CNA Exam
12. The female perineum SHOULD be cleansed: (A) from front to back. (B) without soap. (C) with a disinfectant. (D) from back to front.
A
19. 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
20. When giving care to a client, the nurse aide SHOULD avoid unnecessary exposure of the client in order to protect the client's right to: (A) privacy. (B) confidentiality. (C) personal choice. (D) personal hygiene.
A
24. When communicating with a client's family, the nurse aide SHOULD: (A) listen to concerns and offer support. (B) offer advice about the client's medical treatment. (C) get involved in family problems. (D) share the latest facility gossip.
A
28. The nurse aide is assisting a client to the bathroom. After the client uses the toilet, the nurse aide notices red streaks in the client's stool. The nurse aide SHOULD: (A) avoid flushing the toilet and report the finding to the nurse. (B) ask the dietary department to change the client's diet. (C) tell the client to report the finding to the primary health care provider. (D) understand that this is an expected finding in the older adult client.
A
3. Before helping a client into a bath or shower, the nurse aide should FIRST: (A) check the temperature of the water. (B) shampoo the client's hair. (C) soak the client's feet. (D) apply lotion or oil to the client's skin.
A
31. When giving a back rub, the nurse aide SHOULD: (A) use a circular motion over bony areas. (B) position a client in the supine position. (C) use short, light strokes. (D) warm lotion in a microwave.
A
43. The nurse aide gave a client the wrong diet. What SHOULD the nurse aide do after realizing this error? (A) Report the error immediately to the nurse (B) Ignore the error and move to the next task. (C) Remove the evidence of the error (D) Blame another nurse aide for the error.
A
52. Which of the following activities is within the role of the nurse aide? (A) Observing clients for changes in condition (B) Deciding the staging of a pressure ulcer (C) Suggesting new special diets to clients (D) Giving clients spiritual advice
A
57. When applying elastic stockings to a client, it would be BEST for the nurse aide to position the client: (A) lying down in bed. (B) dangling the legs from the edge of the bed. (C) standing at the side of the bed. (D) sitting in a wheelchair.
A
6. A client is paralyzed on the right side. The nurse aide should place the signaling device: (A) on the left side of the bed near the client's hand. (B) on the right side of the bed near the client's hand. (C) under the pillow. (D) at the foot of the bed.
A
8. When caring for a client from another country, the nurse aide SHOULD: (A) be sensitive to the client's cultural needs. (B) orient the client to the cultural practices of the facility. (C) promote group activity participation. (D) decline to care for the client.
A
10. If a client has hand tremors, the nurse aide SHOULD: (A) restrain the hand that has the tremor. (B) assist the client with the activity of daily living as needed. (C) tell the client to stop shaking and control the tremors. (D) do everything for the client.
B
11. When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's: (A) chest. (B) wrist. (C) neck. (D) elbow.
B
2. A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: (A) 360 mL. (B) 450 mL. (C) 480 mL. (D) 520 mL.
B
21. When making an occupied bed, the nurse aide SHOULD: (A) leave the bed in the lowest position. (B) make the toe pleat. (C) leave the bottom sheet untucked. (D) place soiled linens on the floor.
B
25. In what position SHOULD the nurse aide place an unconscious client when giving oral care? (A) Supine (B) Lateral (C) Prone (D) Sims'
B
30. In order to move a client up in bed, the nurse aide SHOULD: (A) raise the head of the bed. (B) get assistance from a coworker. (C) place the bed in the lowest position possible. (D) wait until the end-of-shift report.
B
32. If an alert and oriented client touches a nurse aide inappropriately, the nurse aide's BEST response is to: (A) slap the client's hand. (B) step back and ask the client not to do it again. (C) refuse to care for the client. (D) warn the client that the behavior may be punished.
B
33. While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD: (A) wait for the next safety check to report the broken side rail. (B) report the broken side rail immediately. (C) tie the side rail in the raised position until it is fixed. (D) warn a client to be careful when getting back into bed.
B
35. The nurse aide MUST wear gloves when: (A) transferring a client. (B) providing mouth care. (C) dressing a client. (D) weighing a client.
B
37. Which of the following statements might strongly suggest that a client is considering suicide? (A) "I think I need to see a psychiatrist." (B) "I might as well be dead." (C) "I don't really care." (D) "We all have to go sometime."
B
38. The BEST razor to use when shaving a diabetic client is: (A) a safety razor. (B) an electric razor. (C) a disposable razor. (D) a straight edge razor.
B
39. The Client's Bill of Rights includes: (A) free medical care. (B) freedom of choice. (C) access to the medicine cart. (D) access to the laundry.
B
4. A client looks forward to playing Bingo each morning. The nurse aide SHOULD: (A) tell the client that the nurse aide does not have time to get the client ready for Bingo. (B) plan the client's schedule so that the client is bathed and dressed in time for Bingo. (C) tell the client that the nurse aide forgot about Bingo but they will go the next day. (D) ask the client to bathe and dress self.
B
45. The health care team member who assists a client to gain the skills to perform activities of daily living is the: (A) social worker. (B) occupational therapist. (C) speech therapist. (D) case manager.
B
46. What is the FIRST area of a client's body that the nurse aide should wash when providing a bed bath? (A) Legs (B) Face (C) Arms (D) Chest
B
5. A client with Alzheimer's disease wanders from room to room, moving the belongings of other clients to different locations. Alert and oriented clients are angry that their things have been moved. The nurse aide SHOULD: (A) return the client to the client's room and close the door. (B) find the missing articles and return them. (C) walk with the client to keep the client from wandering. (D) assure the other clients that the client with Alzheimer's disease will not harm them.
B
59. When ambulating an unsteady client, it is BEST for the nurse aide to use a: (A) walker. (B) gait belt. (C) quad cane. (D) wheelchair.
B
13. To lift an object by using good body mechanics, the nurse aide SHOULD: (A) keep both feet close together. (B) lift with abdominal muscles. (C) bend the knees and keep the back straight. (D) hold the object away from the body.
C
15. The nursing care plan for a client states, "Transfer with mechanical lift." However, the client is very agitated. To transfer the client, the nurse aide SHOULD: (A) lift the client without the mechanical device (B) place the client in the lift. (C) get assistance to move the client. (D) keep the wheels unlocked so the lift can move with the client.
C
16. The nurse aide is going to help a client walk from the bed to a chair. What 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
18. The nurse aide SHOULD place soiled linen: (A) on the floor. (B) on the chair. (C) in the dirty linen container. (D) on the overbed table.
C
23. When taking an oral temperature, it is important to: (A) place the thermometer in the rectum. (B) place the thermometer under the arm. (C) place the thermometer under the tongue. (D) put lubricant on the thermometer.
