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NHA Practice Test #2 Flashcards | StudBud
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NHA Practice Test #2
NHA Practice Test #2
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1
You are caring for a patient who has a developmental disability. Which of the following actions should you take?
Ask family members about communication techniques that work best.
Avoid using assistive devices to help the patient perform daily activities.
Rely on the patient's verbal communication to asses discomfort or pain.
Use long phrases when communicating with the patient.
2
What instructions would you give your patient who is to undergo an exercise stress test in the morning?
"Wear tight-fitting clothing on the day of the test."
"Wear an underwire bra on the day of the test."
"Avoid caffeine for 3 days prior to taking the test."
"Eat a light meal 2 hours prior to taking the test."
3
Your patient voided a small amount of dark yellow urine, they are flushed, & reports dry mouth. What do these indicate?
Dehydration
Urinary incontinence
Frequent urination
Adequate fluid intake
4
It is the primary purpose of which of the following agencies to provide guidelines that ensure safe work environments?
Food and Drug Administration (FDA)
CDC
OSHA
The Joint Commission (TJC)
5
You are caring for a patient who is on bedrest. Which actions should you take to prevent a pressure ulcer from forming?
Apply lotion to the patient's skin every 4 hr.
Limit the patient's daily fluid intake to 35 oz.
Raise the head of the patient's bed to 45°.
Reposition the patient at least every 2 hr.
6
You are weighing a patient using a mechanical scale. Which of the following is correct?
Move the large weight up in 10-lb increments.
Scale is balanced and weights are set to zero before weighing the patient.
Weights are at the patient's estimated weight before the patient steps on.
Move the small weight up in 5-lb increments.
7
You have been monitoring a patient's I&O for the past 24 hr. Which findings should you report to the nurse immediately?
Urine output 500 mL
Amber-colored urine
Urine output 1,400 mL
Pale, yellow-colored urine
8
You are measuring a patient's blood pressure. Which of the following situations can result in an inaccurate reading?
The patient's arm is above the level of the heart.
The cuff bladder is centered over the patient's brachial artery.
The aneroid needle is calibrated to zero.
The cuff deflates at a constant, steady rate.
9
You are caring for a patient who has a stage III pressure ulcer. Which of the following should you expect?
Reddened skin not returning to its initial color after pressure removed.
The subcutaneous fat is visible, and there is drainage from the wound.
The damaged tissue extends all the way through the tissues to the muscle.
The area forms a blister, and the epidermis peels away or cracks open.
10
You are teaching a patient about HIPPA regulations. Which client statement indicates an understanding of the teaching?
"I do not need to give my Doc permission to share with my family"
"My provider is required to report it if I have tuberculosis."
"If I am injured at work, my employer has a right to see my information."
"If I need an interpreter, my Doc can't share my information with them."
11
You are obtaining a bilirubin specimen for a jaundiced newborn. What should you do to ensure integrity of the specimen?
Obtain the specimen from the bend of the arm.
Place the specimen into a warmer immediately after collection.
Turn off the ultraviolet light.
Clean the puncture site with betadine.
12
You are caring for a patient who has heart failure. Which finding should be reported to the nurse immediately?
Changes in appetite and food preferences.
Increased urinary output.
A weight loss of 1 lb in 3 weeks.
Swelling in the legs and feet.
13
When applying a hand/wrist splint, the splint will secure the hand/wrist in which of the following positions?
Thumb kept in close proximity to the index finger.
Fingers in an extended position.
Wrist in slight dorsiflexion.
Fingers rotated slightly in an external position.
14
Which of the following should you identify as an example of an internal disaster?
A factory explosion
A tornado
A train crash
A fire
15
Your patient asks for what reason should a gait belt be used. Which of the following responses should you make?
They are used to assist patients OOB when a mechanical lift is unavailable.
The facility requires a gait belt to be used on all patients.
They are used for patients who are unable to bear weight on both legs.
