Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

Chapter 1: Multiple Choice questions (answers are given in red color).

1. Which of the following healthcare settings is for people who will die in six months or less?
(A)Hospice
(B) Long-term care
(C) Assisted living
(D)Acute care
2. Which of the following statements is true of long-term care?
(A) People with terminal illnesses do not live in long-term care facilities.
(B) Most conditions in long-term care facilities are chronic.
(C) People who live in long-term care facilities are never able to return home.
(D)Long-term care takes place in a persons home.
3. A resident has purchased a special gift for her nursing assistant, Sarah. How should Sarah
respond?
(A)Refuse but thank her for thinking of her
(B)Accept because Sarah does not know her facilitys policy on gifts
(C)Accept and ask the resident not to tell anyone
(D)Refuse and tell her that her employer is very unfair about employees accepting gifts
from residents
4. A ______ is a method or way of doing something.
(A)Policy
(B)Procedure
(C)Survey
(D)Cite
5. Medicare is
(A) A medical assistance program for low-income people
(B) A program that pays for 100% of healthcare costs for all people who are enrolled in
it
(C) A health insurance program for people who are 65 or older or younger people who
are disabled and ill
(D)Never used to pay for long-term care
6. Which member of the care team diagnoses disease and prescribes treatment?
(A) Nursing assistant (NA)
(B) Resident
(C) Physician (MD)
(D)Dietitian (RD)
7. Which of the following care team members are licensed professionals who delegate jobs to
nursing assistants?
(A) NAs, nurses
(B) Residents family
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(C) Nurses, PTs, OTs

(D)NAs, physicians
8. Which of the following statements is true of residents being a part of the care team?
(A) Residents cannot make their own decisions.
(B) Residents are not care team members.
(C) Residents should not try to make choices about the care they want to receive.
(D)The care team revolves around the resident and his or her condition, treatment, and
progress.
9. Which of the following statements is true of a nursing assistants responsibilities if an activity
is not listed in the care plan?
(A) The NA should not perform the activity if it is not listed on the care plan.
(B)The NA should perform the activity if he or she believes it is best for the resident.
(C)The NA should only perform the activity if the resident says he wants it performed.
(D)The NA should consult other NAs to see if they would perform the activity.
10. What is one reason why reporting a residents changes and problems to the nurse is a very
important role of the nursing assistant?
(A)The care plan must be updated as the residents condition changes.
(B)Reporting changes is not a task that the NA performs.
(C)Depending on the residents changes, the NA can decide if she wants to work that day
or not.
(D)The NA can decide what medication to prescribe for the residents current condition.
11. Which of the following is a typical task that an NA performs?
(A) Changing a sterile dressing on an open wound
(B) Helping residents with toileting needs
(C) Administering medication
(D)Prescribing treatments
12. Which of the following tasks is outside the scope of practice for an NA?
(A) Giving a resident a bath
(B) Giving an injection of medication
(C) Helping a resident eat dinner
(D)Transferring a resident from the bed to a chair
13. A professional relationship between an NA and a resident includes:
(A)Telling the resident about problems with the supervisor
(B) Calling the resident Dearie and Sweetie
(C) Letting a resident know if the NA is in a bad mood
(D)Keeping resident information confidential

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

14. Which of the following is an example of a professional relationship with an employer?

(A) Documenting carefully
(B) Never bothering the nurses with questions
(C) Trying not to be late more than twice a week
(D)Talking about the management behind their backs
15. What does the chain of command do?
(A)It determines which residents go in which rooms.
(B)It determines which shift an NA works.
(C)It describes the care plan for each resident.
(D)It helps protect nursing assistants and their employers from liability.
16. What should a nursing assistant do if she suspects a resident is being abused?
(A)She should ask another resident if he thinks that person is being abused.
(B)She should ask her family and friends for advice.
(C)She should report it to the nurse immediately and let him/her handle it from there.
(D)She should do nothing since someone has probably already reported it.
17. When a nursing assistant is performing a procedure on a resident, he should
(A) Try to distract the resident so he/she wont know what the NA is doing
(B) Explain the procedure fully before performing it
(C) Wait until the resident is sleeping before the NA starts the procedure
(D)Watch TV or talk to the residents roommate so the resident doesnt become self-
conscious
18. Which of the following is a requirement of OBRA?
(A) Resident assessments must be completed on a few residents.
(B) Nursing assistants must have at least 45 hours of training.
(C) States cannot keep a current list of nursing assistants in a state registry.
(D)Nursing assistants must have at least 75 hours of training.
19. For a nursing assistant, confidentiality means:
(A) Not telling the nurse about possible abuse of a resident
(B) Never documenting resident problems
(C) Keeping private things private
(D)Sharing information with the nursing assistants own family
20. Why was HIPAA created?
(A) To keep health information private and secure
(B) To help ombudsmen monitor care in facilities
(C) To show nursing assistants how to report abuse in facilities
(D)To prevent neglect of residents

