Which of the following statements is true about ROM exercises?
A.) Done just once a day
B.) Help prevent Strokes and paralysis
C.) Require at least ten repetitions of each exercise
D.) Are often performed during AD
...
Which of the following statements is true about ROM exercises?
A.) Done just once a day
B.) Help prevent Strokes and paralysis
C.) Require at least ten repetitions of each exercise
D.) Are often performed during ADL's such as bathing or dressing - ANSWER D.) Are often performed during ADLs such as bathing or dressing
While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should
A.) Put the hairbrush away and out of sight.
B.) Give the resident the hairbrush to hold.
C.) Try to dress the resident more quickly.
D.) Restrain the resident's hand. - ANSWER B.) Give the resident the hairbrush to hold
A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to
A.) Ask the resident to take deep breaths.
B.) Take the resident's vital signs.
C.) Raise the head of the bed.
D.) Elevate the resident's feet. - ANSWER C.) Raise the head of the bed
A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on
A.) Helping the resident through the stage of grief.
B.) Providing for the resident's comfort.
C.) Keeping the residents care routine, such as for bathing.
D.) Giving the resident a lot of quiet time and privacy. - ANSWER B.) Providing for the resident's comfort
While giving a bed bath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should
A.) Wait a few minutes to see if the alarm stops.
B.) Report the alarm to the charge nurse immediately.
C.) Make the resident being bathed safe and go check the door right away.
D.) Stop the bed bath and go check on the location of all assigned residents. - ANSWER C.) Make the resident being bathed safe and go check the door right away.
Gloves should be worn for which of the following procedures?
A.) Emptying a urinary drainage bag
B.) Brushing a resident's hair
C.) Ambulating a resident
D.) Feeding a resident - ANSWER A.) Emptying a urinary drainage bag
When walking a resident, a gait or transfer belt is often
A.) Worn around the nurse aide's waist for back support.
B.) Used to keep the resident positioned properly in the wheelchair.
C.) Used to help stand the resident, and then removed before walking.
D.) Put around the resident's waist to provide a way to hold onto the resident. - ANSWER D.) Put around the resident's waist to provide a way to hold onto the resident.
Which of the following statements is true about resident who are restrained?
A.) They are at greater risk for developing pressure sores.
B.) They are at lower risk of developing pneumonia.
C.) Their posture and alignment are improved.
D.) They are not at risk for falling. - ANSWER A.) They are at greater risk for developing pressure sores.
A resident has diabetes. Which of the following is a common sign of low blood sugar?
A.) Fever
B.) Shakiness
C.) Thirst
D.) Vomiting - ANSWER B.) Shakiness
When providing foot care to a resident it is important for the nurse aide to
A.) Remove calluses and corns.
B.) Check the feet for skin breakdown.
C.) Keep the water cool to prevent burns.
D.) Apply lotion, including between the toes. - ANSWER B.) Check the feet for skin breakdown.
When feeding a resident, frequent coughing can be a sign the resident is
A.) Choking
B.) Getting full
C.) Needs to drink more fluids
D.) Having difficulty swallowing - ANSWER D.) Having difficulty swallowing
When a person is admitted to the nursing home, the nurse aide should expect that the resident will
A.) Have problems related to incontinence.
B.) Require a lot of assistance with personal care.
C.) Experience a sense of loss related to the life charge.
D.) Adjust more quickly if admitted directly from the hospital. - ANSWER C.) Experience a sense of loss related to the life charge.
A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should
A.) Tease the resident by complements the resident's sense of style
B.) Ask if the resident realizes that the shoes do not match.
C.) Remind the resident that the nurse aide can dress the resident.
D.) Ask if the resident lost some of his shoes. - ANSWER B.) Ask if the resident realizes that the shoes do not match.
A resident's wife recently died. The resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to
A.) Remind the resident to be thankful for the years he shared with his wife.
B.) Tell the resident that he needs to get out of his room at least once a day.
C.) Understand the resident is grieving and give him chances to talk.
D.) Avoid mentioning his wife when caring for him. - ANSWER C.) Understand the resident is grieving and give him chances to talk.
When a resident refuses a bed bath, the nurse aide should
A.) Offer the resident a bribe.
B.) Wait awhile and then ask the resident again.