Gait belts are an added safety feature when assisting patients to walk.
16
Which of the following tubes should be collected first for dermal samples?
Green top
Lavender top
Light blue top
Red top
17
You are teaching a patient how to use a Holter monitor. Which of the following statements should you include?
"Stop using prescribed medications while the monitor is in use."
"Metal detectors should be avoided when wearing the monitor."
"Showering is allowed while wearing the monitor."
"Record activities/symptoms in a diary only if you are having chest pain."
18
You are collecting a blood culture specimen. Which topical antiseptic should you use to cleanse the patient's skin?
Hydrogen peroxide
Chlorhexidine gluconate
Povidone-iodine
Isopropyl alcohol
19
OSHA guidelines requires technicians to take which action to prevent needle injures during venipuncture?
Dispose of needles in a sharps container.
Wear gloves.
Empty the sharps container when it is full.
Recap needles.
20
You are assigned to perform hourly glucose testing for a patient who has diabetes. Which action should you take?
Allow the patient to perform the test using their home glucometer.
Use the facility's glucometer to perform the glucose tests on the patient.
Alternate using the facility's glucometer and the patient's glucometer.
Perform the test using the glucometer that the patient brought from home.
21
You receive a needlestick injury while performing a venipuncture. Which of the following actions should you take?
Recap the needle and dispose of it.
Document the event in the patient's medical record.
Complete an incident report.
Attend bloodborne pathogen training.
22
Which of the following is the primary advantage to document using a bedside EHR system?
It allows the health care team to document a task before it is completed.
It makes information immediately available to the health care team.
It allows family members to view patient information.
It is a back-up for handwritten documentation.
23
You are performing passive range-of-motion (ROM) exercises on a patient's ankle. Which motion should you perform?
Abduction
Circumduction
Dorsiflexion
External rotation
24
You have just obtained a 12-lead EKG from a patient. When should you clean and disinfect reusable EKG equipment?
Once per week.
At the beginning of each shift.
Immediately after each patient.
At the end of each day.
25
Your patient is allergic to shellfish. Which should you use to cleanse the skin prior to collecting a blood culture?
Povidone-iodine
Isopropyl alcohol
Hydrogen peroxide
Chlorhexidine gluconate
26
You are caring for a postpartum patient. For which of the following findings should you notify the nurse?
Respiratory rate 12/min
Diaphoresis
Vaginal bleeding
Headache with visual disturbance
27
You need to measure the pulse oximetry of an infant. Where is the best place to position the oximeter on an infant?
Finger
Great toe
Earlobe
Forehead
28
You are caring for a patient who has died. Which of the following actions should you take?
Request an autopsy to examine the body.
Declare the patient legally dead.
Secure any of the patient's valuables.
Place the body in the prone position.
29
If you keep a diagnosis secret from a patient, this would be a violation of which part of the Patient's Bill of Rights?
The right to refuse treatment.
The right to personal safety.
The right to information about one's condition.
The right to suggest alternatives to one's care plan.
30
You should identify that a patient receiving vaccines breaks which of the following links in the chain of infection?
Method of transmission
Portal of entry
Susceptible host
Infectious agent
31
You should identify that which of the following pieces of PPE should be removed first?
Goggles
Mask
Face shield
Gloves
32
You just washed your hands when you hear a patient calling for help who is on contact ISO. What should you do next?
Find the technician assigned to the patient.
Put on a gown and gloves.
Ask the patient if he needs assistance.
Enter the patient's room to provide assistance.
33
You are preparing to transfer a non-ambulatory patient from bed to a wheelchair. Which step should you take?
Place the patient in a prone position.
Allow the patient to transfer without assistance.
Lock the wheels of the wheelchair and the bed.
Apply transfer belt with the buckle in the rear.
34
You are assisting a nurse with aseptic wound dressing change. Which of the following actions should you take?
Use sterile gloves to remove the soiled dressing.
Place the new dressing on the patient's wound.