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

21. You are the nursing assistant for a resident who is paralyzed on her right side from a recent
stroke. Some of her family members are visiting and one of them turns to you and says in a
loud voice, She looks so stupid with half of her face drooping down like that. Isnt there
something you can do to fix that? What kind of abuse is this?
(A) Physical abuse
(B) Psychological abuse
(C) Sexual abuse
(D)Involuntary seclusion
22. If you make a mistake in documenting care, you should:
(A) Erase it.
(B) Draw one line through it, and write the correct word(s).
(C) Use correction fluid.
(D)Discard the chart and start over.
23. A residents protected health information (PHI) may be shared with:
(A) Other residents in the facility
(B) Only those who need the information for care or processing of records
(C) The nursing assistants family and friends
(D)Anyone who asks
24. Which of the following is an example of physical abuse?
(A) Stealing from a resident
(B) Failing to give a resident needed care
(C) Shoving a resident
(D)Threatening a resident
25. What is the term for the person assigned by law to be the legal advocate for residents?
(A)Activities Director
(B)Ombudsman
(C)OBRA
(D)Occupational Therapist
26. Which of the following shows the correct conversion of 9:00 p.m. to military time?
(A)2300 hours
(B)2100 hours
(C)2400 hours
(D)2000 hours

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

Chapter 2: Multiple Choice questions (answers are given in red color).

1. When should unsafe conditions be reported?

(A) When the facility is involved in a lawsuit
(B) Before accidents occur
(C) Only if a resident complains
(D) Whenever the nursing assistant has some extra time
2. Which of the following is an example of objective information?
(A) Mrs. Johnson says she has a rash on her torso.
(B) There are raised, red marks the size of pinpricks on Mrs. Johnsons torso.
(C) Mrs. Johnson must have a rash because she looks uncomfortable.
(D) Mrs. Johnson needs some lotion.
3. What is a proper way for a nursing assistant to respond if a resident does not hear her or does
not understand her?
(A) Speak more quickly.
(B) Whisper the words.
(C) Face the resident and speak clearly.
(D) Turn off the residents hearing aid.
4. Which of the following are ways to avoid barriers to communication?
(A) Using slang
(B) Asking why questions
(C) Using lots of medical terminology
(D) Not giving medical advice
5. Which of the following senses is not used in making observations?
(A) Sight
(B) Touch
(C) Smell
(D) Taste
6. When speaking with residents and their families, nursing assistants should
(A) Use medical terms so that they will understand more easily
(B) Use simple, non-medical terms
(C) Use a different language
(D) Talk over their heads to other staff members
7. Choose the resident conditions that the NA should report immediately to the nurse.
(A) Family fighting
(B) Chest pain, high fever

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

(C) Watching too much TV

(D) Acting lonely
8. When communicating with a resident who is hearing-impaired, a nursing assistant should
(A) Keep her hands in front of her face
(B) Shout
(C) Get the residents attention before speaking
(D) Chew gum

9. Which of the following can help with communication with a visually impaired resident?
(A) A nursing assistant should touch the resident before saying his name.
(B) A nursing assistant should use the face of an imaginary clock to explain the position of
objects in front of the resident.
(C) A nursing assistant should move furniture without telling the resident.
(D) A nursing assistant should give treats to the residents guide dog.
10. When coming upon an emergency situation, the very first thing the nursing assistant
should do is
(A) Perform CPR
(B) Perform abdominal thrusts
(C) Assess the situation and the victim
(D) Give rescue breaths
11. What is the best way a nursing assistant can respond to a combative resident?
(A) Argue with the resident.
(B) Tell the resident that he is wrong.
(C) Stay calm and lower the tone of his or her voice.
(D) Stand very close to the resident.
12. Why is important not to over-react when a resident behaves inappropriately?
(A) It may actually reinforce the behavior.
(B) The other residents may then copy the behavior.
(C) Your supervisor will be angry with you.
(D) You might surprise the resident.
13. If a resident behaves inappropriately, a nursing assistant should
(A) Tell other nursing assistants what happened and to stay away from the resident.
(B) Be matter-of-fact and not over-react.
(C) Tell other residents that this resident is perverted.
(D) Not report the behavior as long as it does not bother the nursing assistant.
14. Standard Precautions should be practiced
(A) Only on people who look like they have a blood-borne disease

