Question 1

You are resigning from your work as a nursing assistant. What is the most appropriate action for you to take?

Accepted Answer

Whatever the reason for resigning, you need to tell your employer. Do not leave a job without notice. The most appropriate way of doing this is to write a resignation letter indicating your reason for leaving, last date you will work, and gratitude to the employer for the opportunity to work in the agency.

Question 2

Which of the following techniques would you use when interviewing a 94-year-old patient?

Accepted Answer

Use a low-pitched voice. Elderly persons with no underlying hearing problems are sensitive to sound and can hear normally. By using a low-pitched voice, you will be able to convey your messages clearly to the client instead of shouting.

Question 3

A new nurse assistant is on an orientation tour with the supervisor. A client approaches her and says, "I don't belong here. Please try to get me out." The nurse assistant's best response would be:

Accepted Answer

The correct response is, "I am a new staff member, and I'm on a tour. I'll come back and talk with you later." The client in this scenario is disturbed and restless. Informing the client of your identity and role in the workplace will present reality. Furthermore, offering to come back later and talk with the client can provide a sense of importance and relief from the anxiety. It is important to address the present emotions of the client and to neither delay nor neglect him.

Question 4

Sandra Hawks, 69 years old, was diagnosed with colon cancer. Upon the request of her daughters, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. How should you respond?

Accepted Answer

You should say, "I don't have any information as of the moment, but I'll find out for you." The nursing assistant may spend more time with the client than any other member of the health care team. Often, you are the only person a client will see all day. Therefore, it's best to not lie to the client. You might lose her trust if she finds out that you lied to her.It's also best to not tell the client simply that you have no information, as this closes the conversation. Instead, tell the client you will find her an answer. Then call and talk to your supervisor. Plan an answer with her. When you promise to find an answer for a client, do it. Do not go back on your word.

Question 5

Legally, clients' charts are:

Accepted Answer

A client's chart is the property of the facility. It is the facility that sets the policy and makes appointments for viewing of the chart. Clients have the right to the information in their charts, but they do not have the right to see the chart on demand, remove anything from the chart, or remove the chart from the facility. The chart is not a property of the government, but it can be used in court as evidence of the client's problems, treatments, and care if proper steps are obtained.

Question 6

A client in the long-term facility tells the nurse assistant, "I am too depressed to talk to you, leave me alone." Which of the following responses is most therapeutic?

Accepted Answer

Do not heed to the demand of the client who says he does not want you around. Depressed clients often have thoughts of dying or committing suicide, soit is best to assess the client for any suicidal ideations. Use silence and active listening when interacting with the client. Be comfortable sitting with the client in silence. Let the client know you are available to converse, but do not require the client to talk.

Question 7

The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nurse assistant admits forgetting the resident. This is an example of which of the following?

Accepted Answer

This is an example of accountability. Flexibility is your ability to adapt to the situation. Dependability is a basic expectation set by your employer, and the nursing assistant demonstrates this by his or her commitment to the job and to the residents. Responsibility is the ability to fulfill duties and expectations in your role as a nursing assistant.

Question 8

Which of the following clients needs to be attended to first by the nurse aide?

Accepted Answer

In attending clients, the nurse aide must prioritize the most important task or cater first to the needs of the client that is considered most critical. As a guide, Maslow's Hierarchy of Needs will help the nurse aide identify which client to attend to initially. In this particular question, Choice A is the correct answer because the client needs to assistance with his elimination and skin care needs, which are part of the physiological needs. The nurse aide can go to other clients and continue to help them in their care plan after responding to the prioritized client.

Question 9

The nurse attendant has several clients who need to be referred to a nurse. Which of the following clients should she refer first?

Accepted Answer

The client with chest pain should be referred to the nurse because he needs to be assessed and managed immediately before severe problems occur. Clients with signs and symptoms of infections should be dealt with after those without infections to prevent contamination. The client for discharge would require longer nursing time for health teachings and may be dealt with later.

Question 10

Monique stopped working as a nursing assistant when she gave birth to her daughter. After two years of being a full-time wife and mother, she now decides to go back to work to help in paying their bills. What are the requirements that Monique has to comply with before going back to work again?

Accepted Answer

Retraining and a new competency evaluation program are required for nursing assistants who have not worked for two consecutive years (24 months). It does not matter how long you worked as a nursing assistant. What matters is how long you did not work.

Question 11

The nursing staff is taking their morning break in the lounge. A nursing attendant tells the group that she thinks that the unit secretary has AIDS and proceeds to tell the nursing staff that the secretary probably contracted the disease from her husband, who is supposedly a drug addict. Which legal tort has the nursing assistant violated?

