Nokea
What is one nursing assistant responsibility during the admission of a new resident?
- A. The NA should make sure the resident unpacks all of his personal items right away.
- B. The NA should give the resident a physical exam to help with care plan formulation.
- C. The NA should explain how the bed controls and the call light work.
- D. The NA should discuss the resident's advance directive choices with the resident and his family.
Correct Answer: C
Rationale: The correct answer is C because explaining how the bed controls and the call light work is essential for ensuring the safety and comfort of the new resident. By understanding how to use these tools, the resident can easily call for assistance and adjust the bed position as needed. This information empowers the resident to communicate effectively with the nursing staff and promotes their independence.
Choice A is incorrect because unpacking personal items is not a primary responsibility during admission. Choice B is incorrect as nursing assistants are not qualified to give physical exams for care plan formulation. Choice D is incorrect as discussing advance directive choices is typically the responsibility of the nurse or social worker, not the nursing assistant.
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A 20 year old male is brought to the hospital approximately 30 minutes after being stabbed in the chest. There is a 3cm wound just medial to the left nipple. His BP is 70/33 and HR is 140. Neck and arm veins are distende Breath sounds are normal. Heart sounds are diminished, IV access has been established and warm crystalloid is infusing. The next most important aspect of immediate management is:
- A. "CT scan of the chest"
- B. "12 lead ECG"
- C. "FAST exam"
- D. "Begin infusion of RBCs"
Correct Answer: C
Rationale: The correct answer is C: "FAST exam." In this scenario, the patient presents with signs of hypovolemic shock likely due to internal bleeding from the chest wound. FAST exam (Focused Assessment with Sonography in Trauma) is a rapid bedside ultrasound used to assess for free fluid in the abdomen or pericardium, which can help identify the source of bleeding. This is crucial for immediate management as it can guide further interventions such as surgery or angiography.
Choice A: "CT scan of the chest" is not the most immediate step as it takes time and may not provide rapid information needed for immediate management.
Choice B: "12 lead ECG" is not the priority in this situation as the patient is hemodynamically unstable and requires rapid assessment for potential life-threatening bleeding.
Choice D: "Begin infusion of RBCs" is important, but identifying the source of bleeding is crucial before deciding on the need for blood transfusion.
Making an area or object free of all microorganisms is called
- A. Infection prevention
- B. Disinfection
- C. Transmission
- D. Surgical asepsis
Correct Answer: D
Rationale: The correct answer is D: Surgical asepsis. Surgical asepsis refers to the practice of creating and maintaining a sterile environment to eliminate all microorganisms. This is crucial in surgical procedures to prevent infections. Infection prevention (choice A) focuses on strategies to reduce the risk of infections but does not necessarily involve complete elimination of microorganisms. Disinfection (choice B) involves killing or inactivating most disease-causing microorganisms, but it does not guarantee complete elimination. Transmission (choice C) refers to the spread of microorganisms from one person to another, which is different from making an area or object completely free of microorganisms.
If a nursing assistant feels it is not safe to move a resident by himself, he should
- A. Find a coworker to help
- B. Move the resident anyway because everyone else is probably busy
- C. Refuse to move the resident
- D. Ask the resident to move himself
Correct Answer: A
Rationale: The correct answer is A because it prioritizes resident safety by seeking assistance when unsure. Finding a coworker to help ensures safe transfer of the resident without risking injury. Refusing to move the resident (C) may delay necessary care. Moving the resident alone (B) disregards safety concerns. Asking the resident to move themselves (D) is not appropriate as they may not be capable or it may lead to harm.
The process of burning a dead body until it turns to ash is
- A. Cremation
- B. Libation
- C. Pronation
- D. Expiration
Correct Answer: A
Rationale: The correct answer is A: Cremation. Cremation is the process of burning a dead body until it turns to ash. This is done in a specialized furnace called a crematorium. Libation (B) is a ritual pouring of a liquid as an offering to a deity. Pronation (C) is the act of lying face down. Expiration (D) refers to the act of breathing out or the ending of something, not the process of burning a body. In summary, cremation is the only choice that accurately describes the process of burning a dead body to ash.
What is one nursing assistant responsibility during the admission of a new resident?
- A. The NA should make sure the resident unpacks all of his personal items right away.
- B. The NA should give the resident a physical exam to help with care plan formulation.
- C. The NA should explain how the bed controls and the call light work.
- D. The NA should discuss the resident's advance directive choices with the resident and his family.
Correct Answer: C
Rationale: The correct answer is C because explaining how the bed controls and call light work is essential for the resident's safety and comfort. This information empowers the resident to communicate needs effectively. Unpacking personal items (A) is not a priority during admission. Giving a physical exam (B) is beyond the scope of a nursing assistant's role. Discussing advance directives (D) should be done by a nurse or physician, not a nursing assistant.