1)Maria decided to put her mother in a smaller facility that is more like a family setting to make sure her mother’s needs are better taken care of. You would know that Maria has chosen a place for her mother that has less than 6 people that are not related living there called a?

A)Home care agency

B)Assisted living facility

C)Homes for the Aged

D)Long Term Care Facility

2)Sara, a student from AHS, is in the Nursing Fundamentals program & doing her clinical rotation at Golden Lake Nursing & rehab center. Sara is only 17 but will be 18 next Monday and the NA she is working with is on break but needs her to get Mrs. Jones up in room 205. When Sara gets to Mrs. Jones she is lying in bed and tells her they always use the Hoyer lift to get her out of bed. Sara remembers her teacher telling her that by law, you must be 18 to use this lift with patients, but she figures she is only a few days away and she knows what she is doing. Sara uses the lift and Mrs. Jones isn’t tied in correctly and falls out and breaks a hip, has a gash over her eye, and a broken arm. Sara will most likely be placed on what?

A)Leave of Absence

B)Health Care Personnel Registry

C)CMP

D)Probation

3)In the scenario above, even though Sara is a student, she could also be sued for?

A)Malpractice

B)Assault & Battery

C)Abuse

D)Negligence

4)The Badge Law states that when working in a facility you must wear a name badge at all times. This would exclude who?

A)Physician working in his private practice

B)A nurse working 3rd shift at the nursing home

C)A PT doing home health

D)A dietician checking on patients at a dialysis center

5)When John, CNA came in on 3rd shift the RN told him that Mr. Hopkins in Room 310 was very agitated and confused this evening possibly due to a new medication his physician prescribed. John was told that he may need to watch him closely this evening even though normally he would be sleeping soundly. At around 0400 Mr. Hopkins started ringing his call light every few minutes wanting to go to the rest room and John was very busy and didn’t want him getting up and falling so he put a bed restraint on Mr. Hopkins to keep him from falling out of bed or falling trying to go to the bathroom. When the 1st shift nurse comes in early at 0630 she walks past room 310 to go clock in she notices the bed restraint and immediately knows that?

A)It’s been a crazy night and the patients must have been demanding.

B)A doctor’s order must have been received for Mr. Hopkins to be restrained in bed, because she knew he didn’t have one the day before.

C)He must be sick and was strapped in to keep him from giving it to others in the facility.

D)His wife must have wanted him to be secure in bed so that he couldn’t get up and roam around the facility.

6)Mrs. Charles is normally a loud, stubborn, and demanding resident at Golden Lake Nursing & rehab center. She wants to have her way and can continue screaming loudly or will try and walk up to the nurses’ desk to demand what she wants until she gets her way. Staff has talked with her family and they say she has always been that way but doesn’t know what to do. It is Saturday evening and Marcie, RN is working 3rd shift and has a lot of paperwork to get done before 1st shift comes on. Mrs. Charles has been yelling for her to bring her a snack for the past 2 hours but when Marcie looks up Mrs. Charles is standing at the nursesdesk in her diaper only demanding food. Marcie quickly escorts Mrs. Charles back to her room, gives her some water and puts her back to bed. When tucking her in bed, Marcie tucks her top sheet in very tightly so Mrs. Charles can’t move around very well or hopefully get up. What violation has Marcie committed?

A)Chemical restraint violation

B)Negligence

C)Abuse

D)False Imprisonment

7)You start a new job and you know that you will be working with a hierarchical team because the following are on your staff team.

A)Dr. Stafford, Dr. Miller, Sara Jones, PA, & Dr. Shelton

B)Janice, Selma, Anna, & Felicia – all CNA’s

C)Dr. Stafford, Anna, CNA, Porcia, RN, and Janice, LPN

D)Porcia, Denise, Patty-all RN’s & Sara James, RN Supervisor

8)As you begin your new job as a NA in the new rehab wing of the Golden Lake Nursing & rehab facility you notice that some of the staff doesn’t seem to be getting along very well. Some of the staff is new but many have been here awhile but working in different areas of the building. Some of the newer staff has been working for many years and they think they know how to better care for the residents and try to tell others how to run things even though many things are different here at Golden Lake. You recognize this as what part of building a team?