C
26. Nurse aides can provide a client with a sense of security by: (A) rushing through care. (B) leaving the room without speaking. (C) explaining all routines and procedures. (D) talking to another nurse aide while providing care.
C
27. A confused and disoriented client is begging to go home. The nurse aide's BEST response to this client is to: (A) tell the client, "This is your home." (B) take the client to the activity room. (C) ask the client to tell the nurse aide about his/her home. (D) tell the client, "We will take you home later."
C
34. What should the nurse aide do FIRST when changing a client's ostomy bag? (A) Put on gloves (B) Wash hands (C) Explain the procedure to the client (D) Wash the area around the stoma
C
41. To promote independence when feeding a client, the nurse aide SHOULD: (A) instruct the client to drink all the liquids before eating the solid food. (B) assist the client in mixing the meat and vegetables together. (C) allow self-feeding as much as possible. (D) ask family and visitors to leave the room when the client is eating.
C
42. After assisting with evening care, the nurse aide notices that a client 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
44. A client requests that the nurse aide call the client's minister. The nurse aide SHOULD: (A) ask the client why the client wants the nurse aide to call the minister. (B) tell the client that this is not part of the nurse aide's job. (C) tell the client that the nurse aide will inform the nurse of the client's request. (D) call the minister for the client.
C
47. Which of the following client observations should the nurse aide report IMMEDIATELY to the nurse? (A) Pink nailbeds (B) Rectal temperature, 99.6° F (37.5° C) (C) Radial pulse, 110 (D) Clear, yellow urine
C
50. A nurse aide is assisting a client with mouth care. Which of the following actions SHOULD the nurse aide take? (A) Avoid brushing the tongue with the toothbrush (B) Brush the outer surface of the teeth by using a side-to-side motion (C) Floss between the teeth by moving the floss up and down (D) Floss the teeth before brushing the teeth
C
51. While eating dinner, a client starts to choke and turn blue. The nurse aide SHOULD: (A) immediately remove the client's food tray and go find the nurse in charge. (B) slap the client on the back until the food dislodges. (C) call for assistance and perform the Heimlich maneuver (abdominal thrust). (D) give the client a drink of water.
C
54. The MOST important care for a client with a cast is: (A) keeping the extremity aligned with the client's body. (B) keeping the extremity elevated. (C) reporting a change in the color, movement, and sensation of the client's extremity. (D) making sure that the cast does not become soiled.
C
55. Which of the following documents would inform the nurse aide of a client's needs? (A) Policy manual (B) Procedure manual (C) Care plan (D) Resident's Bill of Rights
C
56. The nurse aide has been instructed to place a client in the supine position. The nurse aide SHOULD position the client on the client's: (A) abdomen. (B) left side. (C) back. (D) right side.
C
60. To find out what type of diet a client should be receiving, it would be BEST for the nurse aide to check: (A) with the kitchen staff. (B) on the client's room bulletin board. (C) in the client's care plan. (D) with the client's family.
C
7. What type of fire can be put out with water? (A) Electrical (B) Grease (C) Paper (D) Chemical
C
9. Pillows should be used for a client placed in a side-lying position to: (A) promote sleep. (B) decrease pain. (C) prevent skin breakdown. (D) decrease edema.
C
Which of the following options is NOT a sign or symptom of extreme blood sugar levels in a hypoglycemia patient?
Correct answer is: A sluggish mood A hypoglycemia patient is one who experiences low blood sugar. This patient would not appear to be in a sluggish mood, he or she would appear to be in an irritable and
Which of the following options BEST defines hazardous waste?
Correct answer is: All waste matter that has the potential to cause infection Hazardous waste is best defined as all waste matter that has the potential to cause infection. Blood, along with any other body fluids, is considered a hazardous waste. It is imperative that all contaminated materials are placed in a marked biohazard container.
When taking a patient's rectal temperature, what step should you take immediately after you expose the patient's buttocks?
Correct answer is: Attach the rectal probe to the thermometer after removing the thermometer pack from its charger Immediately after you expose the patient's buttocks, you should remove the thermometer pack from its charger and attach the rectal probe. It is not until after you place a plastic cover on the thermostat that you would lubricate the probe. Then you would use your non-dominant hand to expose the patient's anus.[Category: Basic Nursing Care Provided by the Nurse Aide]
When providing denture care for your patients, you should do all of the following EXCEPT:
Correct answer is: Carry the patient's dentures in your gloved hand to the sink for cleaning You should not carry the patient's dentures in your gloved hand to the sink for cleaning. In order to transport the patient's dentures to the sink, you should place them in a denture cup before transporting them. You should always use cool or tepid water for cleaning, rinsing, and storing dentures. You should also line the sink with paper towels in order to reduce the risk of breaking the patient's dentures if you should drop them.
Which of the following is NOT an abnormal reaction to analgesia?
Correct answer is: Diarrhea Diarrhea is not an abnormal reaction to analgesia. Analgesia is a medication given to reduce a patient's pain. If a patient should experience an adverse drug effect, or an abnormal reaction, to analgesia, the symptoms would include a sudden drop in blood pressure, a sudden drop in respirations, a rash, emotional distress, or dyspnea (rapid breathing). If one of your patients should show any of the previous symptoms, you should notify his or her nurse immediately. [Category: Promotion of Function and Health of Residents]
A resident with heart disease may experience health issues with atherosclerosis. Which of the following options BEST defines atherosclerosis?
Correct answer is: Fats and calcium that accumulate inside the artery's lining Atherosclerosis is best defined as the fats and calcium that accumulate inside the artery's lining, and is also known as plaque. Arteriosclerotic is the medical term used to describe narrowed arteries. Angina is the medical term used to describe chest pain. Acute myocardial infarction (AMI) is the medical term used to describe a heart attack. [Category: Specific Care Provided for Residents w
Which of the following personal qualities is a nursing assistant demonstrating when he or she accepts a new assignment without complaint?
Correct answer is: Flexibility Flexibility is the personal quality in which a nursing assistant would accept a new assignment without complaint. As a nursing assistant, you will most likely be re-assigned to a new patient group or unit during your career and you will need to be flexible and accept the new disruption in your work routine. Being considerate is the act of being thoughtful, kind, and caring towards patients and coworkers. Self-responsibility is the act showing responsibility for yourself by wearing the appropriate personal protective equipment, caring for your own personal health, keeping your workspace safe from hazards, and conserving energy by streamlining your work duties. Accountability is your ability to perform the job duties for which you have been trained and to bring up any concerns privately with your immediate supervisor.
What should a nursing assistant do when he or she notices warning signs that indicate the patient may be developing a bedsore?
Correct answer is: Immediately report the warning signs to the patient's assigned nurse The nursing assistant should immediately report the warning signs to the patient's assigned nurse. It is the legal and ethical responsibility of a nursing assistant to report all patient abnormalities to the patient's nurse as soon as they are identified. Therefore, the nursing assistant should not continue to monitor the patient's warning signs or ignore the warning signs completely. A nursing assistant is not certified to prescribe medication or to treat patients. [Category:Role of the Nurse Aide]
When providing oral care to a resident, how should you position the patient?
