CNA: Staff Relief CompetencyTest

advertisement
Staff Relief – Nursing Assistant/Orderly Test
Directions:
Select the one best answer. Indicate your
choice by entering the letter on the answer
sheet provided.
Administered To:
Nurse Assistant/Orderly providing
staffing.
1. For which of the following incidents must you make out an incident report?
A.
B.
C.
D.
E.
A patient falling out of bed
Theft of a patient’s purse
A visitor slipping in the hallway
Sticking your finger with a pin
All of the above
2. A nursing assistant serves a regular diet to a diabetic patient. She is guilty of:
A.
B.
C.
D.
E.
Nothing, it is the team leader’s fault
Professional abandonment
Negligence
Nothing, it is the dietician’s fault
Nothing, it is the fault of the doctor
3. The urinary drainage bag should be emptied, measured in a graduate, and recorded on
the intake and output sheet.
A.
B.
C.
D.
At the beginning of each shift
Every two hours
When the doctor asks you
When the head nurse asks you
4. The patient’s first voiding after surgery should always be:
A.
B.
C.
D.
E.
Sent to the lab
Measured and recorded on the I&O sheet
Discarded
Placed in a 24-hour collection container
Saved in the patient’s bathroom
HealthForce of Virginia, Inc.
Page 1 of 9
Assessment
CNA Staff Relief
5. Normal body temperature taken by axilla is:
A.
B.
C.
D.
E.
98.6 F
97.6 F
97.6 C
99.6 C
100.2 F
6. After completing your work with an isolated patient, you should remove your dirty
isolation gown:
A.
B.
C.
D.
E.
Before leaving the patient’s room
In the hall outside of the isolation unit
Upon arriving at the central supply room
Upon completion of all your isolation area duties for several patients
After your day’s work is finished
7. B.P. means:
A.
B.
C.
D.
E.
Bathroom privileges
Blood pressure
Bath privileges
Bed bath
Bottle for blood
8. The temperature of enema solution should be:
A.
B.
C.
D.
E.
100 F
105 F
105 C
115 C
115 F
9. When you have to feed a patient:
A. Serve the tray along with all the other trays, then come back to feed the patient
B. Bring the tray to the patient first and feed him after you have served all the
other patients
C. Do not bring the tray into the room until you are ready to feed the patient
D. Have the kitchen hold the tray for one hour
E. Tell the visitors to feed the patient whenever they arrive
10. The brachial pulse is found:
A.
B.
C.
D.
E.
At the wrist
Over the fold of the elbow, on the side closest to the patient’s body
At the temple
In the groin
In the neck
HealthForce of Virginia, Inc.
Page 2 of 9
Assessment
CNA Staff Relief
11. To prevent chest complications after surgery, watch for:
A.
B.
C.
D.
E.
Signs of respiratory infection
Sneezing, sniffling, or coughing
Complaints of signs of chest pains
Elevated temperature
All of the above
12. Generalized heat application means:
A.
B.
C.
D.
E.
Heat put on one small area of the body
Heat applied to the entire body
Heat applied only to the feet
Heat applied only to the hands
Heat applied only to the head
13. T.L.C. means:
A.
B.
C.
D.
E.
Temperature, pulse, and respiration
Tender loving care
Three times a day
Physical Therapy
Weight
14. When doing a clinitest, the amount of urine that you put into the test tube is:
A.
B.
C.
D.
E.
Two drops
Four drops
Five drops
Ten drops
Fifteen drops
15. Rectal temperatures are taken when the patient:
A.
B.
C.
D.
E.
Is in a coma
Has a nasogastric tube in place
Has had oral surgery
Is under 12 years of age
All of the above
16. When water spills on the floor, you wipe it up immediately:
A.
B.
C.
D.
E.
To help the maid
To have something to do
To prevent an accident
So the hospital or home looks nice
So the head nurse or team leader thinks you are being cooperative
HealthForce of Virginia, Inc.
