QUESTION: The nursing assistant has been assigned to deliver care to a patient who has been placed on contact precautions. The nursing assistant is selecting the appropriate personal protective equipment (PPE) attire to wear prior to delivering care to a patient who has been placed on contact precautions if which of the following items will be worn:
A. Gloves and a gown
B. Gloves, gown, and a face mask
C. Gloves, gown, a face mask, and a face shield
D. Gloves, gown, a HEPA mask, and a face shield
ANSWER: A (Contact precautions require the use of gloves and a gown at the very minimum. Droplet transmission precautions require the use of a medical face mask at the very minimum. Airborne transmission precautions, at the minimum, require the use of a negative pressure room and a HEPA mask, also known as a particulate respirator).
QUESTION: The nurse aide student is attending a nursing assistant class this morning. The nurse aide instructor asks all the students, “What is the single most important action that nursing assistants and other healthcare workers take in order to prevent the spread of infections?” The nurse aide student is providing a correct response when he gives which of the following answers:
A. Wearing personal protective equipment before delivering care
B. Performing hand-washing before and after delivering care
C. Adhering to universal precautions before delivering care
D. Using clean technique prior to delivering care
ANSWER: B (Hand-washing is the single most important action that nursing assistants, nurses, and other healthcare workers can take in order to prevent the spread of infection. Adhering to universal precautions, utilizing personal protective equipment in a correct manner, and using clean technique also reduce the spread of infections. Nonetheless, hand-washing is the single most important action that can be taken by all healthcare workers to prevent the spread of infection).
QUESTION: The nurse aide student is learning about documentation and charting during this morning’s nursing assistant class. The nurse aide student asks the instructor, “Who is responsible for the documentation at the hospital or nursing home?” The correct answer is which of the following responses:
A. The registered nurse (RN) is accountable for everything, including documentation of all care provided by the nursing assistants
B. The licensed practical / vocational nurse (LPN /LVN) should document all care, including the care provided by the nursing assistants
C. All members of staff, including nursing assistants, need to document the care that they have provided
D. All members of staff need to document the care that they have provided, and the physician will sign off on the documentation
ANSWER: C (All members of nursing staff, including nursing assistants, are responsible for documenting and signing off on all of the patient care that they have personally delivered. For instance, the nursing assistants will chart the showers and bed baths that they have given to the patients. The licensed practical /vocational nurses will chart all of the wound care and medications that they have administered to the patients. The registered nurse will chart the various nursing diagnoses that they have formulated and the patient assessments that they have performed. Generally, physicians are not required to sign off on the patient care documentation of nurses and nursing assistants in the hospital and/or nursing home settings).