A)Norming

B)Storming

C)Performing

D)Forming

9)Tom Sawyer is 98 years old and suffers from COPD. His family has decided to call in an agency to keep him as comfortable as possible and to let him be at home with his family when he dies. We would understand this to mean he is receiving what kind of care.

A)Hospice & palliative care

B)Home Care and physical therapy

C)LTC and rehab

D)Hospice and curative measures

10)Using this is a great way for a resident to request assistance:

A) Yell for help

B) Have a family member help

C) Call from their phone

D) Use the call bell that is within reach

11)You should always record &/or report this information on a patient.

A) vital signs

B) Height & weight

C) Intake & Output

D) All of the above

12) Nurse Aide tasks are supervised by whom?

A) Physician

B) RN-Anesthetist

C) Licensed nurse

D) Dietician

13)When Sarah arrived at work her supervisor asked her to go to room 412& empty his drainage bag and to change the sterile dressing on his R leg. She was then asked to go in and feed Mrs. Talbert in room 420 dinner. After another hour Sarah was summoned to room 325 to help re-position Mr. Simmons due to him weighing over 300 pounds. Which part of Sarah’s day was considered out of the nurse aides’ range of function as defined by the board of nursing?

A) emptying the drainage bag

B) changing the sterile dressing on R leg

C) Assist with feeding a patient

D) Helping re-position a patient

14)When feeding a resident you should:

A) Offer them something to drink first

B) Ask if they want to wear a clothing protector

C) Ask if they are hungry before starting to feed them

D) Put salt and pepper on all their food for them

15)When giving working on 3rd shift Janice is getting upset because Mrs. Deese in room 107 has been crying all day since this is her first day at the facility. Janice goes to report that she can’t get any work done because she keeps calling her or ringing her bell. Tammy, RN tells Janice that she can give her a sleeping pill that has been prescribed by her physician prn. Janice knows that this could be considered what?

A) chemical restraint

B) overdosing the patient

C) Abuse

D) Great for her tonight

16) Mrs. Norton has a prescribed for wearing wrist restraints when she is receiving IV antibiotics during 1st shift because she is confused and sometimes tries to pull the tubing out. Sandy notices that when she goes in to feed her dinner that she is still wearing her wrist restraints. Sandy knows this is incorrect because….

A) She can’t eat with them on her wrists and she needs to be free to help feed herself if she can

B) Sandy has to take the time to remove them and she doesn’t have time during her shift

C) Restraints should be removed every 2 hours and the patient repositioned and Mrs. Norton should have received her IV tx before her shift

D) No one had checked them in the past 30 minutes like they should have.

17) When James talks with Mr. Simpson in room 110 each evening he notices that he voices complaints of being unhappy with his roommate. He has had this same complaint for the past few weeks. James decides that maybe Mr. Simpson is really unhappy and not just complaining and talks to his supervisor about a new room assignment. James is acting as Mr. Simpsons______.

A) son

B) POA

C) friend

D) advocate

18) The Advisory Group council is made up of whom?

A) Resident, NA’s, Pastor from local church

B) Family members, MD, DVM

C) Administrator, RN, MD

D) Residents & nursing staff

19) When washing hands you should do all the following except?

A) Wash all surfaces for at least 20 seconds

B) Dry your hands and turn water off with a paper towel, then throw away

C) You can just use hand sanitizer if hands aren’t visibly soiled

D) Use warm water and a generous amount of soap then wash vigorously

20) You are working in Ms. Frances room and notice that she doesn’t have a pulse in her LLE and her toes are very cold to the touch. You check to see if her ankle restraint is too tight and it is on properly. What is the next thing you should do?

A) Take the restraint off and move her foot around to see if you get a pulse

B) Just cover her feet back up, that will warm her up and hopefully the pulse will come back

C) Call the nursing supervisor to come in and check on Ms. Frances

D) Ask Ms. Frances if she feels okay and if she says yes, don’t worry about it.