C.) Remind the resident that people who smell don't have friends
D.) Tell the resident that nursing home policy requires daily bathing. - ANSWER B.) Wait awhile and then ask the resident again.
When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to
A.) Show the resident that the nurse aide is in control.
B.) Call for help to make sure there are witnesses.
C.) Explain that if the resident is not calm a restraint may be applied.
D.) Step back to protect self from harm while speaking in a calm manner. - ANSWER D.) Step back to protect self from harm while speaking in a calm manner.
During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to
A.) Remain calm and ask what is upsetting the resident.
B.) Begin removing all the other residents from the dining room.
C.) Scold the resident and ask the resident to leave the dining room immediately.
D.) Remove the resident's plate, fork, knife, and cup so there is nothing else to throw. - ANSWER A.) Remain calm and ask what is upsetting the resident.
Which of the following questions asked to the resident is MOST likely to encourage conversation?
A.) Are you feeling tired today?
B.) Do you want to wear this outfit?
C.) What are your favorite foods?
D.) Is this water warm enough? - ANSWER C.) What are your favorite foods?
When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should
A.) Use pictures and gestures.
B.) Face the resident and speak softly when talking.
C.) Repeat words often if the resident does not understand.
D.) Assume when the resident nods his/her head that the message is understood. - ANSWER A.) Use pictures and gestures.
While walking down the hall, a nurse aide looks into a resident's room and see another nurse aide hitting a resident. The nurse aide is expected to
A.) Contact the state agency that inspects the nursing facility.
B.) Enter the room immediately to provide for the resident's safety.
C.) Wait to confront the nurse aide when he/she leaves the resident's room.
D.) Check the resident for any signs of injury after the nurse aide leaves the room. - ANSWER B.) Enter the room immediately to provide for the resident's safety.
Before touching a resident who is crying to offer comfort, the nurse aide should consider
A.) The resident's recent vital signs.
B.) The resident's cultural background.
C.) Whether the resident has been sad recently.
D.) Whether the resident has family that visits routinely. - ANSWER B.) The resident's cultural background.
When a resident is expressing anger, the nurse aide should
A.) Correct the resident's misperceptions.
B.) Ask the resident to speak in a kinder tone.
C.) Listen closely to the resident's concerns.
D.) Remind the resident that everyone gets angry. - ANSWER C.) Listen closely to the resident's concerns.
When giving a back rub, the nurse aide should
A.) Apply lotion to the back directly from the bottle.
B.) Keep the resident covered as much as possible.
C.) Leave extra lotion on the skin when completing the procedure.
D.) Expect the resident to lie on his/her stomach. - ANSWER B.) Keep the resident covered as much as possible.
A nurse aide finds a resident looking in the refrigerator at the nurses' station at 5 a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to
A.) Help the resident back to his room and into bed.
B.) Ask the resident about his job and if he is hungry.
C.) Tell him that residents are not allowed in the nurses' station.
D.) Remind him that he is retired from his job and in a nursing home. - ANSWER B.) Ask the resident about his job and if he is hungry.
Which of the following is true about caring for a resident who wears a hearing aid?
A.) Apply hairspray after the hearing aid is in place.
B.) Remove the hearing aid before showering.
C.) Clean the ear mold and battery case with water daily, drying completely.
D.) Replace batteries weekly. - ANSWER B.) Remove the hearing aid before showering.
Residents with Parkinson's Disease often require assistance with walking because they
A.) Become confused and forget how to take steps without help.
B.) Have poor attention skills and do not notice safety problems.
C.) Have visual problems that require special glasses.
D.) Have a shuffling walk and tremors. - ANSWER D.) Have a shuffling walk and tremors.
A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation?
A.) Adequate fluid intake
B.) Regular mealtimes
C.) High protein diet
D.) Low fiber diet - ANSWER A.) Adequate fluid intake
A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first
A.) Ask the resident to try urinating.
B.) Offer the resident fluid to drink.
C.) Check for kinks in the tubing.
D.) Obtain a new urinary drainage bag. - ANSWER C.) Check for kinks in the tubing.
A resident who is incontinent of urine has an increased risk of developing
A.) Dementia
B.) Urinary tract infections
C.) Pressure sores
D.) Dehydration - ANSWER C.) Pressure sores
When cleansing the genital area during perineal care, the nurse aide should
A.) Cleanse the penis with a circular motion starting from the base and moving toward the tip.
