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153 Cards in this Set

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A resident often carries a doll with her, treating it like a baby. One day she is wandering around crying that she can't find her baby. The nurses aide should:
A. Ask the resident where she last had the doll
B. Ask the activity department if they have any other dolls
C. Offer comfort to the resident and help her look for her baby
D. Let the other staff know the resident is very confused and should be watched closely
C. Offer comfort to the resident and help her look for her baby.
A nurse aide is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The aide has never done this before. The best response is to:
A. Change the indwelling catheter at the same time
B. Ask another nurse aide to change the urinary drainage bag
C. Change the bag asking for help only if the nurse aide has problems
D. Ask a nurse to watch the nurse aide change the bag since it is the first time
D. Ask a nurse to watch the nurse aide change the bag since it is the first time
Before feeding a resident, which of the following is the best reason to wash the residents hands?
A. The resident may still touch his/her food or mouth
B. It reduces the risk of spreading airborne diseases.
C. It improves the residents morale and appetite.
D. The resident needs to keep meal routines.
A. The resident may still touch his/her mouth or food
Which of the following is a job task performed by the nurse aide?
A. Participating in resident care planning conferences
B. Taking a telephone order from a physician
C. Giving medications to assigned residents.
D. Changing sterile wound dressings
A. Participating in resident care planning conferences.
Which of the following statements is true about range of motion (ROM) exercises?
A. Done just once a day
B. Help prevent strokes and paralysis
C. Require at least ten repetitions of each exercise
D. Are often performed during ADLs such as bathing or dressing
D. Are often performed during ADLs such as bathing or dressing
While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should:
A. Put the hairbrush away and out of sight
B. Give the resident the hairbrush to hold.
C. Try to dress the resident more quickly.
D. Restrain the resident's hands
B. Give the resident the hairbrush to hold.
A resident who is lying in bed suddenly becomes short of breath. After calling for hlep, the nurse aide's next action should be to:
A. Ask the resident to take deep breaths
B. Take the resident's vital signs.
C. Raise the head of the bed.
D. Elevate the residents feet.
C. Raise the head of the bed.
A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on:
A. Helping the resident through the stages of grief.
B. Providing for the residents comfort.
C. Keeping the resident's care routine, such as for bathing.
D. Giving the resident a lot of quiet time and privacy.
B. Providing for the resident's comfort.
While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should:
A. Wait a few minutes to see if the alarm stops.
B. Report the alarm to the charge nurse immediately.
C. Make the resident being bathed safe and go check the door right away.
D. Stop the bedbath and go check on the location of all assigned residents.
C. Make the resident being bathed safe and go check the door right away.
Gloves should be worn for which of the following procedures?
A. Emptying a urinary drainage bag.
B. Brushing a resident's hair.
C. Ambulating a resident.
D. Feeding a resident.
A. Emptying a urinary drainage bag.
When walking a resident, a gait or transfer belt is often:
A. Worn around the nurse aide's waist for back support.
B. Used to keep the resident positioned properly in the wheelchair.
C. Used to help stand the resident, and then removed before walking.
D. Put around the resident's waist to provide a way to hold onto the resident.
D. Put around the residents waist to provide a way to hold onto the resident.
Which of the following statements is true about residents who are restrained?
A. They are at a greater risk for developing pressure sores.
B. They are at a lower risk for developing pneumonia.
C. Their posture and alignment are improved.
D. They are not at risk for falling.
A. They are at a greater risk for developing pressure sores.
A resident has diabetes. Which of the following is a common sign of a low blood sugar?
A. Fever.
B. Shakiness.
C. Thirst.
D. Vomiting.
B. Shakiness
When providing foot care to a resident it is important for the nurse aide to:
A. Remove calluses and corns
B. Check the feet for skin breakdown.
C. Keep the water cool to prevent burns.
D. Apply lotion, including between the toes.
B. Check the feet for skin breakdown
When feeding a resident, frequent coughing canbe a sign the resident is:
A. Choking.
B. Getting full.
C. Needs to drink more fluids.
D. Having difficulty swallowing.
D. Having difficulty swallowing
When a person is admitted to the nursing home, the nurse aide should expect that the resident will:
A. Have problems related to incontinence.
B. Require a lot of assistance with personal care.
C. Experience a sense of loss related to the life change.
D. Adjust more quickly if admitted directly from the hospital.
C. Experience a sense of loss related to the life change.
A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should:
A. Tease the resident by complimenting the resident's sense of style.
B. Ask if the resident realizes that the shoes do not match.
C. Remind the resident that the nurse aide can dress the resident.
D. Ask if the resident lost some of his shoes.
B. Ask if the resident realizes that the shoes do not match.
A resident's wife recently died. THe resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to:
A. Remind the resident to be thankful for the years he shared with his wife.
B. Tell the resident that he needs to get out of his room at least once every day.
C. Understand that the resident is grieving and give him chances to talk.
D. Avoid mentioning his wife when caring for him.
C. Understand the resident is grieving and give him chances to talk.
When a resident refuses a bedbath, the nurse aide should:
A. Offer the resident a bribe.
B. Wait awhile and then ask the resident again.
C. Remind the resident that people who smell dont have friends.
D. Tell the resident that nursing home policy requires daily bathing.
B. Wait awhile and then ask the resident again.
When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to:
A. Show the resident that the aide is in control.
B. Call for help to make sure there are witnesses.
C. Explain that if the resident is not calm a restraint may be applied.
D. Step back to protect self from harm while speaking in a calm manner.
D. Step back to protect self from harm while speaking in a calm manner.
During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to:
A. Remain calm and ask what is upsetting the resident.
B. Begin removing all other residents from the dining room.
C. Scold the resident and ask the resident to leave the dining room immediately.
D. Remove the resident's plate, fork, knife, and cup so there is nothing else to throw.
A. Remain calm and ask what is upsetting the resident.
Which of the following questions asked to the resident is most likely to encourage conversation?
A. Are you feeling tired today?
B. Do you want to wear this outfit?
C. What are your favorite foods?
D. Is this water warm enough?
C. What are your favorite foods.
When trying to communicate with a resident who speaks a different language that the aide, the nurse aide should:
A. Use pictures and gestures.
B. Face the resident and speak softly when talking.
C. Repeat words often if the resident does not understand.
D. Assume when the resident nods his/her head that the message is understood.
A. Use pictures and gestures
While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to:
A. Contact the state agency that inspects the nursing facility.
B. Enter the room immediately to prove for the resident's safety.
C. Wait to confront the nurse aide when he/she leaves the resident's room.
D. Check the resident for any signs of injury after the nurse aide leaves the room
B. Enter the room immediately to provide for the resident's safety.
Before touching a resident who is crying to offer comfort, the nurses aide should consider:
A. Resident's recent vital signs.
B. Resident's cultural background.
C. Whether resident has been sad recently.
D. Whether resident has family that visits routinely.
B. Resident's cultural background.
When a resident is expressing anger, the nurse aide should:
A. Correct residents misperceptions.
B. Ask resident to speak in a kinder tone.
C. Listen closely to resident's concerns.
D. Remind resident that everyone gets angry.
C. Listen closely to resident's concerns.
When giving a backrub, nurse aide should:
A. Apply lotion to the back directly from the bottle.
B. Keep resident covered as much as possible.
C. Leave extra lotion on skin when completing the procedure.
D. Expect resident to lie on his/her stomach.
B. Keep resident covered as much as possible.
A nurse aide finds a resident looking in the refrigerator at the nurses' station at 5 a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to:
A. Help resident back into his room and back to bed.
B. Ask resident about his job and if he is hungry.
C. Tell him that residents are not allowed in the nurses' station.
D. Remind him that he is retired from his job and in a nursing home.
B. Ask resident about his job and if he is hungry
Which of the following is true about caring for a resident who wears a hearing aid?
A. Apply hairspray after hearing aid is in place.
B. Remove hearing aide before showering.
C. Clean earmold and battery case with water daily, drying completely.
D. Replace batteries weekly.
B Remove hearing aid before showering.
Residents with Parkinson's disease often require assistance with walking because they:
A. Become confused and forget how to take steps without help.
B. Have poor attention skills and do not notice safety problems.
C. Have visual problems that require special glasses.
D. Have shuffling walk and tremors.
D. Have shuffling walk and tremors.
A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation.