Correct answer is: In the Fowler's position When providing oral care to a resident, you should position the resident in the Fowler's position, which you would do by raising the head of the bed. By raising the head of the patient's bed, you are positioning them in an upright position, which will help prevent them from choking during the oral care. You would not want the patient on their back, side, or hunched over, as it would not only make providing the oral care difficult for you, but it could cause the patient to choke.
Which of the following options is the primary cause of death for individuals who are 85 years or older?
Correct answer is: Injuries related to falling Injuries related to falling is the primary cause of death for individuals who are 85 years or older and the second primary cause for those who are 65 years or older. As individuals age, their eyesight worsens, making it more difficult for elders to maneuver in the dark. Elders are also more at risk of falling because aging affects their mobility; therefore, they are less stable on their feet. [Category: Promotion of Safety]
Which of the following statements is FALSE in regards to indwelling catheter care for a male patient?
Correct answer is: Leave the perineal area moist after cleaning it When indwelling catheter care for a male patient, you should dry the cleaned area, not leave it moist. You should always clean the catheter area before cleaning around the meatus, glans, and base of the penis (in a circular motion). If the patient is uncircumcised, then it is important to replace the patient's foreskin over the glans. [Category: Basic Nursing Care Provided by the Nurse Aide]
The nurse punched out the patient's medications and placed them in the trash without giving them to the patient. After two days of not receiving his medications, the patient was in severe pain. Which of the following options BEST identifies this action?
Correct answer is: Negligence Negligence is an act that results in patient harm due to the nurse omitting care to the patient or incorrectly providing care to the patient. In this question, the patient was in unnecessary pain because the nurse was negligent by not giving the patient his medications. Neglect is an act that results in patient harm due to the nurse ignoring his or her needs. Abuse is when the patient suffers from physical or mental harm that was either committed or threatened. Battery is when a patient is subjected to unlawful personal violence. [Category:Role of the Nurse Aide]
If you are asked to place a patient in the Sim's position, how will you place them?
Correct answer is: On his or her side with the patient's undermost arm positioned at his or her back The Sim's position is when a patient is positioned on their side with his or her undermost arm positioned at his or her back. The lateral position is when a patient is on their side with both arms positioned in front of him or her. The supine position is when a patient is on their back with the arms at his or her sides. The orthopneic position is when a patient is sitting up leaning over his or her overbed table. [Category: Basic Nursing Care Provided by the Nurse Aide]
You are visiting Mr. Jones as he eats his lunch. While chewing a bite of his food, you notice that he grabs his throat and begins choking. As a nursing assistant, what is the first thing you should do?
Correct answer is: Perform the Heimlich maneuver When a patient is choking, time is of the essence; therefore, the first thing you should do is perform the Heimlich maneuver. If you are performing the Heimlich maneuver and the patient stops breathing, you should then call for help and start performing rescue breathing until help arrives. If the patient is in need of oxygen, the nurse will have to administer it, as oxygen is a drug and a licensed nurse must administer it. [Category: Specific Care Provided for Residents w
Which of the following options BEST describes the role of a nursing assistant?
Correct answer is: Providing the patient with direct personal care The role of a nursing assistant is best described as "providing the patient with direct personal care." The nursing assistant has the most direct contact with a patient, as he or she is the one who performs the patient's personal care activities, observes the patient's vital signs, and communicates with the patient and his or her visitors. It is the role of the RN to assess and modify the patient's nursing care needs and the LPN is responsible for administering medications to the patient. A dietician should be the one who plans the patient's meals. [Category:Role of the Nurse Aide]
Which of the following team members is responsible for working with the patient's therapist and dietician to ensure that the patient is receiving the proper care?
Correct answer is: Registered Nurse The registered nurse (RN) is responsible for working with the patient's therapist and dietician to ensure that the patient is receiving the proper care. The RN is the team member who is responsible for carrying out the physician's medical plan for the patient, as well as the patient's nursing care plan. The RN may also be responsible for the supervision of other RNs, along with the LPNs and CNAs. [Category:Role of the Nurse Aide]
You are asked to take a urine specimen from a patient's indwelling catheter. What should you do immediately before you expel the urine sample into the sterile container?
Correct answer is: Remove the clamp Immediately before you expel the urine sample into the sterile container, you must remove the clamp that you had previously placed on the catheter. You would not place the lid on the sterile container, or label it, until the urine sample was placed inside. You also need to remember to include the sample amount taken when recording the patient's total urine output. [Category: Basic Nursing Care Provided by the Nurse Aide]
Which of the following statements is TRUE in regards to providing perineal care to a female patient?
Correct answer is: Rinse the genital area with a fresh washcloth You should use a clean, fresh washcloth to rinse the genital area. Your washcloth should be soapy, not soap-free. You should wash the genital area from front to back, not back to front. You should begin washing the genital area at the urinary meatus, not the perineum.
When applying a mitt restraint on a patient, you should ensure:
Correct answer is: That the patient can slightly flex his or her fingers When applying a mitt restraint on a patient, you should ensure that the patient is able to slightly flex his or her fingers. You should also ensure that the patient is able to move his or her fingers, but you do not want the patient to be able to freely move his or her arm. It is important to check with your facility's policy for guidelines on when the mitt restraint can be removed. [Category: Basic Nursing Care Provided by the Nurse Aide]
If a patient wakes up confused, or delirious, this is a sign that indicates:
Correct answer is: The patient is not getting enough oxygen to the brain If a patient wakes up confused, or delirious, this is a sign that indicates the patient is not getting enough oxygen to the brain. When the patient's brain does not receive enough oxygen, the patient becomes confused. As a nursing assistant, it is your job to report any changes in the patient's consciousness. [Category: Promotion of Function and Health of Residents]
The nurse's son called and asked her to bring home a package of bandages, so the nurse grabbed a package from the facility's stockroom to take home. Which of the following options BEST identifies this action?
Correct answer is: Theft Theft is a legal and ethical issue that involves taking an item that belongs to someone else. In this question, the nurse took a package of bandages that belong to the facility; therefore, she was taking something that did not belong to her. Negligence is an act that results in patient harm due to the nurse omitting care to the patient or incorrectly providing care to the patient. False imprisonment is when a patient is restrained from moving freely about against his or her wishes. Aiding and abetting is when a nurse sees an unlawful act and does nothing about it.
Which of the following chronic diseases is NOT responsible for affecting the thinking and reasoning processes of elders?
