Illinois state cna review

Illinois state cna review T/f OBRA applies to all 50 states - ANS True T/f Residents are informed of their rights only in writing - ANS F T/f residents must preform some type of work for their center - ANS F T/f being on time for work means arriving at the center when your shift starts - ANS F T/f if you do not follow your centers dress code, you can loose your job - ANS T T/f you can attend the interdisciplinary care conference - ANS T T/f you can give information about the resident over the phone - ANS F The nursing team does not include... a. Doctors b. LPNs/ LVNs c. Nursing assistants d. RNs - ANS A. Doctors The nursing assistants role is to... A. Meet Medicare and Medicaid standards b. Assist nurses in giving care c. Carry out doctor orders d. Manage care - ANS B. Assist nurses in giving care As a nursing assistant, you should? a. Can take verbal or phone orders from doctors b. Are responsible for your own actions c. Can remove tues from a persons body d. Can ignore a task if not in your job description - ANS B. Are responsible for your own actions Who assigns and supervises your work? a. Other nursing assistants b. The health team c. Nurses d. Doctors - ANS C. Nurses Nursing assistants are responsible for... a. Supervising other nursing assistants b. Delegating decisions c. Completed delegated tasks safely d. Deciding weather treatments are needed - ANS C. Completing delegated tasks safely Informed consent is when the patient... a. Fully understands aspects of his/her treatment b. Signs a consent form c. Is admitted to the center d. Decides hw to distribute property after his/her death - ANS A. Fully understands aspects of his/her treatment Which is NOT a sign of elder abuse... a. Stiff joints and joint pain b. Old and new bruises c. Poor personal hygiene d. Frequent injury - ANS A. Stiff joints and joint pain Which of the following do employers look for most? a. Cooperation b. Courtesy c. Dependability d. Empathy - ANS C. Dependability You are on a meal break. Which is false? a. You can make personal phone calls b. Family members can meet you c. You can take a few extra minutes if needed d. The nurse needs to know you are off the unit - ANS C. You can take a few extra minutes if needed In the evening the clock shows 9:26. In 24 hour clock time this is... a. 9:26 pm b. 1926 c. 0926 d. 2126 - ANS D. 2126 Which is NOT a step in the nursing process? A. Observation b. Assessment c. Planning d. Implementation - ANS A. Observation What happens during assessment? a. Goals are set b. Information is collected c. Nursing measures are carried out d. Progress is evaluated - ANS B. Information is collected Which should you report at once? a. The person had a bowel movement b. The person complains of sudden sever pain c. The person does not like the food served at lunch d. The person answers questions correctly - ANS B. The person complains of sudden sever pain Which basic need is most essential? A. Self-actualization b. Self esteem and belonging d. Safety and security - ANS D. Safety and security Which might mean you are NOT listening? a. You sit facing the person b. You make eye contact with the person c. You sit with your arms crossed d. You ask questions - ANS C. You sit with your arms crossed Which promotes good communication... a. "Don't worry" b. "Everything will be just fine" C. "This is a good nursing center" d. Why are you crying?" - ANS D. "Why are you crying" These statements are about a partners death. Which is not true? a. The person loses, a lover, friend, companion and confidant b. Preparing for the event lessens the grief c. The survivor may develop health problems d. The survivors life will likely change - ANS B. Preparing for the event lessens the grief Older persons should avoid dry foods because of... a. Decreases in saliva b. Loss of teeth or ill fitting dentures c. Decreased amounts of digestive juices d. Deceased peristalsis - ANS A. Decreases in salvia Most older people live... a. In nursing centers b. In their own home c. With their children d. In senior citizen housing - ANS B. In the own home Sexuality is important to... a. Small children b. Teenagers and young aide c. Middle aged adults d. People of all ages - ANS D. People of all ages T/f Mr. and Mrs. Green are married and living in the same nursing center. Per OBRA requirements, they should each have their own room - ANS F T/f A resident has the right to refuse treatment - ANS T Which is the most powerful kind of communication? - ANS Non-verbal when caring for a blind person it may be helpful to... a. Make good eye contact b. Speak louder c. Use a clock reference with descriptions d. Rearrange the persons room - ANS C. Clock references with descriptions A developmental task of late adulthood is... a. Retirement b. Children leaving home c. Reduce income d. Both a&c - ANS