Test Bank for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th Edition by JoLynn Pulli

Test Bank for The Nursing Assistant Acute, Subacute, and Long-Term Care, 6th Edition by JoLynn Pulliam,by Meg Holloway Chapter 1-24| Complete Guide A+

6thgEdition

TablegofgContents Chapterg1.gIntroductiongtogHealthgCare Chapterg2.gThegNursinggAssistant Chapterg3.gCommunicationgandgInterpersonalgSkills Chapterg4.gRelatinggtogYourgPatients Chapterg5.gInfectiongControl Chapterg6.gEnvironmentalgSafety,gAccidentgPrevention,gandgDisastergPlans Chapterg7.gEmergencygSituations Chapterg8.gBodygSystemsgandgCommongDiseases Chapterg9.gVitalgSigns

2 7 11 15 19 23 27 31 35

Chapterg10.gPositioning,gMoving,gandgAmbulation Chapterg11.gAdmission,gTransfer,gandgDischarge Chapterg12.gThegPatient'sgEnvironment Chapterg13.gHygienegandgGrooming

39 43 48 52

Chapterg14.gSpecialgSkingCare Chapterg15.gNutrition Chapterg16.gEliminationgNeeds Chapterg17.gSpecimengCollectiongandgTesting

56 60 64 68

Chapterg18.gAMgandgPMgCare Chapterg19.gRestorativegCaregandgRehabilitation Chapterg20.gAdditionalgPatientgCaregProcedures Chapterg21.gPreoperativegandgPostoperativegCare Chapterg22.gSubacutegCare Chapterg23.gSpecialgSkillsgingLong-TermgCare Chapterg24.gDeathgandgDying

72 78 82 86 90 94 99

TestgBankg-gThegNursinggAssistant:gAcute,gSubacute,gandgLong-

ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg1 IntroductiongtogHealthgCare 1) Agnursinggassistantgcouldgapplygforgemploymentgatgwhichgofgtheseghealthgcaregorganizations?

A) Aghospital B) Agnursingghome C) Aghomeghealthgagency D) Anygofgthegabov egAnswer: D PagegRef:g3-4 LO: 2.gListgandgdescribegdifferentgtypesgofghealthgcaregfacilities.

2) Whengagnursinggassistantgprovidesgqualitygcaregtogagpatient,gitgisgimportantgthatgthegcaregis A) GivengaccordinggtogthegRN'sgculturalgpreferences.

B) Givengingthegwaygthatgwillgcostgthegleast.

C) Culturallygacceptablegtogthegpatient.

D) Donegasgquicklygasgpossiblegeachgda y.gAnswer: C PagegRef:g3 LO: 1.gIdentifygthegpurposesgofghealthgcaregfacilities.

3) Ms.gJandagisgbeinggdischargedgfromgthegacutegcareghospital.gShegisgstillgquitegillgandgrequires intravenousgmedications.gShegneedsgskilledgnursinggcare.gWhichgofgthegfollowinggfacilitiesgwoul dgshegbegmovedgto?

A) Aglong-termgcaregfacility B) Aghomeghealthgagency C) Agrehabilitationgfacility D) Agsubacutegcaregfacilit ygAnswer: D PagegRef:g4 LO: 2.gListgandgdescribegdifferentgtypesgofghealthgcaregfacilities.

4) Agnursinggassistantgisgagkeygpositiongongtheghealthgcaregteam.gThegprimarygresponsibilitygf orgnursinggassistantsgisgto A) Assistgthegdoctorgbygperforminggprocedures.

B) Supervisegenvironmentalgservicesgteams.

C) CaregforgpatientsgundergthegsupervisiongofgangRN. D) SchedulegLPNgstaffgongallgshifts .gAnswer: C PagegRef:g6-7 LO: 3.gDescribegagtypicalgorganizationalgstructuregofgaghealthgcaregfacilitygandgexplainghowgthegnur singgassistantgfitsgintogthisgstructure.

1g|gPgaggge

5) Thegnursinggassistantgisgagmembergofgthegnursinggteamgingaghealthgcaregorganization.gWhi chgmembergofgthegnursinggteamgplansgandgcoordinatesgpatientgcare?

A) Nursinggassistant B) RNgorgLPN C) Registeredgnurseg(RN) D) Licensedgpracticalgnurseg(LPN )gAnswer: C PagegRef:g6 LO: 3.gDescribegagtypicalgorganizationalgstructuregofgaghealthgcaregfacilitygandgexplainghowgthegnur singgassistantgfitsgintogthisgstructure.

6) Whengyougworkgasgagnursinggassistant,gyougmustgfollowgthegchaingofgcommand.gThisgmea nsgthatgyougwouldgreportgdirectlygto A) ThegBoardgofgDirectors.

B) AngRNgorgLPN. C) ThegClinicalgNursegSpecialist.

D) ThegDirectorgofgNursing .gAnswer: B PagegRef:g5 LO: 4.gDescribegthegvariousgwaysgnursinggcaregcangbegorganizedgandgprovided.

7) Whichgofgthegfollowingghealthgcaregorganizationsgprovidesgextendedgcaregforgpeoplegwho havegchronicgillnessgorgpermanentgdisabilities?

A) Long-termgcaregfacilities B) Hospitals C) Psychiatricgspecialtygcenters D) Homeghealthgagencie sgAnswer: A PagegRef:g4 LO: 2.gListgandgdescribegdifferentgtypesgofghealthgcaregfacilities.

8) Whichgofgthegfollowingghealthgcaregorganizationsgprovidesgcomfortgandgsupportgtogagpatie ntgandgthegpatient'sgfamilygwhengthegpatientghasgaglimitedgamountgofgtimegtoglive?

A) Cancergcenter B) Hospicegfacilitygorgagency C) Acutegcaregfacility D) Nursingghom egAnswer: BgPagegRef:g4 LO: 2.gListgandgdescribegdifferentgtypesgofghealthgcaregfacilities.

2g|gPgaggge

9) Thegpatient'sgplangofgcaregisgimportantgtogthegnursinggassistantgbecause A) Itglistsgthegstepsgofgeachgproceduregthatgshouldgbegdonegforgthatgpatient.

B) Itgtellsgwhengthegpatientgwillgbegdischargedgorgtransferredgtoganothergfacility.

C) Itgcontainsgdetailedginformationgaboutgmeetinggeachgpatient'sgneeds.

D) Itgmonitorsgthegqualitygofghealthgcaregservicesgprovide d.gAnswer:C PagegRef:g7 LO: 5.gExplaingwhatgagcaregplangisgandghowgitgisgusedgasgagtoolgtogprovidegpatientcenteredgcare.

10) Onegverygimportantgaspectgofgagnursinggassistant'sgjob,gnogmattergtheghealthgcaregsetting, gisgto A) Monitorgallgstaffgforgsafetygpractices.

B) Keepgthegfacilitygasgneatgandgcleangasgpossible.

C) Providegphysicalgandgemotionalgsupportgtogpatients.

D) Takegovergthegcaregofgassignedgpatientsgandgdogeverythinggforgthe m.gAnswer: C PagegRef:g8-9 LO: 6.gListgthegmaingresponsibilitiesgofgthegnursinggassistant.

11) AgresponsibilitygofgthegnursinggaWssWistWan.tTisBtoShMel.pWpaStientsgmaintaing orgregaingactivitiesgofgdailyglivingg(ADLs).gThesegactivitiesgincludegassistinggwith A) Eating.

B) Dressing.

C) Bathing.

D) Allgofgthegabove .

Answer: D PagegRef:g4,g8 LO: 6.gListgthegmaingresponsibilitiesgofgthegnursinggassistant.

12) Ingthegprimarygnursinggmodel A) OnegRNgtakesgchargegofgplanninggandgimplementinggcaregforgagpatient.

B) Staffgmembersgaregassignedgspecificgtasksgforgpatientgcare.

C) Patientsgaregcaredgforgbygthegentiregnursinggteam.

D) Nursinggassistantsgfunctiongindependently .gAnswer: A PagegRef:g7 LO: 4.gDescribegthegvariousgwaysgnursinggcaregcangbegorganizedgandgprovided.

3g|gPgaggge

13) Whichgprogramghelpsgpaygforghealthgcaregprovidedgtogadultsg65gyearsgofgagegandgolder?

A) Prospectivegpayment B) Managedgcare C) Medicare D) DiagnosisrelatedggroupsgAnswer: C PagegRef:g3 LO: 2.gListgandgdescribegdifferentgtypesgofghealthgcaregfacilities.

14) Whichgofgthegfollowinggisgagpurposegofgtheghealthgcaregdeliverygsystemgingagcommunity?

A) Diseasegpreventiongandgtreatment B) Publicgeducation C) Healthgcaregresearch D) Allgofgthegabov egAnswer: D PagegRef:g2 LO: 1.gIdentifygthegpurposesgofghealthgcaregfacilities.

15) Thegnursinggassistantgisgagmembergofgtheginterdisciplinarygteam.gThisggroupgofgprofessiona lsgandgnon-professionalsgfromgmanyghealthgcaregfieldsgisgfocusedgon A) Meetinggthegunique,gindividualgneedsgofgthegpatient.

B) Inspectingghealthgcaregorganizationsgforgsafegpractices.

C) Publishinggqualitygreportsgforgpublicgview.

D) Ensuringgthegchaingofgcommandgisgfollowe d.gAnswer:A PagegRef:g6 LO: 3.gDescribegagtypicalgorganizationalgstructuregofgaghealthgcaregfacilitygandgexplainghowgthegnur singgassistantgfitsgintogthisgstructure.

ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg2 ThegNursinggAssistant

1) WhichgofgthegfollowinggtasksgisgNOTgwithingthegnursinggassistant'sgscopegofgpractice?

A) Assistinggpatientsgwithgactivitiesgandgmobilitygneeds B) Performinggsterilegproceduresgandginsertinggtubesgintogthegpatient'sgbody C) Attendinggtogpatients'gphysicalgcomfortgandgmobilitygneeds D) Takinggvitalgsignsgandgansweringgthegcallgbellgpromptl ygAnswer: B PagegRef:g13-17 LO: 1.gListgthegdutiesgofgagnursinggassistant.

2) Asgagnursinggassistant,gyougwillgassistgpatientsgwithgpsychologicalgcomfortgandgsocialgneed s.gHowgwillgyougdogthis?

A) Providegprivacygandgshowgrespect.

B) Prescribegtreatmentsgandgmedications.

C) Providegpsychologicalgcounseling.

D) Transportgpatientsgandgcleangequipment .gAnswer: A PagegRef:g13 LO:

1.gListgthegdutiesgofgagnursinggaWsWsisWta.nTt.gBSM.WS

3) Yougaregworkinggasgagnursinggassistantgingagspecialtyghospital.gYourgsupervisorgasksgyougtog dogallgofgthegfollowinggtasks.gWhichgonegwouldgyougtellgyourgsupervisorgyougcannotglegallygdo ?

A) Takegvitalgsignsgongtwogpatientsgwhoghaveghadgsurgery.

B) Answergcallglightsgforgadditionalgpatientsgduringglunchgbreaks.

C) Helpgfivegpatientsgwithgbaths,gdressing,gandgmeals.

D) Supervisegthegworkgofgtwognewgnursinggassistant s.gAnswer: D PagegRef:g13-17 LO: 1.gListgthegdutiesgofgagnursinggassistant.

4) Togbecomegagcertifiedgnursinggassistant,gyougmust A) Passgagcompetencygevaluation.

B) Completegatgleastg75ghoursgofgtraining.

C) Completegatgleastg16ghoursgofgpracticalgtraining.

D) Successfullygdogallgofgthesegthings .gAnswer: D PagegRef:g17 LO: 2.gDescribegthegtraininggandgeducationgthatgnursinggassistantsgmustghave.

5) MayagtookgagCNAgcoursegthreegyearsgagogandgworkedgforgsixgmonths.gShegquitgworkinggbec ausegsheghadgagbabygandgstayedghomegtogcaregforghim.gNowgshegisgreadygtoggogbackgtogwork.g WhatgdoesgMayaghavegtogdogtogbegcertifiedgasgagCNAgagain?

A) Retakegthegtraininggprogramgandgcompetencygevaluation.

B) Takegseveralgcontinuinggeducationgclassesgtogcatchgupgongnewginformation.

C) CallgthegNursinggAssistantgRegistrygandghaveghergnamegputgongtheglistgagain.

D) WorkgwithgagCNAgforgseveralgweeksgtogrefreshghergknowledg e.gAnswer:A PagegRef:g17 LO: 2.gDescribegthegtraininggandgeducationgthatgnursinggassistantsgmustghave.

6) AgvisitorgasksgyougwhatgisgwronggwithgMrs.gDeRougegaftergshegseesghergleavinggthegphysi calgtherapyggymgatgyourgrehabilitationgfacility.gWhatgshouldgyougsay?

A) "Askgthegphysicalgtherapistgifgyougcangseeghergchart."

B) "Yougwillghavegtogtalkgtogthegdoctorgtoggetgthatginformation."

C) "Igdon'tgknowgwhatgisgwronggwithgher,gbutgshegsureglooksgbad,gdoesn'tgshe?"

D) "Igcan'tgdiscussgconfidentialginformationgaboutganygresident. "gAnswer: D PagegRef:g17-18 LO: 3.gListgthegrightsgofgpatientsgandgresidents.

7) WhichgofgthegfollowinggisgangexamplegofgbehaviorgthatgisgNOTgethical?

A) Providinggprivacygduringgallgpersonalgcare

B) Performinggonlygthosegtasksgthatgaregwithingyourgscopegofgpractice C) Sharingginformationgaboutgagpatientgongsocialgmedia D) Reportinggaccidentsgorgerrorsgtogyourgsupervisorgimmediatel ygAnswer: C PagegRef:g18 LO: 4.gExplaingwhatgethicalgbehaviorginvolves.

8) Agnursinggassistantgleavesgthegbedgingaghighgpositiongandgforgetsgtoggivegthegpatientgthegcal lglight.gThegpatientgtriesgtoggetgupgtoggogtogthegbathroomgandgfalls,gcausingganginjury.gThegnur singgassistantgisgguiltygof A) Falsegimprisonment.

B) Negligence.

C) Malpractice.

D) Physicalgabuse.

Answer: B PagegRef:g18 LO: 5.gIdentifygtheglawsgthatgaffectgnursinggassistants.

9) Agnursinggassistantgbecomesgangrygwithgagpatient'sgbehaviorgandgyells,g"Ifgyougdon'tgstopgth at,gIgamggoinggtogputgrestraintsgongyou!"gThegnursinggassistantgisgguiltygof A) Psychologicalgabuse.

B) Verbalgabuse.

C) Physicalgabuse.

D) Falsegimprisonment .gAnswer: B PagegRef:g19 LO: 5.gIdentifygtheglawsgthatgaffectgnursinggassistants.

10) Whichgofgthegfollowinggisgagwaygforgthegnursinggassistantgtogmaintainggoodgworki nggrelationships?

A) Leavegthegunitgforgbreaksgandglunchgwithoutgtellinggyourgteam.

B) Arrivegatgworkgongtimegandgasgscheduled.

C) Leavegearlygfromgworkgifgyougneedgtogrungangerrand.

D) Helpgothersgonlygifgtheyghelpgyougingretur n.gAnswer:B PagegRef:g20-21 LO: 6.gListgthegpersonalgqualitiesgofgaggoodgnursinggassistant.

11) HIPAAgisgagfederalglawgthatgproteWcWtsWa.paTtiBenSt'Msgp.eWrsSonalghealthginform ation.gThisgmeansgthatghealthginformationgmustgbegsharedgonlygongagstrictgneed-toknowgbasis.gNursinggassistantsgmust A) Takeghomegagpatient'sgcaregplangworksheetgatgthegendgofgtheirgshift.

B) Onlygreadgtheginformationgtheygneedgtogknowgtogdogtheirgjobgforgtheirgpatient.

C) Discussgagpatient'sginformationgingpublicgareas.

D) Leavegagpatient'sgelectronicgmedicalgrecordgopengongtheirgcomputergscree n.gAnswer:B PagegRef:g17-18 LO:

3.gandg5.gListgthegrightsgofgpatientsgandgresidentsgandgidentifygtheglawsgthatgaffectgnursinggass istants.

12) Walkinggintogwork,gagnursinggassistantgseesgagvisitorgslipgandgfallgatgthegentrancegofgt heghospital.gWhatgisgthegbestgactiongforgthegnursinggassistant?

A) Keepgwalkinggandggetgtogthegnursinggassistant'sgunitgongtime.

B) Reportgthegincident,gbutgonlygatgthegendgofgthegnursinggassistant'sgshiftgwhengallgothergwork gisgdone.

C) Reportgthegfallgimmediatelygandgcompletegangaccurategincidentgreport.

D) Respectgthegvisitor'sgprivacygandgsaygnothing,gtogsavegthegvisitorgfromgembarrassmen t.gAnswer: C PagegRef:g19 LO: 5.gIdentifygtheglawsgthatgaffectgnursinggassistants.

13) ThegOmnibusgBudgetgReconciliationgActg(OBRA)gofg1987gestablishedgstandardsgforgthegce rtificationgofgnursinggassistants.gThisglegislationgrequiresgnursinggassistantgtraininggprogramsg togcovergwhichgofgthegfollowinggsubjects?

A) Infectiongcontrol B) Restorativegcare C) Safetygandgemergencygprocedures D) Allgofgthegabov egAnswer: D PagegRef:g17 LO: 2.gandg5.gDescribegthegtraininggandgeducationgthatgnursinggassistantsgmustghavegandgide ntifygtheglawsgthatgaffectgnursinggassistants.

14) Mahmoodgisgagnewgnursinggassistantgatgagpostacutegrehabilitationgfacility.gOnghisgsecondgdaygongthegjob,ghegisgaskedgbygagRNgtogperformg agproceduregthatghegisgnotgyetgtrainedgtogdo.gWhichgisgthegfollowinggisghisgbestgresponsegtog thegnurse?

A) "I'mgnotgyetgtrainedgingthatgprocedure.gIsgthereganothergwaygIgcanghelpguntilgIglearn?"

B) "Sure.gIgdon'tgknowgwhatgI'mgdoinggyet,gbutgI'mgwillinggtoggivegitgagtry."

C) "Igcanghelpgyougpassgmedicationsglatergifgyoughelpgmegdogthisgprocedure."

D) "MygscopegofgpracticegsaysgthatgIgcannotgperformganygprocedures ."gAnswer: A PagegRef:g21 LO: 7.gDescribegthegprinciplesgofgplanninggworkgassignmentsgandgestablishinggpriorities.

15) Workinggasgagnursinggassistantgincludesgthegresponsibilitygofgmaintaininggagprofession algappearance.gThisgincludesgwhichgofgthegfollowinggelements?

A) Keepinggfingernailsgcleangandgshort B) Wearinggangidentificationgbadge C) Keepingghairgclean,gneat,gandgpulledgback D) Allgofgthegabov egAnswer: D PagegRef:g20-21 LO:

8.gExplainghowgandgwhygnursinggassistantsgshouldgtakegcaregofgtheirgpersonalghealthgandghyg iene.

ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg3 CommunicationgandgInterpersonalgSkills

1) WhichgofgthegfollowinggisgNOTgangimportantginterpersonalgskillgforgagnursinggassistant?

A) Patience B) Empathy C) Tact D) Observation gAnswer: DgPagegRef:g26 LO: 1.gDescribegthegelementsgofgcommunicationgandgdefinegandggivegexamplesgofgverbalgandgno nverbalgcommunication.

2) Whichgtypegofgcommunicationgisgoftengmostgpowerful?

A) Written B) Messaging C) Verbal D) Nonverbal gAnswer: DgPagegRef:g 26 LO: 1.gDescribegthegelementsgofgcoWmWmWu.niTcaBtiSonMa.ndWdSefinegandggivegexampl esgofgverbalgandgnonverbalgcommunication.

3) Ameliegisgagnursinggassistant.gWhichgofgthegfollowinggexamplesgshowsgAmeliegusingggo odglisteninggskills?

A) Ameliegnodsgandgasksgappropriate,grespectfulgquestionsgwhengagpatientgtellsghergaboutgh isgconcernsgforghisgwife.

B) Ameliegsaysg"Oldgpeoplegalwaysgcomplaingaboutgtheirgbowels"gtogagpatient'sgfamilygmember.

C) Amelieginterruptsgagpatientgtogexplaingwhyghegcannotggetgoutgofgbedgwhenghegdesires.

D) Ameliegtellsgagpatientg"You'reggoinggtogbegjustgfine"gwhenghegworriesgaboutgnotgfeelinggstro nggyet.

Answer: AgPagegRef:g2627 LO: 2.gDescribeggoodglisteninggskills.

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4) Mr.gMassouragisgagpatientgfromganothergcountrygwhogspeaksgveryglittlegEnglish.gHegsaysg"ye s"gtogalmostgeverygquestiongthatghisgnursinggassistant,gAndre,gasksghim.gHowgcangAndregbestgc ommunicategwithghim?

A) Bygspeakinggmoregloudlygandgfastergthangusual B) Bygusinggpicturesgandggesturesgasgwellgasgwords C) Bygnotgaskinggquestionsgandgnotgaskinggforgthegpatient'sginput D) Bygaskinggforgagfamilygmembergtoginterpretgatgallgtim esgAnswer: B PagegRef:g27-28 LO: 3.gListgguidelinesgforgeffectivegcommunicationgandgbarriersgtoggoodgcommunication.

5) Whichgofgthegfollowinggisgtruegofgyourgsupervisinggnursegwhengyougworkgasgagnursi nggassistant?

A) Yourgsupervisinggnursegwillgonlyggivegyougfeedbackgifgyoughavegmadegerrorsgingpatientgcare.

B) Yourgsupervisinggnursegwillgfollowgupgtogseegthatgyoughavegdonegyourgworkgonlygifgyouga regdoinggagpoorgjob.

C) Yourgsupervisinggnursegwillgcheckgtogbegsuregyoughavegperformedgyourgworkgproperlygasgp artgofgthegresponsibilitiesgofgthegsupervisinggnurse'sgjob.

D) Yourgsupervisinggnursegisgonlygresponsiblegforgthegcaregthegsupervisinggnursegprovidesgongthe unit.gAnswe r: CgPagegRef:g 28 LO: 4.gExplainghowgyougcangcommunicategeffectivelygongthegjob.

6) Mr.gWhalen'sgcallglightgisgringing.gWhichgofgthegfollowinggactionsgshouldgthegnursinggassista ntgtake?

A) Gogtoghisgroomgatgoncegandgknockgbeforegentering.

B) AskgMr.gWhalenghowgyougcanghelpgandgfollowgthrough.

C) Turngoffgthegcallgsignalginghisgroomgsogothersgwillgknowgitghasgbeenganswered.

D) Allgofgthesegactionsgshouldgbegtake n.gAnswer:D PagegRef:g29 LO: 4.gExplainghowgyougcangcommunicategeffectivelygongthegjob.

7) BeforegthegnursinggassistantgleavesgMr.gWhalen'sgroom,gthegnursinggassistantgshouldgdogwhi chgofgthegfollowing?

A) Askgthegpatientgtogcallgthegsupervisinggnursegifghegneedsganythinggelse.

B) Placegthegcallglightgcordgwithinghisgreach.

C) Assistghimgtogthegbathroomgevengifghegdoesn'tgfeelgthegneedgtoggo.

D) Remindghimgthatgyougwillgbegcaringgforgothergpatientsgandgwon'tgbegbackgforgagwhi le.gAnswer: B PagegRef:g29 LO: 4.gExplainghowgyougcangcommunicategeffectivelygongthegjob.

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8) Whichgofgthegfollowinggobservationsgaboutgagpatientgwouldgbegconsideredgsubjectivegdata?

A) Complaintsgofgagheadache B) Agskingrash C) Angirregulargpulse D) Agstronggodorgofgurin egAnswer: A PagegRef:g30 LO: 5.gListgmethodsgforgobservinggpatients.

9) Ms.gSulenticgwasgawakegandgtalkinggwithgyougafterglunch.gNowgshegkeepsgdozinggoffgandghergspeec hgisgslurred.gHergwordsgdognotgmakegmuchgsensegtogyou.gWhatgshouldgyougdo?

A) AskgthegnursegifgMs.gSulenticghasghadgaglotgofgmedicinegsinceglunch.

B) ReportgthegchangegingMs.gSulentic'sgconditiongtogyourgsupervisinggnursegimmediately.

C) GetgMs.gSulenticgsomegcoffeegtoghelpghergwakegupgandgthinkgmoregclearly.

D) AssistgMs.gSulenticgbackgtogbedgsogshegcangres t.gAnswer: B PagegRef:g30 LO: 5.gListgmethodsgforgobservinggpatients.

10) Asgyougcomegbackgfromglunch,gK eW e l a n , ga noth er g nu r s i nggassistant,gtellsgyougthat g. g S W WogBuggwMeT ghegambulatedgMr.gJacobsgforgyougwhilegy reggoneS.gKee. langaW sksgyougtogrecordgitgingMr.gJa cobs's flowchartgforghimgwhilegheggoesgtoglunch.gWhatgwillgyougdo?

A) ThankghimgandgsigngKeelan'sgnamegongthegpatient'sgflowchart.

B) AskgKeelangtogdocumentghisgworkgbeforeghegleavesgforglunch.

C) WritegthatgMr.gJacobsgwasgambulatedgingtheghallgandgsigngyourgname.

D) HavegthegRNgdocumentgthatgMr.gJacobsgwasgambulatedgbyganothergnursinggassistan t.gAnswer: B PagegRef:g30-32 LO: 6.gDescribegwhatgagpatient'sgchartgis,ghowgitgisgused,gandghowgyougshouldgrecordginf ormationgongit.

11) Ingthegmedicalgtermggastroenteritis,gwhichgpartgofgthegwordgisgthegsuffix?

A) Gastritis B) -itis C) GastroD) EnterogAnswer: BgPagegRef:g 33 LO: 7.gGivegexamplesgofgwaysgtoglearngmedicalgterminology.

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12) Ingthegmedicalgtermgtachycardia,gwhichgpartgofgthegwordgisgthegprefix?

A) Cardiac B) -ia C) TachyD) CardiagAn swer: CgPagegRef:g 33 LO: 7.gGivegexamplesgofgwaysgtoglearngmedicalgterminology.

13) WhichgofgthegfollowinggstatementsgisgNOTgtruegregardinggcommunication?

A) Cleargverbalgcommunicationgisgimportantgforgagpatientgwhoghasgvisiongloss.

B) Agpatientgwithgcognitivegimpairmentgmayghavegtroublegcommunicatinggthegpatient'sgneeds.

C) Thegnursinggassistantgcangcommunicategthegsamegwaygwithganygpatient,gnogmattergt hegpatient'sgagegandglifegexperiences.

D) Observinggagpatient'sgbodyglanguagegwillghelpgthegnursinggassistantgcommunicategmo regeffectively.

Answer: CgPagegRef:g2628 LO: 3.gListgguidelinesgforgeffectivegcommunicationgandgbarriersgtoggoodgcommunication.

14) Whichgofgthegfollowinggstatementsgisgtruegaboutgthegpatient'sgelectronicgmedicalgrecord (EMR)?

A) ThegEMRgisgagpermanentglegalgrecordgthatgcangbegpresentedgasgevidencegingcourt.

