Instant Download
Sample Chapters
Sorrentino: Mosby’s Textbook for Nursing Assistants, 7th Edition
Test Bank
Chapter 1: Introduction to Health Care Agencies
MULTIPLE CHOICE
- An acute illness is
| A. | A sudden illness from which a person is expected to recover |
| B. | An ongoing illness for which there is no known cure |
| C. | An illness which is slow or gradual in onset |
| D. | An illness for which there is no reasonable expectation of recovery |
ANS: A REF: 1, 3
- An ongoing illness that is slow or gradual in onset and for which there is no known cure is
| A. | An acute illness |
| B. | A chronic illness |
| C. | A terminal illness |
| D. | A physical illness |
ANS: B REF: 1, 3
- A nursing pattern that brings services from departments to the bedside is
| A. | Primary nursing |
| B. | Team nursing |
| C. | Patient-focused care |
| D. | Case management |
ANS: C REF: 1, 8
- Functional nursing is
| A. | A nursing care pattern focusing on tasks and jobs |
| B. | A nursing care pattern in which an RN is responsible for the person’s total care |
| C. | When a team of nursing staff is led by an RN who decides the amount and kind of care each person needs |
| D. | When services are moved from departments to the bedside |
ANS: A REF: 1, 8
- An RN is responsible for the person’s total care. This is
| A. | Team nursing |
| B. | Primary nursing |
| C. | Functional nursing |
| D. | Patient-focused care |
ANS: B REF: 2, 8
- Persons living in nursing centers are called
| A. | Patients |
| B. | Clients |
| C. | Residents |
| D. | Individuals |
ANS: C REF: 3
- Persons receiving care in hospitals are called
| A. | Patients |
| B. | Clients |
| C. | Residents |
| D. | Individuals |
ANS: A REF: 3- 4
- Which is not a purpose of health care?
| A. | Health promotion |
| B. | Rehabilitation and restorative care |
| C. | Detection and treatment of disease |
| D. | Training nursing assistants and other students |
ANS: D REF: 2
- Who has the most authority in a nursing service department?
| A. | Nurse manager |
| B. | Charge nurse |
| C. | Staff nurse |
| D. | Director of nursing |
ANS: D REF: 7
- An assisted living residence
| A. | Provides three meals a day and housekeeping and laundry services |
| B. | Is for persons with terminal illnesses |
| C. | Provides complex, ongoing rehabilitation |
| D. | Is for persons with chronic mental illness |
ANS: A REF: 4
- Assisted living residences provide the following except
| A. | Housing |
| B. | Help with personal care |
| C. | Complex medical care |
| D. | Social activities |
ANS: C REF: 4
- These individuals give basic nursing care under the supervision of a licensed nurse.
| A. | Nurse practitioners |
| B. | Social workers |
| C. | Nursing assistants |
| D. | Medical technologists |
ANS: C REF: 6
- A nursing assistant may report to another nursing assistant if that person has more experience.
| A. | True |
| B. | False |
ANS: B REF: 1, 7- 8
- The nursing team involves the following except
| A. | Doctors |
| B. | RNs |
| C. | LPNs |
| D. | Nursing assistants |
ANS: A REF: 1, 7
- Nursing assistants may report to the following except
| A. | An RN |
| B. | An LPN/LVN |
| C. | A nurse team leader |
| D. | Another nursing assistant |
ANS: D REF: 6-8
- Nursing assistants may report to the following except
| A. | An RN |
| B. | The medical director |
| C. | An LPN/LVN |
| D. | A primary nurse |
ANS: B REF: 6-8
- Who assesses, makes nursing diagnoses, plans, implements, and evaluates nursing care?
| A. | RNs |
| B. | LPNs |
| C. | Nursing assistants |
| D. | Case managers |
ANS: A REF: 6-7
- The nursing team is managed by the medical director.
| A. | True |
| B. | False |
ANS: B REF: 7
- You are part of
| A. | The health team and the nursing team |
| B. | The board of trustees |
| C. | The case management team |
| D. | The prospective payment system |
ANS: A REF: 1, 4, 7
- Who assesses and plans for the nutritional needs of patients and residents?
| A. | The RN |
| B. | The dietitian |
| C. | The pharmacist |
| D. | The doctor |
ANS: B REF: 6
- LPNs/LVNs are supervised by
| A. | Doctors, dentists, and RNs |
| B. | Physical therapists and occupational therapists |
| C. | Agency administrators |
| D. | Social workers, pharmacists, and RNs |
ANS: A REF: 8
- Who is responsible for diagnosing and treating diseases and injuries?
