NurseCare, Inc. Job Application
Please complete the application and competency test below to apply for a position with us.
NurseCare, Inc. is an equal opportunity employer. Federal and state laws prohibit discrimination in employment practices because of race, color, religion, age, sex, national origin, or handicap. No question on this application is asked for the purpose of limiting or excluding any applicant’s consideration for employment (because of his or her race, color, religion, age, sex, national origin, or handicap).
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Certified Nurse/Home Health Aide Competency Evaluation Test
Please complete the following evaluation to the best of your ability. There are 49 multiple choice questions. Remember to click 'Submit' at the end of the form. Thanks!
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I. Observation and Reporting
1. Mr. Jones' pulse rate is usually 64-70. When you take it today, it is 52. You should:
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a. Wait 30 minutes and recheck it
b. Tell the client to go to the doctor
c. Call the nurse or supervisor immediately
2. Mr. Smith tells you he feels as if he is going to vomit after taking his new medicine the doctor ordered, so he is not taking it. You should:
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a. Tell him he must take it if he wants to get well
b. Tell his wife to make him take it
c. Tell him to take it with 7-UP
d. Tell him you will call the supervisor about what you should do
3. While bathing the client, the Home Health Aide has an opportunity to:
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a. Talk about personal life
b. Think about your personal life
c. Visit with the family
d. Observe the skin condition, mobility and movement of the client
4. When reporting a change in the client's pulse, temperature or respiration, you need to satisfy all of the following EXCEPT:
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a. Method of measuring body temperature (oral, rectal, axillary)
b. The exact time the temperature, pulse and respirations were taken
c. Any other complaints the client may be experiencing (pain, stress, etc.)
d. Why you were late getting to the client's home
5. When reporting or recording information it is important to:
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a. Report and record exactly how you feel about the situation
b. Report and record exactly what you see
c. Report and record what the family feels is wrong
d. Report and record what the nurse feels is wrong
6. Temperature, pulse and respirations is TPR:
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True
False
7. Normal oral temperature is 98.6:
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True
False
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II. Infection Control
1. Good hand washing technique is important because:
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a. It prevents the spread of germs
b. It is required by the Health Department
c. It is good for the client's morale
2. The perineal area is washed:
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a. From front to back
b. From back to front
c. It doesn't matter
3. When coming into contact with body fluids such as blood, gloves should be worn by the Home Health Aide:
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True
False
4. When handling dirty linens and clothing, it is best to:
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a. Put the dirty linens and clothing on the floor
b. Shake linens and clothing before washing
c. Place dirty linens and clothing in clothes hamper/plastic bag until they can be washed
5. Precautions to take to control infection include all the following EXCEPT:
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a. Wash hands after handling soiled items such as linens, clothing, garbage
b. Cover nose and mouth when sneezing and coughing
c. Cover any cuts or breaks in the skin that Home Health Aide may have
d. Go to work even when you are ill
6. A client is coughing, he needs tissues to cover his mouth and he also may need:
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a. Bed pan
b. A paper bag
c. A steamer in his/her room
7. Mr. Stone's foley catheter is attached to a drainage bag. The drainage bag should be kept:
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a. Below the level of his bladder
b. Lying next to the client on the bed
c. Twelve inches above the level of his bladder
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III. Basic Elements in Body Function and Abnormalities Reported to RN
1. A five pound weight gain in two days:
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a. Is normal and nothing to be worried about
b. Shows the client has been eating too many sweets
c. Should be reported to the nurse
2. Mrs. Smith's catheter bag contains a very large amount of dark red urine. You should:
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a. Encourage her to drink more fluids
b. Empty the bag
c. Call your supervising nurse as soon as possible
3. A red spot over the client's hip joint:
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a. Might develop into a bedsore
b. Is a normal sign of old age
c. Should be treated with a heat lamp
4. For a red spot over the client's bowel habits, the following should be reported to the nurse immediately:
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a. Symptoms of pain, abdominal swelling or cramps
b. Client not passing gas
c. Bowel movements occurring every other day
5. Mrs. Whit, who lives alone, is usually talkative during her bath. Today she says very little, appears anxious and worried and has difficulty speaking. When would you report Mrs. Whit's change of conditions to your supervisor?