Page 3 of 9
Assessment
CNA Staff Relief
17. A bed cradle is a:
A.
B.
C.
D.
E.
Box
Place for a baby
Frame to keep the top sheets from touching the patient
Treatment
Procedure
18. When feeding a patient you should:
A.
B.
C.
D.
E.
Feed him/her all of the meat first
Feed him/her all of the vegetables first
Feed him/her all of the foods in variety
Feed him/her all of the liquids first
Feed him/her all of the salad first then all of the meat.
19. When filling an ice bag you fill it:
A.
B.
C.
D.
E.
One-half full
Completely full
One-third full
Two-thirds full
One-fourth full
20. When giving daily indwelling catheter care, the nursing assistant should:
A. Remove the catheter tip and apply antiseptic solution
B. Remove the collection bag and replace with a new one
C. Apply an antiseptic solution to the area of insertion and to the four inches of
tubing closest to the patient
D. Remove and change the entire system
E. Wash the bag and the tubing
21. The head nurse tells you to take vital signs. This means you should measure and
record the patient’s:
A.
B.
C.
D.
E.
Temperature, pulse, respiration, and blood pressure
Temporal pulse
Blood pressure
Apical pulse
Apical pulse deficit
22. 1000 cc is the same as one:
A.
B.
C.
D.
E.
Pint
Quart
Milliliter
Gallon
Ounce
HealthForce of Virginia, Inc.
Page 4 of 9
Assessment
CNA Staff Relief
23. The water temperature for a tub bath is:
A.
B.
C.
D.
E.
98 F
212 F
105 F
115 F
115 C
24. The normal diet is sometimes changed to meet a patient’s special needs. These diets
are known as:
A.
B.
C.
D.
E.
Special
Restricted
Modified
Therapeutic
All of the above
25. A shampoo is given:
A.
B.
C.
D.
E.
When the patient’s hair is dirty
When the doctor orders the shampoo
As part of morning care
During evening care
As part of activities of daily living
26. The patient’s liquid intake is measured when he consumes:
A.
B.
C.
D.
E.
Water
Milk
Soda
Ice cream
All of the above
27. The correct positioning of a patient is:
A.
B.
C.
D.
E.
Therapeutic positioning
Body alignment
Diagnostic positioning
Transporting a patient
Restricted positioning
28. When giving a complete bed bath, the water temperature should be
A.
B.
C.
D.
E.
Room temperature
115 F
150 F
32 F
120 F
HealthForce of Virginia, Inc.
Page 5 of 9
Assessment
CNA Staff Relief
29. A decubitus ulcer is a
A.
B.
C.
D.
E.
Stomach ulcer
Bedsore
Duodenal ulcer
Oral ulcer
Rectal ulcer
30. Your patient has just been placed on “nothing by mouth”. You should:
A. Partly fill the water container as directed
B. Keep encouraging the patient to eat and drink
C. Remove the water pitcher and all items of food and drink from the patient’s
reach
D. Constantly keep the patient’s water pitcher filled
E. Offer the patient a soda
31. When the patient is on intake and output, you should measure output each time the
patient uses the :
A.
B.
C.
D.
E.
Commode
Bedpan
Urinal
Specipan
All of the above
32. The patient with an indwelling urinary catheter constantly complains of pain in the
lower abdomen. You should:
A.
B.
C.
D.
E.
Report to the head nurse or team leader
Report to a doctor
Question the patient about how much liquid he has taken
Unless the bag is near full, continue your assignment
Empty the bag, measure the graduate, and record on the intake and output
sheet
33. A specimen collected by having the patient cough up a substance from the lungs and
bronchial tubes is called
A.
B.
C.
D.
E.
Saliva
Mucus
Sputum
Spit
Excreta
34. When giving a patient an enema, the normal adult patient should be placed in the
A.
B.
C.
D.
E.
Fowler’s position
Trendelenburg position
Sims’ position
Harris position
Dorsal recumbent position
HealthForce of Virginia, Inc.
