1. What is the purpose of performing hand hygiene?

1. To prevent the spread of infection
2. To prevent staff contact with infections
3. To keep patients from exposure to bacteria or viruses
4. To eliminate the need to wear gloves when providing care

2. Before using a restraint alternative, what should you do?

1. Check with the nurse about what type of restraint alternative to use
2. Ask another nursing assistant to supervise the procedure
3. Try using various restraints to keep the person from self-injury
4. Ask the person’s doctor to order a restraint, such as a vest

3. Which sign or symptom may suggest an allergy to latex gloves?

1. Skin rash
2. Bleeding
3. Fever
4. Joint pain

4. When caring for a person with a restraint, which action is important?

1. Check the person every 60 minutes during restraint use
2. Remove the restraints for 15 to 20 minutes at least every 8 hours
3. Check the pulse, color, and temperature of the body parts in a wrist restraint
4. Notify the nurse at the end of the shift if the person reports problems breathing

5. When using soap and water to perform hand hygiene, how much soap should the nursing assistant use?

1. About one drop
2. About two pumps
3. About 1 teaspoon
4. About 1 tablespoon

6. When washing the hands with soap and water, which procedure should the nurse follow?

1. Turn on and adjust the water until it feels cool.
2. Keep your hands above your elbows while washing.
3. Turn off the faucet with your clean dry hand.
4. Use plenty of lather and friction and wash for at least 15 to 20 seconds.

7. Which type of restraint increases the risk of falls?

1. Mitt restraint
2. Belt restraint
3. Vest restraint
4. Jacket restraint

8. When applying a restraint, which safety measure should you take?

1. Adjust the straps so that the restraint is very tight.
2. Ensure that the quick-release tie is within the person’s reach.
3. Follow the manufacturer’s instructions for applying the restraint.
4. Use a square knot to secure the restraint straps to a chair or bed.

9. What is the purpose of wearing a face shield when providing patient care?

1. To protect your skin from contact with infection
2. To protect your eyes from being splashed with hazardous chemicals
3. To protect your clothes and body from contact with pathogens
4. To protect your eyes, mouth, and nose from being infected through splashing

10. Which restraint alternative could be used to prevent a confused person from wandering into another person’s room?

1. A floor cushion next to the bed
2. A bed or chair alarm
3. A padded hip protector
4. A knob guard on the door

11. Which technique is an alternative to restraint use?

1. Observe the person at least once every 2 hours
2. Discourage visitors because they can cause confusion
3. Provide diversions, such as TV, videos, music, and games
4. Remove clocks and calendars for a person with confusion

12. What is the purpose of using a restraint alternative?

1. To prevent the person from getting out of bed
2. To prevent self-injury, such as from pulling out tubes
3. To punish the person who does not use the signal light
4. To prevent the facility from being sued if the person is injured

13. Immediately after removing PPE, what should you do?

1. Notify the charge nurse that you have completed patient care
2. Document the care that was given
3. Perform hand hygiene
4. Disinfect the reusable equipment

14. What is the correct way to apply a belt restraint?

1. Ensure the belt is snug by placing one finger between the restraint and the person
2. Place the straps at a 90-degree angle between the wheelchair seat and sides
3. Secure the restraint straps to the wheels for a person in a wheelchair
4. Remove wrinkles or creases from the front and back of the restraint

15. Which of these devices is a restraint alternative?

1. Roll guards that are attached to the bed frame
2. Velcro used to hold clothing tight enough to restrict movement
3. Bed rails that prevent the person from getting out of bed
4. A tray table that blocks the person’s freedom of movement

16. What is the correct order for putting on personal protective equipment (PPE)?

1. Gown, mask, goggles, gloves
2. Gown, mask, gloves, goggles
3. Mask, goggles, gloves, mask
4. Gloves, gown, mask goggles

17. When is it appropriate to use an alcohol-based hand rub to perform hand hygiene?

1. If exposure to anthrax spores is suspected
2. If gloves were worn during patient contact
3. If the hands are not visibly soiled
4. If the hands are dry or chapped

18. When applying a vest restraint, where should the “V” neck be positioned?

1. In the front
2. In the back
3. At the person’s left or right side
4. As close to the bed frame as possible

19. As part of performing hand hygiene, how should the nursing assistant dry the hands?

1. Let the hands air dry.
2. Use clean, dry paper towels.
3. Use a clean, dry cloth.
4. Place the hands under a hot-air hand dryer.

20. When removing a gown, which technique should you use?

1. Turn the gown inside out as you remove it
2. Roll the gown down against your body
3. Let the gown fall to the floor without touching it
4. Touch only the outside of the gown