CNA Practice Study Set
Which of the following is the best example of using reality orientation for a resident with early dementia? A. "Your son plans to visit today at 2:00 p.m." B. "You are in the nursing home. I am here to help you." C. "This is your daughter Anna. Do you remember her?" D. "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?"
"Look at the time. Lunch is in 30 minutes. Are you feeling hungry?" Reality orientation is a process of reminding and orienting the resident to person, place, and time
A resident with dementia says, "I need to get home. My daughter's school bus is coming soon." The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide? A. "Let's go see if Bingo has started yet. You love Bingo." B. "Remember you are in a nursing home. Your daughter is all grown up." C. "Do you mean your great-granddaughter? Your daughter just turned 60." D. "What do you like to do with your daughter when she gets home from school?"
"What do you like to do with your daughter when she gets home from school?" *The nurse aide can use this to talk to the resident about her daughter. With a confused resident, that will usually be more effective than trying to correct the resident.
The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident refuses. Which of the following is the best response by the nurse aide? A. "Maybe you can plan to walk a little further this afternoon." B. "The doctor ordered your walking exercise. You really need to try." C. "You have the right to refuse. Do you want me to tell the nurse?" D. "Would you prefer to walk a little later?"
"Would you prefer to walk a little later?"
A resident's leg has recently been amputated. Since the surgery the resident has not wanted to leave his room. What response by the nurse aide is most supportive? A. "You do realize that you will look normal when you get your prosthesis?" B. "Do you think you will ever leave your room? It will help you feel better" C. "There is no reason to feel embarrassed about losing your leg?" D. "You used to enjoy activities. What's keeping you in your room so much?"
"You used to enjoy activities. What's keeping you in your room so much?" *Think compassion and empathy
How should the nurse aide respond when a resident tries to talk about the recent death of another resident? A. Explain that HIPAA laws forbid staff from discussing residents that died. B. Suggest the resident talk to other residents feeling the same loss. C. Try distracting the resident with a more cheerful subject. D. Allow the resident to talk about the resident who died. Mark item for review Font-StatusShow Answer
Allow the resident to talk about the resident who died.
Which action is most helpful to help decrease a resident's incontinence? A. Leaving the bedpan in place for extra time B. Putting an incontinent brief on the resident C. Answering the resident's call light quickly D. Controlling fluid intake throughout the day
Answering the resident's call light quickly *When the resident uses the call light to indicate the need to use the bathroom, the nurse aide should respond to the call light quickly. In doing so, the nurse aide will be able to help the resident with elimination needs, and prevent an incidence of incontinence.
A resident tells the nurse aide about being bored. The resident says, "My days seem to last forever." What should the nurse aide do? A. Tell the resident, "I know what you mean. My days seem long too." B. Ask the charge nurse if the resident can have some medication. C. Ask about activities the resident has enjoyed in the past. D. Tell the resident to check the activity schedule. Mark item for review
Ask about activities the resident has enjoyed in the past.
A resident reports having a very large bowel movement two days ago. What should the nurse aide do first? A. Report this to the charge nurse. B. Ask if this is a normal pattern for the resident's body. C. Suggest the resident drink more water and increase foods with fiber. D. Check if the resident is getting a medication to help with bowel movements.
Ask if this is a normal pattern for the resident's body. *For some people, having a bowel movement daily is normal. For others, every 2-3 days is normal. Information regarding the resident's normal bowel habits will be important for the nurse aide to obtain. This will allow the nurse aide to determine if the resident is having difficulty, which should be reported to the nurse.
A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, "I fell down and I cannot move my arm." What should be the nurse aide's next action? A. Help the resident to a sitting position on the floor. B. Ask the resident to stay still while the nurse aide calls for help. C. Ask the resident to describe the pain and how the fall happened. D. Support the injured arm by placing a pillow under the arm and shoulder.