| A. | The doctor |
| B. | The nurse practitioner |
| C. | RNs |
| D. | Physician’s assistant |
ANS: A REF: 6
- Who helps patients, residents, and families with social, emotional, and environmental issues affecting illness and recovery?
| A. | The speech-language pathologist |
| B. | The podiatrist |
| C. | The activities director |
| D. | The social worker |
ANS: D REF: 6
- Who makes policies for health care agencies?
| A. | The board of trustees |
| B. | The health team |
| C. | The PPO |
| D. | Medicare and Medicaid |
ANS: A REF: 4
- The goal of rehabilitation is
| A. | To return persons to the highest possible level of physical and mental functioning |
| B. | To reduce the risk of illness |
| C. | To help the person make simple life-style changes |
| D. | To do as much as possible for the person |
ANS: A REF: 2
- Rehabilitation starts when the person is discharged from the hospital.
| A. | True |
| B. | False |
ANS: B REF: 2
- A hospice is
| A. | A skilled nursing facility |
| B. | A home health care agency |
| C. | A health care program for persons who present dangers to themselves or others |
| D. | A health care agency or program for persons who are dying |
ANS: D REF: 1, 4
- A federal health insurance program for persons 65 years of age and older is
| A. | Private insurance |
| B. | Group insurance |
| C. | An HMO |
| D. | Medicare |
ANS: D REF: 9
- Medicaid is
| A. | A preferred provider organization |
| B. | A private insurance plan bought by individuals |
| C. | A federal health insurance program for persons with disabilities |
| D. | A health care payment program sponsored by the federal government and operated by the states |
ANS: D REF: 9
- The goal of the health team is to
| A. | Provide quality care |
| B. | Carry out the doctor’s orders |
| C. | Develop care plans for patients and residents |
| D. | Follow agency policies and procedures |
ANS: A REF: 4
- What must an agency have to operate and provide care?
| A. | A certificate |
| B. | Accreditation |
| C. | Policies and procedures |
| D. | A license |
ANS: D REF: 9
- Accreditation for health care agencies is
| A. | A voluntary process that signals quality and excellence |
| B. | Required to receive Medicare and Medicaid funds |
| C. | A federal requirement for a health care agency to operate |
| D. | A process required by preferred providers |
ANS: A REF: 9
- You have an important role in meeting standards and in the survey process. You must do the following except
| A. | Provide quality care |
| B. | Interview patients and families |
| C. | Help keep the agency clean and safe |
| D. | Follow agency policies and procedures |
ANS: B REF: 10
- Surveys are done to see if agencies meet set standards. Your role in the survey process involves the following except
| A. | Having good work ethics |
| B. | Answering surveyor questions honestly and completely |
| C. | Conducting yourself in a professional manner |
| D. | Reviewing the nursing department budget |
ANS: D REF: 10
Sorrentino: Mosby’s Textbook for Nursing Assistants, 7th Edition
Test Bank
Chapter 5: Communicating With the Health Team
MULTIPLE CHOICE
- The health team exchanges information. They send and receive messages. This is
| A. | Gossip |
| B. | Communication |
| C. | Reporting |
| D. | Resolving conflict |
ANS: B REF: 56
- Communication is
| A. | The verbal account of care and observations |
| B. | The written account of care and observations |
| C. | The medical record |
| D. | The exchange of information |
ANS: D REF: 56
- Which has the same meaning for everyone?
| A. | Hot |
| B. | Warm |
| C. | Elevated temperature |
| D. | Temperature of 99° F |
ANS: D REF: 56
- The nurse uses a medical term that you do not understand. What should you do?
| A. | Pretend to understand. |
| B. | Look the word up in a medical dictionary. |
| C. | Ask a co-worker for an explanation. |
| D. | Ask a doctor what the word means. |
ANS: B REF: 56
- Which does not promote communication?
| A. | Being brief and concise |
| B. | Giving information in the order the events occurred |
| C. | Presenting facts |
| D. | Talking about two subjects at once |
ANS: D REF: 56
- These statements are about medical records. Which is incorrect?
| A. | Each page must have the person’s identifying information. |
| B. | They are legal documents. |
| C. | They are used to communicate information about a person. |
| D. | All agency staff can access them. |
ANS: D REF: 57
- You work on the east wing at Sugar Creek Nursing Center. Your aunt is a resident on the west wing. Which is correct?