A. Adequate fluid intake.
B. Regular mealtimes.
C. High protein diet.
D. Low fiber diet.
A. Adequate fluid intake
A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first:
A. Ask the resident to try urinating.
B. Offer the residents fluid to drink.
C. Check for kinks in the tubing.
D. Obtain a new urinary drainage bag.
C. Check for kinks in the tubing.
A resident who is incontinent of urine has an increased risk for developing:
A. Dementia.
B. Urinary tract infections.
C. Pressure sores.
D. Dehydration.
C. Pressure sores
When cleansing the genital area during peri care, the nurse aide should:
A. Cleanse penis with circular motion starting from the base and moving toward the tip.
B. Replace the foreskin when pushed back to cleanse an uncircumcised penis.
C. Cleanse the rectal area first, before cleansing the genital area.
D. Use the same area on the washcloth for each washing and rinsing stroke for a female resident.
B. Replace the foreskin when pushed back to cleanse an uncircumcised penis.
Which of the following is considered a normal age-related change?
A. Dementia.
B. Contractures.
C. Bladder holding less urine.
D. Wheezing when breathing.
C. Bladder holding less urine.
A resident is on a bladder restrainging program. The nurse aide can expect the resident to:
A. Have a fluid intake restriction to prevent sudden urges to urinate.
B. Wear an incontinent brief in case of an accident.
C. Have an indwelling urinary catheter.
D. Have a schedule for toileting.
D. Have a schedule for urinating.
A resident who has stress incontinence:
A. Will have an indwelling catheter
B. Should wear an incontinent brief at night.
C. May leak urine when laughing or coughing.
D. Needs toileting every 1-2 hours throughout the day.
C. May leak urine when laughing or coughing.
The doctor has told the resident that his cancer is growing and he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should:
A. Understand that denial is a normal reaction.
B. Remind the resident that the doctor would not lie.
C. Suggest the resident to ask for more tests.
D. Ask if the resident is afraid of dying.
A. Understand that denial is a normal reaction.
A slipknot is used when securing a restraint so that:
A. The restraint cannot be removed by the resident.
B. The restraint can be removed quickly when needed.
C. Body alignment is maintained while wearing the restraint.
D. It can be easily observed whether the restraint is applied correctly.
B. The restraint can be removed quickly when needed.
When using person protective equipment (PPE) the nurse aide correctly follows Standard Precautions when wearing:
A. Double gloves when providing peri care to a resident.
B. A mask and gown while feeding a resident that coughs.
C. Gloves to remove a resident's bedpans.
D. Gloves while ambulating a resident.
C. Gloves to remove a resident's bedpan
To help prevent resident falls, the nurse aide should:
A. Always raise siderails when any resident is in his/her bed.
B. Leave residents beds at the lowest level when care is complete.
C. Encourage resident to wear larger-sized, loose-fitting clothing.
D. Remind resident who use call lights that they need wait patiently for staff.
B. Leave resident's bed at lowest level when care is complete.
As the nurse aide begins his/her assignment, which of the following should nurse aide do first?
A. Collect linen supplies for the shift.
B. Check all nurse aide's assigned residents.
C. Assist a resident that has called for assistance to get off the toilet.
D. Start bathing a resident that has physical therapy in one hour.
C. Assist a resident that has called for assistance to get off the toilet.
Which of the following would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse aide to be ineligible to work in a nursing home?
A. Having been terminated from another facility for repeated tardiness.
B. Missing a mandatory infection control inservice training program.
C. Failing to show up for work without calling to report the absence.
D. Having a finding for resident neglect.
D. Having a finding for resident neglect.
To help prevent the spread of germs between patients, nurses aides should:
A. Wear gloves when touching residents.
B. Hold supplies and linens away from their uniforms.
C. Wash hands for at least two minutes after each resident contact.
D. Warn residents taht holding hands spreads germs.
B. Hold supplies and linens away from their uniforms.
When a sink has hand-control faucets, the nurse aide should use:
A. A paper towel to turn the water on.
B. A paper towel to turn off the water.
C. An elbow, if possible to turn the faucet controls on and off.
D. Bare hands to turn the faucet controls both on and off.
B. A paper towel to turn the water off.
When moving a resident up in bed who is able to move with assistance, the nurse aide should:
A. Position self with knees staright and bent at waist.
B. Use a gait or transfer belt to assist with repositioning.
C. Pull the resident up holding onto one side of the drawsheet at a time.
D. Bend the resident's knees and ask the resident to push with his/her feet.
D. Bend the resident's knees and ask the resident to push with his/her feet.
The residents weight is obtained routinely as a way to check the resident's:
A. Growth and development.
B. Adjustment to facility.
C. Nutrition and health.
D. Activity level.
C. Nutrition and health.
which of the following is a right that is included in the Resident's Bill of Rights?
