CNA final Exam Questions Reviewed and Correct Answers Provided

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CNA final Exam Questions Reviewed and Correct Answers Provided CNA final Exam Questions Reviewed and Correct Answers Provided 1. A diabetic resident needs to keep blood flowing to his feet. What... should you tell the resident to do? Keep the legs and feet clean, warm and exercise them. 2. He can walk bare feet whenever he feels the needs. 3. Wear heavy shoes. 4. No needs to take any precautions. 5. A resident is forgetful and keeps asking the same question over and over. What should you tell the resident to do? a. Tell him I’ve already answer that same question. b. Ignore him. c. Repeat the answer as many times as needed. d. Just leave the room and proceed with another resident. 6. A nurse is helping Mr. Washington walking in the hall and he starts complaining of dizziness. What should you tell the resident to do? a. Help the resident to get back to his room. b. Run and call for help. c. Stay with him and call for help. d. Continuing walking him because it is part of this care plan. 7. A resident has a cast on the lower leg. What observation should the nurse report immediately? a. The cast is dry and has no order b. The cast is neat c. The resident doesn’t like the color of the cast. 8. The resident’s toes are hot to the touch and he is telling you they are numb. What is the best reason for giving a resident frequent perineal care? a. To increase comfort. b. Because the resident ask you to do so. c. To prevent skin breakdown d. Because the family member ask you to do so. 9. A resident with a heart failure he’s taking daily medication. Which pulse rate you should report to the nurse in charge? a. 40 b. 80 c. 100 d. 90 10. A resident is incontinent of urine, and you observe redness irritation of the resident’s buttocks. What should you do? a. Wash and dry the resident’s buttocks and report it to the nurse in charge. b. Ignore it, because it’s not part of your job. c. Apply cornstarch to the resident’s buttocks and report it to the nurse in charge. d. Wash and dry it no needs to report it. 11. While transferring a confused resident to his wheelchair he starts to scream and hit you. What should you do? a. Automatically put the resident on restraint b. Push the call light and run for help. c. Hold the resident’s arms and put him back in the wheel chair. d. Push the call light and wait for help 12. You realize that the color of the resident’s urine you are taking care of is very tick and dark yellow. What is the most explanation for this? a. He is not drinking enough water. b. It will go away any time soon c. Because he is eating yellow vegetables. d. It’s normal. 13. While helping a resident getting dress, the resident decides to wear unmatched pants and shirt. What should you do? a. Insist that he wears the one you have chosen for him. b. Tell him to choose others that match. c. Let him wear the unmatched clothes d. It’s not your concern you have other duties to take care of. 14. When transferring a resident to a wheelchair. What should you do to prevent any accident? a. Transfer the resident in stocking feet. b. Tell the resident to stand up and sit down by himself on the wheelchair. c. Lock both wheels of the wheelchair. d. Put him on restraint. 15. A resident is receiving oxygen and you are to take his temperature. What should you do? a. Take his RT, but turn off the oxygen. b. Take his OT, but turn off the oxygen. c. Just guess the temperature by touching the resident body. d. Take his OT, keep the oxygen on. 16. You were asking to walk a resident but he’s telling you he can do it by himself he doesn’t need your help. What should you do? a. Let him walk by himself. b. Tell him “That’s what he think” c. Tell him you will stay by him in case. d. Put him on restraint to force to obey. 17. When you are giving a resident a bath. What should you wash last? a. Face b. Underarms c. Rectum d. Feet 18. How often should you change the resident’s position on a restraint? a. 4 hours b. 2 hours c. 10 minutes d. 24 hours 19. You heard the charge nurse screaming at a resident. Immediately you enter the room to protect your resident. What should you do next? a. Report it the resident’s family member b. Argue with your nurse in charge c. Report it to your nurse in charge supervisor. d. Report it to the administrator. 20. A resident wants to leave the nursing room, but the family members ask you to keep him against his will. What should you do? a. Put the resident on restraint b. Tied the resident on his bed c. Refer the family members to the nurse in charge or the administrator d. Tell the family members it’s not your job. 21. A resident is place on a self care/grooming program. What is the main purpose of this program? a. To help the resident to become more dependent. b. To help the resident to become more independent. c. To socialize the resident. d. To give him some activities to do. 22. You are giving a resident a bed bath. Which of these should you do? a. Keep both side rails up during the whole bath. b. Cover the resident’s body during the bath. c. Close the door, but let the curtain open. d. Close the door, curtain, windows but let the family members in the room. a. You find a resident having a seizure when eating in the dining room. What should you do? a. Pat the resident’s back to keep from choking. b. Run and call for help right away, this is an emergency. c. Call 911 d. Put the resident on the floor and turn on side. 23. A resident confess to you he is sad and unhappy. Which of the following should you say? a. It’s not my job to discuss it. b. Ignore him c. Being there deems to make you sad, what’s wrong? d. Tell him to wait to discuss with his family members. 24. A resident is on wrist restraints, you see swelling on both hands, and he is telling you to take these things off, what should you do? a. Tell the resident to stop shouting. b. It’s not your job, ignore it. c. Ask the nurse in charge to take a look at the resident’s wrist as soon as possible. d. Tied the resident’s wrist even harder. 25. You are helping an alert resident to undress. What should you do? a. Do undress and dress quickly. b. Tell him to ask a family member to do it. c. Encourage him to be as independent as possible. d. You should do it without giving her any option. 26. When caring for a mentally resident. What should you do? a. Give him specifics tasks to accomplish. b. Do not change the resident’s space. c. Always put him on restraint to prevent wandering. d. No need to explain the care plan to the resident 27. A resident with poor memory, one day decide to talk with you about his weeding happening a long time ago. Which of these statements is most likely true? a. He is making up history because of his poor memory condition? b. Ignore him. c. Ask any family member for the accuracy of the information. d. He may have good recall of things that happened long ago. 28. You observe an area of red irritation on a resident’s buttocks that has a BM incontinent. What should you do? a. Ask him to clean himself. b. Report it to a family member c. Report it the nurse in charge d. Ignore it 29. You find a resident smoking in the privacy of his room. What should you do? a. Blame him for this behavior. b. Gently remove him to the smoking area. c. Tell him to put the cigarette away. d. Ask him to give one so you can smoke together. 30. You are feeding a resident. When should you offer fluids? a. At the end of the meal time. b. At the beginning of the time. c. After every couple bites. d. It’s not important. 31. A resident has been told she’s going to die. So she has to help her making of things that she wants to do before dying, what should you do? a. Help her to make the list. b. It’s not your concern. c. Tell her a list is not needed. d. Tell her to ask a family member. b. The nurse in charge gives a nurse aid a resident care assignment. Another nurse aide is more familiar with the resident’s care, and says the assignment is wrong. What should you do first? a. Process with your assignment as the other nurse aid suggested to you. b. Process with your assignment as directed. c. Ignore the other nurse aid. d. Check the assignment with the nurse in charge. 32. A resident must stay in bed and you realize his feet are always toward the mattress. What should you do? a. Ask the charge nurse if a foot board should be used. b. Ask the resident if feet need to be massaged. c. Restraint the resident foot on the bed. d. Don’t is not your job. 33. You realize a resident’s pants are wet while eating in the dining room. What should you do? a. Scold resident, you wet your pants. b. Leave him with the wet pants, because you just change them. c. Tell him to change them himself. d. Take the resident from the dayroom and help the resident change pants and clean up. 34. While bathing a resident, he slaps you on the face. What should you do? a. Slap him back b. Punish him for his bad behavior. c. Put him on restraint right away because he is violent and dangerous. d. Call for help and finish the bath. 35. A resident with memory loss is incontinent, what is the best approach in caring the resident? a. Turn the resident on the side to keep him from choking. b. Set a regular toileting schedule. c. Tell the resident to go the bathroom as often. d. Just ask him how many times he goes to the bathroom so you report it. 36. You find a resident vomiting while lying on supine position. What should you do? a. Wash the resident’s face with a wet cloth. b. Ask the resident to clean himself. c. Turn the resident on the side to prevent choking. d. Ask the resident to stop vomiting. 37. A nurse wants to be respectful when calling an old female resident. What should she do? a. Call her Grandma. b. Call her sugar-pie c. Ask her how she prefers to be called. d. Don’t bother call her whatever you feel like. 38. A resident has a declared allergic to fish states in his care plan. But the kitchen sends a tray with baked fish and the nurse serves it to him. The nurse may be considered as: a. Abuse b. Abandonment c. Neglect d. Malpractice 39. You find out a resident lying down on the floor and cursed at you. What should you do? a. Curse back at the resident. b. Just leave the room. c. Tell him to get back to bed. d. Push the call signal for help. 40. While bathing the resident in the bathtub you realize that you forget the undershirt back in the resident’s room. What should you do? a. Leave the resident in the bathtub, while getting the undershirt. b. Finish the bath, dress the resident and put the undershirt on when back in the resident’s room. c. Ask him to get it for you. d. It’s not important, forget about it. 41. While serving a resident ice water, the charge nurse asks you to take the vital signs. What should you do? a. Finish serving the ice water and take the vital signs. b. Remind the nurse in charge you are busy. c. Tell the nurse in charge to do it herself. d. Stop serving the water and take the vital signs. 42. A confused resident cannot find his room, what should you do? a. Tell him to stay on his room otherwise he will get lost. b. Tell him soon or later he will find his way. c. Tell him is not part of your job; discuss it with the nurse in charge. d. Put a sign on the door that can help him to identify the room. 43. The charge nurse tells a nurse aide that a resident is on intake and output report. What should you do? a. Tell the kitchen not to send tray for this patient. b. Tell the nurse you don’t understand c. Ask the resident what it is? d. Record and measure all fluids that the resident drinks and eliminates. 44. A nurse aid was asked to put a resident in position for an enema used. What should you do? a. Supination b. Flolewrs c. Pronation d. Position on his right side (Lateral right position) 45. A resident tells you he cannot remember where he is. What should you do? a. Don’t worry everyone get mixed up. b. You don’t need to know. c. It won’t make any difference d. You are living in a nursing room. 46. A resident is complaining of dry skin while taking a bath. What’s the most likely explanation? a. The resident is not bathing enough. b. There is less oil on the skin of an old person. c. This is a myth, skin doesn’t alter with aging. d. The skin of a young person is the same as an old person. 47. The main purpose of range of motion is: a. To play b. To recreate c. To have more fun with the resident d. To relax stiff joints 48. What is the best way you can prevent infection? a. It’s not your concern b. Cover your mouth when coughing. c. Wash your hands before touching a resident d. Always wear your gloves, even when meeting a resident the first time. 49. A fire alarm rings in the nursing room, what should you do? a. Run for help b. Call 911 this is an emergency c. Clear the hallways and close doors on unit. d. Hide yourself as soon as possible 50. While walking a resident with a walker you noticed a rubber is missing from the walker, what should you do? a. Continue with the walking b. Stop walking, because the resident can fall. c. Bring the resident to his room d. Get another walker for the resident to use. 51. Which one of these situations you can find yourself as an act of neglect/guilt? Leaving the resident on soiled linen Answering a resident’s call signal Having a social conversation with him Being empathic 52. A resident needs a bed bath. The nurse enters the room and greets the resident. What should you do next? Fill a basin with warm water. Start undresses the resident. Look for clean clothes. Explain what you are going to do. 53. You find some medications tablets on a resident’s pajama after the medication was giving by the nurse in charge. What should you do? Put the tablets on the resident’s mouth. Restraints the resident and give him the medication. It’s the nurse in charge concern, not yours. Report it immediately to the nurse in charge and show the medication to her/him. 54. At the AM shift the nurse aide report on the chart the resident weighs 160 and on the PM you found 120 pounds. What should you do? It’s not your concern. Report to the nurse in charge, without double check the weigh again. Reweigh the resident. Ask a co-worker to weigh the resident. 55. Which of these is least common among elderly? Wrinkles High blood pressure Absence of sex drive Dryness of the skin 56. What should you do to assist a resident with bowel training? Limits solid foods Limits fluids Limits fluids and solid foods Toilet the resident at regular time 57. A resident is on a clear liquid diet. Which of these foods can the resident have? Flavored ice, apple juice, and bouillon Bread, cheese, banana Ice-cream, meat and rice Jell-O with fruits bits, tea and Cream of tomato soup. 58. A resident is in oxygen. Which of the following should you care about? Turn off the oxygen during mealtimes. Smoke inside the room. When your shift is going to be over. Make sure there are no kinks in the tubing. 59. A nurse aide fells tightness in her/his back after bathing a resident. What should you do? Place a heating pad on your back. Ask to go home before the shift is over. Fill out an incident report. Quit the job. 60. You are assigned to care for a resident with hearing impairments. You should: Shout on the resident’s ears. Face the resident, talk slowly, concise and clear. Just proceed with your task. Ignore him. 61. What should a nurse aide use to clean the part of the stethoscope that is against the resident’s skin? With water Alcohol wipe Hot soapy water Aseptic liquid 61. The meaning of sexuality for resident includes Caring about their appearance Needed private time with a partner Wanting sexual interaction All of the above 62. A diabetic resident has had her leg amputated. Her need for sexuality will Be more important for while Be less important for while Disappear forever now Be unaffected 63. Two residents, Mary and Joe, spends a lot of time together as a couple. When Mary gets the flu, she may Think about Joe all the time Want to be with Joe anyway Want to be alone until she is better Be embarrassed about her illness 64. Two residents have decided to become couple. They may Hold hands Spend a lot time together Insist on eating together All of the above 65. A cane should be used on The affect side The unaffected side Either side, depending on how the resident feels The weak side on day and the strong side the next 66. A cane, walk, and crutches are all used to help a resident walk. What else do they have in common? Residents must know how to use them correctly They must all have rubber tips to prevent slipping They must all be fitted to the resident All of the above 67. When using a cane or walker, the resident elbow must be Bent at a 60- degree angle Bent at 15 degree angle Bent at a 90-degree angle Straight 68. When assisting a blind resident to eat, the nursing assistant should Set the plate as a clock with food at 1:00, 5:00, 8:00, and 11:00 Set the plate as a clock with food at 12:00 3:00, 6:00, and 9:0 give him the plate and tell him where the food is feed him herself to save time 69. A patient is going to urine and bowel movement. What should you do for patient? wash their hands raise the head of the bed raise the foot of the bed lower the position of the bed 70. While walking with Mrs. James toward room, she started fainting and she can walk no more. What should you do? call the nurse in charge lay her on the floor and call for help get a wheelchair continue to walk 71. The resident in room 204 has been restrained. The nurse aide enters the resident’s room and the resident states that he/she has pain. What should the nurse aide do first? report it to the nurse in charge release the restraint ignore the complaint tell the resident that the restraint had been ordered by the physician 72. You are scheduled to give a patient urinary care every two hours. You come in the room and notice the client’s foley catheter bag has remained empty several hours. What should you to first? check placement of the drainage bag offer patient to drink notify the charge nurse check the tubing for kinks (obstructions) 73. When bathing a patient, what area should be washed first? back chest face feet 74. When feeding a patient with liquid and solid. How should it be done? offer drink for every couple bite of food give drink first give solid first offer drink first; offer drink last 75. You come in the room to feed a patient. You greet the resident and tell her what you are going to do. The resident did not say anything. What should you do? ignore the patient call the nurse in charge feed the patient anyway restrain the resident 76. What is the best way to prevent the spread of infection? wear gloves wash hands wear mask wear mask gown when close contact with the resident is anticipated 77. What is the correct way to dress and undress a resident who has a weakness? in one side of the body? dress and undress the weak side first dress and undress the strong side first dress the weak side first undress the weak side last. 78. The nurse aide is giving care to Mr. M. while the nurse aide performs his care, Mr. M. calls the nurse aide by the name of her daughter who died several years ago. The nurse aide best response would be: Quickly finish giving care and leave Mr. M. alone. Pretend to be Mr. M.’s daughter. Ignore Mr. M. because he is confused. Stay in the room and encourage Mr. M. to talk about her daughter. 79. Which of the following is a vital sign? a reflex the height the pulse the weight 80. Mrs. Miles has a terminal diagnosis. When you enter the dining room to to remove her supper tray, you find that she has thrown the food onto the wall and the floor. What should you do? slap the resident report this to the nurse in charge close the door clean up the floor 81. When giving a bed bath. You notice the resident’s skin is dry. What should you include in your materials? alcohol com starch powder baby lotion 82. If two patients are seen holding hands best action of the nurse aide is to: allow the behavior and leave them alone. report the incident to the family separate them tell them that are not allowed. 83. You have just taken Mrs. Smith weight. Last month she weighed 140 pounds. This month she weighs fifteen pounds less. You should first: retake the weight. record the fifteen pounds weight on the flow sheet. ask the resident if she is sick. order a high calorie food for the resident from the kitchen and encourage the resident to eat more food. 84. When caring for a patient with oxygen in use. Which is correct? place a “No Smoking” sign on the door room turn the oxygen off close doors and windows place a “No Visitor” sign on the door 85. What is the first thing you should do when hot coffee is dropped on the resident’s arms? call the nurse in charge use cold water apply lotion apply first aid 86. When caring for a resident which of the following document should provide the most pertinent information? biographical Datz sheet physicians order sheet nursing care plan nurses progress notes 87. A resident in bed rest should be provided with which of equipment to help prevent foot drop? mattress pad footboard bed board bed cradle 88. When walking in the hallway you notice there is milk dropped on the floor. To avoid falls caused by the milk you should: tell another nurse aide to clean up the floor. call the nurse in charge and tell her to be careful cause there is milk on the floor. clean up the spill. walk carefully around the spill and continue your assignment. 89. Mrs. J.’s daughter recently died from cancer. Mrs. J. spends all of her time crying. What should the nurse aide tell Mrs. J.? “don’t feel bad; your daughter is in peace now.” “you should speak with your minister.” “stop acting this way.” “I am here to listen if you want to talk.” 90. You are working for the next shift. How can you have pertinent information? about what to do? Ask the nurse aide who is living. Ask the nurse in charge. Consult the nursing care plan. Consult the nurse’s progress notes. 91. Two clients are verbally pushing and shoving. One of them is your Assignment and comes to you to complain about the other resident. How should you handle that situation? Tell your patient do not worry about the other patient. Report the situation to the nurse in charge. Take side with your patient because you feel he is right and encourage him to verbalize the other patient. Tell the other patient to leave your patient alone. 92. A stroke resident with weakness on the right side is assigned to the nursing assistant. When assisting the resident in dressing, what action should the nursing assistant take? Encourage the resident to dress independently. Place the right arm in the sleeve first. Place any side of the resident in the sleeve first. Put the left arm in the sleeve first. 93. You have just finished giving a patient a bath. Before going out with the patient, what should you do first? Give the patient something to eat. Put shoes on. Dress the patient. Comb the resident’s hair. 94. An 80 years old resident involved in an intimate relationship with another one and found in bed together by the nurse aide. What should the nurse aide do? Start laughing. Tell another CNA so they can laugh. Close the door and allow them privacy. Tell them “This is not nice! You are too old for this kind of behavior. 95. What is the most important way a nurse aide can prevent infection? Cover mouth when coughing Wash hands before and after touching a resident Wear gloves for every resident contact Wear gown and mask with every resident contact 96. A nurse aide noticed a spill of milk on the floor. What should the nurse aide do first? Call housekeeping Tell the charge nurse Clean up the milk Cover the spill with a towel 97. A resident is standing in the hallway. Her hair uncombed. What should the nurse aide do? Tell the resident that she looks sloppy Tell the resident to stay in her room Comb the resident’s hair in the hallway Suggest the resident return to her room and comb her hair 98. A resident is walking down the hall with a teddy bear in her arm. She is Crying and saying, “My bay is sick.” What is the best response by the nurse? aide? “I will find a nurse for you ins minute.” “You know that the teddy bear is only a toy.” “The other residents are upset by your crying. Please stop.” “Are you upset about your baby?” 99. A resident’s leg has been amputated below the knee. The resident does not want to leave her room. What should the nurse aide say to help her? “Maybe you will feel better tomorrow” “Do not worry. No one will mention it” “I will have to tell your doctor” “You seem upset. Would it help to talk about it?” 100. A resident is in bed. The nurse aide finds some medication tablets on the resident’s pajama top after the medication nurse leaves the resident’s room. What should the nurse aide do? Put the tablets in the resident’s mouth and give water to drink. Throw the tablets in the trashcan because they are now dirty. Tell another nurse aide about finding the tablets. Tell the medication nurse about finding the tablets and show the nurse the tablets. 101. On resident’s first night in the nursing home, he tries to climb out of bed. The resident is confused and angry. What should the nurse aide do first? Tell the resident that he is not allowed to get out of bed. Call the resident by name and try to calm him. Lock the door to the resident’s room to keep him safe. Ask the charge nurse to give the resident some medication. 102. While eating breakfast in the dayroom, a resident has seizure, she falls from the chair. The nurse aide calls the charge nurse. What should the nurse aide do next? Make sure the resident is breathing. Remove the resident’s breakfast tray. Return the resident to her room. Call the rescue squad. 103. A nurse aide is asked to help a resident with lunch. The nurse aide observes that the resident is able to chew well but cannot butter the bread or cut up the meal. What should the nurse aide do? Assist the resident with the bread and meal. Ask the kitchen to send food that does not need to be buttered or cut up. Tell the resident to try harder. Tell the resident’s family that they could help the resident at each lunch. 104. A resident takes daily medication for a heart problem. The resident’s normal pulse rate is 76. Which pulse rate should the nurse aide report at once to the charge nurse? 82 78 72 58 105. A nurse aide sees that a resident is not eating the meals served at the nursing home. Which member who should be contacted about this? Doctor Dietician Social worker Charge nurse 106. A resident has a weak right arm. He needs help when dressing. What should the nurse aide do? Choose clothes for the resident to wear. Tell the resident to lie down while the nurse aide dressed him. Ask the resident to get clothes without buttons. Put clothes on the resident’s right arm first. 107. While eating in the dining room, a resident spills hot coffee on her arm. What should the nurse aide do first? Put cold water on the resident’s arm Call the rescue squad Wipe up the spill Help the resident back to her room 108. An elderly resident has poor memory. One day the resident tells the nurse aide about the resident’s wedding day happened over fifty years ago. Whichof these statements is most likely true? The resident is making up this history because of poor memory. The resident may have good recall of things that happened long time ago. The resident would be more truthful about things that are happening now. The resident is very confused and may need medication at this time. 109. A nurse aide is deeding a resident. When should the nurse aide offer fluids? Throughout the meal and after every couple bites. Before and after the meal. After all the solid food has been eaten. Offer fluids only if the resident has trouble swallowing solid food. 110. Two residents are having a disagreement. Both residents are calm, and each Stating his point of view. What should the nurse aide do? Allow the residents to carry on their disagreement. Separate the residents into different room. Tell the resident to stop arguing. Get the resident involved in a different activity. 111. The color of the resident’s urine is very dark yellow. What is the most likel cause of the urine color? The resident eats yellow vegetables The resident drinks too much water The resident is not eating enough food The resident is not drinking enough water 112. A resident has an order for a restraint. How often should the nurse aide releases the restraint to change the resident’s position, and apply the restraint again? Every 2 hours Every 4 hours Every 6 hours Every 12 hours 113. A resident has a cast on the lower leg. What observation should the nurse aide report to the nurse immediately? The resident’s toes are hot to the touch and the resident says they are numb. The cast is dry and has no odor. The resident asks the nurse aide to elevate the casted leg on a pillow. 114. A resident must stay in bed for a long time. Skin breakdown is most likely to occur on which parts of the body? Heels and elbows Nose and chin Finger and hands Thighs 115. While checking a resident’s room you notice that the urinary drainage bag is empty. What should you do first? Call the charge nurse immediately Check if the tubing is not kinky Disconnect the catheter Say the resident does not urinate and do nothing 116. A resident’s daughter complaint that her mother’s shirt is dirty from lunch. What is your first action? Tell the daughter to see the charge nurse Change the shirt Wipe the stain with soapy water Report the situation to the charge nurse 117. A resident has a history of fall, the care plan state that you should stay with the resident in the toilet. While assisting the resident to the bathroom he asks you to leave him alone so he can have his bowel movement. What should you do? Say “go ahead I will not listen” I will leave the door open, when you finish call me I will be in your room when you finish call me Your privacy is important but for your safety I must stay with you. 118. While washing your hands how long do you have to make friction? One minute 30 seconds 15 seconds 10 seconds 119. You see a resident hit a nursing assistant and the nursing assistant slaps the resident. What will you do? Do nothing Tell the nursing assistant it’s not good to slap the resident. Tell the other nursing assistants what happened. Report the fact to the charge nurse. 120. While assisting a resident he bites you, what will you do? Bite the resident lightly to show him it is not good to bite people. Tell the resident it against the law to bite people. Report it to the charge nurse. Do nothing. 121. A resident is raising his fist like he is going to hit the nurse assistant. What does the nurse assistant do first? Report it to the charge nurse Back away from the resident Talk to the resident loudly to show authority Look at the resident to make him understand he cannot hit you 122. You are taking a resident’s vital signs and you find T: 98.0; P: 98; R: 20 and BP 123/82. What vital sign you are going to report as abnormal? Temperature Blood pressure Pulse respiration 123. A resident is able to stand on his feet, while transferring this resident what should you put on his feet for his safety? Cotton socks Sneakers Elastic stocking Sandals 124. When you enter a resident’s room, you see he is having a seizure, the seizure stops while you approach the bed. What should be your first action? Let the resident rest Padding the side rails Turn the patient on her side Provide CPR 125. A resident is dying, his family come to visit him, what should you do? Offer your sympathy Ask for the funeral arrangement Assure the resident and the room are clean and neat and provide privacy Ask for church service arrangement 126. A resident is recently hiding food in his closet, when you ask the resident while he is hiding food, he tells you it’s for the little people who live there. What is your first action? Report it to the nurse Say nothing Tell the resident it’s against the facility rules to hide food. Tell the resident it will create bad odor in the closet. 127. A nursing assistant has to wear personal protective equipment (PPE). What should the NA put first? Gloves Gown Mask Goggles 128. While providing care, a nurse assistant has to wear gloves when washing: The resident’s face The resident’s chest The resident’s catheter The resident’s legs 129. A nursing assistant finds a male resident in bed with a female resident who is Confused, what should the NA do? Report it to the charge nurse Provide privacy Apologize and leave the room Tell them it’s against the facility’s rules 130. A nurse assistant answers the phone and the person says that he was informed that his neighbor has been in the facility and would like to know about him. What should the NA answer? I am sorry, but you have to see the charge nurse. You need to set appointment with personal I cannot give out information about a patient Call patient’s family 131. A resident has a memory loss. He wants to talk to you about his marriage ceremony done 50 years ago. What is true about that memory loss? Because of this memory loss, he cannot remember his marriage. A resident can have memory loss for recent events. The resident needs a medication. It would be more truthful to believe that the residents able to talk about. 132. A resident is on oxygen via nasal cannula and you are about to take his temperature. What do you do? Take his temperature rectally and leave the oxygen on. Take his temperature orally. Take the temperature rectally and turn off the oxygen. Take oral temperature and turn off the oxygen. 133. You are giving a bed bath, what part of the body do you wash last? Legs Rectal area Feet Face 134. Your are giving water to a resident and the nurse in charge asks you to take the resident’s temperature. What do you do? Give the water and take the temperature later. Stop giving the water at once then take the temperature first. Ignore the nurse’s request. Take the temperature only. 135. An Alzheimer resident becomes incontinent. What is your best approach? toward him? Ask him to go to the bathroom often. Put a diaper on the resident at all times Do perineal care as necessary. Set up toileting schedule. 136. You are giving a tub-bath to a resident and you forget his undershirt. What do you do? Leave the resident and go back to the room to pick it up. Continue the bath and dress him without the undershirt on in his room. Bathe the resident, dress him without it, and then put the undershirt on his room. Get him out of the tub, get the undershirt, and then continue the bath later. 137. You find a resident smoking in his own room. What should the home health aide do? Ask the resident to throw away the cigarette Remind him about the policy of the facility that does not allow residents to smoke in rooms. Take the resident to the smoking area. Let him smoke in the room and remind him not to do it next time. 138. You are measuring a resident in bed. What is the best way to do it? Say to the nurse in charge, “It is too difficult to do it in bed.” Get the resident up, and do it on a standing scale. Position the resident into a supine position and measure from head to heel. Measure from his head to his buttocks. 