D. Retirement and reduced income Which of the following is not a physical change associated with aging... a. Dry skin b. Oily hair c. Poor circulation to feet d. Loss of skins fatty tissues - ANS B. Oily hair Which is not a physical change associated with aging? a. Decreased vision b. More ear wax c. Eyelids thin d. Become more near sided - ANS D. Become more near sided Which age related change in the urinary system causes voiding problem in men only? A. Bladder muscles weaken b. Prostate glad enlarges c. Kidney atrophy d. Reduced blood flow to kidneys - ANS B. Prostate glads enlarge T/f a restraint restricts a persons freedom of movement - ANS T T/f Unnecessary restraint is false imprisonment - ANS T T/f Restraint alternatives are never part of the care plan - ANS F T/f restraints are tied to bed rails - ANS F T/f Once restraints are applied a doctors order must be obtained - ANS F T/f pulling is easier than pushing - ANS F If severe airway obstructions occurs, the person usually... a. Clutches at the throat b. Can speak, cough, and breathe c. Is calm d. Has a seizure - ANS A. Clutches throat A person uses a wheelchair. Before transferring from we to bed, you must... a. Ask the person to stand on the foot plates b. Remove both armrests c. Lock the wheels d. Place the wheelchair so the weak side is cloisters to the bed - ANS C. Lock wheelchair wheels A severe weather alert has been issued for your area. What should you do? a. Take cover b. Follow the centers disaster plan c. Make sure your family is safe d. Pull the fire alarm - ANS B. Follow disaster plan Good alignment means... a. The area in which the object is resting b. Having the head, trunk, arms and legs aligned with each other c. Using muscles, tendons, ligaments and joints correctly d. The back-lying or supine positions - ANS B.head truck, arms, and legs aligned Residents are repositioned every... a. Every 30 minutes b. Every hour c. Every 2 hour d. Every 4 hours - ANS C. Every 2 hours Breathing is usually easier in... a. Fowlers position b. Supine position c. Lateral position d. Sims position - ANS A. Fowlers position For fowlers position... a. The bed is flat b. The head of the bed is raised 45-60 degrees c. The persons head is turned to the side d. The persons feet hang off the edge of the mattress - ANS B. The hob is raised 45-60 degrees A pillow is placed behind the persons back in... a. Fowlers position b. Prone position c. Lateral position d. Sims position - ANS C. Lateral position A person is positioned in a chair. The feet... a. Must be flat on the floor b. Are positioned in foot plates c. Dangle d. Are positioned on pillows - ANS A. Must be flat on floor T/f a pathogen can cause an infection - ANS T T/f you hold your hands and forearms up during hand washing - ANS F T/f un-used item in a persons room are used for other people - ANS F T/f contaminated surfaces should be decontaminated immediately after completing a task and after removing gloves - ANS F T/f when clean sheets are placed on a clean surface , the sheets are clean - ANS T T/f anything wet is considered dirty - ANS T Which is NOT a portal of exit? a. Respiratory tract b. Blood c. Reproductive system d. Intact skin - ANS D. Intact skin isolation precautions a. Prevent infections b. Destroy pathogens c. Keep pathogens in certain areas d. Destroy all microbes - ANS C. Keep all pathogens in certain areas Standard Precautions a. Are used for all persons b. Prevent the spread of pathogens through the air c. Require gown, gloves, mask and googles at all times d. Require a doctors order - ANS A. Are used for all persons What does PPE stand for? - ANS personal protective equipment T/f the floor is an acceptable place to put dirty linen until bed making is finished - ANS F T/f the over the bed table or chair in the room is an acceptable place to put clean linen while dirty linens are being removed - ANS T T/f a closed bed is a bed that is made for the day - ANS T T/f bed wheels are only locked when providing care - ANS F T/f bedpans can be stored in the bottom drawer of the bedside stand - ANS T T/f when making beds the rough seam goes down on the bottom (fitted) sheet and down on the top sheet - ANS F T/f you are making a bed in the residents room. You have brought one extra pillow case with you. The extra pillow case can be left in the room and used when the linens need changed next. - ANS F T/f A resident wants to leave the nursing center without the doctors permission. You should tell the nurse at once. - ANS T T/f during an admission, you may be responsible for gathering a full assessment. - ANS F T/f when weighing a new resident, it is important to get the weight done right away! The resident can just step up on the scale for the initial weight in what they are wearing. - ANS F Beds are raised horizontally to a. prevent bending and reaching when