Practice Quiz 11

After turning and repositioning the client, the nurse aide SHOULD make sure that: a. all side rails are up b. the signaling device is placed within reach c. all pillows have been removed d. the bed is placed in the highest position

b

Articles contaminated with blood or body fluids should be disposed of in the: a. soiled linen basket b. biohazard containet c. soiled utility room d. client't trash container

b

In order to move a client up in bed, the NA SHOULD a. raise the head of the bed b. get assistance from a coworker c. place the bed in the lowest position d. wait until the end-of-shift report

b

The Heimlich maneuver (abdominal thrust) is used when the client is a. having a seizure b. choking c. coughing d. having difficulty swallowing

b

The NA MUST wear gloves when a. transferring a client b. providing mouth care c. dressing a client d. weighing a client

b

The NA is providing oral care for a client who is unconscious. The NA SHOULD place the client in which of the following positions? a. prone b. side-lying c. fowler's d. modified-trendelenburg's

b

The NA is taking a clients vital signs. What should the NA do if a client's pulse oximetry reading is 95%? a. provide oxygen to the client b. record the finding in the client's chart c. move the pulse oximetry sensor to another location d. report the finding to the nurse immediately

b

The best approach for assisting a client who is vision impaired to ambulate in an unfamiliar are is to a. guide the client by holding the client's arm b. offer an arm to the client c. walk in front of the client d. walk behind the client

b

The health care team member who assists the client's performance of activities of daily living is the a. social worker b. occupational therapist c. speech therapist d. case manager

b

The nurse aide SHOULD use proper body mechanics in order to a. keep the nurse aide's weight down b. protect the nurse aide from injury c. keep facility equipment in working order d. make a good impression

b

What is the FIRST area of a client's body that the NA should wash when providing a bed bath? a. legs b. face c. arms d. chest

b

What is the MOST important reason for using a mechanical life to transfer clients? a. it takes fewer staff to transfer someone b. it is the safest method for clients and staff c. is is faster than other methods d. it is the method that clients like best

b

When a nurse gives the nurse aide confidential information about a client, the nurse aide SHOULD a. share it with other clients b. keep the information private c. discuss it with other staff member in the break room d. discuss it with the client's family

b

When ambulating the client, the NA SHOULD a. ask the nurse for help b. be sure the client is wearing not-skid footwear c. ask a family member for assistance d. walk in front of the client and show the client the way

b

When giving a bed bath to the client, the NA SHOULD cover the client to expose only the part of the body being bathed. This is done in order to a. assist the NA in remembering the order of the bath b. provide the client with privacy and dignity c. keep the bed lined as dry as possible d. make the client aware of which body part is being bathed

b

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 lines on the floor

b

Which of the following client observations should the NA report IMMEDIATELY to the nurse? a. pink nailbeds b. rectal temperature, 99.6 c. radial pulse, 110 d. clear, yellow urine

b

A NA is assisting a client with mouth care. Which of the following actions SHOULD the NA take? a. avoid brushing the tongue with the toothbrush b. brush the other surface of the teeth by using a side-to-side motion c. floss between the teeth moving the floss up and down d. floss the teeth before brushing the teeth

c

A client requests that the NA call the client's minster. The NA SHOULD a. ask the client why the client wants the NA to call the minster b. tell the client that this is not part of the NA's job c. tell the client that the NA will inform the nurse of the client's request d. call the minster for the client

c

One safety device that helps transfer residents is called a a. waist restraint b. posey vest c. transfer belt d. geriatric chair

c

One task commonly assigned to nursing assistants is a. inserting and removing tubes b. changing sterile dressings c. helping residents with toileting needs d. prescribing medications to residents

c

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

Techniques that promote good communication include a. avoiding calling the client by client's preferred name b. correcting the client when the client forgets a word c. speaking clearly and slowly d. informing the client that the nurse aide has a limited amount of time to talk