139. A resident is crying because he does not like the nursing home. What should the home do? Tell him the nursing home is a homelike Tell him “It seems that you are upset about the nursing home.” Tell him, “Stop crying, you are upsetting others.” Tell him, “Don’t worry. Everything will be all right.” 140. A diabetic resident has a leg cast. As a home health aide, what type of observations are you going to report to the nurse in charge? The resident asks you to put his legs on a pillow. The resident says his leg is itching. The resident complains, “I don’t like the cast.” The resident says, “My toes are hot to touch and numb.” 141. A mentally retarded resident is on your assignment. As a home health aide, how are you going to care about him? Do everything for him. Tell the resident, “You need to learn to live on your own.” Work at the resident’s pace. Remember as mentally impaired resident, he can’t do ADL. 142. A resident is eating in the dining room and having seizure disorder. Which isyour best approach? Remove food from his mouth. Bring the resident to his room. Lay the resident on the floor onto his side. Put the resident in a chair. 143. A resident wants to go home, but the family does not want him to and asks you to restrain the resident. What are you going to do? Restrain the resident as requested. Choose a soft wrist restraint. Send them to the charge nurse. Force them to take the resident home. 144. Which body part is at risk for decubitus? Thighs Face Elbows and heels Nose 145. When you are offering the bedpan to a resident. What should the home health aide do first? Lower the head of the bed. Make sure the bedpan is clean or empty Give her a washcloth towel to wash her hands first. Put some paper on the side of the bed. 146. A resident is recovering from a stroke. The only thing he can say is, “My, my, my……” What is your best approach? Say to the resident, “Don’t try to talk.” Say to the resident, “Can you try to talk better?” Report it to the charge nurse. Suggest the resident should see a physician. 147. You are working at night and a resident wakes up at 4:00 a.m. and asks you for coffee. What are you going to say to that resident? “The coffee is for nurse.” “Wait a few hours and you will get your coffee on your tray.” “Fill a cup of coffee and give it to the resident.” “Urge the resident to go back to sleep, it is not time for coffee.” 148. An oral temperature should not be used if the resident: Has dentures Has eaten in the pad hour Is in a mouth breather All of the above 149. The pulse felt at the wrist is the: Carotid Brachial Apical Radial 150. The most basic human need is: Food Oxygen Water Elimination 151. When giving an enema you should insert the tube in the rectum. 1 inch 2 to 3 inches 3 ½ to 5 inches 6 to 7 inches 152. A diabetic patient asks the nursing assistant for a piece of cake. What should the NA do? Tell the patient you will get a piece of cake later. You are not permitted to have cake. Give the patient a piece of cake. You tell the patient you have to ask the nurse in charge. 153. Which organ provide with a protective covering? Skin Hair Nails Heart 154. You should wear gloves for contact with: Arm Perspiration (fluid excreted by sweat glands) Hair Saliva 155. When should you wash your hands? Before applying gloves After remove gloves After touching All of the above 156. Microorganisms are also called: Toxic Pathogens Infections Aseptics 157. The universal sign for choking is: Coughing Making sound Clogging of the throat Shouting 158. Resident in supine position is lying on the: Side Abdomen Back Side with pillows supporting the spine 159. Resident is in the prone position if she is lying on the: Abdomen Side Back Back with knees bend 160. Which one of these diseases supposes to eat on time? Alzheimer’s Parkinson Diabetes Mental 161. Giving a shower to a resident and you forget to take the underwear. What you should do? Make sure he is safe in the bathroom and leave him. Continue to wash him and take care of the underwear when you take him back in the room. Go in the room for the underwear Let the resident look for him own underwear. 162. One of the most causes of accident is: Falls Smoking Choking All of the above 163. In case fire, what should you do first? Call fire department Remove resident in danger Use fire extinguisher Activate the fire alarm 164. Personal protective equipment includes: Gloves Gowns Masks All of the above 165. Infection is spread: In the air In droplets secretions By contact All of the above 166. A germ that causes a disease is the: Source Host (organism infected by parasite) Carrier Reservoir 167. Who is the NA supervisor? Licensed nurse Physician Administrator Therapist 168. Part of the uniform you will wear daily: Caps or hats Isolation gowns Sterile gloves A name tag 169. The responsibilities of NA are listed in a: Job description Policy manual Procedure manual Resume 170. When caring for a resident who is dying you should: Keep the room dark. Continue caring, touching and talking to the resident. Leave the resident alone. Stay far from the resident. 171. Which of the following is the last sense to be lost? Vision Hearing Smell Taste 172. What is the first step in the grieving process? Anger Denial Depression Acceptance 173. Which one is example of abuse? Restraining the resident Place the resident in isolation because he makes loud noise Leaving the resident in a wet bed Leaving the resident in a wheelchair in wet clothes. 174. You release the resident every two hours, for what purpose. To eat snack To position the resident To apply the restraint tightly To apply lotion 175. Which of the following can the resident falls? A new rubber of a cane New skid shoes Partial side rail Loose clothing 176. A resident’s daughter says that she wants to help. What is your best response as a house aide? Just be nice, but make sure you have to tell me, what to do for her. I think your mother will be glad. Would you like to tell me what you want to do? Ask the charge nurse. 177. A resident’s 80 years old sister died, the resident is grieving about the death.What should you do as a nurse? Say to resident its okay. Listen; let her talk about her sister. Everyone has to die. Ignore resident grievance. 178. When you transfer a resident, why is it important to explain the procedure? Just to be polite To make him cooperative To avoid mistake To avoid complaint 179. To avoid breakage of the denture. How should you clean the resident’s denture? In a cup filled with hot water In a sink filled with water With a towel paper In a basin filled with warm water 180. When giving mouth care and denture care to a resident, which of the following is the most important? Let brush the denture and then let the resident rinse his mouth. Provide privacy because people don’t want to see him without denture. Let the patient participate in his own care. Place the denture cup on bedside table. 181. What is the most important universal precaution to prevent microorganism? Wash hands effectively. Wear sterile gloves while in contact with blood and body fluid. Wear mask Use alcohol 182. A resident has just gotten a left hip surgery. Where will you stand when walking with the resident? Right side Left side Before the resident After the resident 183. A resident’s neighbor saw you in a supermarket, ask you to tell him about patient’s condition. He is fine What kind information do you want to know? His days will seem so hard. I cannot discuss the resident condition. 184. The radial site of the pulse is located at: In the neck In the chest In the thumb site of the wrist In the thigh 185. What is the most important reason for taking the pulse? To measure the heart rate To control the kidney To control the blood pressure To control the lung 186. While a stuff member passed by the dining room, a resident says he wants to go the bathroom. Make sure someone takes him to the bathroom Ignore the resident Say to wait for someone else It is not my job 187. When feeding a resident, the head of the bed is flat. What is possible to be happened? Stroke Aspiration Heimlich maneuver or abdominal trust CPR 188. What does means the word over bed table? Clean area A place setting items like urinal, emesis, basin Locked when in use Put in a save place 189. While bathing a resident, he says that he has difficulty from breathing, whenI check, I see he breathes faster than, as a nurse aide what should you do? Stay with him and call the nurse. Do CPR Set up oxygen Elevate the head of the resident, tilt the chin back and open the airway. 190. A nurse aide observes a redness in the resident shoulder after bathing, as a nurse aide, what should you do? Lower the head of the bed Provide a pillow on his shoulder Change the resident position Rise the heat of the bed 191. A nurse aide, when caring for a resident, yelled and scolded (speak harshly) to the resident. What kind of abuse is the following? Psychology abuse Mental abuse Verbal abuse Physical abuse 192. A nurse aide supposed to bathe a resident, the resident complained because he never bathed in the evening. What is your best response as nurse aide? In spite of all, bathe the resident (in spite= act maliciously toward somebody) Do no bathe the resident Report the complain to the charge nurse and add it to his care plan. Bathe the resident in early part of the day 193. A resident attempts to hit another resident with a cane. What is your approach as a nurse aide? Do nothing Move one resident to another room Take the cane from the resident Report the incident to charge nurse 194. A resident is confined (keep in some place) long term in bed, what is it most likely to happen? Diarrhea Constipation Hand contracture (muscle tightening) Enema 195. What do you do first like priority? A charge nurse requested you to take the resident temperature. A resident whose bathroom’s call light blinking. Serve a cup of coffee. Serve a cup of water. 196. A resident is in a clear liquid diet; his family offers a pizza for the resident. Let the resident smell the cheese in the pizza. I do not receive food outside the nursing home. Discuss the family request to the charge nurse. Let the resident eat pizza. 197. A resident who is confused hugs another resident and wants to kiss him.What should you do as a nurse aide? Leave them alone. I am busy. Allow the behavior since both agreed. Separate them and tell charge nurse. 198. A resident is dying, how long should you do postmortem care? After rigorism (adoption of strict mortality) Before family visit While taking off catheter In the mortuary room 199. A resident has just fallen on the floor but he is conscious. When you ask him what happened, he said that his feet passed under his legs. As answering what should you do before moving the resident? Ask him if hurts Move the resident and observe his legs Stay and call for help Perform PCR 200. You to dress a resident what should do as a nurse aide? Dress the resident with the color Elevate the head of the bed Allow the resident the more possible dresses Dress the resident with any color 201. A resident used to do his own activity (ADL), the doctor suggests that he is dehydrated. What should you do? Offer fluid daily Keep a pitcher of water close to his bed Offer food Give medication 202. A resident’s daughter said that her mother’s blouse is dirty with sauce. What is your best response as a nurse aide? Clean the blouse with a paper towel Change the blouse immediately I’ll do it later, I’m busy Ask daughter to change the blouse 203. A patient is restraining; shout and cry: release me. What should you do first as a nurse aide? Stay with the patient call for help. Look at if the restraint is improperly tightened. Ignore the patient Tell the patient to wait 204. The nursing home is in flame, what is the next step you should do after moving the patient? Use fire extinguisher Call paramedic Pull alarm Open window 205. What should you put in the setting at the bottom of the shelf or in the drawer close to the bed? Hair brush Lotion Emesis basin Urinal 206. The edge of the bottom sheet is dirty. What should you do as a nurse aide to remove the linen? Let the resident sit down in a chair. Change the linen while resident is in bed. Explain to resident the linen will be changed later. The color of the linen does not match. 207. A resident said that some friend in the nursing home move in another state. What is your best response as a nurse aide? Sorry, you will never see them. Talk to me about your friend. Why don’t you move? What other state did your friend move? 208. A resident is incontinent and ask you to take him to bathroom, what should you do as a nurse aide? Help the resident to put a diaper Take him to the bathroom Use a schedule date for the resident Call the charge nurse 209. How should you put your hand to perform Heimlich maneuver? At the neck At the bottom of the breastbone and between the belly button. On the top of the breastbone In the chest 210. When using crutches, the resident’s weight must rest on the armpit knees hand rests shoulders 211. The Hoyer lift is used to prevent injuries to health care workers move resident who are very heavy or weak move a resident when only one worker is free all of the above 212. Teaching a resident to use a wheelchair includes showing him how to use the footrests use the brakes turn corners all of the above 213. When assistant a blind resident to eat, you should set the plate up as a clock face human face pyramid calculator 214. A resident with a paralyzed left arm may be able to feed herself if she uses a plate guard built-up spoon zipper pull all of the above 215. Special devices that residents use to dress themselves include Velcro closings An extended shoe horn A zipper pull All of the above 216. Because of lack of exercise, bedridden resident often develop. decubitus ulcers foot drop contractures and muscle atrophy all of the above 217. Which of the following statements about range of motion exercises is NOT true? active range of motion means the resident does the exercises passive range of motion means the nursing assistant does the exercises actives range of motion means the nursing assistant does the exercise active range of motion is best for the resident, when possible 218. When you perform passive range of motion exercise for a resident, you should do all the following EXCEPT use good body mechanics move the joint until the resident feels pain keep the body covered except for the joint being exercise make the resident perform as much of the exercise he can 219. Body mechanic means a. the way the body parts are aligned with each other b. always using a transfer belt c. using the body in a safe efficient manner d. all of the above 220. Using good body mechanics to lift an object of the floor means that you would bend down from your waist bend your knees and squat kneel down to get the broadest base and lift up use a Hoyer lift 221. To change your direction, you should turn your whole body by moving your feet twist from the waist move your body in sections move very slowly 222. The major moves in range of motion exercises include adduction and adduction flexion and extension rotation, supination and pronation all of the above 223. Correct range of motion for the neck includes flexion and extension, hypertension, rotation adduction, adduction, flexion, extension rotation, adduction, adduction, extension pronation, supination, flexion 224. If a patient is in traction, you should NOT monitor affect skin temperature give a complete bedbath change the position of the wrist monitor distal pulses 225. Passive range of motion exercises are best performed if the resident is in supine position, with a bath blanket covering him prone position, with a sheet and spread over him prone position, with a bath blanket over him supine position, with a sheet and spread 226. Using your longest and strongest muscles to lift means you should use your arm muscles first back muscles first leg muscles first neck muscles first 227. When carrying a heavy box you should hold it above your head below your knees on your shoulder close to your body 228. Good alignment or posture is important when the resident or nursing assistant is: lying down sitting up standing all of the above 229. When turning or positioning a resident in bed, use the method that is quick and easiest for you the resident prefers used good body mechanics you must prefer 230. To help a resident sit up in bed, you should remember to keep your feet close together lock hands with the resident have the resident put his arms around your neck lock arms with the resident 231. To help the resident move to the head of the bed you should raise the head of the bed ask him to grab the head of the bed and pull lower the bed and let him slide down quickly grab his shoulder and pull him up 232. To turn the resident toward you, you should cross his far leg over the leg nearest you cross his near arm over his chest bend his far arm at the elbow grab his shoulders and pull him toward you 233. When you are moving the resident toward up in bed, the pillow goes on the chair, out of the way at the foot of the bed, out of the way at the head of the bed, to protect her head anywhere she wants it 234. Before transferring the resident, you should first wash your hands and then explain what you are going to do requisition a Hoyer lift get if needed assist the resident to her feet 235. Dangling a resident’s legs over the side of the bed is done to make she is able to sit up first give her time to put on her shoes prevent decubitus ulcers prevent orthostatic hypotension 236. Walking with a resident is safest if done with transfer belt a wheelchair a few step behind him A Hoyer lift A nurse or doctor ready for emergencies 237. When you have a resident sit up and dangle her legs before getting up, you should watch for. sudden paleness excessive sweating increase respirations all of the above 238. Transferring a resident from the bed to a stretcher requires the bed be positioned at the highest level the lowest level waist height sitting position 239. When transferring a resident from the bed to a chair, you should always unlock the brakes on the chair first lock the brakes on the chair first use a Hoyer life put socks on the resident first 240. To help a resident into a wheelchair, you should position the chair at the side of the bed, facing the head of the bed at the foot of the bed at the head of the bed at the side of the bed, facing the foot of the bed 241. Before any transfer, you should have the nurse’s approval know the proper procedure use a transfer belt if needed all of the above 242. To transfer a resident correctly from the bed to a stretcher, you must use good body mechanics use a Hoyer lift have a help raise the bed 243. Which statement about bladder retraining programs is correct? they should be complete within two weeks they should include the entire health care team they should involved withholding all fluids they should be planned for all residents 244. During the bowel and bladder retraining period, the nursing should offer water frequently see that the resident eats a well-balanced diet encourage the resident to remain active all of the above 245. Requirements for NA certification are: county regulations state regulations federal regulations state and federal regulations 246. Who is the NA supervisor? care team OBRA Resident Licensed nurse 247. Who develops the resident’s plan of care? a. doctor b. care team c. NA d. resident 248. What is the care team’s goal? a. to share confidential information b. to inform the NA what the care team has decided c. to provide physical and emotional support for the resident d. to force the resident to comply with the rules 249. Who is likely to spend the most time with a resident? a. NA b. director of nursing c. therapist d. doctor 250. Decubitus ulcers are also called a. pressure sores b. skin ulcers c. pressure ulcer d. all of the above 251. Placing a resident in good alignment means you should a. keep his joints oiled b. keep him as straight as possible c. keep him sitting up during the day d. make sure he strands at least five hours per day 252. Which of the following helps prevent decubitus ulcers? a. bedrest b. liquid diet c. backrubs d. support hose 253. Signs of possible skin problems include a. rashes b. blisters c. redness d. all of the above 254. If a resident complains of a burning, tingling skin area, you should first a. rub the area well with lotion b. report the complaint to the licensed c. keep an eye on the area for a few days d. use cornstarch or the area 255. All of the following are true about charting in the medical record excep: a. charting must be accurate b. charting be clear written c. no signature is required on any charting d. the information on the medical record is confidential 256. Medical terms and abbreviations are used in the health care setting to: a. encourage staff to learn new words. b. discourage residents understand medical findings c. keep information in code in case it is overheard by visitors. d. assist in making staff communication clear and concise 257. What does BP at HS means? a. take blood pressure at bedtime b. give the resident the bedpan at his side. c. take blood pressure at the resident’s side d. give the resident the bedpan at hour of sleep 258. The abbreviation for three times a day is a. 3xid b. t.i.d. c. 3 i.d d. t.o.d 259. When communicating with a resident in a wheelchair, you should avoid using the word : see run walk none of the above 260. When caring for residents with vision or hearing loss, you should: a. be as quiet as possible when you are in the room so the resident is disturbed. b. make as much noise as possible when you are in the room so the resident knows what you are doing c. announce yourself by name and little when entering the room d. none of the above 261. When caring for a person who is mentally retarded, you should: a. treat the resident with courtesy and respect b. not explain procedure c. never smile, because this is upsetting to the resident d. all of the above 262. To find out the resident’s type of isolation, the nurse aide should ask the: resident resident’s physician nurse in charge housekeeping department 263. The nurse in charge asks the nurse aide to encourage Mr. N to bathe himself. The nurse aide should: put supplies beside the bathtub and leave Mr. N’s room ask Mr. N’s roommate to keep an eye on Mr. N while he is in the bathtub give Mr. N his bathing supplies and stay with him to assist as necessary help Mr. N. into the bathtub and leave Mr. N’s room 264. When caring for a resident who is dying, the nurse aide Must: not allow more than one visitor in the room at a time keep the room dark at all times watch the resident and report any changes in his condition wear gloves, mask, and shoes covers when giving personal care 265. Which of the following things should the nurse aide show FIRST to a resident who has just been admitted to the facility? how to adjust the bed how to use the call light how to adjust the room temperature where the bath supplies are kept 266. The nurse aide finds a resident running around the bed and screaming loudly. The FIRST thing that the nurse should do is: call the police administered thorazine call the nurse in charge contact the resident’s family 267. While brushing resident teeth, the nurse aide sees that the resident’s gums are swollen and cracked. What should the nurse aide do FIRST? rub the toothbrush lightly over the gums report the observation to the nurse in charge apply an antiseptic to the gums check the roommate’s gums to see if they are in the same condition 268. To keep a bedbound resident from getting a decubitis ulcer, the nurse aide should: a. keep the head of the bed raised b. tuck the sheets tightly around the resident’s legs c. change the resident’s position in bed often d. force the resident to drink a lot of fluids 269. A resident with diabetes needs to have his toenails cut. What should the nurse aide do? cut the resident’s toenails tell the nurse in charge ask the resident’s family to cut his nails make appointment for the resident to see a podiatrist 270. When caring for a resident’s hair, what should before combing hair is very tangled? wet the tangled hair with alcohol before combing cut out of the tangled comb one small section of hair at a time call the nurse in charge 271. When given a backrub to a resident, the nurse aide should: a. not touch bony areas of the back with a circular motion b. rub bony areas of the back with a circular motion c. apply alcohol directly to the resident’s back d. remove all sheets and blankets from the bed 272. A resident has a memory loss. He wants to talk to you about his marriage ceremony done 50 years ago. What is true about the memory loss? a. because of this memory loss, he cannot remember his marriage b. a resident can have memory loss for recent events c. the resident needs a medication d. it would be more truthful to believe that the residents able to talk about 273. A resident is on oxygen via nasal cannula and you are about to take his temperature. What do you do? a. take his temperature rectally and leave the oxygen on. b. take his temperature orally c. take ht temperature rectally and turn off the oxygen d. take oral temperature and turn off the oxygen 274. You are measuring a resident in bed. What is the best way to do it? a. say it to the nurse in charge, “it is too difficult to do it in bed.” b. get the resident up, and do it on a standing scale c. position the resident into a supine position and measure from head to heel d. measure from his head to his buttocks 275. A resident is crying because he does not like the nurse home. What should the home health care do? tell him the nursing home is a home like tell him “it seems like that you are upset about the nursing home tell him “stop crying, you are upsetting others.’ tell him “don’t worry everything will be a right.” 276. A diabetic resident has a leg cast. Has a home health aide, what type of observations are you going to report to the nurse in charge? a. the resident asks you to put his legs on a pillow b. the resident says his leg is itching. c. The resident complains “I don’t like the cast.” d. The resident complains, “my toes are hot to touch and numb.” 277. A mentally retarded resident is on your assignment. As a home health aide, how are you going to care about him? a. do everything for him b. tell the resident, “you need to learn to live on your own.” c. work at the resident space d. remember as mentally impaired resident, he can’t do ADL 278. A resident is eating in the dining room and having seizure disorder. Which is your best approach? a. remove food from his mouth b. bring the resident to his room c. lay the resident on the floor onto his side d. put the resident in a chair 279. When you are offering the bedpan to a resident. What should the home health aide do first? a. lower the head of the bed b. make sure the bedpan is clean or empty c. give her a washcloth towel to wash her hands first d. put some paper on the side of the bed 280. A resident is recovering from a stroke. The only thing he can say is, “My, my, my…” what is your best approach say to the resident “Don’t try to talk” say to the resident, “ Can you try to talk better?” report it to the charge nurse suggest the resident should see a physician 281. What is true about exercising a resident (Range of Motion?) a. always stop doing it when the resident is complaining of pain b. can be done at bedtime only c. if resident complains of pain, continue the exercise d. can be done with personal care only 283. As a new home health aide assigned to a team, another home health aide tells you that your assignment is not a good one. What do you do? a. do what the home health tells you b. ask another home health what to do. c. Ask the resident what to do d. Double check with the nurse in charge 284. As a home health aide, you have been asked to ambulate a resident but the resident wants to do itself. What is the best approach with that? a. ask him to start walking without help b. tell him, “let me walk with you, just in case.” c. Tell him, “you cannot do that by yourself.” d. Hold him by his arms while walking. 285. A resident on a self-care program. What does that mean? a. help the resident with his daily care b. he is independent with his daily care c. he can work with the staff as a home health aide d. he is dependent with his daily care 286. When a nurse assistant is administering a hot soak to a resident’s body part, the body part should remain in the soak for: 3-5 minutes 8-10 minutes 15-20 minutes 30-40 minutes 287. Active range of motion exercises are prescribed to prevent: a. loss of joint motion b. arthritis. c. circulation d. skin breakdown 288. When a nurse assistant is administering a sitz (bathtub shaped like a chair) bath to a resident, it is extremely important that the nurse assistant closely monitors the resident for signs of: a. frustration b. excitability c. faintness d. aggressiveness 289. The nurse assistant has been instructed to provide active range of motion exercises to a resident. The range of motion exercises calls for repeated pronation and supination 5 to 6 times for each arm. The nurse assistant should instruct the resident to: a. bend the arm so that the same-side shoulder is touched and hold the position for 30 seconds. b. move the straightened arm up away from the side of the resident’s body and the back down to the side. c. move the arm in front of the body and then move the arm to the back of the body. d. hold the arm straight and turn the hand so the palm is down, then turn the hand so the palm is up. 290. When a nurse assistant provides a backrub to a resident, kneading (massage muscles) refers to: a. the tapping of the nurse assistant’s fingers up and down on the resident’s skin. b. the use of circular motion with the palm of the nurse assistant’s hand on the resident’s skin. c. lightly striking the resident’s skin with the sides of the nurse assistant’s hand. d. gently grasping the resident’s skin between the thumb and fingers of the nurse assistant’s hand. 291. When a nurse assistant applies a worm compress to a resident’s body part, the compress is covered with plastic and wrapped in a towel to keep the: a. compress moist b. compress worm c. resident from getting wet d. compress from transferring heat to the body part. 292. What can a nurse assistant do to better identify with and understand a resident’s feelings? a. bring the resident small inexpensive gifts b. share personal problems with the resident c. recognize and respect resident’s cultural and religious beliefs d. identify and share the resident’s like and dislikes 293. Which of the following would be a way for a nurse assistant to help a resident to exercise his/her right to be informed and involved? a. encourage the resident to rest as much as possible to conserve energy b. encourage the resident to watch television and listen to the radio c. provide the resident with science fiction navels d. share intimate details about other residents and staff members 294. An acceptable diversional activity for a nurse assistant to suggest for a resident in a long-term care facility would be: a. participating in scheduled recreational activities b. walking around the facility discussing his/her personal problems c. discussing other residents personal problems d. following the nurse assistant while he/she does rounds 295. When a nurse assistant is working with a resident on maintaining his/her thinking abilities typically the orientation program begins each morning by: a. reading a magazine to the resident b. telling the dated and time to the resident c. asking the resident long, details question d. explaining the entire days planned activities 296. When applying a cold compress to a resident’s body part for 20 minutes, how often must the nurse assistant check the area of the resident’s skin that is in direct contact with the cold compress? a. every minute b. every five minutes c. every ten minutes d. every fifteen minutes 297. If resident indicates to the nurse assistant that they wish to speak with a ministry, the nurse assistant should: a. tell the resident that the request will be given to the supervisor immediately b. make a mental note of the request to be given to the supervisor later c. tell the resident that the minister has left for the day but will be back tomorrow d. make a quick call to a local minister and request that they come immediately. 