B.) Replace the foreskin when pushed back to cleanse an uncircumcised penis.
C.) Cleanse the rectal area first, before cleansing the genital area.
D.) Use the same area on the washcloth for each washing and rinsing stroke for a female resident. - ANSWER B.) Replace the foreskin when pushed back to cleanse an uncircumcised penis.
Which of the following is considered a normal age-related change?
A.) Dementia
B.) Contractures
C.) Bladder holding less urine
D.) Wheezing when breathing - ANSWER C.) Bladder holding less urine
A resident is on a bladder retraining program. The nurse aide can expect the resident to
A.) Have a fluid intake restriction to prevent sudden urges to urinate.
B.) Wear an incontinent brief in case of an accident.
C.) Have an indwelling urinary catheter.
D.) Have a schedule for toileting. - ANSWER D.) Have a schedule for toileting.
A resident who has stress incontinence
A.) Will have an indwelling urinary catheter.
B.) Should wear an incontinent brief at night.
C.) May leak urine when laughing or coughing.
D.) Needs toileting every 1-2 hours throughout the day. - ANSWER C.) May leak urine when laughing or coughing.
The doctor has told the resident that his cancer is growing and that he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should
A.) Understand that denial is a normal reaction.
B.) Remind the resident the doctor would not lie.
C.) Suggest the resident ask for more test.
D.) Ask if the resident is afraid of dying. - ANSWER A.) Understand that denial is a normal reaction.
A slipknot is used when securing a restraint so that
A.) The restraint cannot be removed by the resident.
B.) The restraint can be removed quickly when needed.
C.) Body alignment is maintained while wearing the restraint.
D.) It can be easily observed whether the restraint is applied correctly. - ANSWER B.) The restraint can be removed quickly when needed.
When using PPE the nurse aide correctly follows Standard Precautions when wearing
A.) Double gloves when providing perineal care to a resident.
B.) A mask and gown while feeding a resident that coughs.
C.) Gloves to remove a resident's bedpan.
D.) Gloves while ambulating a resident. - ANSWER C.) Gloves to remove a resident's bedpan.
To help prevent resident falls, the nurse aide should
A.) Always raise side rails when any resident is in his/her bed.
B.) Leave residents' bed at the lowest level when care is complete.
C.) Encourage residents to wear larger-sized, loose-fitting clothing.
D.) Remind residents who use call lights that they need to wait patiently for staff. - ANSWER B.) Leave residents' bed at the lowest level when care is complete.
As the nurse aide begins his/her assignment, which of the following should the nurse aide do first?
A.) Collect linen supplies for the shift.
B.) Check all the nurse aide's assigned residents.
C.) Assist a resident that has called for assistance to get off the toilet.
D.) Start bathing a resident that has physical therapy in one hour. - ANSWER C.) Assist a resident that has called for assistance to get off the toilet.
Which of the following would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse aide to be ineligible to work in a nursing home?
A.) Having been terminated from another facility for repeated tardiness.
B.) Missing a mandatory infection control inservice training program.
C.) Failing to show for work without calling to report the absence.
D.) Having a finding for resident neglect. - ANSWER D.) Having a finding for resident neglect.
To help prevent the spread of germs between patients, nurse aides should
A.) Wear gloves when touching residents.
B.) Hold supplies and linens away from their uniform.
C.) Wash hands for at least two minutes after each resident contact.
D.) Warn residents that holding hands spreads germs - ANSWER A.) Wear gloves when touching residents.
When a sink has hand-control faucets, the nurse aide should use
A.) A paper towel to turn the water on.
B.) A paper towel to turn the water off.
C.) An elbow, if possible, to turn the faucet controls on and off.
D.) Bare hands to turn the faucet controls both on and off. - ANSWER B.) A paper towel to turn the water off.
When moving a resident up in the bed who is able to move with assistance, the nurse aide should
A.) Position self with knees straight and bent at waist.
B.) Use a gait or transfer belt to assist with the repositioning.
C.) Pull the resident up holding onto one side of the drawsheet at a time.
D.) Bend the resident's knees and ask the resident to push with his/her feet. - ANSWER D.) Bend the resident's knees and ask the resident to push with his/her feet.