Correct answer is: Tuberculosis Tuberculosis is not a chronic disease that is responsible for affecting the thinking and reasoning processes of elders. Tuberculosis is a communicable disease (a contagious disease), not a chronic disease (only affects one person). Tuberculosis is a bacterium that affects a person's lungs and immunity system, but it is not known for affecting one's thinking and reasoning processes. A stroke, arteriosclerosis, and Alzheimer's disease are all chronic diseases that have the potential to affect one's thinking and reasoning processes. [Category: Promotion of Safety]
Which of the following options is FALSE in regards to feeding a patient?
Correct answer is: Use a fork to feed the patient You should use a spoon to feed a patient, not a fork. You should always place a patient in a sitting position to feed them and allow the patient time to swallow their food before offering another bite. You will record the patient's intake of food on the Intake and Output form under "Intake" using a percentage. [Category: Basic Nursing Care Provided by the Nurse Aide]
Due to ethnic, racial, and cultural factors, which of the following groups is LESS likely to be diagnosed with diabetes?
Correct answer is: White Americans White Americans are less likely to be diagnosed with diabetes. This is caused by the chronic illness risk factors that affect particular groups of people, and not others. It is also known that North Americans are more affected by obesity, than any other country. The accessibility to health care, along with one's economic status and cultural or religious beliefs are also factors that affect a particular group's health. [Category: Promotion of Safety]
When a facility decides to transfer or to discharge a patient, how much time MUST the facility provide to the resident or resident's representative before they may do so?
Correct answer is: Within 30 days When a facility decides to transfer or to discharge a patient, it must notify the resident or the resident's representative within 30 days of the planned change. This rule is enforced by the "Resident's Bill of Rights" that was issued after the American Hospital Association issued "A Patient's Bill of Rights" in 1973. The act states that a facility may only transfer or discharge a patient for medical reasons, for their wellbeing or the wellbeing of other patients, or for insufficient payment (excluding Medicaid patients). [Category:Role of the Nurse Aide]
Which of the following statements is the correct process for using sphygmomanometers, tympanic thermometers, and stethoscopes?
Correct answer is: You should always use the manufacturer's guidelines When it comes to the correct process for using tympanic thermometers, sphygmomanometers, and stethoscopes, you should always follow the manufacturer's guidelines. By following the manufacturer's guidelines, it helps to ensure that you are accurately measuring the patient's vital signs. If you are ever unsure of a vital sign reading, you should repeat the process to ensure accuracy.[Category: Promotion of Function and Health of Residents]
1. A visitor enters the room while the nurse aide is changing a client. How SHOULD the nurse aide respond? (A) "Can't you knock?" (B) "Hi, come on in." (C) "Boy, he was dirty today." (D) "Would you please wait in the lobby?"
D
14. When the nurse aide gives evening care to a client with a full set of dentures, proper procedure requires that the dentures be placed: (A) in the client's bathroom on the sink. (B) on tissue on the bedside stand. (C) under the client's pillow. (D) in a denture cup with the client's name on it.
D
17. When assisting a client in resolving grievances, the nurse aide SHOULD report the grievance to the: (A) doctor. (B) family. (C) administrator. (D) nurse in charge.
D
22. Frequent turning and repositioning of a client help prevent: (A) cyanosis. (B) indigestion. (C) coronary disease. (D) pressure ulcers.
D
29. The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST? (A) Call the nurse in charge (B) Finish shaving the client as quickly as possible (C) Use the roommate's shaver to finish the shave (D) Unplug the shaver.
D
36. A client asks the nurse aide, "Am I going to die?" Which of the following would be the BEST response for the nurse aide to make? (A) "Have you asked your primary health care provider?" (B) "Well, we all will die some day." (C) "Why do you ask a question like that?" (D) "Is this something you have been thinking about?"
D
40. When caring for a vision-impaired client, the nurse aide SHOULD: (A) ambulate the client by holding the client's hand and walking in front of the client. (B) tell the client that the food tray is in front of the client after the food tray has been delivered. (C) provide a dimly lit environment for the client. (D) announce self before touching the client.
D
48. Incident reports are written in order to: (A) inform the physician. (B) notify family members. (C) identify who is at fault. (D) determine patterns and trends.
D
49. When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: (A) take a bath or shower before starting the urine collection. (B) select food items that do not contain red meat. (C) drink 2 L of water. (D) discard the first voided urine.
D
53. What should the nurse aide do FIRST when finding out that a client's property has been stolen? (A) Keep quiet and try to catch the thief (B) Call the family (C) Call the police (D) Inform the nurse
D
58. What SHOULD the nurse aide do to communicate with a client who speaks and understands a foreign language that the nurse does not know? (A) Use gestures (B) Speak more slowly (C) Listen and say nothing (D) Use an interpretation guide
D
Which of the following options is NOT an age-related condition that all residents must adapt to? Your answer of Inability to learn new skills was correct.
The inability to learn new skills is not an age-related condition that affects residents. In fact, the elderly are quite capable of learning new skills, even though they may be a little slower. The age-related conditions that do affect all residents are: they are at an increased risk for chronic illnesses; they will experience changes in their ability to move; they will experience vision and hearing loss; they will have a reduced ability to feel pain; and they will have varying sleep habits. [Category: Promotion of Safety]
If a patient is in tears, his or her pain level is at a:
Your answer of 5 was correct. If a patient is in tears, his or her pain level is at a "5". Nursing assistants use a pain rating scale from 0-5 to rate a patient's pain level. If a patient has a pain level of "0", they are not in pain. If a patient has a pain level of "5", they are in enough pain to cry.
Which of the following options BEST describes MRSA?
Your answer of A life threatening skin disease that spreads through the blood stream was correct. MRSA is best described as a life threatening skin disease that spreads through the blood stream. MRSA is a communicable disease that if left untreated it could affect the nursing facility's entire population. Scabies is a skin rash that is caused by an infestation of tiny mites. Shingles is a viral skin condition that infects the patient's nerve path. [Category: Promotion of Safety]
Which of the following patients would benefit the MOST from large print reading materials?
Your answer of A visually impaired patient was correct. A visually impaired patient would benefit the most from large print reading materials. As a nursing assistant it is important that you develop interpersonal relationships with your assigned patients. By knowing your patients, you will be able to provide them with items that will make their life easier. If you find that your patient is hearing impaired, you would want to make sure that you spoke in a clear, slow, and direct manner.[Category:Role of the Nurse Aide]
One of your assigned patients is in need of an IV in order to receive his or her nutrients. Which of the following actions are you NOT certified to do?
Your answer of Adjust the patient's IV therapy was correct. As a nursing assistant, you are not licensed to start, adjust, or stop an IV therapy. A licensed nurse must perform this duty. As a nursing assistant, your responsibility is to be careful not to interrupt the IV flow, avoid kinking the IV tubing, and evade pulling the IV catheter. It is also imperative that you never place the IV solution below the IV site, as it will interrupt its flow. [Category: Specific Care Provided for Residents w
Which of the following statements is TRUE in regards to reporting accidents or incidents?