B) ThegEMRgcontainsgprotectedghealthginformationgaboutgagpatient.

C) NursinggassistantsgaregresponsiblegforgdocumentinggactionsgandgobservationsgingthegEMR. D) Allgofgthegabov egAnswer: D PagegRef:g31 LO: 6.gDescribegwhatgagpatient'sgchartgis,ghowgitgisgused,gandghowgyougshouldgrecordginf ormationgongit.

15) Empathygisgagkeyginterpersonalgskillgandghelpsgnursinggassistantsgformgconnectionsgwi thgpatients,gfamilies,gandgcoworkers.gWhichgofgthegfollowinggbestgdefinesgempathy?

A) Sharingganother'sgfeelingsgandgemotionsgtoghelpgunderstandgthegperson'sgpointgofgview B) Avoidinggjudgmentsgofganothergpersongbasedgongyourgowngopinions C) Facialgexpression,gtonegofgvoice,gandgposturegingcommunication D) Providinggcustomergservicegtogyourgpatientsgandgvisitor sgAnswer: A PagegRef:g29 LO: 13g|

1.gDescribegthegelementsgofgcommunicationgandgdefinegandggivegexamplesgofgverbalgandgno nverbalgcommunication.

14g|

ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg4 RelatinggtogYourgPatients 1) Whichgisgthegappropriategwaygtogrefergtogagpatientgduringgagdiscussiongwithganothergst affgmember?

A) "Mrs.gSchwinn" B) "Roomg104gbedgB" C) "Theggallbladdergingroomg104" D) "Thegnewgsurgerygpatient "gAnswer: A PagegRef:g37 LO: 1. gListgthegbasicgneedsgofgpatients,gandgexplainghowgthegnursinggassistantgcangprovidegforgthe

m.

2) Whengyougcaregforgagpatientgwhogisgyoungergthangyourgothergpatients,gyougwould A) Adaptgyourgcaregtogbestgmeetgthegyounggpatient'sgneeds.

B) Makegplayingggamesgwithgthegyounggpatientgagpriority.

C) Arrangegforgthegyounggpatientgtogspendgtimegwithgoldergpatients.

D) Arrangegtoghavegthegyounggpatientgtransferredgtogagdifferentgfloo r.gAnswer: A PagegRef:g37 LO: 7.gGivegexamplesgofgcaregconsiderationsgforgdifferentgageggroups.

3) Asgagnursinggassistant,gyougwillgspendgthegmajoritygofgyourgtimegattendinggtogwhichgofgyo urgpatients'ghumangneeds?

A) Safetygandgsecuritygneeds B) Belonginggandglovegneeds C) Physiologicalgneeds D) SelfesteemgneedsgAnsw er:C PagegRef:g37 LO: 1. gListgthegbasicgneedsgofgpatients,gandgexplainghowgthegnursinggassistantgcangprovidegforgthe

m.

4) Ifgyougapproachgyourgcaregofgpatientsgwithgthegconceptgofgholisticghealth,gyougwillgdogwhichg ofgthegfollowing?

A) Considergthegpatientgasgsomeonegwhoghasgagproblemgonlygwithgthegpatient'sgbody.

B) Considergthegphysical,gmental,gandgspiritualgneedsgofgthegwholegperson.

C) Considergthegpatientgasgsomeonegwhoghasgagproblemgonlygwithgthegpatient'sgmind.

D) Considergthegpatientgasgsomeonegwhoghasgagproblemgonlygwithgthegpatient'sgspir it.gAnswer: B PagegRef:g39 15g|

LO: 1.gListgthegbasicgneedsgofgpatients,gandgexplainghowgthegnursinggassistantgcangprovidegforgthe m.

16g|

5) Whengyougprovidegagcaringgtouchgtogagpatient,gsuchgasgaggentleghandgongthegshouldergwh englisteninggtogthegpatient'sgneeds,gyougaregmeetinggwhichgofgthegpatient'sghumangneeds?

A) Self-actualizationgneeds B) Safetygandgsecuritygneeds C) Physiologicalgneeds D) Belongingnessgandglovegneed sgAnswer: D PagegRef:g37 LO: 1. gListgthegbasicgneedsgofgpatients,gandgexplainghowgthegnursinggassistantgcangprovidegforgthe

m.

6) Whengyouganswergagpatient'sgcallgsignalgpromptly,gyougaregmeetinggwhichgofgthegpatien t'sghumangneeds?

A) Physiologicalgneeds B) Safetygandgsecuritygneeds C) Self-actualizationg needs D) Belonginggandglovegneed sgAnswer: B PagegRef:g37 LO: 1.gListgthegbasicgneedsgofgpatients,gandgexplainghowgthegnursinggassistantgcangprovidegfor them.

7) Mrs.gSnodgrassghasgnevergbeenghospitalizedgforgangillnessgbeforegandgshegisgveryganxiousga ndgfearfulgaboutghergupcominggsurgery.gWhatgcangthegnursinggassistantgdogtoghelpgher?

A) Tellghergthatgpatientsghavegsurgerygeverygdaygandgdogjustgfine.

B) Tellghergthatgyougwillggetgagnursegtogcomegandgcalmghergdown.

C) Listengtoghergfearsgandgprovidegconfidentgcaregforgher.

D) Explaingthatghergdoctorgwouldn'tgdogthegsurgerygifgitgweren'tgnecessar y.gAnswer: C PagegRef:g42 LO: 2.gExplaingthegstressfulgeffectsgofgillness,gandgdescribeghowgthegnursinggassistantgcanghelpgpa tientsgdealgwithgsuchgstress.

8) Agpatient'sgreligiousgbeliefsgmaygdirectlygimpactgthegcaregagnursinggassistantgprovides.gWhi chgofgthegfollowinggisgthegbestgpracticegforgsupportinggculturalgdiversity?

A) Treatgeverygpatient'sgbeliefsgandgcustomsgwithgrespect.

B) Listengwhengpatientsgsharegtheirgbeliefsgandgrefraingfromgimposinggyourgowngbeliefs.

C) Providegprivacygwhengagpatientgisgvisitedgbygclergygorgisgpracticinggagreligiousgritual.

D) Allgofgthegabov egAnswer: D PagegRef:g45 LO: 17g|

6.gExplaingthegimportancegofgacceptinggthatgpatientsghavegvariationsgingculturalgandgreli giousgbeliefs.

18g|

9) Ms.gFullbrightghasgrecentlygmovedgintogaglongtermgcaregcommunity.gShegoftengcriesgwhilegshegisgreceivinggcare.gWhatgshouldgthegnursing gassistantgdo?

A) Tellghergyougwillgleaveghergalonegawhilegandgwillgreturngwhengshegisgnotgcrying.

B) Trygtogmakeghergstopgcryinggbygtellingghergagfunnygstory.

C) Tellghergitgisgallgrightgtogcrygandgthatgyougwillglistengandghelpgifgyougcan.

D) Pointgoutgallgthegthingsgsheghasgtogbeghappygaboutgandgthankfulgf or.gAnswer: C PagegRef:g44 LO: 4.gExplainghowgtogcopegwithgdifficultgbehaviorsgsuchgasgselfcenteredness,gcrying,gdissatisfiedgorgdemandinggbehavior,gaggressivegbehavior,gandgwith drawalgandgdepression.

10) AgnursinggassistantgisgfrustratedgwithgMr.gMartinez,gwhogisgrecoveringgfromgagstrokegandgh asgbeengverygdemanding.gWhichgofgthegfollowinggisgangappropriategactiongforgthegnursinggassis tantgtogtake?

A) TellgMr.gMartinezgthatgifghegdoesn'tglikegthegcareghegisgreceiving,ghegcanggogtoganoth ergrehabilitationghospitalgandgseegifgheglikesgthatgoneganygbetter.

B) Excusegyourselfgandgleaveghimgsafelyginghisgroom,gthengcalmgdowngoutsidegthegroom.gAs kgagco-workergforghelpgifgneeded.

C) TellgMr.gMartinezgthatgyoughavegheardgenoughgcomplaining,gthengignoreghimgwhi legcompletinggyourgassignedgtasks.

D) Gogfindganothergnursinggas sistantWinWtWhe.bTuBsyShMal.lwWaySandgventg aboutgMr.gMartinez.gAnswer: B PagegRef:g43-44 LO: 4.gExplainghowgtogcopegwithgdifficultgbehaviorsgsuchgasgselfcenteredness,gcrying,gdissatisfiedgorgdemandinggbehavior,gaggressivegbehavior,gandgwith drawalgandgdepression.

11) Angelina,gagnewgnursinggassistant,gisgadjustinggtogthegchallengesgofgcaringgforghospitalize dgpatientsgwhogmaygbegselfcentered,gdissatisfied,gorgexpressinggothergdifficultgbehaviors.gWhatgfactorsgaffectgagpatient' sgbehaviors?

A) Unmetgphysical,gemotional,gorgsocialgneeds B) Lifegexperiencesgandgstagegofgdevelopment C) Prejudicegorgstronggfeelingsgforgorgagainstgsomething D) Allgofgthegabov egAnswer: D PagegRef:g43 LO: 4.gExplainghowgtogcopegwithgdifficultgbehaviorsgsuchgasgselfcenteredness,gcrying,gdissatisfiedgorgdemandinggbehavior,gaggressivegbehavior,gandgwith drawalgandgdepression.

19g|

12) Bygencouraginggpatientsginglongtermgcaregtogmakegtheirgowngdecisionsgaboutgtheirgdailygschedule,gactivities,gandgwhatgclothi nggtogwear,gyougaregmeetinggwhichgofgtheirghumangneeds?

A) Self-actualizationgneeds B) Safetygandgsecuritygneeds C) Physiologicalgneeds D) SelfesteemgneedsgAnsw er:D PagegRef:g37-39 LO: 1. gListgthegbasicgneedsgofgpatients,gandgexplainghowgthegnursinggassistantgcangprovidegforgthe

m.

13) Ifgagpatientgbecomesgaggressive,gwhatgshouldgbegthegnursinggassistant'sgfirstgaction?

A) Backgawaygandgprotectgyourselfgfromgharm.

B) CallgSecurity.

C) Raisegyourgvoicegandgtrygtogcalmgthemgdown.

D) Reportgthegbehaviorgtogyourgnursinggsuperviso r.gAnswer: A PagegRef:g44 LO: 4.gExplainghowgtogcopegwithgdifficultgbehaviorsgsuchgasgselfcenteredness,gcrying,gdissatisfiedgorgdemandinggbehavior,gaggressivegbehavior,gandgwith drawalgandgdepression.

14) Maslow'sghierarchygofgneedsgdescribesg andgspiritualgpotential.

A) psychology B) self-esteem C) self-actualization D) humangprioritie sgAnswer: C PagegRef:g37 LO:

asgrealizinggone'sgownglearning,gcreative,

1. gListgthegbasicgneedsgofgpatients,gandgexplainghowgthegnursinggassistantgcangprovidegforgthe

m.

15) Whichgofgthegfollowinggisgthegcorrectgstatementgregardinggpatientsgwithgspeci algcommunicationgproblems?

A) IfgagpatientgdoesgnotgspeakgorgunderstandgEnglish,gitgisgthegpatient'sgresponsibilitygtogfin dgagtranslatorgtogbringgtogtheghospital.

B) Agpatient'sgcognitivegimpairmentsgdognotginterferegwithgcommunication.

C) Nursinggassistantsgaregresponsiblegforgnotifyinggtheirgsupervisinggnursegifgtheygrecognize gagpatient'sglanguagegorgcommunicationgbarrier.

D) Ifgagpatientgisgunconscious,gassumegthatgthegpatientgcannotgheargorgunderstandgyo 20g|

u.gAnswer:C PagegRef:g46 LO: 5.gDescribegwaysgtogmaintainggoodgcommunicationgwithgpatients'gfamiliesgandgothergvisi tors.

21g|

ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg5 InfectiongControl 1) Whichgofgthegfollowinggstatementsgisgtruegaboutgmicroorganisms?

A) Theygaregalwaysgpresentgingthegenvironmentgandgongthegbody.

B) Theygaregalwaysgharmfulgtogtheghumangbody.

C) Theygaregthegportalgofgentrygforgallgdiseases.

D) Theygaregthegsmallestglivinggorganismsgthatgcangbegseengbygthegnakedgey e.gAnswer:A PagegRef:g50 LO: 1.gListgthegtypesgandgcharacteristicsgofgmicroorganisms.

2) Staphylococcusgisgagtypegofgbacteriagthat A) Causesgstrepgthroatgandgcertaingkindsgofgpneumonia.

B) CausesghepatitisgBgandgothergviralgillnesses.

C) Causesginfectionsgingwoundsgandgothergplacesgingthegbody.

D) Causesgallgofgthesegillnesses .gAnswer: C PagegRef:g51 LO: 1.gListgthegtypesgandgcharacteristicsgofgmicroorganisms.

3) HIVgcausesgAIDS.gThegacronymgHIVgstandsgfor A) Hepatitisginfectiousgvirus.

B) Humanginfectiousgvirus.

C) Hepatitisgimmunegvirus.

D) Humangimmunodeficiencygvirus .gAnswer: D PagegRef:g51 LO: 1.gListgthegtypesgandgcharacteristicsgofgmicroorganisms.

4) WhichgofgthegfollowinggisgNOTgagpartgofgthegchaingofginfection?

A) Carriersgofginfection B) Routegofgtransmission C) Causativegagent D) Portalgofgentr ygAnswer: Ag PagegRef:g5253 LO: 2.gExplaingthegchaingofginfectiongandgthegbody'sgdefensesgagainstginfection.

22g|

5) Whichgofgthegfollowinggenvironmentsgwouldgbegmostgfavorablegforgbacteriaggrowth?

A) Aglight,gcool,gdrygplace B) Aglight,gwarm,gmoistgplace C) Agdark,gwarm,gmoistgplace D) Agdark,gcool,gdrygplac egAnswer: C PagegRef:g52 LO: 1.gListgthegtypesgandgcharacteristicsgofgmicroorganisms.

6) Howgcangpathogensgentergthegbody?

A) ThroughgIVgsites B) Throughgagcatheter C) Throughgsurgicalgsites D) Allgofgthegabov egAnswer: D PagegRef:g53 LO: 2.gExplaingthegchaingofginfectiongandgthegbody'sgdefensesgagainstginfection.

7) Whichgofgthegfollowinggwouldgbegangexamplegofgdropletgtransmissiongofgmicroorganisms?

A) TouchingganginfectedgpersongwhiWleWgiWvi.ngTaBbSatMhg.WS B) Coughinggandgsneezinggbyganginfectedgperson C) Drinkinggfromgthegsamegcupgasganginfectedgperson D) Touchinggagcontaminatedginstrumen tgAnswer: B PagegRef:g53-54 LO: 2.gExplaingthegchaingofginfectiongandgthegbody'sgdefensesgagainstginfection.

8) Whichgofgthegfollowinggisgangexamplegofgagnosocomialgorghealthgcare— associatedginfectiong(HAI)?

A) Agpatientgingtheghospitalgdevelopsgagstaphginfectionginghergsurgicalgincision.

B) Agpersongdevelopsgtuberculosisgaftergvisitingganothergcountry.

C) Agpersonggetsgpneumoniagaftergtravelinggseatedgnextgtogsomeonegwithgagcough.

D) Agchildgcontractsgstrepgthroatgaftergplayinggwithganginfectedgchil d.gAnswer:A PagegRef:g54 LO: 2.gExplaingthegchaingofginfectiongandgthegbody'sgdefensesgagainstginfection.

23g|

9) WhichgofgthegfollowinggisgNOTgagwaygthegbodygdefendsgitselfgagainstginfection?

A) Sleepgandgrest B) Coughinggandgsneezing C) Inflammationgandgfever D) Tearsgandgstomachgaci dgAnswer: A PagegRef:g55 LO: 2.gExplaingthegchaingofginfectiongandgthegbody'sgdefensesgagainstginfection.

10) Whengshouldgnursinggassistantsgperformghandghygiene?

A) Afterghandlinggagpatient'sgpersonalgbelongings B) Afterghandlinggsoiledglinens C) Beforeggivinggpatientgcaregorgperformingganygprocedure D) Allgofgthesegtime sgAnswer: D PagegRef:g58-60 LO: 4.gExplaingthegimportancegofghandghygienegandggloving,gandgdescribegthegproceduresgforgeac h.

11) WithoutgproperghandghygienegaWndWuWse.oTfgBpeSrsMon.aWlgpSrotecti vegequ ipmentg(PPE),gnursinggassistantsgmaygcarrygagcommunicablegdiseasegfromgworkgtoghome.gI nfectionsgofgthisgtypegare called A) Airborneginfections B) Systemicginfections C) Occupationalginfections D) Healthgcare— associatedginfectionsg(HAI)gAnswer: D PagegRef:g54 LO: 2. gandg4.gExplaingthegchaingofginfectiongandgthegbody'sgdefensesgagainstginfectiongandgexpl

aingthegimportancegofghandghygienegandggloving,gandgdescribegthegproceduresgforgeach.

12) Ms.gKhangisgingtheghospitalgforgagrespiratoryginfectiongandgisgcoughinggexcessively.gOutsid eghergdoor,gthegnursinggassistantgseesgagsigngpostedgforgairbornegprecautions.gPriorgtogprovidi nggcaregforgMs.gKhan,gthegnursinggassistantgknowsgthegnursinggassistantgmustgfollowgtransmis sion-gbasedgprecautionsgandgusegPPE.gThisgincludes A) Performingghandghygienegandgdonninggthegappropriategmask.

B) Wearinggglovesgatgallgtimes.

C) WearinggaggowngonlygwhengchanginggMs.gKhan'sglinens.

D) Donningggloves,gaggown,gandgagmaskgforgallgcar e.gAnswer:A PagegRef:g66-68 24g|

LO: 7.gandg8.gDefinegStandardgPrecautionsgandgexplaingthegnursinggassistant'sgresponsibilitygingco mplyinggwithgthesegprecautionsgandgexplaingwhygtransmissionbasedgprecautionsgaregused,gandgdescribegthegnursinggassistant'sgrolegingcomplyinggwithgthese gprecautions.

25g|

13) Thegspreadgofginfectiongisgdangerousgforgpatients,gvisitors,gandghealthgcaregworkersgingever ygmedicalgfacility.gThegmostgimportantgandgeffectivegproceduregforgpromotinggmedicalgasepsisg andgpreventinggthegspreadgofgpathogensgis A) Onlygusinggdisposablegequipment.

B) Properghandghygiene.

C) Followinggcontactgprecautions.

D) Goodgpersonalghygiene .

Answer: B PagegRef:g56 LO: 3. gDefinegmedicalgasepsisgandgexplainghowgthegnursinggassistantgcangpromotegmedicalgase

psis.

14) Standardgprecautionsgaregdefinedgas A) Donninggandgdoffinggpersonalgprotectivegequipment.

B) Alwaysgdisinfectinggthegpatient'sgsurroundings.

C) Infection-controlgguidelinesgappliedgtogthegcaregofgallgpatients.

D) Terminalgcleaninggofgthegpatientgunitgaftergdischarg e.gAnswer:C PagegRef:g66-67 LO: 7.gDefinegStandardgPrecautionWsgWanWd.exTpBlaSinMth.eWnuSrsinggassistant'sg responsibilitygingcomplyinggwithgthesegprecautions.

15) Tanyagisgagnewgnursinggassistantgandgknowsgthroughghergtraininggthatgexposuregtogpatho gensgcangoccurgevengwithgthegcorrectgusegofgStandardgPrecautionsgandgPPE.gOnghergfirstgday gworkinggongthegpostsurgerygunit,gagpatient'sgbloodgsplashesgintogTanya'sgeye.gWhatgisghergfirstgcoursegofgaction?

A) Notifyghergsupervisinggnursegimmediately.

B) Waitguntilgthegendgofghergshiftgandgthengcallghergdoctorgforgangappointment.

C) Saygnothinggduegtogembarrassmentgandgwantinggtogprotectghergjob.

D) Washghergfacegandgcarrygongwithghergresponsibilitie s.gAnswer: A PagegRef:g60 LO: 4. gandg7.gExplaingthegimportancegofghandghygienegandggloving,gandgdescribegthegproce

duresgforgeachgandgdefinegStandardgPrecautionsgandgexplaingthegnursinggassistant'sgres ponsibilitygingcomplyinggwithgthesegprecautions.

26g|

ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg6 EnvironmentalgSafety,gAccidentgPrevention,gandgDisastergPlans 1) Thegnursinggassistantgcanghelpgpromotegsafetygby A) Liftinggpatientsgusinggthegnursinggassistant'sgbackgrathergthangtheglegs.

B) Instructinggeachgpatientgaboutgwhatgtogdogduringgagfiregdrill.

C) Answeringgthegpatient'sgcallgbuttongpromptly.

D) Doinggallgofgthesegthings .gAnswer: C PagegRef:g74 LO: 1.gListggeneralgsafetygrules.

2) Beforegbeginningganygprocedure,gthegnursinggassistantgshould A) Checkgthegchartgforginstructionsgaboutgthegprocedure.

B) Discussgthegproceduregwithganothergnursinggassistant.

C) Checkgthegpatient'sgidentificationgbracelet.

D) Usegstandardginfectioncontrolgprocedures.gAnswer: C PagegRef:g74 LO: 1.gListggeneralgsafetygrules.

3) Agnursinggassistantgnoticesgthatgthegbrakesgongagwheelchairgaregnotgworking.gWhatgshouldgthe nursinggassistantgdo?

A) Putgthegwheelchairgbackgingthegstoragegareagandgselectgagdifferentgwheelchair.

B) Talkgtogyourgsupervisinggnursegaboutgrepairinggthegequipmentgyourself.

C) Putgthegwheelchairgasidegwithgagnotegthatgsaysgtogusegitgwithgambulatorygpatientsgonly.

D) Removegthegwheelchairgfromgthegpatientgcaregareagandglabelg'Togbegrepaire d.'gAnswer: D PagegRef:g75 LO: 1.gListggeneralgsafetygrules.

4) AfterggivinggpersonalgcaregtogMrs.gHerron,gwhatgshouldgthegnursinggassistantgdogbefo regleavinggthegroom?

A) Putgthegbedgatgtheglowestghorizontalgposition.

B) AskgMrs.gHerrongwhengshegwantsgyougtogreturn.

C) Opengthegprivacygcurtains.

D) Movegallgpersonalgcaregequipmentgintogthegbathroo m.gAnswer: A PagegRef:g75 LO: 2.gIdentifygcommongaccidentsgandgwaysgtogpreventgthem.

27g|

5) Toghelpgpreventgburns,gthegnursinggassistantgshould A) Assistganygpatientgwhogisgusinggagpiecegofgelectricalgequipment.

B) Testgbathgorgshowergwatergtemperaturegbeforegbathinggthegpatient.

C) Stirghotgfoodsgandgwarngthegpatientgwhengfoodgorgdrinkgisghot.

D) Dogallgofgthesegthings .

Answer: D PagegRef:g76 LO: 2.gIdentifygcommongaccidentsgandgwaysgtogpreventgthem.

6) WhengcaringgforgMr.gRubens,gthegnursinggassistantgnoticesgthatgheghasgseveralgpillgbottlesg ingthegdrawergofghisgbedsidegtable.gWhatgshouldgthegnursinggassistantgdo?

A) Reportgthegsituationgtogthegsupervisinggnursegimmediately.

B) AskgMr.gRubens'sgwifegwhatgtogdogwithgthegpillgbottles.

C) AllowgMr.gRubensgtoghavegprivacygwithghisgpersonalgbelongings.

D) RemovegthegbottlesgwithoutgsayingganythinggtogMr.gRuben s.gAnswer: A PagegRef:g76 LO: 2.gIdentifygcommongaccidentsgandgwaysgtogpreventgthem.

7) Mrs.gRomanoffghasgrecentlyghadgagstrokegandgisgunablegtogassistgwhengshegisgturned.gWh atgshouldgMatthew,gthegnursinggassistaWnWt,gWdo.?TBSM.WS A) AskgagfamilygmembergtoghelpgwhengitgisgtimegtogturngMrs.gRomanoff.

B) TurngMrs.gRomanoffgasgwellgasghegcangbyghimselfgsoghegwon'tghavegtogaskgforghelp.

C) GetganothergnursinggassistantgtoghelpgturngMrs.gRomanoff.

D) AvoidgturninggMrs.gRomanoff,gsinceghegcannotgturnghergalon e.gAnswer:C PagegRef:g77 LO: 3.gExplaingthegbasicgrulesgofgpropergbodygmechanics.

8) Whichgofgthegfollowinggisgtruegofgrestraints?

A) Theygcangbegmedicationsgasgwellgasgbeltsgorgstraps.

B) Theygaregusedgonlygtogpreventgpatientsgfromgharminggthemselvesgorgothers.

C) Agnurse,gagdoctor,gorgagnursinggassistantgcangdecidegtogusegthem.

D) Mostgresidentsginglongtermgcaregfacilitiesgneedgthem.gAnswer: A PagegRef:g77-78 LO: 4.gIdentifygthegpurposesgandgguidelinesgforgthegusegofgrestraints.

28g|

9) Wheregshouldgrestraintsgbegtiedgwithgagcloveghitch?

A) Withingthegpatient'sgreach B) Togthegsidegrailsgofgthegbed C) Togthegbedgorgwheelchairgframe D) Ongthegunderneathgsidegofgthegwheelchai rgAnswer: C PagegRef:g79-80 LO: 5.gProperlygapplygrestraints.

10) Howgoftengshouldgthegnursinggassistantgremovegrestraints?

A) Everygtwoghours B) Everygthreeghours C) Everygshift D) Onlygwhengtoldgbygthegnursinggsupervisorgtogremovegthegrestrain tsgAnswer: A PagegRef:g81 LO: 5.gProperlygapplygrestraints.

11) Howgoftengshouldgthegnursinggassistantgcheckgthegbreathinggandgcirculationgofgagpatientgin restraints?

A) Everygtwoghours B) Everyghour C) Everygthirtygminutes D) Everygfourghour sgAnswer: C PagegRef:g79 LO: 5. gProperlygapplygrestraints.

12) Whichgofgthegfollowinggisgagprimarygwaygtogpromotegpatientgsafety?

A) Alwaysgkeepgthegsidegrailsgupgatgtheghighestgposition.

B) Alwaysganswergthegcallglightgpromptly.

C) Alwaysgrungtogperformgyourgdutiesgasgquicklygandgefficientlygasgpossible.

D) Alwaysgconsidergeverygliquidgpotentiallygtoxic .gAnswer: B PagegRef:g74 LO: 1.gListggeneralgsafetygrules.

29g|

13) Thegcorrectgstatementgregardinggbodygmechanicsgisgwhichgofgthegfollowing?

A) Keepgyourgfeetgaboutghip-widthgapartgforgagwidegbasegofgsupport.

B) Whengliftinggagpatient,gkeepgthemgatgarm'sglength.

C) Dogasgmuchgasgyougcangwhengmovinggagpatient,gfocusinggongbendinggatgyourgwaist.

D) Pivotgyourgfeetginsteadgofgtwistinggyourgbodygwhengturnin g.gAnswer: D PagegRef:g77 LO: 3.gExplaingthegbasicgrulesgofgpropergbodygmechanics.