Dispose of the soiled dressing in a trash can.
Don new gloves after removing the soiled dressing.
35
You are concerned about the unethical behavior of a coworker. To whom should you report your concern?
State regulatory agency representative
The coworker
Local law enforcement officer
The charge nurse
36
What reason would you immediately invert blood collection tubes that contain anticoagulates?
To encourage sedimentation within the collection tube
To prevent clotting of the blood
To prevent blood from mixing with the additives
To encourage the mixing of hemoglobin and plasma
37
Your patient has pulmonary TB. Which of the following PPE should you put on before entering the patient's room?
Gown
Goggles
Face shield
N95 respirator
38
You are performing CPR for an adult patient. Which of the following actions should you take?
Perform 80 to 90 chest compressions per min.
Depress 5 cm (2 in) into the patient's chest while performing compressions.
Give the patient rescue breaths that have a 3-second duration.
Check for a pulse at the patient's radial artery site.
39
You should identify that which of the following settings adjust the height of the EKG waveform on the tracing?
Speed control
Stylus
Gain control
Lead selector
40
You accidently drop a thermometer and mercury spills on the floor. Which action should you take first?
Close the doors to the room.
Mop the floor with a mercury-specific cleanser.
Dispose of the mercury according to local regulations.
Evacuate the room.
41
You should recognize that which of the following is the purpose of CLIA?
To provide clinical laboratory education
To create and promote clinical and laboratory practices
To protect patient information
To establish quality standards for laboratory testing on human specimens
42
Which of the EKG findings differentiates accelerated idioventricular rhythm from junctional rhythm?
Accelerated idioventricular rhythm has wide QRS complexes.
Accelerated idioventricular rhythm has P waves.
The ventricular rate in accelerated idioventricular rhythm is slower.
Junctional rhythm has P waves.
43
Which of the following is an example of workplace violence?
Failure to delegate properly
Loss of independence
Emotional maltreatment
A violation of HIPAA
44
For bed to wheelchair transfers using a mechanical lift with a sling, what position should you place the patient in?
Sims'
Trendelenburg
Lithotomy
Fowler's
45
You are caring for a patient who is receiving enteral nutrition via an NG tube. Which of the findings should you expect?
Swollen abdomen
Nausea
Diarrhea
Throat irritation
46
You are caring for a patient who states, "I'm in so much pain. I feel like dying." Which response should you make?
"I'm on my way to lunch. I'll send in the charge nurse."
"You should be realistic. You're not dying, the pain shouldn't be bad."
"I know how you feel. I'm hurting also, and I have to work another shift."
"I'm sorry you're in pain. Can you tell me where your pain is located?"
47
You are caring for a patient who has an indwelling urinary catheter. How often should you empty the drainage receptacle?
Every 8 hr
Every 16 hr
Ever 12 hr
Every 24 hr
48
You are preparing to transport a patient using a wheelchair. How should you assist the patient out of bed?
Instruct the patient to place his arms around her neck for support.
Place the wheelchair 1 m (3.3 feet) from the patient's bed.
Place the wheelchair on the patient's weaker side.
Have the patient push off the bed using his hands when prompted.
49
You are making an open bed for a patient. Which of the following actions should you take?
Pull the top linens up to cover the full length of the mattress.
Fold the top sheet across the length of the mattress.
Fanfold the top linens at the foot of the bed.
Keep the top sheet untucked from the mattress.
50
Which of the following tasks is within the scope of practice for a patient care technician?
Teaching a new wound care technique to a patient
Changing a patient's wound care dressing
Reinforcing teaching about a wound care taught to the patient by a nurse
Providing a patient with medication suggestions to promote wound healing
51
You are performing an EKG on a patient who a left AKA. Where should you place the left lower limb electrode?
Left lower abdomen
Right upper thigh
Left upper limb
Right lower leg
52
You receive orders to collect an infant screening card, O2 levels, bilirubin, and DNA. Which should be collected first?