Your answer of All accidents and incidents require an incident report to be completed was correct. All accidents and incidents require an incident report to be completed. It does not matter if the accident or incident resulted in an injury or if a patient was involved or not. All people involved, including the witnesses, are required to complete an incident report. Facilities use incident reports to improve their services to residents and to change their policies.
An immobile patient is susceptible to all of the following alterations EXCEPT:
Your answer of An increased appetite was correct. An immobile patient is susceptible to all of the following alterations except an increased appetite. An immobile patient is more susceptible to a decreased appetite, which could lead to anorexia. In addition to the listed alterations, an immobile patient is also susceptible to atrophy and osteopenia. [Category: Promotion of Function and Health of Residents]
Which of the following approaches to work would NOT work for a nursing assistant?
Your answer of An isolated approach was correct. An isolated approach to work would not work for a nursing assistant. A nursing assistant's responsibilities include assisting, lifting, and moving a patient and a single individual should not perform this, as it could cause harm to the patient and to the nursing assistant. A team approach would not only be safer for the nurse, it would also make the patient feel more comfortable and safer.[Category:Role of the Nurse Aide]
All of the following options are examples of contamination through droplet transmission EXCEPT:
Your answer of Arteriosclerosis was correct. Arteriosclerosis is not an example of an infectious disease that is contaminated through droplet transmission, as it is a chronic disease that only affects one individual. Arteriosclerosis, influenza, pneumonia, and the common cold are all examples of infectious diseases that are contaminated through droplet transmission. Droplet transmission is the act of being contaminated by inhaling pathogens through the air.[Category: Promotion of Safety]
Which of the following options is NOT considered verbal communication?
Your answer of Avoiding eye contact was correct. Verbal communication is communication that requires you to speak. Speaking clearly, asking open-end questions, and clarifying what you heard are all types of communication that require you to speak; therefore, they are all forms of verbal communication. Avoiding eye contact is a form of communication; however, it is a form of nonverbal communication. Nonverbal communication is communication that is performed through one's body language, such as crossing your arms, rolling your eyes, or smiling. [Category:Role of the Nurse Aide]
You are assigned a comatose resident that is in need of oral care every four hours. Which of the following options identifies how you should provide this patient with oral care?
Your answer of Be sure the patient's head is turned to its side and use the proper equipment to swab the patient's mouth and mucous membranes was correct. A comatose resident is one who is unconscious; therefore, he or she cannot provide permission or assist with their own oral care. You should always be sure that the patient's head is turned to its side (to prevent the patient from aspirating) and that you use the proper equipment to swab the patient's mouth and mucous membranes. Comatose patients frequently breathe through their mouths; therefore, it is imperative that they are provided frequent oral care to remove secretions and to keep their mouth well hydrated. [Category: Promotion of Function and Health of Residents]
You can promote sleep for your patients by all of the following actions EXCEPT:
Your answer of Change the patient's routine on a daily basis was correct. Changing a patient's routine on a daily basis will not promote sleep, as it will decrease the patient's safety and security. The other three options will all help promote sleep for your patients. You can also promote their sleep by keeping their bed in a low position to promote safety and arranging their routines to encourage rest. [Category: Promotion of Function and Health of Residents]
Which of the following options is NOT considered nonverbal communication?
Your answer of Congratulating a patient on their success was correct. Nonverbal communication is communication that is performed through one's body language, such as smiling, rolling your eyes, or giving a hug. Verbal communication is communication that requires you to speak. When you congratulate someone, you are speaking the words of congratulations; therefore, you are verbally communicating.
In order for a nursing assistant to be considered a team player, what MUST they be willing to accept?
Your answer of Constructive criticism was correct. To be a team player, a nursing assistant must be willing to accept constructive criticism. It is vital that a nursing assistant listens to their supervisor's feedback in a non-defensive manner, as constructive criticism is given in order to improve the nursing assistance's performance and his or her job satisfaction. If a nursing assistant feels that he or she is confronted with situations that compromise their own values or wellbeing, he or she should always consult their supervisor.
Which of the following items is NOT information that is recorded on the facility form after taking a patient's radial or apical pulse?
Your answer of Depth was correct. After taking a patient's radial or apical pulse, you must record the patient's pulse rate, strength, and rhythm on the facility form. After measuring a patient's respirations, you must record the patient's respiratory effort, depth, and rate on the facility form. After measuring a patient's blood pressure, you must record the measurement on the facility form. [Category: Basic Nursing Care Provided by the Nurse Aide]
Which of the following methods is the appropriate method for removing a mask?
Your answer of Do not untie the mask, just slip the ties over your ears was incorrect. Correct answer is: Untie the bottom tie first, then the top tie When removing a mask you should untie the bottom tie first, then the top tie. You should only grasp the mask's ties, never the front of the mask. After removing the mask, be sure to dispose of the mask in a covered trashcan. [Category: Basic Nursing Care Provided by the Nurse Aide]
In order to protect the patient and yourself, you should always use proper body mechanics when you are doing all of the following EXCEPT:
Your answer of Feeding patients was correct. The process of feeding patients does not usually require the use of proper body mechanics; however, when you are lifting, transferring, or ambulating patients, they are essential to your protection and the patients. When you are assisting a patient with one of these actions, you need to be sure that you inform the patient of what your intentions are and that you ask the patient for his or her help. This will reduce the stress on both you and the patient.[Category: Promotion of Function and Health of Residents]
Which of the following options is the MOST effective safeguard used to manage infections in patients and workforce?
Your answer of Hand washing was correct. Hand washing is the most effective safeguard used to manage infections in patients and the workforce. A nursing assistant, along with the entire workforce, should wash their hands when they appear physically dirty, or when they become contaminated with body fluids or blood. In order to properly wash your hands, you should scrub them for 30 seconds using hot water and soap. [Category: Promotion of Safety]
Which of the following options BEST describes what you should do when a patient begins to fall during ambulation?
Your answer of Help lower the patient to the floor by spreading your feet and bending your knees was correct. When a patient begins to fall during ambulation, you should help lower the patient to the floor by spreading your feet and bending your knees. You should not attempt to hold onto the patient's belt, as this could cause the patient harm, as well as harm to yourself. You should not allow the patient to freely fall to the floor, as this could severely injure the patient, and you will not have time to call for help, but you should inform the patient's nurse of the incident.[Category: Basic Nursing Care Provided by the Nurse Aide]
If you are accidentally punctured by a patient's needle, you could be at risk for:
Your answer of Hepatitis B was correct. Individuals who are punctured by used needles could be at risk for Hepatitis B and
Which of the following personal qualities is a nursing assistant demonstrating when he or she accepts his or her own limitations?
