CNA
The nursing assistant knows that residents on bedrest must be turned every: (A) 2 hours. (B) 1 hour. (C) 6 hours. (D) 8 hours
(A) 2 hours to maintain skin integrity.
Which of the following is an example of a pulse rate that should be reported to the nurse? (A) 45. (B) 98. (C)82. (D) 64.
(A) 45 Any pulse outside the range of 60 to 100 should be reported immediately to the nurse for the resident's safety.
What is the best way for a nursing assistant to prevent infection? (A) Use standard precautions when caring for residents. (B)Apply an antiseptic hand rub before and after caring for residents. (C)Wear gloves when in contact with body fluids. (D)Frequent hand washing.
(D)Frequent hand washing.
When recording data on a legal form, it is considered correct to write with which of the following? A) A black or a blue pen. B) A blue pen. C) A black pen. D ) A red pen.
A) A black or a blue pen.
The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients? A) Help residents write wills and choose power of attorneys. B) Help residents reach their highest level of psychological and mental functioning. C) Help residents perform ADLs and avoid neglect. D) Help residents to transfer to other nursing homes if they want.
B) Help residents reach their highest level of psychological and mental functioning.
The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client's condition throughout her stay at the hospital. The nursing assistant therefore reads the: A) Flow sheet B) Kardex C) Progress notes D) Nursing discharge summary
B) Kardex- The Kardex is a widely used, concise method of organizing and recording data about a client, making information quickly accessible to all members of the health care team.
A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate? A) Cover the hole with tape. B) Report to the nurse immediately. C) Disconnect the drainage bag from the catheter and replace it with a new bag. D) Place a towel under the bag to prevent spillage of urine on the floor, which could cause the client to slip and fall.
B) Report to the nurse immediately.
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include: A) Breathing comfortably only when sitting. B) Restlessness, dizziness, and disorientation. C) Cyanosis and increased pulse rate. D) Increased temperature and decreased respiratory rate.
B) Restlessness, dizziness, and disorientation.
Another term that is similar to the word convulsion is: A) Tremors. B) Seizure. C) Fever. D) Hypertension.
B) Seizure.
Clients and families have the right to receive care that is: A) determined necessary by the health team. B) culturally acceptable to them. C) dictated as appropriate by medical research. D) technologically advanced and inexpensive.
B) culturally acceptable to them.
An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can done by: A) placing the head of bed in 90° angle. B) sitting up and leaning over a table with a pillow. C) hyper-extending the neck while on high back rest. D) placing the client on a high back rest using a pillow
B) sitting up and leaning over a table with a pillow.
Decubitus ulcers may develop in clients who are a. incontinent. b. paralyzed. c. poorly nourished. d. all of the above
d. Any patient who is bed bound may develop a decubitus ulcer. Those who also are incontinent, paralyzed, or poorly nourished will develop ulcers more rapidly.
Safe use of oxygen therapy includes a. always setting the flow meter at 2-3 liters per minute. b. using wool blankets only. c. cleansing the nasal prongs each shift with alcohol. d. posting a "no smoking" sign on the door.
d. Choice a is wrong because the flow is set by the physician. Choice b is wrong because wool can cause sparks, and c is wrong because alcohol causes drying. Therefore, only choice d is correct.
A patient with a respiratory illness complains of thick, sticky secretions that are hard to cough up. The nursing assistant knows to suggest which of the following? A) Drink plenty of fluids. B) Turn and cough every hour. C) Go outside and breathe the fresh air. D) Cough harder.
A) Drink plenty of fluids.
A patient who has recently been paralyzed below the waist due to a motorcycle accident refuses his medications from the nurse. The patient then refuses to say anything. What is the nursing assistant's best response? A) Say, "You seem upset." B) Ignore the client's temper tantrum. C) Say, "Why did you refuse your medication?" D) Say, "Don't worry, things will seem better tomorrow."
A) Say, "You seem upset.": Reflective statements are an important therapeutic tool.
Which of the following techniques would you use when interviewing a 94-year-old patient? A) Using a low-pitched voice. B) Enunciating each word slowly. C) Varying voice intonations. D) Reinforcing the words with pictures
A) Using a low-pitched voice.
A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should: A) keep the bag below the bladder level. B) raise the bag above the bladder level. C) have the patient cover the bag with a pillow sleeve. D) ask the nurse to confirm this order.
A) keep the bag below the bladder level. Keeping the bag below the level of the cavity ensures that bacteria cannot migrate up from the bag and up into the bladder due to gravity.