| A. | You can read her medical record. |
| B. | You can visit her during break times. |
| C. | You can discuss her condition with staff that cares for her. |
| D. | You can ask the RN to report changes in you aunt’s condition to you. |
ANS: B REF: 57
- Health care agencies have policies about medical records. Policies generally cover the following except
| A. | Medical terms |
| B. | Abbreviations |
| C. | Signing entries |
| D. | Correcting errors |
ANS: A REF: 57
- A patient asks to see his chart. What should you do?
| A. | Give it to him. |
| B. | Tell the nurse. |
| C. | Tell the doctor. |
| D. | Make a copy for him. |
ANS: B REF: 57
- Which form has the person’s identifying information?
| A. | The admission sheet |
| B. | The progress notes |
| C. | Activities-of-daily-living flow sheet |
| D. | Kardex |
ANS: A REF: 57
- You are working in a nursing center. Where would you record information about the person’s hygiene, elimination, and sleep?
| A. | The admission sheet |
| B. | The progress notes |
| C. | Activities-of-daily-living flow sheet |
| D. | Kardex |
ANS: C REF: 61
- Which of the following is a type of card file?
| A. | The admission sheet |
| B. | The progress notes |
| C. | Activities-of-daily-living flow sheet |
| D. | Kardex |
ANS: D REF: 61
- Which of the following are used to record frequent measurements or observations?
| A. | Kardex |
| B. | Flow sheets |
| C. | Progress notes |
| D. | Health history sheets |
ANS: B REF: 61
- You are reporting to the nurse. Which is incorrect?
| A. | Be prompt, thorough, and accurate. |
| B. | Give the person’s name, room and bed number, and the time you gave care or made observations. |
| C. | Report what co-workers did. |
| D. | Use your notes. |
ANS: C REF: 61
- When should you report changes in the person’s condition?
| A. | At once |
| B. | At the end of your shift |
| C. | Before you take your lunch break |
| D. | During the end-of-shift report |
ANS: A REF: 61
- Anyone who reads your charting should know the following except
| A. | What you observed |
| B. | What you did |
| C. | What your co-workers did |
| D. | The person’s response |
ANS: C REF: 63
- The agency allows you to record on charts. Which is incorrect?
| A. | Ink is used, not pencil. |
| B. | Only agency-approved abbreviations are used. |
| C. | Errors are erased. |
| D. | All entries are signed with your name and title. |
ANS: C REF: 63
- When recording, you should do the following except
| A. | Write neatly |
| B. | Use correct spelling, grammar, and punctuation |
| C. | Skip lines |
| D. | Record only what you did yourself |
ANS: C REF: 63
- These statements are about charting. Which is incorrect?
| A. | You can chart a procedure before completing it. |
| B. | You should use the person’s exact words whenever possible. |
| C. | You need to avoid terms with more than one meaning. |
| D. | You need to record facts. |
ANS: A REF: 63
- You are charting changes in the person’s condition. You also need to chart the following except
| A. | That you informed the nurse of the changes |
| B. | What you told the nurse about the changes |
| C. | When you reported the changes to the nurse |
| D. | When you called the doctor about the changes |
ANS: D REF: 63
- When charting, you should record
| A. | Safety measures performed |
| B. | What co-workers observed |
| C. | What co-workers did |
| D. | What the doctor said |
ANS: A REF: 63
- The clock shows 11:42 A.M. In 24-hour clock time this is
| A. | 11:42 |
| B. | 1142 |
| C. | 2342 |
| D. | 11:43 AM |
ANS: B REF: 63
- The clock shows 7:29 P.M. In 24-hour clock time this is
| A. | 7:29 P.M. |
| B. | 729 |
| C. | 0729 |
| D. | 1929 |
ANS: D REF: 63-64
- The clock shows 12:00 noon. In 24-hour clock time this is
| A. | 12:00 noon |
| B. | 12:00 |
| C. | 1200 |
| D. | Noon |
ANS: C REF: 63-64
- A suffix is
| A. | Placed at the beginning of a word |
| B. | The main part of the word |
| C. | Placed at the end of a word |
| D. | A shortened form of a word or phrase |
ANS: C REF: 56, 65
- Which term means located at or toward the front of the body or body part?