14) Ifgthegfiregalarmgsounds,gwhichgofgthegfollowinggisgthegfirstgstepgingagsequencegofgemergen cygprocedures?

A) Racegtoggetgthegfiregextinguisher.

B) Activateg911gandgthegemergencygteam.

C) Calmlygremovegallgpatientsgtogagsafegzone.

D) Evacuategallgstaffgmembersgbehindgthegfiregdoor s.gAnswer: C PagegRef:g83 LO: 7.gExplaingthegrolegofgthegnursinggassistantgwhengagfiregorgdisastergplangisgimplemented.

15) Thegco rectgstatementgregardingWuWseWo.f TagBfirSegMex.tiWngSuishergisgwhichgofgthegfolowing?

A) Allgfiregextinguishersgworkgforganygkindgofgfire.

B) Squeezegtheghandlegbeforegyougpullgthegpingtogactivategthegfiregextinguisher.

C) Aimgthegfiregextinguishergnozzlegatgthegbasegofgthegfire,gnotgthegflames.

D) Pointgthegfiregextinguishergforwardgandgreleasegthegspraygingagstraightglin e.gAnswer:C PagegRef:g83 LO: 6.gExplaingwaysgtogpreventgfiregandgwhatgtogdogingcasegofgfire.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg7 EmergencygSituations 1) Whengpeopleggogintogshock,gitgmeansgthat A) Theyghavegbeenggivengverygbadgnews.

B) Theirgheartghasgstoppedgbeating.

C) Theygareggoinggtoghavegagseizure.

D) Notgenoughgbloodgisggettinggtogvitalgorgan s.gAnswer: D PagegRef:g89 LO: 1.gDescribegthegrolegofgthegnursinggassistantgingangemergency.

2) Kelley,gagCNA,gwalksgintogaghospitalgroomgandgfindsgMr.gLowrygunresponsive.gWhatgshou ldgKellygdognext?

A) Calmlygcheckgforgangopengairway,gforgbreathing,gandgforgagpulse.

B) FindganothergnursinggassistantgandghavegthegnursinggassistantgcheckgMr.gLowry.

C) Rungtogthegnurse'sgstationgandgpagegthegsupervisinggnursegtogcomegtogthegroom.

D) Callgforghelpgimmediatelygandgactivategthegemergencygresponsegsyste m.gAnswer: D PagegRef:g89-90 LO:

1.gDescribegthegrolegofgthegnurWsiWngWa.ssTisBtaSntMin.aWnSemergency.

3) Surigisgagnursinggassistantgwhogworksgingaglongtermgcaregfacility.gAgresidentghasgfallengandghitgherghead.gWhichgofgthegfollowinggshouldgSurig dognext?

A) Callgforghelpgandgstaygwithgthegresidentguntilgthegnursegarrives.

B) Movegthegresidentgtogagcomfortablegpositiongandgpressgthegcallglight.

C) Focusgongreassuringgothergresidentsgthatgtheygaregsafe.

D) Getghelpgfromganothergnursinggassistantgtogmovegthegresidentgbackgtogbe d.gAnswer:A PagegRef:g98 LO: 7.gExplainghowgthegnursinggassistantgcanghelpgagpatientgwhoghasgfallen.

4) Whatgdoesgnogcodegorgdognotgresuscitategmean?

A) DognotggivegCPRgifgthegpatientgstopsgbreathinggorgthegheartgstopsgbeating.

B) Givegonlygrescuegbreathinggifgthegpatientgstopsgbreathing,gbutgnotgCPR. C) Dognotggiveginformationgaboutgthegpatientgorgemergencygcodesgtogvisitors.

D) DognotgusegIVgmedicinesgorgartificialgfeedingsgtogprolongglif e.gAnswer:A PagegRef:g90-91 LO: 2.gExplainghowgtogidentifygthegunconsciousgpatientgandgdescribegthegnewgbasicgproceduresgforg cardiopulmonarygresuscitationg(CPR),gutilizinggcompression,gairway,gandgbreathingg(CAB).

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5) Howgdogyougquicklygevaluategagpatient'sgresponsiveness?

A) Testgthegperson'sgpupilsgwithgagpenlight.

B) Tapgthegpersongfirmlygongthegshouldergandgloudlygask,g"Aregyougokay?"

C) Assumegthatgifgthegpersongdoesn'tglookgconscious,gthegpersongisgunresponsive.

D) Askgthegpersongtogtellgyougthegtime,gthegplace,gandgwhogthegpersong is.gAnswer: B PagegRef:g92 LO: 2.gExplainghowgtogidentifygthegunconsciousgpatientgandgdescribegthegnewgbasicgproceduresgforg cardiopulmonarygresuscitationg(CPR),gutilizinggcompression,gairway,gandgbreathingg(CAB).

6) Forgangunconsciousgpatient,gwhichgofgthegfollowinggisgthegmostgcommongcausegofgangairw aygobstruction?

A) Poorlygchewedgfood B) Thegepiglottis C) Thegtongue D) VomitgAn swer: CgPagegRef:g 94 LO: 3.gExplaingcommongcausesgofgchokinggandgsymptomsgofgpartialgandgcompletegairwaygobs truction.

7) Whengangadultgisgnotgbreathinggbutghasgagheartbeat,gyougwouldgprovidegrescuegbreathing.

Howgoftengshouldgyouggivegagbreath?

A) Everygminute B) Everygfivegseconds C) Everygtwentygseconds D) Everygtwogminute sgAnswer: B PagegRef:g94-95 LO: 4.gApplygthegproceduresgforgclearinggangobstructedgairway.

8) WhengyougperformgCPRgongagpatientgwhogisgnotgbreathinggandghasgnogpulse,gyougwillggiveg 30gcompressions,gtheng2gbreaths,gandgthengstartgthegcyclegagain.gWhengshouldgyougattachgth egAEDgtogthegpatient?

A) Asgsoongasgitgisgavailable B) OnlygaftergyoughavegfinishedgfourgcyclesgofghighgqualitygCPR C) Aftergagbreakgatgtwogminutes D) OnlygemergencygrespondersgaregtrainedgtogusegthegAE D.gAnswer: A PagegRef:g92 LO: 32g|

2. gExplainghowgtogidentifygthegunconsciousgpatientgandgdescribegthegnewgbasicgproceduresgforg

cardiopulmonarygresuscitationg(CPR),gutilizinggcompression,gairway,gandgbreathingg(CAB).

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9) Whatgisgthegmostgcommongcausegofgchokinggingagconsciousgadult?

A) Poorlygchewedgfood B) Thegepiglottis C) Thegtongue D) VomitgAn swer: AgPagegRef:g 95 LO: 3. gExplaingcommongcausesgofgchokinggandgsymptomsgofgpartialgandgcompletegairwaygobs

truction.

10) Whatgisgangautomaticgexternalgdefibrillatorg(AED)?

A) Agdevicegthatgpreventsgthegheartgfromgbeatinggtoograpidlygbygapplyinggagshock B) Agdevicegthatgcountsgthegpulsegandgrecordsgthegbloodgpressuregatgallgtimes C) Agdevicegthatgisgusedgonlygbygtrainedgemergencygrespondersgtogmakegthegheartgbeat D) Agdevicegthatgassessesgthegpulsegandgappliesgagshockgtogthegheartgwhengnecessa rygAnswer:D PagegRef:g91 LO: 2.gExplainghowgtogidentifygthegunconsciousgpatientgandgdescribegthegnewgbasicgproceduresgforg cardiopulmonarygresuscitationg(CPR),gutilizinggcompression,gairway,gandgbreathingg(CAB).

11) Togevaluategpulsegingange mergenWcWy, Wth.e TnuBrSsinMg.asWsiSstantgplacesgtwo gfingersglightlygongonegsidegofgthegpatient'sgtracheagtogpalpategtheg pulse.

A) brachial B) apical C) carotid D) radialgAn swer: CgPagegRef:g 90 LO: 4.gApplygthegproceduresgforgclearinggangobstructedgairway.

12) Ifgagseizuregisgobserved,gwhatgisgthegbestgactiongforgthegnursinggassistant?

A) Callgforghelpgfromgtheghealthgcaregteam.

B) Protectgthegpatientgfromginjury.

C) Dognotgrestraingthegpatientgorgputganythinggingthegpatient'sgmouth.

D) Allgofgthegabovegactionsgaregcorrec t.gAnswer: D PagegRef:g98 LO: 6.gListgwhatgthegnursinggassistantgshouldgdogtoghelpgifgagseizuregoccurs.

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13) McKenziegisgagnursinggassistantgworkinggingagshorttermgrehabilitationghospital.gWalkinggintogthegphysicalgtherapyggym,gshegseesgagpatientgfallgtogt hegfloorgandgthengbeginghavingguncontrolledgjerkinggmovements.gMcKenziegrecognizesgshegisgo bserving A) Aggrandgmalgseizure.

B) Cardiopulmonarygarrest.

C) Agpetitgmalgseizure.

D) Agpatientggoinggintogshock .gAnswer: A PagegRef:g98 LO: 5.gDescribegthegmostgcommongcausesgofgseizuresgandgthegtwogmajorgtypesgofgseizures.

14) Archiegisgagnursinggassistantgworkinggingaglongtermgcaregcommunity.gHelpinggMrs.gKhangatgbreakfast,ghegseesghergbegingtogstaregblanklyginto gspacegwhileghergarmgandgfacialgmusclesgtwitchgforg30gseconds.gArchiegrecognizesghegisgobserv ing A) Aggrandgmalgseizure.

B) Cardiopulmonarygarrest.

C) Agpetitgmalgseizure.

D) Agpatientggoinggintogshock .gAnswer: C PagegRef:g98 LO: 5.gDescribegthegmostgcommonWcWauWse.sToBfgsSeiMzu.reWsgSa n d gthegtwogmajorgtypesgofgseizure s.

15) Samanthagisgagnursinggassistantgworkinggingangacutegcareghospital.gShegisgcaringgforgagpatie ntgwhoghasgjustghadgsurgery.gWhengshegtakesgthegpatient'sgvitalgsigns,gshegnoticesgthatgthegpa tientghasgcool,gclammygskin;gagrapidgpulse;grapidgrespirations;gandglowgbloodgpressure.gSamant hagrecognizesgshegisgobserving A) Aggrandgmalgseizure.

B) Cardiopulmonarygarrest.

C) Agpetitgmalgseizure.

D) Agpatientggoinggintogshock .gAnswer: D PagegRef:g89 LO: 1.gDescribegthegrolegofgthegnursinggassistantgingangemergency.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg8 BodygSystemsgandgCommongDiseases 1) Whichgofgthegfollowinggisgtruegofgcells?

A) Theghumangbodygcontainsgtrillionsgofgmicroscopicgcells.

B) Eachgtypegofgcellghasgagspecialgfunction.

C) Cellsgaregthegbasicgunitgingallglivinggthings.

D) Allgofgthesegaregtruegofgcell s.gAnswer: D PagegRef:g103-104 LO: 1.gDescribegthegfourglevelsgofgthegbody'sgstructure.

2) Whichgofgthegfollowinggisgdefinedgasgangorgan?

A) Bloodgcells B) Fingernails C) Heart D) Musculoskeletalgsyste mgAnswer:C PagegRef:g110 LO: 6.gDescribegthegfunctiongandgstructuregofgthegninegbodygsystems,gandglistgthegcommon disordersgofgeach.

3) Thegcorrectgdefinitiongforghomeostasisgisgwhichgofgthegfollowing?

A) Thegbody'sgabilitygtogmaintainganginternalgstabilitygorgbalance B) Thegbody'sgdecreasedgabilitygtogfunctiongduringgillness,ginjury,gorgstress C) Intellectual,gemotional,gandgsocialgchangesgthatgoccurgovergtheglifegspan D) Angunexpectedgconditiongthatgintensifiesgagperson'sgillnes sgAnswer: A PagegRef:g104 LO: 1.gDescribegthegfourglevelsgofgthegbody'sgstructure.

4) AsgagnursinggassistantgcaringgforgagpatientgwhoghasgAIDS,gyougshould A) Avoidgcaringgforgthegpatientgmoregthangtwogdaysgingagrow,gtogpreventgexposure.

B) Alwaysgusegaggown,gmask,ggloves,gandgagrespiratorgwhengyougentergthegroom.

C) Begsuregthegpatientgreceivesgmedicationsgtogsupportgthegpatient'sgimmunegsystem.

D) Givegthegsamegqualitygofgcaregandgemotionalgsupportgasgyougwouldganygpatie nt.gAnswer: D PagegRef:g106 LO: 4. gDescribegAIDS,gidentifygthegstagesgofgthegdisease,gandgidentifygthegnursinggassistant'sgrol

egingcaringgforgthegpatientgwithgAIDS.

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5) Theguncontrolledggrowthgofgabnormalgcellsgingthegbody'sgtissuesgandgorgansgisgcalled A) Tuberculosis.

B) Cancer.

C) Benign.

D) HIV-positive.

Answer: B PagegRef:g106-107 LO: 5. gDefinegcancer,glistgthegsevengearlygwarninggsignsgofgcancer,gandgidentifygthegnursinggass

istant'sgrolegingcaringgforgthegpatientgwithgcancer.

6) Whichgofgthegfollowinggobservationsgaboutgagpatientgwithgcancergshouldgbegreportedgtogyo urgsupervisinggnurse?

A) Behaviorgchanges B) Nauseagandgvomiting C) Fever D) Allgofgthesegobservationsgshouldgbegreporte d.gAnswer:D PagegRef:g107-108 LO: 5.gDefinegcancer,glistgthegsevengearlygwarninggsignsgofgcancer,gandgidentifygthegnursinggass istant'sgrolegingcaringgforgthegpatientgwithgcancer.

7) Whengyougcaregforgagpatientgongoxygengtherapy,gyougshould A) Keepgthegheadgofgthegbedgflat.

B) Usegpetroleumgjellygtoglubricategtheglips.

C) Providegfrequentgoralghygiene.

D) Movegthegpatientgquicklygthroughgthegpatient'sgactivitiesgtogsavegenerg y.gAnswer: C PagegRef:g109-110 LO: 7.gDescribegthegnursinggassistant'sgrolegingcaringgforgpatientsgwhoghavegbreathinggpro blems.

8) Harleygisgagnursinggassistantgworkinggongthegcardiacgunitgofgangacutegcareghospital.gWhichg ofgthegfollowinggobservationsgaboutgagheartgpatientgshouldghegreportgtoghisgsupervisinggnurs egimmediately?

A) Thegpatientgategallgofgthegfoodgongtheglunchgtray.

B) Thegpatientgcomplainsgofgshortnessgofgbreathgandghasgangirregulargpulse.

C) Thegpatientgbreathesgbestgwithgthegheadgofgthegbedgelevatedg45gdegrees.

D) Thegpatientgneedsgassistancegwithgbathing .gAnswer: B PagegRef:g112 LO: 8.gDescribegthegnursinggassistant'sgrolegingcaringgforgthegpatientgwithgheartgdisease.

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9) Mr.gJuranighadgangartificialgpacemakergimplantedgtwogdaysgago.gWhengyouggiveghimg hisgmorninggcare,gyougnoticegthatgheghasgtheghiccups.gWhatgshouldgyougdo?

A) Giveghimgaglargegglassgofgwatergandgtellghimgtogsipgitgslowly.

B) Reportgtheghiccupsgtogyourgnursinggsupervisor.

C) Tellghimgtogpinchghisgnosegclosedgandgswallowghard.

D) Haveghimgholdghisgbreathgwhileghegcountsgtog3 0.gAnswer:B PagegRef:g112 LO: 8.gDescribegthegnursinggassistant'sgrolegingcaringgforgthegpatientgwithgheartgdisease.

10) YougaregcaringgforgMrs.gLeRoy,gagpatientgwhoghasgjustghadgsurgerygforgcolongcancer.gTheg nursegisghelpingghergchangegthegcolostomygbaggandgcleangaroundgthegstoma.gAccordinggtogyo urgfacility'sgpolicy,gyougwillgbegtrainedgtogdogthisgprocedure.gWhichgofgthegfollowinggisgthegcor rectgdefinitiongforgstoma?

A) Agcollectiongbaggforgwastegproducts B) Angartificialgopeninggofganginternalgorgangongthegsurfacegofgthegbody C) Agpermanentgopeninggforgurinegdrainage D) Angadhesivegusedgtogsecuregagcolostomygorgileostom ygAnswer: B PagegRef:g114 LO:

9.gDescribegthegnursinggassistaWnWt' sWr.oleTiBngScaMrin.gWfoSrgthegpatientgwithgangostomy.

11) YougaregcaringgforgMr.gWoolridge,gwhoghasghadgsurgerygtogrepairgagfracturedgrightghip.gT hegcaregplangsaysgtogkeepghisghipsgabducted.gThisgmeansgthatgyougmustgkeep A) Hisgrightgleggawaygfromgthegcentergofghisgbody.

B) Hisgrightgkneegbentgatgag90-degreeganglegatgallgtimes.

C) Hisgrightgleggstraightgingthegcentergofghisgbody.

D) Hisgleftgleggcrossedgoverghisgrightgleggatgallgtime s.gAnswer: A PagegRef:g124 LO: 11.gDescribegthegnursinggassistant'sgrolegingcaringgforgthegpatientgwithgangorthopedicgcon dition.

12) YougaregcaringgforgMrs.gHennecke,gagpatientgwithgdiabetes.gWhatgtypegofgfootgcaregshou ldgyouggive?

A) Havegherggogbarefoot,gsoghergshoesgwillgnotgrubgblistersgonghergfeet.

B) Washghergfeetgdailygandgdrygthemgcarefully,gespeciallygbetweengthegtoes.

C) Cutghergtoenailsgdaily,gtogavoidgscratchesgorgtorngnails.

D) Washghergfeetgonlygtwicegpergweek,gtogavoidgdryinggthegskingonghergfe et.gAnswer: B PagegRef:g118 LO: 10.gDescribegthegnursinggassistant'sgrolegingcaringgforgthegpatientgwithgdiabetes.

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13) YougaregcaringgforgMrs.gHennecke,gagpatientgwithgdiabetes.gWhengyouggogingtogcheckghergvi talgsigns,gyougnoticegthatgshegseemsgverygdrowsygandghergskingisgflushed.gHergpulsegisgrapidgand ghergbloodgpressuregisglow.gWhichgofgthegfollowinggisgyourgbestgaction?

A) GivegMrs.gHenneckegorangegjuicegorgcrackersgtogmanagegherghypoglycemia.

B) Giveghergprivacygsogthatgshegcangrest.

C) Notifygyourgsupervisinggnursegimmediately.

D) Callgforgemergencygresponse,gasgshegisgingagdiabeticgcom a.gAnswer:C PagegRef:g117-118 LO: 10.gDescribegthegnursinggassistant'sgrolegingcaringgforgthegpatientgwithgdiabetes.

14) YougaregcaringgforgMs.gWilkinson,gagpatientgwhoghasghadgagstrokegandgnowghasgleftsideghemiplegia.gWhichgofgthegfollowinggisgimportantgtogremembergwhengcaringgforgMs.gWilk inson?

A) Encourageghergtogdogasgmuchgasgpossiblegforgherself,gandgpromotegindependence.

B) Protectghergfromgfallsgbygplacingghergwheelchairgonghergleftgside.

C) Keepghergsafegbygnotgmovinggorgexercisinggthegmusclesgonghergleftgside.

D) Alwaysgencourageghergtogperformghergactivitiesgofgdailyglivinggasgquicklygasgpossibl e.gAnswer:A PagegRef:g128-129 LO: 12.gDescribegthegnursinggassistant'sgrolegingcaringgforgthegstrokegpatient.

15) Whichgofgthegfollowinggbestgdescribesgmultiplegsclerosis,gagnervousgsystemgdisorder?

A) Angelectricalgdisturbancegingthegbraingresultinggingseizures B) Anginflammationgofgthegmeningesgingthegbraingandgspinalgcord C) Pressuregingthegeye,gdamaginggthegretinagandgopticgnerve D) Lossgofgthegmyelingsheathgthatginsulatesgcentralgnervousgsystemgnervegfibe rsgAnswer:D PagegRef:g127 LO: 6.gDescribegthegfunctiongandgstructuregofgthegninegbodygsystems,gandglistgthegcommongdis ordersgofgeach.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg9 VitalgSigns 1) Whichgofgthegfollowinggisgnotgconsideredgagvitalgsign?

A) Weight B) Respirations C) Bloodgpressure D) Temperature gAnswer: AgPagegRef:g15 4 LO: 1. gExplaingwhatgagpatient'sgvitalgsignsgare,gandgdescribegthegrolegofgthegnursinggassistantgingme

asuringgandgrecordinggthem.

2) Whichgofgthegfollowinggisgreferredgtogasgthegfifthgvitalgsign?

A) Height B) Pain C) Systolicgpressure D) WeightgA nswer: B PagegRef:g154,g171 LO:

12.gDescribeghowgtogmeasureWagWpaWti.enTt'BsgpSaMin.uWsinSggagpaingscale.

3) WhengShanna,gagCNA,gtakesgMr.gKo'sgbloodgpressure,gshegisgunsuregofgthegresults,gevengaft ergtakinggitgagsecondgtime.gWhatgshouldgShannagdo?

A) Estimategthegbloodgpressuregbasedgongwhatgshegthoughtgshegheard.

B) Averagegthegtwogreadingsgsheggotgandgrecordgthatgasgthegbloodgpressure.

C) AskghergsupervisinggnursegtogcheckgMr.gKo'sgbloodgpressure.

D) Takegthegbloodgpressuregtwogmoregtimesgandgrecordgthegtwogthatgagre e.gAnswer:C PagegRef:g165-168 LO: 8.gDefinegbloodgpressure,gnotegfactorsgthatgaffectgit,gandgdescribegnormalgbloodgpressuregran ges.

4) Whichgmethodgisgthegleastgaccurategforgmeasuringgtemperature?

A) Rectal B) Axillary C) Tympanic D) OralgAnsw er: BgPagegRef:g1 40g|

55 LO: 2. gandg3.gDefinegbodygtemperature,gnotegfactorsgthatgaffectgit,gandgdescribegnormalgbodygte

mperaturegrangesgandgdescribegmethodsgforgmeasuringgbodygtemperature.

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5) Agnursinggassistantgisgtakinggagpatient'sgrectalgtemperaturegasgdirectedgbygthegcaregplan.gT hegnursinggassistantgshould A) Cleangthegthermometergwithghot,gsoapygwatergafterwards.

B) Checkgongthegpatientgoftengwhilegthegthermometergisgingplace.

C) Holdgthegthermometergingplace.

D) Documentgthegtemperature,gnotinggthegroutegasgA x.gAnswer: C PagegRef:g157-159 LO: 4.gTakegoral,grectal,gaxillary,gtympanic,gorgtemporalgarterygtemperaturesgusinggelectronicgthe rmometers.

6) Whichgofgthegfollowinggpulsegratesgshouldgyougreportgtogyourgsupervisinggnursegrightgaway?

A) 90 B) 68 C) 85 D) 114 Answer: DgPagegRef:g1 62 LO: 6.gDefinegpulsegandgrespiration,gnotegfactorsgthatgaffectgthem,gandgdescribegnormalgpulsegand grespirationgrategranges.

7) Mrs.gWilloughbygisgtakinggseveralgheartgmedications.gWhenghergapical—radialgpulsegis counted,gthegapicalgpulsegisg92gandgthegradialgpulsegisg86.gThisgmeansgthat A) Hergpulsegandgrespiratorygratesgaregabnormallyghigh.

B) Hergbloodgpressuregisg92/86gandgshouldgbegreportedgimmediately.

C) Angerrorgwasgmadegwhengthegapical—radialgpulsegwasgcounted.

D) Sheghasgagpulsegdeficitgthatgmustgbegreportedgtogyourgsupervisinggnurs e.gAnswer:D PagegRef:g163-164 LO: 6.gDefinegpulsegandgrespiration,gnotegfactorsgthatgaffectgthem,gandgdescribegnormalgpulsegand grespirationgrategranges.

8) Whygisgitgnecessarygtogcountgrespirationsgwithoutgthegpatientgbeinggawaregthatgyougaregdoi nggso?

A) Becausegcountinggrespirationsgcangonlygbegdonegingagquietgenvironment B) Becausegthegpatientgshouldgbegtalkinggwhilegyougcountgthegrespirations C) Becausegpatientsgwillgbreathegunnaturallygifgtheygknowgyougaregcountinggrespirations D) Becausegrespirationsgaregverygdifficultgtogcount,gandgthegpatientgwillgtrygtoghelpgy ougAnswer: C 42g|

PagegRef:g164 LO: 7.gMeasuregpulsegandgrespirationgrates.

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9) Whichgofgthegfollowinggcouldgindicategagrespiratorygproblem?

A) Unevengbreathing B) Bluegcolorgaroundgtheglipsgorgnose C) Gaspinggorggurgling D) Allgofgthes egAnswer: DgPagegRef:g1 64 LO: 6.gDefinegpulsegandgrespiration,gnotegfactorsgthatgaffectgthem,gandgdescribegnormalgpulsegand grespirationgrategranges.

10) Samantha,gagCNA,gdidgallgofgthegfollowinggactionsgwhengshegwasgtakinggMr.gAdriano'sgblo odgpressure.gWhichgactiongwasgincorrect?

A) Shegusedghisgrightgarm,gsinceghisgIVgisginghisgleftgarm.

B) Shegappliedgthegcuffgtoghisguppergarmgaboveghisgbrachialgartery.

C) Shegappliedgthegcuffgsecurelygovergthegsleevegofghisgpajamas.

D) Shegwaitedgtogtakeghisgbloodgpressureguntilgheghadgbeengrestinggforg15gminut es.gAnswer: C PagegRef:g167 LO: 9.gMeasuregbloodgpressure.

11) Mr.gBeauregardgisgweighedgdailyWaWccWo.rdTinBggtSoMhi.sgWcaSregplan.gWhichgo fgthegfollowinggshouldgthegCNAgdogtogensuregaccuracy?

A) Weighghimgbeforeghegeatsgbreakfastgeachgday.

B) Usegthegsamegscalegeachgtimeghegisgweighed.

C) Weighghimgaboutgthegsamegtimegeachgday.

D) Allgofgthesegthingsgshouldgbegdon e.gAnswer:D PagegRef:g170 LO: 10.gandg11.gExplaingwhengandgwhygagpatient'sgweightgandgheightgaregmeasuredgandgme asuregweightgandgheight.

12) Whichgofgthegfollowinggaregfactorsgthatgcangaffectgbloodgpressure?

A) Agegandggender B) Paingandgillness C) Dietgandgexercise D) Allgofgthes egAnswer: DgPagegRef:g1 66 LO: 44g|

8.gDefinegbloodgpressure,gnotegfactorsgthatgaffectgit,gandgdescribegnormalgbloodgpressuregran ges.

45g|

13) Agmeasurementgforgsystolicgbloodgpressuregisgdeterminedgby A) Listeninggforgthegfirstgcleargsoundgandgnotinggthegnumbergongthegsphygmomanometer.

B) Listeninggforgthegbrachialgpulsegwhengthegbloodgpressuregcuffgisgfirstgapplied.

C) Listeninggforgtheglastgsoundgandgnotinggthegnumbergongthegsphygmomanometer.

