practice exam 5

the abcs of emergency care stand for? A. airway, breathing, circulation B. action before calling C. airway before circulation D. action benefits contact

A. airway breathing circulation

the nurse aide must use a stethoscope to determine the? A. apical pulse rate B. carotid pulse rate C. popliteal pulse rate D. brachial pulse rate

A. apical pulse rate

a nurse aide finds smoke and flames coming from a resident's room the nurse aide should first? A. attempt to get the resident out of the room and close the door B. get the fire extinguisher and put out the fire C. take away the resident's cigarettes D. pull the fire alarm

A. attempt to get the resident out of the room and close the door

nurse aides should wash their hands in all of the following situations except? A. before going to the bathroom B. after each client contact C. before eating D. after changing dressings

A. before going to the bathroom

a client with a broken hip needs a enema. the best bedpan to use would be a? A. fracture pan B. plastic pan C. pediatric pan D. metal pan

A. fracture pan

a resident refuses to go to physical therapy one morning. the nurse aide reports this to the charge nurse who discusses this with the resident. the resident states that she will go to physical therapy the next day the nurse aide understands that the resident? A. has the right to refuse treatment B. should not be given choices in his therapy C. does not have the right to refuse therapy D. can refuse therapy only with the doctor's permission

A. has the right to refuse treatment

a client has not had a bowel movement in five days. he may also complain of? A. nausea B. headache C. leg cramps D. chest pain

A. nausea

a young resident with muscular dystrophy talks about wanting a boyfriend. this feeling is best described as? A. normal B. hopeless C. unrealistic D. confused

A. normal

when using client restraints the nurse aide should? A. observe for skin irritation B. disallow the client to drink C. release the restraints every four hours D. leave the client alone to rest

A. observe for skin irritation

on good Friday a catholic client is served chicken and requests a meatless meal. the nurse aide should? A. offer to get another meal within the clients diet B. call the client's priest for a dispensation C. tell the client that it is all right since she is in the hospital D. tell her the aide will check with the dietician for the next days meal

A. offer to get another meal within the clients diet

for a client who is classified as wound-and-skin isolation the soiled linen should be? A. placed in the linen hamper B. discarded C. bagged before removing from the room D. taken directly to the laundry

A. placed in the linen hamper

transferring a client from a bed to a stretcher requires that the nurse aide use? A. proper body mechanics B. a hoyer lift C. a minimum of three coworkers D. a mobility mattress

A. proper body mechanices

which of the following conditions needs to be reported immediately to the charge nurse? A. rash that appears suddenly B. warm, dry and pink skin C. tough ski on the feet D. scarred skin

A. rash that appears suddenly

when bathing a client the nurse aide recognizes which of the following as the first sign of a pressure sore? A. redness B. swelling C. numbness D. pain

A. redness

while caring for a client a nurse aide accidentally gets blood in her eyes. the nurse aide should first? A. rinse them out with clear water B. call 911 C. report the incident to the charge nurse D. document it

A. rinse them out with clear water

a client Is hard of hearing a repeatedly turns her call light on. the nurse aide should? A. take time to listen to her to determine her needs B. talk loudly to her since she is hard of hearing C. unplug the call light D. tell the supervisor that the client is uncooperative

A. take time to listen to her to determine her needs

to change direction a nurse aide should? A. turn her whole body by moving her feet B. twist from the waist C. move her body in sections D. move her body very slowly

A. turn her whole body by moving her feet

which statement about bathing unconscious clients is correct? A. unconscious clients may be able to hear you speaking to them during the bath B. unconscious clients can turn in bed when asked C. unconscious clients do not need to be observed for decubiti D. unconscious clients have very moist skin

A. unconscious clients may be able to hear you speaking to them during the bath

a client complains of a sore spot in her calf. the nurse aide should? A. massage her legs with lotion B. ask the nurse to check the client immediately C. have the client walk to relieve the cramp D. assess the soreness every hour for a few hours

B. ask the nurse to check the client immediately

a nurse aide is recording the output of a resident who has a foley catheter she sees tht the urine bag in empty what should she do first? A. irrigate the catheter B. check for kinks in the tube C. replace the drainage bag D. replace the catheter

B. check for kinks in the tube

an ecf resident tells the nurse aid something about her family in confidence. the nurse aide? A. can tell any staff member B. ethically cannot tell anyone else C. can tell the charge nurse only D. can tell anyone who does not know the resident

B. ethically cannot tell anyone else

a nursing aide observes a client falling in the hallway. it is important that the nurse aide report? A. what the nurse aide thinks happened B. exactly what the nurse aide observed C. nothing if this is not the nurse aide's client D. what may have happened that day

B. exactly what the nurse aide observed

an elderly resident recently cared for her husband until he died. the nurse aide recognizes that this client needs to? A. keep busy to keep her mind off her husband B. have adequate time alone to grieve for her husband C. meet other men to find a new partner D. keep from crying to avoid getting more upset