Before assisting the nurse to administer an enema to a bedridden client, the nursing assistant should most importantly: A) review the procedure and what's going to happen. B) open the window. C) reassure the client that it won't hurt much. D) gather all materials needed.
A) review the procedure and what's going to happen.
After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg: A) every 15 mins B) every hour C) every 2 hours D) every shift
B every hour
All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by a. OBRA. b. OSHA. c. CDC. d. FDA
a. OBRA stands for the Omnibus Budget and Reform Act
In the long-term-care facility, the family members should be asked to a. leave during treatments. b. attend care-planning meetings. c. avoid visiting during mealtimes. d. help perform client care.
b. Federal law states that residents have the right to have family involvement in care planning.
Which of the following statements about ROM is FALSE? a. Active ROM means the client does the exercises. b. Passive ROM means the nursing assistant does the exercises. c. Active ROM means the resident does the exercises. d. Active ROM is best, if possible
c. Active ROM means the resident moves his or her own limbs.
A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation? A) "I'm sorry, I don't know." B) "I'm sure it's nothing to worry about. You look fine to me." C) "I don't have any information as of the moment, but I'll find out for you." D) "You need to ask your doctor about that, not me."
C) "I don't have any information as of the moment, but I'll find out for you."
A client says to you "I am worthless person, I should be dead." What is the best response that you, the nursing assistant, can make? A) "Don't say you are worthless, you are not a worthless person." B) "We are going to help you with your feelings." C) "What makes you feel you're worthless?" D) "What you say is not true."
C) "What makes you feel you're worthless?"
Which of the following best describes the concept of empathy? A) A nursing assistant asks a patient whether they would like to take a walk or watch a movie. B) A nursing assistant speaks with a dietician about alterations to the patient's meal tray. C) A nursing assistant speaks with a patient about their recent diagnosis of cancer. D) A nursing assistant asks the nurse when she may take a meal break.
C) A nursing assistant speaks with a patient about their recent diagnosis of cancer.
Range-of-motion exercises are most important for which type of patient to perform? A) A patient with a pulled leg muscle. B) A patient who has hypertension. C) A patient with hemiplegia. D) A patient with depression.
C) A patient with hemiplegia. The patient with hemiplegia should participate in range-of-motion exercises in order to maintain joint function and avoid blood clots. Hemiplegia is a form of paralysis that affects one side of the body, often just one arm and one leg, but at times extending partially to the torso.
Rehabilitation care after any injury should begin when? A) When the patient enters a rehab program. B) One week into recovery. C) As soon as possible. D) When the doctor says so.
C) As soon as possible.
When caring for a dying client, the nurse aide should perform which of the following activities? A) Encourage the client to reach optimal death. B) Assist the client to perform activities of daily living. C) Assist client towards a peaceful death. D) Motivate client to gain independence.
C) Assist client towards a peaceful death.
Which of the following most addresses a client's needs in regard to spirituality? A) Ask the client why he or she is of a particular faith. B) Provide the client with warm water, soap, and towels every morning. C) Assist the client to the facility's chapel every Sunday. D) Treat any religious objects in the client's room as if they were any other.
C) Assist the client to the facility's chapel every Sunday.
The nursing assistant is aware that the responsibility for keeping an accurate I&O record is part of her duties. If the client is incontinent, how should she document the output? A) Inform the nurse that the client has voided or defecated. B) Do not document at all since it cannot be measured. C) Record on the output side of the I&O sheet each time the bed is wet. D) Review the client's intake and record the same amount on the output side of the I&O sheet.
C) Record on the output side of the I&O sheet each time the bed is wet.
The nurse aide is preparing to help a client walk from the bed to a chair. Which of the following SHOULD the nurse aide put on the client's feet? (A) Socks or stockings only (B) Cloth-soled slippers (C) Rubber-soled slippers or shoes (D) Nothing
C) Rubber-soled slippers or shoes
The nursing assistant takes the blood pressure of a patient known for "running low." To her surprise, the reading is 155 over 85. Which of the following factors might be directly responsible? A) The patient denies skipping any medication. B) The patient is stressed. C) The blood pressure cuff is too tight. D) The patient is lying in bed.
C) The blood pressure cuff is too tight.
One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia: A) are unable to speak. B) have no difficulty in understanding spoken or written language. C) are not able to express themselves meaningfully through speech. D) speak very loudly at all times.
C) are not able to express themselves meaningfully through speech.