giving care b. let the person in and out of bed c. raise the head of bed d. lock the bed in position - ANS A. prevent being and reaching when giving care The head of the bed is raised 30 degrees. This is called a. Fowlers position b. Semi-fowlers position c. Trendelenburg position d. reverse trendelenburg position - ANS B. Semi-fowlers position Which of the following is NOT a good way to provide comfort a. lighting is adjusted to meet the persons needs b. avoid placing person in drafty areas c. use privacy curtains to ensure nobody can hear what is taking place d. answer phones, call lights and intercoms promptly to reduce noise - ANS c. use privacy curtains to ensure no one can hears what is taking place What statement about call lights is false? a. the call light must always be within a persons reach b. you have to answer call lights only for residents assigned to you c. the call light should be placed on the persons string side d. answer all call lights promptly - ANS b. you have to answer call lights for residents only assigned to you Which of the following is false a. shake linens to remove crumbs b. practice medical asepsis when handling linen c. straighten linen whenever loose or wrinkled d. put used linen in the laundry bin - ANS a. shake linen to remove crumbs The persons unit is considered ___________. - ANS private Always hold linens ______ from your uniform. - ANS away wet = _____ - ANS dirty how are dirty linens removed from the bed? - ANS roll away from you, one piece at a time discribe entrapment - ANS becoming trapped or injured in a hospital bed T/f pulling is easier than pushing - ANS F T/f a person has a weak right side. When transferring to the wheelchair, the wheelchair should be placed on the persons left side - ANS T T/f When pushing a stretcher, the person should be pushed head first - ANS F T/f As long as you are trained, it is safe to use the mechanical lift by yourself - ANS F T/f exercise prevents muscle atrophy - ANS T T/f fall prevention is a part of the persons care plan - ANS T T/f bedrest poses little risk of complications - ANS F Which is the definition os contracture? a. shortening of muscles resulting in permanent deformity b. wasting of muscle - ANS A. shortening of muscle resulting in terminate damage You are moving someone from the bed to the wheelchair. Which statement is false? a. the person should wear nonskid footwear b. they should wear a gait belt c. you should lock the wheels on the wheelchair d. the person may put her arms around you neck - ANS d. the person may put their arms around t=your neck When moving a person up in bed, the person should be in what position? a. supine b. high fowlers c. sims d. prone - ANS a. supine If the resident is confused and resists being moved, you should a. take your time, and use a calm soothing voice b. leave the resident alone and don't move them c. move the resident anyway d. scold the resident - ANS a. take your time, and use a calm soothing voice After turning a resident a. provide personal cares b. raise the bed to the highest position c. be sure the resident is in good alignment d. put the bed in high fowlers position - ANS c. be sure the resident is in good alignment held on the string side of the body a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS h. cane Two surfaces rubbing together a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS A. friction Caused by sudden change in position a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS e. orthostatic hypertension Turning person in alignment with one motion a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS d. logrolling Usually done 2 times a day but never to the point of pain a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS F. passive range of motion Allows person to adjust and change position before transfer a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS c. dangling act of walking a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS g. ambulation skin sticks to surface and muscles slide in direction body is moving a. friction b. shearing c. dangling d. logrolling e. orthostatic hypertension f. passive range of motion g. ambulation h. cane - ANS b. shearing T/f there is no need to provide oral hygiene for an unconscious person - ANS f T/f dentures should be cleaned with hot water - ANS f T/f a partial bath includes bathing the face, underarms, back, buttocks and parineal area - ANS t T/f In Illinois, Cna's are allowed to clip toenails - ANS f T/f when dressing a person with a weak side, put clothing on the weak side first - ANS t T/f elderly people are at risk for skin tears because they have very little fat under their skin - ANS t T/f people with diabetes are at risk for foot ulcers because they may not feel a foot injury - ANS t T/f pressure ulcers are also called decubitus ulcers, bed