TEST BANK for The Nursing Assistant Acute, Subacute,
and Long-Term Care, 6th Edition
(Pulliam) Chapters 1 - 24
,Table of Contents
Chapter 1. Introduction to Health Care 2
Chapter 2. The Nursing Assistant 7
Chapter 3. Communication and Interpersonal Skills 11
Chapter 4. Relating to Your Patients 15
Chapter 5. Infection Control 19
Chapter 6. Environmental Safety, Accident Prevention, and Disaster Plans 23
Chapter 7. Emergency Situations 27
Chapter 8. Body Systems and Common Diseases 31
Chapter 9. Vital Signs 35
Chapter 10. Positioning, Moving, and Ambulation 39
Chapter 11. Admission, Transfer, and Discharge 43
Chapter 12. The Patient's Environment 48
Chapter 13. Hygiene and Grooming 52
Chapter 14. Special Skin Care 56
Chapter 15. Nutrition 60
Chapter 16. Elimination Needs 64
Chapter 17. Specimen Collection and Testing 68
Chapter 18. AM and PM Care 72
Chapter 19. Restorative Care and Rehabilitation 78
Chapter 20. Additional Patient Care Procedures 82
Chapter 21. Preoperative and Postoperative Care 86
Chapter 22. Subacute Care 90
Chapter 23. Special Skills in Long-Term Care 94
Chapter 24. Death and Dying 99
, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam)
Chapter 1 Introduction to Health Care
1) A nursing assistant could apply for employment at which of these health care organizations?
A) A hospital
B) A nursing home
C) A home health agency
D) Any of the above
ANSWER: D
Page Ref: 3-4
LO: 2. List and describe different types of health care facilities.
2) When a nursing assistant provides quality care to a patient, it is important that the care is
A) Given according to the RN's cultural preferences.
B) Given in the way that will cost the least.
C) Culturally acceptable to the patient.
D) Done as quickly as possible each day.
ANSWER: C
Page Ref: 3
LO: 1. Identify the purposes of health care facilities.
.
3) Ms. Janda is being discharged from the acute care hospital. She is still quite ill and requires
intravenous medications. She needs skilled nursing care. Which of the following facilities would
she be moved to?
A) A long-term care facility
B) A home health agency
C) A rehabilitation facility
D) A subacute care facility
ANSWER: D
Page Ref: 4
LO: 2. List and describe different types of health care facilities.
4) A nursing assistant is a key position on the health care team. The primary responsibility for
nursing assistants is to
A) Assist the doctor by performing procedures.
B) Supervise environmental services teams.
C) Care for patients under the supervision of an RN.
D) Schedule LPN staff on all shifts.
ANSWER: C
Page Ref: 6-7
LO: 3. Describe a typical organizational structure of a health care facility and explain how the
nursing assistant fits into this structure.
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, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
5) The nursing assistant is a member of the nursing team in a health care organization. Which
member of the nursing team plans and coordinates patient care?
A) Nursing assistant
B) RN or LPN
C) Registered nurse (RN)
D) Licensed practical nurse (LPN)
ANSWER: C
Page Ref: 6
LO: 3. Describe a typical organizational structure of a health care facility and explain how the
nursing assistant fits into this structure.
6) When you work as a nursing assistant, you must follow the chain of command. This means
that you would report directly to
A) The Board of Directors.
B) An RN or LPN.
C) The Clinical Nurse Specialist.
D) The Director of Nursing.
ANSWER: B
Page Ref: 5
LO: 4. Describe the various ways nursing care can be organized and provided.
.
7) Which of the following health care organizations provides extended care for people who
have chronic illness or permanent disabilities?
A) Long-term care facilities
B) Hospitals
C) Psychiatric specialty centers
D) Home health agencies
ANSWER: A
Page Ref: 4
LO: 2. List and describe different types of health care facilities.
8) Which of the following health care organizations provides comfort and support to a patient
and the patient's family when the patient has a limited amount of time to live?
