Nursing Assistant/Nurse Aide Practice Exam #2

Nursing Assistant/Nurse Aide Practice Exam #2 when should postmortem care be performed? - ✔✔immediately after the doctor pronounces the patient dead a walker may be used if the client can - ✔✔support some weight a c ...

Nursing Assistant/Nurse Aide Practice Exam #2 when should postmortem care be performed? - ✔✔immediately after the doctor pronounces the patient dead a walker may be used if the client can - ✔✔support some weight a cane should be used on - ✔✔the unaffected (strong) side of the body a nurse aide is collecting linens for a bed change and drops a sheet on the floor. what should the nurse aide do? - ✔✔discard it in the soiled linen hamper when applying a cold treatment, it is important to observe the patient closely for signs of - ✔✔cyanosis the purpose of correctly positioning the client is to - ✔✔prevent skin breakdown, maintain function of joints and muscles, increase comfort a surgical bed should be left in what position? - ✔✔level with the stretcher the preferred way to remove a bedpan from a client who is unable to lift her buttocks is to - ✔✔turn the client to the side while holding the pan after shaving a patient with a safety razor, the nurse aide should - ✔✔dispose of it in a sharps container when a client complains that his dentures are hurting, the appropriate action is to - ✔✔report the complaint to the charge nurse A nurse aide notices that a water pitcher has spilled onto the floor. The best action for the aide to perform is to - ✔✔wipe it up immediately upon entering a room, the nurse aide notices that a patient is not breathing. the aide's first action is to - ✔✔call for help a patient is on bed rest, wearing anti-embolitic stockings. how often should the stockings be removed? - ✔✔at least twice a day pressure ulcers (decubitus ulcers) can be prevented by - ✔✔changing the client's position every two hours and placing a gel or foam pad on top of the mattress the first step in getting a client up to walk is to - ✔✔check the activity order A client's vital signs are as follows: 118/80-98.8-80-30. Which finding should be reported at once? - ✔✔respirations all of the following can cause an inaccurate oral temperature reading EXCEPT - ✔✔using an electronic thermometer diastolic blood pressure is determined by - ✔✔listening for the last clear sound all of the following are correct when measuring blood pressure EXCEPT - ✔✔use the biggest cuff possible to get an accurate reading the first step in performing any procedure is to - ✔✔perform proper handwashing which of the following best destroys all bacteria - ✔✔sterilizing in the event of a fire in a client's room, the nurse aide should first - ✔✔get the client to a safe place safe use of oxygen therapy includes - ✔✔posting a "no smoking" sign on the door During CPR, the client should be lying - ✔✔flat on a hard surface a procedure manual is a - ✔✔written set of instructions on how to perform procedures if a client cannot speak English, the nurse aide should - ✔✔ask the charge nurse to arrange for an interpreter the accepted way to identify a client is to - ✔✔check the identification band which of the following best describes nail care - ✔✔All clients need nail care. when performing perineal care on a male client always - ✔✔retract the foreskin if uncircumcised Back rubs aid in all of the following EXCEPT - ✔✔Improving posture a client's elbows are dry and red. the nurse aide should - ✔✔report this to the charge nurse a decubitus ulcer can be caused by all of the following EXCEPT - ✔✔cotton clothing the nursing assistant shampoos a client's hair to improve all of the following EXCEPT - ✔✔the rate of the client's hair growth when removing a soiled gown from a client who has an IV, the best action is to - ✔✔remove the opposite arm from the gown first if a client does not eat all the food on his tray, the first thing an aide should do is - ✔✔ask the client why he has not finished the client states that a mistake has been made: there is salt on her tray, although the doctor has ordered a low-salt diet. the nurse aide should - ✔✔check the diet order with the charge nurse which of the following provides identification of clients in a long-term care facilities? - ✔✔identification bracelet and photograph before transferring client from the bed to a wheelchair, the nurse aide should sit him or her on the edge of the bed for a few minutes to - ✔✔prevent orthostatic hypertension the client's religion forbids eating mean. beef stew is being served for lunch. the nurse aide should - ✔✔ask the nurse to call the kitchen it is important to remember that dying patients - ✔✔have the same needs for care as other patients dying patients and their families - ✔✔may go back and forth among the five stages which of the following is an early sign of dementia in an elderly client - ✔✔not knowing who she is Clients with Alzheimer's disease may show all of the following EXCEPT - ✔✔physical wasting away when a client turns on the call light every few minutes, the appropriate response is to - ✔✔stop by the room more often the doctor writes an order for "do not resuscitate" (DNR). what does this mean? - ✔✔CPR will not be performed how a client reacts to illness and disability is most dependent on his - ✔✔support system and life history a client with dementia makes sexual advances toward another client who has dementia. the nurse aide should - ✔✔tell the charge nurse, since a client with dementia is unable to give consent a client hits a nurse aide during lunch. the appropriate response is to - ✔✔call the charge nurse for help a resident is confined to her bed. what might keep her from getting pressure sores? - ✔✔an air mattress If the client is in traction, the nurse aide should never - ✔✔change the position of weight Security for a client's dentures incl