D) Listeninggforgandgcountinggthegsoundsgwhilegthegbloodgpressuregcuffgisgdeflatin g.gAnswer: A PagegRef:g167 LO: 8.gDefinegbloodgpressure,gnotegfactorsgthatgaffectgit,gandgdescribegnormalgbloodgpressuregran ges.

14) Agmeasurementgforgdiastolicgbloodgpressuregisgdeterminedgby A) Listeninggforgthegfirstgcleargsoundgandgnotinggthegnumbergongthegsphygmomanometer.

B) Listeninggforgthegbrachialgpulsegwhengthegbloodgpressuregcuffgisgfirstgapplied.

C) Listeninggforgtheglastgsoundgandgnotinggthegnumbergongthegsphygmomanometer.

D) Listeninggforgandgcountinggthegsoundsgwhilegthegbloodgpressuregcuffgisgdeflatin g.gAnswer: C PagegRef:g167 LO: 8.gDefinegbloodgpressure,gnotegfactorsgthatgaffectgit,gandgdescribegnormalgbloodgpressuregran ges.

15) Yourgsupervisinggnurseghasgask eWd gWyoWu.toTtBakSeMan.aWpSicalgpulsegforgag newgpatientgadmittedgwithgheartgdisease.gHowgdogyougtakegthisgpulsegaccurately?

A) Locategthegpulsegongtheginsidegofgthegpatient'sgwristgandgcountgforg30gseconds.

B) Usegagstethoscopegtoglistengatgthegapexgofgthegpatient'sgheartgandgcountgforg1gminute.

C) Locategthegpulsegongthegsidegofgthegpatient'sgneckgandgcountgforg1gminute.

D) Askgagcoworkergtoghelpgyougcheckgthegradialgandgapicalgpulsesgatgthegsamegtime.gAnswer: B PagegRef:g161-164 LO: 7.gMeasuregpulsegandgrespirationgrates.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg10 Positioning,gMoving,gandgAmbulation 1) Thegcorrectgpositioninggofgagpatient,gwithgthegspinegstraightginsteadgofgtwisted,gisgreferredg togas A) Bodygmechanics.

B) Bodygalignment.

C) Bodygtherapeutics.

D) Bodygtransfers.

Answer: B PagegRef:g176 LO: 1. gListgthegimportantgpointsgtogremembergwhengpositioning,gmoving,gorgtransportinggpati

ents.

2) Whatgisgthegpurposegofgagtrochantergroll?

A) Togkeepgtheghandsgfromgflexinggtightly B) Togkeepghipsgandglegsginglinegwithgthegspine C) Toggivegextragsupportgtogthegpatient'sgback D) Togpreventgfootdro pgAnswer: B PagegRef:g177 LO: 2.gMovegagdependentgpatientgupgingbed,gandgturngagpatientgtowardgyougandgawaygfrom you.

3) Agsheetgplacedgundergagpatient'sgshouldersgtogbelowgtheghipsgthatgisgusedgtogturn,glift,gorgmo vegagpatientgisga(n) A) Incontinencegpad.

B) Trochantergroll.

C) Footboard.

D) Turninggsheet .gAnswer: Dg PagegRef:g177 LO: 2. gMovegagdependentgpatientgupgingbed,gandgturngagpatientgtowardgyougandgawaygfromgyo

u.

4) Ms.gCohengisgagpatientgwhogisgverygweak.gAlthoughgshegisgnotgextremelygheavy,gshegisguna blegtoghelpgwhengturnedgorgmovedgingbed.gThegnursinggassistantgcaringgforgMs.gCohengshould A) TurngMs.gCohengonlygtwicegpergshift,gtogdecreasegthegchancegofgbackginjury.

B) AskgthegnursegtoggetgangordergforgagturninggsheetgtogusegwithgMs.gCohen.

C) Askgagco-workergtoghelpgsafelygmovegandgturngMs.gCohen.

D) UsegagpillowgtogtiltgMs.gCohengrathergthangtryinggtogturnghergfromgsidegtogsi 47g|

de.gAnswer: C PagegRef:g177 LO: 2.gMovegagdependentgpatientgupgingbed,gandgturngagpatientgtowardgyougandgawaygfromgyo u.

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5) TheregisgangordergtoglogrollgMr.gJacobsgwhenghegisgturned,gasghegisgrecoveringgfromgagspi nalgcordginjury.gHowgwillgyougdogthis?

A) HavegMr.gJacobsgturnghisgheadgandgshouldersgwhilegyougmoveghisghipsgandglegs.

B) Havegagco-workerghelpgyou,gandgusegagturninggsheetgtogturnghimgasgagunit.

C) Havegagco-workerghelpgyougturnghisglegs,gthenghisgback,gthenghisgheadgandgshoulders.

D) Anygofgthesegtechniquesgisgacceptable .gAnswer: B PagegRef:g177 LO: 2.gMovegagdependentgpatientgupgingbed,gandgturngagpatientgtowardgyougandgawaygfromgyo u.

6) Ms.gPinggisglyinggingbedgonghergbackgwithgthegheadgofgthegbedgelevatedgatgag30degreegangle.gShegisgingwhichgposition?

A) Sims' B) Fowler's C) Semi-Fowler's D) LateralgA nswer: C PagegRef:g182-183 LO: 3.gListgandgdescribegthegcommongbodygpositionsgforgpatients.

7) ThegchargegnursegasksgyougtogassistgMs.gPinggtogdangle.gWhatgwillgyougdo?

A) Assistghergtogliegonghergsidegwithghergfeetghanginggovergthegedgegofgthegbed.

B) Putgthegheadgofgthegbedgbelowgtheglevelgofghergfeet.

C) Assistghergtogsitgongthegedgegofgthegbedgwithghergfeetghanginggdown.

D) Assistghergtogsitgongthegedgegofgthegbedgwithghergheadgbetweenghergkne es.gAnswer: C PagegRef:g184-185 LO: 6.gAssistgagpatientgtogthegedgegofgthegbedgforgtransfergorgambulation.

8) Ms.gPinggreportsgfeelinggdizzygwhilegshegisgdangling.gThisgfeelinggdoesgnotggogawaygafter g2gminutes.gWhatgwillgyougdo?

A) Assistghergtogliegdown,gandgreportgthisgtogyourgsupervisinggnurse.

B) Haveghergmaintaingthegpositiongforgthreegmoregminutes,gthengassistghergtogliegingagsupi negposition.

C) Keepghergingthegdanglinggpositiongandggiveghergoralgfluidsgquickly.

D) Encourageghergtoggetgoutgofgbed,gsogthatgthegdizzinessgwillgpassgquickl y.gAnswer: A PagegRef:g185 LO: 6.gAssistgagpatientgtogthegedgegofgthegbedgforgtransfergorgambulation.

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9) Mr.gGreerghasghadgagstrokegandgisgweakgonghisgleftgside.gWheregwillgyougplacegthegchairgwh engyougassistghimgtogtransfergfromgthegbedgtogthegchair?

A) Onghisgrightgside B) Directlygacrossgfromgthegbed C) Onghisgleftgside D) Withgthegbackgofgthegchairgagainstgthegbe dgAnswer: A PagegRef:g185 LO: 4.gListgthegguidelinesgforgpositioninggagpatientgingagchair.

10) YougaregusinggagtransfergbeltgwhengyougassistgMr.gGreergtogmovegfromghisgbedgtogagchair.gY ougwouldgdogallgofgthegfollowinggexcept A) Fastengthegbucklegsecurely.

B) Putgthegbeltgaroundghisgwaistgbeneathghisgclothing,gforgsecurity.

C) Begsuregyougcanginsertgtwogfingersgbeneathgthegbelt.

D) Begsuregthegbeltgisgsnuggbutgnotgsogtightgthatgheghasgtroublegtakinggagbreat h.gAnswer:B PagegRef:g185-186 LO: 7.gTransfergagpatientgfromgagbedgtogagchairgandgfromgagchairgtogagbed.

11) WhichgofgthegfollowinggstatemeWntWsgrWeg.aTrdBinSggMbo.dWygmSechanicsgisgcorrect?

A) Whengmovinggpatients,gusegagstraightgbackgandgthighgmusclesgforglifting.

B) Twistgslowlygwhengmovinggagheavygload.

C) Keepgyourgfeetgaboutg6ginchesgapart,gtogbroadengyourgbasegforgsupport.

D) Holdgheavygloadsgawaygfromgyourgbody,gtogprotectgyourgbac k.gAnswer: A PagegRef:g176 LO: 5.gListgthegguidelinesgforgmovinggpatients.

12) Whengyougaregmovinggagdependentgpatient A) Slidegtogpreventgshearinggforces.

B) Usegteamworkgtoghelpgwithgthegtransfergtogkeepgpatientsgandgyourselfgsafe.

C) Reassuregthegpatientgandgaskgthatgthegpatientgnotgparticipategingthegtransfer.

D) Removegallgspecialgequipmentgfromgthegpatient'sgbedside,gforgsafet y.gAnswer: B PagegRef:g184 LO: 2. gMovegagdependentgpatientgupgingbed,gandgturngagpatientgtowardgyougandgawaygfromgyo

u.

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13) Mr.gKanawegisglyinggingbedgflatgonghisgbackgwithgbothgarmsgandglegsgextended.gHegisgingwhi chgposition?

A) Sims' B) Fowler's C) Prone D) SupinegA nswer: D PagegRef:g182-183 LO: 3.gListgandgdescribegthegcommongbodygpositionsgforgpatients.

14) Yourgsupervisinggnursegasksgyougtogpreparegyourgpatientgforgangenema.gYougneedgtogpositi ongyourgpatientgingagpartlygsidelying,gpartlygpronegpositiongforgthisgprocedure.gThisgbodygpositiongisgcalled A) Sims'.

B) Fowler's.

C) Trendelenburg.

D) Supine.gA nswer: A PagegRef:g182-183 LO:

3.gListgandgdescribegthegcommWonWbWo.dyTpBoSsitMio.nsWfSorgpatients.

15) Yougaregassistinggagpatientgtogambulategfollowinggsurgery.gSupportedgwithgtheggaitgbelt,gt hegpatientgtakesgseveralgslow,gsteadygstepsgingtheghallway.gSuddenly,gthegpatientgsaysg"Igfeelg sogdizzy"gandgbeginsgtogfallgbackwards.gWhichgofgthegfollowinggisgappropriategforgcaregofgagfall inggpatient?

A) Usinggtheggaitgbelt,gpullgthegpatientgclosegtogyou.

B) Stepgasidegsogthatgagfallinggpatientgdoesgnotghurtgyourgback.

C) Letggogofgtheggaitgbeltgandgquicklyggrabgagwheelchairgtogsupportgthegpatient.

D) Keepgyourgbackgstraightgandgfeetgclosegtogethergtogcatchgthegpatien t.gAnswer: A PagegRef:g192 LO: 13.gandg14.gUsegaggaitgbeltgtogassistgwithgambulationgandgcaregforgagfallinggpatient.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg11 Admission,gTransfer,gandgDischarge 1) Whengagnewgpatientgisgadmitted,gthegnursinggassistantgisgresponsiblegfor A) Schedulingglaboratorygtestsgandgx-rays.

B) Obtaininggordersgfromgthegdoctorgaboutgthegpatient'sgcare.

C) Preparinggthegroomgandgtakinggvitalgsigns,gheight,gandgweight.

D) Preparinggthegpatientgtogmovegtoganotherghealthgcaregfacilit y.gAnswer: C PagegRef:g197-198 LO: 2.gListgtheggeneralgtasksgofgthegnursinggassistantginghelpinggwithgthesegprocedures.

2) Mrs.gJernigangisgagnewgresidentgingtheglongtermgcaregcommunitygwheregyougworkgasgagnursinggassistant.gDuringghergadmission,ghergfa milygmembersgaskgyougmanygquestionsgaboutgwhatgwillgbegdonegforgherghere.gHowgshould gyouganswergthem?

A) Answergtheirgquestionsgpolitelygorgrefergthemgtogsomeonegwhogcanghelp.

B) Askgthegfamilygmembersgtogwritegdowngtheirgquestionsgsogtheygcangbeganswered.

C) PolitelygexplaingthatgyougmustgfocusgonlygongMrs.gJernigangrightgnow.

D) ExplaingthatgallginformationgregardinggMrs.gJernigan'sgcaregisgconfidentia l.gAnswer: A PagegRef:g198 LO: 3.gDescribegthegnursinggassistant'sgrolegingadmissiongproceduresgandgspecial considerationsgforgthegpatientgbeinggadmittedgtogaglong-termgcaregfacility.

3) Mrs.gJernigan'sgsonggoesgintogtheghallgandgbeginsgtogcry.gHegtellsgyougthatghegfeelsgsogbadg aboutgadmittingghisgmothergtogthegnursingghome,gbutghegknowsgshegneedsgmoregcaregthangt hegfamilygcangprovide.gThisgreactiongshows A) Thatgthegsongisgoverlygconcernedgaboutghisgmother'sghealthgcare.

B) Thegson'sgneedgforgmedicationgtogdealgwithgthisgtransition.

C) Agneedgforgcounselinggforgthegfamilygandgthegpatient.

D) Thegmixedgemotionsgthatgfamiliesgoftengexperiencegduringgadmissio n.gAnswer:D PagegRef:g198 LO: 3. gDescribegthegnursinggassistant'sgrolegingadmissiongproceduresgandgspecialgcon

siderationsgforgthegpatientgbeinggadmittedgtogaglong-termgcaregfacility.

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4) Mr.gAlcottgisgscheduledgtogbegtransferredgtogagdifferentgwinggofgthegrehabilitationgfacility.g Whengyouggogtoghelpgpackgupghisgthings,ghegtellsgyougthatghegwillgnotggogtogthegnewgwing.gW hatgshouldgyougdo?

A) HavegMr.gAlcottgcallghisgdoctorgtogprotestgthegmove.

B) CallgMr.gAlcott'sgfamilygandgdiscussghisgrefusalgwithgthem.

C) ExplaingthatgMr.gAlcottghasgnogchoicegbutgtogdogwhatghegisgtoldgtogdo.

D) NotifygyourgsupervisinggnursegofgMr.gAlcott'sgrespons e.gAnswer:D PagegRef:g198-199 LO: 4. gDescribegwhygpatientsgmightgbegtransferred,gandgexplaingthegnursinggassistant'sgrolegingtra

nsfergprocedures.

5) WhengMr.gAlcottgisgtransferredgtogagnewgnursinggunit,gwhatgshouldgthegnursinggassistantgdog toghelp?

A) Callgthegdoctor'sgofficegandgreportgMr.gAlcott'sgnewgroomgnumber.

B) Keepgtrackgofghisgbelongings,gsognothinggisglostgingthegmove.

C) FindgagplacegtogputgMr.gAlcott'sgchartgingthegnewgroom.

D) Allgofgthesegthingsgshouldgbegdon e.gAnswer:B PagegRef:g198-199 LO: 4.gDescribegwhygpatientsgmightgbegtransferred,gandgexplaingthegnursinggassistant'sgrolegin transfergprocedures.

6) Mrs.gStethemghasgangordergforgdischarge.gThegnursegasksgyougtoghelpgherggetgready.gYougwill A) Collectgandgpackgbelongingsgfromgdrawersgandgclosets.

B) Returnganygvaluablesgthatghavegbeengingthegsafe.

C) Assistghergtoggetgdressed.

D) Dogallgofgthesegthings .

Answer: D PagegRef:g200 LO: 5. gDescribegwhatgisginvolvedgingdischargegplanning,gandgexplaingthegnursinggassistant'sgroleging

dischargegprocedures.

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7) Mrs.gStethemgseemsgverygconfusedgaboutgwhengtogtakeghergmedicines,gevengthoughgth egnurseghasgexplainedgallgdischargeginstructionsgtogher.gWhatgshouldgthegnursinggassistantg do?

A) FindgoutgwhengthegmedicinesgaregtogbegtakengandgexplaingitgagaingtogMrs.gStethem.

B) TellgMrs.gStethemgtogcallghergdoctorgaftergsheggetsghome,gtogclarifygwhengtogtakegt hegmedicines.

C) ReportgtogthegnursegthatgMrs.gStethemgisgconfusedgaboutghergmedicines.

D) Saygnothing,gsincegthegpharmacistgwillglabelgthegbottlesgwithgthegcorrectgtimesgtogtakegt hegmedicines.

Answer: CgPagegRef:g2 00 LO: 5.gDescribegwhatgisginvolvedgingdischargegplanning,gandgexplaingthegnursinggassistant'sgroleging dischargegprocedures.

8) Whengyougorientgagnewgpatientgtogthegunit,gitgisgverygimportantgforgthegpatient'sgsafetygth atgyouginstructgthegpatientgabout A) Howgthegtelevisiongworks.

B) Usinggthegcallglight.

C) Firegdrillsgandgsafetyginformation.

D) Howgthegcaregwillgbegpaidgfor.

Answer: BgPagegRef:g1 97 LO: 2.gListgtheggeneralgtasksgofgthegnursinggassistantginghelpinggwithgthesegprocedures.

9) Whengyougassistgwithgagpatientgadmission,gitgisgimportantgtogremembergthat A) Yougaregrepresentinggyourgfacilitygasgyougmakegfirstgimpressionsgongthegpatient.

B) Yougneedgtoghavegthegappropriategequipmentgandgsuppliesgreadygforgthegpatient.

C) Familiesgandgpatientsgoftengfeelgverygstressedgwhengangadmissiongoccurs.

D) Allgofgthegabov egAnswer: D PagegRef:g197 LO: 2.gListgtheggeneralgtasksgofgthegnursinggassistantginghelpinggwithgthesegprocedures.

10) Whengdoesgdischargegplanninggforgagpatientgbegin?

A) Atgthegtimegofgadmission B) Whengthegpatientgdiscussesgdischargegconcerns C) Thegdaygbeforegdischarge D) Thegdaygofgdischarg egAnswer: A PagegRef:g199-200 54g|

LO: 5.gDescribegwhatgisginvolvedgingdischargegplanning,gandgexplaingthegnursinggassistant'sgroleging dischargegprocedures.

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11) Whengyougassistgwithgagpatientgdischarge,gitgisgimportantgtogremembergthat A) Yougaregrepresentinggyourgfacilitygasgyoughelpgcreategaggoodglastinggimpression.

B) Yougmaygneedgtogescortgthegpatientgandghelpgwithgtransportgasgthegpatientgexitsgthegfacility.

C) Patientsgmayghavegconcernsgorgfearsgwhengdischargegoccurs.

D) Allgofgthegabov egAnswer: D PagegRef:g199-200 LO: 5.gDescribegwhatgisginvolvedgingdischargegplanning,gandgexplaingthegnursinggassistant'sgroleging dischargegprocedures.

12) Whichgofgthegfollowinggisgtruegofgang"againstgmedicalgadvice"gdischarge?

A) Onlygthegsupervisinggnursegcangdeterminegwhengagpatientgisgpreparedgforgdischarge.

B) Patientsgcangschedulegtheirgowngdischargegtimegwithgthegnursinggassistant;gtheygdognotgha vegtogwaitgforgagphysician'sgorder.

C) Itgisgwithingagpatient'sgrightsgtogaskgtogbegdischargedgbeforegthegphysiciangthinksgthegpatient gisgready.

D) Itgisgwithingagpatient'sgrightsgtognotgfollowgallgdischargeginstruction s.gAnswer: C PagegRef:g199-200 LO: 1.gDefinegadmission,gt ransfer,WanWdWd.iscThBarSgeMp.roWcSeduresgandgexplain gthegeffectsgofgdiagnosis-relatedggroupsg(DRGs)gongthesegprocedures.

13) Whengagpatientghasgagsuddengillnessgorginjury,gthegpatientgmaygbegadmittedgtog forgtreatment.

A) aglong-termgcaregfacility B) angacutegfacilitygorghospital C) homeghealthgcare D) rehabilitation gAnswer: BgPagegRef:g196 LO: 1. gDefinegadmission,gtransfer,gandgdischargegproceduresgandgexplaingthegeffectsgofgdia

gnosis-relatedggroupsg(DRGs)gongthesegprocedures.

14) PatientsgwithgpermanentgdisabilitiesgcangnoglongergmanagegtheirgADLsgindependentlyg atghome.gTheygmaygbegadmittedgtog forgongoinggcare.

A) aglong-termgcaregfacility B) angacutegfacilitygorghospital C) homeghealthgcare D) rehabilitation gAnswer:

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AgPagegRef:g196 LO: 3.gDescribegthegnursinggassistant'sgrolegingadmissiongproceduresgandgspecialgcon siderationsgforgthegpatientgbeinggadmittedgtogaglong-termgcaregfacility.

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15) Patientsghavegphysical,gemotional,gsocial,gandgspiritualgneedsgwhengadmittedgtogtheghealt hgcaregsystem.gThegnursinggassistant'sgresponsibilitiesginclude A) Observinggpatientsgcarefullygandgknowinggwhengtogreportgconcernsgtogthegnurse.

B) Beinggawaregofgthegstressgofgillnessgongpatientsgandgfamilies.

C) Treatinggpatientsgandgfamiliesgwithgkindness,gcourtesy,gandgrespect.

D) Allgofgthesegthings .

Answer: D PagegRef:g197 LO: 3.gDescribegthegnursinggassistant'sgrolegingadmissiongproceduresgandgspecialgcon siderationsgforgthegpatientgbeinggadmittedgtogaglong-termgcaregfacility.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg12 ThegPatient'sgEnvironment 1) Whichgofgthegfollowinggactionsgshouldgthegnursinggassistantgtakegtogcontrolgodorsgingt hegpatient'sgenvironment?

A) Applygscentedglotiongtogthegpatient'sgskingeverygtwoghours.

B) Removegandgdiscardgwastesgasgsoongasgpossible.

C) Usegairgfreshenergspraysgingbathroomsgoftengtogeliminategodors.

D) Weargperfumegorgcolognegeverygdaygatgwor k.gAnswer: B PagegRef:g205 LO: 2.gExplainghowgnursinggassistantsgcangmakegagpatient'sgenvironmentgcomfortablegandgsafe.

2) Togshowgrespectgforgpatientsgandgtheirgbelongings,gitgisgbestgto A) Putgpersonalgitemsgoutgofgsight,gsogtheygwillgnotgbegbrokengorgstolen.

B) Askgtogbegshowngwhichgbelongingsgaregmostgvaluable.

C) Arrangegthegpatient'sgbelongingsgthegwaygyougwouldgwantgthemgarranged.

D) Leavegpersonalgitemsgwheregtheygaregunlessgyougaregaskedgtogmovegthe m.gAnswer: D PagegRef:g205 LO: 2. gExplainghowgnursinggassistaWntWsgWca.ngTmBakSeMag.p aWt iSe n t ' s genvironmentgcomfortablegandgs

afe.

3) Whygisgitgimportantgthatgthegbottomgsheetsgaregwrinkle-freegwhengthegpatient'sgbedgisgmade?

A) Wrinklesgingthegsheetsgcangcauseglinesgongthegpatient'sgskin.

B) Thegbedglooksgneatergwhengtheglinensghavegmiteredgcornersgandgnogwrinkles.

C) Ifgwrinklesgaregpresent,gitgmeansgthegbedgwasgmadegimproperly.

D) Wrinklesgingthegsheetsgcangcausegpressureginjurie s.gAnswer: D PagegRef:g205 LO: 3.gListgtheggeneralgrulesgofgbedmaking.

4) Thegpolicygatgyourgfacilitygisgtogchangegthegbedglinensgeverygothergday.gMr.gColeridge'sglinens gweregchangedgyesterday,gbutgyougnoticegdriedgbloodgongthegbottomgsheet.gWhatgshouldgyougd o?

A) Placegagdrawgsheetgovergthegblood,gsogitgisn'tgnoticeable.

B) Trygtogwashgthegbloodgoutgwithgagsoapygwashcloth.

C) Leavegthegsheetgingplace.

D) Changegthegsheets,gandgreportgthegbloodgtogyourgsupervisinggnurs e.gAnswer:D PagegRef:g205 LO: 3.gListgtheggeneralgrulesgofgbedmaking.

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5) Whengyougmakegagbedgwhilegthegpatientgisgstillgingit,gthegbedmakinggmethodgisgcalledga(n) A) Closedgbed.

B) Occupiedgbed.

C) Opengbed.

D) Unoccupiedgbed.

Answer: B PagegRef:g206,g209-210 LO: 6.gMakegangoccupiedgbed.

6) YougaregaskedgtogmakegangoccupiedgbedgforgMr.gLawrence.gHegisgturnedgontoghisgleftgsi de.gWhatgshouldgyougdogtogensureghisgsafetygwhilegyougmakegthegbed?

A) TurngMr.gLawrencegontoghisgbackgforgthegprocedure.

B) RaisegthegsidegrailgnextgtogMr.gLawrence.

C) AssistgMr.gLawrencegtogagchairgwhilegyougquicklygchangeghisgbedglinens.

D) Standgatgthegsidegofgthegbed,gsogMr.gLawrencegwillgnotgfallgo ut.gAnswer: B PagegRef:g206 LO: 6.gMakegangoccupiedgbed.

7) Whichgofgthegfollowinggitemsgshouldgbegkeptgatgthegpatient'sgbedsidegwithingthegpatient's reach?

A) Tissuegandgstraws B) Freshgwatergandgice C) Thegcallgsignalgandgtelephon e D) Allgofgthesegitem sgAnswer: D PagegRef:g205 LO: 1.gListgthegfurnituregandgequipmentgcommonlygfoundgingagpatient'sgunit.

8) Yougaregaskedgtogmakegagsurgicalgbed.gAtgwhatgheightgwillgyougleavegthegbedgwhengyougfini shgthegtask?

A) Theglowestgposition B) IngFowler'sgposition C) Theghighestgposition D) Thegsamegheightgasgagstretche rgAnswer: D PagegRef:g206,g210-211 LO: 7.gMakegagsurgicalgbed.

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9) Agbedgthatghasgthegtopglinensgfoldedgbackgforgthegpatientgtoggetgingeasilygisgcalledga(n) A) Occupiedgbed.

B) Closedgbed.

C) Surgicalgbed.

D) Opengbed. gAnswer: DgPagegRef:g2 06 LO: 3.gListgtheggeneralgrulesgofgbedmaking.

10) Agbedgthatgisgmadegwithgthegcoversgtogthegtopgisgcalledga(n)g .gThisgbedgisgmadegafte rgagpatientgisgdischarged,gsogitgwillgstaygcleanguntilgagnewgpatientgisgadmitted.

A) Occupiedgbed.

B) Surgicalgbed.

C) Closedgbed.

D) Opengbed. gAnswer: CgPagegRef:g2 06 LO: 4.gandg5.gMakegagclosedgbedgandgopengagclosedgbed.

11) PatientgunitsgingtheglongtermgcaWreWsWet.tiTngBloSoMkg.d i Wff eSr e n t gfromgacutegcaregenvironmentsgbeca use A) Thegroomgmaygincludegmoregpersonalgitems,gasgthisgisgthegresident'sghome.

B) Thegroomgwillgneedgmoreghealth-relatedgequipment.

C) Standardgprecautionsgaregnotgusedginglong-termgcare.

D) Highintensityglightsgaregusedgforgproceduresgandgsafety.gAnswe r: A PagegRef:g204 LO: 1.gListgthegfurnituregandgequipmentgcommonlygfoundgingagpatient'sgunit.

