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NSF – 4.00 Test
1. Which type of fracture consists of a broken bone and fragments in tissue?
a. Simple
b. Compound
c. Comminuted
d. Greenstick
2. What are effects of aging in the skeletal system?
a. Joints are less flexible
b. Slow recovery
c. Bones are more porous
d. All of the above
3. Osteo and rheumatoid are two types of:
a. Bones
b. Arthritis
c. Joints
d. Ligaments
4. An observation that needs reporting is:
a. Complaint of pain with movement
b. Resident is out of toothpaste
c. Complaint of room being too cold
d. Resident’s nail polish is chipped
5. A NA is checking on a resident with a cast and is wanting to make sure:
a. They haven’t moved it
b. They are free of Cyanosis in fingers or toes
c. They are free of arthritis
d. Other residents aren’t writing on their cast
6. An important guideline for performing ROM is:
a. Follow directions on number of times each joint is to be exercised
b. Massage area briskly before beginning
c. Don’t be concerned if it hurts because it probably will
d. Make sure they have had a balanced meal first
7. When performing ROM on a resident, the NA needs to move them:
a. Slowly, smoothly, and gently
b. Fast, smooth, and only in the morning
c. With pressure against the joints
d. All of the above
8. When removing a hearing aid, the NA should:
a. Store on night stand
b. Use tissues to wipe off wax from the ear piece
c. Wash them in warm water
d. Never remove hearing aids
9. Which of the following should be washed under water with mild detergent?
a. Eyeglasses
b. Hearing aids
c. Inhalers
d. Disposable briefs
10. Replace batteries in a hearing aid when:
a. There is no whistle
b. There is a whistle
c. Volume is high
d. They are special batteries that need not be changed
11. While you are walking with a resident, you should:
a. Not talk to them because it will distract them
b. Tell them when they fail to walk as far as they are suppose to
c. Encourage them to walk
d. Walk ahead of them to encourage them more
12. How long should you wait for the Plaster of Paris to dry?
a. 36-40 hours
b. 24-48 hours
c. 12-20 hours
d. 30 minutes
13. It is important to do what with cast care?
a. Maintain good body alignment
b. Keep cast dry
c. Observe cast for rough edges and report
d. All of the above
14. What are all the possible and reasonable ways to measure height?
a. Meters, nanometers, inches
b. Centimeters, inches, kilogram
c. Inches, milligrams, centimeters
d. Feet, inches, centimeters
15. Which of the following is NOT a type of scale?
a. Bathroom scale
b. Walker scale
c. Bed scale
d. Scale attached to hydraulic lifts
16. Residents who have contractures or cannot stand:
a. Must be measured using a tape measure
b. Get measured upon arrival to the facility, but never again
c. The NA can make an educated guess how tall they are
d. Can tell NA what their height was when they could stand
17. All of the following are reasons for obtaining height and weight EXCEPT:
a. Indicator of last BM
b. Indicator of nutritional status
c. Indicator of change in medical condition
d. Used by doctor to order medications
18. When weighing a resident, you would:
a. Measure them with all their clothes on
b. You don’t weight the resident
c. Use the same scale each time
d. Do it at different times each day
19. For residents who lose balance easily, the safest transfer aid would be:
a. Crutches
b. Walker
c. Wheelchair
d. Gait belt
20. Why must the correct ambulation aids be used?
a. The resident shopped for them
b. They are individually fitted
c. They dietician ordered it
d. The NA thinks they need it
21. You use a gait belt when…
a. There is an emergency situation
b. Residents cannot walk
c. Residents are unsteady on their feet
d. One or both legs are weak
22. When taking a resident into an elevator while on a stretcher or in a wheelchair:
a. Take them out of it and hold them
b. Don’t take them into an elevator
c. Put them in feet first
d. Back them in head first
23. When using wheelchairs for residents:
a. Seats should sag a little in the center
b. Seats should not reach the back of the resident’s bent knees
c. Be guided forward when going downhill
d. Should be pulled forward over indented or raised areas
24. Which of the following circulatory disorders is known as chest pain?
a. Hypertension
b. Arteriosclerosis
c. Angina pectoris
d. Peripheral vascular disease
25. Which is an example of a circulatory system change due to aging?
a. Heart muscle is less efficient
b. Capillaries become more fragile
c. Blood pressure increases
d. All of the above
26. Which pulse site is located on the inner aspect of the elbow?
a. Femoral
b. Radial
c. Brachial
d. Carotid
27. Which of the following circulatory disorders is known as a moving blood clot?
a. Embolus
b. Thrombus
c. Phlebitis
d. Atherosclerosis
28. Which is a factor affecting pulse?
a. Age
b. Illness
c. Physical training
d. All of the above
29. Which is NOT a function of the Sensory system?
a. Vision
b. Taste
c. Sleeping
d. Hearing
30. Which is the common disease of the sensory system that is inflammation of the
eyelid lining?