298. Which of the following emergency treatments could be utilized by a nurse assistant to help bring down a high fever in a resident? a. provide an Epsom salt enema b. submerge the entire resident’s body in an ice water bath c. give the resident aspirin at a rate 10 grams per pound of body weight d. sponge the resident’s skin with cool water, allowing the water to evaporate 299. When a nurse assistant is working with a resident to maintain his/her thinking abilities, the nurse assistant will typically begin reality orientation program every morning by a. asking the resident what day and time it is. b. reading the morning news paper c. asking complete question about the resident’s entire activity plan to the resident d. reading the resident the entire activity plan to the resident 300. When a nurse assistant is cleaning a resident’s glasses that have plastic lenses, the nurse assistant must dry plastic lens using a a. hand/hand towel b. brown paper towel c. facial tissue d. soft cloth 301. When a nurse assistant is assigned to care for a resident returning from cataract surgery, the nurse assistant should follow the same basic procedures that would be used for a: a. hearing impaired resident b. nonverbal/ mute resident c. non-ambulatory resident d. visually impair/ blind resident 302. A nurse assistant has been assigned to assist an incontinent resident with bladder training during the bladder training period the nurse assistant should b. restrict the resident activities c. encourage the resident to remain close to a bathroom at all times d. offer fluids frequently and that the resident get a well balanced diet 303. Mrs. Brant’s sister has come to tell her that her favorite aunt has passed away what should the nurse assistant do prior to the sister giving Mrs. Brant the news? a. offer Mrs. Brant his/her condolences on the loss of her aunt. b. inform Mrs. Brant that her sister is bringing bad news when she visits c. remain in Mrs. Brant’s room while Mrs. Brant’s sister delivers the bad news. d. close to Mrs. Brant’s room and ensure that Mrs. Brant and her sister are not interrupted during their grieving 304. When a nurse assistant is providing care to a terminally ill resident who is in the acceptance stage of the 5 stages of dying, the resident is most likely to a. be calm and peaceful b. deny the he/ she is dying c. make the nurse assistant a target of anger d. discus people and things that will be left behind 305. When assisting a resident with flossing his/her teeth and the nurse assistant is holding the floss between his/her index fingers, the nurse assistant is preparing to floss the resident‘s a. gums. b. lower teeth c. upper teeth d. denture 306. When a nursing assistant is ordered to transport a resident by stretcher, the nurse assistant must a. restrain the resident b. place the resident in the SIMS position c. not leave the resident unattended d. not leave the resident alone for more than five minutes 307. When preparing to give a resident a back massages what should the nurse assistant do before applying a non-medicated lotion to the resident’s skin? a. inspect the area of skin to be massaged for signs of skin breakdown. b. check that the lotion to be used for the massage is cool to the touch c. wipe the area of skin to be massaged with a warm soap cloth d. vigorously rub the area of the skin to massages with bare hands to warm the skin e. 308. What position has the nurse assistant put the resident when he/she is placed in a side-lying position with a pillow under the head and shoulder and a pillow supporting the upper leg and thigh? a. prone b. fowler c. supine d. lateral 309. Amy is taking care of a patient hospitalized with major burns. What should the nurse assistant do? a. give sympathy b. avoid discussions about the patient’s feelings c. provide reassurance d. avoid direct eye contact when talking to the resident 310. While taking a resident’s blood pressure, the nurse assistant notices an insect in the room. The nurse assistant must a. ignore the pest since it was small b. stop taking the blood pressure and go report the pest c. attempt to catch the pest d. complete the procedure and then report the pest 311. Tracy, a nurse aide, is trying to collect information from a resident who is receiving oxygen therapy. What can Tracy do to aid the communication process? a. ask detailed question requiring verbal responses b. use only non-verbal communication c. ask the charge nurse to talk to the resident d. ask yes/no question 312. John is a nurse aide working the night shift at a long term care facility. John notices that the light over Mrs. Pasho’s door does not work when the call button is pushed John should: a. ignore the problem since Mr. Pasho never uses the call putting b. report the situation and provide an alternative call method c. wait for the nurse to observe and address the problem d. ask Mr. Pasho to report the problem to the next shift 313. In general, how many glasses of water should a resident drink every day? a. one to two b. two to four c. four to six d. six to eight 314. When a nursing assistant is ordered to calculate and record the output for a resident on I&O the nurse assistant must a. not measure any fluids other than urine b. measure only the first urine elimination of the day c. record the amount of liquid eliminated and record the total on the record d. remember the amount and tell the resident 315. Mr. Woods is being admitted to a long term care facility. During the admission procedure the nurse assistant may be directed to a. provide the resident with prescribed medication b. measure the person vital signs c. identify medications the resident uses and dosage schedule d. explain resident rights to the person and family 316. When a resident has a schedule appointment or activity within the facility, the nurse assistant should? a. remind the resident to be on time b. ask another care team member to remind the resident c. verify the appointment time and take the resident to the appointment /activity d. arrange for a family member to come and take the resident to the appointment/activity 317. Mr. James is being discharged from a nursing home. The nurse assistant has been ordered to assist with the discharge procedure. The nurse assistant can start the discharge procedure: a. as soon as the resident is ready b. after the doctor has signed the discharge order c. when the family member arrives to pick up the resident d. as soon as the charge nurse instructs the nurse assistant to begin the procedure 318. Which of the following would not be care the nurse assistant would provide to a resident’s hearing aide? a. checking the batteries regularly b. cleaning with hot soapy water c. checking for wax buildup d. storing in proper container 319. Ms. Cole is being transferred to a new unit within the long-term care facility. During the transfer procedure, the nurse assistant must a. support and reassure the resident b. tell the resident that “It will be ok”. c. Avoid touching the resident as much as possible d. Insist that a family member be present during the transfer procedure 320. The primary purpose for a resident being in traction is to a. tighten up or shorten a muscle b. correct inflammation and joint c. immobilize broken bones while they heal d. prevent a decubitus ulcer from spread 321. Mr. Smith was admitted today to the long-term care facility and she informs the nurse aide that she has a very expensive fur coat. The most appropriate action for the nursing assistant would do? a. take the fur coat from the resident and lock it in the safe b. ask the resident to keep the fur coat hidden in her room c. label the fur coat with the resident’s name and place it in the resident’s closet d. encourage the resident to donate the fur coat to a charity because she will have nowhere to wear the coat now 322. When a nurse assistant has been assigned to wash a resident‘s hair, the nurse assistant should: a. use cool water b. open privacy curtains c. protect the resident eyes d. apply the shampoo and then use a comb to remove tangles 323. Mr. London is a patient with an infectious disease who is in a long term care facility. His grandchildren are visiting him at the facility. The nurse assistant should a. remain quit and let the visitors proceed uninterrupted b. instruct the family on the proper isolation technique c. refuse to let any visitors see Mr. London due to his serious illness d. ask Mr. London to visit with his grandchildren in the dining room so his room, stays sterile 324. Mr. Ford is a resident in a long term care facility who has dementia the nurse assistant has been instructed to find out what Mr. Ford wants to eat for lunch. When talking to him, the nurse assistant should a. speak loudly so they can be heard b. give Mr. Ford a lot of choices to keep him happy c. ask clear simple question while allowing Mr. Ford time to answer without interruption d. give inconsistent responses since Mr. Ford is already confused 325. A nurse assistant who is coming on duty at a long-term care facility feels he is too busy to attend the end-of-shift report. It is important that the nurse assistant attend the meeting because. a. there will be free food at the meeting b. important resident care information will be shared c. his absence will be note in his record d. the nurse assistants are allowed to talk freely about the residents 326. When a nursing assistant is helping a resident to get dressed, the nurse assistant should: a. encourage the resident to do as much as possible b. decide which clothing matches for the resident c. insist that the resident allows the nurse assistant to do all the work d. borrow another resident’s clothing if the resident is missing something 327. Mr. Phillips, a hospitalized deaf resident, is having trouble communicating what he wants to eat for lunch. The nurse assistant should: a. decide the menu for the resident b. have Mr. Philips write down what he want to eat c. warm every nearby that Mr. Phillips is in a bad mood d. skip Mr. Phillips and have the charge nurse decide 328. When should the nurse assistant trim the resident’s fingernails? a. during a.m. care b. before taking a shower c. before a tub bath d. after soaking the resident’s fingernails? 329. Mr. Winter’s is a resident who is always pleasant and likes to talk. After morning doctor visit, the nurse assistant enter Mr. Winters room give him a bath. Mr. Winters angrily tells the nurse assistant he wants to be left alone. The NA should? a. skip the bath and report Mr. Winter’s behavior change in the progress notes and to the charge nurse b. ask another nurse assistant to persuade Mr. Winters into taking a bath c. argue with Mr. Winter telling him he will stink if he does not bath d. tell Mr. Winters he is being child-like and must take a bath immediately 330. When a nurse assistant is instructed to place a resident into a supine position the nurse assistant would place the resident lying on his/her: a. abnormal b. back c. side d. side with pillow supporting the spine 331. Mr. Gray is a resident in an isolation unit with a contagious disease. He must stay in his room because of isolation precaution. He feels lonely and therefore he is very upset and rude. What should a nurse assistant do? a. sit and visit with Mr. Gray for as long as he wants to walk. b. limit interaction with the resident so as to limit exposure to the infection c. urge the resident to call family and friends while treating the resident with respect, kindness and dignity d. tell the charge nurse to give the resident some medicine to calm them down 332. When straightening a resident’s unit, the nurse assistant must always clean objects: a. toward the nurse assistant’s body b. vigorously with a dry cloth c. from cleanest to dirtiest area d. by shaking linen and equipment 333. Passive range of motion exercises are ordered for resident who: a. cannot exercise by themselves b. can move and exercise without assistance c. can get out of bed and walk by themselves d. exercise too frequently 334. While making evening rounds, the nurse assistant finds the Mr. Tee’s bed limens are soiled with blood feces. After remove the dirty linens from Mr. Tee’s bed, the nurse assistant must: a. place the soiled linens on the floor until they are collected by laundry personnel b. rinse the soiled linens in the resident’s bathroom basin and put the linens with the other laundry c. place the soiled linens in a leak-proof container for transport to laundry d. place the soiled linens directly into the uncovered linen hamper 335. Which area on the resident should the nurse assistant clean last when given a resident complete bed bath? a. perineal(genital) area b. pedal(legs, ankles, feet) area c. facial(eye, moth, nose) area d. abdominal(chest, stomach, back) area 336. Mrs. Green, an elderly resident in a long-term care facility, is complaining that she is cold in her room. The nurse assistant should a. offer Mrs. Green an sweater or blanket and report the request to adjust the room temperature. b. assure Mrs. Green that that the room is at the correct temperature c. increase the room temperature by 10 degrees d. provide Mrs. Green with hot beverage 337. While straightening Mr. Brown’s unit, the nurse assistant notices a crack in the water pitcher. The nurse assistant must: a. do nothing unless the pitcher is leaking b. get a new water pitcher and label it as Mr. Brown’s c. place a piece of tape over the crack to prevent leaks d. keep the water level in the pitcher below the crack to avoid leaks 338. When a nurse assistant uses a standing pivot transfer to assist a resident with a left side weakness from the bed to a wheelchair, the best place for the nurse assistant to stand is: a. directly behind the resident b. away from the resident c. in front and to the left side of the resident d. in front and to the right side of the resident 339. While preparing to provide a resident with a.m. care, the nurse assistant notices that the water in the resident’s bathroom gets extremely hot, the nurse assistant should: a. turn off the water supply to the resident’s room b. get the needed water from another resident’s room c. tell the resident to use only cold water d. report the water temperature problem according to facility policy 340. When a nurse assistant is instructed to provide oral hygiene to an unconscious resident, the nurse assistant should clean the oral cavity using a a. wash cloth b. soft toothbrush c. tongue blade d. sponge-tipped applicator 341. While making evening rounds, a nurse assistant sees smoke coming from under a closed door at a long-term care facility. The first thing that the nurse assistant should do is: a. open the door, if flames are visible, go get help b. open the door if inflames are visible use a fire extinguisher on the fire c. touch the door and if hot, do not open d. get out of the building as quickly as possible 342. Mrs. Ventera is a patient at a long term care facility who is on oxygen therapy. When entering Mrs. Ventera’s room to check vitals, the nurse assistant notices that the humidifier connected to the oxygen administration system is not bubbling, the NA must: a. immediately report to the charge nurse that the humidifier is not working b. remove the oxygen delivery device from the patient c. tighten the oxygen delivery device on the resident’s face d. turn off the oxygen delivery system but leave the mask on the patient 343. Mr. Dupres is a resident in a long term care facility with a decubitus ulcer the ulcer the nurse assistant taking care of Mr. Dupres for the first time notices that the skin on the wound is open and drainage is present. What should the nurse assistant do? a. gentle wash the wound area with soap and water b. apply a dry dressing to absorb the drainage. c. Immediately notify the charge nurse of the wound condition d. Apply some medicine to the area sterile bandage to the wound 344. A nurse assistant working in a long term care facility has been instructed to position a resident on strict bed rest to eat lunch. What position should the nurse assistant palce the resident’s bed? a. flat position b. fowler’s position c. semi-fowler’s position d. trendelenberg’s position 345. In a long term care facility, a restraint can only be used on a resident in an emergency to: a. protect the resident b. punish a combative resident c. make work easier for the nurse staff d. fulfill the request of the resident’s family member 346. What is the best way for a nurse assistant to verify a patient’s identity when distributing food trays? a. ask another resident to identify the resident b. check the resident I.D. bracelet information c. have resident wear name tags at all times d. verify the resident’s identity with the charge nurse 347. After receiving instructions to measure the weight of Mrs. Johnson, a small thin patient, the digital scale indicated she weighed 400 lbs. after checking the zeroing and re-weighing Mrs. Johnson, the scale reads her weight as 450 lbs. the NA should: a. record the weight as indicated by the digital scale reading b. tag the scale with “do not use” and report the scale to maintenance for service c. try to re-calibrate the scale and weigh Mrs. Johnson again d. add the two weights and report the average weight. 348. A nurse assistant in a long term care facility is preparing to provide indwelling catheter care to a male patient. Prior to beginning the procedure, the nurse assistant must a. assist the patient into the prone position b. don’t disposable gloves c. remove the catheter from the resident d. expose the perineal area 349. A nurse assistant is preparing to empty Mr. Johnson’s urinary drainage bag after putting on gloves, the nurse assistant must: a. raise the drainage bag above the level of the resident bladder b. open drainage port c. apply a clamp directly on the drainage bag tubing 350. Routine care tasks that the nurse assistant helps the resident perform before and after the resident eats breakfast is referred to as a. P.M care b. A.M care c. H.S care d. A.N care 351. Mrs. Kann is an unconscious resident in a nursing home. Her doctor has ordered bed rails for Mrs. Hann’s safety. The nurse assistant must keep the bedrails up a. at all times except when given bedside care b. only when the doctor is present c. at all time regardless of the care being given d. only when the resident is awake 352. While changing Mrs. Reed’s colostomy bag, the nurse assistant notices signs of the skin breakdown around the stoma. The nurse assistant must a. put petroleum jelly on the stoma and change the bag b. tell the nurse about the skin breakdown c. ignore the skin breakdown since this is normal d. instruct the patient to be more careful with their colostomy bag. 353. Mr. James has told the nurse assistant that he wishes to talk with a minister. The nurse assistant should: a. give the request promptly to the supervisor or charge nurse b. make not to the resident’s request in the resident’s chart c. explain to the resident that the minister will be informed the tome he/she visits d. immediately call the ministry and tell him/her to come and talk to Mr. James 354. The doctor has order a timed urine specimen be collected from Mr. Lewis a non-catheterized, independent patient in a long term care facility. The equipment the nurse assistant should use to collect the initial sample from the resident is a: a. paper cup b. catheter c. urine bag d. bedpan or urinal 355. While providing care for a resident, a visitor makes the nurse assistant angry the nurse assistant should: a. leave the resident room immediately b. glare at the visitor but say nothing c. stop what he/she is doing and verbally express his/her feeling to the visitor d. maintain composure, reply politely, and complete task 356. Mrs. Stuart is a resident with an illeostomy bag. The nurse assistant has been instructed to change Mrs. Stuart’s ostomy pouches. Why is it important that the nurse assistant wear gloves? a. to avoid skin irritation to the nurse assistant’s hands b. to avoid contact with potentially infectious body fluids c. to keep the nurse assistant from having to wash his/her hands often d. to avoid sensual contact with the resident’s skin 357. A nurse assistant has been asked to collect a clean-catch urine specimen from Mr. Jones, anon-catheterized patient with slight dementia who normally does not need help going to the bathroom. The nurse assistant should: a. give the container to Mr. Jones and tell him to provide a specimen b. assist Mr. Jones during the collection of the urine specimen c. give the container to Mr. Jones and explain to him how to collect the specimen d. fill the urine specimen container up to the mark as soon as Mr. Jones starts urinating 358. When a nurse assistant is preparing to give a resident a tub bath, the water in the bath should be: a. at least 115 degrees Fahrenheit b. no more than 80 degrees Fahrenheit c. cool to the resident’s touch d. appropriately 105 degrees Fahrenheit 359. Mr. Michaels has a respiratory disorder and his doctor has asked for a sputum specimen. Prior to collecting a sputum specimen from Mr. Michaels the nurse assistant may ask the resident to: a. rinse his moth out with clear water b. rinse his mouth out with mouth water c. expectorate into a sterile pad d. expectorate into a tissue 360. The nurse assistant has been assigned to transport two residents in wheelchair to the dining hall. The safest way for the nurse assistant to move the two residents in wheelchairs is to: a. push one wheelchair at the time b. push two wheelchair at the time c. push one wheelchair while pulling the other d. line the wheelchairs up side by side and push both wheelchairs at the same time 361. When collecting a stool specimen from a resident, the nurse assistant must take stool from a. the top layer of bowel movement b. the center of the bowel movement c. two different locations in the bowel movement d. four different locations in the applied to a resident’s 362. When preparing an ice bag to be applied to a resident’s body part, the nurse assistant should use crushed ice in the bag because the ice bag will be: a. faster to fill with ice b. warmer to the resident’s touch c. easier to mold to the body part d. frozen and reused again later 363. Sarah, a nurse assistant working in a long term care facility is asked to assist the charge nurse with post mortem care for Mr. Bright. The first information she needs from the charge nurse is: a. if the family wishes to view the body b. what the cause of death was c. the funeral arrangements d. the patient medical record 364. Mr. Ross has an indwelling catheter and the tubing has accidentally become disconnected. After putting on gloves, the nurse assistant should: a. immediately wipes ends with alcohol, reconnects the tubing and tells the nurse b. drain the tubing into a bedpan before reconnecting it, reconnect it, and then tell the nurse. c. reconnect the tubing and make sure the drainage bag is firmly attached to the bedrail d. reconnect the tubing and discard any used wipes into the patient’s garbage can 365. Abuse of a resident by a family member can be hard to prove because often times the resident may: a. not be able to afford a lawyer b. not recognize the activity as abusive c. be afraid that he/she will not get visitors d. wish to protect the family member from trouble 366. When a nurse assistant collects urine from a resident for a 24 hours urine specimen, it is important that the collected specimen is chilled to: a. prevent order b. prevent the growth of microbes c. avoid discoloration of urine d. facilitate sugar breakdown in the urine 367. When the nurse assistant addresses the resident, the name that the nurse assistant uses is determined by the: a. resident b. resident’s family member c. nurse assistant d. charge nurse or supervisor 368. When the nurse assistant applies petroleum jelly to an irritated area on a Resident’s skin, the petroleum is considered to be a (an): a. anti perspirant b. skin deodorant c. topical ointment d. medicated ointment 369. A therapeutic bath that a nurse assistant might provide to a resident be a: a. cool tub bath b. partial bath c. sponge bath d. whirlpool bath 370. Part of the uniform you will wear daily includes a. caps or hats b. isolation gowns c. sterile gloves d. name tag 371. What should you do if you are not certain of a task assigned to you? a. tell the nurse you are unsure of the task and ask for help b. ask another nursing assistant to do it c. forget about doing the task d. do the task anyway 372. Which of the following are members in the interdisciplinary team and the long-term facility? a. nursing staff b. dietary personnel c. social workers d. all of the above 373. A written plan listing strengths, needs, goals, interventions and who is responsible for assistant with specific task in the care of the resident the a. assigned sheet b. care plan c. job description d. team report 374. Which of the following statements is true regarding the normal aging process? a. all body systems slow down with aging b. all elderly residents at the same rate c. The nervous system is the only system that is visible affected by aging d. all of the above 375. Ethical behavior for the nursing assistant means to: a. Practice good body mechanics b. cooperate with others c. know what is right and what is wrong d. all of the above 376. Mrs. King has asked for pain medication. When you tell the nurse, she isvery busy. You should: a. offer to take the medication to Mrs. Kings. b. inform the nurse that Mrs. King is requesting pain medication. c. do nothing and tell the nurse later. d. Tell Mrs. King that the nurse is too busy to give her the medicine. 377. Calling the resident by the name she prefers is one way of meeting the need for: a. privacy b. love c. indentity d. spiritual growth 378. How can the nursing assistant help the resident meet her religious needs? a. by insisting that the resident attend all religious services in the facility b. by treating religious belongings with care and respect c. by calling your pastor to visit with the resident d. all of the above 379. A developmental task of late adulthood is: a. developing a career. b. establishing a family. c. making commitments in family life. d. accepting one’s mortality. 380. What is the first step in the grieving process? a. anger b. denial c. depression d. acceptance 381. When caring for a resident who is dying, you should: a. keep the room dark b. keep family members away from the dying resident c. continue caring for, touching, and talking to the resident d. never let the resident see family members who are crying. 382. Physical signs of approaching death include: a. decreasing responsiveness b. pale skin c. weak and rapid pulse d. all of the above 383. Which of the following is the last sense to be lost by the dying resident? a. vision b. hearing c. smell d. taste 384. What should you do when tidying a resident’s room? a. ask the resident before throwing anything away. b. remove all plants and flowers from the room. c. throw out any newspaper or old magazines d. clean the room without telling the resident. 385. Adaptive equipment is that which is: a. surgically attached to the resident’s body to replace a missing part. b. designed to help the resident be more independent. c. always used by the physician during an examination. d. used in emergencies only. 386. Restraints should: a. Always be used to prevent wanderers from leaving the facility. b. Be used to punish the resident for misbehaving. c. Not be used if other measures will keep the resident safe. d. Never be used. 387. Restraints: a. Restrict access to the resident’s body. b. May be used for a brief time to allow the nurse to perform a medical procedure. c. Restrict freedom of movement. d. All of the above. 388. You find a resident who has fallen on the floor; your first action is to: a. Call for help b. Find someone to help lift her c. Assist the resident to a nearby chair d. Assist the resident back to her room 389. Alzheimer’s disease is a degenerative disorder that produces a. Diabetes mellitus b. Dementia c. Durum d. Double vision 390. The first step in any procedure is to: a. Gather your supplies b. Wash your hands c. Explain what you will do d. Lower the side rail 391. Body temperature can be increase by: a. Dehydration b. Cold environments c. Medications d. Shock 392. The brachial pulse is found a. Inside the elbow b. On the top of the foot c. Inside the wrist d. Behind the knee 393. Your first action in case of a fire is to: a. Locate the fire b. Rescue the patient c. Call for help d. Pull the fire alarm e. 394. An example of an objective statement would be: a. “Mrs. Smith has a fever b. “Miss Goodman is not in a good mood?” c. “Mr. Smith’s temperature is 101.” d. “Mrs. Davis is tired” 395. If you discovers fire in a patient’s room the first thing to do after remove the patient is to? A. open the window B. pulls the fire alarm C. call the nurse D. use the fire extinguisher 396. A quick release key that use in the hospital is call a. grit bell b. hospital gown c. restraint d. prostheses 397. You touch a patient to give him comfort he push your hand and said don’t touch me. What do you think about the patient? a. may need to sleep b. the patient thing you abuse him like a child c. physical abuse d. the patient feel Uncomfortable when someone touch him/her 398. How can you best help a patient who is not accepting a loss? a. leaves the patient alone b. convince the patient to accept to accept the loss c. encourage the client to talk d. discourage individual activity 399. IF you have a patient in the restraint he cry and agitate he feels uncomfortable. You release the restraint every 2 hours to make him. A. sleep better B. feels comfortable C. change position D. to take rest 400. When you ambulate a patient, he tells you he feels a pain on his leg what is your first reaction? a. call for help b. report that to the nurse c. ignore that d. goes back to the room and elevates the leg 401. If a patient complaint about weakness and dizziness you know it may be a a. high blood pressure b. low blood pressure c. high blood sugar d. low blood sugar 402. If a patient tells you he has difficulty breathing you should: a. stays with the patient and call for help b. elevates the head of the bed and lifts the patient c. increase the flow of the oxygen d. perform CPR 403. if a patient tells you why you stole my picture in my album, what should you do? a. tell the patient no one stole your picture b. ask your co-worker why he do that c. ignore that d. takes the album and asks the patient show me your favorite picture 404. Which statement is correct for the nursing assistant who is caring for someone who is dying? a. Stick to a rigid schedule b. Avoid the resident as much as possible c. Ignore any special requests d. Allow the resident as many choices as possible 405. Vital signs are: a. Temperature, pulse, respiration and blood pressure b. Activities of daily living c. Range of motion exercises d. All of the above 406. If there are changes in a resident’s vital signs, the nursing assistant should: A. Tell the resident B. Report to the supervisor C. Explain to the family D. Alert the roommate 407. What is dehydration? a. Too little fluid in the body b. Too much fluid in the tissues c. Food that turns to liquid at room temperature d. Tubes for intravenous feedings 408. Breathing irregularities should be reported: a. within 24 hours b. At the end of the shift c. When the nursing assistant has time d. Immediately 409. An oral temperature of 101.6 degrees F is: a. Two degreed below average b. Average c. Two degrees above average d. Three degrees above average 410. To protect the denture without broken when you give a denture care you should? a. clean the denture inside the tub b. clean the denture in the sink full of water c. clean the denture in the patient mouth d. clean the denture in your hand 411. Which prevents hair from matting and tangling? a. bed rest b. daily shampooing c. daily bushing and combing d. cutting hair 412. Impairment, change of vision disability increase the risk of a. fall b. shock c. dementia d. confusion 413. A person with dementia could be a. temporary b. permanent c. short-term d. long-term 414. When you feed a patient you don’t raise the head of the bed. That can increase the risk of. a. stroke b. aspiration c. inspiration d. dementia 415. the best communication with a patient 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. writes out information 416. When providing denture care, the nurse aide must a. washes them with hot water b. holds them firmly under cool running water c. place a towel in the sink d. both b and c 417. Sexuality in long-term-care clients may include all of the following except a. needing private time with a partner b. caring about one’s physical appearance c. engaging in public fondling d. desiring sexual interaction 418. Mrs. Smith is scheduled for a partial bed bath. This means you must wash her a. face, neck, ears, arms, and hands b. face, underarms, hands, and buttocks c. face, hands, underarms, and legs d. face, hands, maxillae, buttocks, and genitals 419. A goal for an extended care facility (ECF) resident is that she not swears at the nurse or aides. When she calls you by your name, your appropriate action is to a. smile and give the appropriate reward b. continue whatever task that is being done c. teases the resident about not swearing d. tell all of the staff that she didn’t swear 420. An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to a. turn on the light b. speak quietly and calmly c. touch her shoulder d. shouts her name 421. If a client objects to certain food for religious or culture reasons, the appropriate action would be to a. tells him to wait for next meal. b. offer to substitute something different for him c. call the dietician the next day d. tell him he needs to eat what is on his tray 422. The client’s religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is t o A. encourage the client to eat it because she needs protein B. tell the client it is all right since her doctor ordered the diet C. call the kitchen for a tray without bacon D. tell the client that restriction are not as important as her health 423. Which type of communication can often be most powerful? a. written b. verbal c. silent d. tactile 424. Your patient refuses to let you bathe her. You tell her that if she doesn’t let you wash her, she will not get lunch and will not go to bingo. This is an example of a. discipline b. verbal abuse c. mental abuse d. physical abuse 425. Once entering a room, you notice that the client is not breathing. You first action should be to. a. call for help b. lay the client down on his back c. gives four quick breaths d. gives 8-10 abdominal thrusts 426. A client’s dentures are lost. The first action should be to a. notify the administrator b. look for them c. notify the doctor d. notify the charge nurse 427. As a nurse aide, it is your responsibility to a. plan the client’s care b. does the tasks the supervisor assigns to you c. does the best you can without asking for help d. compares assignments with your coworkers 428. A patient turns on the call light when he needs to urinate. The appropriate action is to a. ignore the light since he is not your client b. announce on the intercom that there are two patients ahead of him c. answers the call light and gets the urinal. d. answers the call light when you have the time. 429. Mrs. Jones is on CBR and in a prone position. You find her vomiting bright red blood. What should you do? a. clean up the vomit b. place her on her side c. place an emesis basin under her chin d. call the charge nurse 430. When performing catheter care, the nurse aide should wash the catheter a. toward the meatus b. with beta dine soap c. away from the meatus d. with alcohol 431. A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of a. slander b. battery c. false imprisonment d. negligence 432. H.S care is care that is given a. before meals b. before bedtime c. after meals d. upon awakening 433. The best food choices for a geriatric client with no teeth would include a. hamburger, French fries, corn, and ice cream. b. baked, chicken, dressing, green beans, and coconut macaroons. c. spare ribs, macaroni and cheese, coleslaw, and fruit cocktail. d. baked fish, whipped potatoes, spinach soufflé, and tapioca. 