12) Whichgofgthegfollowinggactionsgshouldgthegnursinggassistantgtakegtogpromotegagcomfortab legpatientgenvironment?

A) Adjustgroomgtemperaturegbasedgongpatientgpreference.

B) Alwaysgknockgongthegdoorgbeforegenteringgthegpatient'sgroom.

C) Avoidgloudgtalking,gandghandlegequipmentgquietly.

D) Allgofgthegabovegaction sgAnswer: D PagegRef:g205 LO: 2.gExplainghowgnursinggassistantsgcangmakegagpatient'sgenvironmentgcomfortablegandgsafe.

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13) Whichgofgthegfollowinggmustgalwaysgbegwithingreachgofgthegpatientgforgthegpatient'sgsafety?

A) Callglight B) Bedpan C) Emesisgbasin D) UrinalgAn swer: A PagegRef:g204-205 LO: 1. gandg2.gListgthegfurnituregandgequipmentgcommonlygfoundgingagpatient'sgunitgandgexplaingho

wgnursinggassistantsgcangmakegagpatient'sgenvironmentgcomfortablegandgsafe.

14) YougaregcaringgforgMr.gMontgomery,gagpatientgongthegneurologygunitgwhoghasgjustghadgagst rokegaffectingghisgrightgside.gForghisgsafety,gwheregshouldgyougputgthegcallglightgandghisgmobilit ygequipment?

A) Onghisgrightgside B) Onghisgleftgside C) Withingreachgofghisgfamilygmembers D) Atgthegfootgofghisgbe dgAnswer: B PagegRef:g205 LO: 2.gExplainghowgnursinggassistantsgcangmakegagpatient'sgenvironmentgcomfortablegandgsafe.

15) Whichgofgthegfollowinggactionsgisgimportantgforgthegnursinggassistantgtogremembergwh engmakinggangoccupiedgbed?

A) Usegagbathgblanketgtoghonorgthegpatient'sgprivacygandgkeepgthegpatientgwarmgduringgt hegprocedure.

B) Makegsuregthegbottomgsheetgisgsmoothgandgfreegofgwrinkles.

C) Weargglovesgandgcarrygdirtyglinensgawaygfromgyourguniform.

D) Allgofgthegabovegaction sgAnswer: D PagegRef:g209-210 LO: 6.gMakegangoccupiedgbed.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg13 HygienegandgGrooming 1) Whilegyougaregprovidinggdailyghygienegandggroominggcaregforgpatients,gyougshould A) Performgallgofgthegcare,gsogtheygcangsavegtheirgenergy.

B) Observegtheirgskingcondition,gmouth,gscalp,ghair,gandgnails.

C) Talkgaboutgyourgfamilygproblemsgwithgthem.

D) Clipgtheirgfingernailsgandgtoenailsgeachgdaygaftergthegbat h.gAnswer:B PagegRef:g217 LO: 1.gExplaingthegnursinggassistant'sgrolegingmeetinggpatients'gdailyghygienegneeds.

2) Agpatient'sgpersonalghygienegneedsgandgpracticesgareginfluencedgby A) Culturegandglifestyle.

B) Personalgchoicegandgpreferences.

C) Economicgconsiderations.

D) Allgofgthegabove .

Answer: D PagegRef:g215 LO: 1.gExplaingthegnursinggassistant'sgrolegingmeetinggpatients'gdailyghygienegneeds.

3) WhileggivinggMrs.gBettinigagbath,gyougnoticegthatgsheghasgrednessgundergeachgbreast.gWhat willgyougdo?

A) Applygpowdergtogthegredgareasgandgcheckgthemgdaily.

B) Rubgthegareasgwithgthegtowel,gtogbegsuregtheygaregcompletelygdry.

C) Applyglotiongtogthegredgareas,gbecausegtheygaregduegtogdrygskin.

D) Notifygyourgsupervisinggnursegofgyourgobservation s.gAnswer: D PagegRef:g217 LO: 2. gDescribegthegdifferentgtypesgofgbathsgnursinggassistantsggivegpatientsgorgassistgthemgwit

h,gandgdiscussgtheggeneralgconsiderationsgforgbathinggandgshampooing.

4) Mrs.gKandaghasghadgagstroke.gHergleftgsidegisgparalyzed.gHowgwillgyougassistghergwithgputti nggonghergblouse?

A) Buttongthegblousegandgputgitgongovergherghead.

B) Putgthegsleevegofgthegblousegongthegrightgarmgfirst.

C) Putgthegsleevegofgthegblousegonghergleftgarmgfirst.

D) Putgbothgarmsgingthegsleevesgatgthegsamegtim e.gAnswer:C PagegRef:g217 LO: 3.gExplaingthegnursinggassistant'sgrolegingassistinggthegpatientgtogdressgandgundress.

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5) YougareggivinggagbedgbathgtogMr.gDonnelly.gWhengshouldgyougchangegthegwatergingthegbasin?

A) Ifgthegwatergbecomesgdirty B) Aftergwashinggthegfeet C) Ifgthegwatergbecomesgtoogsoapy D) Allgofgthegabov egAnswer: D PagegRef:g218-221 LO: 2.gandg4.gDescribegthegdifferentgtypesgofgbathsgnursinggassistantsggivegpatientsgorgassistgthe mgwith,gandgdiscussgtheggeneralgconsiderationsgforgbathinggandgshampooinggandggivegagco mpletegandgpartialgbedgbath,gassistgwithgagtubgbathgorgshower,gandggivegagbedgshampoo.

6) Whengyougassistgagpatientgwithgagtubgbathgorgshower,gyougmust A) Remaingwithgthegpatientgatgallgtimes,gforgsafety.

B) Providegprivacygbygleavinggthegroom.

C) Askgthegpatientgtogpullgthegemergencyglightgwhengfinished.

D) Lockgthegbathroomgdoor,gtogpreventgembarrassmen t.gAnswer: A PagegRef:g221 LO: 2.gandg4.gDescribegthegdifferentgtypesgofgbathsgnursinggassistantsggivegpatientsgorgassistgthe mgwith,gandgdiscussgtheggeneralgconsiderationsgforgbathinggandgshampooinggandggivegagco mpletegandgpartialgbedgbath,ga ss i sWtgWwWith.aTtBubSbMat.hWorSshower,gandggive gagbedgshampoo.

7) Howgwouldgyougprovidegoralgcaregforgpatientsgwhogaregunconscious?

A) Weargglovesgandgagmaskgwhilegbrushinggtheirgteeth.

B) Cleangthegteeth,glips,gandggumsgwithgagswabgdippedgingagspecialgsolutiongorgagprepar edgapplicator.

C) Brushgthegteethgwithgmouthwashgandgrinsegwithgcleargwater.

D) Brushgthegteethgwithgtoothpastegandgagsoftbristlegbrush.gAnswer:B PagegRef:g225-226 LO: 5.gandg6.gExplaingthegpurposesgofgoralghygienegandgassistgpatientsgwithgroutinegoralghy gienegandgprovidegoralghygienegforgunconsciousgpatients.

8) Whichgofgthegfollowinggshouldgyougdogwhengyougaregcleaninggagpatient'sgdentures?

A) Gogtogthegcleangutilitygroomgtogcompletegthisgprocedure.

B) Useghotgwatergtogthoroughlygrinsegawaygbacteria.

C) Usegstandardgprecautions.

D) Fillgthegsinkgwithgwatergandgletgthegdenturesgsoakgforg15gminute s.gAnswer: C PagegRef:g225 64g|

LO:

7.gandg8.gExplaingthegnursinggassistant'sgrolegingdenturegcaregandgassistgwithgdenturegcare.

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9) Whengyougshavegagpatientgwithgagsafetygrazor A) Startgbelowgthegnosegandgshavegupward.

B) Shavegingthegdirectiongthatgthegfacialghairsggrow.

C) Weargaggowngandggloves.

D) Shavegfromgthegjawlinegupwardgtowardsgthegsideburn s.gAnswer: B PagegRef:g227-228 LO: 9.gandg10.gDescribegthegbenefitsgofgandgguidelinesgforgthegdailygshavinggofgpatientsgandgass istgwithgshavinggagmalegpatient.

10) Whatgisgthegnursinggassistant'sgresponsibilitygregardinggpatients'geyeglasses?

A) Sendgthemgtogthegopticiangwhengtheygneedgtogbegcleaned.

B) Begsuregthatgthegprescriptiongisgcorrectgforgthegpatient'sgeyes.

C) Keepgthemgcleangandgwithingeasygreachgofgthegpatient.

D) Labelgthemgwithgthegpatient'sgnamegandgroomgnumbe r.gAnswer: C PagegRef:g232 LO: 17.gExplaingthegnursinggassistant'sgresponsibilitiesgforgpatients'geyeglassesgandghearinggaids .

11) WhengassistinggagpatientgwithgbaWtWhinWg.,gtTheBwSaMte.rgWteSmperature A) Isgagmaximumgofg100-110gdegreesgF,gtogpreventgscalding.

B) Isgasghotgasgthegnursinggassistantgcangtolerate.

C) Isgkeptgcool,gtoghelpgwithginflammation.

D) Isgcold,gtogmakegthegprocessggogquickl y.gAnswer: A PagegRef:g217 LO: 4.gGivegagcompletegandgpartialgbedgbath,gassistgwithgagtubgbathgorgshower,gandggivegagbedgsh ampoo.

12) Whilegyougaregprovidinggdailyghygienegandggroominggcaregforgpatients,gmaintaininggdigni tygandgencouraginggindependencegsupportgwhichghumangneedgofgMaslow'sghierarchy?

A) Physiological B) Safetygandgsecurity C) Self-esteem D) SelfactualizationgAnswe r: C PagegRef:g215 LO: 1.gExplaingthegnursinggassistant'sgrolegingmeetinggpatients'gdailyghygienegneeds.

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13) Whichgofgthegfollowinggisgangimportantgstepgtogremembergbeforegstartinggagpatient'sgb edgbath?

A) Gathergallgsuppliesgandgplacegeverythinggyougneedgongthegoverbedgtable.

B) Raisegthegbedgtogagcomfortablegworkinggheight.

C) Putgongglovesgandgusegstandardgprecautions.

D) Allgofgthegabovegaregimportantgstep s.gAnswer: D PagegRef:g218-221 LO: 4.gGivegagcompletegandgpartialgbedgbath,gassistgwithgagtubgbathgorgshower,gandggivegagbedgsh ampoo.

14) Whichgofgthegfollowinggisgappropriategregardinggassistinggaglongtermgcaregresidentgwithgdressing?

A) Assistgwithgputtinggongmanyglayersgofgclothing,gtogkeepgthegresidentgwarm.

B) Alwaysgselectgthegresident'sgclothinggforgthegday,gtogmakegsuregitgmatches.

C) Ensuregthatgclothinggisgappropriategforgthegweathergandgenvironment.

D) Keepgthegresidentgingpajamas,gasgmanyglongtermgcaregresidentsgsleepgduringgthegday.gAnswer: C PagegRef:g218 LO: 3.gExplaingthegnursinggassistant'sgrolegingassistinggthegpatientgtogdressgandgundress.

15) Whichgofgthegfollowinggisgthegappropriategregardinggshampooinggagpatient'sghair?

A) Schedulegthegpatientgtogseegthegpatient'sgowngbarbergorgbeautician,gasghairgcaregisgnotgingt hegnursinggassistant'sgjobgduties.

B) Alwaysgwashgthegpatient'sghairgdaily,gtogpromotegcleanliness.

C) Protectgthegpatient'sgeyesgandgearsgwhilegshampooing.

D) Selectghairgcaregproductsgforgthegpatientgbasedgongyourgpreference s.gAnswer: C PagegRef:g223-224 LO: 11.gandg12.gDescribegthegbenefitsgofgandgguidelinesgforgdailyghairgcaregandgassistgwithghairgcar e.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg14 SpecialgSkingCare 1) Whichgofgthegfollowinggisgnotgagcausegofgpressureginjuries?

A) Lossgofgcirculation B) Cleanliness C) Friction D) ShearinggA nswer: BgPagegRef:g2 36 LO: 1.gListgtheggroupsgofgpatientsgmostgcommonlygaffectedgbygpressureginjuriesgandgthegfactorsgtha tgcontributegtogsuchginjuries.

2) Agpressuregpointgisgangareagthat A) Bearsgthegbody'sgweightgwhengthegpatientgisglyinggorgsitting.

B) Cannotgbegwashedgorgmassagedgduringgagbath.

C) Isgtendergtogtouchgaftergexercise.

D) Isgatgriskgforgskingirritationgduegtogperspirationgorgincontinenc e.gAnswer:A PagegRef:g237 LO:

2.gExplaingwheregpressureginjuWriWesWu.suTalBlySfoMrm..WS

3) Whichgofgthegfollowinggbodygsitesgisgnotgagpressuregpoint?

A) Shouldergblades B) Breasts C) Toes D) ElbowsgAn swer: BgPagegRef:g2 37 LO: 2.gExplaingwheregpressureginjuriesgusuallygform.

4) WhengyougbathegMrs.gJeffers,gyougnoticegagwarm,gredgareagonghergleftgankle.gAtgthegendgofgt hegbath,goverg30gminutesglater,gthegareagisgstillgred.gThisgredgareagis A) Definitelygagstageg2gpressureginjury.

B) Commongingbedboundgpatients,gandgwillgeventuallyggogaway.

C) Probablygagstageg1gpressureginjury,gandgneedsgtogbegreportedgtogthegsupervisinggnurse.

D) Duegtoghergpositioning,gandgisgnothinggtogbegconcernedgabou t.gAnswer: C PagegRef:g237-238 LO: 3.gDescribegthegfourgstagesgofgskingbreakdowngandglistgcommongtreatmentgmethods.

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5) Agnewgpatientgisgadmittedgwithgagstageg4gdecubitusgulcer.gWhengyouglookgatgtheginjury,gy ougwillgexpectgtogsee A) Agveryglargegredgareagthatgisghotgtogtouch.

B) Skingsurfacegerodedgsogdeeplygthatgmusclegandgbonegcangbegseen.

C) Broken,greddenedgskingwithgblisters.

D) Agdeepgcratergwithgscabbinggandgpu s.gAnswer: B PagegRef:g237 LO: 3.gDescribegthegfourgstagesgofgskingbreakdowngandglistgcommongtreatmentgmethods.

6) Howgaregpressureginjuriesgtreated?

A) Thegskingaroundgthegaffectedgareagisgmassaged.

B) Allgpressuregisgremovedgfromgthegarea.

C) Brokengskingisgkeptgcovered.

D) Allgofgthegabov egAnswer: D PagegRef:g238 LO: 5.gListgthegequipmentgandgmethodsgusedgtogpreventgorghelpghealgpressureginjuries.

7) Togpreventgpressureginjuriesgfromgforming,gthegnursinggassistantgshould A) Repositiongbed-confinedgpatientsWeWveWry.fTouBrShoMu.rsW.g S B) Repositiongbed-confinedgpatientsgatgleastgeverygtwoghours.

C) Makegsuregeverygpatientgisgoutgofgbedgforgtwoghoursgeachgday.

D) Positiongeachgbedconfinedgpatientgingagsittinggpositiongforgfourghours.gAnswer: B PagegRef:g238-239 LO: 4.gIdentifygwaysgnursinggassistantsgcanghelpgtogpreventgpatientsgfromggettinggpressureginju ries.

8) Togpreventgpressureginjuriesgfromgforming,gthegnursinggassistantgshould A) Rubgskingdrygaftergwashinggthegperinealgarea,gtogpreventgmoisturegbuildup.

B) Changegincontinencegbriefsgasgsoongasgtheygbecomegwet.

C) Leavegbedpansgingplacegundergincontinentgpatients,gtogcatchgurinegorgbowelgmovement.

D) Allgofgthegabov egAnswer: B PagegRef:g238-239 LO: 4.gIdentifygwaysgnursinggassistantsgcanghelpgtogpreventgpatientsgfromggettinggpressureginju ries.

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9) Agdevicegtoghelpgpreventgpressureginjuriesgthatgcontainsgairgchambersgthatgaregconstant lygbeingginflatedgandgdeflatedgisgcalledga(n) A) Gel-filledgflotationgpad.

B) Alternatinggpressuregmattress.

C) Specialtygbed.

D) Egg-crategmattress.

Answer: B PagegRef:g239 LO: 4.gIdentifygwaysgnursinggassistantsgcanghelpgtogpreventgpatientsgfromggettinggpressureginju ries.

10) Patientsgwhogmostgcommonlygdevelopgpressureginjuriesgaregthosegwhogare A) Verygthin.

B) AblegtogperformgtheirgADLsgindependently.

C) Ablegtogtransfergwithgassistance.

D) Young.gAn swer: AgPagegRef:g2 36 LO: 1.gListgtheggroupsgofgpatientsgmostgcommonlygaffectedgbygpressureginjuriesgandgthegfactorsgtha tgcontributegtogsuchginjuries.

11) Pressureginjuriesgaregoftengdescribedgusinggwhichgofgthegfollowinggterms?

A) Decubitusgulcersgorgpressuregulcers B) Skingbreakdown C) Bedsoresgorgpressuregsores D) Allgofgthegabov egAnswer: D PagegRef:g236 LO: 1. gListgtheggroupsgofgpatientsgmostgcommonlygaffectedgbygpressureginjuriesgandgthegfactorsgtha

tgcontributegtogsuchginjuries.

12) Togpreventgpressureginjuriesgfromgforming,gthegnursinggassistantgshould A) Liftgorgrollgwhengrepositioninggpatients,gtogpreventgshearinggskin.

B) Makegsuregclothinggandgshoesgfitgproperlygandgaregnotgconstricting.

C) Makegsuregpatientsgareggettinggadequategfluidsgandgnourishment.

D) Allgofgthegabov egAnswer: D PagegRef:g238-239 LO: 70g|

4.gIdentifygwaysgnursinggassistantsgcanghelpgtogpreventgpatientsgfromggettinggpressureginju ries.

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13) Pressureginjuriesgmaygdevelopgwheregbodygpartsgrubgtogether.gSkingbreakdowngisgagriskgf orgobesegpatients,gespecially A) Betweengfoldsgofgthegabdomen.

B) Betweengbuttocksgandgthighs.

C) Undergthegbreasts.

D) Ingallgofgthegabovegareas .gAnswer: D PagegRef:g237 LO: 1. gandg2.gListgtheggroupsgofgpatientsgmostgcommonlygaffectedgbygpressureginjuriesgandgthegfac

torsgthatgcontributegtogsuchginjuriesgandgexplaingwheregpressureginjuriesgusuallygform.

14) Agnewgpatientgisgadmittedgwithganginfectiongduegtogagstageg3gpressureginjury.gWhengyouglo okgatgtheginjury,gyougwillgexpectgtogsee A) Agdeepgcratergwithgscabbinggandgpus.

B) Agveryglargegredgareagthatgisghotgtogtouch.

C) Skingsurfacegerodedgsogdeeplygthatgmusclegandgbonegcangbegseen.

D) Broken,greddenedgskingwithgblisters .gAnswer: A PagegRef:g237 LO: 3.gDescribegthegfourgstagesgofgskingbreakdowngandglistgcommongtreatmentgmethods.

15) Whatgisgthegmostgimportantgelementgingthegmanagementgofgpressureginjuries?

A) Allgmembersgofgtheghealthgcaregteamgshouldgtakegstepsgtogpreventgpressureginjuries.

B) Standardgprecautionsgaregusedgforgallgpatientgskingcare.

C) Preventiongdevicesgaregonlygusedgwhengagstageg3gorg4ginjurygisgpresent.

D) Onlygpatientsgwithgriskgfactorsgcangdevelopgpressureginjurie s.gAnswer: A PagegRef:g238 LO: 4. gIdentifygwaysgnursinggassistantsgcanghelpgtogpreventgpatientsgfromggettinggpressureginju

ries.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg15 Nutrition 1) AccordinggtogthegMyPlategfoodgicon,gwhatgportiongofgthegplategshouldgbegservingsgfromgt hegvegetablegandgfruitggroups?

A) 1/4gplate B) 1/3gplate C) 1/2gplate D) 3/4gplate gAnswer: C PagegRef:g244-245 LO: 1.gExplaingwhyggoodgnutritiongisgimportantgforgallgpeople.

2) Thegbodygneedsgproteinsgto A) Regulategbodygfluids.

B) Providegagconcentratedgformgofgenergy.

C) Providegtheggreatestgamountgofgenergy.

D) Growgandgrepairgtissues .gAnswer: D PagegRef:g245 LO:

2.gIdentifygthegfourgmajorgtypeWsWofWn.utTriBenStsM.g .WS

3) Whichgofgthegfollowinggisgnotgagwaygwaterghelpsgmaintainghealth?

A) Itgmakesgbonesgstronggandghard.

B) Itgregulatesgbodygtemperature.

C) Itgmakesgupgmostgofgthegbloodgplasma.

D) Itgaidsgingdigestion .

Answer: A PagegRef:g246 LO: 2.gIdentifygthegfourgmajorgtypesgofgnutrients.

4) Whengbonesghaveglostgdensity,gbecomegbrittle,gandgfracturegeasily,gthegconditiongisgcalled A) Anorexia.

B) Osteomyelitis.

C) Osteoporosis.

D) Anemia.gA nswer: CgPagegRef:g2 47 LO: 3.gIdentifygsignsgofggoodgandgpoorgnutrition.

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5) Thegmostgcommongtypegofganemiagisgcausedgbyglackgofgwhichgnutrientgingthegdiet?

A) Calcium B) VitamingD C) Protein D) IrongAnsw er: DgPagegRef:g2 47 LO: 3.gIdentifygsignsgofggoodgandgpoorgnutrition.

6) Whichgofgthegfollowinggwouldgthegnursinggassistantgdogtogbegsuregthatgthegcorrectgpatie ntgreceivesgthegcorrectgfood?

A) Askgthegsupervisinggnursegifgthisgisgthegcorrectgtraygforgthegpatient.

B) Askgthegpatientgifgthegfoodgongthegtraygisgwhatgthegpatientgorderedgforgthatgmeal.

C) Checkgthegnamegongthegmenugcardgagainstgthegpatient'sgidentificationgbraceletgwh engdeliveringgthegtray.

D) Allgofgthesegaregacceptable .gAnswer: C PagegRef:g248 LO: 7.gServegfoodgtogpatients.

7) Mr.gLandongisgvisuallygimpaired.gHWoWwWca.nTyBouShMel.pWhiSmgknowgtheglocati ongofgthegfoodgonghisgplate?

A) Usegthegnumbersgongagclockgfacegtogexplaingtheglocationgofgthegfood.

B) Feedghimgallgofgonegfoodgbeforegfeedingghimganothergfood.

C) Helpghimgfeedghimselfgeachgitemgofgfoodgwithghisgfingers.

D) Usegaglargegmagnifyinggglassgtoghelpghimgseegthegfoodgonghisgplat e.gAnswer:A PagegRef:g248-249 LO: 7.gandg8.gServegfoodgtogpatientsgandgfeedgdependentgpatients.

8) Mr.gLewellyngtellsgyougthatghegdoesgnotgwantgtogeatgthegchocolategcakegonghisglunchgtrayga ndgoffersgitgtogyou.gChocolategcakegisgonegofgyourgfavoritegfoods.gWhatgshouldgyougdo?

A) Thankghim,gbutgexplaingthatgthegcakegisgforghimgtogeat,gnotgyou.

B) EatghalfgofgthegcakegandggetgMr.gLandongtogeatgthegotherghalf.

C) Savegthegcakegingyourglockergandgeatgitgaftergwork.

D) EatgthegcakegandgrecordgthatgMr.gLandongategallgofghisgfoo d.gAnswer:A PagegRef:g248 LO: 7.gServegfoodgtogpatients.

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9) Mrs.gBallentineghasgbeenghospitalizedgforgkidneygdiseasegandghasgbeengprescribedgaglowgsodiumgdiet.gWhengthegnursinggassistantgbringsgingherglunchgtray,gMrs.gBallentinegsaysg"Takegt hatgtastelessgfoodgaway."gWhatgshouldgthegnursinggassistantgdo?

A) Leavegthegfoodgatghergbedside,gingcasegsheggetsghungryglatergingthegday.

B) Removegthegfoodgandgreportghergrefusalgtogthegsupervisinggnurse.

C) Removegthegfoodgandgsaygnothing;gsheghasgagrightgtogrefusegfood.

D) Insistgthatgshegeatgsixgbitesgofghergentreegbeforegtakinggthegtraygawa y.gAnswer: B PagegRef:g247,g251 LO: 4.gandg7.gDescribegthegpurposesgofgagtherapeuticgdietgandgservegfoodgtogpatients.

10) Mrs.gBergdorfgisgongintakegandgoutput.gShegdrankgsixgouncesgofgcoffeegwithghergbreakfa st.gYougofferedghergsupplementalgfluidsgmidmorning,gandgshegdrankgfourgouncesgofgjuice.gHowgmanygmillilitersgwillgyougrecordgasgintak egforgher?

A) 12gml B) 300gml C) 360gml D) 180gml Answer: B PagegRef:g251-252 LO: 9.gandg11.gDescribegthegnursinWggWasWsi.staTnBt'sSrMol.egWin Sprovidinggsupplementar ygfoodgandgfluidsgtogpatientsgandgmeasuregandgrecordgfluidgintakegandgoutput.

11) Mr.gValentinegreceivesgallgofghisgnourishmentgthroughgaggastrostomygtube.gHegcannotgeatg orgdrinkganythinggbygmouth.gWhichgofgthegfollowinggshouldgthegnursinggassistantgdogforghim?

A) Avoidggivinggoralgcare,gsinceghegcan'tgeatgorgdrink.

B) Administerghisgtubegfeedingsgduringgmealtime.

C) Giveghimgicegchipsgtogchewgon.

D) Reportganygnauseagorgvomitinggimmediately .gAnswer: D PagegRef:g252-254 LO: 12.gIdentifygalternativegmethodsgusedgtogfeedgpatientsgandgdescribegthegnursinggassistant'sgrol egingthesegfeedings.

12) Whichgofgthegfollowinggisgnotgagsigngofggoodgnutrition?

A) Excessivegbodygweight B) Healthygappetite C) Regulargeliminationghabits D) Cleargskingandgbrightgeye sgAnswer: A PagegRef:g246-247 LO: 3.gIdentifygsignsgofggoodgandgpoorgnutrition.

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13) Mr.gandgMrs.gDeardorffghavegjustgmovedgintogaglongtermgcaregcommunity.gTheygaregencouragedgbygthegstaffgtogchoosegtheirgpreferredgtimegtogeatg meals,gandgaregablegtogselectgtheirgfoodgfromgagmenugofgvariedgchoices.gThisgtypegofgnutritiong plangisgdescribedgasga A) High-caloriegdiet.

B) High-proteingdiet.

C) Liberalizedgdiet.

D) Therapeuticgdiet.

Answer: C PagegRef:g247-248 LO: 5.gDescribegthegpurposesgofgagliberalizedgdiet.

14) Whichgofgthegfollowinggisgthegappropriategapproachgtogpreparegpatientsgforgmealtime?

A) Ensuregthatgpatientsghavegthegopportunitygtoggogtogbathroomgbeforegeating.