When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client's cane: A) In front of the client. B) on the left side. C) on the right side. D) away from the client.
C) on the right side. The nursing assistant should place the cane on the side that is the strongest so that it can support the weak side.
A patient says that her visitor is unable to come during visitor hours and asks if she could be accommodated. The nursing assistant: A) reviews the issue with the patient's nurse before answering. B) says, "Of course! That would be fine." C) reviews the issue with the charge nurse before answering. D) says, "I'm sorry, that's not our policy here."
C) reviews the issue with the charge nurse before answering.
The nursing assistant knows that the term "pulse deficit" refers to: A) the difference between the systolic and diastolic blood pressure. B) an absence of the pulse. C) the difference between the apical and radial pulse. D) a strong pulse
C) the difference between the apical and radial pulse.
Which of the following statements is correct pertaining to binders application? A) a breast binder can be applied for breastfeeding mothers to relieve discomfort B) straight abdominal binders are applied when the client is sitting on a chair C) the double t-binder is specifically used for male clients D) when securing abdominal binder, help the client in a side-lying position to close it at the back using safety pins
C) the double t-binder is specifically used for male clients
The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best? A) Retrieve a safety clipper and hand it to the client. B) Report to the nurse that the client needs her toenails trimmed. C) Check the client's blood glucose before cutting her toe nails. D) Check the chart for physician orders regarding nail trimming.
D) Check the chart for physician orders regarding nail trimming.
What is the difference between Sims position and left lateral position? A) In Sims position, a pillow is placed between the patient's knees to prevent them from touching. B) In lateral position, the patient's head is elevated to 15 degrees on two pillows. C) In lateral position, the patient's undermost arm is positioned laterally and parallel to the patient's back. D) In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.
D) In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.
A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment? A) Dispose of the equipment after each use. B) Wear gloves while handling the equipment. C) Use only the equipment with other clients in airborne isolation. D) Leave the equipment in the room for use only with that client.
D) Leave the equipment in the room for use only with that client.
The term grievance refers to which aspect included in the Patient Bill of Rights? A) There is no lifetime monetary limit on essential care. B) Patients are not allowed to call doctors at home. C) Patients have access to their health information at all times. D) Patients have the right to file a complaint without fear or penalty.
D) Patients have the right to file a complaint without fear or penalty.
Which of the following aspects of care is important for a confused client? A) Checking the client's blood sugar every hour. B) Asking the client their name. C) Keeping the client contained in their room. D) Reorienting the client frequently with clocks, calendars, and family mementos.
D) Reorienting the client frequently with clocks, calendars, and family mementos.
Which of the following is an example of emotional lability? A) The patient gets upset after a long day and blames it on tiredness. B) The patient gets upset when he learns he has been diagnosed with cancer. C) The patient gets upset when he does not receive a plate in his favorite color. D) The patient gets upset after telling the nurse immediately prior how happy he is.
D) The patient gets upset after telling the nurse immediately prior how happy he is: Switching quickly from happy to sad, or mad to peaceful, is the definition of emotional lability.
The nursing assistant speaks with the nursing facility's ombudsman. The role of this position is to: A) care for patients as if they were their own family. B) make residents as happy as possible. C) assist residents to set up insurance and policy claims. D) investigate residents' complaints and bring them to the attention of the correct authorities.
D) investigate residents' complaints and bring them to the attention of the correct authorities.
Cheyne-Stokes respirations occur in a client who: A) has a history of chronic respiratory issues. B) is unconscious. C) is recovering from an asthma attack. D) is close to death.
D) is close to death. Cheyne-Stokes respirations are a breathing pattern marked by increased respirations, labored breathing, and periods of apnea (no breathing). It is important to report these signs if discovered in a resident who is not expected to show them.
Which of the following items is necessary in order to place a patient in restraints? A) The hospital administrator's approval. B)The charge nurse's approval. C) Physical restraints. D)A physician's order.
D)A physician's order. The physician needs to order restraints before they can be legally applied. No one else can ask for restraints for a patient or it is considered battery.
The family wants to talk about Bill's approaching death, but Bill does not. The family should be encouraged to a. carry on the conversation away from Bill. b. talk freely in the room regardless of Bill's wishes. c. wait until Bill dies. d. try to encourage Bill to take part in the conversation.
a. Involve Bill if he chooses, but have the family talk privately otherwise.