434. The family wants to talk about Mr. Dupree approaching death, but Mr. Dupree does not. The family should be encouraged to a. carries on the conversation away from Mr. Dupree. b. talk freely in the room regardless of Mr. Dupree’s whishes c. wait until Mr. Dupree dies d. tries to encourage Mr. Dupree to take par t in the conversation 435. When should postmortem care be performed? a. after the family views the body b. immediately after the doctor pronounces the patient dead c. when rigor mortis sets in d. after the body goes to the morgue 436. A walker may be used if the client can a. support some weight b. use her hands well c. balance without help d. walks independently 437. A can should be used on a. the affected (weak) side of the body b. the unaffected (strong) side of the body c. The side with the strongest arms d. the weak side on day, strong side next day 438. A nurse is collecting linens for a bed change and drops a sheet on the floor. What should the nurse aide do? a. ignore it and leave it on the floor b. place it back on the linen cart c. discards it in the soiled linen hamper d. use it anyway 439. When applying a cold treatment to a patient, it is important to observe the patient closely for signs of a. redness b. dizziness c. fainting d. cyanosis 440. The purpose of correctly positioning the client is to a. prevent skin breakdown b. maintain function of joints and muscles c. increase comfort d. all of the above 441. A surgical bed should be left in what position? a. fowler’s position b. lowest horizontal position c. semi-fowler’s position d. highest position 442. The preferred way to remove a bedpan from a client who is unable to lift her buttocks is to. A. use a mechanical lifting device B. has another nursing assistant lift the client C. turns the client to the other side while holding the pan D. slowly slide the pan from under the client 443. After shaving a patient with a safety razor, the nurse aide should 1. covers it before discarding 2. wraps it in a paper towel and drop it into the trash can 3. disposes of it in a sharps container 4. place it in the patient’s drawer for reuse 444. When a client complain that his dentures are hurting, the appropriate action is to A. encourage him to wear the dentures more often B. report the complain to the charge nurse C. report the complain to the physician D. put the denture on the bedside table. 445. When assisting a client in learning to use a walker, it is important to a. stands behind him and use a transfer belt b. put padding all the way around the stop rim c. let him walk by himself so he gains independence d. let him practice using the walker on the day he is discharged 446. Urinary retention refers to a. normal output of urine b. inability to urine c. incontinence d. large output of urine 447. Normal hearing loss in aging is usually related to the ability to hear a. high-pitched sounds b. loud sounds c. all sounds d. rapid speech 448. The best way to safely identity your patient is by a. asking his name b. calling his name and waiting for his response c. checking the bed plate d. checking the name tag 449. Mrs. Jones is on a bowel and bladder training program. She has not had bowel movement for three days. What should the nurse aide do? a. report it to the charge nurse b. gives the patient an enema c. offer prune juice d. increase fluids 450. The proper medical abbreviation for before meals is a. o.k. b. b.i.c c. a.c d. t.i.d 451. The proper medical term for high blood pressure is a. diabetes b. hypertension c. hypertension d. CVA 452. A patient who has difficulty chewing or swallowing will need what type of diet? a. clear liquid b. low residue c. bland d. mechanical soft 453. Ms. Lee, an 81-year-old resident with Alzheimer’s disease, cannot find her room. What should the nurse aide do to help Ms. Lee feel more independent? A. Scold her and tell her to stay in the room B. Ask her roommate to watch her C. place a familiar object outside her room door D. writes the room number on a piece of paper 454. How often should a patient’s intake and output records be totaled? a. once each shift b. twice a day c. every four hours d. every 12 hours 455. Which of the following should you observe and record when admitting a client? a. color of the stool and amount of urine voided b. how much the client has eaten and drunk c. bruises, marks, rashes, or broken skin d. insurance information 456. When responding to a client on the intercom, you should a. ask for the client’s name b. say, “What do you want” c. give your name and position and say, “May I help you” d. say, “The nurse will answer your call.” 457. Which of the following thing should you do to familiarize a new client with his or her surroundings? A. shows the client where the call light is and how to work it. B. tell the client not to operate the TV C. Ask victors to leave the room while you finish admitting the client D. raises the side rails of the bed and raises the bed to high position 458. When arranging a patient room, you should do all of the following EXCEPT A. check signal cords B. adjust the back and knee rests as directed C. administer medications D. check lighting 459. When assistant a client on and out bed, the nurse aide should always a. employ body mechanic technician b. gets another person to help c. pulls the client’s feet out first and then lifts the back up d. put shoes on the client because the patient may slip 460. It is important to reposition a patient during an eight-hour shift. How often should he or she be turned? A. q2h B. q4h C. q1h D. q1d 461. Which of the following is the correct procedure for serving a meal to a client who must be fed? a. serve the stray along with all the other strays, and then come back to feed the client. b. Bring the stray to the clients last; feed after you have served all the other clients. c. Bring the stray into the room when you are ready to feed the client. d. Have the kitchen hold the stray for one hour 462. The most serious problem that wrinkles in the bedclothes can cause is a. restlessness b. sleeplessness c. decubitus ulcers d. bleeding and shock 463. Restorative care begins a. a week after admission b. as soon as possible c. when the patient is ready d. twice a week 464. You are told to put a client in flower’s position. Before changing the position of the client’s bed you should a. open the window b. explain the procedure to the client c. checked with the client’s family d. remake the bed 465. During hand washing, the nurse aide accidentally touches the inside of the skin while rinsing the soap off. The next action is to. a. allow the water to run over the hands for two minutes b. dry the hands and turn off the faucet with the paper towel c. repeat the wash from the beginning d. none of the above 466. You are going on job interview. How should you prepare to dress? a. wear your best jeans and T-shirt b. use a lot of perfume c. wear simple clothing (dress, shirt, pants, suit) d. wear a lot of jewelry 467. Mr. Roark, a newly admitted conscious client, has been put to bed. Before leaving him alone, the first action would be to a. Ask him if he is hungry b. inspect his skin c. complete the listing of his clothing and valuables d. make sure he knows how to use the call light 468. When lifting a heavy object, the correct method would be to bend at the a. waist, keeping your legs straight b. waist, rounding your shoulders c. knees keeping your back straight d. knees and waist 469. At what times during a shift should a nurse aide wash his or her hands? a. before eating b. after using the bathroom c. before and after patient care d. all of the above 470. When assisting a client with eating, one of the first things the nurse aide should do is A. cut the food into bite-size pieces B. washes his or her hands and the client’s hands C. butter the client’s breads D. provide the client with privacy 471. A patient has a new cast on his right arm. While caring for him, it is important to first observe for a. pulse above the cast b. color and hardness of the cast c. warmth and color of fingers d. signs of crumbling at the cast end 472. Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is a. done only when time permits b. the family’s responsibility c. necessary for rehabilitation d. a violation of client rights 473. In caring for a confused elderly man, it is important to remember to a. keeps bedrails up except when you are at the bedside b. closes the door to the room so that he does not disturb other patients. c. keep the room dark and quit at all times to keep the patients from becoming upset d. remind him each morning to shower and shave independently 474. Before assisting a client into a wheelchair, the first action would be to check if the a. client is adequately covered b. floor is slippery c. door to the room is closed d. wheels of the chair are locked 475. You are transferring a resident from the bed to the wheelchair. The patient has a weak left side. The nurse aide should stand a. on the right side b. in front of the patient c. on the left side d. behind the patient 476. While making rounds at 5: 00 A.M., a nurse aide finds a patient lying on the floor. What should she or he do first? a. call 911 b. perform CPR c. call for another nurse aide d. assess the patient’s vital signs 477. When moving a wheelchair onto an elevator, you should stay a. behind the chair, pulling it toward you b. behind the chair, pushing it away from you c. in front of the client to observe his or her condition d. to the side and hold the door open 478. The Foley bag must be kept lower than the client’s bladder so that a. urine will not leak out, soiling the bed b. urine will not return to the bladder, causing infection c. The bag will be hidden and client will not be embarrassed d. the client will be more comfortable in bed 479. Mrs. Black is a diabetic. For her mid-afternoon nourishment, the kitchen has sent a carton of chocolate ice cream. You first action should be to A. substitute diet cola for ice cream B. holds the nourishment and report to the charge nurse C. ask the secretary to notify the kitchen of an error D. ask Mrs. Black if she ice cream 480. When assistant a client who is using the bedside commode, it is important to a. leave the call light within reach b. place toilet tissue close by c. return to check on the client periodically d. all of the above 481. Ensuring adequate circulation to tissue is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT a. positioning the patient every two hours. b. using mechanical aids. c. giving backrubs d. performing active or passive ROM exercise 482. The purpose of cold applications is usually to a. speed the flow of blood to the area b. prevent heat exhaustion c. prevent or reduce swelling d. prevent the formation of scar tissue 483. The hot water bottle is an example of a A. local dry heat application B. generalized dry heat application C. local moist heat application D. generalized moist heat application 484. Clients receiving an enema are usually placed. a. on the right side b. on the left side c. flat on the back d. in a semi-sitting position 485. A female client’s perineal area should be cleansed before which specimen is collected? A. 24-hour urine specimen B. midstream clean-catch urine specimen C. pediatric routine urine specimen ‘ D. routine urine specimen 486. the most common site for counting the pulse is the a. carotid artery b. femoral artery c. brachial d. radial artery 487. When counting respirations, the nurse aide should a. wait until after the client has exercised b. not tell the patient what you area going to do c. count five respirations and then check your watch d. have the client count the respirations while you take her pulse 488. With catheterized patients which of the following is not the nurse aide responsibility? a. inserting the catheter b. preventing infection c. checking to make sure the catheter is draining properly d. recording output 489. When given information to the charge nurse for an incident report, the nurse aide should a. write in the client’s chart that an incident occurred b. keep the report in your personal file c. state the facts clearly d. give your opinions as to case the incident 490. All long-term-care nurse aids must be competency evaluated and must competency evaluate a distinct education course. These requirements are set by a. OBRA b. ASHA c. CDC d. FDA 491. When a family members visit a client, the visitors should a. stay in the day room b. stay a short while so as not to tire the client c. be expected to help with care d. be allowed privacy with the client 492. A new resident asks you, “If I need help or get sick during the night, who is going to be here?’ the nurse aide should say, a. “don’t worry, you’re not going to get sick b. “just yell and someone will hear you.” c. “ask your roommate to ring the call bell d. “there are people here all night to help you 493. A water pitcher has tipped over and your notice water on the floor. The best action is to. a. wipe it up immediately b. throw a towel over the water to prevent accidents c. notify the charge nurse d. call housekeeping 494. Once entering a room, you notice that the patient is not breathing. You first action should be to a. call for help b. lay the resident down on his back c. give four quick breaths d. give 8-10 abdominal thrusts 495. A patient is on bed rest, wearing a TED hose. How often should the hose be removed? a. never b. q2h c. at least twice a day d. q6h 496. Decubitus ulcers can be prevented by a. changing the client’s position frequently b. placing in egg-crate mattress on top of the mattress c. increase the patient’s vitamin C consumption d. both a and b 497. The first step in getting a client up to walk is to A. sit the client on the side of the bed B. put the client’s slippers on C. check the activity order D. tell the client what you want him to do 498. The patient’s TPR is 98.8-80-30. The finding that should be reported at once is A. pulse B. temperature C. respiration D. all of the above 499. Which of the following can cause an inaccurate oral temperature reading? a. drinking hot or cold liquids within ten minutes of the reading b. failure to shake down a mercury thermometer c. vigorous exercise prior to measuring temperature d. all of the above 500. Systolic blood pressure is determined by a. reviewing previous readings b. listening for the first clear sound c. waiting for the change and sound d. listening for the last clear sound 501. When assisting a patient with an enema, he or she should be positioned a. on the right side b. supine c. prone d. in Sam’s position 502. The first step in performing any procedure is to a. explain the procedure b. gather needed equipment c. wash your hands d. provide privacy 503. Which of the following procedure best destroys all bacteria? a. soaking in alcohol b. washing with bleach i. sterilizing c. all of the above 504. In the event of a fire in a client’s room, you first action should be to a. notify the charge nurse b. turn in a fire alarm c. get the client to a safe place d. get the fire extinguisher 505. Safe use of oxygen therapy includes A. always setting the flow meter at 2-3 liters per minute B. using wool blanket only C. cleansing the nasal prongs each shift reach with alcohol D. posting a “no smoking” sign on the door 506. When you perform CPR, the client should be lying a. flat on a hard surface b. with head and shoulders elevated c. with the head and feet rose slightly d. none of the above 507. A procedure manual is a a. writing set of instructions on how to perform procedures b. set of directions needed to complete your job description c. book of directions for administering medication d. book listing the procedures you have been assigned to do 508. If a client don’t speaking English, the nurse aide should a. have the family interpret b. ask the charge nurse to arrange for an interpreter c. call the doctor to talk to the client d. tell the client that you cannot answer the question 509. The accepted way to identify a client to a. check the bed name and number b. check the identification band c. ask the client’s name d. call the client by name 510. Which of the following best describes nail care? a. nail care is not needed for the elderly b. use scissors for all nail care c. all clients need nail care d. checked with the charge nurse for nail-care instructions 511. When performing perineal care on a male client, always a. clean the scrotum first b. retract the foreskin if uncircumcised c. clean from front to back d. hold the penis at a 90-degree angle 512. The reason for rubbing a client’s back include a. improving circulation b. increasing one-on-one interaction time c. relaxing the client d. all of the above 513. The client’s elbows are dry and red. You should a. report this to the charge nurse b. rub them with lotion c. apply elbow protectors d. all of the above 514. A decubitus ulcer is cause by a. poor circulation b. pressure on the skin c. poor nutrition d. all of the above 515. You would shampoo a client’s hair to improve a. circulation to the scale b. the client’s general appearance c. the client’s felling of well-been d. all of the above 516. When removing a soiled gown from a client who has an IV, the best action is to a. remove the opposite arm from the gown first b. have the nurse remove the IV needle c. disconnect the bag and tubing d. slid the gown over the IV s0lutionion bag 517. If your client’s does not eat all the food on the stray, the first thing you should do is a. Notify the charge nurse b. Ask the client why c. Remove the stray 518. The clients state that a mistake has been made: There is salt on her stray, although the doctor has ordered a low-salt diet. The nurse aide should a. explain this means no salt when preparing food b. tell the client no to use the salt c. check the diet order with the charge nurse d. call the kitchen for a new way 519. You are going to give a patient a bath when you notice that she is not wearing and ID hand. What do you do? a. bathe her; you know she is b. report it to the charge nurse c. tell another nurse aide d. write the patient’s name on a piece of tape and put it on her wrist 520. Before transferring a 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 a. rearrange his or her gown or clothing b. prevent orthostatic hypotension c. position and secure the wheelchair d. rest and remove the transfer belt 521. The client’s religion forbids eating meat. Beef stew is being served for lunch. The nurse aide should A. tell the client to eat it because she needs protein B. tell the client it is all right since her doctor ordered the diet C. ask the nurse to call the kitchen D. tell the client that restrictions are not as important as her health 522. It is important to remember that dying patients a. have the same needs for care as order patients b. need to by themselves in a quiet room c. do not need to be consulted regarding their care d. are usually in pain 523 .Dying patients and their families A. always pass through five stages of dying in order B. always accept death before it occurs C. may go back and forth among the five stages D. must go through all stage of dying before they die 524. A sign of dementia in elderly client is A. a need to eat regular meals B. not knowing who and where they are C. an ability to figure out problems D. a good memory for recent events. 525. When a client turns on the call light every few minutes, the appropriate response is to. A. ask the client not to call so often B. stop by the room more so often C. place the call light out of reach D. tell the client hoe busy you are 526. How a client reacts to illness and disability is most dependent on his or her A. age and stage of life B. spouse’s support C. income and level of education D. support system and life history 527. A client hits you during lunch. The appropriate response is to A. call the charge nurse for help B. continue to feed her C. apply a restraint D. yell at her to stop hitting you 528. Before dressing an ECF resident, the nurse aide should A. close the door and pull the curtain B. choose the proper clothes C. check for a doctor order D. all of the above 529. Confidentiality refers to A. never sharing information with anyone B. the right of the patient to privacy C. only sharing information with those involved in the client’s care D. both b and c 530. Maintain good interpersonal relationships depends on A. going along with the crowd B. communicating clearly with others C. following orders without questioning D. all of the above 531. Reporting exactly what you see is an example of an (n) observation A. clinical B. objective C. personal D. subjective 532. During a job interview, it is important to tell the interviewer about your A. scheduling needs B. childcare needs C. qualification D. all of the above 533. A nursing assistant sees an employee in a health care facility hit a resident. What should she do? A. look the other way B. ask her not to do that C. report it to the charge nurse immediately D. tell another nursing assistant 534. A client is hearing impaired. The client has the right to A. written notes B. a professional interpreters C. assistance with hearing aids d. All of the above 535. You are documenting the vital signs in a patient’s chart when you notice you made a mistake. What should you do? A. use a marker to draw a heavy black line through it so no one will see the mistake B. cover your error with correction fluid, and then write over it C Leave it alone so that no one will know you made a mistake D. Make a single line through the mistake, mark “error,” and then initial it 536. A nurse aide is collecting specimen on a resident who had a stormy for analysis. Which specimen that the nursing take A. urine B. stool C. emesis D. blood 537. Dementia is . A. long-term B. temporary C. permanent D. short-term 538. When a resident who has dementia is in pain, they are A. crying B. wandering C. sleeping D. eating 539. When you are in the middle of giving a resident a bath, the resident slaps you. Your best response is to A. call for help B. leave the resident in the in the middle of the bath C. slap the resident back D. pot restraints on the resident for the remainder of the bath 540. During dinner a resident with dementia decides to wander off. What is your best response? A. create a safe place to wander B. offer activities for bedtime C. force the resident to continue which dinner 541. A female resident’s husband has asked for some time alone with his wife in her room. What should the nurse do? A. let the husband visits but listens outside the door open. B. let the husband visits and leaves the door open. C. let the husband not to disturb his wife. D. let the husband visit in private 542. A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the nurse aide do first? A. Stay with the resident until he is finished smoking. B. tell the resident that he must be more careful C. checked on the resident every few minutes D. go and report it to the charge nurse 543. A nurse aide is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the nurse aide do? A. scold the resident for talking that way B. ask the resident why she feels this way. C. tell the resident, “That isn’t true.” D. ignored the resident’s behavior 544. A resident is able to dress himself, but hi is very slow. What should the nurse aide do to assist this resident to get to breakfast on time? A. dress the resident B. tell the resident to hurry C. start the resident dressing earlier D. warn the resident he is going to miss breakfast 545. A nurse aide is caring for a resident on bedrest the resident is not able to turn herself. What is the longest time that the nurse aide is allowed to leave the resident in one position? A. 1 hours B. 2 hours C. 3 hours D. 4 hours 546. A resident’s care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the nurse aide that she is unable to do it now. What should the nurse aide do? A. Ask the resident to be more helpful B. ask the charge nurse to change the care plan. C. tell the resident that she can skip her walk today D. allow the resident to chose a better time into ambulate 547. A nurse Aide notices that a resident has very dry skin on the feet. How should the nurse aide care for the resident’s feet? A. raise them on a pillow B. wash in dry them only C. keep sock on them all the time D. apply lotion after washing and drying the feet/ 548. An elderly resident is normally alert, but today she is slightly confused. What should the nurse do? A. say, “It is not like you to act like this.” B. report the confusion to the charge nurse. C. not worry because all old people get confuse sometimes D. ignore the confusion because the resident may only be trying to get extra attention 549. A nurse aide has found a fire in a resident’s waste can. What should the nurse aide do first? A. pull the fire alarm B. pour water on the fire C. move resident out of immediate danger. D. used the fire extinguisher to put out fire 550. What is the first thing a nurse aide should do after receiving the resident assignments for the shift? A. started giving care to the first resident on the assignment. B. make rounds and see each resident briefly C. ask another nurse aide what to do first D. find out when the lunch break is 551. A nurse aide is walking with a resident. The resident says that she is going to faint. What should the nurse aide do? A. opens a window to give the resident air B. walks the resident to her room quickly C. assists the resident to sit slowly on the floor D. holds the resident on her feet until she feels better 552. A resident is upset after a family visit. The resident tells the nurse aide not to allow the family to visit again. Which of the following is the nurse aide’s best response? A. “OK, I will tell them not to seat.” B. “I will inform the receptionist immediately.” C. “can you tell me why you are so upset.” D. “you will fells differently about it tomorrow.” 553. A nurse aide is feeding a resident a pureed diet. How should the nurse feed the resident? A. by feeding all of the one food at a time B. by giving portions from each food on the tray C. by mixing the food together to make feeding easier D. any way the nurse aide wishes because pureed food has no taste 554. A resident is on oxygen. He tells the nurse aide that he is not getting enough oxygen through the tubing. What should the nurse aide do first? A. turn up the oxygen B. turn off the oxygen C. checked the tubing D. tell the patient to breath faster to get more oxygen 555. Which of the following is a true statement about the elderly? A. they have no sex drive B. they prefer to be alone C. they often have problems with vision D. they are not concerned about privacy 556. A resident refuses to have a bath and to shave every day. He has not bathed for a week. What should the aide do? A. forces the resident to take a bath and shave every day. B. ask the charge nurse assistant for assistance with the problem C. leaves the resident alone as he will want a bath some day D. tells the resident’s family that the resident has not bathed in a week. 557. A resident usually dresses himself for breakfast. Today the nurse aide finds him in pajamas at 10:00 am. What should the nurse aide do? A. nothing B. dress the resident C. asks him “is there anything wrong today?” D. tells him “I don’t have time to dress you.” 558. A nurse aide finds a male resident in bed with a female resident who is confused. What should the nurse aide do? A. scolds the male resident B. report this to the charge nurse C. close the door and the privacy curtains D. put a “Do Not Disturb sign on the door 559. A resident with poor vision was admitted to the unit. What should the nurse aide do to ensure the resident’s safety? A. arrange the furniture against the walls B. tell the resident to walk around the room by herself C. removes all furniture, except the bed and chair, from the room D. help the resident become familiar with the location of the furniture in the room 560. A resident needs range of motion (ROM) exercises every day. When the nurse aide tries to help her do the exercises, the resident says she will not do them. She says that they are too hard. What is the nurse aide’s best response? (A) “Try harder and the exercises will be easier.” (B) “I understand, but try working slowly and resting often.” (C) “The doctor ordered the exercises because they are important.” (D) “Think of something good during the exercises and maybe they won’t be so hard.” 561. A nurse aide enters a room to check on a resident who is in restraints. The nurse aide finds that the resident has gotten out of the restraint and is partly out of the bed. What should the nurse aide do? (A) Call for help to get the resident back into bed and put the restraint back on. (B) Put the restraint back on tightly so that the resident cannot move. (C) Leave the restraint off and report the problem to the charge nurse. (D) Put a different type of restraint on the resident. 562. A resident does not want to wear her dentures. She says she has a sore in her mouth. The nurse aide should (A) Tell her to leave her dentures out for a few days. (B) Have the resident rinse her mouth with salt water. (C) Tell her that she will feel better if she wears the dentures. (D) Leave the dentures out and ask the nurse to check the resident’s mouth. 563. After a resident has died, the nurse aide is often assigned to do which of the following? (A) Prepare the resident’s body. (B) Call the resident’s family. (C) Call the resident’s doctor. (D) Call the undertaker. 564. A resident complains that he cannot fall asleep. What can the nurse aide do first to help him relax? (A) Move him to the day room. (B) Give the resident a back rub. (C) Give the resident a sleeping pill. (D) Report the resident’s complaint to the charge nurse. 565. A resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the nurse aide do to each joint? (A) Stretch it until it hurts. (B) Rotate it in both directions until it hurts. (C) Bend it to a 90-degree angle while supporting the limb. (D) Move it to its fullest range or until the resident feels discomfort. 566. A sign on the resident’s door says NPO. What does this sign tell the nurse aide about the resident? (A) The resident is receiving AM care. (B) The resident is receiving oxygen therapy. (C) The resident is not to be given any solid food. (D) The resident is not to be given anything by mouth. 567. A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the nurse aide do first? (A) Stay with the resident until he is finished smoking. (B) Tell the resident that he must be more careful. (C) Check on the resident every few minutes. (D) Go and report it to the charge nurse. 568. A nurse aide is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the nurse aide do? (A) Scold the resident for talking that way. (B) Ask the resident why she feels this way. (C) Tell the resident, “That isn’t true.” (D) Ignore the resident’s behavior. 569. A resident is able to dress himself, but he is very slow. What should the nurse aide do to assist this resident to get to breakfast on time? (A) Dress the resident. (B) Tell the resident to hurry. (C) Start the resident dressing earlier. (D) Warn the resident he is going to miss breakfast. 570. A nurse aide is caring for a resident on berets. The resident is not able to turn herself. What is the longest time that the nurse aide is allowed to leave the resident in one position? (A) 1 hour (B) 2 hours (C) 3 hours (D) 4 hours 571. A resident’s care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the nurse aide that she is unable to do it now. What should the nurse aide do? (A) Ask the resident to be more helpful. (B) Ask the charge nurse to change the care plan. (C) Tell the resident that she can skip her walk today. (D) Allow the resident to choose a better time to ambulate. 572. A nurse aide notices that a resident has very dry skin on the feet. How should the nurse aide care for the resident’s feet? (A) Raise them on a pillow. (B) Wash and dry them only. (C) Keep socks on them at all times. (D) Apply lotion after washing and drying the feet. 573. An elderly resident is normally alert, but today she is slightly confused. What should the nurse aide do? (A) Say, “It is not like you to act like this.” (B) Report the confusion to the charge nurse. (C) Not worry because all old people get confused sometimes. (D) Ignore the confusion because the resident may only be trying to get extra attention. 574. A nurse aide has found a fire in a resident’s waste can. What should the nurse aide do first? (A) Pull the fire alarm. (B) Pour water on the fire. (C) Move residents out of immediate danger. (D) Use the fire extinguisher to put out the fire. 575. What is the first thing a nurse aide should do after receiving the resident assignments for the shift? (A) Start giving care to the first resident on the assignment. (B) Make rounds and see each resident briefly. (C) Ask another nurse aide what to do first. (D) Find out when the lunch break is. 576. A nurse aide is walking with a resident. The resident says that she is going to faint. What should the nurse aide do? (A) Open a window to give the resident air. (B) Walk the resident to her room quickly. (C) Assist the resident to sit slowly on the floor. (D) Hold the resident on her feet until she feels better. 577. A resident is upset after a family visit. The resident tells the nurse aide not to allow the family to visit again. Which of the following is the nurse aide’s best response? (A) “OK, I will tell them not to visit.” (B) “I will inform the receptionist immediately.” (C) “Can you tell me why you are so upset?” (D) “You will feel differently about it tomorrow.” 578. A nurse aide is feeding a resident a pureed diet. How should the nurse aide feed the resident? (A) By feeding all of one food at a time. (B) By giving portions from each food on the tray. (C) By mixing the food together to make feeding easier. (D) Any way the nurse aide wishes because pureed food has no taste. 579. A resident is on oxygen. He tells the nurse aide that he is not getting enough oxygen through the tubing. What should the nurse aide do first? (A) Turn up the oxygen. (B) Turn off the oxygen. (C) Check the tubing. (D) Tell the patient to breathe faster to get more oxygen. 580. Which of the following is a true statement about the elderly? (A) They have no sex drive. (B) They prefer to be alone. (C) They often have problems with vision. (D) They are not concerned about privacy. 581. A resident refuses to have a bath and to shave every day. He has not bathed for a week. What should the nurse aide do? (A) Force the resident to take a bath and shave every day. (B) Ask the charge nurse for assistance with the problem. (C) Leave the resident alone as he will want a bath some day. (D) Tell the resident’s family that the resident has not bathed in a week. 582. A resident usually dresses himself for breakfast. Today the nurse aide finds him in pajamas at 10:00 am. What should the nurse aide do? (A) Nothing (B) Dress the resident (C) Ask him “Is there anything wrong today?” (D) Tell him “I don’t have time to dress you.” 583. A nurse aide finds a male resident in bed with a female resident who is confused. What should the nurse aide do? (A) Scold the male resident. (B) Report this to the charge nurse. (C) Close the door and the privacy curtains. (D) Put a “Do Not Disturb” sign on the door. 584. A resident with poor vision was admitted to the unit. What should the nurse aide do to ensure the resident’s safety? (A) Arrange the furniture against the walls. (B) Tell the resident to walk around the room by herself. (C) Remove all furniture, except the bed and chair, from the room. (D) Help the resident become familiar with the location of the furniture in the room. 585. A nurse aide finds clean linen lying on the floor near the linen cart. What should the nurse aide do? (A) Discard the linen in the soiled linen hamper. (B) Place the linen on the clean linen cart and cover the cart. (C) Place the linen in a resident’s room for immediate use. (D) Leave the linen on the floor for housekeeping staff to remove. 