21) Which of the following would make it difficult for an older adult to drive during the day or at night?

A) Glaucoma

B) Macular Degeneration

C) Diabetic Retinopathy

D) Cataract

E) All of the above

24) These Residents rights are protected by the Constitution except for which of the following?

A) Right to be treated with respect

B) Right to live in dignity

C) Right to pursue a meaningful life

D) Right to live in fear of retaliation or discrimination

25) If you are working at a nursing home and a resident asks you to help them with something, what would be the best thing to do?

A) Pretend you don’t hear them and continue with what you are doing

B) Ask Sammy to help them so you don’t have to stop and re start your tasks

C) Assist them immediately or ASAP if you are in the middle of a task

D) Tell them to go ask someone else because you don’t have time.

  1. Homes for the aged are licensed by the Division of Health Service Regulation and monitored by Adult Home Specialist within the:
  2. County department of social services
  3. State department of aging
  4. County health department
  5. State department of social services
  6. Which facility/agency provides care in the home for people needing health services, but not hospitalization?
  7. Homes for the aged
  8. Home care agencies
  9. Assisted living facilities
  10. Adult care homes
  11. Nurse aides must provide good care and comply with:
  12. State regulations
  13. Federal regulations
  14. County regulations
  15. State and federal regulations
  16. Long term care facilities provide healthcare services to individuals who are unable to care for themselves. This includes all of the following except:
  17. Elderly persons
  18. Disabled persons
  19. People with an acute illness
  20. People with a chronic illness
  21. According to the organizational structure of a healthcare facility, who is responsible for making sure safe and adequate care is provided at a reasonable cost?
  22. Board of Directors
  23. Medical Director
  24. Director of Nursing
  25. Charge nurse
  26. Long term care centers can be put on sanction because of:
  27. Substandard care
  28. CMPs
  29. A civil money penalty
  30. All of the above
  31. Of the following, where can nurse aides not work?
  32. Clinics
  33. Psychiatric centers
  34. Schools
  35. Rehab centers
  36. Which type of care is provided to people with a terminal illness?
  37. Preventative
  38. Palliative/comfort
  39. Curative
  40. Hospital/acute
  1. This federal agency is responsible for setting quality standards for long term care centers.
  2. NC Division of Health Service Regulation
  3. The Nursing Home Licensure and Certification Office
  4. Centers for Medicare and Medicaid Services
  5. The Healthcare Personnel Registry Office
  6. The investigations branch of the Healthcare Personnel Registry section of NC DHSR is not responsible for:
  7. Receiving co-payments
  8. The Healthcare Personnel Registry
  9. Unlicensed healthcare worker investigations
  10. Listing “pendings” and “findings” on registries

Obj. 1.02

  1. Which of the following is within the range of function/legal parameters of nurse aide work?
  2. Supervise the work of other nurse aides
  3. Assist in the collection of specimens
  4. Assist with sterile procedures
  5. Take oral or telephone orders from a physician
  6. Mr. Smith is very pleased with the care you have given him today. He offers you a twenty dollar bill. What should you do?
  7. Take the money and give it to your supervisor
  8. Be friendly but, turn down the offer
  9. Quickly place the money in your pocket and be grateful
  10. Tell Mr. Smith that he’s silly for offering because you can’t accept gifts
  11. Nurse aide tasks are supervised by:
  12. The medical director
  13. Another nurse aide
  14. A licensed nurse
  15. A doctor
  16. Which of the following is not a sign of abuse?
  17. Irrational fears or a change in personality
  18. Proper hygiene
  19. Unexplained bruises, fractures, burns or injuries
  20. Aggressive, withdrawn, or paranoid behavior
  21. According to the NC Badge Law, when providing healthcare to a patient, the healthcare practitioner should wear identification displaying their:
  22. Name and date of hire
  23. Name and occupation
  24. Name and credentials
  25. Name only
  26. You have threatened to hit Mrs. Jones and made her feel scared and uneasy. You could be charged with:
  27. Physical abuse
  28. Negligence
  29. Battery
  30. Assault
  1. The nursing home is providing the residents with live music. Mrs. Davis asks the nurse aide to take her down to the activity room to enjoy the music. The nurse aide refuses and makes her stay in her room for the rest of the night. What could the nurse aide be charged with?
  2. False imprisonment
  3. Defamation
  4. Invasion of privacy
  5. Assault
  6. Answering call lights in a timely manner does all of the following except:
  7. Help prevent falls
  8. Improve rapport between coworkers
  9. Improve rapport between resident/family and staff
  10. Increase resident/family confidence in the staff’s ability to care for the needs of the resident
  11. Showing respect for each resident as an individual, respecting the privacy of others, and not accepting monetary tips are what type of responsibilities of the nurse aide?
  12. Legal
  13. Range of function
  14. Dutiful
  15. Ethical
  16. Which of the following is not a resident at risk of being abused?
  17. Residents who wander
  18. Philandering residents
  19. Socially isolated residents
  20. Quiet and calm residents