B. have adequate time alone to grieve for her husband

the nursing assistant should tell clients? A. how to dress B. how to call for help C. that things will get better D. that there is nothing to worry about

B. how to call for help

to place a client in good alignment the nurse aide should? A. keep the client's joints well lubricated B. keep the client as straight as possible C. keep the bed linens wrinkle free D. ambulate the client at least twice a day

B. keep the client as straight as possible

when dressing a client with left-sided weakness it is important for the nurse aide to begin dressing him? A. on the right side B. on the left side C. when he is lying flat in bed D. as he lies on either side

B. on the left side

security for a client's dentures includes? A. keeping them in a tissue in a dresser drawer B. placing them in a labeled denture cup C. insisting the client wear the dentures D. placing an identifying mark on the dentures

B. placing them in a labeled denture cup

a client's daughter offers the nurse aide $50 to thank her for caring for the client. the nurse aide should? A. accept it to be polite B. politely refuse it C. use the money for the client D. report this to the charge nurse

B. politely refuse it

padded side rails are used? A. keep the client in bed B. protect the client from injury C. provide additional warmth D. remind the client of home

B. protect the client from injury

a nurse aide is making rounds at 1:00 a.m. she finds a patient lighting a cigarette assuming smoking is allowed in the facility what should she do? A. scold him and tell him never to smoke unsupervised again B. remain with the patient until he finishes smoking C. tell another coworker D. call the charge nurse to supervise

B. remain with the patient until he finishes smoking

the nurse aide is told to bring a client by wheelchair to the x-ray department and covers the client with a robe blanket and slippers. the nurse aide has maintained the client's? A. right to confidentiality B. right to privacy C. right to nursing-care plans D. right to refuse

B. right to privacy

which of the following vital signs should be reported immediately? A. t-98.6,p-70,r-14,bp-120/60 B.t-95.4,p-40,r-10,bp-80/40 C.t-98.8,"r",p-60,r-20,bp-132/70 D.t-97.6,"ax",p-78,r-16,bp-110/60

B. t-95.4,p-40,r-10,bp-80/40

which of the following is true about visually challenged client? A. they prefer to eat alone B. they use a clock system to find their food C. they prefer to be fed D. they need liquid diets

B. they use a clock system to find their food

another name for urination is? A. defecation B. voiding C. wetting the bed D. flatus

B. voiding

a client is sitting in her room with a doll in her arms, stating my baby is sick. what should the nurse aide do? A. tell her not to worry because the baby will be fine B. tell her that the aide will call the baby's doctor C. ask her if she is upset with her doll D. tell her the baby is not real

C. ask her if she is upset with her doll

a client who is weak and unsteady needs to urinate the nurse aide can safely leave him alone to use a? A. commode B. toilet C. bedpan D. urinal

C. bedpan

an example of possible contamination through direct contact is? A. cleaning a bedpan B. touching used linens C. being sneezed on D. using a doorknob

C. being sneezed on

before ambulating a client who has a foley catheter the nurse aide should first? A. clamp off the catheter and disconnect it B. let the bag dangle between the clients legs C. carry the bag below bladder level D. hide the bag in a pillow case

C. carry the bag below bladder level

the care plan includes all of the following except? A. the nursing diagnosis B. short and long term goals C. cost of the hospital stay D. scheduled appointments for the resident

C. cost of the hospital stay

a client is observing the Islamic holy month of Ramadan by fasting from sunup to sundown. the most appropriate action for the nurse aide would be to? A. contact the dietician for a special tray B. report this to the charge nurse C. find out what the client may eat and drink D. inform the client that she must eat her prescribed diet

C. find out what the client may eat and drink

when forcing fluids the nurse aide should offer? A. clear fluids only B. at least 5,000 cc of fluid per shift C. fluids every hour D. high-calorie fluids

C. fluids every hour

when repositioning a heavy client the nurse aide should? A. attempt to move the client alone B. let the family move the client C. get another aide to help D. move the client later

C. get another aide to help

when transferring a client the client becomes weak and begins to fall. the nurse aide's first action is to? A. hold the transfer belt and lean against the wall B. call for help C. grasp the belt and lower the client to the floor D. hold the client tightly to prevent falling

C. grasp the belt and lower the client to the floor

nurse aides need to identify themselves with their names and title of can before giving any care to clients. this an example of the patient's right to? A. considerate and respectful care B. privacy C. identification of health care workers D. be informed of hospital policies

C. identification of healthcare workers

when making a bed the nurse aide should place the soiled linen? A. on the bedside table B. on the floor C. in a laundry bag D. in a red plastic bag

C. in a laundry bag

which of the following lists only items that would be included in fluid intake? A. milk, ham sandwich, ice cream bar B. water, mashed potatoes, gelatin C. milk, custard, soup D. orange juice, soft-boiled egg, toast