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

(B) On every single person in your care

(C) Only on people who request that you follow them
(D) Only on residents whose charts indicate they are sick
15. The single most important thing you can do to prevent the spread of disease is to
(A) Carry dirty linen close to your uniform
(B) Never change your gloves
(C) Remove gloves before cleaning spills
(D) Wash your hands
16. Which of the following statements is true of gloves?
(A) Gloves should be worn when performing care on a resident who has broken skin.
(B) Disposable gloves can be washed and reused.
(C) Gloves do not need to be worn when shaving a resident.
(D) After giving care, gloves are not contaminated.
17. Which of the following is the proper order to apply PPE?
(A) Apply gown, mask, goggles, and gloves
(B) Apply gloves, gown, mask, and goggles
(C) Apply mask, goggles, gloves, and gown
(D) Apply gown, gloves, mask, and goggles
18. You will come into contact with microorganisms
(A) Only in public areas of the facility
(B) Only during direct contact with residents
(C) Only during personal care procedures
(D) Every time you touch something
19. Which of the following is true of Transmission-Based Precautions?
(A) You do not need to practice Standard Precautions if you practice Transmission-Based
Precautions.
(B) They are exactly the same as Standard Precautions.
(C) They are practiced in addition to Standard Precautions.
(D) They will not be listed in the care plan so as not to alarm anyone.
20. How are blood-borne diseases transmitted?
(A) By hugging an infected person
(B) By touching something that was just sterilized
(C) By standing too close to an infected person when he coughs
(D) By contact with blood or body fluids
21. To prevent falls, a nursing assistant should
(A) Clear walkways of clutter
(B) Keep lights low

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

(C) Have residents wear long pants

(D) Leave spills for housekeeping to clean
22. When should a nursing assistant identify a resident?
(A) After giving care
(B) When collecting meal trays
(C) When shifts change
(D) Before helping with feeding
23. How should residents be positioned while they eat?
(A) Lying flat on their backs
(B) Reclining at a 45-degree angle
(C) Sitting as upright as possible
(D) Lying on their sides
24. Using good body mechanics includes
(A) Twisting at the waist
(B) Carrying objects far away from the body
(C) Standing with the legs shoulder-width apart
(D) Keeping knees locked when lifting
25. Which of the following should you do when lifting a heavy object from the floor?
(A) Keep your feet shoulder-width apart.
(B) Keep the object far away from your body.
(C) Lift using the muscles in your back.
(D) Keep your knees straight.
26. RACE as a safety rule means:
(A) Run to A Close Exit
(B) Remove residents, Activate 911, Contain fire, Extinguish
(C) Residents Are to be Cared for Excellently
(D) Remove A Canister Extinguisher
27. When a resident is suspected of having a heart attack, a nursing assistant should:
(A) Leave the resident to call his family
(B) Cover the resident with a heavy blanket
(C) Make sure the resident is standing up to promote circulation
(D) Not give the person liquids or food
28. To control bleeding, a nursing assistant should:
(A) Use her bare hands to stop it
(B) Lower the wound below the heart
(C) Hold a thick pad or clean cloth against the wound and press down hard

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

(D) Apply light pressure with a Band-Aid

29. Which of the following is true of assisting a resident who is having a seizure?
(A) Give the resident a glass of water to drink.
(B) Hold the resident down if he or she is shaking severely.
(C) Move furniture away to prevent injury to the resident.
(D) Open the residents mouth to move the tongue to the side.
30. A sign that a stroke is occurring is
(A) Abdominal pain
(B) Gasping for air
(C) Low blood pressure
(D) The inability to speak or to speak clearly
31. To serve hot liquids to residents, a nursing assistant should
(A) Pour hot drinks away from residents
(B) Put hot liquids on the edges of tables
(C) Make sure residents are standing up before serving hot liquids
(D) Never use a lid

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

Chapter 3: Multiple Choice questions (answers are given in red color).