586. A resident cannot walk by herself. What must the nurse aide do before leaving her room? (A) Give her a bedpan. (B) Tell her to shout if she needs help. (C) Put the call light where she can reach it. (D) Let another nurse aide know that she is in her room. 587. A resident has trouble finding her room. What could the nurse aide do to help this resident? (A) Speak sharply to her whenever she goes to the wrong room. (B) Assign another resident to watch her. (C) Make a special sign for her door. (D) Keep her in her room. 588. A resident dies during the night. At breakfast, another resident who was his friend, begins to talk to the nurse aide about the death. What should the nurse aide do? (A) Distract the resident by talking about the news of the day. (B) Tell the resident to find someone else to talk to. (C) Find out who told the resident about the death. (D) Allow the resident to talk about the death. 589. A resident is lying on the floor having a seizure when the nurse aide walks into the room. What should the nurse aide do first? (A) Restrain the resident’s arms. (B) Put a screen around the resident for privacy. (C) Place a padded tongue blade between her teeth. (D) Move any objects which could injure the resident and support her head. 590. A resident was given a stuffed animal as a gift. The resident wants to keep the stuffed animal with her much of the time. What should the nurse aide do? (A) Explain that adults do not hold stuffed animals. (B) Ask her relatives to take the stuffed animal home. (C) Let her hold the stuffed animal whenever she wants to. (D) Suggest that she keep the stuffed animal on the windowsill. 591. A resident is dehydrated. The nurse aide’s assignment says “Force fluids.” What should the nurse aide do? (A) Decrease the resident’s fluid intake. (B) Increase the resident’s fluid intake. (C) Give liquids with meals only. (D) Measure output. 592. A nurse aide wants to get a resident involved in her own care. Which of these statements would best encourage the resident’s involvement? (A) “Stop feeling sorry for yourself.” (B) “It’s time for us to eat our breakfast.” (C) “I want to brush your hair right now.” (D) “Do you want to take your bath now or after breakfast?” 593. A resident has an indwelling catheter. As the nurse aide cares for him, which of these should the nurse aide report to the charge nurse immediately? (A) The resident complains of pain and burning. (B) The urine in the collection bag is clear and light yellow in color. (C) The resident tells the nurse aide that he hates to have a catheter. (D) The urine in the collection bag is hanging below the level of the bladder. 594. What is the best source of information about the care a nurse aide needs to give a resident? (A) The resident’s family (B) The resident’s roommate (C) The resident’s plan of care (D) Other nurse aides on the unit. 595. A resident tells the nurse aide that her hearing aid is not working. What should the nurse aide do first? (A) Turn up the volume. (B) Change the battery. (C) Tell the charge nurse. (D) Check to see that the hearing aid is turned on. 596. While making rounds at 3:00 A.M., a nurse aide hears a resident crying softly. How should the nurse aide respond? (A) Tell the resident that everything will be better in the morning. (B) Tell the resident that everything is fine and to cheer up. (C) Pretend not to notice that the resident is crying. (D) Ask the resident what is wrong. 597. A resident is being discharged from the nursing home. He tells the nurse aide that he feels worried about the change. What is the nurse aide’s most helpful response? (A) Encourage the resident to talk about his feelings. (B) Tell the resident not to worry as things will work out fine. (C) Tell the resident that he should be happy to leave the nursing home. (D) Suggest to the resident that his worries will go away if he ignores them. 598. A nurse aide is called away from a resident’s beside. When the nurse aide returns, the resident screams, “I’m too old and too sick to be left alone.” How should the nurse aide respond? (A) “You’re fine. Don’t carry on so.” (B) “I understand, but I have other things to do.” (C) “Why don’t you just forget it and rest awhile?” (D) “I’m sorry I had to leave. Can I help you now?” 599. A nurse aide is cleaning a resident’s closet. He finds moldy food and throws it away. The resident shouts, “Leave my food alone.” What is the best response by the nurse aide? (A) “Why are you saving this food? Do you get hungry between meals?” (B) “You should eat all your meals, so that you are not hungry later on.” (C) “Hiding food is against health laws.” (D) “This moldy food smells awful.” 600. A nurse aide observes that a new resident is upset and frightened while getting ready for bed. The resident tells the nurse aide that a dark room frightens her. What is the nurse aide’s best response? (A) “Darkness can’t hurt you.” (B) “As old as you are, you should not be afraid.” (C) “You will soon get used to sleeping in the dark.” (D) “I will leave the door open so the light can come in.” 601. A nurse aide is assisting a resident with lunch. The resident grabs his throat and cannot speak. What should the nurse aide do first? (A) Offer the resident a drink. (B) Perform the Heimlich maneuver. (C) Place the resident on the floor and elevate his feet. (D) Keep the resident warm by putting a blanket on him. 602. A nurse aide realizes from the assignment sheet, that a resident has not has a bowel movement for more than 3 days. What should the nurse aide do? (A) Ignore the problem. (B) Give the resident an enema. (C) Report the finding to the charge nurse. (D) Sit the resident on the toilet until he has a bowel movement. 603. A resident has had a stroke and has weakness on her right side. Where should the nurse aide stand when helping the resident walk? (A) On the resident’s right side (B) On the resident’s left side (C) In front of the resident (D) Behind the resident 604. A resident is grieving over the recent death of her husband. How can the nurse aide best offer support to the resident? (A) Leave the resident alone as much as possible. (B) Encourage the resident to express her feelings. (C) Change the subject when the resident speaks about her husband. (D) Tell the resident about the nurse aide’s own experiences with death. 605. A nurse aide is assigned to care for a resident who has wandered over to another unit. What is the nurse aide’s most helpful response, when the nurse aide brings the resident back? (A) “Let me walk with you.” (B) “How did you get over here?” (C) “Don’t you know where you belong?” (D) “Don’t you realize I have a lot to do?” 606. A resident has a cold and is using tissues for his nose. There are used tissues on the resident’s bed, floor, and bedside stand. What should the nurse aide do to control the spread of infection? (A) Report the resident’s behavior to the resident council. (B) Ask the resident to throw his used tissues in the toilet. (C) Pick up the used tissues in the resident’s room once a day. (D) Attach a paper bag to the resident’s bed and ask him to put the used tissues in it. 607.A resident tells a nurse aide he is going to kill himself. What should the nurse aide do? (A) Nothing, because people who threaten suicide usually do not kill themselves. (B) Call the resident’s family and ask them to come and sit with him. (C) Tell the resident that things are not as bad as they seem. (D) Stay with the resident and call for help. 608. A nurse aide sees the charge nurse swallow medication that belongs to a resident. What should the nurse aide do? (A) Ignore the incident because the charge nurse might get the nurse aide fired. (B) Tell the resident’s family that the charge nurse is stealing medication. (C) Report the incident to the administrator or nursing supervisor. (D) Suggest the nurse get help immediately. 609. A Nurse Aide enters in a room find a resident having a seizure. What should the Nurse Aide do? a. Raise the head of the bed b. Raise both side Rails and head of the bed c. Leave the room and call for help d. Position the resident 610. A nurse Aide is assigned to care for a resident who states “no female nurse” on this assignment. What should the Nurse Aide do? a. Ignore the assignment b. Ask a male resident to care for the resident c. Report the complain to the Nurse in charge d. Continue to follow the assignment given by Nurse in charge 611. What is a true statement about expressing sexual behavior in Nursing Home? a. Loud noise can affect sexual feelings b. Resident who is confused masturbate frequently c. Very few resident don’t express sexual behavior d. A lock of privacy can affect the resident’s right to the sexuality 612. A Nurse Aide enters in a resident’s room and sees the resident sweating and has pain on both arms. What can happen? a. Paralysis b. Pneumonia c. Heart attack d. Parkinson diseases 613. A resident is seating in a wheelchair, the Nurse Aide observes a rash on the shoulder area. How can the Nurse Aide help him? a. Massage the shoulder all day b. Position the resident on his/her stomach c. Position the pillow under his/her stomach d. Position the pillow under his/her shoulder 614. A resident tells a Nursing Aide she is in pain. What should the Nurse Aide best response? a. Massage all the body b. Give medication to the resident c. Ask him where is the pain d. Inform the Nurse in Charge 615. When a Nurse Aide is shopping, he sees a resident’s neighbor who asks him, how is the resident? What should be your best response? a. Why don’t you come assist him? b. He feels good, but he doesn’t walk c. He feels bad for the last days d. I can t discuss the resident’s condition. 616. A resident likes how you treat him, he offers you money what should. What should you do? a. Report it to the charge nurse b. Say thank you and save your money c. Say no to the resident, I’m paying for my services. d. Firm positive, courteous refusal 617. When you enter in a room; you see a confused resident strikes another resident with a cane. What should the Nurse Aide do? a. Shout at the resident and take the cane b. Ask the resident for the cane c. Remove the other resident for the room d. Leave the resident alone 618. In your morning shift, what should you do first? a. Introduce yourself to the newly admitted b. Give a pitcher of water to each resident c. Response a resident who has diarrhea all night and call you now 619. What should you do next, after removing a resident from a fire? a. Open the windows b. Pull the fire extinguisher c. Push the fire alarm d. Call the fire department 620. An alert resident tells you “he wants to stay in his room today. What should be your best response? a. Ask him “if he wants to stay in bed” b. There is a reason for staying in the room c. The care plan describes “you suppose to move from your room every day. d. Sleeping is finish, it’s time for breakfast. 621. The pulse of an adult patient is usually taken: a. At the side of the neck b. On the wrist c. One the top of the foot d. Over the heart 622. You discover that one of your patients is bleeding from the rectum. What should you do? a. Put a pad on the bed b. Report it to the Nurse c. Administer a sits-bath d. Give the patient a suppository 623. How long should you count the registration on a patient with irregular breathing rhythms? a. 10 seconds b. 15 seconds c. 30 seconds d. 60 seconds 624. The purpose of patient restraint devices is to: a. Punish the patient b. Make the patient feel better c. Protect the patient from injury d. Protect the nursing home from law suits 625. When taking an axillary temperature the thermometer is placed in the: a. Groin b. Areola c. Armpit d. Anus 626. Wrinkles in the bedclothes can cause: a. Patient restlessness b. Edema c. Skin problem d. Torn sheets 627. The normal position for taking a rectal temperature on an adult is on the: a. Back with knees bent b. Side c. Abdomen d. Back with legs raised 628. A client complains to the nurse aide that another nurse aide neglected her. The nurse aide should: a. Report the complaint b. Stand up for the other nurse aide c. Listen to the complaint, but do nothing d. Tell the client she is just confused 629. When approaching a client with Alzheimer’s disease, the nurse aide should: a. Speak quickly and loudly b. Speak with angry tones c. Speak calmly and use simple words d. Correct the client if he talk non sense 630. The nurse aide does not like working with another staff member. The best thing for the nurse aide to do is: a. Complain about the staff member to other nurse aides b. Tell clients that the staff member is not a good worker c. Ignore the problem and hope it goes away d. Talk to the staff member and try to work out the problem 631. The Heimlich maneuver (abdominal thrust) should be used if the client is: a. Confused b. Choking c. Vomiting d. Diabetic 632. A client’s dentures should be stored in: a. Tissue b. An emesis basin c. A labeled cup d. The utility room 633. A resident has a cast on the lower leg. What observation should the nurse aide report to the nurse immediately? a. The resident’s toes are hat to the touch and the resident say they are numb. b. The cast is dry and has no odor c. The resident asks the nurse aide to elevate the casted leg on a pillow. 634. The abbreviation bid means: a. Twice a day b. Every two hours c. Every day d. Every other day 635. The part of the body generally washed first when giving a complete bed bath is the: a. Hands b. Face c. Feet d. Back 636. When transporting the patient on a stretcher you should put: a. At the patient feet b. At the patient’s head c. At the left side of the patient d. On the right side of the patient 637. Which of these statements about the elderly is true? a. They cannot change b. They can learn new things c. They want to become dependent on others d. They do not enjoy meeting new people 638. When working with persons who are disabled, the general goal of care is to: a. Provide constant supervision b. Provide total care c. Promote maximum self-care and independence within the limits of the person’s ability. d. Promote the complete return of the person’s abilities. 639. It is Mrs. Amos’ usual time for lunch, but she says she is not hungry yet. This is the first time that Mrs. Amos has made this type of statement. What should the home health aide do? a. Insist that Mrs. Amos eat at this time. b. Tell Mrs. Amos to let the aide know when she wants to eat, and remind her that it is important that she has lunch. c. Tell Mrs. Amos that if she does not eat by herself, she will have to be fed. d. Tell Mrs. Amos that it took a lot of time to prepare the food and that she should eat it while it is fresh. 640. The ability to make observation is even more important when working with infants and young children than it is when working with adults. The chief reason for this is that infants and young children: a. Do not like to be told what to do. b. Are usually sicker than adults. c. Enjoy human contact more than adults. d. Cannot explain how they feel. 641. It is important to keep a patient covered during a bed bath except for the part being washed. T It is possible that massaging of bony prominences helps to prevent skin breakdown by increasing blood supply to the area. T When giving peri-care to a patient after a BM, was using a front to back motion in order not to spread fecal matter to other areas. T 642. For which of these emergencies is a knowledge of pressure points essential? Heat stroke Burns Food poisoning Bleeding 643. A nurse aide meets a new resident who is being admitted to the long term care facility. What should the nursing assistant do first? a. a Get ice water for the resident. b. b Greet the resident and introduce self. c. c Arrange the resident’s personal belongings. d. d Talk with the resident’s family. 644. A nurse aide finds clean linen lying on the floor near the linen cart. What should the nurse aide do? a. A Place the linen back on the cart and cover the cart. b. B Place the linen in a resident’s room for immediate use. c. C Discard the linen in the soiled linen hamper. d. D Leave the linen on the floor for housekeeping staff to remove. 645. a A resident needs a bed bath. The nurse aide enters the room and greets the resident. What should the nurse aide do next? a. A Fill a basin with warm water. b. B Change the resident’s bed. c. C Ask the resident to get undressed. d. D Explain what the nurse aide plans to do. 646. A nurse aide suspects abuse of a resident. What should the nurse aide do? a. A Discuss this with another nurse aide. b. B Report this to the charge nurse. c. C Talk with the resident’s family. d. D Call the resident’s doctor. 647. A resident has an indwelling urinary catheter. When caring for this resident, which of the following should the nurse aide report to the charge nurse immediately? a. A The urine in the drainage bag is clear and light yellow in color. b. B The urine drainage bag is hanging below the level of the bladder. c. C The resident complains of pain and burning. d. D The resident tells the nurse aide that he hates to have a catheter. 648. A resident dresses himself, but his shirt is inside out. What should the nurse aide say to the resident? A “You look like a clown. Why not let me dress you?” B “Let me dress you the next time that is what I am paid for.” C “I am glad you dressed yourself. Perhaps we can fix your shirt.” D Say nothing at all to the resident. 649. A nurse aide finds a resident crying in her room. Which of the following is the best response by the nurse aide? A “It’s okay. We all have bad days.” B “This is the best place to have a good cry.” C “I will tell the social worker that you are upset.” D “Will it help to tell me why you are crying?” 650. As a person ages the skin normally becomes a. more red and flaky. b. more yellow and wrinkled. c. looser and drier. d. D tighter and smoother. 651. Before taking a resident’s oral temperature, what question should the nurse aide ask the resident? A “Would you like to wash out your mouth with mouthwash?” B “Have you had anything hot or cold to eat or drink within the last ten minutes? C “Would you like to remove your dentures?” D “Would you like your breakfast before I take your temperature?” 652. When caring for a patient with a Nasogastric Tube, do all of the fallowing except: a. Never pull on the tube when moving a pa b. Observe the patient’s Nostrils for signs of pressure c. Report any leakage to your supervisor immediately d. Remove the tub immediately if blood is noted 653. Postmortem care should be completed A. After rigor mortis has set in B. Only in the morgue C. By a funeral attendant D. Before rigor mortis has set in 654. Pathogens can be destroyed by: A. Disinfection B. Sterilization C. Hand washing D. Careful handling 655. If a patient tells you she has difficulty breathing; you should: A. Stay with the patient and call the nurse B. Elevate the head of the bed and lift the patient chin C. Increase the flow of the oxygen D. Or perform CPR. 656. What is grief? A. Overwhelming sense of loss or sorrow B. Brief sadness C. Complaint or annoyance that should be reported D. Injustice against a resident 657. How many stages of grief did Dr. Elisabeth Kubler-Ross identify in her study with dying patients? A. Three B. Five C. Seven D. Ten or more 658. Which statement is untrue? A. Grief is a normal reaction to any major loss B. Not everyone goes through each stage of grief C. Every stage of grief follows a consistent timetable D. You should avoid saying, “Everything will be all right”. 659. . What should the nursing assistant do when a resident expresses sadness over the death of another resident? A. Tell the resident not to discuss the other resident’s death B. Suggest that the resident attend more activities C. Tell the resident to stop being sad and get on with life D. Listen attentively to the resident’s feelings 660. Which of the following is typical behavior for someone in denial? A. Refuses to accept facts B. Is in a state of shock C. Needs time to adjust D. All of the above 661. Which behavior is typical for a dying person in the acceptance stage? A. Is resigned to the fact that their death is inevitable B. Wants to be left alone C. Prefers to be placed isolation D. Wants to die 662. Which statement is correct for the nursing assistant who is caring for someone who is dying? A. Stick to a rigid schedule B. Avoid the resident as much as possible C. Ignore any special requests D. Allow the resident as many choices as possible 663. Vital signs are: A. Temperature, pulse, respiration and blood pressure B. Activities of daily living C. Range of motion exercises D. All of the above 664. If there are changes in a resident’s vital signs, the nursing assistant should: A. Tell the resident B. Report to the supervisor C. Explain to the family D. Alert the roommate 665. What is dehydration? A. Too little fluid in the body B. Too much fluid in the tissues C. Food that turns to liquid at room temperature D. Tubes for intravenous feedings 666. Breathing irregularities should be reported: A. Within 24 hours B. At the end of the shift C. When the nursing assistant has time D. Immediately 667. An oral temperature of 101.6 degrees F is: A. Two degreed below average B. Average C. Two degrees above average D. Three degrees above average 668. What should the nursing assistant do if there is a significant change in a resident’s temperature? A. Find out whether the resident feels sick before reporting it B. Check the temperature in two hours before reporting it C. Report it immediately to the supervisor D. Tell the roommate to call you if there is a problem 669. A well-balances diet contributes: A. To health and body functioning B. To increased weight C. To increased height D. To increased irritability and fatigue 670. The food pyramid includes A. A resident’s daily intake and output B. A resident’s daily output C. Guidelines for good nutrition D. Guidelines for weight loss 671. Whenever possible, residents should eat: A. In their rooms B. In the dining room C. Alone D. With the care team 672. When should the nursing assistant check for safety hazards? A. At bath time B. During ROM exercises C. At mealtimes D. At all times 673. When entering a resident’s room, you should: A Tell the resident who you are B. Ask the resident if she remembers your name C. Scold the resident for not remembering your name D. Tell the resident to try to remember your name 674. Which of the following is the best action when a nursing assistant feels frustrated or angry? A. Ask the supervisor for advice B. Express anger toward the residents C. Express anger toward other staff members D. Hold all feelings inside and don’t tell anyone 675. Which of the following is the most important reason for the nursing assistant to develop good listening skills? A. To tell the family what the resident said B. To be aware of the resident’s likes, dislikes, concerns, beliefs and values C. To share information about the resident with co-workers D. To pry into the resident’s personal affairs. 676. What is the most common reaction when a person’s self-image is threatened? A. To seek a second opinion B. To disregard the threat C. To respond with defensive behavior D. To agree with what was said 677. Pressures sores most often develop A. On elbows and other bony areas B. On fatty tissues C. On the bottom of the feet D. On the top of the head 678. The first sign of a pressure sore is: A. infection and drainage B. Broken skin C. Blister D. Redness 679. Aging skin requires: A. Vigorous rubbing B. Scrubbing C. Shearing D. Tender care 680. When basic needs are not met, people are affected: A. Emotionally B. Socially C. Physically D. All of the above 681. How can the nursing assistant help a new resident adapt to the care facility A. Tell the resident about activities at the facility and ask about her preferences B. Introduce her to other residents C. Encourage the other residents to welcome her D. All of the above 682. The way you treat residents affects: A. How they react to you B. How they feel about themselves C. The resident’s behavior D. All of the above 683. What is the best way to get to know each person in your care? A. Tell the person about your interests and hobbies B. Take time to listen C. Express your personal beliefs D. Interrupt if you disagree with what the resident is saying 684. Providing a comfortable environment for a resident include A. Heat and ventilation B. Light C. Quiet D. All of the above 685. Why should you knock before entering a resident’s room? A. To provide privacy and courtesy B. To check whether the resident is in the room C. To waken the resident D. To annoy the resident 686. What should you do if a resident as trouble remembering your name? A. Ask whether the resident remembers your name B. Tell the resident to try to remember your name C. Say your name whenever you enter the room D All of the above 687. When a resident in your care is transferred or discharged, you should: A. Be supportive B. Follow your supervisor’s instructions C. Let the resident know that you care D All of the above 688. Interaction between a resident and significant others should be: A. Avoided B. Encouraged C. Discouraged D. Required 689. How can the nursing assistant supports, visits between a resident and significant others? A. Make visitors feel welcome B. Listen attentively, without getting involved in family matters C. Provide a setting that is appropriate for visiting D. All of the above 690. What is the primary cause of defensive behavior? A. Threat to self image B. Physical problems C. Emotional problems D. Old age 691. Difficult behavior is linked A. To unmet needs B. To lifestyle changes C. To loneliness D. All of the above 692. What is the purpose of Universal Precautions? A. To decrease the risk of spreading infection B. To establish safe practices for healthcare workers C. To prevent the spread of blood borne pathogens D. All of the above 693. Universal Precautions apply: A. To everyone B. To sick people only C. To isolated residents only D. To people infected with HIV only 694. All of the following are methods of controlling infection except: A. Sterilization B. Disinfection C. Transmission D. isolation 695. The single most effective method for preventing the spread of disease is: A. To wear gloves B. To apply hand lotion C. To use good hand washing techniques D. To wear a gown and mask 696. Medical asepsis is: A. A manual of medical procedures B. Procedures for decreasing pathogens C. Medical staff D. Licenses nurses 697. . Medical asepsis includes: A. Personal hygiene B. Clean surroundings C. Hand washing D. All the above 698. Why is hand washing important? A. It is required by the health department B. It is requires by the facility C. It prevents the spread of infection D. It prevents having to wear gloves 699. The most important requirement for positioning a resident is A. Maintaining good body alignment B. Exercising muscles C. Keeping joints mobile D. Completing the task quickly 700. How can the nursing assistant help prevent pressure sores? A. Frequent repositioning B. Careful observation C. Good nursing care D. All of the above 701. What is the best way to check for proper body alignment when a resident is in bed? A. Stand over the resident and determine whether everything looks straight B. Ask the patient if she is comfortable C. Measure the distance from the edge pf the bed on each side of the resident D. Stand at the foot of the bed and observe whether the resident’s hip, shoulder and ear are in a straight line 702. What is the prone position? A. lying on the side B. lying flat on the back C. Lying partially reclined, with knees bent D. Lying on the stomach 703. Which of the following is an important consideration for a resident with a nasogastric tube in place? A. Keep the head of the bed elevated 30 degrees B. Observe nostrils for irritation. C. Report immediately if the tube is blocked. D. All of the above 704. NPO means: B. No patient output C. No observable problems D. Nothing by mouth 705. For a resident on oxygen therapy, the nursing assistant should not: A. Keep the resident’s lips, mouth and nostrils moistened B. Provide routine care C. Adjust the flow of oxygen D. Checked the tubing for obstructions 706. What is the average amount a person voids per hours? A. 20 to 25 cc B. 30 to 50 cc C. 60 to 80 cc D. 5 to 100 cc Loss of urine control is: A. Urinary tract infection B. Urinary retention C. Urinary spasm D. Urinary incontinence What is the purpose to using a bandage? A. To promote healing B. To provide support and pressure C. To prevent injury D. All of the above Which of following procedure is important in applying a dressing A. To clean and dry the affected area B. To avoid touching the part of the dressing that touch the wound C. To use tape that is easily removable D. All of the above 314. When should the nursing assistant observe residents? A. At the beginning and end of the shift B. Throughout every contact C. At bath time only D. Only when instructed by the supervisor Skill observation can detect: A. Social needs B. Physical problems C. Emotional needs D. All of the above Problems can often be resolved more quickly: A. If detected in early stages B. If detected in later stages C. If ignored D. By waiting for the doctor’s diagnosis What should the nursing assistant should if she suspects that something might be wrong? A. Tell the supervisor immediately B. Wait and report it when she is certain C. Ask the opinion of the family member D. Check with the resident room mate Which of the following physical signs should the nursing assistant should report A. Any increased functioning B. Any decreased functioning C. Unconsciousness D. All of the above How often are reports made by the nursing assistant to the nursing staff? A. As often as the resident’s B. Once per shift C. Only when asked D. Whenever the nursing assistant has time All writing reports should include: A. Resident’s name B. Resident’s room number and bed number C. Details of observation D. All of the above Vital signs are: A. Pulse and blood pressure B. Temperature C. Respiration D. All of the above Why is accuracy important when recording vital signs? A. Vital signs vary from person to person B. Changes and vital signs may indicate changes in the person’s health C. Vital signs may indicate changes at the end of the shift D. Vital signs may indicate changes in weight Which of the following is considered average for an oral temperature? A. 100 degrees F B. 98.6 degrees F C. 96.00 degrees F D. Both b and c Where should you not take an oral temperature? A. Mouth B. Forehead C. Armpit D. Rectum How much time is necessary for taking an axillary temperature using a glass thermometer? A. One minute B. Three minutes C. Five to seven minutes D. Ten minutes The emphasis of restorative care is: A. The nursing assistant’s ability to perform tasks for residents B. The resident ability to perform tasks as independently as possible C. The resident’s ability to complete tasks quickly D. The family’s assistance with tasks The care team does which of the following? A. Determine what is possible for the resident. B. Establishes goals for the resident C. Develops a plan of care D. All of the above The care team encourages: A. Personal choices B. Family participation C. Support for individual beliefs D. All of the above Nursing assistants encourage and promote: A. Dependency B. Independence C. Limited involvement with family members D. Restrictions on visiting rights Which of the following is a disservice? A. Encouraging residents to improve their skills B. Providing care that residents cannot do for themselves C. Providing care that residents can do for themselves D. Allowing time for residents to complete tasks for themselves. Which best describes ADL? A. Watching television, listening to the radio B. Bed making, laundry, housekeeping C. Eating, grooming, toileting D. Charting, documenting, reporting How can the nursing assistant help residents be self-managing? A. Force residents to try new activities B. Focus on abilities C. Focus on inabilities D. Avoid residents who ask for help What is the first action for a nursing assistant if a friend or relative wants to help care for a loved one? A. Check with the resident B. Check the care plan C. Provide any training that is necessary D. Talk with the supervisor How should the nursing assistant deal with a resident’s sexuality A. Respect the need for privacy B. Scold residents who engage in sexual behavior C. Separate residents who are attracted to each other D. Refer all sexual issues to the Director of Nursing Mr. Dobbs, a resident, deliberately tries to make you angry. What is your best action? A. Ignore his behavior B. Talk with your supervisor about the situation C. Ask other aides hoe they deal with Mr. Dobbs’ behavior D. Tell Mr. Dobbs to stop being difficult A group of residents is watching a movie, when a combative resident begins to shout. What should the nursing assistant do? A. Calmly urge the combative resident to leave the room B. Tell the resident that her actions are inappropriate C. Ignore her shouting D. Ask the other residents what to do Mrs. Austin becomes combative while the nursing assistant is helping her dress. What should the nursing assistant do? A. Try to physically control her B. Talk calmly to her and try to get help C. Grab her and take her to a quiet place D. Get help and restrain her. Communication is: A. Sending messages B. Receiving messages C. Sending and receiving messages D. Agreeing with others What should the nursing assistant do when he or she is feeling frustrated or has problems dealing with difficult behavior? A. Express anger toward the residents B. Talk to another staff member or ask the supervisor for advice C. Take out the frustration on other staff members D. Ignore frustrations and problems and continue working. Non verbal communication is: A. Words B. Mixed messaged C. Body language D. All of the above As a good listener, the nursing assistant increases: A. The resident’s feelings of belongings and acceptance B. Opportunities to resolve problems and concerns C. Awareness of a resident’s likes and dislikes D. All of the above All of the following indicate that you are interested in listening except: A. Maintaining eye contact B. Asking for clarification C. Paraphrasing D. Interrupting while the resident is talking Which of the following statements is best for checking whether a resident (who can speak) understands what you said? A. “Do you understand me?” B. “Shake your head if you do not understand.” C. “Please repeat what I said” D. “Be sure to tell me if you do not understand” What is the primary cause of defensive behavior? A. Threat to self image B. Physical problems C. Emotional problems D. Old age Difficult behavior is linked: A. To unmet needs B. To lifestyle changes C. To loneliness D. All of the above How can you communicate