a. Glaucoma
b. Conjunctivitis
c. Cataract
d. Phlebitis
31. The sensory organs are part of which body system?
a. Urinary system
b. Reproduction system
c. Integumentary system
d. Nervous system
32. Which is an effect of aging in the sensory organs?
a. Sense of smell increases
b. Sense of taste decreases
c. Lens become thinner and clearer
d. Color blindness
33. Which is the sensory organ disease that involves infection of the middle ear:
a. Otitis media
b. Sty
c. Deafness
d. Glaucoma
34. What is the medical term for a stroke?
a. Cerebrovascular accident
b. Cerebellum venous artery
c. Claudic Ventral Anurysm
d. Central Vascular Arteriosclerosis
35. Which is/are common nervous system disorder?
a. Parkinson’s
b. Cancer
c. Multiple sclerosis
d. A and C
36. Which is an effect of aging on the nervous system?
a. Reduced sense of touch and sensitivity to pain
b. Increased blood flow to brain
c. Forgetfulness
d. Both A and C
37. Which is an observation to report?
a. Tremors
b. Onyching
c. Lacrimal
d. Bilivesic
38. Which is an observation NOT to report?
a. Confusion
b. Onyching
c. Paralysis
d. Seizures
39. Measuring the pulse is one way of checking on the _____ system.
a. Skeletal
b. Circulatory
c. Muscle
d. Sensory
40. Circulation is the continuous movement of ___ throughout the body.
a. Blood
b. Mucous
c. Food
d. Cilli
41. Blood consists of ___% water.
a. 50
b. 70
c. 80
d. 90
42. Arteries carry blood ___ from the heart and veins carry blood ___ the heart.
a. To; away
b. Away; to
c. To; to
d. Away; away
43. How many heart valves are there?
a. 5
b. 4
c. 3
d. 0
44. Nerve cells reproduce once they are destroyed.
a. True
b. False
45. What is the largest part of the brain?
a. Cerebellum
b. Thalamus
c. Hypothalamus
d. Cerebrum
46. How long is the spinal cord?
a. 18 inches
b. 16 inches
c. 8 inches
d. 2 feet
47. The Nervous system enables you to ___.
a. Speak
b. Hear
c. Learn
d. All of the above
48. The Nervous system is divided into how many parts?
a. 2
b. 3
c. 5
d. 10
49. The NA should report which of the following when caring for a resident with a
cast?
a. Odors
b. Drainage
c. Swelling
d. All of the above
50. Two major complications that will come up if the patients doesn’t practice deep
breathing and coughing are:
a. Pneumonia
b. Atelectasis
c. Both a and b
d. None of the above
51. What should you give a resident if they have pain while coughing?
a. Pillow
b. A blanket
c. Crayons
d. A smiley-face sticker
52. What is the abbreviation used for vital signs?
a. TPR + BP
b. VS
c. PR + BP
d. TPRC + BP
53. When using an electronic thermometer if taking a rectal temperature the probe
should be what color?
a. Blue
b. Green
c. Red
d. Yellow
54. Where is the aural temperature taken?
a.
Ear
b. Axillary
c. Rectal
d. Oral
55. Respiration means to breath in ______ and breath out ______
a. Carbon dioxide, oxygen
b. Oxygen, oxygen
c. Oxygen, carbon dioxide
d. CO2, C02
56. The process in which oxygen and carbon dioxide are exchanged between the lungs
and blood is called:
a. Internal Respiration
b. External Respiration
c. Hypo-respiration
d. All of the above
57. Which is not a part of the Respiratory System Structure?
a. Oral Cavity
b. Heart
c. Bronchi
d. Alveoli
58. What structure of the respiratory system is lined with a mucous membrane and
warms and moistens the air?
a. Nose
b. Alveoli
c. Diaphragm
d. Pleura
59. What is the membrane that encloses the lungs?
a. Nose
b. Alveoli
c. Diaphragm
d. Pleura
60. Which type of care follows rehabilitation? The goal is to keep the resident at the
level achieved by rehabilitation services.
a. Restorative
b. Rehabilitation
c. Respite
d. Palliative
61. Which is a goal of rehabilitation/restoration?
a. Learning new skills
b. Prevention of complications
c. Retraining lost skills
d. All of the above
62. Which is something you should report/record about Rehabilitation/Restorative
care?
a. Any increase or decrease in abilities
b. Any change in attitude or motivation
c. Signs of depression/mood changes
d. All of the above should be reported/recorded
63. Which of the following is a way a Nurse Aid can make a resident feel safe and
secure?
a. Being impatient
b. Being supportive
c. Being crude
d. Being negative
64. Which type of care is managed by professionals to help restore a person to the
highest level of function?
a. Restorative
b. Rehabilitation
c. Respite
d. Palliative
65. When a patient has an Upper Respiratory Infection, what parts of the body are
infected?
a. Lungs, heart, throat, nose
b. Bronchi, throat, nose, larynx
c. Nose, throat, larynx, trachea
d. Throat, lungs, bronchi, alveoli
66. Carl has spasms of the bronchial tube walls, which cause narrowing of air passages
due to him eating certain foods. Which common disorder of the respiratory system
does Carl have?
