NAC- EXAM Chapters 28, 30, 32

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Question 1 of 25

1. Question
Which statement suggests that the terminally ill client is experiencing denial of his/her impending death?
- “if I could just hang on until my sister arrives from England.”
- “they’re wrong, I can’t possibly have an incurable brain tumor.”
- “if you’re medical people weren’t so incompetent; I wouldn’t be so sick.”
- “I just want to spend the last few days of my life with my loved ones.”
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Question 2 of 25

2. Question
A patient who states “If I can just promise to quit smoking my cancer will go away” is demonstrating…
- Acceptance
- Denial
- Bargaining
- Depression
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Question 3 of 25

3. Question
Which statement is true?
- every grieving person will experience each of the stages of grief
- a grieving person may be in any stage of grief and could repeat a stage more than once
- people don’t truly experience stages of grief
- people grieve the same way
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Question 4 of 25

4. Question
A document that allows a person to make his/her wishes regarding health care known to family members and health care workers before he/she can no longer do so is referred to as…
- the Patient Self-Determination Act
- an advance directive
- a hospice request
- a will
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Question 5 of 25

5. Question
The goal of hospice is to:
- increase hospitalizations to manage symptoms of the terminally ill patient
- focus on comfort and symptom relief of the terminally ill patient
- prolong life for terminally ill patients
- to attempt to find a cure for terminal illness
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Question 6 of 25

6. Question
When a terminally ill client states “I don’t want to die, this isn’t fair” a nursing assistant best helps the client by:
- leaving the room to ask the nurse to talk to the patient
- stating “I know, you’re so young.”
- stating “I’m sorry, I know it must be hard for you to hear this diagnosis.”
- stating “you will be fine” while holding the client’s hand.
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Question 7 of 25

7. Question
A nursing assistant finds that providing postmortem care for deceased residents is very emotional and is becoming very difficult to do effectively. The nursing assistant will first
- respectfully refuse to perform postmortem care
- talk about the situation with the nursing supervisor
- keep remembering that postmortem care is a part of the job
- ask to be allowed to have another nursing assistant perform the task
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Question 8 of 25

8. Question
A family member wants to help care for their dying loved one, a good suggestion would be:
- “make sure they get plenty to eat and drink, cancer patients lose a lot of weight sometimes”
- “I am getting ready to turn the patient; would you like to help?”
- allow the family to perform all patient care. Give them a call like in case they need help
- “families aren’t allowed to perform patient care due to liability issues”
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Question 9 of 25

9. Question
The process by which cancer cells spread from their original location in the body to a new location is called
- metastasis
- malignant
- movement
- motion
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Question 10 of 25

10. Question
What could be a warning sign of cancer in a client that a nursing assistant should notify the nurse of?
- a client who has a mole which they state “hasn’t changed in years”
- a patient who has a stroke and has suddenly become incontinent of bowel and bladder
- a patient who suddenly gains weight
- a patient with a persistent cough who recently lost 15lbs unsuspectedly
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Question 11 of 25

11. Question
Which might be a side effect of the pain medication given to a client with advanced cancer?
- extreme fatigue
- sores in the mouth
- constipation
- alopecia
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Question 12 of 25

12. Question
What can the nursing assistant do to help a client with stomatitis as a result of chemotherapy?
- avoid providing regular oral care until the mouth sores heal
- offer drinks blended with ice cream to provide nutrition
- Ask the nurse to increase the client’s pain medication
- Provide gentle, thorough skin care frequently
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Question 13 of 25

13. Question
The nursing assistant is caring for a resident recently diagnosed with cancer. How can the nursing assistant best meet the resident’s emotional needs?
- tell the resident that many people survive cancer
- leave the resident alone to deal with his/her grief privately
- sit with the resident and listen to his/her fears and concerns
- change the subject whenever the resident brings up his or her cancer
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Question 14 of 25

14. Question
Cancer patients on long-term pain management may experience:
- resistance or high tolerance to pain care
- lower tolerance to pain care
- diarrhea
- high blood pressure from over-medication
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Question 15 of 25

15. Question
It is true that a malignant tumor:
- is not cancerous
- seldom metastasizes
- usually grows very slowly
- can spread to other body organs
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Question 16 of 25

16. Question
When asked a question about the surgical procedure a client is scheduled for, the nursing assistant…
- answers the question to the best of their ability
- reports the question to the nurse immediately
- tells the client not to worry, that everything will be just fine
- suggests that the client ask the doctor the questions before the procedure
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Question 17 of 25

17. Question
The purpose of putting a person on NPO status before surgery is to…
- prevent constipation
- empty the bowel
- decrease vomiting
- prevent embolism
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Question 18 of 25

18. Question
The purpose of the opening at the toe of an anti-embolism (TED) stocking is to…
- make it easier to apply safely
- inspect the person’s toes for good circulation
- provide ventilation so that the feet do not sweat
- allow foot care to be provided without taking off the stocking
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Question 19 of 25

19. Question
Post-operative, a client is ordered to do coughing and deep-breathing exercises. What will the nursing assistant do when the client reports that it “hurts too much” and refuses to cooperate?
- allow the client to do the exercises later when he/she is in less pain
- report the increased pain to the nurse immediately
- give the client an incentive spirometer to use instead
- help the client to do the exercise from the supine position
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Question 20 of 25

20. Question
How does a sequential compression device (SCD) work?
- the elastic fabric applies pressure to the leg to assist blood to return back to the heart
- the sleeves around the legs fill with air and then deflate, massaging the leg and assisting with blood return back to the heart
- different areas of the mattress inflate and deflate, helping prevent the formation of pressure ulcers
- suction is applied to keep the stomach empty
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Question 21 of 25

21. Question
Which one of the following activities takes place before surgery?
- Frequent ambulation
- Completion of the pre-operative checklist
- Performance of coughing and deep breathing
- Careful monitoring in the post-anesthesia care unit
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Question 22 of 25

22. Question
The purpose of the pulse oximeter is to…
- monitor the oxygen content of the blood
- measure a person’s respiratory rate
- add moisture to supplemental oxygen
- adjust the flow rate of oxygen
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Question 23 of 25

23. Question
The nursing assistant will immediately report a pulse oximeter reading that is below…
- 99%
- 95%
- 90%
- 85%
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Question 24 of 25

24. Question
What will the nursing assistant do to make sure a postoperative client is given the best possible care?
- staying in the client’s room as much as possible
- helping the client cough and deep breath effectively
- Getting the client up and walking as soon as he/she can after surgery
- ask the nurse for any specific instructions about this client’s care
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Question 25 of 25

25. Question
The nursing assistant is caring for a resident who recently experienced a stoke and is now comatose. Which action best shows that the nursing assistant understands the special needs of a comatose person?
- talking to the client, explaining what is happening before touching the person.
- making sure the resident is dressed nicely with their hair combed in case the family visits
- calling the chaplain to perform last rites
- keeping the room darkened so the resident can rest better
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NAC- EXAM Chapters 28, 30, 32

NAC- EXAM Chapters 28, 30, 32

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