c

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. report a change in the color, movement and sensation of the client's extremity d. making sure the cast does not become soiled

c

The NA SHOULD understand that a back massage a. causes muscle spasms b. increases blood pressure c. promotes circulation d. increases the heart rate

c

The NA has been instructed to place the client in a supine position. The NA should position the client on the client's a. abdomen b. left side c. back d. right side

c

The NA has raised the height of the client's bed to provide care to the client, but the NA has forgotten to bring the supplies needed. What should the NA do NEXT? a. instruct the client to lie still b. quickly go to get the supplies c. lower the bed, and place the call light within reach d. ask the roommate to watch the client while the nurse aide gets the supplies

c

The NA should understand that the signaling device must be a. answered after the NA has made care rounds b. placed on the bedside table at the foot of the bed c. placed within the client's reach d. deactivated for clients with dementia

c

The family members of a client with diabetes mellitus brought the client cookies as a bedtime snack. The NA should a. let the client eat the cookies b. convince the client to drink a diet soda instead c. inform the nurse of the cookies d. substitute fruit for the cookies

c

To find out what type of diet the client should be receiving, it would be Best for the nurse aide to check: a. with the kitchen staff b. on the client's bulletin board c. in the client's care plan d. with the client's family

c

To orient a new client to the facility, it would be BEST for the NA to a. inform the client that it is mandatory to participate in activities b. encourage the client to make friends with at least two other clients c. introduce the client to other clients and staff members d. restrict visits from the client's family during the first month

c

To promote independence when feeding a client, the NA SHOULD a. inform the client to drink all the liquids before 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

Which of the following documents would inform the NA of the client's needs? a. policy manual b. procedure manual c. care plan d. resident's bill of rights

c

A NA who wants to demonstrate effective listening skills SHOULD a. plan what to say next while the client is talking b. show no emotion when listening to the client c. finish the client's sentences for the client d. give complete attention to the client while the client is talking

d

A client asks the NA, "Am I going to die?" Which of the following would be the BEST response for the NA to make? a. "You should ask you primary health care provider" b. "well, we all die someday" c. "why do you ask a question like that?" d. "is this something you have been thinking about?"

d

A client falls and suffers a deep cut on the forehead. What should the nurse aide do next? a. take the client back to the hospital b. help the client back to bed c. take the client into the bathroom to wash out the cut d. stay with the client and call for help

d

Frequent turning and repositioning of the client help prevent: a. cyanosis b. indigestion c. coronary disease d. pressure ulcers

d

If a client expresses anger during care, which of the following would be an APPROPRIATE response for the nurse aide to make? a. "why are you being so mean today?" b. "you should not say such mean things to people" c. "I will come back when your bad mood is over" d. "you seem upset. Would you like to talk about it?"

d

One of the MOST important tasks in caring for the agitated or confused client is to a. transfer the client to a mental health hospital for proper care b. request that the nurse administer a tranquilizer for the client c. restrain the client until the primary health care provider examines the client d. protect the client and others from physical harm

d

The NA is assigned to a client who frequently expresses concerns about the care the client is receiving. When the client begins to express concern, the NA should a. remind the client that no one is perfect b. suggest that the client live with a family member c. refuse to care for the client until the client stops expressing concerns d. listen carefully to show concern and willingness to help

d

The nurse aide SHOULD place the client's soiled bedsheets a. on the bedside table b. on the floor of the soiled utility room c. in a biohazard bag d. in the soiled lined container

d

What should the NA 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

When a client has memory loss or confusion, the NA SHOULD a. laugh at the client's confused statements b. speak loudly to the client c. ignore the client d. give the client simple step-by-step instructions

d

When a resident refuses to let the nursing assistant take her blood pressure, the nursing assistant should a. tell the resident that she must have it taken to prevent serious illness b. take the resident's blood pressure anyway and report the refusal later c. tell the resident that if she does this she will get her dinner tray delivered earlier d. report this to the nurse

d

When caring for a client who has a hearing loss, the NA should a. speak very loudly and use gestures as much as possible b. let the client use the roommate's hearing aid c. use only written communication with the client d. face the client when speaking to the client

d

When caring for a vision-impaired client, the NA SHOULD a. ambulate the client by holding the client's hand and walk 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