C. milk custard soup

what are the signs of death? A. convulsions B. loss of consciousness C. no respirations pulse or blood pressure D. no response when you call the patient

C. no respirations pulse or blood pressure

a person admitted to a hospital or extended-care facility can be expected to be treated according to the? A. state hospital association B. caregiver's bill of rights C. patient's bill of rights D. physician's association

C. patient's bill of rights

a client begins to have a seizure while the nurse aide is bathing him. The nurse aide should? A. hold him down to prevent him from falling B. put a tongue depressor in his mouth C. protect him from injuring himself D. run out of the room to get help

C. protect him from injuring himself

it is important to practice standard precautions when? A. dressing a patient B. feeding a patient C. providing oral hygiene D. ambulation a patient

C. providing oral hygiene

when caring for a hearing impaired client the nursing assistant should do all of the following except? A. stand or sit facing the client B. speak clearly and softly C. raise your voice D. use simple words and sentences

C. raise your voice

which statement about dressing residents is correct? A. dressing is a waste of time for a handicapped resident B. residents are used to dressing in front of others C. residents care about what they wear D. residents like the nurse aide to dress them

C. residents care about what they wear

a client wants to know what is wrong with his roommate. the nurse aide's best response is? A. it is really nothing for you to worry about B. i'll check with his doctor for you C. sorry I can't share that information with you D. you can call his doctor and ask yourself

C. sorry I can't share that information with you

which of the following is an example of a client's delusion? A. seeing demons B. feeling imaginary bugs crawl on his arms C. thinking that the cia is secretly watching him D. hearing voices demand that he escape from the facility

C. thinking that the cia is secretly watching him

sputum is best collected? A. just before bedtime B. in the afternoon C. upon awakening in the morning D. anytime

C. upon awakening in the morning

when providing postmortem care the nurse aide must? A. ensure that a family member is present B. have a coworker assist her C. wear gloves D. contact the funeral director for instructions

C. wear gloves

the best way to measure accurate daily weights is to? A. weight the client without clothing B. weigh the client fully clothed C. weigh the client at the same time each day D. weigh the client after breakfast

C. weigh the client at the same time each day

a client drinks four ounces of juice. the nurse aide would document his as? A. 4 ounces B. four ounces C. one cup D. 120 cc

D. 120 cc

if a resident begins to choke while being fed and is unable to speak the nurse aide should call for help and begin doing? A. back blows B. mouth-to-mouth ventilations C. a finger sweep D. abdominal thrusts

D. abdominal thrusts

a nurse aide walks in a client masturbating in his bathroom. the nurse aide should? A. insist that the client stop B. ask the client why he is engaging in this behavior C. report it to the charge nurse D. allow the client privacy

D. allow the client privacy

to help a client into a wheelchair the nurse aide should position the chair? A. at the side of the bed facing the head of the bed B. at the foot of the bed C. at the head of the bed D. at the side of the bed facing the foot of the bed

D. at the side of the bed facing the foot of the bed

a resident is walking back and forth in the hall. the nurse aide should? A. restrain the resident B. walk with the resident C. place the resident in a locked room D. continue to observe the client

D. continue to observe the client

a client who is eating poorly should be offered? A. vitamin pills B. tube feeding C. clear broth D. dietary supplements

D. dietary supplements

What position should a patient be in to receive an enema? A. supine B. fowler's C. prone D. left sim's

D. left sim's

while bathing a resident the nursing assistant notices a rash on the resident's legs. the nursing assistant should? A. ignore it if the resident does not complain B. wash it to see if it disappears C. rub it with alcohol to dry it out D. notify the charge nurse of the rash

D. notify the charge nurse of the rash

in the middle of lunch a client stands up clutching her neck and unable to speak the nurse aide should first? A. call for help B. offer her a drink of water C. hit her on the back D. perform the Heimlich maneuver

D. perform the Heimlich maneuver

when giving a client a bath the nurse aide should do all of the following except? A. ensuring the client's privacy B. checking the water temperature C. gathering all supplies before starting D. performing a mental status exam

D. performing a mental status exam

reality orientation techniques include all of the following except? A. labeling items in the client's room B. putting up calendars and clocks C. using familiar items in the client's room D. reminding a client that his spouse is deceased

D. reminding a client that his spouse is deceased

a ten month old baby cries and pulls at his left ear. the nurse aide should? A. give the baby ear drops B. put a warm cloth on the baby's ear C. give the baby a bottle D. report it to the charge nurse

D. report it to the charge nurse

examples of client abuse include all of the following except? A. forcing a client's fingers off the side rails B. deliberately leaving the call bell out of reach C. turning the lights out against the client's wishes D. using gloves when providing peri-care

D. using gloves when providing peri care