Your answer of Honesty was correct. Honesty is the personal quality in which the nursing assistant demonstrates his or her acceptance of his or her own limitations, along with understanding the job's duties and holding oneself accountable for what he or she does. Caring is the act of having an earnest concern for the patients' safety and wellbeing and having the willingness to care for and about the patients. Dependability is your employer's ability to count you to show up for work and to care for your patients. Accountability is your ability to perform the job duties for which you have been trained and to bring up any concerns privately with your immediate supervisor. [Category:Role of the Nurse Aide]
Which of the following terminology definitions is FALSE?
Your answer of Hypertension is when an individual has low blood pressure was correct. Hypertension is not when an individual has low blood pressure, it is when an individual has high blood pressure. Hypotension is when an individual has low blood pressure. All of the other terminology definitions are correct. [Category: Promotion of Function and Health of Residents]
All of the following are physical signs that a resident is in pain EXCEPT:
Your answer of Hypotension was correct. Hypotension, or low blood pressure, is not a physical sign that a resident is in pain. Hypertension, or high blood pressure, is a physical sign of pain. Tachycardia (increased pulse), tachypnea (increased respirations), and dyspnea (difficulty breathing) are all physical signs of pain. Other indicators of pain can include: sweating, grunting, crying, or moaning. [Category: Promotion of Function and Health of Residents]
Which of the following options is a warning sign that a patient may have a fecal impaction?
Your answer of If the patient has a small, watery leakage of stool was correct. A warning sign that a patient may have a fecal impaction is if the patient has a small, watery leakage of stool. A fecal impaction is when a patient has hard stool that is trapped and cannot be pushed out of the large intestine and rectum. If the patient expels a watery brown liquid, he or she has diarrhea. [Category: Promotion of Function and Health of Residents]
As a nursing assistant, what is your first priority when a fire occurs at the facility?
Your answer of Immediately remove all patients located in the fire zone was correct. A nursing assistant's highest priority is the care and the protection of their patients; therefore, their first priority would be to immediately remove all patients located in the fire zone. Many patients are not capable of caring for themselves, so it is important that they are immediately removed from harm. Nursing assistants should remember the R.A.C.E. system (Remove; Activate; Contain; and Extinguish) when a fire occurs. [Category: Promotion of Safety]
Which of the following locations is the appropriate location to store a patient's bedpan?
Your answer of In the bottom drawer of the patient's bedside table was correct. You should store the patient's bedpan in the bottom drawer of his or her bedside table. You should never place the bedpan on the floor, as it will contaminate the bedpan. You should not place the bedpan on the patient's overbed table or bedside table, as the bedpan will contaminate the tables. [Category: Basic Nursing Care Provided by the Nurse Aide]
If you have a patient who cannot independently perform range of motion, your job is to help them by performing passive range of motion (PROM). PROM will help the patient with all of the following EXCEPT:
Your answer of Increase his or her nutrition was correct. Helping your patient by performing PROM will not directly increase his or her nutrition; however, it will protect his or her muscles from atrophy, increase his or her circulation, and increase his or her joint motion. When patients are immobile, they often have the need to rely on others due to their depression, frustration, and feeling of hopelessness. As a nursing assistant, it is your duty to encourage immobile patients to become mobile again. [Category: Promotion of Function and Health of Residents]
The nurse exposed the patient's genitals while she changed the bandage on his lower left thigh. Which of the following options BEST identifies this action?
Your answer of Invasion of privacy was correct. Invasion of privacy occurs when the nurse fails to keep the patient's matters confidential, or exposes the patient's body while performing care. In this question, the patient's private parts are unnecessarily exposed during treatment. Negligence is an act that results in patient harm due to the nurse omitting care to the patient or incorrectly providing care to the patient. Battery is when a patient is subjected to unlawful personal violence. Assault is the impermissible touching or threat of touching a patient.[Category:Role of the Nurse Aide]
The patient would not be quiet during dinner, so the nurse isolated her in the closet for two hours. Which of the following options BEST identifies this action?
Your answer of Involuntary seclusion was correct. Involuntary seclusion is the act of punishing a patient by isolating him or her from the other patients. In this question, the patient was isolated in a closet as a form of punishment for talking too much at dinner. False imprisonment is when a patient is restrained from moving freely about against his or her wishes. Invasion of privacy occurs when the nurse fails to keep the patient's matters confidential, or exposes the patient's body while performing care. Neglect is an act that results in patient harm due to the nurse ignoring his or her needs. [Category:Role of the Nurse Aide]
One of your patients has recently started to refuse to participate in social activities and has been having trouble sleeping and eating. These are all signs that the patient:
Your answer of Is in pain was correct. Some patients have a high tolerance of pain and others do not want to verbally express pain; however, there are signs that indicate a patient is in pain, such as refusing to participate in social activities, having trouble sleeping, and not having an appetite. Some patients are worried that if they complain about pain, that they will be labeled as complainer; therefore, it is important that you always take a patient's report of pain seriously. [Category: Promotion of Function and Health of Residents]
One of your patients is blind and it is your responsibility to assist with feeding her lunch. While feeding the patient you should do all of the following EXCEPT:
Your answer of Keep silent so the patient can enjoy her meal was correct. When you are feeding a patient who is blind, you should not keep silent. You should socially interact with the patient during mealtime to increase patient satisfaction. You should also be sure to inform the patient as to what she will be eating, provide ample time between bites to conserve energy, and provide the patient with liquids to sip. [Category: Specific Care Provided for Residents w
Which of the following options BEST identifies what a nursing assistant should do after feeding a dysphagic patient?
Your answer of Keep the patient upright for at least 30 minutes was correct. A dysphagic patient is one who experiences trouble with swallowing. Therefore, you should keep the patient upright for at least 30 minutes after he or she eats in order to prevent him or her from choking. You should also be sure to provide the dysphagic patient plenty of time between bites of food and make certain that the food has been swallowed before giving him or her another bite. [Category: Specific Care Provided for Residents w
When you remove the soap from your hands during the hand washing process, you should always:
Your answer of Keep your fingers lower than your wrist was correct. You should always keep your fingers lower than your wrist when you are removing the soap from your hands during the hand washing process. You should use a paper towel to dry your hands, not a linen towel. You should also use that paper towel to turn off the warm water, not your left hand. [Category: Basic Nursing Care Provided by the Nurse Aide]
When applying a condom catheter, what do you need to do?