B) Havegpatientsgcleansegtheirghandsgbeforegmealsgaregserved.

C) Adjustgthegpatients'gpositiongsogtheygaregcomfortable– raisegthegheadgofgthegbedgorghelpgtransfergtogagchair.

D) Allgofgthegabovegaregcorrect .gAnswer: D PagegRef:g248 LO: 6.gDescribeghowgtogpreparegpatientsgforgmealtime.

15) Whichgofgthegfollowinggisgthegcorrectgdefinitiongofgedema?

A) Agfluidgimbalancegthatgoccursgwhengtheregisginsufficientgintake B) Swellinggofgtissuesgthatgoccursgwhengintakegexceedsgoutput C) Agconditiongcausedgbygprolongedgvomitinggorgdiarrhea D) Whengagphysicianghasgorderedgforcedgfluidsgforgagpatie ntgAnswer: B PagegRef:g251 LO: 10.gExplaingthegprinciplesgofgfluidgbalancegandgconditionsgthatgindicategagfluidgimbalance.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg16 EliminationgNeeds 1) Thegnursinggassistantgcanghelpgpatientsgmaintaingnormalgeliminationgby A) Encouragingggoodgfluidgintake.

B) Encouraginggasgmuchgactivitygasgpossible.

C) Checkinggeverygtwoghoursgtogseegifgtheygneedgtoggogtogthegbathroom.

D) Allgofgthegabov egAnswer: D PagegRef:g258 LO: 1. gDescribeghowgthegnursinggassistantgcanghelpgpatientsgmaintaingnormalgeliminationgandglistg

problemsgthatgaffectgnormalgelimination.

2) Whichgofgthegfollowinggmaygcausegdiarrhea?

A) Inactivity B) Infections C) Lackgofgfiber D) Lackgofgfluid sgAnswer: BgPagegRef:g25 9 LO: 1.gDescribeghowgthegnursinggaWssWistWan.tTcaBnShMelp.pWaStientsgmaintaingnormalg eliminationgandglistgproblemsgthatgaffectgnormalgelimination.

3) Mr.gMarconighasgurinarygincontinencegandgwearsgagdisposablegbrief.gWhengyougentergh isgroomgtogseegifgheghasgbeengincontinent,gwhatgshouldgyougsaygtoghim?

A) "Dogyougneedgtoghavegyourgdiapergchanged?"

B) "MaygIgpleasegcheckgtogseegifgyougneedgagchange?"

C) "Havegyougwetgyourself?"

D) "Isgyourgdiapergwetgorgdry? "gAnswer: B PagegRef:g259 LO: 1. gDescribeghowgthegnursinggassistantgcanghelpgpatientsgmaintaingnormalgeliminationgandglistg

problemsgthatgaffectgnormalgelimination.

4) Agmovablegchairgwithgagtoiletgseatgusedgforgeliminationgatgthegbedsidegisga A) Urinal.

B) Fracturegpan.

C) Bedsidegcommode.

D) Bedpan.gA nswer:

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CgPagegRef:g2 62 LO: 3.gAssistgpatientsgwithgusegofgthegurinal,gbedpan,gbedsidegcommode,gandgbathroom.

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5) Mrs.gLevingtongisgfairlygindependent,gbutgneedsghelpgtoggetgontogandgoffgofgthegtoilet.gOn cegshegisgongthegtoilet,gthegnursinggassistantgshould A) Standgingthegbathroomguntilgshegisgfinished,gtoghelpggetghergoffgthegtoilet.

B) Wipegfromgbackgtogfrontgwhengshegisgfinished.

C) Leaveghergifgitgisgsafe,gwithgthegcallgbuttongwithinghergreach.

D) Weargdisposablegglovesgandgaggowngtogassistgwithgperinealgcar e.gAnswer:C PagegRef:g263 LO: 2.gListgthegguidelinesgtogfollowgwhengassistinggpatientsgwithgtoileting.

6) Patientsgwhogmaygneedgfrequentgperinealgcaregaregthosegwho A) Aregincontinent.

B) Havegdiarrhea.

C) Aregfemalesgaftergchildbirth.

D) Allgofgthegabov egAnswer: D PagegRef:g264-265 LO: 4.gProvidegperinealgcare.

7) Agtubeginsertedgintogthegurethragandgleftgingthegbladdergsogurinegcangdraingcontinuouslygis A) AngIVgcatheter.

B) Agcondomgcatheter.

C) AgFoleygcatheter.

D) Agrectalgtube .gAnswer: CgPagegRef:g266 LO: 5.gIdentifygthegtypesgofgurinarygcathetersgandghowgtheygaregused.

8) BecausegagFoleygcathetergputsgthegpatientgatgangincreasedgriskgforginfection,gthegnursi nggassistantgshould A) Keepgthegtubinggbeneathgthegpatient,gsogitgisgnotgexposedgtoggerms.

B) Encouragegadequategfluidgintake,gtogdecreasegriskgofginfection.

C) Avoidgwashinggtheginsertiongsite,gtogpreventgtrauma.

D) Keepgthegdrainagegbagghighergthangtheglevelgofgthegbladdergatgallgtime s.gAnswer: B PagegRef:g266-267 LO: 5. gandg6.gIdentifygthegtypesgofgurinarygcathetersgandghowgtheygaregusedgandgdescribegthegnu

rsinggassistant'sgresponsibilitiesgforgcathetergcare.

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9) WhengyougcheckgongMrs.gYoung,gyougnoticegthatgsheghasgonlyg150gccgofgurineginghergurin arygdrainagegbag.gThisgisgthegsamegamountgthatgwasgingthegdrainagegbaggfourghoursgago.gAft ergcheckinggtogseegthatgthegtubinggdoesgnotghaveganygkinksgorgblockages,gwhatgshouldgyoug do?

A) InformgyourgsupervisinggnursegofgMrs.gYoung'sglackgofgurinarygoutput.

B) Liftgthegdrainagegbaggabovegtheglevelgofgthegbladder,gtoggetgangaccurategmeasurement.

C) TellgMrs.gYounggnotgtogdrinkganygfluidsgforgnow.

D) Allgofgthegabov egAnswer: A PagegRef:g267 LO: 6.gDescribegthegnursinggassistant'sgresponsibilitiesgforgcathetergcare.

10) Whichgofgthegfollowinggproceduresgisgcorrectgforgprovidinggcathetergcare?

A) Cleansegwithgonegalcoholgswabgongthegfargside,gonegswabgongthegneargside,gthengonegdo wngthegmiddle.

B) Cleangthegareagvigorously,grubbinggbackgandgforthgtogremovegbacteria.

C) Cleangaroundgtheginsertiongsite,gthengcleangdownwardgandgawaygfromgthegsite.

D) Disconnectgthegdrainagegbaggwhilegyouggivegcathetergcare,gthengreconnectgi t.gAnswer: C PagegRef:g268 LO: 7.gProvidegcathetergcaregandgemptygthegurinegdrainagegbag.

11) Mr.gCaptainsgisgrecoveringgfromgagfemoralgfracturegandgisgingagcastgandgingtraction.gBecause hegcannotggetgoutgofgbedgorgrollgsidegtogside,gagurinalgandg aregusedgtogassistghimgwithgtoileting.

A) bedpan B) fracturegpan C) bedsidegcommode D) externalgcathete rgAnswer: B PagegRef:g262 LO: 3.gAssistgpatientsgwithgusegofgthegurinal,gbedpan,gbedsidegcommode,gandgbathroom.

12) Angexternalgrubbergsheathgthatgslidesgovergthegpenisgandgisgattachedgtogagdrainagegtube gisgcalled A) AngIVgcatheter.

B) Agcondomgcatheter.

C) AgFoleygcatheter.

D) Agrectalgtube .

Answer: B PagegRef:g266-267 LO: 5.gIdentifygthegtypesgofgurinarygcathetersgandghowgtheygaregused.

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13) Thegnursinggassistantgdrainsghisgpatient'sgurinarygdrainagegbaggjustgbeforegthegendgofghisgs hiftgtogmeasuregaccurategintakegandgoutput.gHegobservesgthatgthegurinegisgdarkgingcolorgandgh asgagverygfoulgodor.gWhatgshouldghegdo?

A) Cleangthegcathetergdraingwithgangantisepticgwipegandgensuregitgisgclosed.

B) Recordgthegurinegoutputgaccuratelygusinggaggraduate.

C) Reportghisgobservationsgtogthegsupervisinggnurse.

D) Allgofgthegabov egAnswer: D PagegRef:g267 LO: 7.gProvidegcathetergcaregandgemptygthegurinegdrainagegbag.

14) Whichgofgthegfollowinggmaygcausegconstipation?

A) Inactivity B) Medications C) Inadequategdietgandgfluids D) Allgofgthegabov egAnswer: D PagegRef:g258 LO: 1. gDescribeghowgthegnursinggassistantgcanghelpgpatientsgmaintaingnormalgeliminationgandglistg

problemsgthatgaffectgnormalgelimination.

15) Thegnursinggassistantgknowsgthatgcorrectlygfollowinggproceduresgforgperinealgandgcatheter caregisgverygimportantgingpreventinggagurinarygtractginfectiong(UTI).gThisgtypegofginfectionginvo lvesgbacteriaginvading A) Anygstructuregofgthegurinarygsystem.

B) Onlygthegurethra.

C) Onlygthegbladder.

D) Onlygtheguretersgandgkidneys .gAnswer: A PagegRef:g266 LO: 1. gDescribeghowgthegnursinggassistantgcanghelpgpatientsgmaintaingnormalgeliminationgandglistg

problemsgthatgaffectgnormalgelimination.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg17 SpecimengCollectiongandgTesting 1) Yougaregcaringgforgagnewlygadmittedgpatientgtogyourgacutegcaregfacility.gThegphysicianghasg orderedgagnumbergofgspecimensgtogbegcollectedgasgpartgofgthegadmissionsgprocedure.gWhichg ofgthegfollowinggbestgdescribesgwhygspecimensgaregordered?

A) Specimensgaregsentgtogtheglaboratorygasgstandardgofgcaregforgeverygpatient.

B) Laboratorygtestsgongspecimensgaregusedgtogguidegthegnursinggassistant'sgcaregplan.

C) Laboratorygtestsgongspecimensgaregusedgtogdiagnosegillnessgandgdecidegongtreatment.

D) Additionalglaboratorygchargesgforgspecimengtestsgaregpaidgforgbyginsuranc e.gAnswer:C PagegRef:g273 LO: 1.gExplaingwhygphysiciansgordergspecimens.

2) Whichgofgthegfollowinggaregtypesgofgspecimensgthatgnursinggassistantsgmaygbegaskedg togcollect?

A) Bloodgandgsputum B) Spinalgfluidgandgurine C) Urine,gstool,gandgsputum D) Urine,gstool,gandgblood Answer: CgPagegRef:g2 73 LO: 2.gListgthegtypesgofgspecimensgnursinggassistantsgmaygbegaskedgtogcollect.

3) Thegnursinggassistantgmustgfollowgwhichgofgthegfollowinggguidelinesgwhengcollecti nggspecimensgfromgpatients?

A) Begaccurategandgfollowgthegcollectiongproceduregaccurately.

B) Fillgoutgthegidentificationglabelgaccuratelygwithgdategandgtimegofgspecimengcollection.

C) Reportgandgrecordgthegspecimengcollection,gnotingganythinggunusualgobserved.

D) Allgofgthegabov egAnswer: D PagegRef:g273-274 LO: 3.gIdentifygthegguidelinesgforgcollectinggspecimens.

4) Collectinggspecimensgrequiresgthegnursinggassistantgtogcomegingclosegcontactgwithgagpatient' sgbodygfluids.gWhichgofgthegfollowinggguidelinesgmustgbegfollowedgforgmedicalgasepsisgandgsaf ety?

A) Standardgprecautions B) OBRAgprecautions C) HIPAAgprecautions D) Fomitegprecaution sgAnswer: A PagegRef:g274 LO: 3.gIdentifygthegguidelinesgforgcollectinggspecimens.

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5) Yougaregaskedgtogobtaingagroutinegurinegspecimengfromgagpatient.gWhatgisgangimporta ntginstructiongthatgthegnursinggassistantgneedsgtoggivegthegpatient?

A) "Pleasegdognotgwashgyourghandsguntilgaftergyougurinategingthegcup."

B) "Pleasegonlygusegthegbedpangtogcatchgyourgurinegspecimen."

C) "Pleasegwritegyourgnamegandgdategofgbirthgongthegurinal."

D) "Pleasegdognotgputgtoiletgpapergingthegspecimengcupgorgurinal ."gAnswer: D PagegRef:g274 LO: 3.gIdentifygthegguidelinesgforgcollectinggspecimens.

6) Asgagnursinggassistant,gyougmaygbegaskedgtogcollectgonegofgfourgtypesgofgurinegspecime ns.gWhichgofgthegfollowinggisgnotgagtypegofgurinegspecimen?

A) Midstream,gclean-catchgurinegspecimen B) Expectoratedgurinegspecimen C) Fresh-fractionalgurinegspecimen D) 24hourgurinegspecimengAns wer: B PagegRef:g274-277 LO: 4.gListgfourgtypesgofgurinegspecimensgandgexplainghowgtheygaregcollected.

7) YougaregaskedgtogobtaingagroutineWuWrinWe.sTpeBciSmMen.fWroSmgagpatien t.gAftergyougopengthegspecimengcontainer,gwhatgwillgyougdogwithgtheglid?

A) Slipgitgintogyourguniformgpocket.

B) Askgthegpatientgtogholdgitguntilgthegspecimenghasgbeengobtained.

C) Holdgitgingyourghandguntilgyoughavegthegurinegspecimen.

D) Laygitgdownglipgsidegup .

Answer: D PagegRef:g274-275 LO: 3.gandg5.gIdentifygthegguidelinesgforgcollectinggspecimensgandgcollectgagroutinegurinegspe cimen.

8) Whatgpersonalgprotectivegequipmentgshouldgyougweargwhengobtaininggagroutineguri negspecimen?

A) Disposableggloves B) Aggowngandgfacegmask C) Goggles,gingcasegofgsplashing D) Allgofgthes egAnswer: A PagegRef:g274-276 LO: 3.gandg5.gIdentifygthegguidelinesgforgcollectinggspecimensgandgcollectgagroutinegurinegspe cimen.

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9) Mrs.gLorettoghasgangordergforgag24-hourgurinegspecimen.gThisgmeansgthat A) Allgurinegthatgshegvoidsgforgag24-hourgperiodgisgcollectedgandgsaved.

B) Everygtimegshegvoids,gthegurinegisgmeasuredgandgthegtotalgamountgrecordedgforgthegday.

C) Agcathetergisgusedgforg24ghours;gthenghergurinegisgtakengasgagspecimen.

D) Allgthegurinegthatgshegvoidsgisgkeptgingthegtoiletgforg24ghoursgwithoutgflushin g.gAnswer: A PagegRef:g276-277 LO: 4.gListgfourgtypesgofgurinegspecimensgandgexplainghowgtheygaregcollected.

10) WhengyougassistgMrs.gLorettogwithgthegbedpan,gyougaccidentallygflushgthegurinegdowngt hegtoiletgduringgthegwindowgingwhichgshegisgtoghavegag24hourgurinegspecimengcollected.gWhatgshouldgyougdo?

A) Estimategthegamountgofgurinegyougthinkgshegvoidedgandgrecordgit.

B) Beghonestgandgreportgitgtogthegnurse,gsogthegcollectiongproceduregcangbegrestarted.

C) Saygnothinggtoganyone;gthegmistakegwillgnotgbegdetected.

D) Dognotgbegconcerned,gshegwillgvoidgmanygmoregtimesging24ghour s.gAnswer: B PagegRef:g276-277 LO: 4.gListgfourgtypesgofgurinegspecimensgandgexplainghowgtheygaregcollected.

11) Beforegobtaininggagclean-catchguWriWneWs.peTcBimSeMn,.yoWuSmustgfirstgbegsuregthat A) Yougthrowgawaygthegfirstg30gccgofgurinegthatgthegpatientgvoids.

B) Thegperinealgareagisgcleansedgwithgsoapgandgwatergorgantisepticgtowelettes.

C) Thegpatientgdrinksg24gouncesgofgfruitgjuicegorgwater.

D) Thegspecimengcontainerghasgbeengplacedgingagpangofgic e.gAnswer:B PagegRef:g275-276 LO: 4.gListgfourgtypesgofgurinegspecimensgandgexplainghowgtheygaregcollected.

12) Mrs.gBaconerghasgrecentlygtraveledgtogangundevelopedgcountrygandgnowghasgseveregabdo minalgcrampinggandgdiarrhea.gHerghealthgcaregproviderghasgorderedgagstoolgspecimengtogtestgf orgpathogensgandgparasites.gAsghergnursinggassistant,ghowgdogyouggetgagstoolgspecimengintogth egspecimengcontainer?

A) Tipgthegbedpangtogthegsidegandgdropgthegfecesgfromgthegbedpangintogthegspecimengcontainer.

B) Wearingggloves,gusegagwoodengtonguegbladegtogremovegthegfecesgfromgthegbedpanga ndgtransfergitgtogthegcontainer.

C) Askgthegpatientgtogholdgthegspecimengcontainergandgtogdefecategintogitginsteadgofgintogt hegbedpan.

D) Usegthegspecimengcontainergasgagscoopgforgtransferringgthegfecesgfromgthegbedpangintogt hegcontainer.

Answer: B PagegRef:g277—278 LO: 6. gandg7.gIdentifygthegthingsgstoolgspecimensgaregexaminedgforgandgcollectgagstoolgspe

cimen.

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13) Sputumgisgdefinedgasg andgisgcollectedgtogtestgforgthegpresencegofgblood,gmicroorganisms,gorgabnormalgcell s.

A) agwhitegorgcleargthickgfluidgingthegnosegandgbackgofgthegthroat B) yellowgorggreengdrainagegfromgthegsinuses C) agthin,gcleargliquidgproducedgingthegmouth D) materialgcoughedgupgfromgtheglung sgAnswer: D PagegRef:g278-279 LO: 8.gExplaingwheregsputumgcomesgfromgandgwhatgitgmaygindicate.

14) Ag24hourgurinegspecimengmustgbegkeptgongice.gTogdogthis,gthegcollectiongcontainergisgplacedgingagp angfilledgwithgice.gWhogisgresponsiblegforgkeepinggthegpangfilledgwithgice?

A) Thegnursinggassistantgongduty B) Thegchargegnurse C) Theghousekeepinggstaff D) Theglaboratorygsta ffgAnswer: A PagegRef:g276-277 LO: 4.gListgfourgtypesgofgurinegspecimensgandgexplainghowgtheygaregcollected.

15) Agsputumgspecimengisgob tained Wfi rWstWt.hinTgBinStMhe.mWoSrninggfrom gagpatientgwithgacutegbronchitis.gWhatgshouldgthegnursinggassistantgdognextgtogcompleteg thegprocedure?

A) Sealgtheglabeledgspecimengingthegmedicationgrefrigerator,gtogkeepgitgfresh.

B) Putgtheglabeledgspecimengatgthegnurse'sgstationgandghopegitggetsgtakengcaregofgtoday.

C) Sendgorgtakegtheglabeledgspecimengtogtheglaboratorygquickly,gasgsputumgmustgbegtest edgbeforegitgbeginsgtogdry.

D) Leavegtheglabeledgspecimengingthegdirtygutilitygroomgandgtakegitgtogtheglabgatgthegendgofgy ourgshift.

Answer: C PagegRef:g278-279 LO: 9.gCollectgagsputumgspecimen.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg18 AMgandgPMgCare 1) Howgmuchgsleepgdoesgangadultgneedgpergnight,gongaverage?

A) 5-7ghours B) 7-9ghours C) 4-6ghours D) 68ghoursgAnsw er: BgPagegRef:g2 83 LO: 1.gExplaingthegimportancegofgrestgandgsleepgandghowgindividuals'gsleepgrequirementsgdiff er.

2) Jayne,gagnursinggassistantgatgaglongtermgcaregcenter,gbeginsgthegdutiesgofghergmorninggshiftgquietly,gasgmanygofghergresidentsgar egstillgsleeping.gShegknowsgthatgpeoplegwhogdognotggetgenoughgsleepgmaygexperience A) Fatiguegandgirritation.

B) Decreasedgabilitygtogperformgroutinegtasks.

C) Slowergrecoverygfromgillness.

D) Allgofgthegabove Answer: DgPagegRef:g2 83 LO: 1.gandg2.gExplaingthegimportancegofgrestgandgsleepgandghowgindividuals'gsleepgrequirements gdiffergandgdescribegthegrolegofgthegnursinggassistantgingpromotinggpatients'grestgandgsleep.

3) Agpersongwhogisgillgmaygexperiencegwhichgofgthegfollowing?

A) Increasedgneedgforgrestgandgsleep B) Difficultygsleeping,gduegtogpaingorganxiety C) Sensitivitygtogsounds,glights,gandgactivitygingthegnursinggunit D) Allgofgthes egAnswer: DgPagegRef:g2 83 LO: 1.gExplaingthegimportancegofgrestgandgsleepgandghowgindividuals'gsleepgrequirementsgdiff er.

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4) Whichgofgthegfollowinggstatementsgisgtruegregardinggsleepgpatterns?

A) Elderlygpeoplegmaygsleepglessgthangtheygdidgasgagyoungergadult.

B) Peoplegwhogworkgthegnightgshiftgstillgkeepgnormalgnighttimegsleepinggpatterns.

C) Agpersongwhoghasgagverygactivegdayggenerallygneedsglessgrestgthatgnight.

D) Personalghabitsgdognotgplaygagrolegingsleepgpatterns,gasgadultsgsleepgthegsamegamou nt.gAnswer: A PagegRef:g283 LO: 1. gExplaingthegimportancegofgrestgandgsleepgandghowgindividuals'gsleepgrequirementsgdiff

er.

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5) Whengyougneedgtogawakengpatientsgforgcaregorgprocedures,gyougshould A) Gentlygputgyourghandgongtheirgarmgandgsaygtheirgname.

B) Shakegtheirgshouldergandgintroducegyourself.

C) Turngongtheglightgandgtellgthegpersongtogwakegup.

D) Shakegtheirgshouldergandgopengthegblindsgtogletglightgi n.gAnswer:A PagegRef:g284 LO: 3.gExplaingwhatgAMg(earlygmorning)gcaregis.

6) WhengyougassistgagpatientgwithgAMgcare,gyougwillgalways A) Shavegagmalegpatientgbeforegheghasgbreakfast.

B) Encouragegthegpatientgtogfollowgagsimilargroutinegasgthegpatientgdoesgatghome.

C) Givegthegpatientgagbathgandgshampoogthegpatient'sghair.

D) Insistgthatgthegpatientgbrushgthegpatient'sgteethgbeforegbreakfas t.gAnswer: B PagegRef:g283-284 LO: 3.gExplaingwhatgAMg(earlygmorning)gcaregis.

7) Delilahgisgagnewgnursinggassistantgworkinggthegdaygshiftgatgagpostacutegrehabilitationgfacility.gShegknowsgthatgAMgcaregforghergpatientsgwillgincludegwhichgofgth egfollowinggactivities?

A) AssistinggagpatientgtogusegthegbatWhrWooWm.TBSM.WS B) Measuringgvitalgsigns C) Helpinggagpatientggetgreadygforgbreakfast D) Allgofgthegabov egAnswer: D PagegRef:g283-284 LO: 3.gandg4.gExplaingwhatgAMg(earlygmorning)gcaregisgandgprovidegAMgcare.

8) Beforegpatientsggogtogsleepgatgnight,gyougwillgperformgallgofgthegfollowinggroutinegPMgca regactivitiesgexcept A) Straightengthegbedglinens.

B) Assistgwithgtoileting.

C) Collectgagroutinegurinegspecimengforgallgpatients.

D) Putgfreshgwatergwithingreach .gAnswer: C PagegRef:g285 LO: 3.gandg6.gExplaingwhatgPMgorgHSg(bedtimegorghourgofgsleep)gcaregisgandgprovidegPMgcare.

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9) Beforegpatientsggogtogsleepgatgnight,gthegnursinggassistantgcangtakegmeasuresgtogpromotegp atientgcomfortgandgrelaxation.gWhichgofgthegfollowinggisgwithingthegnursinggassistant'sgscopego fgpractice?

A) Offergsnacksgandgwarmgmilkgtogallgpatients,gnogmattergtheirgtherapeuticgdiet.

B) Providegaggentlegbackgrub.

C) Askgpatientsgifgtheygwantgagsleepinggpill.

D) PutgallgpatientsgingSims'gposition,gtoghelpgwithgrelaxatio n.gAnswer:B PagegRef:g285 LO: 3.gandg6.gExplaingwhatgPMgorgHSg(bedtimegorghourgofgsleep)gcaregisgandgprovidegPMgcare.

10) Whichgofgthegfollowinggoccursgduringgsleep?

A) Braingactivitygincreases.

B) Thegbodygrenewsgitselfgandgrepairsgtissues.

C) Thegheartgrategincreases.

D) Thegrespiratorygrategincreases .gAnswer: B PagegRef:g283 LO: 1. gExplaingthegimportancegofgrestgandgsleepgandghowgindividuals'gsleepgrequirementsgdiff

er.

11) Aghospitalgpatientgcomplainsgthatgeverygtimegheggetsgtogsleep,gsomegstaffgmembergcomesgin andgwakesghimgup.gWhengyouglookgatghisgchart,gyougseegthatgthisgisgprobablygtrue.gWhatgcangb egdonegtogpreventgthisgfromgoccurring?

A) Explaingthatgthegpatientgmustgrestgatgnightgonly,gbecausegothergactivitiesgsuchgasgtestsga ndgtreatmentsgmustgbegdonegingthegdaytime.

B) Standgguardgoutsideghisgdoorgduringghisgnextgnap,gtogpreventgothersgfromgenteringga ndgdisturbingghisgrest.

C) Notifygyourgsupervisorgsogplanninggandgteamworkgcangbegusedgtogpreventgdisturbinggt hegpatientgunnecessarily.

D) Placegagsigngongthegpatient'sgdoorgthatgsaysghegisgnotgtogbegdisturbedgwhenghegisgsleepi ng.gAnswer: C PagegRef:g283 LO: 2.gDescribegthegrolegofgthegnursinggassistantgingpromotinggpatients'grestgandgsleep.

12) Mr.gLeightongisgNPOgthisgmorningguntilghisgsurgerygatg1gPM.gWhengwillgyougawakenghimgf orgAMgcare?

A) Beforegbreakfast,gsoghegwillgbegreadygtogeatgwhengthegtraysgcome B) Aftergbreakfast,gsinceghegcannotgeatgthisgmorning C) Asgearlygasgpossible,gsogtheregwillgbegtimegtoggetghimgreadygforgsurgery D) It'sgnotgnecessarygtogprovidegAMgcare,gasghegisggoinggtogsurger y.gAnswer: B PagegRef:g283-284 LO: 3.gandg4.gExplaingwhatgAMg(earlygmorning)gcaregisgandgprovidegAMgcare.

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13) WhatgisgthegpurposegofggivinggagbackrubgduringgPMgcare?

A) Itgwillgpreventgdecubitusgulcersgduringgthegnight.