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a. At the next conference
b. At the end of the day
c. As soon as possible after making the observation
6. Mr. Smith's blood pressure was 120/80 yesterday. Today it is 160/100. The Home Health Aide should:
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a. Wait fifteen minutes and recheck
b. Tell the client he should go to the doctor
c. Call the Nursing Supervisor immediately
7. A non-function arm is one that:
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a. Is unable to perform usual activities
b. Can do exercises
c. Is cold all the time
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IV. Maintenance of a Clean, Safe, and Healthy Environment
1. Before transferring a client from the bed to a wheelchair, it is always necessary to:
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a. Put a pillow in the seat
b. Put a blanket over the seat
c. Lock the wheelchair brakes
d. Unlock the wheelchair brakes
2. Prior to assisting the client into a tub or shower, as a safety factor, you should check for:
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a. A rubber mat for the tub or shower
b. Lotion for his/her skin
c. Comfortable water temperature
d. Both A & C
3. Regardless of the type of bath given to the elderly, the temperature of the water is important because:
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a. You cannot get them clean unless it is hot enough
b. You have to follow the procedure manual
c. Elderly skin is more delicate and burns easily
d. We have to keep the family happy
4. Wrinkles in the client's bed linens may cause:
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a. No problems
b. The linens to wear out
c. Contractures
d. Bedsores
5. Which of the following statements is NOT true:
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a. Puddles of water or other liquids should be mopped up immediately to avoid falls
b. Always be sure electrical cords are not lying in open walk areas
c. If someone in a home uses a cane or walker, it is a good idea to cushion the floor by using lots of throw rugs
d. Cleaning supplies and other dangerous substances should be kept in a safe, secure cabinet or area
6. Which one of the following should you NOT DO when you are giving a bed bath?
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a. Fold the washcloth over your hand to make a mitt
b. Open a window wide for good ventilation
c. Protect the client's modesty as you wash the chest and abdomen
d. Change the water as necessary
7. When filling and applying a hot water bottle, you would do all of the following EXCEPT:
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a. Cover it with a flannel bag or wrap it in a towel
b. Lay it flat and press gently to push out air before closing it
c. Fill it one half to two thirds full of water
d. Fill it with boiling water so it stays warm longer
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V. Recognizing Emergencies and Knowledge of Procedures
1. Mr. Jones lives along and never goes out of the house. When you arrive at his home, the door is locked, and although it is the middle of the day, you see the lights turned on in the living room. When you knock, you hear a low moan coming from somewhere in the house. You should:
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a. Come back later
b. Get to the nearest telephone and call your health agency
c. Break a window and climb in
d. Keep knocking until he opens the doors
2. Fire safety instructions are important because:
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a. The supervisor says it is
b. The client will think you are great
c. It prepares you to know proper emergency action in the case of fire
d. It will look good on your visit record
3. Upon arriving at your client's home, she tells you that she spilled boiling water on her hand while trying to cook. You should:
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a. Cover the area with Vaseline
b. Apply cold water or ice to the area if there is no break in the skin and notify the supervisor
c. Scold the client for being in the kitchen
4. Your client who is awake and alert, begins to complain of heaviness in the chest and nausea. You should:
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a. Run to the neighbors for help
b. Begin CPR
c. Call your supervisor immediately and follow instruction given by the supervisor
d. Give him some heart medicine you know he uses for chest pain
5. If your client falls while you are in the home, you should NOT do which of the following:
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a. If excessive bleeding occurs, apply a pressure dressing with a clean cloth or sterile gauze
b. Move the client to the bed to make him more comfortable
c. Watch for symptoms of shock-paleness, skin cold and clammy, nausea, etc.
d. Call your supervisor immediately
6. If an unconscious client begins to vomit, you should FIRST:
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a. Turn their head to one side
b. Check their pulse
c. Run to the neighbors to get help
7. When a client is having a seizure, you should:
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a. Protect him from hurting himself
b. Note the length of time and the characteristics of the seizure
c. Notify the Nursing Supervisor after the seizure
d. All of the above
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VI. Physical, Emotional and Developmental Needs-Request for Privacy and Property
1. Mr. Dodd is eating lunch when you arrive at his home. Your assignment is to take his vital signs and assist him in and out of the bathtub. Which of the following is correct:
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a. Tell him to finish his lunch late because you have three more clients to see today
b. Tell him to finish his lunch, then do the bath and take his vital signs late
c. Allow him to finish his lunch, rest for at least ten minutes, take his vital signs and then do the bath
2. When performing any procedure in which a body part is exposed, keep the client covered with a blanket as much as possible:
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a. This is important because the client has the right to dignity and privacy
b. It is not necessary to do this because it is easier to give care without having blankets get in the way
c. It is better to just turn up the heat to keep the client warm
3. A client Miss Green, tells you she is very upset with you and demands you tell her the supervisor's name so she can call and report you. The correct action is:
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a. Tell her you are doing the best you can
b. Leave her home and go to the next client
c. Refuse to see her again
d. Give her the supervisor's name and phone number
4. Your client asks you what his diagnosis is and if he is going to die. You should:
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a. Ignore the question
b. Tell him that you do not know the answer, but that you will have your nursing supervisor come and talk to him
c. Tell him to call his doctor
5. Mrs. Hazley, an aide, is caring for Mr. Johnsen, a terminally ill cancer client. A neighbor phones her and says "Mr. Johnsen is very sick. I hear he is dying. Is that true?" Mrs. Hazley's BEST reply would be:
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a. "Yes, Mr. Johnsen does have cancer"
b. "How do you know Mr. Johnsen is sick?"