| A. | Anterior |
| B. | Distal |
| C. | Medial |
| D. | Posterior |
ANS: A REF: 56, 67
- Dys- means
| A. | Without, not, lack of |
| B. | Slow |
| C. | Bad, difficult, abnormal |
| D. | Inner, inside |
ANS: C REF: 65
- Olig- means
| A. | Half |
| B. | Under, decreased, less than normal |
| C. | Small, scant |
| D. | Many, much |
ANS: C REF: 65
- Tachy- means
| A. | Bad, difficult, abnormal |
| B. | Normal, good, well, healthy |
| C. | Slow |
| D. | Fast |
ANS: D REF: 65
- Poly- means
| A. | Many, much |
| B. | Before, in front of |
| C. | Around |
| D. | Large |
ANS: A REF: 65
- Arthro means
| A. | Rib |
| B. | Joint |
| C. | Bone |
| D. | Head |
ANS: B REF: 65
- Cyano means
| A. | Heart |
| B. | Skin |
| C. | Sugar |
| D. | Blue |
ANS: D REF: 66
- Angio means
| A. | Heart |
| B. | Artery |
| C. | Vein |
| D. | Vessel |
ANS: D REF: 65
- Derma means
| A. | Water |
| B. | Stone |
| C. | Tongue |
| D. | Skin |
ANS: D REF: 66
- Gastro means
| A. | Stomach |
| B. | Large intestine |
| C. | Small intestine |
| D. | Intestines |
ANS: A REF: 66
- Gluco means
| A. | Blood |
| B. | Water |
| C. | Stone |
| D. | Sweetness |
ANS: D REF: 66
- Hemo means
| A. | Artery |
| B. | Heart |
| C. | Vein |
| D. | Blood |
ANS: D REF: 66
- Hydro means
| A. | Bladder |
| B. | Water |
| C. | Kidney |
| D. | Air |
ANS: B REF: 66
- Myo means
| A. | Spinal cord |
| B. | Eye |
| C. | Muscle |
| D. | Straight, normal, correct |
ANS: C REF: 66
- Osteo means
| A. | Spinal cord |
| B. | Joint |
| C. | Bone |
| D. | Nerve |
ANS: C REF: 66
- Pnea means
| A. | Breathing, respiration |
| B. | Lung, air, gas |
| C. | Nose |
| D. | Lung |
ANS: A REF: 66
- Stomato means
| A. | Stomach |
| B. | Opening |
| C. | Narrow, constriction |
| D. | Mouth |
ANS: D REF: 66
- Toxico and toxo mean
| A. | Poison |
| B. | Heat |
| C. | Chest |
| D. | Clot |
ANS: A REF: 66
- Vaso means
| A. | Artery |
| B. | Vein |
| C. | Blood vessel |
| D. | Dilate |
ANS: C REF: 66
- The suffix -algia means
| A. | Condition |
| B. | Pain |
| C. | Enlargement |
| D. | Disease |
ANS: B REF: 66
- The suffix -emia means
| A. | Removal of |
| B. | Blood condition |
| C. | Inflammation |
| D. | Tumor |
ANS: B REF: 66
- The suffix -phagia means
| A. | The study of |
| B. | Destruction of |
| C. | Disease |
| D. | Swallowing |
ANS: D REF: 66
- The suffix -phasia means
| A. | Swallowing |
| B. | Speaking |
| C. | Paralysis |
| D. | Fear |
ANS: B REF: 66
- The suffix -rrhage means
| A. | Discharge |
| B. | Stitching |
| C. | Excessive flow |
| D. | Drooping |
ANS: C REF: 66
- The suffix -stomy means
| A. | Removal of |
| B. | Cutting into |
| C. | Stomach |
| D. | Creation of an opening |
ANS: D REF: 66
- The suffix -plegia means
| A. | Paralysis |
| B. | Swallowing |
| C. | Speaking |
| D. | Sagging |
ANS: A REF: 66
- The abbreviation ADL means
| A. | Abdomen |
| B. | Before meals |
| C. | Activities of daily living |
| D. | As desired |
ANS: C REF: inside back cover
- The abbreviation amb means
| A. | Ambulatory |
| B. | Amount |
| C. | Abdomen |
| D. | Morning |
ANS: A REF: inside back cover
- The abbreviation BRP means
| A. | Twice a day |
| B. | Blood pressure |
| C. | Bathroom privileges |
| D. | Bowel movement |
ANS: C REF: inside back cover
- The abbreviation c/o means
| A. | Catheter |
| B. | Complains of |
| C. | Cancer |
| D. | Cubic centimeter |
ANS: B REF: inside back cover
- How would you abbreviate height?
| A. | h |
| B. | H |
| C. | ht |
| D. | Hgt |
ANS: C REF: inside back cover
- How would you abbreviate gastrointestinal?