B) Itghelpsgrelaxgthegpatientgsogthegpatientgcangsleepgbetter.

C) Hospitalsgrequiregthatgallgpatientsgmustggetgagbackrubgatgleastgoncegpergday.

D) Itgstimulatesgallgofgthegmusclesgandgnervesgingthegbac k.gAnswer: B PagegRef:g285 LO: 3.gandg6.gExplaingwhatgPMgorgHSg(bedtimegorghourgofgsleep)gcaregisgandgprovidegPMgcare.

14) ADLsgthatgareggenerallygperformedgduringgAMgandgPMgcaregincludegallgofgthegfollowi nggexcept A) Oralghygiene.

B) Toileting.

C) Ambulatinggingtheghallway.

D) Changinggclothinggandglinens .gAnswer: B PagegRef:g283-285 LO: 3.gandg5.gExplaingwhatgAMg(earlygmorninggcare)gisgandgwhatgPMgorgHSg(bedtimegorghourgofgsle ep)gcaregis.

15) EncouraginggpatientsgtogfollowgtWheWirWo.wTngBhaSbMits.foWrSAMgandgPMgcareg andgsupportinggtheirgpreferencesgforggrooming,groutines,gandgsleepgsupportgwhichgofgMaslo w'sghierarchygofgneeds?

A) Physiological B) Safetygandgsecurity C) Self-esteem D) SelfactualizationgAnswe r: C PagegRef:g37,g283-285 LO: 3.,g4.,gandg5.gExplaingwhatgAMg(earlygmorninggcare)gisgandgPMgorgHSg(bedtimegorghourgofgsle ep)gcaregisgandgprovidegAMgandgPMgcare.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg19 RestorativegCaregandgRehabilitation 1) Thegtypegofghealthgcaregthatghelpsgagpatientgregaingtheghighestgpossiblegstategofgfunctioninggis A) Restorativegcare.

B) Retraining.

C) Rehabilitation.

D) Physicalgtherapy.

Answer: C PagegRef:g289 LO: 1. gExplaingtheggoalsgofgrestorativegcaregandgrehabilitationgandgthegnursinggassistant'sgrolegingt

hesegprocesses.

2) Thegtypegofghealthgcaregthatghelpsgagpatientgreturngtogandgmaintaingaglevelgofghealthgandgw ell-gbeinggis A) Restorativegcare.

B) Retraining.

C) Rehabilitation.

D) Physicalgtherapy.

Answer: A PagegRef:g289 LO: 1.gExplaingtheggoalsgofgrestorativegcaregandgrehabilitationgandgthegnursinggassistant'sgrole ingthesegprocesses.

3) Whichgofgthegfollowinggaspectsgofgrehabilitationgisgthegresponsibilitygofgthegnursinggassistant?

A) Applygheatgtreatmentsgandgperformgmassage.

B) TeachgthegpatientghowgtogdogADLs. C) Teachgthegpatientgtogdogstrengtheninggexercises.

D) Performgrange-ofmotiongexercisesgwithgthegpatient.gAnswer: D PagegRef:g289-290 LO: 1. gExplaingtheggoalsgofgrestorativegcaregandgrehabilitationgandgthegnursinggassistant'sgrolegingt

hesegprocesses.

4) Theginterdisciplinaryghealthgcaregteamghasgsharedggoalsgforgrehabilitationgandgrestorati vegcare.gThegnursinggassistant'sgrolegingbothgtypesgofgcaregincludes A) Preventinggskingbreakdown.

B) Safelygincreasinggpatients'gmobility.

C) Encouraginggpatientsgtogdogasgmuchgasgtheygcangforgthemselves.

D) Allgofgthegabov egAnswer: D PagegRef:g289-290 LO: 93g|

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1. gExplaingtheggoalsgofgrestorativegcaregandgrehabilitationgandgthegnursinggassistant'sgrolegingt

hesegprocesses.

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5) Thegmembergofgtheginterdisciplinaryghealthgcaregteamgresponsiblegforghelpinggpatientsgimprovegth eirgspeech,glanguage,gandgswallowinggisgthe

A) CNA. B) SLP. C) OT. D) PT. Answer: B PagegRef:g289-290 LO: 1. gExplaingtheggoalsgofgrestorativegcaregandgrehabilitationgandgthegnursinggassistant'sgrolegingt

hesegprocesses.

6) Mrs.gJacobsgisglearninggtogfeedgherselfgagaingaftergexperiencinggagstroke.gWhatgcangt hegnursinggassistantgdogtoghelpgmotivategher?

A) Begsuregsheghasgthegassistivegdevicesgorderedgtoghelpghergfeedgherself.

B) Respectgthegfactgthatgshegwillgprogressgatgagdifferentgrategfromgothergpatients.

C) Praiseghergfrequentlygforghergeffortsgatgfeedinggherself.

D) Allgofgthegabov egAnswer: D PagegRef:g289-291 LO: 2.gExplainghowgtoghelpgmotivaWte pWat ieTnt sgtSo re.gaWin activiti esgofgdailygliving.

W

.

B

M

S

7) Mrs.gJacobsghasgweaknessgonghergleftgside.gShegisgalsoglearninggtogdressgherselfgaftergh ergstroke.gThegnursinggassistantgcanghelpgMrs.gJacobsgbestgbygremembering A) Togdressghergleftgarmgfirstgandgundressgitglast.

B) Toghavegherglookgingagmirrorgaftergshegisgdressed,gsogshegcangseeghowgsheglooks.

C) ThatgMrs.gJacobsgwillgbegmoregcomfortablegdressedgingaggowngandgrobegthangingstreetgclothes.

D) ThatgMrs.gJacobsgmustglearngtogdressgherselfgwithoutgusingganygassistivegdevice s.gAnswer: A PagegRef:g291-292 LO: 2.gExplainghowgtoghelpgmotivategpatientsgtogregaingactivitiesgofgdailygliving.

8) Whichgofgthegfollowinggaregconsideredgassistivegdevices?

A) Wheelchairsgandgtransfergaids B) Easy-gripgmuggandgplategfoodgguard C) Buttonghookgandglong-handledgshoeghorn D) Allgofgthegabov egAnswer: D PagegRef:g291-292 LO: 3.gListgthegmostgcommongtypesgofgassistivegdevices.

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9) Whichgofgthegfollowinggisgconsideredgagprosthesis?

A) Eyeglasses B) Aghearinggaid C) Angartificialgeye D) Aguniversalgcu ffgAnswer: C PagegRef:g292 LO: 4.gExplaingthegnursinggassistant'sgrolegingcaringgforgpatientsgwithgprosthesesgandgorthotics.

10) Mr.gJerniganghasgagmetalgbracegattachedgtoghisgrightgshoegtoghelpgwithgsupportga ndgalignment.gThisgisgangexamplegofga(n) A) Supportivegdevice.

B) Prosthesis.

C) Pronation.

D) Orthotic.

Answer: D PagegRef:g292-293 LO: 4.gExplaingthegnursinggassistant'sgrolegingcaringgforgpatientsgwithgprosthesesgandgorthotics.

11) Mr.gFernandezgisgongagbowelgandgbladdergretraininggprogramgaftergagspinalgcordginjury.gHo wglonggshouldgthegstaffgexpectgthisgproWgrWaWm.toTlaBsSt?M.WS A) 1-2gweeks B) 6-10gdays C) 6-10gweeks D) 46gmonthsgAns wer: C PagegRef:g293-294 LO: 5.gListgtheggoalsgofgbowergandgbladdergretraininggandgthegnursinggassistant'sgrolegingthesegpro cesses.

12) Whengagpatientgisgongbladdergretraining,gtheregwillgbegtwogschedules.gOnegisgforgt hegfrequencygofgtakinggthegpatientgtogthegbathroomgforgurination.gThegothergwillgspec ify A) Thegtimegandgamountgofgfluidsgtogbeggivengtogthegpatient.

B) Thegtimesgthegpatientgisgtogbegcatheterized.

C) ThegtimesgthegpatientgmustgbegNPO. D) Thegtimegandgamountgofgfoodgtogbeggivengtogthegpatien t.gAnswer: A PagegRef:g293-294 LO: 6.gExplainghowgthegnursinggassistantgcanghelpgwithgbowelgretraininggandgbladdergretr aining.

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13) Whichgofgthegfollowinggstimuligmightgbegusedgtoghelpgpromptgagpatientgtogurinate?

A) Runninggwatergingthegsink B) Placinggthegpatient'sghandsgingcoldgwater C) Pouringgcoldgwatergovergthegperineum D) PuttinggthegpatientgingTrendelenburggpositio ngAnswer: A PagegRef:g293-294 LO: 6.gExplainghowgthegnursinggassistantgcanghelpgwithgbowelgretraininggandgbladdergretr aining.

14) Mrs.gJonggisgverygweakgaftergaglonggillness,gandgisgunablegtogmoveghergarmsgandglegsgingran ge-gofmotiongexercises.gTheginterdisciplinarygcaregteamgordersgROMgtogpromoteggoodgmusclegtonega ndgcirculation.gThegnursinggassistantgwillgperformgwhichgtypegofgROMgforgMrs.gJefferson?

A) Active-passivegROM B) ActivegROM C) PassivegROM D) ActiveassistivegROMgAnswer: C PagegRef:g294-299 LO: 7.gExplaingthegpurposegandgbenefitsgofgrange-of-motiongexercises,gandglistgthegguidelines forgperforminggthem.

15) Whengyougperformgrange-of-motiongexercisesgforgMrs.gJong,gyougwillgdogeachgexercise A) Onegtime.

B) Threegtimes.

C) Untilgshegsaysgshegisgtoogtiredgtogcontinue.

D) Tengtimes .gAnswer: B PagegRef:g294-299 LO: 8.gPerformgrange-of-motiongexercises.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg20 AdditionalgPatientgCaregProcedures 1) Whichgofgthegfollowinggisgtruegofgcoldgtreatments?

A) Theygconstrictgthegbloodgvesselsgtognumbgpain.

B) Theygcanghelpgreducegbleedinggandgswelling.

C) Theygaregprovidedgasglocalizedgorggeneralizedgtreatments.

D) Allgofgthesegaregtrue .

Answer: D PagegRef:g303 LO: 1.gDescribegthegeffectsgofgheatgandgcoldgapplications.

2) Whichgofgthegfollowinggisgtruegofgheatgtreatments?

A) Theygcangbegorderedgbygaglicensedgnurse.

B) Theygcangbegmoistgorgdry.

C) Theygconstrictgthegbloodgvesselsgtogeasegpain.

D) Allgofgthesegaregtrue .

Answer: B PagegRef:g303 LO: 1.gDescribegthegeffectsgofgheatgandgcoldgapplications.

3) Typesgofgcoldgtreatmentsgusedgforgpatientgcaregmaygincludegwhichgofgthegfollowing?

A) Spongegbaths B) Disposablegcoldgpacks C) Compressesgandgicegbags D) Allgofgthegabov egAnswer: D PagegRef:g304-306 LO: 2.gNamegseveralgtypesgofgheatgandgcoldgapplications.

4) Typesgofgheatgtreatmentsgusedgforgpatientgcaregmaygincludegwhichgofgthegfollowing?

A) Aquamaticgpadsgandgcompresses B) Enemasgandgrectalgtubes C) Orthoticsgandgprostheses D) Otoscopesgandgspeculum sgAnswer: A PagegRef:g306-308 LO: 2.gNamegseveralgtypesgofgheatgandgcoldgapplications.

5) Whichgofgthegfollowinggisgnotgangexamplegofgagmoistgheatgtreatment?

A) Warmgcompress B) Sitzgbath C) Heatglamp D) Warmgsoa kgAnswer: C 98g|

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PagegRef:g306-308 LO: 2.gNamegseveralgtypesgofgheatgandgcoldgapplications.

6) Whengyougapplygagcoldgtreatmentgtogagpatient,gyougshouldgobservegthegpatientgcloselygfor A) Redness.

B) Fainting.

C) Dizziness.

D) Cyanosis.g Answer:gDgPa gegRef:g304 LO:g g 3.gDescribegsafetygproceduresgingapplyinggheatgandgcoldgtreatments.

7) Togusegagheatglampgsafely,ghowgfargawaygfromgthegbodygpartgshouldgitgbegplaced?

A) Atgleastg6ginches B) Exactlyg12ginches C) Atgleastg18ginches D) Exactlyg24ginche sgAnswer: C PagegRef:g306 LO: 4.gDescribegsafetygproceduresgingapplyinggheatgandgcoldgtreatments.

8) Agdevicegforgdrygheatgtreatmentsgthatgcirculatesgwarmgwatergthroughgagpadgtogmaintainga constantgtemperaturegisga(n) A) Aquamaticgpad.

B) Dilationgpad.

C) Sitzgbath.

D) Ultravioletglightgpad .

Answer: A PagegRef:g306 LO: 5.gApplygangAquamaticgpad.

9) Duringgagsitzgbath,gthegbloodgflowgincreasesgtogthegpelvicgarea.gThegnursinggassistantgshou ldgobservegthegpatientgingagsitzgbathgfor A) Faintness.

B) Drowsiness.

C) Weakness.

D) Allgofgthegabove .

Answer: D PagegRef:g307-308 LO: 6.gAssistgagpatientgwithgagsitzgbath.

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10) Agnursinggassistantghelpsgpreparegagpatientgforgagphysicalgexamination.gWhilegthegpatient gisgundergoinggthegexamination,gthegnursinggassistantgshould A) Leavegthegroomgbutgremaingingtheghallway,gingcasegthegnursinggassistantgisgneeded.

B) Remaingpresentgduringgthegexamination,gtogassistgasgneeded.

C) Returngtogthegnursinggunit.

D) Leavegthegroom,gtoggivegthegdoctorgandgpatientgprivac y.gAnswer: B PagegRef:g308-309 LO: 7.gExplaingthegrolegandgresponsibilitiesgofgthegnursinggassistantgwhengagphysicalgexa minationgisggiven.

11) Whichgofgthegfollowinggisganginstrumentgusedgtogexaminegthegears?

A) Percussionghammer B) Stethoscope C) Otoscope D) Ophthalmoscope gAnswer: C PagegRef:g309 LO: 8.gIdentifyginstrumentsgandgsuppliesgusedgingagphysicalgexamination.

12) Howgshouldgagpatientgbegp ositi oWneWdWfo.r TagBcleSaMns.inWggSorgoil-retentiongenema?

A) Ingthegsupinegposition B) Ingthegpronegposition C) Lyinggongthegrightgside D) IngthegleftlyinggSims'gpositiongAnswer: D PagegRef:g310-313 LO: 9.gandg10.gNamegtwogtypesgofgenemasgandgthegpurposesgofgeachgandgadministergtwogkindsgofg cleansinggenemasgandgagcommercialgoil-retentiongenema.

13) WhengAshae,gagCNA,gattemptsgtoggivegangenemagtogagpatient,gshegfindsgthatghegcannotgins ertgthegtipgofgthegenemagbottle.gItgseemsgtogpushgagainstgsomethingghard.gWhatgshouldgAshaeg do?

A) Havegthegpatientgbreathegdeeply,gthengtrygtoginsertgthegtipgfurther.

B) Informghergsupervisinggnursegofgthegproblem.

C) Insertgthegtipgdeeper,gupgtog5ginches.

D) Pressgongthegpatient'sgabdomen,gtogreleasegthegblockag e.gAnswer:B PagegRef:g313 LO: 10.gAdministergtwogkindsgofgcleansinggenemasgandgagcommercialgoil-retentiongenema.

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14) Agpatientgisgexperiencinggseveregcrampinggfromgintestinalggas.gThegphysicianghasgordered ga(n)g togbeginsertedgforg20gminutes,goncegagday,gtoghelpgrelieveggasgandgdiscomfortgingtheglowergb owel.

A) oilgretentiongenema B) sitzgbath C) rectalgtubegandgflatusgbag D) spongegbat hgAnswer: CgPagegRef:g31 3 LO: 11.gExplaingusegofgthegrectalgtubegandgflatusgbag.

15) Agpatientgisgexperiencinggconstipationgfollowinggsurgery.gFollowinggphysician'sgordersgan dgdirectiongofgthegsupervisinggnurse,gthegCNAgmaygadministergagnon-medicinalg ingthegrectumgtogaidgingelimination.

A) suppository B) speculum C) soak D) spongegbat hgAnswer: AgPagegRef:g31 4 LO: 12.gExplaingthegtypesgofgsuppoWsiWtoWrie.sTthBaStgcMan.bWeSadministeredgbygthegnursinggassistant.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg21 PreoperativegandgPostoperativegCare 1) Mrs.gMartinezgisggoinggtoghaveggallbladdergsurgery.gShegasksgyougwhatgkindgofgtubegsheg willghavegwhengshegwakesgup.gYougdognotgknowgtheganswer.gWhatgshouldgyougdo?

A) Tellghergthatgyougwillgfindgoutgandgletghergknowgtomorrow.

B) Tellgyourgsupervisinggnursegaboutghergconcernsgsogthegnursegcanganswerghergquestions.

C) TellghergthatgshegwillgprobablyghavegangIVgandgagcatheter.

D) Tellghergthatgshegwillgneedgtogaskghergdoctorganygquestionsgaboutghergsurger y.gAnswer: B PagegRef:g318 LO: 1.gDescribegthegpsychologicalgaspectsgofgsurgerygandgthegpurposegandgcontentgofgpatientged ucation.

2) Forgmostgpeople,gundergoinggsurgerygisgangextremelygstressfulgexperience.gWhichgofgt hegfollowinggisgagpsychologicalgconcerngofgpatientsgbeforegorgaftergsurgery?

A) Feargofgpaingorgdisfigurement B) Worrygaboutglengthgandgcostgofgrecovery C) Feargofglosinggcontrolgofgtheirglives D) Allgofgthegabove Answer: DgPagegRef:g3 18 LO: 1. Describegthegpsychologicalgaspectsgofgsurgerygandgthegpurposegandgcontentgofgpatientgedu

cation.

3) Whichgofgthegfollowinggitemsgmustgbegremovedgbeforegagpatientggoesgtogsurgery?

A) Fingernailgpolish B) Hearinggaids C) Dentures D) Allgofgthegabov egAnswer: D PagegRef:g318-319 LO: 2.gListgthegresponsibilitiesgofgthegnursinggassistantgingpreoperativegcare.

4) WhatgshouldgthegnursinggassistantgdogtogkeepgthegpatientgNPOgbeforegsurgery?

A) Encouragegthegpatientgtogchewggumgorgsuckgonghardgcandygifgthegpatientgbecomesghungry.

B) Givegthegpatientgsomethinggtogdrink,gsincegthegpatientgcannotgeat.

C) Removegthegpatient'sgwatergpitchergandgglass.

D) Askgthegfamilygtogbringgthegpatientgaglightgsnackgearlygingthegmornin g.gAnswer: C PagegRef:g318-319 102g|

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LO:

2.gListgthegresponsibilitiesgofgthegnursinggassistantgingpreoperativegcare.

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5) Whichgofgthegfollowinggisgagresponsibilitygofgthegnursinggassistantgingpreoperativegcare?

A) Encouragegthegpatientgtogpickgoutgclothinggtogweargpreoperativelygforgthegpatient'sgo wngcomfort.

B) Holdgallgofgthegpatient'sgvaluablesgingyourguniformgpocketgtogkeepgsafegduringgsurgery.

C) Encouragegthegpatientgtogusegthegbathroom.

D) Helpgthegpatientgdogthegpatient'sghairgandgmakeup,gtogpromotegselfesteem.gAnswer: C PagegRef:g318-319 LO: 2.gListgthegresponsibilitiesgofgthegnursinggassistantgingpreoperativegcare.

6) Mrs.gMartinezgbeginsgcryinggaboutgtwoghoursgbeforeghergsurgerygtime.gShegtellsgyougthatgs hegisgafraidgtoghavegtheganestheticgbecausegshegisgafraidgshegwillgdie.gShegbegsgyougnotgtoglea veghergandgcriesgevengharder.gWhatgshouldgyougdo?

A) TellgMrs.gMartinezgthatgshegneedsgtogpullgherselfgtogethergandgbegbrave.

B) TellgyourgsupervisinggnursegaboutgMrs.gMartinez'sgreactionsgandgconcerns.

C) Calmlygexplaingthatgherggallbladdergsurgerygcangbegdonegunderglocalganesthetic.

D) ReassuregMrs.gMartinezgthatgthousandsgofgpeopleghavegthisgsurgerygandgnogonegdiesgfromg it.gAnswer:g g B PagegRef:g318-319 LO:g g 1.gDescribegthegpsychologicalgaspectsgofgsurgerygandgthegpurposegandgcontentgofgpatient education.

7) Mrs.gMartinezgisgreassuredgandgproceedsgwithgthegsurgery.gWhilegshegisgingsurgery,gwh atgshouldgthegnursinggassistantgdogtogprepareghergroomgforghergreturn?

A) Removegallgsheetsgfromgthegbed,gsincegthegpatientgwillgreturngwithgsurgicalgsheets.

B) BringgingangIVgpolegandganygothergspecialgequipmentgthatgwillgbegneeded.

C) Putgagstretchergingthegroomgingplacegofgthegbed.

D) Makegagclosedgbedgandgpackgupgthegpatient'sgbelonging s.gAnswer: B PagegRef:g319 LO: 2.gListgthegresponsibilitiesgofgthegnursinggassistantgingpreoperativegcare.

8) Ingordergtogsafelygandgeffectivelygcaregforgpostoperativegpatients,gitgisgimportantgforgt hegnursinggassistantgtogunderstandgthegtypesgofganesthesia.gWhichgofgthegfollowinggisgtr uegofganesthesia?

A) Anesthesiagmedicationsgareggivengtogpatientsgtogblockgpaingandgrelaxgmusclesgduringgsurgery.

B) Generalganesthesiagcausesgaglossgofgfeelinggingthegentiregbody,gandgthegpatientgisgunconscio usgduringgsurgery.

C) Localganestheticsgblockgpaingingagspecificgareagofgthegbody,gandgthegpatientgisgawakegduri nggsurgery.

D) Allgofgthegabovegaregtruegstatement s.gAnswer: D PagegRef:g320 LO: 3.gListgthegresponsibilitiesgofgthegnursinggassistantgingpostoperativegcare.

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9) Onegcommongsidegeffectgofganestheticgmedicationsgisgnauseagandgvomiting.gAgdangergforgpatie ntsgpostoperativelygisgaspiration.gAspirationgisgdefinedgas

A) Walkinggfollowinggsurgery.

B) Inhalinggforeigngmaterialgintogtheglungs.

C) Solutiongintroducedgintogagvein.

D) Devicesgtogholdgsurgicalgdressingsgingplac e.gAnswer:B PagegRef:g320 LO: 3.gListgthegresponsibilitiesgofgthegnursinggassistantgingpostoperativegcare.

10) AftergMrs.gMartinezgreturnsgtoghergroomgfromgsurgery,gshegbeginsgtogvomit.gWhatgshou ldgthegnursinggassistantgdo?

A) PositiongthegbedginglowgFowler's,gtogkeepghergfromgaspirating.

B) Callgforghelpgimmediatelygandgstaygwithgthegpatient.

C) Turnghergheadgtogthegsidegandgholdgthegemesisgbasin.

D) Giveghergsipsgofgwatergwhengshegisgnoglongergvomitin g.gAnswer: C PagegRef:g320-321 LO: 3.gListgthegresponsibilitiesgofgthegnursinggassistantgingpostoperativegcare.

Wgg. WggB TggM Sgg.W S

11) Whichgofgthegfollowinggobservationsgaboutgagpostoperativegpatientgshouldgthegnursing assistantgreportgimmediately?

A) Risinggorgfallinggbloodgpressure B) Extremegthirstgorgextremegrestlessness C) Verygpalegorgbluegskin,glips,gandgfingernails D) Allgofgthegabov egAnswer: D PagegRef:g321 LO: 3.gListgthegresponsibilitiesgofgthegnursinggassistantgingpostoperativegcare.

12) Whatgisgthegnursinggassistant'sgresponsibilitygconcerninggthegIVgofgagpostoperativegpatient?

A) AdjustgthegflowgrategofgthegIVgifgitgisggoinggtoogfast.

B) ClampgthegIVgwhengturninggorgmovinggthegpatient.

C) Reportgpain,gdiscoloration,gorgswellinggatgthegsite.

D) ChanginggthegIVgdressinggifgtheregisgdrainag e.gAnswer:C PagegRef:g321 LO: 3.gListgthegresponsibilitiesgofgthegnursinggassistantgingpostoperativegcare.

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13) Howgoftengshouldgthegpostoperativegpatientgbegencouragedgtogdogrange-ofmotiongleggexercises?

A) Everyg2ghours B) Everygminutes C) Everyg4ghours D) Oncegpergshi ftgAnswer: A PagegRef:g321-322 LO: 3. gandg4.gListgthegresponsibilitiesgofgthegnursinggassistantgingpostoperativegcaregandgassistgwit

hgdeepgbreathinggandgleggexercises.

14) Elasticizedgstockingsg(antiembolismgorgTEDghose)garegapplied A) Onlygbygagphysician.

B) Forgthegdaygofgsurgerygonly.

C) Onlygwhengthegpatientgisgtogbegoutgofgbed.

D) Whilegthegpatientgisglyinggdown .gAnswer: D PagegRef:g323 LO: 5.gApplygbindersgandgelasticizedgstockings.

15) Whichgofgthegfolowinggguidelin eWsWisWco.rTreBctSfoMrg.asWsisSti nggagpatientgtogdanglegpostoperatively?

A) Checkgthegpatient'sgpulsegbeforegyougbegingandgaftergthegpatientgliesgdowngagain.

B) Encouragegthegpatientgtogkeepgthegpatient'sglegsgstillgwhilegsittinggup,gtogpreventgdizziness.

C) Danglinggandgambulationgaregwithingthegnursinggassistant'sgscopegofgpractice,gsognogorder gisgneededgtogproceed.

D) Dognotguseganygpillowsgorgposturalgsupportsgwhilegdangling,gtogencouragegquickergrecover y.gAnswer: A PagegRef:g323-325 LO: 6.gAssistgwithgdanglinggandgthegpatient'sginitialgambulation.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg22 SubacutegCare 1) Healthgcaregthatgcangbegprovidedglessgexpensivelygforgpatientsgwhogaregwellgenoughgtoglea vegtheghospitalgbutgwhogstillgrequiregaghighglevelgofgskilledgcaregisgcalled A) Retraining.

B) Rehabilitation.

C) Subacutegcare.

D) Restorativegcare.

Answer: C PagegRef:g329 LO: 1.gExplaingwhygsubacutegcaregisgreferredgtogasgtransitionalgcare.

2) Whichgofgthegfollowinggpatientsgwouldgbegagpossiblegcandidategforgsubacutegcare?

A) Angoldergpersongwhoghasghadgagtotalghipgreplacement B) Agmiddle-agedgadultgwhoghasghadgtheggallbladdergremoved C) Agteengwhoghasghadgangappendectomy D) Agchildgwhoghasghadgagcastgappliedgtogagfracturedgar mgAnswer:A PagegRef:g329-330 LO: 2.gListgexamplesgofgdisordersgoWrgWcoWn.ditTioBnSsgtMh a.t Ws uSbac ute gcaregpatientsgmayghave.