O2 levels
Bilirubin
DNA
Screening card
53
You are in the cafeteria during lunch and see a visitor that appears to be choking. Which action should you take first?
Ask the visitor if he is able to speak.
Perform the abdominal thrust maneuver.
Palpate the visitor's pulse and begin CPR.
Get the defibrillator and call for help.
54
You have obtained a specimen that must remain body temperature when transported. Which action should you take?
Put the specimen in a double layer of biohazard bags.
Place the specimen in a warming device.
Wrap the specimen in aluminum foil.
Leave the specimen in a light-blocking, insulated container.
55
You are attempting to insert a urinary catheter when you drop the catheter on the clean sheets. What should you do?
Continue the procedure.
Rinse the catheter with povidone iodine.
Obtain another sterile kit.
Wipe the catheter with sterile gauze.
56
Which of the following actions is appropriate when labeling specimens?
Labeling specimens at the time of collection in front of the patient
Writing the patient's room number, last name, & date of birth on the label
Keeping the specimens in the tray and labeling them in the laboratory
Writing your initials and the time on the label prior to collection
57
Your patient needs to have their urine output measured & recorded hourly. Which instructions should you give?
Clean the perineum with a povidone-iodine solution before urinating.
Void into the specimen collection device that I have left for you.
Leave the urine in the container so I can measure at the end of the shift.
Place the container back into the refrigerator after you have voided.
58
You are caring for four patients. You should identify that which of these patients is at a greatest risk for a fall?
A 55-year-old patient who has diabetes mellitus.
A 34-year-old patient who is 6 hr postoperative.
A 60-year-old patient who has moderate burns to his upper body.
An 86-year-old patient who is 4 hr postoperative.
59
You should identify that, according to CDC's standard precautions, gloves are required for which of the following tasks?
Dressing a patient who needs complete assistance.
Obtaining a patient's vital signs.
Feeding a patient who had a stroke.
Handling linen that is soiled with blood.
60
You are preparing to remove a neonates peripheral IV catheter. Which of the following actions should you plan to take?
Clean the area with saline before removing the catheter.
Turn the infusion clamp to the "on" position.
Hold gauze over the site when removing the catheter.
Don sterile gloves prior to removing the catheter.
61
Which of the following is appropriate documentation by a PCT?
The patient has a large, dark brown bowel movement at 1100.
The patient is upset because the nurse forgot to medicate them for pain.
The PCT on a previous shift reports giving the patient a bath at 1600.
The patient will receive an enema at 1700.
62
You are assisting a patient who is postop abdominal surgery and needs CDB exercises. Which actions should you take?
Have the patient place a pillow over the incisional area with exercises.
Place the patient in a prone position during the exercises.
Have the patient sit with her head resting on a table during the exercises.
During the exercises, have the patient sit with her hands at her side.
63
You observe a thin, watery, reddish drainage on the wound dressing. Describe this type of drainage.
Serosanguineous
Purulent
Serous
Sanguineous
64
You are moving a patient from a bed to a wheelchair using a gait belt. Which of the following actions should you take?
Stand to the side of the patient during transfer.
Secure the gait belt around the patient's waist.
Grasp the gait belt on the patient's front.
Apply the gait belt while the patient is laying in bed.
65
Your patient receives an influenza vaccine. Receiving this vaccine breaks what link in the chain of infection?
Susceptible host
Infectious agent
Portal of entry
Method of transmission
66
Your postop patient has been prescribed incentive spirometry. Which of the following reasons has this been prescribed?
To reduce the risk for blood clots.
To prevent respiratory complications.
To prevent pooling of blood in the lower legs.
To prevent the loss of muscle mass.
67
You are providing palliative care to a patient. His family expresses feelings of anger/hopelessness. What should you do?
Recommend that the patient talk to social services.
Explain that anger is the first coping mechanism during grief.
Listen when the family is ready to talk.
Refer the family to the charge nurse.