The resident's weight is obtained routinely as a way to check the resident's
A.) Growth and development
B.) Adjustment to the facility
C.) Nutrition and health
D.) Activity level - ANSWER C.) Nutrition and health
Which of the following is a right that is included in the Resident's Bill of Rights?
A.) To have staff available that speak different languages on each shift.
B.) To have payment plan options that are based on financial need.
C.) To have religious services offered at the facility daily.
D.) To make decisions and participate in own care. - ANSWER D.) To make decisions and participate in own care.
Which of the following, if observed as a sudden change in the resident, is considered a possible warning sign of a stroke?
A.) Dementia
B.) Contractures
C.) Slurred speech
D.) Irregular heartbeat - ANSWER C.) Slurred speech
Considering the resident's activity, which of the following sets of vital signs should be reported to the charge nurse immediately?
A.) Resting: 98.6-98-32
B.) After eating: 97.0-64-24
C.) After walking exercise: 98.2-98-28
D.) While watching television: 98.8-72-14 - ANSWER A.) Resting: 98.6-98-32
What is the term for a device used to take the place of a missing body part?
A.) Pronation
B.) Abduction
C.) External rotation
D.) Prosthesis - ANSWER D.) Prosthesis
When a client has left-sided weakness, what part of a sweater is put on first?
A.) Both sleeves
B.) Left sleeve
C.) Client's choice
D.) Right sleeve - ANSWER B.) Left sleeve
It is appropriate for a nurse aide to share the information regarding a client's status with:
A.) Any one the nurse aide sees fit
B.) The client's family members
C.) The client's roomate
D.) The staff on the next shift - ANSWER D.) The staff on the next shift
When helping a client who is recovering from a stroke to walk, the nurse aide should assist:
A.) On the client's strong side
B.) On the client's weak side
C.) From behind the client
D.) With a wheelchair - ANSWER B.) On the client's weak side
The nurse aide is caring for a client who is agitated. The nurse aide should:
A.) Speak loudly so the client can hear the instructions.
B.) Ask to reassign the care of this client.
C.) Talk in a slow, calm, reassuring manner.
D.) Tell the client to be quiet. - ANSWER C.) Talk in a slow, calm, reassuring manner.
The purpose for padding side rails on the client's bed is to:
A.) Use them as a restraint.
B.) Have a place to connect the call light.
C.) Protect the client from injury.
D.) Keep the client warm. - ANSWER C.) Protect the client from injury.
Exercises that move each muscle and joint are called:
A.) Adduction
B.) Range of motion
C.) Abduction
D.) Rotation - ANSWER B.) Range of motion
How can the nurse aide best help a client who is not accepting a loss?
A.) Leave the client alone.
B.) Convince the client to accept the loss.
C.) Encourage the client to talk.
D.) Discourage individual activity. - ANSWER C.) Encourage the client to talk.
The heimlich maneuver (abdominal thrust) is used for a client who has:
A.) A bloody nose
B.) A blocked airway
C.) Fallen out of bed
D.) Impaired eyesight - ANSWER B.) A blocked airway
To best communicate with a client who is totally deaf, the nurse aide should:
A.) Smile frequently and speak loudly
B.) Smile often and talk rapidly
C.) Avoid eye contact
D.) Write out information - ANSWER D.) Write out information
The nurse aide is asked by a confused client what day it is. The nurse aide should:
A.) Explain that memory loss is natural and the date is not important.
B.) Ignore the request.
C.) Point to the date on a calendar and say the date.
D.) Provide the date ad then test the client later. - ANSWER C.) Point to the date on a calendar and say the date.
To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's:
A.) Bed sheet
B.) Upper thigh
C.) Bed frame
D.) Hip - ANSWER B.) Upper thigh
A nurse aide can assist clients with their spiritual needs by:
A.) Taking clients to the nurse aide's church.
B.) Allowing clients to talk about their beliefs.
C.) Avoiding any religious discussions.
D.) Talking about the nurse aide's own spiritual beliefs. - ANSWER B.) Allowing clients to talk about their beliefs.
A nurse aide must wear gloves when:
A.) Feeding a client
B.) Doing peri-care
C.) Giving a back rub
D.) Doing range of motion - ANSWER B.) Doing peri-care
When getting ready to dress a client, the nurse aide should:
A.) Get the first clothes the nurse aide can reach in the closet.
B.) Give the client a choice of what to wear.
C.) Use the clothes the client wore the day before.