a. COPD
b. Bronchitis
c. Asthma
d. URI
67. What is a highly contagious URI?
a. Pleurisy
b. Influenza
c. Bronchitis
d. Asthma
68. What are the symptoms of the Respiratory System due to aging?
a. Number of alveoli decrease
b. Respirations increase
c. Chest walls become more rigid
d. All of the above
69. What are normal respirations per minute for adults?
a. 5 -10
b. 6-11
c. 12-20
d. 15-21
70. What is a role of the NA assisting with rehabilitation of a resident?
a. Provide encouragement
b. Praise accomplishments
c. Look at their failures
d. Both A and B
71. Why do you encourage a resident to do as much as they can?
a. So they can rest better
b. To promote pride and independence for the resident
c. To promote group activities
d. To keep them hydrated
72. Why do you allow residents to choose their clothing?
a. So you don’t have to
b. To make them feel like a child
c. You don’t
d. To give them a choice
73. What does a NA consider for the resident’s ADL?
a. Assist to exercise
b. Provide resting periods
c. Encourage use of adaptive devices
d. All of the above
74. Who initiates treatment for residents?
a. PT
b. NA
c. DON
d. OSHA
75. What body mechanics do you use?
a. Keep back straight
b. Use both hands to move objects
c. Don’t twist your body
d. All of the above
76. Why do you allow a resident to dangle?
a. It give NA more time to get clothes out
b. Prevent resident injury and falls
c. Give them a choice of whether to get up or not
d. Residents should never dangle
77. When using crutches the weight is supported on the handle bars not the _______?
a. Knee
b. Foot
c. Axilla
d. Tarsal
78. How many fingers should fit between the arm rest and axilla to fit properly?
a. 1 finger
b. 2 fingers
c. 4 fingers
d. It doesn’t matter as long as it is not touching
79. What is the purpose for TED stockings?
a. Support
b. Circulation
c. Prevent blood clots
d. All of the above
80. Systolic pressure has a greater force and is when the heart is:
a. Relaxing
b. At rest
c. Contracting
d. Superior
81. Diastolic pressure is the least force exerted as the heart ______
a. Relaxes
b. Is medial
c. Contracts
d. Fails
82. To take a person’s blood pressure what equipment does the NA need?
a. Sphygomanometer
b. Stethoscope
c. No equipment, you use palpation
d. Both A and B
83. When recording blood pressure you record it in what order?
a. Systolic over Diastolic
b. Diastolic over Systolic
c. Side by side
d. In numerical order
84. What factors can influence blood pressure?
a. Age
b. Sleep
c. Weight
d. All of the above
85. When a resident is using a walker which leg should they lead with?
a. Weaker
b. Stronger
c. Longer
d. Shorter
86. What should canes be level with when used?
a. Head of Pelvis
b. Head of Femur
c. Below the knee
d. Just above the knee
87. When aging your muscles decrease in size, atrophy. This causes:
a. Difficulty walking
b. Loss of muscle strength
c. Inability to move a body part
d. All of the above
88. Braces are used for:
a. Support a weak part of the body
b. Prevent movement of joint
c. Correct deformities
d. All of the above
89. What is the most common prosthetic?
a. Arm
b. Below the knee
c. Leg
d. Thigh
90. An NA understands the range of function in rehabilitative/restorative and
maintenance care because they:
a. Help the patient attain the highest level of functioning
b. Make the patient worn out
c. Talk about what happened to them
d. Have a degree in therapy
91. What are three functions of the skeletal system?
a. Circulate, protect, movement
b. Support, movement, protect
c. Blood cell production, circulation, protect
d. Protect, support, circulate
92. What are some types of joint movements?
a. Ball in socket, freely movable, immovable
b. Movement, ball in socket, immovable
c. Immovable, slightly movable, freely moveable
d. None of the above
93. What is a ligament?
a. Connects bone to bone
b. Connects muscle to muscle
c. Connects muscle to bone
d. Connects tendon to muscle
94. What is a tendon?
a. connects bone to bone
b. connects bone to tendon
c. connects muscle to bone
d. connects tendon to muscle
95. To work a mechanical lift you must:
a. 18 or older
b. Know how to use one
c. Must demonstrate competence in a classroom
d. All of the above
96. The two types of ROM are:
a. Active, passive
b. Transport, active
c. Inactive, passive
d. Passive, transport
97. The purpose of ROM is:
a. Decrease circulation
b. Maintain muscle tone
c. Increases deformities
d. All of the above
98. Mechanical lifts are used to:
a. Transfer residents
b. Help residents work out
c. Help them walk
d. Help maintenance make repairs
99. Before you use a lift you should:
a. Look around the room
b. Circle the bed for safety
c. Ask the resident if their ready
d. Ask the nurse for help
100.
Which type of fracture is an incomplete fracture with splintering of the
bone?
a.
Simple
b. Compound
c. Comminuted
d. greenstick