68
You are preparing to clean metal instruments. Which action should you take to destroy mico-organisms and spores?
Place in an autoclave and steam them under pressure or moist heat.
Soak in an iodine solution for 30 min then rinse them with sterile water.
Scrub the instruments with a bactericidal solution and let them air dry.
Rinse the instruments under hot tap water for 30 seconds.
69
You should identify that which of the following incidents should be reported to The Joint Commission (TJC)?
Breach of confidentiality
Needlestick injury
Exposure to blood-borne pathogens
Sentinel event
70
You are caring for patients when a fire alert is activated. What does "R" stand for in the fire-response mnemonic RACE?
React
Report
Run
Rescue
71
You document using a bedside EHR. Which of the following is the primary advantage of a bedside EHR system?
It allows family members to view patient information.
It makes information immediately available to the health care team.
It is a back-up for handwritten documentation.
It allows the health care team to document a task before it is completed.
72
Your patient is ambulating using a walker. Which of the following actions by the patient demonstrates correct technique?
The patient slides, but does not lift, the walker forward.
The walker height is adjusted 4 in below the height of the patient's hips.
The patient advances the walker 10 to 18 in in front of their legs.
The feet should move up to but not inside the perimeter of the walker.
73
Your patient is A&O but you find that all waveforms are negative in Lead I. Which cable connections should you check?
Right arm and left leg
Left leg and right leg
Left arm and left leg
Right arm and left arm
74
Which of the following findings on the tracing below should you be most concerned with?
The irregular rhythm
The ST segment elevation
The QT interval
The variable shape of the P waves
75
Your patient is at risk for falls and you are preparing to ambulate them. What is the purpose of applying the gait belt?
A gait belt is used to assist when a mechanical lift is unavailable.
Gait belts are an added safety feature when assisting patients to walk.
The facility requires a gait belt to be used on all patients.
Gait belts are used for patients who are unable to bear weight on legs.
76
A patient has trouble understanding why he needs an ambulatory monitor after having an EKG 48 hr prior. Explain reason.
Your doctor wants to study your heart over a longer period of time.
It is standard practice to attach an ambulatory monitor after an EKG.
I cannot discuss why you have to wear an ambulatory monitor.
An ambulatory monitor records differently than an EKG.
77
You are cleaning urine off of an exam table. Which container should you use to dispose of a urine-soiled washcloth?
Sharps container
Trash bag
Red biohazard bag
Impermeable laundry bag
78
Which of the following actions should you take when discharging a patient?
Answer any questions regarding medications.
Escort the patient using a wheelchair.
Review self-care procedures with the patient's family.
Inform the patient of any follow-up appointments.
79
You are caring for four patients. Which of the following should you report to the nurse?
A patient who has a blood glucose level of 190 mg/dL.
A patient who has a blood glucose level of 130 mg/dL.
A patient who has a blood glucose level of 90 mg/dL.
A patient who has a blood glucose level of 100 mg/dL.
80
Which of the following abnormalities is associated with large U waves on the EKG?
Increased potassium level
Increased sodium level
Decreased sodium level
Decreased potassium level
81
You should recognize that chain of custody is used for which of the following reasons?
To ensure samples are being disposed of using correct operating procedures.
To guarantee the identification and integrity of samples.
To follow methods of collection with samples and data.
To track the location of samples and data.
82
Your postop patient has been prescribed antiembolism stockings. Which action should you take?
Remove the patient's stockings once every 24 hr.
Turn the patient's stockings inside out before applying.
Ensure that the patient's toes are covered by the stockings.
Partially roll the stockings down at least twice daily.
83
Your patient just completed a 24-hr urine collection. Which of the following requirements need to be met?
The patient cleaned the meatus prior to each void.
The specimen was refrigerated prior to being returned.
The final voiding of the 24-hr period was discarded.
The specimen was allowed to stand for 8 hr following the final collection.
84
You should identify that the Patients' Bill of Rights guarantees patients which of the following?