Your answer of Leave a one-inch space between the catheter and the penis was correct. When applying a condom catheter, you need to leave a one-inch space between the catheter and the penis. You would never want to encircle the penis with tape, as it may cause a tourniquet effect; however, you would want to secure the catheter by applying tape in a spiral direction. You would also want to tape the catheter to the patient's inner thigh, not his lower abdomen. [Category: Basic Nursing Care Provided by the Nurse Aide]
If one of your patients is from a non-western culture, he or she may believe that his or her illness is caused from:
Your answer of Magic was correct. Patients who are from non-western cultures sometimes feel that illnesses are caused supernaturally, religiously, or magically. However, patients who are from western cultures feel that illnesses are caused from sources such as germs, viruses, cancers, bacteria, and body system malfunctions. In order to build a better relationship with your patients, it is important that you understand their background and beliefs. [Category: Promotion of Function and Health of Residents]
Which of the following actions do NOT decrease with age?
Your answer of Need to sleep was correct. An elderly patient needs just as much sleep as any other adult; therefore, their need to sleep does not decrease with age. It is essential that an elderly patient has time to rest and to take naps, as it is essential for the patient's health. An elderly patient's appetite does decrease with age, along with their need to urinate or pass feces from their body.
When taking a patient's blood pressure, where should you place the bell of the stethoscope diaphragm?
Your answer of Over the brachial artery was correct. When taking a patient's blood pressure, you should place the bell of the stethoscope over the brachial artery. When doing this, you should use your non-dominant hand and avoid touching the bell of the stethoscope to the patient's clothing or the blood pressure cuff. If the dial is located on the blood pressure cuff, you will need to position the dial so that you can easily see it. [Category: Basic Nursing Care Provided by the Nurse Aide]
Needles are often used in the health care of patients. If you should find a needle when changing a patient's bed sheets, what should you do with it?
Your answer of Place it in the sharps container was correct. A needle, or any other sharp object, should always be placed in the sharps container. By placing the needle in the sharps container, you are ensuring that an accidental needle stick will not occur. If a needle was placed in a trashcan, individuals who handle the trash have the potential to be punctured by it. Patients should not have access to needles or other sharp objects. [Category: Promotion of Safety]
Which of the following options is NOT acceptable when changing a patient's linens?
Your answer of Placing the linens on the floor while changing them was correct. It is not acceptable to place linens on the floor while changing them. In order to control infection, a patient's linens should never touch the floor. If clean linens should touch the floor, they should not be used until they are cleaned again. When changing a patient's contaminated linens, you should fold the contaminated side inward, place them in a plastic bag, and take them to the facility's designated area. [Category: Promotion of Safety]
Which of the following statements is TRUE in regards to a patient asking you to pray with him or her?
Your answer of Praying with patients is acceptable, but it is not mandatory was correct. It is acceptable for you to pray with your patients; however, you are not required to do so. It is imperative that you always handle your patients' religious object with care and with respect. You should also assist the patient in being able to practice his or her own religion.[Category: Promotion of Function and Health of Residents]
Which of the following approaches should be taken with your patients?
Your answer of Prevention was correct. You should take the preventative approach with your patients. You should help your patients by preventing them from being harmed or becoming weaker or immobile. You should not criticize, discourage, or show indifference with your patients, as these actions do not promote health and well-being.
While performing your duties as a nursing assistant you experience a coworker giving you a hard time. Which of the following approaches to the issue should you take?
Your answer of Privately discuss the situation with your immediate supervisor was correct. When a nursing assistant experiences or witnesses another coworker giving them or another individual a hard time, he or she should privately discuss the situation with their immediate supervisor. It is imperative that the nursing assistant always follows their employer's chain of command to report any issues. An employee should never discuss issues openly, in front of patients or others, nor should they walk away without completing their assigned duties as patient harm may occur.[Category:Role of the Nurse Aide]
Which of the following options identify the two general goals of skin care when bathing a patient?
Your answer of Promote comfort and remove pathogens was correct. The two general goals of skin care when bathing a patient are to promote comfort and remove pathogens. The skin produces less oil as we age; therefore, bathing is not done to help reduce a patient's oiliness. However, bathing does help maintain the patient's appearance, remove body sweat, and improve circulation. Bathing a resident also gives the nursing assistant an opportunity to inspect the patient's skin. [Category: Promotion of Function and Health of Residents]
One of your patients is diagnosed with depression. While checking his vitals, he confides in you that he has thought about committing suicide. Which of the following options BEST identifies what you should do?
Your answer of Report his suicidal thoughts to his nurse was correct. When a patient states or shows signs of having suicidal intentions, it is your duty to report it immediately to his nurse. When a patient shares information with you, it is your duty to keep that information confidential; however, when that information could cause the patient to be harmed, it is your responsibility to report it. You should never promise a patient that you would keep his or her secret, as you may be putting them in harm.[Category: Specific Care Provided for Residents w
Which of the following options identifies the appropriate method for securing a urinary drainage bag?
Your answer of Secure the drainage bag to the bed frame was correct. The appropriate method for securing a urinary drainage bag is to secure it to the patient's bed frame. You should always avoid securing a urinary drainage bag to a movable object (i.e. side rail, IV stand, or overbed table). [Category: Basic Nursing Care Provided by the Nurse Aide]
A patient who is dysphasic is one who has trouble:
Your answer of Speaking was correct. A patient who is dysphasic is one who has trouble speaking. A patient can become dysphasic due to several reasons, including: stroke, Parkinson's disease, Alzheimer's disease, and cancer. Remember, it is important that although the patient may be hard to understand, he or she can understand you, as their condition does not affect their intelligence. Therefore, it is important to always be respectful, compassionate, and patient. [Category: Specific Care Provided for Residents w
The tympanic membrane temperature is one in which you:
Your answer of Take the patient's temperature using his or her ear was correct. You take a patient's tympanic membrane temperature using the patient's ear. The axilla is used to take the patient's axillary temperature. A rectal temperature measurement is measured through the patient's anus. The oral temperature measurement is measured through the patient's mouth. [Category: Basic Nursing Care Provided by the Nurse Aide]
When you check a patient's vitals, which of the following functions are you NOT performing?
Your answer of Taking the patient's glucose level was correct. When you check a patient's vitals, you are checking four things: (1) temperature; (2) pulse rate; (3) respiration rate; and (4) blood pressure. You are not taking the patient's glucose level; however, some patients do require this to be done. You should follow the patient's nursing plan and check the patient's vitals as stated on their plan. The readings obtain from this should always be recorded in blue or black ink.[Category: Promotion of Function and Health of Residents]
An elderly patient who has been diagnosed with Parkinson's disease may be affected by all of the following EXCEPT:
Your answer of The ability to learn new skills was correct. Parkinson's disease may cause patients to have chronic conditions, which include muscle tremors or arthritis that may affect their ability to walk, stand, or stoop. Patients who have difficulty walking or standing are more apt to fall, which could lead to injuries that will require hospitalization. However, Parkinson's disease will not affect an elderly patient's ability to learn, nor does the aging process. [Category: Promotion of Safety]
Which of the following statements is TRUE in regards to administering a cleansing enema?