D.) Choose clothes that the nurse aide personally likes. - ANSWER B.) Give the client a choice of what to wear.
If the nurse aide discovers fire in a client's room, the first thing to do is:
A.) Call the nurse in charge.
B.) Try to put out the fire.
C.) Open a window.
D.) Remove the client. - ANSWER D.) Remove the client.
In order to communicate clearly with a client who has hearing loss, the nurse aide should:
A.) Speak in a high pitched tone of voice.
B.) Stand behind the client when speaking.
C.) Speak in a loud and slow manner.
D.) Look directly at the client when speaking. - ANSWER D.) Look directly at the client when speaking.
Which of the following stages of dying is usually the final stage?
A.) Anger
B.) Acceptance
C.) Bargaining
D.) Depression - ANSWER B.) Acceptance
If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond?
A.) Reply, "God doesn't punish people."
B.) Listen quietly
C.) Ignore the client
D.) Make jokes - ANSWER B.) Listen quietly
The role of the ombudsman is to:
A.) Run a group of nursing homes.
B.) Work with the nursing home to protect clients' rights.
C.) Control the nursing home budget.
D.)Prepare classes that nurse aides take to learn about client hygiene. - ANSWER B.) Work with the nursing home to protect clients' rights.
A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide should:
A.) Help the client understand the nurse aide's faith.
B.) Tell the client that it is important for the client to join some church, even if it is not the nurse aide's church.
C.) Respect the client's beliefs and avoid starting religious discussions.
D.) Arrange to have the nurse aide's clergyman visit the client. - ANSWER C.) Respect the client's beliefs and avoid starting religious discussions.
The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide should:
A.) Open the mail and leave it on the client's table.
B.) Open the mail and read it to the client.
C.) Read the mail to make sure it doesn't contain upsetting news.
D.) Give the client the unopened mail and offer help as needed. - ANSWER D.) Give the client the unopened mail and offer help as needed.
Which of the following is a correct measurement of urinary output?
A.) 40 oz
B.) 300 cc
C.) 2 cups
D.) 1 quart - ANSWER B.) 300 cc
The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide should:
A.) Take the money so as not to be offend the client.
B.) Politely refuse the money.
C.) Take the money and buy something for the floor.
D.) Ask the nurse in charge what to do. - ANSWER B.) Politely refuse the money.
All of the following situations are examples of abuse or neglect except:
A.) Restraining a client according to a physicians order.
B.) Leaving a client alone in a bathtub.
C.) Threatening to withhold a client's meals.
D.) Leaving a client in a wet and soiled bed. - ANSWER A.) Restraining a client according to a physicians order.
If a client is sitting in a chair in his room masturbating, the nurse aide should:
A.) Report the incident to the other nurse aides.
B.) Tell the client to stop.
C.) Laugh and tell the client to go in the bathroom.
D.) Leave the client alone and provide privacy. - ANSWER D.) Leave the client alone and provide privacy.
To convert four ounces of juice to milliliters (ml), the nurse aide should multiply:
A.) 4 x 5 ml
B.) 4 x 10 ml
C.) 4 x 15 ml
D.) 4 x 30 ml - ANSWER D.) 4 x 30 ml
In giving care according to the client's Bill of Rights, the nurse aide should:
A.) Provide privacy during the client's personal care.
B.) Open the clients mail without permission.
C.) Use the client's personal possessions for another client.
D.) Prevent the client from complaining about care. - ANSWER A.) Provide privacy during the client's personal care.
The last sense a dying client will lose is:
A.) Smell
B.) Hearing
C.) Taste
D.) Sight - ANSWER B.) Hearing
A client wakes up during the night and asks for something to eat. The nurse aide should:
A.) Check client's diet before offering nourishment.
B.) Tell the client nothing is available at night.
C.) Explain that breakfast is coming in three hours.
D.) Tell the client that eating is not allowed during the night. - ANSWER A.) Check client's diet before offering nourishment.
The normal aging process is best defined ad the time when:
A.) People become dependent and childlike
B.) Alzheimer's disease begins
C.) Normal body functions and senses decline
D.) People are over sixty-five years of age - ANSWER C.) Normal body functions and senses decline
If a client is confused, the nurse aide should:
A.) Ignore the client until he starts to make sense.
B.) Restrain the client so he does not hurt himself.
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