Ask the resident to stay still while the nurse aide calls for help. *When a resident has fallen, it is important that the nurse aide stay with the resident and keep the resident still and calm until the nurse can check the resident
A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide? A. Assist the resident and report the change to the charge nurse. B. Understand that these changes are just a normal part of aging. C. Update the resident's care plan and explain the change to the charge nurse. D. Encourage independence and suggest that the resident try going to the bathroom on her own.
Assist the resident and report the change to the charge nurse.
A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide? A. Ask another nurse aide to trade assignments. B. Provide the care since the resident cannot be harmed. C. Talk to other nurse aides about how to perform the procedure. D. Discuss the nurse aide's lack of experience with the nurse.
Discuss the nurse aide's lack of experience with the nurse. * It is the nurse aide's responsibility to tell the nurse if the nurse aide lacks the skill or knowledge required to complete an assigned task. It is inappropriate for the nurse aide to provide any type of care to a resident when the nurse aide is not confident with how to provide the care correctly.
Which of the following actions helps to prevent skin tears? A. Keeping side rails raised B. Using less lotion on the skin C. Sliding the resident up in the bed D. Dressing the resident in long sleeves
Dressing the resident in long sleeves *A method of protecting the resident from injury is to cover the resident's skin with long-sleeved garment
A resident is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the resident's needs? A. Provide total care for the resident. B. Set high standards for the resident's achievements. C. Help the resident focus on even small accomplishments. D. Remind the resident that she will be happier when she is home.
Help the resident focus on even small accomplishments. *The restorative care and rehabilitation teams will work with the resident to set goals. The nurse aide helps the resident to achieve those goals.
A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept? A. At the nurses' station. B. On the isolation cart outside the resident's room. C. In the dirty utility room. D. In the resident's room.
In the resident's room. *Items used by residents in isolation cannot be used by other residents.
Residents are most likely to feel the urge to have a bowel movement A. after taking a nap. B. after eating a meal. C. just before bedtime. D. during the shift change.
after eating a meal.
Before helping a resident to stand who has been lying in bed, the nurse aide needs to A. find out what the resident plans to do for the day. B. make sure a walker is available for support in case it is needed. C. ask if the resident has taken any medication recently. D. allow time for the resident to adjust to sitting at the edge of the bed
allow time for the resident to adjust to sitting at the edge of the bed
A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to A. explain that the shower is required to keep clean and healthy. B. try to motivate the resident by collecting clothing and supplies. C. ask if the resident has another preference for bathing today. D. remind the resident, "You do have the right to refuse care."
ask if the resident has another preference for bathing today.
While watching the residents in the dining room, a nurse aide notices that a resident is eating very little lunch. It is most important that the nurse aide A. check if the resident was snacking before the meal. B. ask if the resident would like something else to eat. C. remind the resident that dinner is several hours away. D. check when the resident last had a bowel movement.
ask if the resident would like something else to eat.
A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the resident's friends are often leaving when the resident gets to the dining room. The nurse aide should A. set out clothing that the resident can dress in more quickly. B. dress the resident to make sure the resident gets to breakfast earlier. C. ask if there is any help the resident would like in the morning. D. remind the resident that the friends will also be at activities later.
ask if there is any help the resident would like in the morning. *Promote resident independence
The goal when removing gloves that are soiled is to A. remove quickly since there is a risk of exposure to germs. B. dispose of the gloves in a biohazard-safe trash can. C. avoid contact with the outside of the gloves. D. keep germs in the trash can area.
avoid contact with the outside of the gloves.
"Sundowning" is a term used to describe when residents A. take short naps throughout the day. B. show signs of Alzheimer's at a younger age. C. prefer to go to bed earlier in the evening. D. become restless and agitated late in the day.
become restless and agitated late in the day.
A resident usually responds verbally to the nurse aide's greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aide's next action should be to A. try to wake the resident again in a few more minutes. B. speak louder to make sure the resident can hear. C. wipe the resident's face with a cool washcloth. D. call for the charge nurse immediately.
call for the charge nurse immediately. *The resident not responding, which is a change in the resident's condition. Changes in the resident's condition must be reported to the nurse.
