common sign of diabetes.(C) It could be the beginning of a pressure ulcer.(D) It means the resident has an insect bite.

Name: ________________________________

49. What can an overbed table be used for? (A) Placement of soiled linens (B) Placement of meals (C) Placement of bedside commodes(D) Placement of urine specimens

50. An attitude that is helpful in hospice work is (A) The NA should do everything she can to help cure the resident. (B) The NA should help the resident embrace the NA’s faith before death. (C) The NA should try to make the resident and his family cheerful all the time.(D) The NA should respect privacy and independence.