A. To have staff available that speak different languages on each shift.
B. To have payment plans that are based on financial needs.
C. To have religious servies offered at the facility daily.
D. To make decisions and participate in own care.
D. To make decisions and participate in own care.
Which of the following, if observed as a sudden change in the resident is considered a possible warning sign of a stroke?
A. Dementia.
B. Contractures.
C. Slurred Speech.
D. Irregular Heartbeat.
C. Slurred Speech.
Considering the resident's activity, which of the following sets of vital signs should be reported to the charge nurse immediately?
A. Resting: 98.6-98-32
B. After eating: 97-64-24
C. After walking exercise: 98.2-98-28
D. While watchiong television: 98.8-72-14
A. Resting; 98.6-98-32
Many elderly residents lose their appetite due to:
A. A decrease in saliva.
B. Hardening of the arteries.
C. Decrease in number of taste buds.
D. Both A & C.
C. Decrease in the number of taste buds
The thinning of the fatty layer under the skin could cause the resident to:
A. Lose their appetite.
B. Have difficulty walking.
C. Develop pressure sores.
D. Have slowed mental responses.
C. Develop pressure sores.
Elderly residents sometimes appear stooped over and like they have lost height. This is due to:
A. The resident's increased difficulty in breathing.
B. The deterioration of muscle tissue.
C. Loss of calcium causing changes in the spinal column.
D. Decreased cardiac output.
C. Loss of calcium causing changes in the spinal column.
One of the major reasons the elderly person is incontinent of urine is:
A. They are too lazy to go to the bathroom.
B. They cant get a nurse aide to help them to the bathroom.
C. The circulatory system is failing.
D. The muscle that keeps urine in the bladder weakens.
D. The muscle that keeps urine in the bladder weakens.
Constipation and indigestion can result from:
A. Slowed respirations.
B. Slowed mental responses.
C. Slowed peristalsis.
D. Slowed brain waves.
C. Slowed peristalsis.
Strokes are seen in the elderly. Strokes are best described as:
A. When the muscle dies.
B. When the brain is deprived of oxygen.
C. When the heart fails.
D. When the lungs fill with fluid.
B. When the brain is deprived of oxygen.
Which statement is TRUE concerning sexuality in the elderly:
A. Sex and intimacy are not important.
B. Elderly women are not interested in sex.
C. The elderly men and women are attracted to each other.
D. Elderly people are only interested in their health.
C. Elderly men and women are attracted to each other.
One of the major causes of depression in the elderly is:
A. Inability to run their own lives.
B. Going to nursing home activities.
C. Living with their children.
D. Lack of money.
A. Inability to run their own lives.
Which of the folowing statements about aging is true:
A. Most elderly people are confused.
B. Most older people live in nursing homes.
C. Most older people are alert and oriented.
D. Most older people are sick and helpless.
C. Most older people are alert and oriented.
When dry, hard stool fills the rectum and will not pass, it is called:
A. Edema
B. Incontinence.
C. Atrophy
D. Impaction.
D. Impaction
A sitting or semi-sitting position with head of bed elevated is called:
A. Prone.
B. Supine.
C. Lateral.
D. Fowlers.
D. Fowlers.
Which of the following statements aboutnursing home admissions is false:
A. Most families prefer to care for elderly relatives at home.
B. Some elderly people are unsafe at home.
C. Most people prefer to put elderly relatives in a long term care facility.
D. Family members may be unable to care for elderly relatives at home.
C. Most people prefer to put elderly relatives in a long term care facility.
Wasting or a decrease in the size of a muscle is called:
A. Decubitus
B. Atrophy.
C. Impaction
D. Edema
B. Atrophy
A confused resident tells you there is a monster in his closet. The nurse aide should:
A. Pretend to kill the monster in the closet.
B. Tell the resident there are no such things as monsters.
C. Open the closet and show the resident nothing is there.
D. Tell the resident you will take the monster home with you.
C. Open the closet and show the resident there is nothing there.
All of the following are clues to aggresive behavior EXCEPT:
A. Clenched jaw
B. Depressing mood.
C. Pacing
D. Rocking
B. Depressed mood
The primary reason for combative behavior in a resident is:
A. Anger and fear.
B. Confusion.
C. The resident is evil.
D. Stubbornness.
A. Anger and fear
Hospice specializes in the care of persons who are:
A. On medicare.
B. Chronically ill.
C. On medicaid.
D. Terminally ill
D. Terminally ill
Which of the following is a proper way to correct an error in charting?