c. "I'm sorry, I can't discuss Mr. Johnsen's condition"
d. "Mr. Johnsen is doing really well, considering he does have cancer"
6. Mrs. Dean accuses Mary, an aide, of stealing her watch. Mary did not take the watch, but Mrs. Dean does not believe her. What should she do?
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a. Ask the other aides who cared for Mrs. Dean if they took the watch
b. Ask Mrs. Dean why she does not believe her
c. Offer to buy Mrs. Dean a new watch
d. Notify the supervisor immediately
7. When working with the elderly clients, the general goal of care is to:
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a. Provide constant supervision and total care
b. Provide emergency care and supervision
c. Promote self-care and independence within the limits of the person's ability
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VII. Communication Skills
1. Your client tells you he/she felt sick to their stomach and weak all morning. This is unusual for this client. What would you do first?
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a. Call the client's family
b. Tell the client not to worry
c. Report this information to your nurse supervisor
2. Your client's daughter expresses concern about her mother's impending death. You should:
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a. Not pay attention to her because you are there to care for the client, not her
b. Let her know how you feel about her mother dying
c. Ask her if she would like to tell you more about her concerns and feelings
d. Tell her that everything will be OK
3. A client in a state of depression will usually be:
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a. Hyperactive
b. Tearful
c. Interested in group activity
d. Singing and happy
4. You are about to give your client a bath. You should:
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a. Do it as quietly as possible so you do not awaken the client who is sleeping
b. Explain the procedure you are going to perform to the client
c. Open the window to let some fresh air in the room
5. Your client seems very upset to you this morning. Which response would encourage the client to tell you how he/she is feeling:
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a. "If you take a walk, you'll probably feel better"
b. "Did you have an argument with someone?"
c. "I think I'll ask your family why you are upset"
d. "You seem upset this morning, can you tell me how you are feeling?"
6. If your client is hard of hearing you should:
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a. Try not to bother him/her with conversation
b. Be sure the T.V. is very loud
c. Attempt to speak to the client using sign language
d. When you speak to the client be sure to be close enough and speak at a level the client can hear what you are saying
7. Listening is important for effective communication:
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True
False
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VIII. Adequate Nutrition and Fluid Intake
1. The chief reason for cooking vegetables in a small amount of water and boiling then as short a time as necessary is to:
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a. Preserve the vitamins
b. Retain the color of the vegetable
c. Keep the vegetable firm
d. Improve the flavor
2. In a daily diet, meat provides the greatest source of which nutrient?
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a. Minerals
b. Fats
c. Vitamins
d. Proteins
3. In which organ is urine produced?
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a. Bladder
b. Ureter
c. Kidneys
4. Which nutrient is essential for the growth of bones and teeth?
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a. Vitamin B
b. Calcium
c. Iodine
5. The four basic food groups are:
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a. Fruits and vegetables/bread and cereals/milk and milk products
b. Fruit and vegetables/meat and eggs/desserts/fish and poultry
c. Fruits and vegetables/cheese and eggs/milk and milk products/bread
d. Fruits and vegetables/milk and milk products/breads and cereals/meats, eggs, fish and poultry
6. A person on a restricted salt diet should be encouraged to eat:
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a. Ham
b. Broiled lamb chops
c. Fried liver and bacon
d. Smoked salmon steak
7. The average adult should drink (unless otherwise directed by their doctor):
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a. 6-8 glasses of water a day
b. 10-12 glasses of water a day
c. 4 glasses of water a day
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