While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should A. hold the resident down to reduce injury. B. keep the airway open and prepare to do CPR. C. call the charge nurse and remain with the resident. D. place a tongue blade between the resident's teeth.
call the charge nurse and remain with the resident. *calling for help is the most important task
A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and A. ask the resident when he had his last bowel movement. B. check if the resident is hungry or needs to go to the bathroom. C. try to keep the resident close to observe the resident throughout the shift. D. allow the resident to move around as long he does not harm other residents.
check if the resident is hungry or needs to go to the bathroom.
The nurse aide is to obtain a resident's weight. The nurse aide should A. ask if the resident remembers his/her last weight. B. ask when the resident last ate food or drank fluid. C. wait until after the resident has a bowel movement. D. check what scale is usually used for this resident.
check what scale is usually used for this resident. *Remember what would YOU DO FIRST
When feeding a resident who is lying in bed, the head of the bed is raised to A. make chewing food easier. B. decrease the risk of aspiration. C. improve the resident's digestion. D. allow for better respirations between bites.
decrease the risk of aspiration.
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should A. hold the gait belt tighter and ask the resident to rest for a minute. B. suggest the resident lean on the nurse aide for more support. C. guide the resident over to the handrail and ask to hold. D. ease the resident to the floor if a chair is not available.
ease the resident to the floor if a chair is not available.
A resident reports that his wrist watch is missing. The nurse aide should ask A. if the resident thinks someone took it. B. if the resident has checked the lost and found box. C. who was assigned to the resident on the previous shift. D. for permission to help look around the resident's room.
for permission to help look around the resident's room.
When helping admit a new resident, the nurse aide notices the resident's right-sided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should A. ask how the resident went to the bathroom at home. B. ask the resident to wait until the care plan is completed. C. get instructions from the nurse about how to toilet the resident. D. help the resident to the bathroom immediately, supporting the right-side.
get instructions from the nurse about how to toilet the resident.
A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be A. dependent and need total care. B. confined to bed for several weeks. C. going to physical therapy to increase mobility. D. receiving range of motion (ROM) exercises to hip.
going to physical therapy to increase mobility. *Residents receiving care after a hip fracture usually receive physical therapy to continue to improve their strengthening and ambulation ability. The resident is not confined to bed and does not require total care. The nurse aide may be required to assist the resident with the ADLs as the resident continues rehabilitation with the assistance of physical therapy.
A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to A. guide the resident from the chair to the floor. B. remove the other resident's away from the table. C. try to open the resident's mouth to check for food. D. keep the resident in the chair by holding around the resident's waist.
guide the resident from the chair to the floor.
To help soften the beard before shaving with a disposable razor, the nurse aide should A. massage the beard area of the face gently. B. rub the beard in the direction of the hair growth. C. hold a warm, wet wash cloth against the face first. D. lather the face with soap instead of shaving cream.
hold a warm, wet wash cloth against the face first. *Holding a warm, moist washcloth against a resident's beard before shaving can help soften the facial hair.
The Health Insurance Portability and Accountability Act (HIPAA) is important to the nurse aide because it A. allows residents to carry health care from the hospital to the nursing home. B. provides for insurance coverage for residents and health care workers. C. identifies protected health information that must remain confidential. D. provides accountability for care offered across health care settings.
identifies protected health information that must remain confidential. *Health Insurance Portability and Accountability Act (HIPAA) addresses protected health information that must remain confidential.
When giving perineal care to a male resident who is uncircumcised, the nurse aide should A. push the foreskin back to clean. B. keep the foreskin in place over the penis. C. wipe from the base of the penis towards the tip. D. just cleanse the tip and directly over the urethra.
push the foreskin back to clean.
A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should A. check the resident's arms and jaw for possible injury or bruising. B. check the care plan to see if the resident is on heart attack precautions. C. ask if the resident might have eaten something that has upset her stomach. D. recognize the seriousness of the signs and observations and report immediately.
recognize the seriousness of the signs and observations and report immediately.