effectively with a resident who is visually impaired? A. Nod periodically to let the resident know you are listening B. Get the person’s attention before talking C. Ask for feedback to check understanding D. Both B & C How can the nursing assistant communicate effectively with a resident who is hearing impaired? A. Shout in the ear that is most affected B. Get close to the person and speak loudly enough to be heard without shouting C. Turn away from the resident while talking D. Tell the resident to turn up his hearing aid To communicate with a resident who is cognitively impaired, the nursing assistant should: A. Speak slowly and clearly B. Break information into small parts C. Check frequently for the resident understands of what was said D. All of the above To communicate with a resident who is aphasic, the nursing assistant should: A. Ask the resident to be very specific in expressing her needs B. Speak very loudly C. Add lots of detail to messages D. Eliminate unnecessary background noises. Whenever possible, you should: A. Allow residents to make choices B. Make decisions for residents C. Take extra breaks D. Spend work time socializing with staff members. Encourage each resident to be: A. Dependent on you for care B. As self-managing as possible C. Dependent on family members for care D. Inactive and passive All of the following are part of good hand washing techniques except: A. Rubbing hands together for at least 15 seconds B. Rinsing hands with alcohol C. Cleaning under fingernails D. Turning the water faucet on and off with a clean paper towel Reducing the spread of germs includes all of the following except: A. Coming to work when you are ill B. Covering cuts and breaks in your skin C. Covering your nose and mouth when sneezing or roughing D. Washing your hands after handling soiled clothing or equipment Wearing gloves while giving personal care is necessary A. Only if the resident has a communicable disease B. Only if the resident has AIDS C. To protect you and the resident from the spread of germs D. Only to handle soiled items Do not use gloves if they are: A. Torn B. Cracked C. Discolored D. All of the above What are microorganisms? A. Macroscopic germs B. On the skin C. In food and beverages D. All of the above Microorganism is found: A. In the air B. On the skin C. In food and beverages D. All of the above What is a pathogen? A. Medical doctor B. Medication C. Disease-producing organism D. Specialist in pathology 755. How is Hepatitis B virus transmitted? A. Food products B. Contaminated water C. Respiratory droplets D. Blood and body fluids 756. How HIV is generally transmitted? A. Coughing, sneezing and touching B. Sharing utensils and dishes C. Providing routing care D. Having sexual contact or sharing needles and syringes 757. Vaccines can prevent: A. HBV B. HIV C. AIDS D. None of the above 758. The virus that causes AIDS is: A. HBV B. CVA C. HIV D. MCI 759. Which of the following handwashing procedures is incorrect? A. Avoid touching the faucet B. Use a clean paper towel to dry your hands C. Rub your hands vigorously to dry them D. gently pat your hand dry 760. Personal protective equipment refers to: A. Disposable gloves, face mask and gowns B. Security personnel C. Isolation precaution D. Sterilization and disinfection 761. What is the correct procedure for wearing disposable gloves? A. Wash your hands before wearing gloves B. Wash your hands after wearing gloves C. Wash your hands before and after wearing gloves D. Checked with your supervisor before wearing gloves 762. Face masks should be worn: A. As barriers to infection for up to eight hours B. Whenever you enter any resident’s room C. To prevents possible exposure to splashing blood or body fluids D. To avoid any direct contact with residents 763. What is the purpose of isolation procedure? A. To protect residents, visitors and workers from infection B. To punish residents for bad behavior C. To avoid socialization and sexual contact D. All of the above 764. Which of the following statements is untrue? A. Infected people often have no symptoms of disease B. You should avoid all contact with anyone who is infected C. You should considered yourself at risk of infection from everyone D. Universal precaution apply to everyone 765. Why is good lifting technique important? A. To protect residents from injury B. To protect the nursing assistant from injury C. To prevent tiring easily D. All of the above 766. Lifting correctly involves: A. Keeping knees B. Bending the back C. Holding the object close D. Stretching 767. How should you position your feet for lifting A. Close together B. Six inch apart C. Shoulder with apart D. As wide apart as possible 768. Ambulating means: A. To lie down B. To Walk C. To travel by ambulatory D. Exercise 769. Why is ambulating is important? A. To strengthen muscle B. To increase circulation C. aid bowel functioning D. All of the above 770. To ambulate a resident who is weak or unsteady, the best produce is: A. To walk ahead of the resident B. To walk behind the resident and use a gait belt C. To discourage the resident from walking D. To caution the person about safety hazards 771. Why is frequent repositioning important? A. To relieve pressure B. To prevent edema C. To promote comfort D. All of the above 772. The most important requirements for position a resident is: A. Maintaining good body aliment B. Exercising muscles C. Keeping joints mobile D. Completing the task quickly 773. How can the nursing assistant help prevent pressure scores? A. Frequent repositioning B. Careful observation C. Good nursing care D. All of the above 774. What is the best way to check for proper body aliment when a resident is in bed? A. Stand over the resident and determine whether everything looks straight. B. Ask the patient if she is comfortable C. Measure the distance from the edge of the bed on each side of the resident D. Stand at the foot of the bed and observe whether the resident’s hip, shoulder and ear are in straight line 775. What is the prone position? A. Lying on the side B. Lying flat on the back C. Lying partially reclined, with knees bent D. Lying on the stomach 776. How can the nursing assistant promote personal hygiene? A. Set a good example B. Help resident be self-managing C. Offer help the is appropriate for the resident’s needs and beliefs D. All of the above 777. In addition to cleanliness, what is the benefit of bathing? A. To promote relaxation B. To prevent pressure sores C. To stimulate circulation D. All of the above 778. What is the first step in organization morning care for a resident? A. Gather equipment B. Tell the resident what you are going to do C. Screen the resident’s room for privacy D. Remove the resident’s bedcovers 779. Perinael care is given? A. Duran bathing B. After urinating C. After defecating D. all of the above 780. To give a bed bath, where should you begin? A. Feet B. Abdomen C. face and back D. Arms 781. International (military) time is: A. Based on a 24-hour time period B. Based on a12-hours time period C. Used only by the military D. Used only in veterans’ hospital 782. The nursing assistant is asked to give oral care at 9:00 and 21:00 (international time? A. 9:00 am 9:00pm B. 9:00 pm and noon C. 9:00 pm and midnight D. 9:00 am and 6:00 pm 783. A new nursing assistant is assisting with a bed bath. She moved all of the resident’s covers and clothing before you arrive. What is your best action? A. Cover the resident to avoid embarrassment and chilling, and example your actions. B. Start the bed bath quickly C. Ask the other nursing assistant to leave the room D. Ignore what has happened, and allow the other nursing assistant to complete the bed bath alone 784. Mrs. Cross is tired, angry and refusing her bath today. What is your best response? A. “Mrs. Cross, it’s for your bath B. “I can see that you would rather not bathe now. I will come back later.” C. “How can you possibly be tired? You just wake up.” D. “I have other people to bathe this morning. If you want a bath today you better do it now.” 785. Mr. Benson has been unconscious for several days. You are to give her a bed bath, and her husband is present. What should you do? A. Tells Mrs. Benson what you are going to do B. Explain to her husband what you are going to do C. Explain to Mrs. Benson and her husband what you are going to do D Ignore Mrs. Benson since she is conscious. 786. The most important consideration before assistant a resident into a tub bath is: A. To make sure all the resident’s clothes have been removed. B. To check that the resident has not already bathed that day C. To test the temperature of the water D. To make sure the bathtub is clean 787. What is the best water temperature for a tub bath? A. 90-95 degrees F B. 97-103 degrees F C. 105-110 degrees F D. 112-117 degrees C 788. What right have you violated if you do not close the door during a resident’s bath? A. Confidentiality B. Privacy C. Choice D. Safety 789. If a resident needs assistant with dressing, the nursing assistant should: A. Dress the resident in whatever the nursing assistant chooses B. Help the resident choose what to wear C. Dress one area at a time to keep the resident covered D. Both b and c 790. If a resident is slow in dressing what should the nursing assistant do? A. Dress the resident B. Ask the resident to hurry C. Come back later D. Allow time for the resident to dress as independently as possible. 791. Which of the following should be included every time a nursing assistant provides foot care? A. Examine feet daily and look for skin breakdown B. Remove corns and calluses C. Ask the resident whether he or she has circulation problems D. Soak feet in hot water 792. Foot care includes: A. Bathing feet daily B. Examining feet daily C. Reporting any problems D. All of the above 793. What is the first step for nail care? A. Soak the resident’s hands in hot water B. Encourage finger exercises C. File the resident’s nails if they are too long D. Tell the resident what you are going to do 794. When shaving, you should: A. Soften the skin with a warm washcloth B. Hold the skin taut C. Shave in the direction the hair grows D. All of the above 795. Teeth should be brushed: A. Every morning B. At bedtime C. After meals D. Morning, evening and after meals 796. How often should mouth care be given to an unconscious resident? A. Every two hours B. Every four hours C. Every six hours D. Twice a day 797. Which of the following is correct when caring for a resident’s dentures? A. Remove dentures from the resident’s mouth at least eight hours a day B. Wear gloves C. Use a soft denture brush for cleaning D. All of the above 798. Hair care includes: A. Brushing and combing daily B. Shampooing at least once a week C. Reporting any scalp irritations or problems D. All of the above 799. Aging skin needs: A. Shearing B. Vigorous rubbing C. Tender care D. All of the above 800. Which of the following is important for aging skin? A. Keeping skin clean and dry B. Changing under pads frequently C. Scheduling regular toileting D. All of the above 801. How often should residents be repositioned to relieve pressure? A. Daily B. Twice a day C. Four times a day D. At least every two hours 802. Which areas are most likely to develop pressure sores? A. Fatty tissues B. Elbows and other bony areas C. Buttocks D. All of the above 803. What should the nursing assistant do if a resident complain of discomfort or pain? A. Ignore the complaints B. Explain that everyone experiences pain and discomfort at times C. Report the resident’s concerns D. Report the concerns if you think they are valid 804. Why is sleep important? A. Adjust light, noise, heat and ventilation B. Assist with pre-rest routines C. Use appropriate behavior and tone of voice D. All of the above. 805. To place a bedpan for a resident who is unable to assist, the nursing assistant should: A. Bend the resident’s knees and slide the bedpan under the resident’s buttocks B. Turns the resident to one side and slide the bedpan against the buttocks, the gently turn the resident back onto the pan C. Use a bedside commode D. Ask the supervisor for assistance 806. After assisting the resident with toileting, the nursing assistant should: A. Wash and disinfect the bedpan / urinal B. Assist the resident with hand washing C. Remove gloves and wash hands D. All of the above 807. If a resident is unable to signal with a call light during toileting, the nursing assistant should: A. Stay with the resident during toileting B. Leave the resident and check back later C. Check frequently until the resident is finished D. Ask a co-worker to keep an eye on the resident. 808. When there are changes in vital signs, what should the nursing assistant do? A. Report changes immediately B. Regard any changes as unimportant C. Mention the changes at the end of your shift D. Tell the resident about the changes 809. When would you not take an oral temperature? A. The resident is unconscious B. The resident is on oxygen C. The resident has seizures D. All of the above 810. Where do you measure the axillary pulse? A. Mouth B. Forehead C. Armpit D. Rectum 811. How much time is necessary for taking an axillary temperature using a glass thermometer? A. one minute B. Three minutes C. Five to seven minutes D. Ten minutes 812. The nursing assistant needs to take Mr. Jones’ temperature, but he is using an oxygen mask. What should the nursing assistant do? A. Remove the oxygen mask B. Wait until the oxygen mask is removed C. Take an axillary or rectal temperature D. Estimate Mr. Jones’ temperature by feeling his forehead. 813. Which of the following could cause elevated temperature? A. Cold surroundings B. Drinking cold fluids C. Drinking hot fluids D. Excessive bleeding 814. Which of the following could cause subnormal temperature? A. Shock B. Dehydration C. Warm surroundings D. Infection 815. Which statement is not correct? A. Always clean glass thermometer with hot water B. Never use a chipped thermometer C. Soak glass thermometer in disinfectant D. Rinse the thermometer in cool water 816. What is the average heart rate for adults? A. 45 to 60 bpm B. 60 to 80 bpm C. 90 to 100 bpm D. 100 to 120 bpm 817. When is the best time to measure a resident’s pulse? A. When the resident is at rest B. After a hot meal C. after the resident has completed range of motion exercises D. After ambulating 818. What should the nursing assistant observe when taking a pulse? A. Strength of the pulse B. Number of beats per minute C. Rhythm and regularity of the pulse D. All of the above 819. Which of the following could cause decreased pulse rate? A. Exercise B. Pain C. Medications D. Fever 820. Where is the radial pulse located? A. Under the left breast B. In the wrist C. in the neck D. In the groin 821. Where is the carotid artery located? A. In the neck B. At the apex of the heart C. At the temple D. At the wrist 822. While taking vital signs, the nursing assistant finds that Mrs. Brown’s radial pulse is irregular. What is the nursing assistant’s best action? A. Record the pulse rate and rhythm B. Compare the pulse rate with the carotid pulse on the opposite side C. Count the beats for one full minute D. Take a femoral pulse 823. Mrs. Jackson is eating lunch when you arrive in her room to take vital signs. What is your best response? A. Allow her to finish lunch and skip her vital signs today B. Tell her to finish her lunch later because you are busy C. Allow her to finish her lunch and rest at least 15 minutes. Then take her vital signs. D. Tell her you will come back if you have time 824. Which of the following is average respiratory rate per minute for adult? A. 8 to 12 breaths B. 14 to 20 breaths C. 22 to 28 breaths D. 30 or more breaths 825. Which of the following breathing irregularities should be report immediately A. Very fast B. Very slow C. Labored or noisy D. All of the above 826. Which of the following blood pressure reading indicates hypertension? A. 160 / 90 B. 120 / 80 C. 90 / 58 D. None of the above 827. What causes elevated blood pressure of many elderly people? A. Anemia B. Hypotension C. Arteriosclerosis D. Insomnia 828. Which of the following residents may require additional documentation of intake/ output? a. newly admitted b. Dehydrated c. Critically ill d. All of the above 829. Which of the following could be symptoms of edema? a. Dry and cracking skin b. Swelling and weight gain c. Sudden weight loss d. Increase urine output 830. Which of the following could be signs of dehydration? a. Weight gain b. Increase urine output c. Decrease blood pressure d. Swelling 831. What information must be recorded for accurate intake measurement? a. All intakes, including solid foods b. Fluids taking by mouth, including soft foods that turn to liquid c. Liquid only d. Urine output 832. Daily fluid intake for most adults is normally: a. 1000 cc b. 1400 cc c. 1800 cc d. 2500 cc 833. What cause dehydration? a. High blood pressure b. Rapid pulse c. Weight gain d. Too little fluid 834. Which of the following is important when measuring urine output a. Washing your hand before and after procedure b. Recording all measurements accurately. c. Nothing irregularities in urine appearance. d. All of the above 835. What are the requirements for a routine urine specimen? a. Collect sample for 24 hours. b. Use specimen cup or bedpan. c. Use a clean gallon jug. d. Catch urine midstream. 836. Observe stool specimens for which of the following? a. Consistency and color b. Amount and color c. Sediment. d. Both a and b 837. When is the best time collecting sputum samples? a. At bedtime b. After meals c. early in the morning d. early evening 838. During a bowel movements, the resident complains pan. What should the nursing assistant do? a. Tell the resident to avoid having bowel movements b. Tell the resident to keep trying to a bowel movements c. Tell the resident to stop complaining d. Report the problem to the supervisor. 839. Laxatives do which of the following? a. Relax the resident to avoid having bowel movement. b. Loosen waste materials in the bowel c. Stimulate urination d. prevent diarrhea 840. How is the tap-water enema prepared? a. Water is 105 degrees, with a teaspoon of added. b. Water is cold, with five cubic centimeters of liquid soap added. c. Water is cold, with nothing added. d. Water is 105 degrees, with nothing added. 841. While having an enema, Mrs. Johnson expresses the desire to defecate. What should the nursing assistant do? a. Stop the enema and assist Mrs. Johnson’s to the commode b. Ignore Mrs. Johnson’s request and continue the enema c. Push the tubing farther into the rectum. d. Tell Mrs. Johnson to wait until the enema is complete 842. Which of the following is an important consideration for a resident with a nasogastric tube in place? a. keep the head of the bed elebated 30 degrees b. observe nostrils for irritation. c. report immediately if the tube is blocked d. All of the above 843. NPO means: a. no oral procedures b. no patient output c. no observables problems d. nothing by mouth 844. What is the average amount a person voids per hours? a. 20 to 25 cc b. 30 to 50 cc c. 60 to 80 cc d. 5 to 100 cc 845. Loss of urine control is a. Urinary tract infection b. Urinary retention c. Urinary spasm d. Urinary incontinence 846. What is the purpose to use a bandage? a. To promote healing b. To provide support and pressure c. to prevent injury d. all of the above 847. Which of the following procedures is important in applying a dressing? a. to clean and dry the affected area b. To avoid touching the part of the dressing that touches the wound c. to use tape that is easily removable d. all of the above 848. For residents with dwelling catheters, which of the following should be reported? a. decreased urinary output b. dark or foul-smelling urine c. sediment in the tubing d. all of the above 849. What is the most safety precaution for making an occupied bed? a. the room is comfortably warm, which no drafts b. the resident rail on the opposite side of the bed is up and locked c. the residents is clean and dry before changing linen. d. the bed is raised to a comfortable level 850. How does aging affect people? a. mentally b. socially c. physically d. all of the above 851. The nursing assistant’s duties include: a. encouraging residents to be as self-managing as possible. b. allowing residents to make choices and decisions whenever possible c. adding interest in variety to each resident’s day d. all of the above 852. How can a nursing assistant find out about local services for the elderly? a. ask the Director of Staff Development. b. check the yellow pages in the phone direction c. inquire at the local library d. all of the above 853. How can the nursing assistant promote desirable behavior? a. say “thank you” b. Praise accomplishments c. make the person feel important d. all of the above 854. Why should a nursing assistant have a basic understanding of anatomy and physiology? a. Understand body functions help the nursing assistant recognize health problems b. knowing correct terminology helps the nursing assistant communicate with the medical staff.; c. recognizing how each system affects the entire body is important. d. all of the above 855. The circulatory system includes: a. bones, muscles, tendons b. brain, spinal cord, nerves c. heart, blood vessels d.. kidneys, urethra, bladders 856. Which of the following symptoms indicates digestive problems? a. muscles atrophy, decreased strength b. delayed wound healing c. constipation d. decreased joint flexibility 857. What can the nursing assistant do to prevent cardiovascular problems? a. work with the care team to develop an exercise program b. pace activities c. keep extremities warm d. all of the above 858. If a patient is cognitively impaired, it is not necessary to communicate with them, because they do not understand anyway. a. True b. False 859. The purpose of communication is to send a message from one person to another a True b. False 860. Some people who may not be able to communicate with health care personnel are: a. Patients with Alzheimer’s disease b. Patients who have had a Stroke or CVA c. Patients with Mental Illness or Brain Injury d. All of the above 861. When communicating with a person who is cognitively impaired, you should: a. include family and friends in communication when the patient does not understand . b. Speak in a plain way using words that are simple c. keep the radio and TV on while you are speaking to the patient d. say things only once, do not repeat what you said. e. A & B only 862. Some of the ways in which nursing assistant can meet the needs of the dying patient are: a. Spend time with the patient family b. Listen to what they have to say c. Use body language the shows care and concern d. All of the above 863. To provide physical comfort to a dying patient, the nursing assistant should: a. Observe and report pain to the nurse b. Do not change the patient position c. Do not give the patient a bath because they are dying d. Don’t allow the person in pain to speak to you 864. Other things that the nursing assistant may do to meet the needs of the dying patient are: a. Do not allow the person to call their family or speak to their attorney or funeral director. b. Talk to the patient about your religious beliefs c. Make the patient feel loved and cared for d. Tell the patient not to worry about money or other financial concerns 865. When providing post mortem care the nursing assistant should: a. Do post mortem care quickly so that the family does not cry or grieve b. Perform post mortem care with the curtains open c. Provide post mortem care while the family is present d. None of the above 866. When evaluating, the feeding needs of the elderly it is important to: a. remember the patient may cough when they eat or drink b. They can choke on foods or fluids c. a & b d. a only 867. Patients in restorative feeding progress: a. get cues or reminders to eat b. Have a plate guard to hold the food on the plate c. Drink fluids with a cup that has a weight on the bottom d. All of the above 868. When feeding patients it is important to: a. Keep the room bright and clean b. place the patient in a safety and comfortable position c. a & b d. None of the above 869. Standards of Care for Nursing Assistants include the following: a. Not harming or damaging the patient b. Nursing Assistant must observe and report abnormal findings c. Nursing Assistant must allow policies and procedures when providing care d. All of the above 870. Providing care within the ‘scope of practice” indicates: a. That we can perform any procedure we know how to do b. What we can and cannot do in our jobs c. That we can give medicines d. None of the above 871. A person who does not give care with the same level of skill that they learned in school and causes injury to a patient can be found guilty of: a. Malpractice b. Neglect c. Assault and battery d. Treason 872. Criminal Negligence occurs when: a. a person is very reckless in providing care to patients b. Abandons the patient when leaving work c. Leaves the shift without telling the nurse d. All of the above 873. An example of assault is: a. Telling a patient that you will slap them if they do not stop yelping b. Forgetting to restrain the patient c. leave the shift without telling the nurse d. All of the above 874. 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 875. 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 876. 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 roommate (D) the staff on the next shift 877. 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 878. 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 879. 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 signal (C) protect the client from injury (D) keep the client warm 880. Exercises that move each muscle and joint are called: (A) adduction (B) range of motion (C) abduction (D) rotation 881. 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 882. 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 883. 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 884. 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 and then test the client later 885. 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 886. 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 887. A nurse aide MUST wear gloves when: (A) feeding a client (B) doing perinal-care (C) giving a back rub (D) doing range of motion 888. 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 889. If the nurse aide discovers fire in a client’s room, the FIRST thing do is: (A) call the nurse in charge (B) try to put out the fire (C) open a window (D) remove the client 890. 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 891. Which of the following stages of dying is usually the final stage? (A) Anger (B) Acceptance (C) Bargaining (D) Depression 892. 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 893. 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 894. 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 895. 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 896. Which of the following is a correct measurement of urinary output? (A) 40 oz (B) 300 cc (C) 2 cups (D) 1 quart 897. 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 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 898. All of the following situations are examples of abuse or neglect EXCEPT: (A) restraining a client according to a physician’s 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 899. 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 900 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 901. 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 client’s mail without permission (C) use the client’s personal possessions for another client (D) prevent the client from complaining about care 902. The LAST sense a dying client will lose is: (A) smell (B) hearing (C) taste (D) sight 903. 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 904. The normal aging process is BEST defined as 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 905. If a client is confused, the nurse aide should: (A) ignore the client until he starts to make sense (B) restrain the client so that he does not hurt himself (C) keep the client away from other clients (D) help the client to recognize familiar things and people 906. What is the process of restoring a disabled client to the highest level of functioning possible? (A) Responsibility (B) Retention (C) Rehabilitation (D) Reincarnation 907. When changing an unsterile dressing, the nurse aide should wash hands: (A) before the procedure (B) after the procedure (C) before and after the procedure (D) before, after removal of the soiled dressing, and after the procedure 908. Clean bed linen placed in a client’s room but NOT used should be: (A) returned to the linen closet (B) used for a client in the next room (C) taken to the nurse in charge (D) put in the dirty linen container 909. The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is: (A) help the client into a sitting position (B) call for assistance from the nurse in charge (C) offer the client a drink of water (D) check for signs of injury 910. If a nurse aide finds a client who is sad and crying, the nurse aide should: (A) ask the client if something is wrong (B) tell the client to cheer up (C) tell the client to stop crying (D) call the client’s family Clients have the right to: (A) smoke in any area of the facility (B) have access to a telephone (C) go anywhere in the facility (D) see other clients’ medical reports Proper use of a waist restraint requires that the nurse aide: (A) release the restraint every four hours (B) watch for skin irritation (C) tie restraints to the siderail (D) apply the restraint tightly so the client cannot move To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client’s bed? (A) Shake them in the air (B) Place them in a neat pile on the floor (C) Carry them close to the nurse aide’s body (D) Put them in the dirty linen container A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should: (A) try to move the client alone (B) have the family do it (C) ask another nurse aide to help (D) go on to another task To prevent dehydration of the client, the nurse aide SHOULD: (A) offer fluids frequently while the client is awake (B) wake the client hourly during the night to offer fluids (C) give the client frequent baths (D) feed the client salty food to increase thirst When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s: (A) back (B) shoulders (C) legs (D) wrists To be sure that a client’s weight is measured accurately, the client should be weighed: (A) after a meal (B) by a different nurse aide (C) at the same time of day (D) after a good night’s sleep How many tips does a quad-cane base have? (A) 1 (B) 2 (C) 3 (D) 4 BEFORE taking the oral temperature of a client who has just finished a cold drink, the nurse aide should wait: (A) 10 to 20 minutes (B) 25 to 35 minutes (C) 45 to 55 minutes (D) at least 1 hour Which of the following methods is the CORRECT way to remove a dirty isolation gown? (A) Pull it over the head (B) Let it drop to the floor and step out of it (C) Roll it dirty side in and away from the body (D) Pull it off by the sleeve and shake it out What would be the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke? (A) Give the client a complete bath only when the client requests it (B) Encourage the client to do as much as possible and assist as needed (C) Leave the client alone and assume the client will do as much as she can (D) Limit the client to washing her hands A safety device used to assist a DEPENDENT client from a bed to a chair is called a: (A) posey vest (B) hand roll (C) transfer/gait belt (D) foot board If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST: (A) wear the same gown to care for all other assigned clients (B) leave the gown untied (C) take the gown off before leaving the client’s room (D) take the gown off in the dirty utility room When making an occupied bed, the nurse aide SHOULD: (A) put the dirty sheets on the floor (B) help the client to sit in a chair while the bed is being made (C) lower both side rails before changing the sheets (D) raise side rail on unattended side The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD: (A) join in the conversation (B) suggest that this is not the place to discuss the client (C) be quiet and not say anything to the other nurse aides (D) return to the unit and tell the client what was said The nurse aide enters a client’s room, and the client states that he has pain. What should the nurse aide do? (A) Report it to the nurse in charge (B) Tell the client to get out of bed for awhile (C) Tell the client that the pain will go away soon (D) Ignore the client’s statement A client is upset and crying over the recent death of her husband. How should the nurse aide respond? (A) Tell her not to cry because it will make her feel sad (B) Close the door and leave the client to cry alone (C) Take the client to an activity to help her forget her husband (D) Sit with the client and allow her to talk about her feelings Which temperature is considered MOST accurate? (A) Oral (B) Axillary (C) Groin (D) Rectal What is a beginning sign of a pressure sore? (A) Swelling (B) Numbness (C) Discoloration (D) Coolness While assisting a client with denture care the nurse aide observes that the upper plate is cracked. The nurse aide SHOULD: (A) clean the dentures and return them to the client’s mouth (B) call the client’s family (C) call the dentist and make an appointment (D) report the damage to the nurse in charge A new client refuses to wear a clothing protector at lunch. The nurse aide SHOULD: (A) tell the client that he must wear it (B) put the clothing protector on the client (C) report this to the nurse in charge (D) respect the client’s wishes The nurse aide can BEST show that he is listening to the client by: (A) changing the subject frequently (B) responding when appropriate (C) correcting the client’s mistakes (D) directing the conversation The BEST time to prepare for a disaster is: (A) while evacuating residents (B) during lunch (C) when everyone is safely in bed (D) before it happens When transferring a patient to the wheelchair who can stand up on their legs by him/herself. What do you wear in their feet? Open sleeper Sneaker shoes Sacks Sleeper elastic How much does your resident weigh if the lower weight is at 150 lbs and the upper weight is at 30lbs. when the scale balances? a. 130 lbs. b. 150 lbs c. 153 lbs d. 180 lbs What size container would you need to hold a quart of liquid? a. 1 cup b. 2 cup c. 3 cup d. 4 cup Why should you use firm strokes towards the heart when given a bed bath? a. to promote blood circulation b. to decrease blood circulation c. to increase blood pooling d. to promote blood pooling What is the most important for you to do when communicating with a esident? a. discuss b. listen c. share d. touch What type communication barrier might be present when someone answers questions inappropriately? a. apathy