sores, or pressure sores - ANS t t/f if a reddened area is noted over boney prominence, the best thing to do is rub it - ANS f T/f circulatory ulcers are caused by increased blood flow to extremities - ANS f When giving female perineal care a. always wipe from front to back b. always wipe from back to front - ANS a. always wipe from front to back Which of the following is NOT true when washing a persons eyes? a. gentled wipe from inner aspect to outer aspect of the eye b. use a clean part of the washcloth for each stroke c. gently wipe from outer aspect to inner aspect of the eye d. use water only - ANS c. gently wipe from outer aspect to inner aspect of the eye Which of the following statements is NOT good care? a. allow residents to choices whenever possible b. choose what the resident will wear everyday c. report sever hair tangling to the nurse d. only trim a beard with the residents permission - ANS b. choose what the resident will wear everyday Which of the following statements about elastic stockings is NOT true a. elastic stocking are usually to be left in place 24 hours a day b. elastic stockings are also called anti-embolism stockings or ted hose c. elastic stockings should be wrinkle free after applied d. nurses decided what size stockings are needed and the stockings are usually donned by the cna - ANS a. elastic stocking are usually to be left in place 24 hour a day Which of the following would be the least likely spot for a pressure ulcer? a. sacrum b. heel c. elbow d. forearm - ANS d. forearm T/f nutrition is indigestion, digestion, absorption, and use foods and fluids by the body - ANS t T/f my plate recommends fats make up at least half of your plate at each meal - ANS f T/f OBRA requires nursing centers to provide residents with at least 2 meals a day - ANS f T/f culture, religion, and finances can influence a persons diet - ANS t T/f when a person with diabetes is ill, its fine for them to skip meals - ANS f T/f when feeding a resident, the cna may use a spoon or fork - ANS f T/f one once is the same as 30 milliliters - ANS t T/f ice cream is included as a part of intake - ANS t T/f when a person is npo, they cannot drink water or eat, but they can have ice chips - ANS f T/f residents are provided fresh drinking water every shift and whenever the pitcher is empty - ANS t contains large servings of every food a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS c. high calorie diet usually contains pureed foods and thickened liquids a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS e. dysphagia diet can deliver tube feedings or be used to deflate the stomach a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS h. nasogastric tube contains foods that are liquid at room temperature a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS a. full liquid diet deliver snacks on time and not how much the resident eats at each meal a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS d. diabetic diet nutrition given directly into the go tract a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS f. internal nutrition nutrition given directly into the blood a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS g. total parental nutrition no restrictions a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS b. regular diet fluid intake excedes fluid output (swelling) a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS j. edema Fluid output exceeds fluid intake a. full liquid diet b. regular diet c. high calorie diet d. diabetic diet e. dysphagia diet f. enteral nutrition g. parenteral nutrition h. nasogastric tube i. dehydration j. edema - ANS i. dehydration T/f a healthy adult produces 500ml of urine each day - ANS f T/f incontinence is the involuntary loss or leakage of urine - ANS t T/f catheter drainage bags are always kept above the level of the bladder to ensure proper drainage - ANS f T/f many people have a bowel movement each morning after breakfast - ANS t T/f a normal, healthy, stoma is a grey color - ANS f Which of the following observations is normal and does not need to be reported to the nurse a. complains of urgency b. burning with urination c. painful or difficult urination d. clear, amber urine - ANS d. clear, amber urine Which of the following is not true? a. incontinence is embarrassing b. incontinence is a personal choice c. incontinence can become a fall risk d. incontinence can affect self esteem - ANS b. incontinence is a personal choice Condom catheter a. should not be secured with adhesive tape b. should be changed by weekly c. are never self adhering d. may be used to males or females - ANS a. should not be used with adhesive tape which of the following does not prevent constipation a. high fiber diet b. increased fluid intake c. exercise d. ignoring urge to defacate - ANS d. ignoring urge to defecate the preferred