A. Scribble it out with several lines.
B. Erase it completely
C. Use correction fluid
D. Draw a single line through it.
D. Draw a single line through it.
Headaches, nausea, and pain would be called:
A. Symptoms
B. Observations
C. Charting
D. Recording
A. Symptoms.
The nurse aide is giving care to Mr. T. and Mr. T calls the nurse aide by the name of his son who died several years ago. The nurse aide's BEST response is to:
A. Quickly finish the care and leave Mr. T alone
B. Pretend to be Mr. T's son
C. Ignore Mr. T because he is confused.
D. Ask Mr. T. about his favorite memories with his son.
D. Ask Mr. T. about his favorite memories with his son.
Who supervises the work of the nurse aide:
A. Nurse
B. Social worker
C. Office manager
D. Resident's family
A. The nurse
Various factors will change the pulse rate. Increased pulse rates can be caused by:
A. Depression
B. Exercise.
C. Sleep
D. Coma
B. Exercise
The nurse aide notices on the flow sheet that a resident has not had a BM for five days. The nurse aide should:
A. Report this to the charge nurse
B. Ask other nurse aides if the resident had a BM that wasnt recorded.
C. Ask residents roomate if she saw the resident use the bathroom
D. Wait to see if she uses the bathroom tomorrow.
A. Report this to the charge nurse
A resident has refused to eat breakfast and lunch. The nurse aide should:
A. Tell resident's family to make him eat.
B. Tell resident he will die if he doesnt eat soon
C. Force feed resident
D. Report the refusals to the nurse for further assistance
D. Report the refusals to the nurse for further assistance.
A resident weighs over 300 pounds and needs repositioned in the bed. The nurse aide should:
A. Tell resident to lose weight so she can be moved easier
B. Tell resident to wait until a strong person comes on shift
C. Get another nurse aide to assist in repositioning the resident
D. Ignore the resident, she always complains anyways
C. Get another nurse aide to assist in repositioning the resident
A resident has just been admitted to the facility. The nurse aide should:
A. Ignore the resident, he has too much to do anyways.
B. Introduce him to his new roomate.
C. Announce his arrival at dinner
D. Do whatever the charge nurse says.
B. introduce him to his new roomate.
A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should:
A. Go ahead and do it, it is part of the job.
B. Tell the resident ok, but the resident will have to soak her feet first.
C. Tell the resident "Not on your life."
D. Tell the resident that the nurse aide cannot do this, but will report it to the charge nurse.
D. Tell the resident that the nurse aide cannot do this, but will report it to the charge nurse.
To count a respiration, a respiration includes:
A. One inhalation
B. One exhalation
C. One inhalation and two exhalation
D. On inhalation and one exhalation
D. One inhalation and one exhalation.
The fire alarm has sounded. The nurse aide should FIRST:
A. Ask the charge nurse for direction
B. Make sure all residents are out of hallway and close all doors
C. Take nearest fire extinguisher to nurses station
D. Call fire department
B. Make sure all residents are out of hallway and close all doors.
If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurses aide do:
A. Brush residents teeth first.
B. Take a rectal temperature
C. Tell next shift to take temperature.
D. Wait 15 minutes to take the temperature.
D Wait 15 minutes to take the temperature.
What can the nurse aide give the resident who has an order for NPO?
A. Unlimited fluids
B. No foods or liquids
C. Small amounts of ice
D. Only clear liquids
B. No food or liquids
Which action would help prevent skin breakdown around a stoma if the resident has a colostomy?
A. Clean stomawith alcohol
B. Clean stoma with water and mild soap.
C. Use petroleum jelly around the stoma site.
D. Wipe stoma site with tissues until clean
B. Clean stoma with water and mild soap.
Residents in the long term care facility depend on who for their safety?