The first step the nurse aide should take when discovering a fire is to A. check how quickly the fire is spreading. B. remove any residents near the fire. C. throw a blanket over the flames. D. pull the alarm.
remove any residents near the fire.
A nurse aide hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. The nurse aide should also A. call the police immediately. B. ask if the nurse is feeling stressed about something. C. report the situation to the charge nurse's supervisor. D. ask if any other staff have ever observed this behavior.
report the situation to the charge nurse's supervisor.
When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should A. pat gently to dry and cover with a dry dressing before applying a sock. B. stop the foot care immediately and ask the resident what happened. C. report the skin opening to the charge nurse as soon as possible. D. check the resident's sock for any wound drainage.
report the skin opening to the charge nurse as soon as possible.
The nurse aide is taking routine vital signs on a resident. The resident's temperature is 101.4º Fahrenheit. The most appropriate response by the nurse aide is to A. place a cool, wet washcloth to the resident's forehead. B. cover the resident with extra blankets. C. record and report the change at the end of the shift. D. report the temperature promptly.
report the temperature promptly.
After reporting the observation of a red area on the resident's hip, the nurse aide should expect that the A. resident will be placed on short-term bed rest. B. area will be covered with a protective dressing. C. area will need frequent massage with a moisturizing lotion. D. resident should be positioned to avoid pressure on the area.
resident should be positioned to avoid pressure on the area.
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should A. remind the resident how much the resident enjoys parties. B. encourage the resident to go since so many other residents are attending. C. respect the resident's decision and ask what the resident would like to do. D. ask if the resident participated in any activities for the Jewish Hanukah holiday.
respect the resident's decision and ask what the resident would like to do.
When weighing a resident, it is important to make sure the A. resident's last measured weight is available. B. scale measures both pounds and kilograms. C. resident is wearing light weight clothing such as pajamas. D. scale is balanced or calibrated before helping the resident onto the scale.
scale is balanced or calibrated before helping the resident onto the scale. *The nurse aid should make sure the scale is set up before weighing the resident
When moving a resident in bed, a lift or turning sheet may be used to help prevent A. atrophy. B. shearing. C. infections. D. contractures.
shearing *Shearing occurs when the fragile skin of an elderly resident sticks to the surface while being pulled across a sheet or bedding.
It is most important for the nurse aide to check the temperature of the water before A. assisting the resident with mouth care. B. soaking the resident's feet for foot care. C. giving the resident a bed bath. D. washing hands.
soaking the resident's feet for foot care.
A resident's care plan provides the nurse aide with information about A. the financial arrangements made for the resident's care. B. specific care required for the resident and the goals of care. C. facility procedures for performing different nursing care procedures. D. the nurse aide's assignments and when care is provided to each resident.
specific care required for the resident and the goals of care.
When a resident is not able to stand, the resident's height is usually measured by A. having coworkers hold the resident upright to allow for the measurement. B. adding the length of legs, chest, and neck/head to determine the height. C. asking the resident's height and subtracting an inch for age-related shrinkage. D. taking the measurement from head to heels while the resident is flat in bed.
taking the measurement from head to heels while the resident is flat in bed.
When a resident is unable to stand, the resident's height is generally obtained by A. having coworkers hold the resident upright to allow for the measurement. B. adding the length of legs, chest, and neck/head to determine the height. C. asking the resident's height and subtracting an inch for age-related shrinkage. D. taking the measurement from head to heels while the resident is flat in bed.
taking the measurement from head to heels while the resident is flat in bed.
A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The nurse aide should respond to the resident's requests by A. telling the resident that it is not time. B. decreasing the resident's fluid intake. C. asking the resident to follow the schedule. D. taking the resident to the bathroom as needed.
taking the resident to the bathroom as needed.
The term vital signs refers to A. any important information about a resident's condition. B. the color, condition, and appearance of the skin. C. fluid intake and output, as well as bowel movements. D. temperature, pulse, and respirations.
temperature, pulse, and respirations.