Sharing of health care information with their family members
Involvement in making decisions about their care
Insurance coverage for health care services
Legal advice for malpractice concerns
85
You are changing linens for a patient who has C. Diff and whose bed is soiled with stool. Which action should you take?
Double bag the linens and place them in a trash can.
Send the linens for sterilization.
Place the linens in a biohazard linen bag.
Roll the linens and place them in a linen bag.
86
What is the best method to prevent internal or external bleeding from the venipuncture site after the needle is removed?
Apply a hot pack to the site if swelling or discoloration occurs.
Apply pressure to prevent leakage of blood into the tissues.
Have the patient bend the arm at the elbow to reduce bleeding.
Apply pressure to the site while removing the needle.
87
You are caring for a 6 y/o child. What findings should you identify as a potential indication of child maltreatment?
Parent asks frequent questions about child care
Malnutrition
Outgoing temperament
Marital conflict between parents
88
You are caring for a patient who has an ileostomy. Which type of stool should you expect to observe in the ostomy pouch?
Foul-smelling
Soft
Liquid
Black
89
Your newly diagnosed patient with diabetes asks you to demonstrate how to give insulin. How should you respond?
"We should wait for your family because they should also learn."
"We should look for information online about how to administer insulin."
"Morning injection is best, so we can do it at that time."
"I will inform the nurse about your request regarding the injection."
90
Your patient has hearing loss. Which of the following actions should you take when communicating with your patient?
Overenunciate words when speaking to the patient.
Sit next to the patient when speaking to her.
Speak to the patient in a raised voice.
Write questions and instructions on a notepad for the patient.
91
You are caring for a new patient. Which of the following questions should you ask the patient to verify their identity?
"What is your medical record number and Social Security number?"
"What is your phone number and home address?"
"What is your room number and your diagnosis?"
"What is your name and date of birth?"
92
You recently attended a seminar about hospice care. Which of the following indicate an understanding of hospice care?
Many hospice agencies do not require patients to have a primary caregiver.
The cost of hospice care is reimbursed by Medicare or Medicaid.
Hospice care covers curative therapies prescribed by the PCP.
A family member must accept responsibility for the patient's care.
93
Your patient is on oxygen at 2L/min via nasal cannula. You note that the pulse ox level is 91%. What should you do?
Turn the pulse oximetry machine off.
Report the pulse oximetry level to a nurse.
Increase the patient's oxygen level to 3 L/min.
Instruct the patient to take deep breaths.
94
You are preparing to obtain a standard 12-lead EKG. Which of the following is the standard EKG paper speed?
5 mm/second
10 mm/second
25 mm/second
1 mm/second
95
Identify the rhythm in the tracing below.
Atrial flutter with variable conduction
Multifocal atrial tachycardia
Atrial fibrillation
Wandering atrial pacemaker
96
You are performing ostomy care for a patient. Which of the following actions should you do first?
Cleanse the skin around the stoma with warm water.
Measure the opening of the stoma.
Apply a protective skin barrier near the stoma.
Cut an opening in the center of the wafer.
97
You should identify that which of the following is the minimum preferred volume of urine for a routine urinalysis?
90 ml
30 ml
60 ml
10 ml
98
You are caring for a 4 y/o patient who reports arm pain. Which method should be used to measure their pain intensity?
Ask the child to select a word that best describes their pain level.
Ask the child to rate their pain on a scale of 0 to 10.
Ask the child to mark a spot on a line that indicates their pain level.
Ask them to point to the drawing of the face that matches their pain level.
99
You deflate a B/P cuff on R arm too quickly of a patient who had L mastectomy & do not get a reading. Give next step.
Measure the blood pressure using a different cuff.
Release all of the air from the cuff before retesting.
Partially deflate the cuff and then reinflate it.
Measure the blood pressure using the left arm.
100
Which acronyms should you use to remember how to operate a fire extinguisher?
RACE
NIOSH
OSHA
PASS