Accepted Answer

Defamation is a false communication or a careless disregard for the truth that causes damage to someone's reputation, either in writing (libel) or verbally (slander). An assault occurs when a person puts another person in fear of a harmful or an offensive contact. Negligence involves the actions of professionals that fall below the standard of care for a specific professional group.

Question 12

It's a busy day in the ward, and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Terramycin ointment and gave instructions to apply it to Mrs. Harris' eyes. How would you respond to this?

Accepted Answer

Politely refuse the nurse's request and explain your job limitations as a nursing assistant. You must work under the direction of a licensed nurse or doctor. Your job responsibilities are limited to those specified in your job description. Limitations often include giving medications (includes applying prescription skin creams, lotions, or ointments), taking orders from a doctor, and performing any procedures prohibited by law or by the employing facility. When in doubt about performing any function or task for which you are unfamiliar or unsure, consult your immediate supervisor. In medicine, the adage "Do no harm" applies to your practice as well.

Question 13

Janine (CNA) avoids deliberate harm, risk of harm, and harm that occurs during her performance of nursing actions. The nurse aide is promoting which ethical principle?

Accepted Answer

Nonmaleficence is the obligation to do or cause no harm to another. Autonomy is the respect for an individual's right to self-determination. Beneficence is the duty to do good to others and to maintain a balance between benefits and harms. Justice is the equitable distribution of potential benefits and tasks, determining the order in which client's should be cared for.

Question 14

When a nursing assistant commits a procedure error, she should accurately document the client's response and her corresponding action. This is very important for which of the following purposes:

Accepted Answer

It is important to record in the medical chart the client's response and the actions performed by the nursing assistant whenever an error is committed. Protecting clients from harm involves rules and standards of conduct. They form the legal and ethical aspects of care. Furthermore, this serves as legal safeguard to the nurse assistant.

Question 15

A nursing assistant is initiating strategies to address an ethical dilemma. Which of the following strategies would indicate that the nursing assistant is in error and needs further study?

Accepted Answer

When addressing an ethical dilemma, you should not use personal values to determine interventions. This attitude is prejudicial or biased. To be prejudiced or biased means to make judgments and have views before knowing the facts. Imposing one's own values in giving care to clients is an inappropriate ethical behavior.

Question 16

While working in an acute care setting, the nurse aide can best reduce the risk of malpractice litigation by doing which of the following?

Accepted Answer

The nurse aide can best decrease the risk of malpractice claims and litigation by maintaining expertise in practice. This can be accomplished by keeping up-to-date in knowledge and skills and practicing within the statutory scope of practice. The nurse aide should not offer value judgments at any time or discuss errors with the family. Incident reports should be kept on file, in the care of a supervisor or manager, but they do not decrease the risk of malpractice litigation.

Question 17

A nurse aide enters the room of a female client and asks her how she is doing. The client states, "I'm a little nervous this morning." Which of the following would be the best reply?

Accepted Answer

Asking the client to describe feelings helps the nurse aide gather additional information and indicates to the client that the nurse aide is attentive. Asking "why" questions (Choice A) may force the client to defend herself by indicating there must be a reason for these feelings. Stating that the client looks nervous (Choice B) may be interpreted as non-supportive. Providing a backrub (Choice C) does not allow the client to express feelings.

Question 18

A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client's needs while preventing sensory overload?

Accepted Answer

Having the conversation directed to the client meets the client's needs while creating fewer disturbances. This will help decrease overstimulation, especially for the client who is hearing impaired. Lights in the room should be dimmed to reduce visual overload. Having too many family members with the client will only add to the already sensory-overloaded client.

Question 19

To foster optimal hearing for the client who has a hearing aid, the nurse aide should:

Accepted Answer

When speaking to a client with a hearing aid, speak slowly and clearly. A hearing aid makes both background noise and speech louder, so it is important to speak clearly.

Question 20

Joan answers an incoming phone call only to find out that the caller was calling a different unit. How should Joan facilitate the call transfer?

Accepted Answer

Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy. Nurse aides may have to answer phone calls at the nurses' station or in the clients' rooms. Good communication skills are needed. Giving the phone to the nurse will only delay and may hamper an emergency call. When transferring a call, first find out who is calling, and transfer calls only if appropriate. Respond politely by referring the caller to the operator instead of putting them on hold and eventually putting the phone down.

Quiz 10: Role of the Aide