When a resident's husband begins telling the nurse aide how to care for his wife, the nurse aide should A. accept that the husband has always been in charge. B. explain that the nurse aide is certified and able to care for his wife. C. suggest that the husband participate in his wife's resident care conference. D. understand that the husband wants staff aware of his wife's needs.
understand that the husband wants staff aware of his wife's needs.
When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should A. ask how long the minister plans to visit. B. explain politely that it is time to take vital signs. C. check if the resident is praying before interrupting. D. wait to take the vital signs after the minister has left.
wait to take the vital signs after the minister has left.
When a person is receiving end-of-life care, the resident's care plan is likely to include A. ways to best provide for the comfort of the resident. B. exercises to help improve the resident's strength. C. frequent observation to help prevent confusion. D. instructions for providing post-mortem care.
ways to best provide for the comfort of the resident.
The nurse aide notices that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of the following is the best action for the nurse aide to take? A. Take the resident back to the resident's room. B. Distract the resident by asking about the resident's family. C. Invite the resident to sit down at the piano with the nurse aide. D. Ask the activity director to find something for the resident to do.
Invite the resident to sit down at the piano with the nurse aide.
While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to A. quickly move the resident to the nurses' station. B. ask the resident how badly the burned area hurts. C. wet a towel or napkin with cool water and place against the injured area. D. apply antibiotic ointment to the burned area and then cover with a bandage.
wet a towel or napkin with cool water and place against the injured area. * the emergency response is to cool the injured area off.
What is the best reason for giving frequent perineal care to residents? A. It increases comfort. B. It decreases sexual responses. C. It helps prevent skin breakdown. D. It prevents incontinence.
It helps prevent skin breakdown. *When residents are incontinent, they are at increased risk for skin breakdown. Urine and stool left of the skin will cause irritation and skin breakdown
Which statement is true about the effects of aging? A. The aging process can be reversed with good health care. B. Bladder incontinence is a normal part of aging. C. Joints tend to be less flexible as a person ages. D. Sensitivity to pain increases with age.
Joints tend to be less flexible as a person ages. * As people age, their joints become less flexible. Weakening hip and knee joints affect the ability of residents to stand as straight and tall, which in turn, affects balance and increases the risk of falls. *BLADDER INCONTINENCE IS A MYTH as to the effects of aging*
A resident is being showered while sitting in a showerchair. The resident says, ""I feel weak. I think I am going to faint." The nurse aide's immediate concerns are calling for help and A. making sure the water temperature is proper. B. getting the resident back to her room right away. C. finishing the shower quickly by washing only soiled areas. D. keeping the resident safe and comfortable.
Keeping the resident safe and comfortable.
A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first? A. Speak loudly and directly into the hearing aid. B. Check that the hearing aid is in the correct ear. C. Ask when the hearing aid battery was replaced. D. Make sure the hearing aid is turned on.
Make sure the hearing aid is turned on.
A resident says she is 5 feet 6 inches tall. When the nurse aide measures the resident's height, the resident is 5 feet 4 inches. What should the nurse aide do? A. Record the resident's height as 5 feet 4 inches. B. Record the resident's height as 5 feet 6 inches. C. Explain that older people shrink with aging. D. Measure the resident again.
Measure the resident again. *If the nurse aide measures a resident and obtains information that is different from what the resident says, the nurse aide should check the measurement a second time for accuracy.
Which foods are found on a high protein diet? A. Pasta and rice B. Meat and eggs C. Fruits and vegetables D. Whole grains and milk products
Meat and eggs
Which foods are found on a high protein diet? A. Pasta and rice B. Meat and eggs C. Fruits and vegetables D. Whole grains and milk products
Meat and eggs * Protein is also found in beans, peas, soy products, and nuts.