1. Holistic care focuses on

(A)The whole person, including physical, mental, and social well-being
(B)Disease and disability
(C)How sick a person is
(D)The absence of disease and illness
2. Psychosocial needs include the following:
(A)Bathing
(B)Activity
(C)Sleep and rest
(D)Love and affection
3. What is one way a nursing assistant can promote a residents independence?
(A) Finishing a residents task if he takes longer than ten minutes to complete it
(B) Allowing a resident to do a task by himself no matter how long it takes him
(C) Deciding where a resident should sit in the dining room
(D)Deciding what a resident should wear for the day
4. ADLs include:
(A)Reading
(B)Taking part in facility activities
(C)Taking part in worship services
(D)Brushing teeth
5. Which of the following is an example of a physical need?
(A) Need for self-esteem
(B) Food and water
(C) Social interaction with others
(D)Need for love
6. Mrs. Goldman, a resident, begins to tell her nursing assistant, Gene, about the last religious
service she attended. Gene does not believe in God. Genes best response is to:
(A)Listen quietly to Mrs. Goldman
(B)Tell Mrs. Goldman that he does not believe in God and would prefer not to discuss it
(C) Tell Mrs. Goldman that her beliefs are wrong
(D)Ask Mrs. Goldman what makes her think that there is a God
7. If a nursing assistant encounters a resident in a sexual situation, she should:
(A) Provide privacy and leave
(B) Tell him that what he is doing is wrong
(C) Ask him to stop what he is doing

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

(D)Report the incident to the residents clergy

8. How can regular activity promote good health?
(A) It decreases the appetite.
(B) It increases energy.
(C) It increases the risk of heart disease.
(D)It raises the risk of falls.
9. Families help residents by:
(A)Creating the care plan for them
(B)Telling them what to do
(C)Making decisions for them
(D)Supporting and encouraging them
10. Which of the following statements is true of the aging process?
(A)Aging means disease and illness.
(B)Older people are not able to exercise.
(C)Most older people live independent lives.
(D)Most older people cannot live alone.
11. Normal changes of aging include:
(A) Depression
(B) Thinner, drier skin
(C) Significant weight loss
(D) Incontinence
12. A ______ is an intense form of anxiety.
(A) Phobia
(B) Coping mechanism
(C) Fallacy
(D) Situation response
13. Which of the following is a good way to for a nursing assistant to care for a mentally ill
resident?

(A)Do everything for the resident.

(B)Give the resident his or her medication.

(C)Support the resident and his or her family and friends.

(D)Encourage the resident to stop being mentally ill and just get better.

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

14. If a nursing assistant notices abusive behavior from a family member towards a resident, she
should

(A)Report it to the nurse immediately.

(B)Ask the family member why he did that.

(C)Tell the resident that he doesnt have to take it.

(D)Walk away.

15. When caring for a dying residents diminished senses a nursing assistant should
(A)Turn the lights up
(B)Try not to speak to the resident
(C)Turn up the radio or television
(D)Observe body language
16. To treat dying residents and their families with dignity a nursing assistant should
(A)Make promises
(B)Listen if they want to talk
(C)Babble
(D)Isolate the dying resident
17. Postmortem care includes
(A)Placing drainage pads where needed
(B)Removing tubes
(C)Removing equipment
(D)Taking the body to the morgue
18. _______ is the special care that focuses on the dignity and comfort of a dying person.
(A)Postmortem
(B)Cheyne-Stokes
(C)Hospice
(D)Terminal
19. What does palliative care involve?
(A)The residents recovery
(B)Pain relief and comfort
(C)Teaching the resident to care for himself
(D)Curing the residents illness

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Survival can be summed up in three words - never give up. That's the heart of it really. Just keep trying.

20. Which sense is usually the last sense to leave the body?
(A)Hearing
(B)Sight
(C)Touch
(D)Taste
21. Which of the following is a sign of approaching death?
(A)Decreasing blood pressure
(B)Sharper vision
(C)Warm, dry skin
(D)Heightened sense of touch

Dear my Friend,
I know from experience that you should
never give up on yourself or others, no matter what.

yours,

Elshaday

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