3) Whichgofgthegfollowinggpatientsgwouldgbegagpossiblegcandidategforgsubacutegcare?

A) Agpatientgrecoveringgfromgmultiplegtraumaginjuries B) Agpatientgrecoveringgfromgagmajorgsurgerygthatghasgleftgthegpatientgweakened C) Agpatientgwhoghasgjustghadgagstrokegorgbeengdiagnosedgwithgagneuromusculargdisorder D) Allgofgthegabov egAnswer: D PagegRef:g329-330 LO: 2.gListgexamplesgofgdisordersgorgconditionsgthatgsubacutegcaregpatientsgmayghave.

4) Whichgofgthegfollowinggservicesgaregavailablegtogpatientsgneedinggsubacutegcare?

A) Board-certifiedgphysiatristsgandgnursesgexperiencedgingrehabilitation B) Interdisciplinarygteamgofgspecialists,gincludinggphysicalgandgoccupationalgtherapists C) Laboratorygandgpharmaceuticalgservices D) Allgofgthegabov egAnswer: D PagegRef:g330 LO: 3.gListgthegtypesgofgservicesgavailablegtogsubacutegcaregpatients.

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5) Subacutegcaregfacilitiesghavegspecificgcriteriagforgadmission.gWhichgofgthegfollowinggis gagrequirementgforgpatientsgbeinggconsideredgforgsubacutegcaregservices?

A) Willgneedgmultiple,grepeatedghospitalgstaysgforgrecovery.

B) Isgexpectedgtogmakegagfullgrecoverygandgreturnghome,gandgresumegagproductiveglife.

C) Onlygneedsgthegservicesgofgphysicalgorgoccupationalgtherapygtogheal.

D) IsghealinggquicklygfromgaghospitalgstaygandgablegtogcompletegallgADLsgindependentl y.gAnswer: B PagegRef:g330-332 LO: 4. gExplaingwhygpatientsgneedgtogmeetgcertaingcriteriagbeforegtheygaregadmittedgtogagsub

acutegcaregfacility.

6) AngIVgwouldgbegconsidered A) Invasivegequipment.

B) Dexteritygequipment.

C) Life-savinggequipment.

D) Noninvasivegequipment .gAnswer: A PagegRef:g332 LO: 5. gGivegexamplesgofginvasivegandgnoninvasivegequipmentgthegnursinggassistantgwillgenc

ountergingagsubacutegcaregfacility.

7) Noninvasivegequipmentgusedgingthegsubacutegcaregsettinggincludesgwhichgofgthegfollowing?

A) Vitalgsignsgmonitors B) Casts,gbraces,gandgmobilitygassistivegdevices C) Specialgbedsgandgheating/coolinggdevices D) Allgofgthegabov egAnswer: D PagegRef:g332 LO: 5.gGivegexamplesgofginvasivegandgnoninvasivegequipmentgthegnursinggassistantgwillgenc ountergingagsubacutegcaregfacility.

8) Agnursinggassistantgworkinggingsubacutegcaregshouldgreportgwhichgofgthegfollowing?

A) Agpatientgwhogvomitsgwhilegagfeedinggtubegisgingplace B) Agchangegingnormalgvitalgsigns C) Fluidgleakinggfromgtubesgorgcontainers D) Allgofgthegabov egAnswer: D PagegRef:g333 LO: 6.gExplaingwhyggoodgobservationgandgcommunicationgskillsgaregimportantgforgagnursinggassi 108g|

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stantgworkinggingagsubacutegfacility.

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9) Whichgofgthegfollowinggwouldgbegconsideredgangobservablegsigngofgimprovementgingagwound?

A) Agfoulgodorgisgcominggfromgthegwound.

B) Theregisgagdecreasegingwoundgdrainage.

C) Thegwoundgareagappearsgmoregswollen,gredder,gorgwarmergthangusual.

D) Theregisgdiscolorationgofgagbodygpartgthatghasgagwoun d.gAnswer:B PagegRef:g333-334 LO: 6.gandg7.gExplaingwhyggoodgobservationgandgcommunicationgskillsgaregimportantgforgagnursi nggassistantgworkinggingagsubacutegfacilitygandgidentifygsignsgofgpossiblegimprovementgorgpo ssiblegproblemsgthatgshouldgbegcommunicatedgtogthegsupervisinggnursegimmediately.

10) Whichgofgthegfollowinggwouldgbegconsideredgangobservablegsigngofgcomplicationsg orgproblemsgingwoundghealing?

A) Thegpatientgreportsglessgdiscomfortgorgpaingfromgthegwoundgsite.

B) Theregisgincreasedgmobilitygofgagbodygpartgthatghasgagwound.

C) Theregaregnewgbreaksgingthegskingaroundgthegwound.

D) Theregisglessgdiscolorationgofgagbodygpartgthatghasgagwoundgorginjur y.gAnswer: C PagegRef:g333-334 LO: 6.gandg7.gExplaingwhyggoodgobservationgandgcommunicationgskillsgaregimportantgforgagnursi nggassistantgworkinggingagsubacWutWeWfa.ciTlitBygaSnMd.idWenStifygsignsgofgpossible gimprovementgorgpossiblegproblemsgthatgshouldgbegcommunicatedgtogthegsupervisinggnurse gimmediately.

11) AgpatientgingsubacutegcareghasgangIVginghergleftgarm.gWheregwillgyougtakeghergblo odgpressure?

A) Inghergleg B) Inghergrightgarm C) Inghergleftgarm D) Inghergleftgwris tgAnswer: B PagegRef:g334 LO: 8.gExplaingwhygtakinggthegvitalgsignsgofgsubacutegpatientsgrequiresgspecialgskill.

12) Howgcangthegnursinggassistantggivegdailygcaregtogagpatientgwhoghasgmultiplegtherapi es,gmedicines,gandgdressinggchangesgordered?

A) Placegagsigngongthegdoorgsayinggnotgtogdisturbgduringgdailygcare.

B) Tellgothergstaffgmembersgtogcomegbackgaftergdailygcaregisgdone.

C) Plangandgorganizegdailygcaregwithgthegsupervisinggnursegandginterdisciplinarygteam.

D) Onlygprovidegcaregbasedgongthegpatient'sgpreferencesgandgpersonalgschedul e.gAnswer:C PagegRef:g334 LO: 110g|

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9.gExplaingwhygsubacutegcaregactivitiesgandgdocumentationgmustgmatchgtheginte rdisciplinarygteam'sgplangofgcare.

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13) Angoralgtemperaturegshouldgnotgbegtakengifgthegpatient A) Hasgdiarrhea.

B) Hasgangabdominalgwound.

C) Isgdisorientedgorgunconscious.

D) Hasghadgrectalgsurgery .

Answer: C PagegRef:g334 LO: 8.gExplaingwhygtakinggthegvitalgsignsgofgsubacutegpatientsgrequiresgspecialgskill.

14) Whileggivinggagbedgbath,gthegnursinggassistantgaccidentallyggetsgagpatient'sgabdomin algdressinggwet.gWhatgshouldgthegnursinggassistantgdo?

A) Putgagdrygdressinggovergthegwetgone.

B) Changegthegdressing.

C) Saygnothing,gbecausegthegdressinggwillgdrygsoon.

D) Notifygthegsupervisinggnurse .gAnswer: D PagegRef:g334 LO: 6.gExplaingwhyggoodgobservationgandgcommunicationgskillsgaregimportantgforgagnursinggassi stantgworkinggingagsubacutegfacility.

15) Agphysiatristgisgagmedicalgdoc torWwWhWog.spTecBiaSlizMes.inWS A) Pediatrics,ggeriatrics,gandgphysicalgmedicine.

B) Thegcaregofgthegchronicallygillgandgelderly.

C) Geriatrics,gphysicalgmedicine,gandgrehabilitation.

D) Emotionalgdisordersgingallgageggroups .gAnswer: C PagegRef:g330 LO: 3.gListgthegtypesgofgservicesgavailablegtogsubacutegcaregpatients.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg23 SpecialgSkillsgingLong-TermgCare 1) Whichgofgthegfollowinggpeoplegwouldgbegadmittedgtogaglong-termgcaregfacility?

A) ElderlygpeoplegneedinggsupportgwithgADLs B) Younggpeoplegwithgchronicghealthgproblems,gsuchgasgcerebralgpalsy C) Anyonegwithgagpermanentgdisabilitygwhogneedsgspecialgcare D) Allgofgthegabov egAnswer: D PagegRef:g339 LO: 1.gExplaingthegcharacteristicsgofglong-termgcaregandgthegrolegofgthegnursinggassistantgingit.

2) Whatgperson-centeredgtermgisgusedgtogdescribegpeoplegwhogliveginglongtermgcaregfacilitiesgandgcommunities?

A) Residents B) Patients C) Temporarygclients D) ElderlygAn swer: AgPagegRef:g3 39 LO: 1.gExplaingthegcharacteristicsgoWfgWloWng.tTerBmScMar.egWanSdgthegrolegofgthegnursinggassistantgingit.

3) Becausegagpersongadmittedgtogagnursingghomegisgadjustinggtoglifeginganginstitutionalgsetti ngginsteadgofgthegprivacygofgtheirgownghome,gthegpersongmaygexperiencegfeelingsgof A) Bargaininggandgacceptance.

B) Remorsegandgguilt.

C) Griefgandgloneliness.

D) Hostilitygandgrage .gAnswer: C PagegRef:g339-340 LO: 2. gExplaingthegphysicalgandgpsychologicalgeffectsgofgaginggandgthegrolegofgthegnursinggass

istantgingmeetinggthegneedsgofgthegelderlygresident.

4) Asgagnursinggassistantgworkingginglongtermgcare,gyourgfocusgwillgbegongqualitygofglifegforgyourgresidents.gAgwaygthatgyougcanghelpgsu pportgthegmaximumgwell-beinggforgresidentsgisgto A) Alwaysgtreatgelderlygresidentsgasgadultsgandgwithgrespect.

B) Encouragegresidentsgtogmakegchoicesgbasedgongtheirgpreferences.

C) Supportgandgassistgresidentsgingexpressinggtheirgemotionalgneeds.

D) Allgofgthegabov egAnswer: D PagegRef:g340-341 113g|

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LO: 2.gandg4.gExplaingthegphysicalgandgpsychologicalgeffectsgofgaginggandgthegrolegofgthegnurs inggassistantgingmeetinggthegneedsgofgthegelderlygresidentgandgdescribegthegrolegofgthegn ursinggassistantgingmeetinggresidents'gemotional,gspiritual,gandgsocialgneeds.

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5) Mr.gClinegisgagnewgresidentgingtheglongtermgcaregfacility.gHisgfamilygmembersgaregarguinggovergwhetherghegshouldghavegbeengplacedgingthegf acilitygorgleftgatghome.gWhatgshouldgthegnursinggassistantgdogwhengthegfamilygasksgthegnursinggassista nt'sgopinion?

A) AgreegthatgMr.gClinegshouldgbegingthegnursingghome.

B) Agreegwithgwhichevergfamilygmembergisgaskinggthegquestion.

C) Dognotgtakegsidesgingthisgsituation.

D) AgreegthatgMr.gClinegcouldghavegstayedginghisgownghom e.gAnswer:C PagegRef:g342 LO: 2. gandg4.gExplaingthegphysicalgandgpsychologicalgeffectsgofgaginggandgthegrolegofgthegnurs

inggassistantgingmeetinggthegneedsgofgthegelderlygresidentgandgdescribegthegrolegofgthegn ursinggassistantgingmeetinggresidents'gemotional,gspiritual,gandgsocialgneeds.

6) Twogadultgresidentsgingtheglongtermgcaregfacilityghavegdevelopedgangattractiongforgoneganother.gThegnursinggassistantgdi scoversgthemgingagroomgengaginggingsexualgactivity.gWhatgshouldgthegnursinggassistantgd o?

A) Interruptgthegsexualgactivitygandgseparategthegtwogresidents.

B) Leavegthegroomgquietlygandgknockgbeforegenteringgthegroomgnextgtime.

C) Reportgthegsituationgtogthegsupervisinggnursegatgonce.

D) Callgthegfamiliesgofgeachgofgthegre s W i de nts invo lved a ndgexplaingwhatgha W g .Wg B g MTg g S S .W sghappened.gAnswer: B PagegRef:g344-346 LO: 3. gDescribegthegrolegofgthegnursinggassistantginghelpinggresidentsgexpressgtheirgsexualitygap

propriately.

7) Whichgofgthegfollowinggisgangappropriategwaygthatgnursinggassistantsghelpgresidentsginglon g-gtermgcaregexpressgtheirgsexuality?

A) Encouragegfriendshipsgandgrelationshipsgbetweengresidents.

B) Assistgresidentsgwithgpersonalghygienegandgfollowgtheirgpreferencesgforghairgstyling,gmakeu p,gshaving,gandgsogon.

C) Sharegsupportgandgoffergcomplimentsgongthegresidents'gappearance.

D) Allgofgthegabovegaregappropriate .gAnswer: D PagegRef:g344-346 LO: 3. gDescribegthegrolegofgthegnursinggassistantginghelpinggresidentsgexpressgtheirgsexualitygap

propriately.

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8) Howgcangagnursinggassistantghelpgagresidentgfeelgusefulgandgimportant?

A) Assigngthegresidentgagfewgsimplegtasksgtogdo,gsuchgasgchanginggbedglinensgorgdeliveringgm ealgtrays.

B) Limitgthegchoicesgagresidentghasgconcerninggthegresident'sgowngcare.

C) Encouragegthegresidentgtogshowgkindnessgtogothersgorgparticipategingagresident'sgcouncil.

D) Tellgthegresidentgwhatgneedsgtogbegdonegongyourgtaskglistgsogthegresidentgcangparticipate gingothergresidents'gcaregplans.

Answer: C PagegRef:g340-341 LO: 4. gDescribegthegrolegofgthegnursinggassistantgingmeetinggresidents'gemotional,gspiritual,gandgsoc

ialgneeds.

9) Whengbloodgvesselsgbecomegmoregrigidgandgnarrowgasgagresultgofgnormalgaging,gallgofgt hegfollowinggresultgexcept A) Highgbloodgpressure.

B) Uppergrespiratorygdisease.

C) Becominggeasilygfatiguedgduringgactivity.

D) Poorgcirculation.

Answer: B PagegRef:g343-344 LO: 2.gExplaingthegphysicalgandgpsyWcWhoWlo.giTcaBlgeSffMec.tsWoSfgaginggandgthegr olegofgthegnursinggassistantgingmeetinggthegneedsgofgthegelderlygresident.

10) Thegphysicalgchangesgthatgoccurgwithgaginggmakegoldergpeoplegmoregsusceptiblegtoginjuri esgandgaccidents.gNursinggassistantsgcangsupportgresidents'gsafetygneedsgby A) Alwaysgrespondinggtogthegcallglightgpromptly.

B) Protectinggresidentsgfromgoverexposuregtogthegsun.

C) Monitoringgresidentsgcloselygforgsignsgofgchoking.

D) Allgofgthegabov egAnswer: D PagegRef:g349 LO: 5.gDescribegthegrolegofgthegnursinggassistantgingprovidinggforgresidents'gsafetygneeds.

11) Dementiagisgangumbrellagtermgforgagnumbergofgdiseasesgandgdisordersgthatgcausegdeclineg ofgcognitivegability.gSymptomsgofgcognitivegimpairmentgcommongamonggresidentsgofglongtermgcaregfacilitiesginclude A) Inabilitygtogconcentrategorgfollowgdirections.

B) Memorygloss.

C) Disorientationgandgpoorgjudgement.

D) Allgofgthegabove .

Answer: D PagegRef:g350-351 LO: 6.gListgthegtypesgofgcognitivegimpairmentgcommongamonggresidentsgofglong-

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termgcaregfacilities.

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12) Evelynngisgagnewgnursinggassistantgongthegmemorygcaregunitgofgagnursingghome.gShegknowsgfromg hergtraininggthatgtheregaregbestpracticegguidelinesgtogfollowgingordergtogprovidegoptimalgcaregtoghergresidentsgwithgdementia.gTheseg include

A) Beinggpatientgandgrepeatinggthegsameginformationgovergandgovergasgneeded.

B) Beinggconsistentgingroutinegandgenvironment.

C) Beinggobservantgforgpreventiongofginjury.

D) Allgofgthegabove .

Answer: D PagegRef:g350-351 LO: 7.gListggeneralgprinciplesgingthegcaregofgresidentsgwithgdementia.

13) Bensongisgangexperiencedgnursinggassistant,ghelpinggmentorgstudentgaidesgongthegmemor ygcaregunit.gHeghasgobservedgmanygstudentsgstrugglinggtogcommunicategwithgresidents.gWhic hgofgthegfollowinggwouldgbegangexamplegBensongcouldggivegstudentsgasgangeffectivegwaygtogc ommunicategwithgagresidentgwithgdementia?

A) "Wouldgyouglikegtogweargaggreengorgbluegsweatergtoday?"

B) "Let'sghurrygupgandggetgyougdressedgquicklygforgthegactivitygthisgafternoon."

C) "Thegreasongwhygyougneedgtogweargagsweatergisgthatgit'sgwintergandgcoldgoutside.gIgdon'tgw antgyougtoggetgagchillgduringgactivitiesgtoday."

D) "Howgaboutgyouglookgingyourgclos eWt g a n d gp i c k ou t yo ur gclothes? gI gwantgto gsupportgyour g choicesgandgpW refegr. eW ngcBegsM ."gT S S . W Answer: A PagegRef:g351-352 LO: 8.gDiscussghowgtogcommunicategeffectivelygwithgcognitivelygimpairedgresidents.

14) Forgagresidentgwithgdementia,gbehaviorgisgagformgofgcommunication.gWhichgofgthegfollowi nggbehaviorsgdemonstratesgagresident'sgincreasedgconfusiongorgrestlessnessglategingthegaftern oon,gingthegevening,gorgatgnight?

A) Hoardinggandgpillaging B) Sundowning C) Wanderinggandgpacing D) Hallucinating gAnswer: B PagegRef:g352-353 LO: 9.gDescribegcommongbehaviorsgofgresidentsgwithgdementiagandgwaysgtogpreventgthemgorgred ucegtheirgeffects.

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15) Forgagresidentgwithgdementia,gbehaviorgisgagformgofgcommunication.gWhichgofgthegfollowi nggbehaviorsgdemonstratesgagresident'sgneedgforgsecurity,gcompanionship,gorglookinggforgaglo vedgone?

A) Hoardinggandgpillaging B) Sundowning C) Wanderinggandgpacing D) Hallucinations gAnswer: C PagegRef:g352-353 LO: 9.gDescribegcommongbehaviorsgofgresidentsgwithgdementiagandgwaysgtogpreventgthemgorgred ucegtheirgeffects.

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ThegNursinggAssistant:gAcute,gSubacute,gandgLongTermgCare,g6eg(Pulliam)gChapterg24 DeathgandgDying 1) Agpatientgwhogsaysg"Whygme?"gandgactsgingagdemandinggwaygisgexperiencinggwhichgstageg ofgdying?

A) Denial B) Anger C) Bargaining D) Depression gAnswer: B PagegRef:g359-360 LO: 1.gNamegandgdescribegthegfivegpsychologicalgstagesgingdying.

2) Patientsgwhogsayg"Thisgcan'tgbeghappeninggtogme!"gandgrefusegtogbelievegtheygaregtermina llygillgaregexperiencinggwhichgstagegofgdying?

A) Denial B) Anger C) Bargaining D) Depression gAnswer: A PagegRef:g359-360 LO: 1.gNamegandgdescribegthegfivegpsychologicalgstagesgingdying.

3) Agpatientgwhogisgtearfulgandgisgmourninggpastgandgfutureglossesgisgexperiencinggwhichgstageg ofgdying?

A) Denial B) Anger C) Bargaining D) Depression gAnswer: D PagegRef:g359-360 LO: 1.gNamegandgdescribegthegfivegpsychologicalgstagesgingdying.

4) Scotty,gagnursinggassistant,gactsgnervousgaroundgdyinggpatientsgandgtriesgtoghurrygtogcomple tegtheirgcare.gThisgisgprobablygbecauseghe A) Doesgnotglikeghisgjobgasgagnursinggassistant.

B) Feelsgthatgdyinggpatients'gneedsgareglessgimportant.

C) Isguncomfortablegwithgthegideagofgdeath.

D) Isgnotgagprofessionalghealthgcaregworke r.gAnswer: C PagegRef:g360-361 LO: 2.gDiscussgthegrolegofgthegnursinggassistantgingmeetinggthegspiritualgandgemotionalgneedsgofgter minallygillgpatientsgandgtheirgfamilies.

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5) Whatgisgthegmostgimportantgthinggagnursinggassistantgcangdogforgagdyinggpatient?

A) Justgbegwithgthegpatient.

B) Saygjustgthegrightgwords.

C) Findgagwaygtogimprovegthegpatient'sgcondition.

D) Providegfrequentgsnacksgandgnourishment .gAnswer: A PagegRef:g360-361 LO: 2.gDiscussgthegrolegofgthegnursinggassistantgingmeetinggthegspiritualgandgemotionalgneedsgofgter minallygillgpatientsgandgtheirgfamilies.

6) Mr.gBroskigisgterminallygill.gHeghasgmanygreligiousgobjectsginghisgroomgforgcomfortgatgthisgti me.gWhatgshouldgthegnursinggassistantgdogaboutgthem?

A) Explaingthatgthegobjectsgaregtakinggupgtoogmuchgroom,gandgsendgthemgtogthegpatient'sghome.

B) Placegmostgofgthemgingthegclosetgorgongthegfloor,gtogkeepgthegbedsidegclear.

C) Removegallgbutgonegorgtwogandgkeepgthosegclosegtogthegpatient.

D) Treatgeachgobjectgwithgrespectgandgkeepgthemgneargthegpatien t.gAnswer: D PagegRef:g360-361 LO: 2.gDiscussgthegrolegofgthegnursinggassistantgingmeetinggthegspiritualgandgemotionalgneedsgofgter minallygillgpatientsgandgtheirgfamilies.

7) AsgMr.gBroskigbecomesgweakergandgweaker,ghisgfamilyggathersgaroundghim.gThegnursing assistantgshould A) Suggestgthatgthegfamilygwaitgingtheglobbygandgcomegingonlygtwogatgagtime.

B) Enforcegvisitingghours,gsogthegpatientgcanggetgthegrestghegneeds.

C) Begconsiderategofgthegfamily,gansweringgquestionsgandgusinggappropriategcomfortinggtouch.

D) Askgthegfamilygmembersgtogleavegthegroomgwhilegthegpatientgisgbeingggivengcar e.gAnswer:C PagegRef:g360-361 LO: 2.gDiscussgthegrolegofgthegnursinggassistantgingmeetinggthegspiritualgandgemotionalgneedsgofgter minallygillgpatientsgandgtheirgfamilies.

8) Becauseghearinggisgonegofgtheglastgfunctionsgtogbeglost,gthegnursinggassistantgshould A) Begcarefulgnotgtogsayganythinggthatgwouldgbegupsettinggtogthegpatient.

B) Encouragegthegfamilygtogkeepgtalkinggtogthegpatient.

C) Speakgtogthegpatient,gevengifgthegpatientgisgunconscious.

D) Dogallgofgthegabove .gAnswer: D PagegRef:g361-363 LO: 3.gExplaingspecialgtypesgofgphysicalgcaregneededgbygdyinggpatients.

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9) Becausegterminallygillgpatientsgoftengbreathegthroughgtheirgmouths,gthegnursinggassista ntgshould A) Pushgfluidsgandgicegchips,gtogincreasegintake.

B) Usegmedicatedggel,gtogmoisturizegbleedingggums.

C) Swabgthegmouthgandglipsgwithgagcotton-tippedgapplicatorgdippedgingglyceringorglubricant.

D) Havegthegpatientgswishgandgspitgantisepticgmouthwas h.gAnswer:C PagegRef:g361-363 LO: 3.gExplaingspecialgtypesgofgphysicalgcaregneededgbygdyinggpatients.

10) Becausegcirculationgslowsgingterminallygillgpatients,gthegnursinggassistantgshould A) Givegfrequentgbedgbathsgandgchangeglinensgoftengifgthegpatientgisgperspiring.

B) Observegforgincreasedgriskgforgskingbreakdowngandgpressureginjuries.

C) Keepgthegpatientgcoveredgwithglightgblanketsgasgbodygtemperaturegrises.

D) Allgofgthegabov egAnswer: D PagegRef:g361-363 LO: 3.gExplaingspecialgtypesgofgphysicalgcaregneededgbygdyinggpatients.

11) Angadvancegdirectivegorglivinggwillgcontainsgthegpatient'sginstructionsgaboutgcaregatgthege ndgofglife.gAllgofgthegfollowinggaregc o v e rWe dWiWn g.thTisBdoScMum.eWnStgexcept A) UsegofgCPR. B) Funeralgarrangements.

C) Medicationsgandgtreatment.

D) Artificialgfeedings.

Answer: B PagegRef:g363-364 LO: 4.gDescribegDNRgorders,ghospicegcare,gandgorgan/tissuegdonation.

12) Agspecial,ginterdisciplinarygprogramgdesignedgtogprovidegsupportivegcaregforgterminallyg illgindividualsgandgtheirgfamiliesgduringgtheglastg6gmonthsgofglifegisgcalled A) Hospicegcare.

B) Terminalgcare.

C) Bereavementgcare.

D) Advancegdirectivegcare .

Answer: A PagegRef:g363 LO: 4.gDescribegDNRgorders,ghospicegcare,gandgorgan/tissuegdonation.

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13) Ms.gMcAuleygisgagpatientgwhosegbrainghasgdied.gThegdecisionghasgbeengmadegtogdonategh ergorgansgandgtissuesgtogothers.gShegisgmaintainedgforgagshortgtimegbygagventilatorgandgIVsgso gthat A) Thegdonorgorgansgcontinuegtogfunctionguntilgdonationgoccurs.

B) Thegdonorgorgansgandgtissuesgcangreceivegextragnutrientsgbeforegtransplant.

C) Thegfamilygcangfinallyggivegconsent.

D) Thegfederalglawsgcangbegfollowedgclosel y.gAnswer: A PagegRef:g364 LO: 4.gDescribegDNRgorders,ghospicegcare,gandgorgan/tissuegdonation.

14) Ifgyougobservegthatgagpatientgisgclosegtogdeath,gyougshould A) Directgotherghealthgcaregstaffginghowgtogprovidegcare.

B) Pronouncegthegpatientgdead.

C) Informgthegfamilygthatgdeathgisgverygnear.

D) Notifygyourgsupervisinggnursegofgyourgobservations .gAnswer: D PagegRef:g365 LO: 5. gDescribegthegphysicalgsignsgandgchangesgthatgoccurgasgdeathgapproachesgandgaftergde

ath.

15) Whengprovidinggpostmortemgcare,gthegnursinggassistantgshould A) Providegforgprivacygbygdrawinggthegcurtaingorgclosinggthegdoor.

B) Touchgthegbodyglightlygandgfollowgstandardgprecautions.

C) Treatgthegbodygwithgthegsamegrespectgasgyougwouldgaglivinggperson.

D) Dogallgofgthesegthings .

Answer: D PagegRef:g364-365 LO: 6.gCarrygoutgthegstepsgingpostmortemgcare.

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