When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke? A. Arms and hands B. Abdominal area C. Face and neck D. Perineal area
Perineal area
A resident must have assistance to walk. When leaving the resident in the resident's room, what must the nurse aide do before leaving the room? A. Turn on the resident's television. B. Make sure the resident's bedpan is within reach. C. Place the call light where the resident can reach it. D. Say to the resident, "Remember that you need help to walk."
Place the call light where the resident can reach it.
What should a nurse aide do with a used disposable razor? A. Throw the razor away in a trash can. B. Place the razor in a sharps container immediately. C. Clean, rinse, and dry the razor so it can be used again. D. Wrap the razor in a paper towel until it can be thrown away.
Place the razor in a sharps container immediately. *Since it is considered a sharp and potentially contaminated with blood cells, it must be disposed of in the Sharps container.
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours? A. Correct residents' posture B. Improve the residents' breathing C. Promote circulation at pressure points D. Provide an opportunity for incontinent care
Promote circulation at pressure points
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first? A. Try to get the resident to take a few sips of water through a straw. B. Reach around from behind the resident to provide abdominal thrusts. C. Pat the resident's back and then reach in his mouth to remove the blockage. D. Ask the resident to take a deep breath and cough.
Reach around from behind the resident to provide abdominal thrusts. *Grasping the throat and the inability to speak are signs of choking. Emergency measures to attempt to dislodge the object must be attempted. P
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do? A. Consider if the task can be performed another way. B. Provide the care and perform the task as best as possible. C. Contact the ombudsman's office since resident's rights may be violated. D. Refuse to perform the task and explain it is not within the nurse aide's role.
Refuse to perform the task and explain it is not within the nurse aide's role. *Only perform within your scope of pratice
A resident is NPO because of nausea. What should the nurse aide do? .A.Give the resident fluids in small amounts. B. Provide the resident with a small cup of ice chips. C. Ask if the resident can handle any fluids with the nausea. D. Remove any fluids at the bedside including the water pitcher.
Remove any fluids at the bedside including the water pitcher. *NPO means nothing by mouth. The resident will not be permitted to have ice chips nor water, due to the nausea that the resident is experiencing. When a person cannot have food or fluids by mouth (NPO), the nurse aide is responsible for removing the pitcher and water glass from the resident's reach so that the resident will not be tempted to drink any fluids.
A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A. Use the resident's pitcher of water to put out the fire. B. Open the window to allow smoke to escape. C. Remove the resident from the room. D. Yell "Fire!" along with the location.
Remove the resident from the room.
A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A. Use the resident's pitcher of water to put out the fire. B. Open the window to get the smoke out of the room. C. Yell "Fire!" along with the room number. D. Remove the resident from the room.
Remove the resident from the room. *Remember RACE R - removal of residents from danger A - alarm (getting emergency assistance) C- confine the fire (closing doors and windows) E - extinguish (if this can be done safely)
When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide? A. Protect the toe by putting on an extra sock. B. Report the observation to the charge nurse. C. Apply an antibiotic ointment to prevent infection. D. Soak the foot in very warm water and dry gently.
Report the observation to the charge nurse.
The nurse aide is bathing a resident and notices new swelling in the resident's ankles. Which of the following is the best response by the nurse aide? A. Ask if the resident has been eating salty foods lately. B. Elevate the resident's legs and check again later. C. Report the swelling to the charge nurse. D. Avoid bathing the resident's lower legs.
Report the swelling to the charge nurse.
Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar? A. Shakiness or trembling B. Thirst and dry mouth C. Sweet breath odor D. Increased urine
Shakiness or trembling
Which member of the health care team counsels residents and their families and arranges for needed services? A. Dietitian B. Social worker C. Physical therapist D. Activities director
Social worker
While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide? A. Allow the resident more time to swallow. B. Use a straw when giving the resident fluids. C. Add a thickening product to the resident's fluids. D. Stop feeding and ask a nurse to check the resident.