Obj. 1.03

  1. Which piece of legislation in 1987 established the Residents’ Bill of Rights?
  2. OBRA
  3. The Constitution
  4. HIPPA
  5. Murphy’s law
  6. Which of the following in not a basic human right protected by the constitution?
  7. Right to be treated with respect
  8. Right to be get everything and anything you want
  9. Right to be free of fear
  10. Right to pursue a meaningful life
  11. Mary is taking care of Mrs. Suzuki, a seventy year old, originally from Japan. Mary converses with Mrs. Suzuki in an adult manner at the same time calling her “Sweetie”. Mary allows Mrs. Suzuki to make choices involving her care and to do for herself as much as she can. Which behavior of Mary’s would not support residents’ rights?
  12. Not making eye contact
  13. Letting Mrs. Suzuki do as much for herself as she can
  14. Calling Mrs. Suzuki “Sweetie”
  15. Allowing Mrs. Suzuki to make choices.
  16. When can you legally restrain a resident?
  17. When you have tried all other alternatives
  18. When another nurse aide orders you to
  19. When they are being rude
  20. When the physician writes an order
  21. Which of the following is an unacceptable use for restraints?
  22. Putting all four side rails up on the bed at night per physician’s order to prevent the resident from rolling out of bed
  23. Giving someone their sleeping pill at noon because they are being obnoxious
  24. Using soft ties on a person’s wrist while they are on a ventilator with a physician’s order
  25. Using the lap tray ordered by the residents’ doctor while they are in the wheelchair
  26. Electronic devices on beds, wheelchairs, and doors are used as a restraint alternative to:
  27. Alert staff if a patient gets up without help
  28. Turn the TV on
  29. Allow the resident to have a noise maker
  30. Replace the call bell
  31. How often should you check a resident’s pulse, color, temperature and breathing once they are restrained in a limb or vest restraint?
  32. 2 hours
  33. 1 hour
  34. 30 minutes
  35. 15 minutes
  36. When applying restraints you must leave an eight inch tail on the restraint tie and use a:
  37. Double knot
  38. Square knot
  39. Slip knot
  40. Neuse knot
  41. Who can be a resident advocate?
  42. You and your co-workers
  43. A member of the resident’s family/support system or guardian
  44. An Ombudsman
  45. All of the above
  46. The resident council is an advisory group that gives residents a voice in:
  47. Facility finances
  48. Facility operations
  49. Community activities
  50. Facility staff
  51. In what type of health agency would MOST of the patients be diagnosed with a chronic illness?
  52. Long Term Care Facility
  53. Industrial health care center
  54. Rehabilitation center
  55. Ambulatory care center
  1. People who have been disabled by sickness or injury can recover many of their original abilities and relearn activities of daily living at a/an:
  2. Rehabilitation center
  3. Ambulatory care center
  4. Physician’s office
  5. Health department
  1. Mr.