A) Cancer center
B) Hospice facility or agency
C) Acute care facility
D) Nursing home
ANSWER: B
Page Ref: 4
LO: 2. List and describe different types of health care facilities.
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, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
9) The patient's plan of care is important to the nursing assistant because
A) It lists the steps of each procedure that should be done for that patient.
B) It tells when the patient will be discharged or transferred to another facility.
C) It contains detailed information about meeting each patient's needs.
D) It monitors the quality of health care services provided.
ANSWER: C
Page Ref: 7
LO: 5. Explain what a care plan is and how it is used as a tool to provide patient-centered
care.
10) One very important aspect of a nursing assistant's job, no matter the health care setting, is
to
A) Monitor all staff for safety practices.
B) Keep the facility as neat and clean as possible.
C) Provide physical and emotional support to patients.
D) Take over the care of assigned patients and do everything for them.
ANSWER: C
Page Ref: 8-9
LO: 6. List the main responsibilities of the nursing assistant.
11) A responsibility of the nursing aW ssW istWan.tT toShMe.lpW
isB paStients maintain or regain activities
of daily living (ADLs). These activities include assisting with
A) Eating.
B) Dressing.
C) Bathing.
D) All of the above.
ANSWER: D
Page Ref: 4, 8
LO: 6. List the main responsibilities of the nursing assistant.
12) In the primary nursing model
A) One RN takes charge of planning and implementing care for a patient.
B) Staff members are assigned specific tasks for patient care.
C) Patients are cared for by the entire nursing team.
D) Nursing assistants function independently.
ANSWER: A
Page Ref: 7
LO: 4. Describe the various ways nursing care can be organized and provided.
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, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
13) Which program helps pay for health care provided to adults 65 years of age and older?
A) Prospective payment
B) Managed care
C) Medicare
D) Diagnosis-related groups
ANSWER: C
Page Ref: 3
LO: 2. List and describe different types of health care facilities.
.
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, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
14) Which of the following is a purpose of the health care delivery system in a community?
A) Disease prevention and treatment
B) Public education
C) Health care research
D) All of the above
ANSWER: D
Page Ref: 2
LO: 1. Identify the purposes of health care facilities.
15) The nursing assistant is a member of the interdisciplinary team. This group of professionals
and non-professionals from many health care fields is focused on
A) Meeting the unique, individual needs of the patient.
B) Inspecting health care organizations for safe practices.
C) Publishing quality reports for public view.
D) Ensuring the chain of command is followed.
ANSWER: A
Page Ref: 6
LO: 3. Describe a typical organizational structure of a health care facility and explain how the
nursing assistant fits into this structure.
.
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, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam)
Chapter 2 The Nursing Assistant
1) Which of the following tasks is NOT within the nursing assistant's scope of practice?
A) Assisting patients with activities and mobility needs
B) Performing sterile procedures and inserting tubes into the patient's body
C) Attending to patients' physical comfort and mobility needs
D) Taking vital signs and answering the call bell promptly
ANSWER: B
Page Ref: 13-17
LO: 1. List the duties of a nursing assistant.
2) As a nursing assistant, you will assist patients with psychological comfort and social needs.
How will you do this?
A) Provide privacy and show respect.
B) Prescribe treatments and medications.
C) Provide psychological counseling.
D) Transport patients and clean equipment.
ANSWER: A
Page Ref: 13
LO: 1. List the duties of a nursing aWsW
sisWta.nT
t. BSM.WS
3) You are working as a nursing assistant in a specialty hospital. Your supervisor asks you to do
all of the following tasks. Which one would you tell your supervisor you cannot legally do?
A) Take vital signs on two patients who have had surgery.
B) Answer call lights for additional patients during lunch breaks.
C) Help five patients with baths, dressing, and meals.
D) Supervise the work of two new nursing assistants.
ANSWER: D
Page Ref: 13-17
LO: 1. List the duties of a nursing assistant.
