Nursing Assisting in Acute & Subacute Care



[pic] Nursing Assisting in Acute & Subacute Care [pic]

Written Test # _________

Please Use Answer Sheet Provided. DO NOT leave marks on this test.

1. Acute Care is:

a. necessary treatment for a brief but severe episode of illness for a short time

b. the use of advanced medical technology in a skilled long-term care facility

c. special procedures done in subacute facilities

d. care delivered only by physicians and physician assistants

2. Subacute care is also called

a. restorative care c. acute care

b. transitional care d. coma care

3. The nursing assistant working on a subacute unit is expected to

a. work alone

b. care for patients that have NO special treatments going on

c. care for only the unconscious patients

d. have excellent observational skills and be prepared to handle complex needs

4. Other members of the interdisciplinary team who work on the subacute unit include

a. general surgeons c. nurse anesthetists

b. respiratory therapists d. dermatologists

5. Pulse oximetry is used to monitor the

a. blood volume in the body c. level of oxygen in arterial blood

b. blood pressure levels d. blood sugar levels

6. When caring for an IV patient, the nursing assistant is expected to

a. turn the alarm off on the pump if it goes off

b. change the dressing every shift

c. notify the nurse if redness or swelling occurs at the insertion site

d. lay the bag on the chair when changing the patient’s gown

7. An intravenous infusion with an additional bag of fluid with medication is called

a. Normal Saline c. peripheral solution

b. piggyback d. Heparin

8. A PICC line is used

a. to treat dehydration c. to measure electrolytes

b. to administer medication and TPN d. for enteral feedings

1. Mr. Moore has an epidural catheter. Which observation below should you report to the nurse STAT?

a. Mr. Moore complains of headache

b. Mr. Moore complains of fatigue

c. Mr. Moore complains of polyuria

d. Mr. Moore states the his chest and throat have begun to itch

2. A TENS unit is used for

a. urinary drainage c. pain

b. fluid administration d. fluid replacement

11. A tracheostomy tube is

a. a tube that is inserted into the windpipe

b. a tube that is inserted into the stomach

c. a tube that is inserted as an IV

d. a tube that is inserted into the urinary tract

12. Oncology patients receive treatments for

a. HIV c. Congestive Heart Failure

b. cancer d. spinal cord injury

13. For patients who have implanted medication pumps, you should

a. avoid using transfer belts when moving them at all times

b. use a transfer belt the first time he gets up after pump implantation

c. use a transfer belt only when the surgical site is completely healed

d. apply the belt under the arms and not at the patient’s waist

14. Capillary refill should return to normal within

a. 2 to 3 seconds c. 10-20 seconds

b. 5-10 seconds d. 7 to 10 seconds

15. What condition might indicate insufficient oxygen in the blood?

a. diaphoresis c. hypoxemia

b. anorexia d. dementia

16. Mrs. Smith is receiving dialysis and will

a. suffer watery diarrhea

b. not be able to take regular medications during the procedure

c. require V/S and monitoring after the procedure

d. void frequently after the procedure

Ture or False

17. Patients who have suffered a CVA may require intensive rehabilitation.

18. A dialysis patient has suffered renal failure.

19. If a patient has alopecia from chemotherapy, you should report this immediately.

20. Oxygen may come to the facility in dry form.

21. Oxygen is given without a prescription.

22. The capillary refill test may be used to determine oxygenation.

23. If a patient’s wound drainage is malodorous, you should report this to the nurse.

24. A fistula is created by attaching a vein to an artery

25. The nursing assistant should notify the nurse if the IV’s drip chamber gets full.

26. Exacerbation is the worsening of an acute medical condition.

27. Total parenteral nutrition is delivered into a peripheral vein.

28. Death will occur if levels of acid and carbon dioxide in the blood become too high

29. Taking B/P in an arm with a dialysis graft or shunt is not contraindicated.

30. Patient progress towards the goals set should be documented in measurable terms.

31. General anesthetics are used to block pain form the nerve endings in the skin

32. The abbreviation NPO means that the patient can not leave his/her room.

33. While your patient is in surgery, you should take a break.

34. If the patient returns from recovery still unconscious, you should never leave him alone.

35. If the patient begins to vomit after surgery, you should turn the head to the side.

36. If you notice there is a large amount of blood on the dressing after the patient returns from surgery, you should get some gauze to reinforce it.

37. Sequential compression therapy is used to prevent contractures.

38. If your patient has had eye, nose, or neurological surgery, you should not encourage coughing and deep breathing.

39. Nosocomial infections most frequently occur when the patient gets home from the hospital.

40. A pulmonary embolus is a blood clot in the lungs.

[pic] Nursing Assisting in Subacute & Acute Care [pic]

Answer Sheet Test # _________

Name: ____________________________________Date: ___________________ Score: ____________

1. __________ 31. __________

2. __________ 32. __________

3. __________ 33. __________

4. __________ 34. __________

5. __________ 35. __________

6. __________ 36. __________

7. __________ 37. __________

8. __________ 38. __________

9. __________ 39. __________

10. __________ 40. __________

11. __________

12. __________

13. __________

14. __________

15. __________

16. __________

17. __________

18. __________

19. __________

20. ___________

21. __________

22. __________

23. __________

24. __________

25. __________

26. __________

27. __________

28. __________

29. __________

30. _________

[pic] Nursing Assisting in Subacute & Acute Care [pic]

Answer Sheet Key Test # _00___

Name: _____Ima Key____________ Date: ____00/00/00________ Score: ___100_____

1. a 31. False

2. b 32. False

3. d 33. False

4. b 34. True

5. c 35. True

6. c 36. False

7. b 37. False

8. b 38. True

9. d 39. False

10. c 40. True

11. a

12. b

13. c

14. a

15. c

16. c

17. True

18. True

19. False

20. True

21. False

22. True

23. True

24. True

25. True

26. False

27. False

28. True

29. False

30. True

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