b. hearing impairment c. speech impairment d. vision impairment You are asked to give a resident a back rub, “qd, hs.” What is the meaning of “qd, hs”? a. after bath, each day b. at bed time every day c. at the hour of sleep, for four days d. day time, every day d. sit the resident at the edge of the bed before having him or her get out of bed You are asked to dangle a resident, what does this mean? a. let the resident’s arms hang loosely at the side while he or she is sitting in a chair b. let the resident’s arms hang loosely at the side while her or she is standing c. sit the resident up in bed, briefly, before having him or her or her get out of bed d. sit the resident at the edge of the bed before having him or her get out of bed If a resident’s family member complains about the care being given, what should you do? a. agree with the person and offer to call a supervisor b. listen to the person and give a report to the charge nurse c. reassure the person that all is fine d. tell the person to call the doctors If you are extremely upset due to an unusually heavy assignment, what should you do? a. accept the extra load and say nothing b. explain to the residents about the extra work load c. discuss your feelings with your supervisor d. tell other co-workers and ask for help What should you do if do not understand your charge nurse’s instructions? a. ask the resident what help is needle b. ask the co-worker for the information c. ask the doctor what should you do d. ask the information be repeated The resident’s Bill of Rights is best described as a a. guide for health care institutions b. legal documents for Medicare c. permit for hospital admission d. plan for good resident care Which of the following topics is covered in the resident’s Bill of rights? a. family counseling b. financial assistant c. medical assignment d. privacy of treatment What should you be violating if you discuss a resident diagnostic with your neighbor? a. accuracy b. confidentially c. dependability d. instructions you are told that it is the policy of the facility where you are working to use a transfer belt for moving residents, this mean that you a. can check to see how often your co-workers use it b. may use it whenever you want c. must use it when it is appropriate d. should check with charge nurse before using it Before assisting a resident into a whirlpool for a bath, you should. a. cover exposed skin with protective clothing b. disconnect the catheter c. lock the doors d. regulate the temperature of the water If an unconscious resident begins to vomit while lying in a supine position, what should you do first? a. elevate the head of the bed b. get an emesis basin c. sponge the face with water d. turn the person to the side What is the first action you should take to stop severe bleeding? a. apply pressure directly to the wound b. fasten a tourniquet above the wound c. put the dressing on the wound d. use the band++ on the wound ++ Reg. U.S. Pat. & Tm. Off. How often should you release restraints on the residents? a. every hours b. every two hours c. every eight hours d. every eight hours Which statement is true regarding the use of restraints? a. restraints may be applied to all residents at night to keep them in bed. b. restraints may be applied only with a physician’s order c. restraints may be applied when nursing staff is too busy to watch the residents d. restraints may be applied only to uncooperative residents A back rub is routinely done how many times a day? a. 1 b. 2 c. 3 d. 4 In giving a back rub, which motion is most stimulating to circulation? a. chops b. kneading c. spiral d. strokes What should a resident wash when able to assist with a bed bath? a. all area possible b. the arms and hands c. the face perineum d. the face, hands, and neck What is the best way to stand while giving a bed bath. a. with feet apart and back straight b. with feet apart and knees straight c. with feet together and back straight d. with feet together and knees bent What should you do while an elderly resident showers? a. checked every five minutes b. leave until called c. remain in the shower area d. wait outside the door When you are assisting with shower or a tub bath what should be reported immediately? a. broken skin b. chill bumps c. incontinence d. resistance What nail care are you permitted to perform for a resident? a. clean and cut the fingernails b. clean and trim the toenails c. clean and trim the fingernails and toenails d. soak to assist if the resident is taking too long What is recommended when you are working with a resident on grooming? a. change the activity if the resident is having difficulty b. demonstrate the activity if the resident is too slow c. offer encouragement if the resident becomes discouraged d. offer to assist if the resident is taking too long What areas of the mouth are included in oral care? a. gums, and teeth b. gums, teeth, and tongue c. gums, teeth, tongue and lips d. gums, teeth tongue, lips and throat What may you need to do to help a residents who is having who difficulty voiding? a. apply moist heat b. insert a catheter c. pour cold water over the perineum d. turn on a water faucet nearby What is the first thing you must help residents to do after toileting? a. brush their teeth b. comb their teeth c. get dressed d. wash their hands How should a gown be place on a resident who has left-sided paralysis? a. on the left side first b. on the right side first c. over the feet first d. over the head first What is best kind footwear that you can put on a resident? a. bedroom slippers b. leather shoes c. non-skid shoes d. wool sox How do you help residents who need some assistance to eat? a. cut the food, better the bread, and open the milk b. give the food after a nap or rest period c. hold the plate close to the resident’s face and support the elbow d. roll the head of the bed up high and support the resident with pillows When you assist residents with meals, how should you serve the liquid and solid foods? a. alternate liquid and solid food b. give the liquid food first c. offer the solid food first d. save the liquid food until last Which of the following would need to be reported to the supervisor? a. the resident eat ¾ of the solid food b. give the liquid food first c. offer the solid first d. save the liquid food until last When feeding a stroke victim, on which part of the mouth will you place the food? a. on the lips on the affected side b. on the lips on the unaffected side c. on the tongue on the affected side d. on the tongue on the unaffected side What is the most important factor for successful bladder training? a. checking the diaper frequently, and changing it as needed b. clamping the catheter for your shift, and then releasing it c. developing a regular schedule for urination d. helping the resident wait as long as possible to urinate When making a resident’s bed. where should you put the dirty linen? a. in the bedside cabinet b. in the laundry bag c. on the bedside table d. on the floor What should you do after unoccupied bed has been made? a. adjust the bed to the lowest position b. raise the bed to the highest position c. raise the side rails d. release the bed locks Which of the following respirations should be reported as abnormal? a. 10 b. 14 c. 18 d. 22 When is the recommended time to monitor your resident’s abnormals? a. before taking the blood pressure b. after taking the blood pressure c. before taking the temperature d. after taking the pulse Where is the radial pulse located? a. at the elbow b. at the neck c. at the temple d. at the wrist How long should you leave a glass thermometer in the mouth? a. 1-2 minutes b. 2. 3-5 minutes c. 6-8 minutes d. 10-12 minutes If your resident’s height measures 68 ½ inches, which measurement would you record? a. 5 ft. 11 ½ in b. 5 ft. ½ in c. 8 ½ in d. 5 ft. 8 ½ in What problems are prevented by doing passive range of motion exercises? a. contractures and loss of joint action b. decubitus ulcers and blood clots c. hemiplegia and loss of function d. weakness and spasticity The drainage system drains in what way? a. by gravity b. by motion c. by pressure d. by suction When your resident has an indwelling catheter, you must be sure that prper drainage is maintained by seeing that the collection bag is kept a. at the level of the bladder b. above the level of the bladder c. alternating above and below the level of the bladder d. below the level of the bladder What information should be verified when checking a resident’s diet stray? a. diet type, food containers, name on stray b. food containers, food on stray, presentation c. food on stray, presentation, food amounts d. name on tray, allergies, diet type Dehydration may result from a. diarrhea b. dyspepsia c. impaction d. incontinence What is the first thing you should do if an elderly resident you are ambulating begins to fall? a. assist the resident to the nearest chair b. lower the resident to the floor c. put the resident back in bed d. reach for the call bell or phone Where do elderly people experiences most falls a. in the bedroom b. in the living room c. in the hallway d. in the stairwell Which statement best establishes reality orientation? a. “ Be careful. The floor is wet” b. “ It’s 5:30 p.m. time for supper c. “ let me help you with the bed” d. “ you look me help you in that dress You notice that your resident is unhappy, withdraw, untidy, has low self esteem and loss of appetite. These are most likely signs of which condition? a. anxiety b. depression c. hysterical reaction d. personality disorder What disease is the most common cause of serve memory loss in older adults? a. Addision’s disease b. Alzheimer’s disease c. Cushing’s Disease d. Parkinson’s disease During the hand washing procedure, how long is it recommended that you generate friction? a. ten seconds b. thirty seconds c. one minutes d. five minutes How often is it recommended that you wash your hands? a. before and after giving care b. each time you enter a room b. each time you leave a room d. before and after handling food When should you wash your hands if you will be wearing gloves? a. before and after wearing a gloves b. before and after wearing the gloves, and while they are on c. only after wearing the gloves d. only before wearing the gloves If you believe that you have been exposed to a sexually transmitted disease, you should contact. a. a friend b. the health department c. a pharmacist d. your employer Who is most responsible for preventing you from contracting transmitted disease? a. the Center for Disease Control b. the public schools c. your partner d. you How can you best assist with meeting your resident’s need for physical safety ? a. ensure their privacy b. maintain an environment of security c. provide pain medication d. tell them that you are there to help Why should family members be encouraged to visit a sick resident? a. to assist with personal care b. to help with lifting and moving c. to offer comfort and support d. to prevent the use of restraints Which of the following procedures would be done last during your work shift a. change the bed linen b. collect the lunch strays c. do the resident personal care d. empty the urinary drainage bags Which of the following documents is the health care assistant’s most important resource in providing care? a. the admission checklist b. the doctor’s order sheet c. the nurse’s assignment sheet d. the nurse’s notes Which of the following would be a purpose of rehabilitation? a. to give residents indefinite support b. to give residents something to do c. to help residents become more dependent d. to help residents do as much as they can The moral code that guides the behavior of the health care workers is called a. etiquette b. ethics c. care plan d. dignity Which of the following is a development task of the elderly resident? a. increased social involvement b. adjusting the losses c. having a second career d. adjusting to middle age Which of the following would be considered an example of a pressure-reducing device? a. quad cane b. walker c. gel mattress d. pulley The electronic thermometer can be used for taking what kind of temperature? a. oral and tympanic b. oral, axillary, and tympanic c. oral and rectal only d. oral, rectal, axillary, and tympanic When you are completed colostomy care for a resident, you will record any output as. a. urinary output b. a bowel movement c. an emesis d. homeostasis When personal mail is sent to long-term care facility resident, who has the right to open it first? a. administrator b. director c. resident d. state inspectors Safety of residents is the responsibility of a. family members b. the administrator c. the maintenance staff d. all staff Which is important to explain lifting procedures to residents before you do them? a. to be polite b. to enlist their cooperation and help c. to prevent any arguments d. to provide therapeutic communication A resident is waving one arm wildly, grabbing at the throat area and coughing. You best response is to a. get him a drink of water b. run and get the nurse c. stay there and allow him to continue coughing d. Slap his back four times firmly When a resident with a paralyzed side wants to brush his own teeth, you should. a. brush his teeth for him anyway b. take out the supplies and allow him to do it c. explain that you are happy to help him and do it for him d. guide his toothbrush through the procedure Mr. Ronzani is a bedfast resident with a stage IV pressure ulcer. He uses a therapeutic air mattress. The bottom sheet slides around on the mattress and gets bunched up under the resident at least once a day. You should: a. checked the sheet securely to the matters b. pin the sheet securely to the mattress c. tuck the sheet in very tightly d. tie the sheet to the side rails When communicating with a resident who has a vision impairment, you shold: a. yell loudly in the resident’s ear b. place a bright light behind your back so the resident can see you c. discuss what you see, interesting changes and what various people are doing d. always use sign language The correct positioning of the resident’s body is called a. muscle development b. body alignment c. body mechanics d. range of motion What kind of problems exists for a resident who needs elastic stockings (TED hose)? a. urinary b. respiratory c. circulatory d. digestive To properly wash the eyes while giving a bed bath, you would a. wipe from outer side of eye to inner side b. wipe from inner side of eye to outer side c. use a back-and-forth motion d. use plenty of soap and water The skin of the elderly resident becomes a. thicker b. fatter c. thinner d. brittle When you find a resident who appears to have fallen on the floor, you first action is to a. run to get help b. put the resident in bed c. stay with the resident d. call the paramedics Mrs. Gree is a 70-year-old resident who has been on bedrest with pneumonia for three days. You note a reddened area on her back. You best response is to a. encourage her to get up and move about b. apply a dressing to the area c. massage the area with lotion d. report the area to the nurse Restraints require a doctor’s order and must be released every a. half-hour b. hour c. two hours d. four hours A resident who is confused is seated at the same table as his roommate eating lunch. A nurse aide observes the resident who is confused throwing his plate at his roommate. The roommate is started, but not injured as the plate misses him. What is the best response by the nurse aide? Determine if the resident needs a new plate of food Remove the resident who threw the plate from the dining room Tell the resident who is confused that his behavior is unacceptable Ask the roommate if he did anything to upset the confused resident A resident suddenly becomes incontinent of urine. He always had bladder control in the past. What should the nurse aide do? Report the incontinence to the charge nurse Explain to the resident that this is normal with aging Suggest that the resident go to the bathroom Advise the resident to start wearing incontinent briefs (diapers). A nurse aide has taken the vital sign of a resident. The vitals are: T 98.8- P 80- R 40- B/P 126/82. Which of these is considered abnormal? Pulse Temperature Respiration Blood Pressure A resident who is confused often becomes agitated and anxious. To help prevent these situations he nurse aide should. Try to determine situations that trigger the behavior Orient the person to person, place, and time Avoid direct eye contact with the resident Help the resident to recognize early signs of anxiety A resident recently had surgery and has a large bandage on his abdomen. The resident tells the nurse aide that the wound smells bad. What is the best response by the nurse aide? Spray deodorizer in the resident’s room Report the resident’s concerns to the charge nurse Tell the resident that it is normal for the wound to smell a little Suggest the resident eat more protein to help with wound healing The purpose of a bladder training program is to: Allow the resident to regain control of the bladder Prevent bladder infections in resident on bed rest Proceed with taking care of the resident more easily Charting the resident’s urine output A resident who is dying states, “Nothing matters anymore.” The most appropriate response by the nurse aide is: “I am sorry you are dying” “Cheer up, it could be worse” “I understand you are feeling depressed” “Do not talk like that, it makes everyone else feel bad” Which of the following is the most likely reason for a resident who uses the call light frequently? To get attention To get reassurance To prove the staff will come To test whether the staff pays attention The resident has put on the call light for the third time in the past half hour. The nurse aide has answered twice and found no real problem. What should the nurse aide do this time? Set up a schedule to check up on the patient Check on the resident promptly and reassure the resident Ignore the call light since the resident is probably confused Remove the call light so the resident will not disturb any other residents Before reporting the resident’s pain to the charge nurse. The nurse aide should: Complete the resident’s care Check the resident’s plan of care Ask the resident when last received pain medication Ask the resident to describe pain A resident stays in his wheelchair for long periods of time. Skin breakdown is most likely to occur on the resident’s: Hells Thighs Elbows Tailbone The resident who is in bed tells the nurse aide she is feeling cold. What should the nurse aide? Take the resident’s temperature Report to the charge nurse Ask if the resident would like another blanket Suggest the resident to move around to warm up The nurse aide is assigned to the dining room while the residents are eating lunch. The nurse aide knows how to provide the Heimlich maneuver if a resident suddenly: Begins coughing Ask for assistance Grasps neck and cannot speak Stops chewing and begins vomiting Which of the following best demonstrates the nurse aide’s recognition for the resident’s need for dignity? Asking about the resident’s family visits Encouraging the resident’s independence Taking the resident to scheduled activities Selecting the resident’s clothing for the day A resident is to begin bowel training program. What should the nurse aide do? Collect the resident’s colostomy supply Toilet the resident according to the schedule Limit the resident’s fiber and liquid intake Apply an incontinent brief until the resident is toileting independently Which of the following statements describes the correct technique for removing the undershirt form a resident who has paralysis of one arm from a stroke? Remove the sleeve form the unaffected arm first Remove the sleeve form the paralyzed arm first Pull the shirt over the resident’s head first Remove either sleeve first A new resident complaining about everything in the nursing home, from the food to other residents. Which is the best response by the nurse aide? Ask the residents to stop being angry Expect that most residents are confused Try to understand the resident’s need to complain Suggest the resident stay in her room when she feels this way A nurse aide is asked to collect a specimen from a resident colostomy bag. What should the nurse aid collect? Blood Urine Stool Mucous What is the reason the nurse aide encourages the resident to change into their street clothes instead of staying in their night clothes all day? To save on laundry To make it easier to tell the residents apart To make it easier to dress the resident To have an effect on how the resident feels The resident has used the bed pan to prevent spread of infection, the nurse aide should make sure the resident is: Hands are washed Bed pan is sterilized Room is deodorized Bed linen are changed When a resident has her fist raised to strike out, what should be the first response by the nurse aide? Grab the resident’s fist Try to distract the resident Back away from the resident Gives the resident an angry look The nurse aide discovers smoke coming from the resident’s room. What should a nurse aide do first? Pull alarm Open windows Grab a fire extinguisher Check if anyone is in the room A resident has been incontinent of stool. When providing perineal care to the resident the nurse aide should. Use the same wash cloth for washing and rinsing the genital area Clean the genital area with the wash cloth used to clean the buttocks Remove the stool from the buttocks before and beginning perineal care Transfer resident to a commode chain to provide perineal care A resident that has dementia is considered very difficult to care for because the resident is often agitated and yells at staff. The resident ahs an increased risk for: Having hallucinations Being neglected Having a disease such as Parkinson’s or multiple sclerosis Falling with skin tears A nurse aide sees a change in a resident’s behavior for the last 2 days. The nurse aide has seen the resident crying during breakfast. The resident tells the nurse aide. “I do not want to eat anymore; I am old and just want to die.” What should the nurse aide do? Tell the resident. “You will get over this in a few days.” Ask the resident. “Are you having bad dreams at night that makes you feeling this way?” Say “Nothing, all nursing home residents talk this way sometimes” Report this change in the resident’s behavior to the charge nurse. A resident keeps calling out to people who pass by him. Which of the following responses by the nurse aide best recognizes the resident’s needs? Encourage the resident to take a nap Report the behavior to the charge nurse Stop to talk with the resident Wave at the resident when walking past the room Restraining a resident unnecessary is an example of: Assault Battery Invasion of privacy False imprisonment The resident has an Advanced Directives. This means that the resident is: Has been informed of rights Ask the facility to manage her finances Will not be resuscitated if her heart or breathing stops Has provided information about choices concerning life-saving the treatments The nurse aide is returning to the resident’s room to help her get dressed for the day. What is the first thing that the nurse aide should do for this procedure? Remove the resident’s gown. Select clothing for the resident to wear. Tell the resident what the nurse aide plans to do. Ask the resident if she is expecting any visitors today. The nurse aide is ambulating a resident in the hall and the resident begins to fall. What should the nurse aide do first? Call for help Ease resident to the floor Attempt to hold resident upright Move resident The nurse aide has almost finished bathing a resident when the resident’s son arrives and starts yelling at the nurse aide. What is the best response for the nurse aide to give? “Please stop yelling and let me finish my job.” “You seem upset, let me finish your father’s bath and then we can talk.” “You need to calm down, this is going to upset and embarrass your father.” “Your yelling is inappropriate. You need to take your issues someplace alse.” An important role of the nurse aide in promoting safety in the nursing home is to: Sterilize resident personal care equipment, such as basins after each us Check the water temperature in the tub and shower once a shift Report broken or malfunctioning equipment promptly Inspect expiration dates on medications A nurse aid is checking on a resident who is scheduled to be toileted. What is the best thing for the nurse aide to say to the resident? Are you still dry? Let me help you to the bathroom I need to check if you were incontinent Do you think you can hold it for a little longer When releasing the resident restraint it is important that the resident be given an opportunity to: Eat Move Sleep Breathe Restraining a resident unnecessarily is an example of: Assault Battery Invasion of privacy False imprisonment A resident who is receiving feeding should be positioned: Back and head of bed elevated Flat with feet elevated On the left side On the right side A diabetic asks the nurse aide to trim her toe nails. What should the nurse aide do? Report to charge nurse aide Call the Physician Cut the resident’s toe nails Tell the family to cut the resident’s toe nails The resident’s urinary drainage is empty, the nurse aide should first: Report fact to charge nurse Check the drainage tube for kinks Disconnect the tubing from the bag Position in a prone position A nurse takes vital signs of a resident: T 98- P 98- R 20- B/P 162/82. Which is considered abnormal? Temperature Pulse Respiration Blood Pressure A resident bites a nurse aide, what should the nurse aide do? Gently bite the resident back Report biting of charge nurse Tell the resident not to do that again Ignore the bite A confused resident is not able to find her room, what should the nurse aide do? Take the resident to her room whenever she is lost Ask the resident if she was lost Post a sign on the door to help resident locate her room Report the behavior to the charge nurse. A confused resident hides things that he finds on the resident units. Which of the following is the best way to respond to the resident’s behavior? Restrain the resident Find activities to keep the resident busy Lock drawers to prevent resident form taking things Assist the other residents in packing their belongings To help the resident achieve rehabilitative goals the nurse aide should: First provide total care for the resident Recognize the resident’s small accomplishments Expect constant improvement in the resident’s abilities Set time limits for the resident to complete self care task A resident tells the nurse aide, “I am in pain.” Which of the following should be the first response by the nurse aide? Reposition the resident Encourage the resident to lie down Repeat the statement to the charge nurse Ask the resident where the pain is located A resident offers the nurse money for care received. Which of the following is the best response by the nurse aide? Refuse to care for the resident Notify the charge nurse immediately Give a firm, but courteous refusal of the money Accept the money and use it to buy something for the resident Dementia is considered: Reversible Temporary Permanent Short term A resident who is in restraint yells loudly and attempts to remove restraints. Which of the following would be the best response by the nurse aide? Adjust the restraints Apply a different kind of restraint Check the resident’s needs such as toileting and repositioning Report to charge nurse and suggest the resident be medicated Which of the following is true about the correct application of restraints? The resident will require less supervision while restrained The resident’s movement except for breathing The restraint is secured so that it will be released quickly if necessary The nurse aide’s judgment is important in determining the kind of restraint to use. A 90 year old resident is very confused; she is walking around aimlessly calling for her mother. Which of the following is the best response? Take the resident to an activity Orient the resident to reality by explaining that the mother is dead. Ask the resident why she is looking for her mother to see if there is something she needs. Tell the resident that she can stop looking for her mother because the mother will be in later to visit. The document that outlines the care required for the resident along with the goals for the resident is the: Plan of care Nursing notes Assignment sheet Procedure manual During the night shift a resident has taken 240cc of juice, 100cc of water, 100cc of ice cream. What is the total intake? 240cc 320cc 440cc 480cc The nursing aide is bathing a resident and notices that the resident’s ankle is swollen. Which of the following is the best response by the nurse aide? Elevate the resident’s leg and check back later Ask the resident if extra salt has been used on the resident’s foot Report the swelling to charge nurse Avoid bathing the resident’s lover leg A confused resident insists to go outside. What should the nurse aide do? Retrain the resident Lock the resident inside her room Take the resident for a short walk Report to the charge nurse Which of these increases risk of skin breakdown? Alertness Immobility Fluid intake Bladder control The nurse aide is going to give the resident a shower, after the nurse aide has tested the water. What should the nurse aide do next? Tell the resident that the water is ok Ask the family to test the water Just bathe the resident after testing the water Ask the resident to check the water When returning a resident to bed the nurse aide should: Raise the bed high Put all side rails up Place call light within reach Place a pillow under the resident’s knee A resident who is terminally ill is shouting at the staff that she is tired of everyone controlling her life. The resident is in which stage of grief: Denial Anger Bargaining Acceptance A resident with a urinary tract infection has been incontinent several times. While trying to get to the bathroom quickly by herself, the resident has fallen twice. Which of the following actions by the nurse aide is most appropriate in preventing future falls? Offer to take the resident to the bathroom more frequently Limit the time to take the resident to the bathroom Keep the resident in bed with side rails raised and offer a bedpan hourly Restrain the resident’s movements A resident with paranoia frequently accuses her roommate of stealing her photo album. Which of the following would be the best response by the nurse aide when the resident makes this complaint? Ignore the resident’s accusations Ask the roommate why she took the album Tell the resident that no one would want your photo album Ask the resident about her favorite pictures in the photo album A nurse aide enters the room to discover the resident is having a seizure. The nurse aide’s first response should be to: Raise the side rails and the head of the bed. Leave the room to find help Position the resident to keep the airway open Call EMS Routinely weighing resident’s is an important way to determine if residents are: Aging normally Getting enough nourishment Adjusting to the nursing home Experiencing side effects to medications Sensory impairments in the residents such as changes in vision, taste, smell- increase the risk for: Falls Craving for sweet Dementia Food Poisoning The radial pulse is located: Behind the knee Below the nipple On the side of the neck On the thumbs side of wrist A resident is unable to stand. The nurse aide is asked to obtain the resident’s height. Which is the best approach to obtain the resident’s height? Take the measurement on the side of the bed Roll the resident to the side of the bed to take the height Take the measurement of the bed Lay the resident flat in the bed, mark the sheet at the top of the resident’s head and bottom of feet, and measure distance between the two marks. It is time for the resident’s mouth care, but the resident refuses. What should the nurse aide do? Tell the resident that this is the scheduled time Ask another nurse aide to restrain the resident and give the mouth care Remind the resident that mouth care important and offer to come back later. Skip the mouth care for today and record in the chart. Which of the following is important for resident safety while providing mouth care to a resident who is in bed? Raise the head of the bed. Use a toothbrush with firm bristles Raise the height of the bed to a working level Use a toothed or swab instead of a toothbrush. A resident has a cold and is using tissues for his runny nose. While moving around the facility in his wheelchair the resident keeps dropping his used tissues. Which of the following is the most appropriate response by the nurse aide to this situation? Have the resident stay in his room until he has fully recovered for his cold. Ask the nurse if the resident can have medication to dry his runny nose. Attach a paper bag to the resident’s wheelchair for the dirty tissues and remind him to wash his hand after. Tell the resident that he is being careless and putting everyone at risk for catching his cold. The resident had a stroke. He is able to talk but has difficulty pronouncing some words. The nurse aide can best help the resident communicate by: Filling in words the resident forgets. Giving the resident the opportunity to complete sentences. Correcting the mistakes the resident makes when speaking. Standing directly in front of the resident to make lip reading easier. Which of the following observations should the nurse aide report to the charge nurse immediately? Very large bowel movement Decreased appetite Difficulty sleeping Chest pain To communicate with a bearing impaired resident the nurse aide should: Speak to the resident using a loud tone Ask questions the need a simple yes or no response Exaggerate the pronunciation of words when talking to the resident Make sure the resident can see the nurse aide’s face when speaking While shopping, the nurse aide meets a resident’s neighbor who asks how the resident is doing. What is the best response for the nurse aide to give? “She is doing fine. Why don’t you come and visit her?” “Exactly what information do you want to know?” “Her days are very long. Have you visited her lately?” “ I cannot discuss residents. I’ll tell her you said hello?” Which of the following is most effective in preventing the spread of infection in the nursing home environment? Wide use of antibiotics Frequent hand washing by staff Isolation of any resident who is ill Routine sterilization of resident care equipment Which of the following behaviors is most likely observed in a resident with dementia who is experiencing pain? Increased appetite Sleeping Crying Wandering The nurse aide finds a resident sitting upright in bed with a meat ray on the over bed table in front of the resident. The resident is holding her throat and coughing. What should the nursed aide do? Perform abdominal