4) To become a certified nursing assistant, you must
A) Pass a competency evaluation.
B) Complete at least 75 hours of training.
C) Complete at least 16 hours of practical training.
D) Successfully do all of these things.
ANSWER: D
Page Ref: 17
LO: 2. Describe the training and education that nursing assistants must have.
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, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
5) Maya took a CNA course three years ago and worked for six months. She quit working
because she had a baby and stayed home to care for him. Now she is ready to go back to work.
What does Maya have to do to be certified as a CNA again?
A) Retake the training program and competency evaluation.
B) Take several continuing education classes to catch up on new information.
C) Call the Nursing Assistant Registry and have her name put on the list again.
D) Work with a CNA for several weeks to refresh her knowledge.
ANSWER: A
Page Ref: 17
LO: 2. Describe the training and education that nursing assistants must have.
6) A visitor asks you what is wrong with Mrs. DeRouge after she sees her leaving the physical
therapy gym at your rehabilitation facility. What should you say?
A) "Ask the physical therapist if you can see her chart."
B) "You will have to talk to the doctor to get that information."
C) "I don't know what is wrong with her, but she sure looks bad, doesn't she?"
D) "I can't discuss confidential information about any resident."
ANSWER: D
Page Ref: 17-18
LO: 3. List the rights of patients and residents.
.
7) Which of the following is an example of behavior that is NOT ethical?
A) Providing privacy during all personal care
B) Performing only those tasks that are within your scope of practice
C) Sharing information about a patient on social media
D) Reporting accidents or errors to your supervisor immediately
ANSWER: C
Page Ref: 18
LO: 4. Explain what ethical behavior involves.
8) A nursing assistant leaves the bed in a high position and forgets to give the patient the call
light. The patient tries to get up to go to the bathroom and falls, causing an injury. The nursing
assistant is guilty of
A) False imprisonment.
B) Negligence.
C) Malpractice.
D) Physical abuse.
ANSWER: B
Page Ref: 18
LO: 5. Identify the laws that affect nursing assistants.
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, Test Bank - The Nursing Assistant: Acute, Subacute, and Long-Term Care, 6e (Pulliam, 2020)
9) A nursing assistant becomes angry with a patient's behavior and yells, "If you don't stop that,
I am going to put restraints on you!" The nursing assistant is guilty of
A) Psychological abuse.
B) Verbal abuse.
C) Physical abuse.
D) False imprisonment.
ANSWER: B
Page Ref: 19
LO: 5. Identify the laws that affect nursing assistants.
10) Which of the following is a way for the nursing assistant to maintain good working
relationships?
A) Leave the unit for breaks and lunch without telling your team.
B) Arrive at work on time and as scheduled.
C) Leave early from work if you need to run an errand.
D) Help others only if they help you in return.
ANSWER: B
Page Ref: 20-21
LO: 6. List the personal qualities of a good nursing assistant.
11) HIPAA is a federal law that proteWcWtsW a .paTtiB
enSt'M
s p.eW
rsS
onal health information. This means
that health information must be shared only on a strict need-to-know basis. Nursing assistants
must
A) Take home a patient's care plan worksheet at the end of their shift.
B) Only read the information they need to know to do their job for their patient.
C) Discuss a patient's information in public areas.
D) Leave a patient's electronic medical record open on their computer screen.
ANSWER: B
Page Ref: 17-18
LO: 3. and 5. List the rights of patients and residents and identify the laws that affect nursing
assistants.
12) Walking into work, a nursing assistant sees a visitor slip and fall at the entrance of the
hospital. What is the best action for the nursing assistant?
A) Keep walking and get to the nursing assistant's unit on time.
B) Report the incident, but only at the end of the nursing assistant's shift when all other work is
done.
C) Report the fall immediately and complete an accurate incident report.
D) Respect the visitor's privacy and say nothing, to save the visitor from embarrassment.
ANSWER: C
Page Ref: 19
LO: 5. Identify the laws that affect nursing assistants.
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