Stop feeding and ask a nurse to check the resident. *When a resident coughs frequently after drinking fluids, it may indicate that the resident is having some difficulty swallowing. This difficulty swallowing can result in fluids going into the resident's lung. This condition is known as aspiration. It can result in the development of serious medical conditions, such as pneumonia, which may require medical attention.
Which of the following should be reported to the charge nurse immediately? A. A resident's change in appetite B. A resident's complaint of chest pain C. A resident who refuses to take a scheduled tub bath D. A resident who wanders is found napping in another resident's bed
A resident's complaint of chest pain
A resident with an indwelling catheter says, "I need to urinate." Which of the following is the best response by the nurse aide? A. Check to see if the tubing is kinked and draining properly. B. Report to the charge nurse that the resident is very confused. C. Remind the resident this is impossible since a catheter is in place. D. Tell the resident to try to urinate since the urine will collect in the bag.
Check to see if the tubing is kinked and draining properly. *If the resident complains of feeling the urge to urinate, the nurse aide should check the tubing of the catheter and urinary drainage bag.
The heart is an important muscle for which body system? A. Urinary B. Musculoskeletal C. Circulatory D. Digestive
Circulatory
A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide? A. Clean the catheter, starting at the meatus and moving downward. B. Clean the catheter, starting at the end and moving towards the genitalia. C. Disconnect the drainage bag from the catheter to empty the bag fully. D. Cleanse around the meatus with alcohol swabs, wiping front to back.
Clean the catheter, starting at the meatus and moving downward.
Which of the following is an example of disinfection? A. Washing a resident's hands after toileting B. Using a wipe to clean around a resident's stoma C. Cleaning a shower chair with a chemical cleanser D. Cleaning a resident's bath basin with soap after use
Cleaning a shower chair with a chemical cleanser *Disinfecting is the process of using chemicals to kill microbes
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear A. black. B. green. C. purple. D. white.
purple.
While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action? A. Dress the resident quickly. B. Check the resident's vital signs. C. Stop the dressing to let the resident rest. D. Go to find a nurse to check the resident.
Stop the dressing to let the resident rest.
When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide? A. Give the resident more time to swallow. B. Keep the amount of fluid small by using a spoon to give fluids. C. Add thickener to the fluid and see if it helps stop the coughing. D. Stop the feeding and report the coughing to the charge nurse right away.
Stop the feeding and report the coughing to the charge nurse right away. *Persistent coughing while eating can be a sign that the resident is having difficulty swallowing. Such difficulty can result in the resident swallowing incorrectly and food or fluid entering the airways leading into the lungs or the lungs
A resident's hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide? A. Thicken the liquid so it will not spill. B. Place a clothing protector on the resident. C. Seat the resident with other residents who also spill. D. Suggest that the resident might do well with a cup with a lid.
Suggest that the resident might do well with a cup with a lid. *Providing the resident with a cup with a lid can prevent spills, thus decreasing the possibility of serious injury. The nurse aide is not allowed to make decisions about when to thicken liquids, which is done for swallowing issues and not shaking. Though protecting the clothing is helpful, it may not be effective in reducing the possibility of a burn from a hot liquid. The nurse aide must ask a resident before placing a clothing protector.
A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately? A. The resident's fingers are cold and blue in color. B. The splint was removed as scheduled in the care plan. C. The resident asks to have the splint removed for a few minutes. D. The resident asks the nurse aide to reposition the arm with the splint.
The resident's fingers are cold and blue in color. *When a resident wears a splint, it is important to observe for any changes in skin color in the extremity, which if observed should be reported to the nurse immediately. Skin color changes and changes in the temperature of the extremity could also be signs of impaired circulation.
A resident is restrained. What observation should the nurse aide report to the nurse immediately? A. The resident states, "I do not like this thing." B. The resident's position needs to be adjusted. C. The resident has suddenly become very agitated. D. The restraint was removed according to the care plan schedule.