position to administer enema is a. sims b. prone c. supine d. trendelenberg - ANS a. sims describe the problems associated with an enlarged prostate - ANS difficulty urinating, frequency, dribbling what is the difference between constipation and fecal impaction? - ANS fecal impaction: brown liquid seeping from anus constipation: difficult bm When is the best time to collect sputum specimen? - ANS first thing in the morning T/f an irregular pulse is counted for one minute - ANS t T/f a blood pressure of 110/72 mmHg should be reported to the nurse immediately - ANS f T/f when measuring a radial pulse, use one or two fingers - ANS f T/f normal range for systolic blood pressure is 90-150 mmHg - ANS f T/f persons with difficulty breathing often prefer orthopneic position - ANS t T/f adult usually breath 12-20 times per minute - ANS t T/f when measuring a pulse, count fir 30 seconds then record - ANS f T/f oxygen is a medication and must not be administered or disconnected by the nursing assistant - ANS t hypertension a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS b. 164/96 mmHg low SpO2 a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS g. 91% pulse within normal limits a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS d. 88bpm inhale/exhale a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS l. 1 respiration used in the ear a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS j. tympanic thermometer hypotension a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS a. 86/52 mmHg listening to the heart with a stethoscope a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS n. apical pulse O2 delivery system that covers the nose and mouth a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS p. face mask normal temp a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS h. 98.6 F B/P within normal limits a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS c. 122/78 swiped across the brow and behind the ear a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS k. temporal thermometer O2 deliver system that allows persons the most freedom a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS o. nasal cannula most common pulse site to measure a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS m. radial pulse low pulse rate. report to the nurse - ANS e. 50 bpm thermometer with red cap a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS i. rectal thermometer SpO2 within normal limits a. 86/52 mmHg i. rectal thermometer b. 164/94 mmHg j. tympanic thermometer c. 122/78 mmHg k. temporal thermometer d. pulse: 88bpm l. 1 respiration e. pulse: 50 bpm m. radial pulse f. SpO2: 95% n. apical pulse g. SpO2: 91% o. nasal cannula h. Oral temp: 98.6 F p. face mask - ANS f. 95% T/f when a person arrives on a stretcher, the cna must make a surgical bed - ANS t T/f if a post op patient complains of pain in the calf, the nursing assistant should massage the area - ANS f T/f heat constricts blood vessels - ANS f T/f cold can burn - ANS t T/f an ileostomy will usually produce formed stool and a colostomy will produce mostly liquid - ANS f T/f TCDB is the abbreviation for turn, cough, and deep breath. this is often used after surgery - ANS t which of the following is not true? a. touching a stoma causes pain b. after applying a new pouch, the person with the ostomy must wait 1-2 hours before showering c. enemas are used to relieve fecal impact ions and constipation d. bladder training may improve continence - ANS a. touching a stoma causes pain complications from my heat applications include the following except a. excessive redness b. blisters c. pale skin d. cyanotic (blush) nail beds - ANS d. cyanotic nail beds which of the following should be removed before a person goes to surgery a. hair pins b. dentures c. hearing aides d. all of these should be removed - ANS d. all of these should be removed why is ambulation so important after surgery a. the person may have forgotten how to walk b. anesthesia needs to be expelled from the lungs c. ambulation stimulates circulation d. b and c are correct - ANS d. anesthesia needs to be expelled from the lungs and ambulation stimulate circulation if a person is NPO after surgery, important personal hygiene is a. frequent oral hygiene b. giving ice chips frequently c. offering sips of water d. encouraging persons to chew gum - ANS a. frequent oral hygiene heat and cold application should be applied for no more than _________. - ANS 20 minutes when hot or cold treatments are in place, the skin should be checked every _______ minutes. - ANS 5 minutes how should the CNA respond when a person shares concerns and fears before surgery - ANS listen T/f successful rehabilitation depends on the person's attitude - ANS t T/f pointing out progress, no matter how small, is important part of your role in rehab - ANS t T/f