thrusts to dislodge any food. Try to figure out what food the resident is choking on. Observe the resident as long as they can cough. Lower the head of the bed and turn resident on side. A resident with dementia gets up every morning at 3 a. m. After getting dressed and having a cup of coffee, the resident announces that she needs to get his farm work started. The nurse aide should: Set up hands-on tasks for the resident such as caring for and indoor garden. Avoid giving the resident caffeinated coffee since it will keep the resident awake. Remind the resident that he needs to be quiet so as not to awake other residents. Allow the resident to go into the closed courtyard and look for something to do. What should the nurse aide do if a resident who is on bed rest asks to be taking to the bathroom instead of using a bedpan? Position a bedside commode right next to the bed. Tell the resident that the toilet in the bathroom is broken. Ask if the resident is feeling strong enough to make it to the bathroom. Remind the resident that the doctor has ordered bed rest and assist the resident with a bed pan. Before beginning a resident’s bed bath, what is the first thing a nurse aide should do? Wash hands Gather supplies Put on clean gloves Adjust bed to working height A resident learns she is dying of cancer. The resident states, “The laboratory tests cannot be right. I’m sure I do not have cancer.” Which of the following is most likely the reason for the resident’s response? She is angry with her doctor She is unhappy that she has cancer She is in denial, a normal grief reaction She is considering legal action against the lab A resident’s only child and the child’s family have moved to another state. The resident tells the nurse aide that she will never see her grand children again. What is the best response by the nurse aide? “It does not help to talk like that.” “I’m sure your grand children will visit in the summer.” “Have you considered moving to a nursing home near them?” “Sounds like you miss them a lot. Can you tell me about them?” A resident who the nurse aide does not know asks to be taken to the bathroom. What should the nurse aide do? Ask the resident if she can walk Take the resident to the bathroom Check the care plan for information about the resident’s mobility. Get another nurse aide to help walk the resident to the bathroom. A resident who is dying states, “Nothing matters anymore.” Which of the following responses best encourages the resident to continue talking about his feelings? “Please try to cheer up. It could get worse.” “Don’t talk like that. It makes everyone feel bad.” “I’m really sorry you are dying. Is there anything I can do?” “It sounds like you are hurting. Do you want to talk about it?” One resident is attempting to strike another resident with a cane. What should the nurse aide do? Go and get security Yell at the resident to stop Take the cane from the resident Remove one resident form the room. A resident’s daughter expresses concern that her mother’s blouse is dirty form lunch. What should the nurse aide do? Change the resident blouse Refer the daughter to the charge nurse Try to remove the soiled spots with a wet wash cloth Suggest the resident wear a clothing protector for when eating Which of the following actions by the nurse aide is most important in preventing food poisoning of residents? Ensuring residents eat food while it is still warm Checking canned pudding is cold before giving to resident Encouraging the resident to keep cookies in air tight containers Disposing of left over foods improperly stored in the bedside table A nurse aide is bathing a resident who is confined to the bed. The nurse aide notices a red area on the resident’s shoulder. The nurse aide should: Massage the area throughout the day Place pillow under the resident’s shoulder Position the resident on the stomach for the day Position the resident to avoid pressure on the shoulder A resident with dementia insists that she needs to go home to cook dinner for her family. What should the nurse aid do first? Retrain the resident Try to distract the resident by asking about cooking. Remind the resident that the nursing home will cook her dinner. Suggest that the activity department have another cooking event. A resident’s 90 year-old sister, who was also a resident at the nursing home recently died. The nurse aide should: Avoid discussing the sister’s death since it would probably upset the resident. Allow the resident to express feelings about her loss and provide support. Tell the resident, “Death is just a part of life. You’ll feel better soon.” Suggest the resident eat meals in her room during the grieving period. Which of the following situations is considered resident neglect and should be reported? Changing a resident’s incontinent brief (diaper) once during an 8-hours shift. Throwing away a box of cookies found in a drawer of a diabetic resident. Taking a resident to Bingo who is confused and unable to give consent. Overlooking for an entire shift that the resident’s tissue box is empty. A confused resident’ family member requests that a restraint be applied to the resident for safety reasons. What is the most appropriate response by the nurse aide? Discuss other options with the family for keeping the resident safe. Ask if the family member prefers a vest or waist restraint. Tell the charge nurse about the family member’s request. Suggest the family member call the resident’s physician. Which of the following items is correctly stored if placed on the lowest shelf or lowest drawer in the resident’s bedside cabinet? Toothpaste Bath basin Emesis basin Urinal An alert resident tells the nurse aide “I want to stay in my room today.” What should you do? Ask the resident if there is a room she wants to stay in. Ask the resident if she want to stay in bed. Inform the resident that she must go to the dining room for lunch. Remind the resident that all residents must sit up and beds made before lunch. To help with the resident’s rehabilitative goals, the nurse’s aide should: At first provide total care for the resident Recognize the resident’s small accomplishments Expect constant improvement in the resident’s abilities. Set time limits for the resident to complete elf care tasks The nurse aide thinks the resident might be choking. Which of the following is the best way to determine if the resident is choking? Give the resident a sip of water Ask the resident to talk or cough Finger sweep the resident’s mouth Pat the resident’s back gently 1111. The nurse aide notices that a resident with dementia has been eating poorly. To improve the resident’s food intake the nurse aide should. Attempt to retain the resident form feeding him/ herself Suggest a pure diet which would be easier for the resident to swallow Ask the resident family to bring in favorite food at meal time Offer encouragement and assistance during meals A resident who is confused always eating food from other resident’s tray during meal time. What should the nurse aide do? Sit next to the resident at meal time Order double portion for the resident Have the resident sit in his room Put mitt on the resident and feed him 1113. A resident has wandered over to another unit in the nursing home. When bring the back, the nurse aide should say, “So, what kind of trouble did you get into today” “Did you forget where you belong again” “How nice this is to walk with you” “Do not leave the unit again” 1114. Which of the following is appropriate for a nurse aide to do while providing postmortem care to resident? Disconnecting any tubing inserted in the resident’s body Talking to the resident since hearing is the last sense to go Treating the body with the same dignity as a living resident Moving the resident joints to prevent stiffening of the body 1115. A resident is lying in bed vomiting. Which of the following positions is considered the most dangerous because of the risk of aspiration? On the right side, with the head of the bed elevated slightly On the left side, with the head of the bed flat On the back, with the head of the bed flat On the stomach 116. A nurse aide enters the resident room to find the resident and her husband in bed together. What should the nurse aide do? Apologize for interrupting and leave the room, close the door for privacy. Remind the resident and her husband that they are not teenagers and they should control themselves. Tell other nurse aides that the couples were found in bed together Continue completing work in the room as if nothing is wrong. 1117. During lunch, the nurse aide observes that most of the residents are not eating a certain food that was served. What should the nurse aide do? Not worry and accept that the food will not please everyone Report this observation to the charge nurse or the dietary supervisor Remind the residents that it is important to try all the foods that are served Suggests to the residents that the Resident Council discuss the food selection 1118. Which of the following is appropriate to do before measuring the resident’s weight? Limits the resident fluid intake Check if the resident has had a bowel movement Remove the resident’s sweater and eyes glasses Change the resident wet incontinent brief 1119. Which of the following statement is most important for the nurse aide to ask the resident before taking an oral temperature? “Have you done your mouth care today?” “Have you had anything hot or cold to eat or drink within the last 10 minutes?” “If you have dentures, I need you to remove them before I take your temperature.” “Here some water and a basin. Please rinse your mouth out before I take your temperature.” 1120. A resident has not been eating for the last few days. The resident’s daughter asks what is being done about this. What is the best response for the daughter? “The nurse can answer your question. Can I help you find the charge nurse?” “Can you come during meals and see if your mother will eat better with you?” “I am worried about your mother too I miss seeing her enjoying her food.” “Your mother was weighted yesterday and has lost a few pounds?” 1121. A nurse aide is helping a resident walk. The resident falls and strikes his head on the floor. The resident is alert and can talk, although his head his cut. What should the nurse aide do first? Call for help immediately Check the resident’s vital signs Ask the resident his name and where he is Apply gloves and then apply pressure to the cut 1122. A resident son complains to the nurse aide that the clothing his mother is wearing is dirty. What is the best response by the nurse aide? Offer to change his mother into a clean outfit Report the son’s concerns to the charge nurse Ask the son if he would like to speak with the laundry department Explain that his mother clothing was clean when she was dressed 1123. Residents who use their call lights excessively are most likely demonstrating a need to. Manipulate the staff Test whether the staff pays attention Address the feelings of anger or control Address feelings of loneliness or fear 1124. Which of the following conditions requires that the residents eat at a regular meal times? Heart failure Diabetes mellitus Parkinson’s disease Alzheimer disease 1125. The nurse aide answers the telephone at the nurse’s station. The caller states, “My friend just told me that Mrs. Thomas, my neighbor, is a new resident there. I want to see how she is doing? What should the nurse aide say? You need to call her doctor I cannot give out resident information You really need to visit her to get that information She is feeling weak, but adjusting. I’ll tell her you called. 1126. A nurse aide observes two residents holding hand. To respond appropriately the nurse aide should. Consider that it is natural and within their rights Find out if the residents are married or single Consider if the residents are the same sex Report this sexual contact immediately 1127. A nurse aide enters a resident’s room and observes the resident on the floor having a seizure. The resident’s upper and lower extremities are jerking and there is a large amount of saliva from the mouth. The nurse aide’s next action should be to. Go to the nurse’s station immediately to get help Try to protect the resident from possible injury while calling for help Call another nurse aide to assist in moving the resident into the bed. Take the resident’s vital signs 1128. A resident is on a toileting schedule for bladder training. The resident is requesting to us the bathroom more frequently. The nurse aide should Position the resident in view of a clock Ask the resident to try to wait a little longer Discuss the resident’s more frequent requests with the charge nurse. Explain bladder restraining to the resident and the need to stick to the schedule. 1129. When a resident refuses bathing the nurse should Discuss the reason for bathing with the resident Leave the resident alone and document the refusal Talk calmly while continuing to collect bathing supplies Wait awhile and approach the resident about bathing again 1130. When transferring an Asian resident out of bed, the nurse aide notices the resident is grimacing. When asked, the resident denies pain. To respond effectively to the resident’s needs, the nurse aide should understand the Resident is being truthful Resident would admit the pain, if he had real pain Residents cultural background may influence responses to pain Residents preference is that the nurse aide ignores my grimaces 1131. A nurse aide has been told to encourage a resident to drink more fluids. Which of the following would best help meet this goal? Suggest that the resident be placed on a clear liquid diet Double the amount of fluid that the resident has with meals Ask what the resident prefers to drink and offer through Ensure that the resident has a fresh pitcher of water with cups at the bedside 1132. A hand sanitizers would be more appropriate to use after Feeding a resident Handling a wet incontinent pad Wiping a resident’s bloody nose Cleaning a resident’s who had a bowel movement 1133. A nurse aide is preparing to shower a resident who has dementia. When the water is turned on, the resident begins to scream. The nurse aide should Remind the resident it is the scheduled shower day and continue bathing Turn off the water and speak to the resident trying to create a calmer response Stop the shower and plan on trying again on the next schedule shower day Ask the charge nurse to address the resident’s screaming behavior 1134. The nurse aide suspects that a staff member is abusing a resident. What should the nurse aide do? Report to the charge nurse Observe carefully to obtain proof Report the staff person to the Resident Council Attempt to discuss the suspicion with the staff member 1135. A resident with which of the following conditions is most likely to require isolation? Stroke Diabetes Active tuberculosis Congestive heart failure 1136. The nursing home weighs all residents once a month. Today is weight day and the nurse aide is to weigh all assigned residents. The nurse should ask whether a weight is necessary on which of the following residents? A resident with recent weight loss who has been started on nutritional supplements A resident who is receiving hospice services and is near death A resident who started on a medication to reduce leg swelling A resident who has recently admitted to the facility 1137. Which of the following statements is true about mouth care for residents with dentures? Mouth care for residents with dentures requires only cleansing of the dentures and rinsing the mouth. Privacy is important since many people with dentures do not like to be seen without them. Dentures should be rinsed and soaked in hot water to reduce harmful bacteria Residents are expected to provide their own denture care 1138. Which of the following increases the risk of skin breakdown? Mobility Alertness Fluid intake Incontinence 1139. A resident is dependent for all activities of daily living (ADLs). The resident’s care plan indicates that resident is at risk for dehydration. The nurse aide should Limit the resident’s fluids to mealtimes Offer fluids frequently throughout the day Keep water pitcher within reach at the bedside Ensure the resident receives evening snack of pudding 1140. A resident is sitting in a chair at the table in the dining room is choking. The correct position of the nurse aide’s fist when reaching around the resident to perform the Heimlich maneuver (abdominal thrust) is On top of the breastbone At the navel (umbilicus) Above the breastbone and below the neck Between the navel and the bottom of the breastbone 1141. A resident is on complete bed rest and has been incontinent. The bottom linen on the bed is soiled. The nurse aide should Assist the resident into a chair near the bed and then change the linen Replace the bottom linen while the resident remains in bed Apply a fresh draw sheet over the soiled bottom sheet Place an incontinent pad over the soiled area 1142. A resident is on a pureed diet. The family brings a pizza from home and asks the nurse aide to help feed the resident his favorite food. Discuss the family’s request with the charge nurse Remove the soft cheese with sauce and feed it to the resident Allow the resident to smell the pizza while the nurse aide describes it Explain the residents are not allowed food prepared outside the nursing home 1143. A resident who must stay in bed is at risk for developing Dementia Constipation Hand contractures Parkinson’s disease 1144. A resident voided 100cc of dark urine. This is a sign of what condition? Parkinson’s disease Diabetes Dementia Dehydration 1145. A resident has a catheter and urine collection bag. Which of the following would the nurse aide do to measure the urine output? Squeeze the bag slightly before reading the measurements on the bag Hold the urine collection bag at the nurse aide eye’s level Disconnect the catheter from the urine collection bag Drain the urine into a measuring device 1146. The resident with dementia asks the nurse’s aide. “Is it lunch time yet?” The resident just finished breakfast 30 minutes ago. Which of the following is the best answer b the nurse aide? “You just finished breakfast.” “It’s 9:00 a.m. You have 3 hours until lunch.” “Would you like to sit where you can see a clock?” “Are you feeling hungry?” 1147. Which of the following will best help a resident have regular, soft bowel movements? Eating small, frequent meals throughout the day. Drinking fluids throughout the day Changing positions routinely Eating a diet high protein 1148. When transferring an Asian resident out of bed, the nurse aide notices the resident is grimacing. When asked, the resident denies pain. To respond effectively to the resident’s needs, the nurse aide should understand the Resident is being truthful Resident would admit the pain, if he had real pain Resident’s cultural background may influence responses to pain Resident’s preference is that the nurse aide ignores any grimaces 1149. When communicating with the resident, the nurse aide should Avoid eye contact as much as possible Help by finishing the resident’s sentences Think ahead to what the nurse aide plans to say next Know that works and expressions can have different meanings 1150. A resident is able to stand on her feet. What should the resident wear on her feet to be the safest when she is transferred from her bed into a wheelchair? Plain cotton socks Open-backed slippers Elastic (TED) stockings Athletic-type shoes (sneakers) 1151. The nurse aide answers the telephone at the nurse’s station. The caller states, “My friend just told me that Mrs. Thomas, my neighbor, is a new resident there. I wanted to see how she is doing?” What should the nurse aide say? “You need to call the doctor” “I cannot give out the resident information” “You really need to visit her to get hat information” “She is feeling weak, but adjusting. I’ll tell her you called 1152. A nurse aide discovers a female resident in bed with a male resident who is confused. What is the most appropriate response by the nurse aide? Tell female resident that her behavior is unladylike Tell the male resident that he should be ashamed of himself Report this to the charge nurse since one of the residents is not able to consent Close the curtain and door to provide these adults with the appropriate privacy 1153. A nurse aide is assisting a resident to walk in the hall. The resident complains of feeling weak and lightheaded. The resident starts to fall. What should the nurse aide do? Step back out of the way to avoid injury Control the fall by easing the resident to the floor Hold the resident against the wall to keep resident standing Hold the resident around the waist and try to keep the resident standing 1154. A resident is using a walker and falls in the hall. What is the best action for the nurse aide to take? Return the walker to physical therapy Help the resident into a sitting position Keep the resident still until checked by the nurse Check for a head injury asking if the resident knows the place and time 1155. A nurse aide observes a resident hit another nurse aide. The nurse aide, who was hit, slaps the resident. What should the nurse aide who observed this do? Report the situation to the charge nurse Suggest taking over the care of this resident ` Tell the nurse aide who slapped the resident to never to that again Tell the resident that resident’s rights do not permit abuse of the staff 1156. The minimum amount of time to be spent in the friction phrase of hand washing is 15 seconds 30 seconds 1 minute 2 minutes 1157. A resident complains of shoulder pain during shoulder range motion (ROM) exercises. What should the nurse aide do? Continue the ROM exercise Report the pain to the charge nurse Tell the resident, “No pain, no gain” Stop ROM for 2 minutes, and then start again 1158. A resident is being discharged from the nursing home. The resident tells the nurse aide that while she is happy to return home she also feels worried. Which of the following responses by the nurse aide is most helpful? Encourage the resident to talk about her concerns about being home Offer to work for the residents privately on the nurse aide’s days off Ask the resident if she is concerned about leaving her new friends Suggests that the resident focus on the progress she has made 1159. Which of the following is considered a normal age-related change in elderly? Becoming incontinent Losing memory Fragile skin Drooling frequently 1160. A resident reports he used to have a bowel movement every day and now is going once every three days. What should the nurse aide do next? Report the change to the charge nurse Ask the resident if his client has changed Suggest the resident begin a toileting schedule Ask if the resident has gas between bowel movements 1161. A resident who is confused removes clothing to expose self frequently. Which of the following would the nurse aide most likely see in this resident’s care plan? Remind the resident about the inappropriateness of this behavior Dress the resident in clothing that is more difficult to remove Apply hand or wrist restraints to prevent this behavior Keep the resident’s door closed 1162. Which of the following conditions requires that the resident eat at regular meal time? Heart failure Diabetes mellitus Parkinson’s disease Alzheimer’s disease 1163. A resident’s husband recently died. How can the nurse aide best offer support to this resident who is grieving? Give the resident a lot of private time to grieve Remind the resident of all the positive things in her life Give the resident opportunities to talk about her husband Try to avoid bringing up the resident’s husband in the conversation 1164. A resident with AIDS is admitted to the facility. The nurse aide is concerned about the risks involved with caring for this resident. Which of the following is the most appropriate response by the nurse aided? Suggest that the resident be placed in a private room on isolation Wear a gown and double layered gloves when around the resident Discuss the resident’s plan of care and any concerns with the charge nurse Meet with other nurse aide’s in the break room and discuss the resident’s care. 1165. While walking rounds during the night shift, a nurse aide hears a resident crying. The nurse aide should Ask why the resident is crying Allow the resident to continue to cry privately Ask if the resident would like a sleeping medication Remind the resident that things will look better in the morning 1166. A newly admitted resident is legally blind with just enough vision to make out shapes. Which of the following is the best action by the nurse aide to provide for the resident’s safety? Limit the amount of furniture in the room to a bed and chair Arrange the furniture against the walls in the resident’s room Assist the resident to become familiar with the room arrangement Tell the resident to practice walking around the room immediately 1167. A resident is usually up early to go to breakfast in the dining room. The nurse aide finds the resident still in bed. The resident’s ankles are swollen and she seems out of breath. Which of the following is most appropriate by the nurse aide? Help the resident get dressed for breakfast since the resident is not feeling well Request a breakfast tray so that the resident can eat in her room Try to motivate the resident to get ready for breakfast Call the nurse to check the resident 1168. To promote nightmare sleep of a resident with dementia the nurse aide should Offer the resident warm fluids such as tea or coffee to drink Ensure the resident his opportunities to nap during the day Provide evening care following the resident’s bedtime rituals Turn the resident’s television on to block noises from other residents 1169. A nurse aide is assigned to care for a resident who has wandered over to another unit. When the nurse aide is bringing the resident back, the nurse aide’s response to the resident should be. “Did you get lost again?” “It’s nice to take a walk with you” “Why don’t you like the staff at your own unit?” “The rules require that you stay on your own unit” 1170. Which of the following is appropriate to do before measuring the resident’s weight? Limit the resident’s fluid intake Check when the resident last ate Remove the resident’s sweater and eyeglasses Change the resident’s wet incontinent brief 1171. A resident is dying. The resident’s family has arrived to spend time with the resident during his final moments. Which of the following actions by the nurse bests supports the family at this time? Asking the family member if they have contacted the funeral home or if they need to speak to a social worker. Making sure the resident and room are neat and clean and provide privacy for the family’s visit. Talking to the family about her feelings regarding death and dying Staying in the resident’s room with the family to show concern 1172. A nurse aide discovers the television on fire in the resident’s lounge. What should the nurse aide do first? Pull the fire alarm Try to unplug the television Get the nearest fire extinguisher Remove any residents in the lounge 1173. Which of the following tasks is a part of the nurse aide’s job duties? Retrieving a resident’s care plan Removing an intravenous (I.V.) catheter Replacing a sterile dressing Supervising other nurse aides 1174. The nurse aide enters a resident’s room to discover that the resident is having a seizure. The seizure stops as the nurse aide approaches the resident’s bed. Which of the following should the nurse aide do next? Let the resident rest Position the resident on the side Apply protective padding to the side rails Begin cardiopulmomary resuscitation (CPR) 1175. Because of a history of falls, the resident’s care plan states the nurse aide should remain in the room when the resident is on the toilet. The resident asks for privacy to have a bowel movement. What is the best response by the nurse aide? “Just go ahead and go. I promise I will not listen” "I will leave the bathroom door open. Call me when you are finished” “Your privacy is important, but for safety I must stay in the bathroom with you” “I’ll be in your room. Push the call light when you are done and I’ll help you off the toilet” 1176. Which of the following items is correctly stored if placed on the lowest shelf or lowest drawer of the resident’s bedside cabinet? Toothpaste Bath basin Emesis basin Urinal 1177. A resident who is confused frequently removes clothing to expose self. Which of the following would the nurse aide expect to see in the resident’s care plan? Make the resident put clothing back on Provide the resident with privacy when needed Keep the resident in clothing that buttons in the back Remind the resident that the behavior is inappropriate 1178. The nurse aide discovers smoke coming from a resident’s room. After removing the resident from the room, the nurse aide should Pull the alarm Open the windows Grab a fire extinguishers Take residents to another fire zone 1179. A resident is unable to stand. The nurse aide is asked to obtain the resident’s height. Which is the best approach to obtain the resident’s height? Measure the resident’s height while two coworkers hold the resident upright Ask the resident the last height that was measured and subtract one inch since the elderly shrink. Have the resident’s hold both arms out. Measure distance of the arm span, which is equal to resident’s height. Lay the resident flat in bed, mark sheet at the top of resident’s head and bottom of feet, and measure distance between the two marks. 1180. A resident who has Alzheimer’s is schedule for showers every Monday, Wednesday, and Friday. When beginning the shower the resident becomes agitated stating that the water is poisonous gas. What is the appropriate response by the nurse aide? Ask the resident to explain why he believes the water is poisonous Remind the resident that this is his scheduled shower day Report the resident’s behavior to the charge nurse Tell the resident that the water is not poisonous 1181. It is time for a resident’s mouth care, but the resident refuse. What should the nurse aide do? Tell the resident that this is the scheduled time Ask another nurse aide to restrain the resident and give the mouth care Remind the restraint that mouth care is important and offer to come back later. Skip the mouth care for today and record in the chart that the resident refused care. 1182. Which of the following actions would best help a resident who is having a bowel movement and needs to use a bed pan? Keep the head of the bed flat Ensure that the resident has privacy Place the toilet paper within the residents reach Avoid making facial expressions if there is an odor 1183. A nurse aide is caring for a resident who is normally alert and oriented and able to call staff by name. Today the resident seems confused and agitated, and is having difficulty focusing on tasks. The nurse aide should Report these observations to the charge nurse immediately Reorient the resident to person, place, time, and situation Assure the resident the memory loss is temporary Offer to take the resident to a favorite activity 1184. Inactivity and immobility may cause all of the following except for Skin breakdown Permanent contractures Increased intestinal peristalsis Secretions remaining in the lungs 1185. The nurse aide knows that the term “up ad lib” means the client Is not permitted out of bed Is independent with balanced periods of rest and activity Is out of bed at mealtime only Will need assistance of two for all activities of daily living 1186. When lifting a patient, it is important to use good body mechanics. The nurse aide should Keep the patient at arm’s length Bend at the knees Twist at the waist Move the patient rapidly 1187. A common sign of approaching death is Increased appetite Normal or elevated vital signs Severe, unceasing pain Decreased body functions 1188. Tuberculosis is a disease of the Throat Colon Lungs Kidney 1189. You notice that Mrs. Jennifer’s vital signs are decreasing and her respirations are zero. You should Continue with her normal care Wait five minutes and take her vital signs again Tell the family that she is dead Contact the chare nurse immediately 1190. After Mrs. Jennifer’s death, her husband wishes to share his emotions. The nurse aide should Listen and try to comfort him Change the subject Tell him to go to a counselor Tell him to keep his feelings to himself 1191. An example of a special device to help prevent contractures is a (n) Handroll Doppler Air mattress Manometer 1192. Saying that a coworker took a client’s money when this is untrue is an example of Negligence Assault Defamation Hoarding 1193. Paraplegia refers to paralysis of the Legs or lover part of the body Thee left half of the body All four extremities Arms or upper part of the body 1194. The most accurate method of measuring body temperature is Rectal Oral Axial Feeling of the forehead 1195. Which of the following sets of vital signs should be reported immediately? T-98,P-60,R-14,BP-120/60 T-102, P-100,R-32,BP-180/100 T-99.6, P-80, R-16, BP-132/70 T-97.6, P-82, R-20, BP-110/60 1196. Mrs. Smith finished her lunch. She had 180 cc of tea, 60 cc of water, and 120 cc of ice cream. How much was her total intake at lunch? 420 cc 350 cc 360 cc 690 cc 1197. Mr. Jones is placed on strict intake and output after surgery. The nurse aide should Keep Mr. Jones NPO Record all of the solid foods Mr. Jones eats Record all fluid intake and output every shift Measure only the first voiding after surgery 1198. Which of the following should be included in a client’s output record? Urine, food eaten, and IV solutions Urine, emesis, and bleeding Liquids taken in during the shift Bowel movements only 1199. Which of the following is an intake-and-output problem that the nurse aide must report? The client states that he is not hungry The client requests a bedpan The client has not voided in eight hours The clients eight-hour output is 600 cc 1200. Mrs. Brown’s water pitcher holds 600 cc. the pitcher is full at the beginning of the shift. Halfway through the shift, the pitcher is empty, and you refill it. At the end of the shift, the pitcher is one-half full. Total water intake for the pitcher is 1,200 cc 600 cc 900 cc 600 cc 1201. The nurse aide finds a damaged piece of paper of equipment. The nurse aide should Dispose of it immediately Use it until new equipment arrives Report it immediately 1202. The side rails are ordered up for a confused patient. After taking care of your patient, you forget to put the side back up again and the patient falls out of bed and fractures her hip. This is called Negligence Malpractice Battery False imprisonment 1203. A nurse assistant is giving foot care to a resident. What should she or he not do? Remove corns Soak the resident’s feet in the warm water Check for skin breakdown Clean under the toes using an orange wood stick [Show More]

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