The resident has suddenly become very agitated
If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the resident's side quickly? A. To get the resident into a more comfortable position B. To get towels placed to protect the bed linen C. To keep the vomit off the resident's face D. To help prevent aspiration
To help prevent aspiration
A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first? A. Orient the resident to person, place and time. B. Review how to use the call light with the resident. C. Tell the resident to never get out of bed without help. D. Try to find out if there is something the resident needs. Mark item for review
Try to find out if there is something the resident needs. *the behaviors and actions of a confused resident are related to needs
A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers? A. Put hand rolls in the resident's hands. B. Avoid raising the head of the resident's bed. C. Turn and position the resident according to schedule. D. Provide range of motion (ROM) exercises every two hours.
Turn and position the resident according to schedule.
A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next? A. Get the emergency cart B. Turn the resident onto her side C. Check if the resident is able to talk D. Help the resident back into the chair
Turn the resident onto her side *After a seizure, saliva may pool in the mouth and the individual may also vomit. Turning the resident onto the side prevents aspiration by allowing the fluids to drain out of the mouth.
Which of the following is generally experienced by a resident with low blood sugar? A. Fever B. Weakness C. Sour breath D. Frequent urination
Weakness *The symptoms of hypoglycemia are weakness, fatigue, confusion, sweating, and trembling. These symptoms indicate that the resident's blood sugar is too low
Which of the following describes an important requirement when providing colostomy care? A. Use sterile technique when providing care. B. Wear gloves for Standard Precautions. C. Avoid cleansing skin near the stoma. D. Position the resident on the side.
Wear gloves for Standard Precautions.
A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed? A. Hang the urinary drainage bag higher than the level of the resident's bladder. B. Use the measurements on the drainage bag to measure urine output. C. Raise the bed to the highest position for better urine drainage. D. Wear gloves when emptying the urinary drainage bag.
Wear gloves when emptying the urinary drainage bag.
Areas of the body where bone lies close to the skin is known as A. a skin fold. B. a pressure ulcer. C. skin breakdown. D. a pressure point.
a pressure point.
When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include A. limiting activity by keeping the resident on bedrest. B. emptying the urinary drainage bag every two-hours. C. keeping the area where the catheter enters the body clean. D. toileting the resident every two hours for bladder retraining.
keeping the area where the catheter enters the body clean. *resident is prone to infection with a catheter
To help prevent burns to residents during meals, the nurse aide should A. place a clothing protector on the resident. B. wait to serve the food until hot food is cold. C. add ice to any hot liquids, such as coffee or soup. D. let residents know which foods and beverages are hot.
let residents know which foods and beverages are hot.
When a resident is receiving oxygen, the nurse aide should A. make sure the tubing is free of kinks. B. remove oxygen when the resident is eating. C. place a NO VISITORS sign on the resident's door. D. limit how often mouth care is provided to the resident.
make sure the tubing is free of kinks.
When counting a resident's pulse, the nurse aide should A. notice if the rhythm of the heart-beat is regular. B. ask if the resident takes any heart medication. C. consider the time of day when the pulse is taken. D. multiply the rate by four if counted for 30 seconds.
notice if the rhythm of the heart-beat is regular. *When a resident's pulse is being taken, the nurse aide is not only counting the heart rate, but should also pay attention to the rhythm. If a resident's heart rhythm is usually regular, the heart beat becoming irregular could be a sign of a heart problem. Changes in the heart rhythm should be reported to the nurse.
The use of a physical restraint helps A. control a resident's behavior. B. protect the resident from injury. C. make staff members' jobs easier. D. decrease how often staff need to check the resident.
protect the resident from injury. *this is the only reason that a restraint may legally be used. A physician's order is required to use a restraint, and that order specifies the type of restraint and the situation and/or frequency in which the restraint is used. Detailed documentation must be kept regarding the use of the restraint.
The nurse aide can help the resident have regular bowel movements by A. making sure the resident gets a lot of rest. B. providing a routine time for the resident to toilet. C. giving the resident cereal for breakfast every morning. D. keeping a bedpan within reach while the resident is in bed.
providing a routine time for the resident to toilet.