all elderly persons are hard of hearing - ANS f T/f cataracts cause decreased peripheral vision - ANS f T/f eyeglasses should be clean daily and PRN - ANS t T/f hearing aids need to be turned on and run on batteries - ANS t T/f validation therapy is used in the hospital to keep patients oriented to date and time - ANS f T/f A person with Parkinson's disease is a fall risk I'm hungry - ANS t T/f A TIA is a warning of a CVA - ANS t T/f in MI is a medical emergency - ANS t A person has CHF. You can do all the following except a. measuring I&O b. measuring daily weight c. promote diets high in salt d. restrict fluids as ordered - ANS c. promote diets high in salt a person is blind. you do all the following except a. identify yourself when you walk in the room b. re arrange furniture c. describe things thoroughly d. encourage her to do as much for herself as possible - ANS b. rearrange the room often have daily weights ordered a. hemiplegia d. tremors b. glaucoma e. CHF c. cataracts f. heart attack - ANS e. CHF pressure on the optic nerve a. hemiplegia d. tremors b. glaucoma e. CHF c. cataracts f. heart attack - ANS b. glaucoma signs of Parkinson's disease a. hemiplegia d. tremors b. glaucoma e. CHF c. cataracts f. heart attack - ANS d. tremors causes cloudy vision a. hemiplegia d. tremors b. glaucoma e. CHF c. cataracts f. heart attack - ANS c. cataracts myocardial infarction a. hemiplegia d. tremors b. glaucoma e. CHF c. cataracts f. heart attack - ANS f. heart attack paralysis on one side of the body a. hemiplegia d. tremors b. glaucoma e. CHF c. cataracts f. heart attack - ANS a. hemiplegia T/f pain is an objective sign. It can be seen, heard, smell, and touched - ANS f T/f pain should be described to the nurse in your own words - ANS f T/f A typical back massage last 15 minutes - ANS f T/f sleep is a basic need - ANS t T/f many people have a fear of dying alone - ANS t T/f A person may appoint a health care power of attorney to make decisions for them when they cannot make decisions themselves - ANS t T/f if a CNA does not agree with the DNR, it can be ignored - ANS f T/f during the dying process, vision is the last sense to go - ANS f T/f postmortem care is not the responsibility of the CNA - ANS f T/f The amount of sleep needed increases with age - ANS f older persons who cannot communicate may signal pain by a. mental alertness b. loss of appetite c. forgetfulness d. keeping busy - ANS b. loss of appetite you can promote rest by all of the following except a. offering the person coffee or tea b. placing the call light within reach c. providing a quiet setting d. following the persons routines and rituals - ANS a. offering the person coffee or tea persons in the denial stage of dying a. are angry b. bargaining with god c. refuse to believe they are dying d. are calm and at peace - ANS c. refuse to believe they are dying when caring for the person who is dying, you should do all the following except a. listen to the person b. talk about your feelings about death c. provide privacy during spiritual moments d. use touch and show care and concern - ANS b. talk about your feelings about death when caring for a dying patient you provide a. oral care b. eye care c. good skin care d. none of the above - ANS d. none of the above dx - ANS diagnosis MI - ANS myocardial infarction (heart attack) N & V (n/v/d) - ANS nausea, vomiting, diarrhea SOB - ANS shortness of breath u/a - ANS urinalysis UTI - ANS urinary tract infection CO2 - ANS carbon dioxide CPR - ANS cardiopulmonary resuscitation EEG - ANS electroencephalogram EKG or ECG - ANS electrocardiogram H2O - ANS water O2 - ANS Oxygen PT - ANS physical therapy (upper case) pt - ANS patient (lower case) ROM - ANS range of motion SpO2 - ANS saturation of peripheral oxygen SSE - ANS soap sud enema TWE - ANS tap water enema ADL - ANS activities of daily living BM - ANS bowel movement BR - ANS bed rest BRP - ANS bathroom privileges DNR - ANS do not resuscitate HOB - ANS head of bed h & p (hx) - ANS history and physical NPO - ANS nothing by mouth OOB - ANS out of bed w/c - ANS wheelchair ac - ANS before meals pc - ANS after meals ad lib - ANS as desired BID, TID, QID - ANS 2, 3, 4 times a day PRN - ANS as needed c - ANS with s - ANS without WNL - ANS within normal limits ap - ANS apical pulse CO - ANS complains of CHF - ANS congestive heart failure COPD - ANS chronic obstructive pulmonary disease CVA - ANS cerebrovascular accident (stroke) decub - ANS decubitus (pressure ulcer) DM - ANS diabetes mellitus 1 cc = __ ml - ANS 1 mL 1 oz = __ ml - ANS 30 mL 1 liter = __ ml - ANS 1000 mL what is recorded in intake - ANS oral fluids, solids that become liquid at room temp, iv fluid, tpn, tube feeds, medications what is recorded as output - ANS urine, vomit, bloody drainage, wound drainage, loose stool, excessive perspiration, ng tube drainage