| A. | gastro |
| B. | gi |
| C. | gstin |
| D. | GI |
ANS: D REF: inside back cover
- The abbreviation noc means
| A. | Negative |
| B. | Night |
| C. | Nothing |
| D. | None |
ANS: B REF: inside back cover
- The abbreviation NPO means
| A. | Negative |
| B. | No person allowed |
| C. | Nothing by mouth |
| D. | Night privacy allowed |
ANS: C REF: inside back cover
- The abbreviation PC means
| A. | Post-conference |
| B. | Post-care |
| C. | Before meals |
| D. | After meals |
ANS: D REF: inside back cover
- The abbreviation po means
| A. | By mouth |
| B. | Per oral |
| C. | Post-operative |
| D. | Pre-operative |
ANS: A REF: inside back cover
- The abbreviation prn means
| A. | When necessary |
| B. | Preparation |
| C. | Practical registered nurse |
| D. | Preferred nursing |
ANS: A REF: inside back cover
- The abbreviation qid means
| A. | Twice a day |
| B. | Three times a day |
| C. | Four times a day |
| D. | Every night at bedtime |
ANS: C REF: inside back cover
- The abbreviation ROM means
| A. | Range of motion |
| B. | Roommate |
| C. | Right outer muscle |
| D. | Rest on Monday |
ANS: A REF: inside back cover
- The abbreviation stat means
| A. | As soon as possible |
| B. | At once |
| C. | Station |
| D. | Static |
ANS: B REF: inside back cover
- Proximal means
| A. | At or near the front of the body or body part |
| B. | The farthest from the center or from the point of attachment |
| C. | Away from the midline |
| D. | The part nearest to the center or to the point of origin |
ANS: D REF: 56, 67
- You have access to the agency’s computer system. Which is correct?
| A. | You can use another person’s password to open e-mail. |
| B. | You can use the computer to send personal e-mail. |
| C. | You can use the computer to send confidential information to the nurse. |
| D. | You can change your password following agency policy. |
ANS: D REF: 68-69
- These statements are about computer use in health care agencies. Which is correct?
| A. | You should use the computer to send information that requires immediate reporting. |
| B. | You should use the computer to send jokes and other entertaining material. |
| C. | Authorized staff can retrieve deleted computer files. |
| D. | You should use the computer to post your opinions and messages on the Internet. |
ANS: C REF: 69
- These statements are about computer use in health care agencies. Which is incorrect?
| A. | You should share your password with co-workers. |
| B. | You should use correct spelling, punctuation, and grammar. |
| C. | You should prevent others from seeing what is on the screen. |
| D. | You should double-check your entries. |
ANS: A REF: 69
- You should answer a phone by the
| A. | Second ring |
| B. | Fourth ring |
| C. | Sixth ring |
| D. | Eighth ring |
ANS: B REF: 70
- After taking a message, which is correct?
| A. | Repeat the message and phone number back to the caller |
| B. | Put the caller on hold |
| C. | Transfer the caller |
| D. | Lay the phone down |
ANS: A REF: 70
- Before transferring a call, you should
| A. | Explain that you are going to transfer the call |
| B. | Lay the phone down and find out where to transfer the call |
| C. | Take a message |
| D. | Find out the reason for the call |
ANS: A REF: 70
- A phone message should contain the following information except
| A. | The caller’s name and phone number |
| B. | The caller’s social security number |
| C. | The date and time |
| D. | The message |
ANS: B REF: 70
- Before putting a caller “on hold,” you should
| A. | Find out if the call is about an emergency |
| B. | Thank the person for calling |
| C. | Take a message |
| D. | Ask how long the caller can wait |
ANS: A REF: 70
- When answering the phone in a patient’s home, you should
| A. | Give the patient’s name and your name |
| B. | Identify yourself by name and title |
| C. | Simply answer with “hello” |
| D. | Give your name and the name of the agency you work for |
ANS: C REF: 68
- The first step in problem solving is to
| A. | Define the problem |
| B. | Collect information |
| C. | Identify possible solutions |
| D. | Ask your supervisor for time to talk |
ANS: A REF: 70
- You have a conflict with a co-worker. In resolving the conflict, you should
| A. | Discuss the problem in front of a witness |
| B. | Focus on facts and specific behaviors |
| C. | Ask your supervisor to talk to the person |
| D. | Give the problem time to go away |
ANS: B REF: 70
- Which statement is incorrect?
| A. | Incomplete information can harm the person. |
| B. | Patient and resident information is confidential. |
| C. | When communicating, you must protect the person’s right to privacy. |
| D. | To save time, record treatments and procedures before you complete them. |
ANS: D REF: 61, 63-64
