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Understanding what is on the NNAAP AL Nurse Aides exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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NNAAP Alabama Nurse Aides Exam Blueprint

Understanding the exact breakdown of the NNAAP Alabama Nurse Aides test will help you know what to expect and how to most effectively prepare. The NNAAP Alabama Nurse Aides has 70 multiple-choice questions The exam will be broken down into the sections below:

NNAAP Alabama Nurse Aides Exam Blueprint
Domain Name % Number of
Questions
Physical Care Skills - Activities of Daily Living 14% 10
Physical Care Skills - Basic Nursing Skills 39% 27
Physical Care Skills - Restorative Skills 7% 5
Psychosocial Care Skills - Emotional and Mental Health Needs 11% 8
Psychosocial Care Skills - Spiritual and Cultural Needs 2% 1
Role of the NA - Communication 8% 6
Role of the NA - Client Rights 7% 5
Role of the NA - Legal and Ethical Behavior 3% 2
Role of the NA - Member of the Health Care Team 9% 6

NNAAP Alabama Nurse Aides - Exam Topics Sample Questions

Which of the following statements about chronic obstructive pulmonary disease (COPD) is least accurate?

Correct Answer:
in copd more air gets into the lungs and more air goes out of the lungs.


chronic obstructive pulmonary disease (copd) is a long-term lung condition that progressively makes breathing difficult. the statement "in copd more air gets into the lungs and more air goes out of the lungs" is the least accurate description of copd. this is because, in reality, copd is characterized by an obstructed airflow from the lungs which makes it hard for a person to exhale all the air in the lungs. this results in less air being able to move in and out of the lungs, not more.

the condition primarily involves two main diseases: chronic bronchitis and emphysema, both of which contribute to the symptoms and airflow limitations of copd. chronic bronchitis is defined by a long-term cough with mucus, while emphysema involves damage to the lungs over time. despite the involvement of the airways and lung tissue, copd does not typically allow more air to enter or leave the lungs. instead, air becomes trapped in the lungs due to narrowed or blocked airways, decreased lung elasticity, and the destruction of walls between air sacs.

cigarette smoking is indeed the most important risk factor for copd, as it plays a significant role in both the development and progression of the disease. tobacco smoke contributes to the inflammation and damage within the airways and lung tissue. other risk factors include exposure to certain gases or fumes in the workplace, exposure to heavy amounts of secondhand smoke and pollution, and frequent use of cooking fire without proper ventilation.

furthermore, it is important to clarify that copd does not typically include asthma as one of its components. although asthma and copd both involve airway obstruction and inflammation, they are distinct conditions with different pathological and physiological mechanisms. asthma is generally characterized by reversible airway obstruction, whereas copd involves irreversible damage and progressive decline in lung function.

therefore, the correct understanding is that copd leads to decreased airflow both in and out of the lungs, majorly due to the obstruction caused by the disease's damaging effects on the lung architecture and airway inflammation. this impaired lung function is what causes the symptoms of breathlessness, chronic cough, and frequent respiratory infections associated with copd.

Which of the following should NOT be a part of the procedure to care for a patient with a tracheostomy?

Correct Answer:
removing dirty ties before applying clean ties
the question asks to identify a procedure that should not be followed when caring for a patient with a tracheostomy. the correct answer is "removing dirty ties before applying clean ties." here's an expanded explanation of why this is the incorrect procedure:

tracheostomy care is crucial for maintaining the hygiene and functionality of the tracheostomy tube and the health of the patient. the tracheostomy tube is secured in place by ties or a velcro collar that wraps around the patient's neck. these ties ensure the cannula (tube) remains in position, preventing accidental dislodgement and ensuring the patient can breathe properly.

when changing these ties, the correct procedure involves first applying new, clean ties before removing the old, potentially contaminated ones. this method minimizes the risk of the tracheostomy tube moving or coming out, which could lead to a life-threatening situation. removing the dirty ties before securing the new clean ones could lead to the tube becoming dislodged, posing a significant risk to the patient's airway.

furthermore, using clean ties or collars helps prevent infections. the area around a tracheostomy can be particularly vulnerable to infection due to its constant exposure to external elements and its direct connection to the respiratory tract. by ensuring that the ties are clean before they are applied, and only then removing the dirty ones, healthcare providers can reduce the risk of introducing pathogens that could cause infections.

during the procedure, it's also important that the outer cannula is held securely in place. this is typically done by one person holding the tube securely while another changes the ties. this teamwork ensures that the tube does not move, which is critical for the patient’s safety.

in summary, the correct procedure for changing tracheostomy ties involves preparing and applying new, clean ties before removing the old, dirty ones. this method ensures the stability of the tracheostomy tube, minimizes the risk of infection, and maintains an open and secure airway for the patient.