While giving an unconscious patient a bath, it is important to a. give passive range of motion to all joints. b. let the charge nurse exercise the patient's joints. c. call the physical therapist to exercise the patient afterwards. d. exercise the patient only if the doctor has ordered it.
a. Passive ROM should always be given with the bath on an unconscious patient.
The client's elbows are dry and red. You should a. report this to the charge nurse. b. rub them with lotion. c. apply elbow protectors. d. all of the above
a. There may be many reasons for dry skin, including medication reactions. The charge nurse should see the problem before any lotion is applied
A patient has just received news about the death of his spouse. He states to the nursing assistant, "I can't believe this has happened to me. I don't know what to do. How can I live without my wife?" The nursing assistant best responds by stating: A) "You will need more time to cope with this loss." B) "I understand you're in pain. I'll stay with you." C) "This kind of thing will happen to everyone eventually." D) Do you and your wife have any children together?"
B) "I understand you're in pain. I'll stay with you." This is the best answer because it reflects what the patient is feeling (pain) and stays with the patient to comfort him.
To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best? A) Wrap the bandage around the arm loosely. B) Apply the bandage while stretching it slightly. C) Apply heavy pressure with each turn of the bandage. D) Start applying the bandage at the upper arm and work toward the lower arm.
B) Apply the bandage while stretching it slightly.
Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action? A) Ask the client what her previous meal contained. B) Ask the nurse to observe the stool. C) Dispose of the stool and report the color to the nurse. D) Ask a co-worker if this is normal for this client.
B) Ask the nurse to observe the stool.
A client with a terminal illness tells the nurse that he has begun praying every night. The client states, "If I pray every night, God will forgive me." This represents which stage of grief? A) Acceptance. B) Bargaining. C) Denial. D) Anger.
B) Bargaining. This patient is bargaining to be "forgiven" in order to cure his illness. This is a normal stage in the grieving process.
To obtain a 24-hour urine specimen, the nurse assistant should: A) Collect each voiding in separate containers for the next 24 hours. B) Discard the first voided specimen and then collect the total volume of each voiding in 24 hours. C) For the next 24 hours, retain a 30ml specimen of each voiding after recording the amount voided. D) Keep a record of the time and amount of each voiding for 24 hours.
B) Discard the first voided specimen and then collect the total volume of each voiding in 24 hours.
When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT: A) Assist the resident to put on a robe and nonskid slippers. B) Encourage the resident to pivot themselves with minimal assistance. C) Place the chair on the resident's strong side. D) Place the bed in the lowest position and lock the wheels.
B) Encourage the resident to pivot themselves with minimal assistance.
A nursing assistant cares for a resident who has a cast on the left arm. While receiving a bed bath, the nursing assistant notices that the fingers on the client's left hand are cold. Which of the following actions should the nursing assistant take next? A) Tell the nurse immediately. B) Feel the client's fingers on the other hand. C) Ask the client if it hurts. D) Give the client gloves.
B) Feel the client's fingers on the other hand.
The nursing assistant is correctly providing penile hygiene to an unconscious clients if she: A) uses warm water without soap. B) dries all areas of the penis thoroughly. C) washes from the base of the shaft to the tip. D) avoids retracting the foreskin if not circumcised.
B) dries all areas of the penis thoroughly.
The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should: A) use restraints to ensure the client's safety. B) speak calmly in an authoritative and neutral manner to the client. C) use the television to distract the client. D) provide care only when absolutely necessary.
B) speak calmly in an authoritative and neutral manner to the client. Speaking calmly in a neutral manner can soothe an agitated client. Restraints are not appropriate for a client who is merely confused and can be placated.
A client in the hospital announces that he is leaving this minute and that no one can stop him. The nursing assistant should: A) tell the patient to wait and see if he likes the care more as he feels better. B) tell the patient to wait so that she can get the nurse because he has to sign a form. C) warn the patient that it's better to follow the doctor's recommendations. D) tell the patient that he can't leave.
B) tell the patient to wait so that she can get the nurse because he has to sign a form.
A goal for an ECF resident is that she not swear at the nurses or aides. When she calls you by your name, your appropriate action is to a. smile and give the appropriate reward. b. continue whatever task that is being done. c. tease the resident about not swearing. d. tell all of the staff that she didn't swear.
a. You want to positively reinforce the resident's appropriate behavior, so smiling and rewarding her good behavior is the best action.
Before bathing a client, the nursing assistant should a. close the door and pull the curtain. b. gather a change of clothing. c. check for a doctor's order. d. all of the above
a. close the door and pull the curtain.