Page 6 of 9
Assessment
CNA Staff Relief
35. Diastolic blood pressure is
A.
B.
C.
D.
E.
The top number
The bottom number
The number you hear at the first clear sound
The number after the sound starts
The top number multiplied by two
36. When a postoperative patient vomits, your first step is to:
A.
B.
C.
D.
E.
Wipe off the vomits
Immediately begin mechanical suctioning
Turn the patient’s head to one side
Immediately begin manual suctioning
Turn the patient to the prone position
37. B.I.D. means:
A.
B.
C.
D.
E.
Twice a day
Three times a day
Four times a day
Every six hours
Every two hours
38. When answering the patient’s call signal:
A.
B.
C.
D.
E.
Go to the patient at once
Go and ask the head nurse to respond
Consider the condition of the patient and call the doctor
Yell to the patient that you are coming
All of the above
39. Axillary temperature is taken at the:
A.
B.
C.
D.
E.
Groin
Abdomen
Armpit
Neck
Temple
40. Which of the following is the routine site for taking the pulse?
A.
B.
C.
D.
E.
Carotid
Radial
Femoral
Brachial
Temporal
HealthForce of Virginia, Inc.
Page 7 of 9
Assessment
CNA Staff Relief
41. When counting respirations, you should:
A.
B.
C.
D.
E.
Tell the patient what you are going to do
Not tell the patient what you are going to do
Count five respirations and then check your watch
Have the patient count respirations while you take his pulse
Take respirations before you count the pulse
42. Normal body temperature taken orally is:
A.
B.
C.
D.
E.
99 8 F
98.6 C
98.6 F
94.6 F
68.8 F
43. Normal average range of pulse for adults is:
A.
B.
C.
D.
E.
72 to 80 beats per minute
80 to 100 beats per minute
60 to 100 beats per minute
62 to 104 beats per minute
88 to 98 beats per minute
44. The nursing assistant must report respirations when they are:
A.
B.
C.
D.
E.
Below 14 or over 28 per minute
Below 10 or over 38 per minute
Below 4 or over 22 per minute
Below 16 or over 34 per minute
Below 22 or over 88 per minute
45. To prevent bedsores (decubitus ulcers) on the nonambulatory patient, the nursing
assistant should:
A.
B.
C.
D.
E.
Turn the patient every two hours
Keep the patient’s body as clean and dry as possible
Keep linen wrinkle-free and dry at all times
Remove crumbs and any hard objects from the bed promptly
All of the above
46. Rule to follow for good body mechanics are:
A. When an action requires physical effort, use as many muscles or groups of
muscles as possible
B. Keep your body aligned properly
C. Keep your back straight
D. Have your knees bent
E. All of the above
HealthForce of Virginia, Inc.
Page 8 of 9
Assessment
CNA Staff Relief
47. Examples of objective reporting are:
A. Mrs. Smith in 404-B bed is breathing rapidly and the breaths appear to be
shallow
B. Mr. Williams in 204-B bed has voided urine that looks as if there is blood in it
C. Mrs. Adams in 119-C bed cannot hold a glass without dropping it; she was
able to do this at lunch time
D. Mr. Cass in 103-D bed said he did not want to get out of bed today
E. All of the above
48. When collecting specimens you must be very accurate by
A.
B.
C.
D.
E.
Collecting the specimen from the right patient
Collecting the right specimen
Collecting the specimen at the right time
Using the right label
All of the above
49. When reporting that an enema was given you report:
A.
B.
C.
D.
E.
The time and type of enema given
The results of the enema and the patient’s reaction to the procedure
Whether or not a specimen was obtained
Your observations of anything unusual
All of the above
50. Intravenous poles should be wiped with an antiseptic solution:
A.
B.
C.
D.
E.
Once a shift
Once a week
Once in 24 hours
After each use
Before each use
HealthForce of Virginia, Inc.
Page 9 of 9
Assessment
CNA Staff Relief
Download