Your answer of The enema bag should be hung on the IV pole with the tubing at the bottom was correct. The enema bag should be hung on the IV pole with the tubing at the bottom. The enema bag should not be hung higher than 18 inches above the patient's bed. The enema bag should be placed higher than the patient's anus, but no higher than 12 inches. [Category: Basic Nursing Care Provided by the Nurse Aide]
You are assigned a hemiplegia patient. Which of the following options BEST describes what the patient's medical condition is?
Your answer of The patient's entire right side of his or her body is paralyzed was correct. A hemiplegia patient is one whose body is paralyzed on the right or left side. A paraplegia patient is one whose lower half of his or her body is paralyzed. A quadriplegia patient is one whose limbs (both arms and legs) are paralyzed. Thrombosis is the medical term used to describe a patient who has blood clots in his or her lower extremities. [Category: Specific Care Provided for Residents w
Which of the following options BEST describes why isolation procedures are implemented?
Your answer of To control infection was correct. Isolation procedures are implemented in order to control infection. Other items that help the spread of infection are proper hand washing, proper handling of contaminated items, and the instant reporting of potential environmental issues. It is the responsibility of the nursing assistant, along with other staff members, to adhere to the facility's standard of care. [Category:Role of the Nurse Aide]
When you are recording your observations of a resident, it is important that you do NOT:
Your answer of Use red ink was correct. You should not use red ink when you are recording your observation of a resident. You are only permitted to use blue or black ink when recording patient information. It is mandatory that you sign your name and title to all entries that you make. It is okay to make mistakes when documenting; however, you should not scratch out the mistakes, nor should you erase them or use a liquid eraser. [Category: Promotion of Function and Health of Residents]
How should you record a patient's output?
Your answer of Using cubic centimeters or milliliters was correct. When recording a patient's output, you should use cubic centimeters or milliliters, based on the facility's policy. You will measure the patient's output by pouring the contents of the bedpan into a graduate. Then using blue or black ink, you will record the total amount of urine measured on the Intake & Output form under the "Output" column. [Category: Basic Nursing Care Provided by the Nurse Aide]
Which of the options below is NOT care that you would provide a patient who has dementia?
Your answer of Vary the patient's routines was correct. A patient with dementia is one who experiences memory loss, confusion, and the ability to perform tasks; therefore, you would not want to vary a patient's routines, as this will add to their confusion. Proper care of dementia patients does include keeping the patient's room uncluttered, avoiding disagreements with the patient, and reassuring the patient if he or she becomes suspicious. It is also important to keep in mind that the patient's family members are also in need of your support, as they are also suffering from their loved one not being able to remember them or others.
When you are giving a resident a partial bedbath, what is the first thing that you should do?
Your answer of Verify that the water is at a safe and comfortable temperature was correct. The first thing that you should do, when giving a resident a partial bedbath, is verify that the water is at a safe and comfortable temperature. You should then drape the resident in order to expose only the portion of the body that is getting washed. Then you should start with a soap-free washcloth to wash the resident's face.[Category: Basic Nursing Care Provided by the Nurse Aide]
Which of the following options is the correct sequence for donning the required personal protective equipment for isolation procedures?
Your answer of Wash hands; put on disposable gown; put on mask; put on goggles; put on gloves was correct. The correct sequence for donning the required personal protective equipment for isolation procedures is: wash hands; put on disposable gown; put on mask; put on goggles; and put on gloves. The correct sequence for removing the required personal protective equipment for isolation procedures is: remove gloves; remove goggles; remove disposable gown; remove mask; and wash hands. The guidelines for donning and removing personal protective equipment are enforced to reduce the spread of disease.[Category: Promotion of Safety]
One of your terminally ill patients has just had her analgesics increased. Which of the following options BEST describes what you should do?
Your answer of Watch the patient for a change in alertness was correct. An analgesic is a strong pain medication, which can cause the patient to become confused or to experience constipation. Therefore, the best thing that you can do is watch the patient for a change in alertness, as this could be a sign of confusion. If the patient becomes confused, he or she is more apt to fall. If you should notice a change in the patient's alertness, or if the patient is experiencing constipation, you should then alert the patient's nurse.[Category: Specific Care Provided for Residents w
Which of the following options is NOT when you would use a gait belt on a patient?
Your answer of When you are moving a patient from the supine position to the Sim's position was correct. A gait belt is usually used when you are "transferring" a patient; therefore, you would not need a gait belt to reposition a patient in his or her bed. Another instance when you would use a gait belt is when you are assisting a patient to walk. A gait belt is a device that helps prevent the patient from falling. [Category: Promotion of Function and Health of Residents]
Which of the following statements BEST describes abduction?
Your answer of When you move the extremity away from the body was correct. Abduction is a range of motion exercise that consists of moving the extremity away from the body. Adduction is when you move the extremity towards the body. Flexion is when you bend the extremity and extension is when you extend the extremity. [Category: Promotion of Function and Health of Residents]
You are asked to take the patient's radial pulse, where on the patient's body would you perform this task?
Your answer of Wrist was correct. The radial pulse is felt on an individual's wrist. The apical pulse is listened to at the apex. If a patient has a heart disease, you should measure his or her radial pulse for a minimum of one minute. If you are measuring a patient's apical pulse, you should listen to the heartbeat for a minimum of one minute before recording the patient's pulse rate. [Category: Promotion of Function and Health of Residents]
When taking the patient's radial pulse the first time, you find that his pulse rate is 45 BPM. Which of the following actions should you take next?
Your answer of You should recount the patient's pulse for 60 seconds was correct. If a patient has an irregular pulse rate of 50 BPM or less, you should recount the patient's pulse for 60 seconds. If the patient's pulse rate is still under 50 BPM after counting it the second time, you should notify his or her nurse immediately, as it could indicate a serious condition. When taking a patient's pulse rate, you should always place him or her in a sitting or supine position. [Category: Basic Nursing Care Provided by the Nurse Aide]
When it comes to communicating with patients who are hearing impaired, which of the following statements is TRUE?
Your answer of You should speak short, clear statements was correct. When communicating with a hearing impaired patient, you should speak short, clear statements. You should also place yourself directly in front of the patient, slowly speak in a low tone, and decrease the background noise. When working with hearing-impaired patients, it is important to remember that you need to slow your speech, and try to limit things that confuse them, such as hollow sounds and echoes. [Category: Specific Care Provided for Residents w
or confused mood
deep (sweet odor) respirations; slow or normal pulse; slurred speech; and hot, flushed, and dry skin.[Category: Specific Care Provided for Residents w
or confused mood. During extreme blood sugar levels, hypoglycemia patients would have the following signs or symptoms: shallow respirations
rapid and weak pulse; no change in speech; and clammy, cold, and pale skin. A hyperglycemia (high blood sugar) patient would have the following signs or symptoms: sluggish and