Normal hearing loss in aging is usually related to the ability to hear a. high-pitched sounds. b. loud sounds. c. all sounds. d. rapid speech.
a. high-pitched sounds.
When assisting a client in learning to use a walker, it is important to a. stand behind him and use a transfer belt. b. put padding all the way around the top rim. c. let him walk by himself so he gains independence. d. let him practice using the walker on the day he is discharged.
a. stand behind him and use a transfer belt.
Which of the following best describes nail care? a. Nail care is not needed for the elderly. b. Use scissors for all nail care. c. All clients need nail care. d. Check with the charge nurse for nail-care instructions.
c. All residents need nail care. The nursing assistant should be able to obtain information needed from the care plan.
The first step in getting a client up to walk is to a. sit the client on the side of the bed. b. put the client's slippers on. c. check the activity order. d. tell the client what you want him to do.
c. Always make sure the resident is allowed to get up first.
A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of a. slander. b. battery. c. false imprisonment. d. negligence.
c. Applying restraints without an order/without consent can be considered false imprisonment.
The FIRST step in performing any procedure is to a. explain the procedure. b. gather needed equipment. c. wash your hands. d. provide privacy.
c. Infection control (hand washing) is always the first step in a procedure
The patient's TPR is 98.8-80-30. The finding that should be reported at once is a. pulse. b. temperature. c. respiration. d. all of the above
c. Only respirations are out of normal range.
A client's dentures are lost. The first action would be to a. notify the administrator. b. look for them. c. notify the doctor. d. notify the charge nurse.
d. The first step for any lost belongings is always to notify the charge nurse.
An ECF resident wishes to wash her own underwear. You should a. ignore the request. b. tell her that clothing must go to the laundry. c. tell her you will do it. d. help her obtain supplies.
d. The patient has the right to wash her own clothes if she so wishes. You must help her to do so.
Decubitus ulcers can be prevented by a. changing the client's position frequently. b. placing an egg-crate mattress on top of the mattress. c. increasing the patient's vitamin C consumption. d. both a and b
d. While choices a and b are correct, there is no data to suggest that choice c is correct.
How often should a patient's intake and output records be totaled? a. once each shift b. twice a day c. every 4 hours d. every 12 hours
d. every 12 hours
A patient who has difficulty chewing or swallowing will need what type of diet? a. clear liquid b. low residue c. bland d. mechanical soft
d. mechanical soft
When shaving a male patient's face, it is important to a. apply shaving cream sparingly. b. use upward strokes when shaving the cheeks. c. apply Betadine to any nicks. d. none of the above
d. none of the above
Aphasia
loss of ability to understand or express speech, caused by brain damage.
Which of the following residents is demonstrating orthopneic position? A) A resident sits in a chair with their back straight. B.) A resident sits on the side of the bed and leans forward over a bedside table C) A resident walks using a cane. D) A resident lays on their stomach with their face to the side.
B.) A resident sits on the side of the bed and leans forward over a bedside table Orthopneic position is meant to assist in breathing. Leaning forward makes it easier to get air into the lungs.
The nursing assistant knows that signs of hypoglycemia include which of the following? (A)Tachycardia. (B)Polyuria. (C)Hot and dry skin. (D) Sweating
(D) Sweating, as well as confusion and tremors, are signs of hypoglycemia.
The proper medical abbreviation for before meals is a. p.c. b. b.i.d. c. a.c. d. t.i.d.
c. a.c.
The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first? (A) Ask the resident if they are choking. (B) Call 911. (C) Begin CPR immediately. (D) Begin the Heimlich maneuver.
(A) Ask the resident if they are choking.It is important to first assess whether or not the resident is choking. If they are able to answer, air is still moving through the trachea. If they nod yes, but are unable to speak, it is time to begin the Heimlich maneuver. The Heimlich should not be performed on anyone who is able to cough or speak.
The nurse aide SHOULD understand that the button hook and a sock assist devices are both part of what type of nursing care? (A) Restorative and rehabilitation (B) Activities of daily living (C) Disability and reactivity (D) Prosthetic mobility
(A) Restorative and rehabilitation
The nurse aide is caring for a client who only speaks and understands a foreign language. Which of the following actions SHOULD the nurse aide take? (A) Use gestures (B) Speak slower (C) Listen and say nothing (D) Use an interpretation guide
(A) Use gestures
The nursing assistant should tell the nurse if the client with diabetes: (A) does not touch their lunch tray. (B) reports numbness in their feet sometimes. (C) combs their hair without being prompted. (D) decides not to finalize a will
(A) does not touch their lunch tray.