When collecting a 24-hour urine sample for a client, the NA 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 eater d. discard the first voided urine

d

When may a nursing assistant hit a resident? a. when the resident becomes combative b. when the resident threatens to his the nursing assistant or someone else c. only if the resident hits the nursing assistant first d. never

d

When working with a client with Alzheimer's disease, it is important that the NA a. speak very loudly b. approach the client from behind c. correct the client every time the client forgets a word d. provide a regular routine for the client

d

Which of the following is MOST important for the prevention of skin breakdown in the client? a. air-drying the client's skin b. rubbing lotion on the client's skin c. ambulating the client once a day d. repositioning the client every 2 hours

d

A client who is confused refuses to change from sleepwear to other clothes. The NA SHOULD a. respect the client's refusal and ask the client again later b. insist that the client change clothes c. get another NA to help change the client's clothes d. inform the client that the client cannot leave the room without changing clothes

a

A new client expressed to the nurse aide, "i would love to go to my religious services weekly" what should the nurse aide do? a. report the client's statement to the nurse b. tell the client's family of the client's wishes c. share this information with another nurse aide to coordinate when to take the client d. not share this information because the client's personal wishes should be kept private

a

After cleaning the client's denture, the NA SHOULD store the client's dentures a. in a labeled container b. wrapped in a paper towel c. at the nurses' station d. in the utility room

a

How can the NA BEST help the client to maintain independence? a. allow the client to do as many activities of daily living as possible without assistance b. request that the client's family provide assistance to the client when performing activities of daily living c. do as many activities of daily living for the client as possible d. remind the client to quickly complete activities of daily living

a

If a nursing assistant suspects that a resident is being abused, he should a. report it to the nurse immediately b. confront the abuser c. keep watching until he is sure abuse is occurring d. call the resident's family immediately to report the possible abuse

a

The NA is caring for a client who is dependent. The NA decides to reposition the client every 4 hours instead of every 2 hours. The NA could potentially be charged with a. negligence b. battery c. assault d. libel

a

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 provider d. understand that this is an expected finding in the older adult client

a

When applying elastic stockings to the 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

When giving a client a bed bath, it is important for the NA to a. cleanse the eyes by wiping from the inner to the outer corners of the eyes b. ensure that the water temperature is 140 degrees c. uncover the whole body so that the linens do not get wet d. wash and dry the skin vigorously

a

When preparing to take a meal tray into the client's room, what is the most important action for the nurse to take? a. check the client's name is displayed on the tray card b. make sure the client's favorite foods are present c. determine if enough fluids have been ordered d. keep all foods covered

a

Which of the following activities is within the role of the NA? 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

Which of the following is an objective statement? a. Mr. Harris has a rash on his back b. Mrs. Carpenter has been having headaches lately c. Mr.Jackson says his medication makes him nauseous d. Ms.Peters' knees hurt when she is walking

a

While the NA is helping a client to shower, the client falls to the floor. What should the NA do IMMEDIATELY? a. report the fall to the nurse b. insist that the client take a bath instead of a shower c. discuss the fall with the client's family member d. inform the client that the client should hold on to the grab bars while showering

a

While the NA is transporting a client to receive physical therapy, the fire alarm sounds. The NA SHOULD a. evacuate the client to a safe area b. return the client to the client's own room c. transport the client in the elevator to receive physical therapy d. leave the client in the hallway and look for the source of the fire

a

A client drink 240 m: 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

A nursing assistant may share a resident's medical information with which of the following? a. the resident's friends b. other members of the healthcare team c. the nursing assistant's friends d. the resident's roommate

b