The nurse aide is caring for a client who needs assistance getting out of bed to sit in a wheelchair. Which of the following actions by the nurse aide would make this a safe procedure? (A) place the bed in the low position (B) place a pillow on the wheelchair seat (C) lower both footrest pedals (D) release the wheel brakes
(A) place the bed in the low position
The nurse aide is responsible for all of the following fire prevention measures EXCEPT: (A) taking cigarettes and matches away from all clients and visitors. (B) being aware of the locations of fire extinguishers. (C) reporting all damaged wiring and/or sockets in clients' rooms. (D) participating in fire drills.
(A) taking cigarettes and matches away from all clients and visitors
When giving a back rub to a client the nurse aide SHOULD: (A) use circular motion over bony areas. (B) place the client in the supine position. (C) use short, light strokes. (D) warm the lotion in the microwave before applying the lotion on the client.
(A) use circular motion over bony areas.
What protective equipment should be worn when changing an incontinent patient? (A)Gloves and gown. (B) Mask and gown. (C) N-95 mask. (D) Gloves, gown, and a mask.
(A)Gloves and gown.
Dyspnea is a term that refers to difficulty with which of the following? (A) Urinating. (B) Breathing. (C) Defecating. (D) Swallowing.
(B) Breathing.
What is the FIRST thing a nurse aide should do when finding a client who is unresponsive? (A) Start compressions (B) Call for help (C) Close the door (D) Call family
(B) Call for help
The nurse aide is preparing to provide oral care for a client who is unconscious. The nurse aide SHOULD place the client in which of the following positions? (A) Supine (B) Lateral (C) Prone (D) Sims'
(B) Lateral
The nurse aide is caring for a client with diabetes. Which of the following would be BEST for the nurse aide to use when shaving the client? (A) a safety razor. (B) an electric razor. (C) a disposable razor. (D) a straight edge razor.
(B) an electric razor.
The nurse aide is preparing to ambulate a client who is unsteady. It would be BEST for the nurse aide to use a: (A) walker. (B) gait belt. (C) quad cane. (D) wheelchair.
(B) gait belt.
Which of the following is a restraint alternative? (A) Lap buddy/tray (B) A sedative (C) Pain management (D) A hand mitt
(C) Pain management
The nurse aide is preparing to help a client walk from the bed to a chair. Which of the following SHOULD the nurse aide put on the client's feet? (A) Socks or stockings only (B) Cloth-soled slippers (C) Rubber-soled slippers or shoes (D) Nothing
(C) Rubber-soled slippers or shoes
Fecal impaction may present with which of the following symptoms? (A)Dark urine. (B)Excessive flatulence. (C)Small, watery leakage of stool. (D)Abdominal pain
(C) Small, watery leakage of stool.
The nurse aide is preparing to lift a client using proper body mechanics. The nurse aide SHOULD: (A) keep both feet close together. (B) lift with abdominal muscles. (C) bend knees and keep back straight. (D) hold the object away from the body.
(C) bend knees and keep back straight.
The nurse aide is caring for a client whose religious beliefs do not allow the client to eat certain foods. The nurse aide SHOULD report this information to the: (A) dietician. (B) other nurse aides. (C) charge nurse. (D) client's family
(C) charge nurse.
The nurse aide is caring for a client with a protective device (restraint). The nurse aide SHOULD: (A) assess the client once every hour. (B) assure the protective device is tight. (C) check the client's body alignment. (D) release the protective device once a shift.
(C) check the client's body alignment.
When operating a manual bed, the nurse aide SHOULD remember to: (A) elevate the client's head at all times. (B) lock the wheels when the cranks are folded. (C) fold cranks under bed. (D) keep the bed in the neutral position.
(C) fold cranks under bed.
The nurse aide is caring for a client who has bilateral hearing aids. The nurse aide understands that if a hearing aid is not in use, it SHOULD: (A) be placed in the client's pocket. (B) be left turned on. (C) have the battery removed. (D) be left on the client's bedside table.
(C) have the battery removed.
Which of the following would be considered an example of battery toward a patient? (A) the nursing assistant cleans the residents glasses. (B) the nursing assistant asks for permission before touching the resident to assist them to the bathroom (C) the nursing assistant bathes the resident without his or her permission (D) the nursing assistant keeps a resident isolated from others as a form of punishment
(C) the nursing assistant bathes the resident without his or her permission