A. The director of nursing
B. The safety/risk manager
C. All employees of the facility
D. The nurse aide
C. All employees of the facility.
Mouth care should be given to an unconscious person:
A. Once a day
B. Every two hours
C. Every shift
D. Every night
B. Every two hours.
A Hepatitis B vaccination protects the person receiving it against a disease that affects:
A. Liver
B. Heart
C. Kidneys
D. Skin
A. Liver
WHy should heat NOT be applied to a diabetic resident's feet?
A. Feet have more oil glands
B. Diabetics have decreased sensitity which means they cannot feel the heat and could cause a burn
C. Their feet are more dirty
D. It makes their feet wrinkle
B. Diabetics have decreased sensitivity...
Which of the following WILL NOT assist bowel elimination:
A. Drinking a lot of water.
B. Using a bedside commode
C. Taking a walk
D. Reading the newspaper
D. Reading the newspaper
Which will NOT prevent pressure sores:
A. Repositioning or turning every two hours
B. Applying lotion to dry skin
C. Keeping bed linens clean, dry, and free of wrinkles
D. Scrubbing and rubbing the skin vigorously
D. Scrubbing and rubbing the skin vigorously
Water for the resident's bath should be:
A. 75
B. 160
C. 110
D. 90
C. 110F
When assisting a resident with a weak left side from a wheelchair, the nurse aide should support the client's:
A. Weak side
B. Strong side
C. Front side
D. Back side
A. Weak side
How should the nurse aide position the resident to apply elastic stockings:
A. Lying down in bed
B. Sitting on the edge of the bed
C. Standing at the side of the bed
D. Sitting in a wheelchair
A. Lying down in bed
A resident's dentures should be stored in:
A. Tissue paper
B. Emesis basin
C. Labeled cup in water
D. Utility room
C. Labeled cup in water
The Heimlich maneuver should be used if the resident is:
A. Confused
B. Choking
C. Vomiting
D. Diabetic
B. Choking
The nurse aide is going to take Mr. Heath's vital signs. What should the nurse aide do to get Mr. Heath to coorperate and reduce his anxiety?
A. Wash her hands before and after the procedure
B. Gather all equipment before beginning
C. Wear disposable gloves for all procedures
D. Explain the procedure to Mr. Heath
D. Explain the procedure to Mr. Heath
What is the purpose of using the chain of command in a long term care facility?
A. Keep communication about a problem flowing smoothly
B. To be sure residents follow rules
C. Prevent residents from going behind nurses station
D. To provide more jobs in nursing
A. Communication about a problem flowing smoothly
Signs of poor circulation:
A. Paleness, cold skin, edema
B. Perspiration, red skin
C. Warm, dry, pink sink
D. Hot flashes
A. Paleness, cold skin, edema
A Foley Catheter is used:
A. To drain bladder and remove urine
B. To use as a rectal tube
C. For gastric feeding
D. To suction stomach contents
A. To drain bladder and remove urine.
When transferring a heavy resident from bed to wheelchair for the first time:
A. Mechanical life should never be used.
B. One person should always try to transfer a resident
C. The aide should review the care plan or check with the name
D. Tell the resident they are too heavy for you to transer
C. The aide should review the care plan or check with the nurse.
A pressure ulcer or decubitis ulcer is caused by:
A. Burns
B. Abrasion
C. Inadequate turning
D. Fatigue
C. Inadequate turning
Diabetes mellitus make a resident more prone to develop:
A. Chills
B. Fever
C. Infections
D. Cancer
C. Infections
A resident is NPO for tests. The nurse aide should:
A. Encourage liquids for hydration
B. Allow the resident to eat ice chips
C. Remove the water pitcher and glass from the room
D. Allow the resident to drink water only
C. Remove the water pitcher and glass from the room
The nurse aide is assigned to a resident with a diagnosis of aphasia. The nurses aide knows:
A. The resident cannot walk
B. The resident cannot swallow
C. The resident cannot talk
D. None of these
C. The resident cannot talk.
The nurse aide is caring for a diabetic resident. The nurse aide finds the resident trying to scrape off a callous on the little toe. The nurse aide should FIRST:
A. Scold the resident
B. Report the behavior to the nurse
C. Help the resident remove the callous
D. Put socks on the resident to keep the resident from scraping
D. Put socks on the resident to keep the resident from scraping.
The exchange of Oxygen and Carbon Dioxide takes place in:
A. The lungs
B. The heart
C. Around the kidneys
D. In the intestines
A. The lungs
A resident who has not been discharged insists she is going home. What should the nurse aide do:
A. Tell her she cannot leave without a doctor's order.
B. Notify the charge nurse immediately
C. Restrain her immediately
D. Tell her she can leave if she wants to
B. Notify the charge nurse immediately
The nurse aide is making a bed with an unconscious resident in it. Which of the following is most appropriate:
A. Be quiet and concentrate on your work
B. Dont explain because the resident cant hear you
C. Explain what you are doing to the resident
D. Talk to your co-worker while you make the bed
C. Explain what you are doing to the resident.
The most important way for the nurse aide to gather information about the safety and well being of the resident is:
A. Listen to other nurses aides at break
B. Listen to the nurses talk in the med room
C. Observation
D. Flow sheets
C. Observation
When communicating with a non-ambulatory resident, the nurse aide should use all of the following EXCEPT:
A. Block the view so the resident will listen
B. Position yourself at eye-level with the resident
C. Avoid talking about the resident as if he is not present
D. Include the resident in conversating in the room
A. Block the view so the resident will listen.
The loss of the ability to express one's self is:
A. Verbal communication
B. Empathy
C. Speech therapy
D. Aphasia
D. Aphasia
To remove a hearing aide, the nurse aide should:
A. Turn it off with the volume set at low
B. Leave it on and set volume at high
C. Call the nurse
D. Turn the hearing aid off with volume set on high
A. Turn it off with volume set at low
Negative body language would include:
A. Placing hands on your hips
B. Leaning toward the resident to communicate
C. Shaking hands
D. Touching a residents shoulder while talking
A. Placing hands on your hips
Which is the best way to talk to a vision impaired resident:
A. Touch resident before you begin talking
B. Verbally announce your presence before touching the resident
C. Use hand gestures and body movements
D. Talk loudly and use exaggerated lip movements
B. Verbally announce your presence before touching the resident
The most basic rule of body mechanics is to:
A. Keep arms flexed
B. Bend from the knees and hips
C. Twist as you lift
D. Never use a gait belt
B. Bend from the knees and hips
Proper body mechanics dictates that when lefting an object, the nurse aide placed his feet:
A. 3-5ft apart
B. 61in-12in apart
C. 12in-18in apart
D. it doesnt matter
C. 12 in-18 in apart
When lifting a heavy object, which muscle groups should be utilized:
A. Muscles of stomach
B. Muscles of legs
C. Muscles of back
D. Mucles of hands
B. Muscles of legs
The nurse aide knows to wear which of the following to perform resident care:
A. Comfortable, clean uniforms
B. Non-skid shoes
C. Loop earrings
D. Both a and b
D. Both a and b
When lifting, the nurse aide should have his feet separated in the standing position:
A. relieve the pressure on his corns
B. Distribute body weight evenly
C. Provide a wide base of support
D. To prevent straining his knees
C. Provide a wide base of support
Which environment promotes the growth of bacteria:
A. Cold, dark, moist places
B. Warm, dark, dry places
C. Warm, sunny, moist places
D. Dark, warm, moist places
D. Dark, warm, moist places
Used disposable supplies and equipment should be discarded:
A. In the residents wastebasket
B. In the dirty utility room
C. In the clean utility room
D. In bathroom wastebasket
B. In dirty utility room
The most important way to prevent the spread of infection:
A. Isolating sick residents
B. Wearing gloves
C. Hand washing
D. Wearing masks
C. Handwashing
Mrs. Jones is in her wheelchair in the hallway stating she needs a pillow behind her back. The nurse aide should:
A. Get Mrs. Jones pillow from her room and place it behind her back
B. Get any pillow and put it behind Mrs. Jones so she will stop complaining
C. Tell Mrs. Jones that a pillow is not good for her back
D. Nothing is needed because Mrs. Jones always says her back hurts
A. Get Mrs. Jones' pillow from her room and place it behind her back
Mr. Spaulding's daughter requests that the nurse aide perform mouth care for Mr. Spaulding. The nurse aide should:
A. Wash his/her hands, put gloves on, and perform the requested care
B. Put on gloves and perform the requested care
C. Tell Mr. Spaulding's daughter that mouth care was done about 30 minutes ago and doesnt need to be done right now
D. Perform the care as soon as possible after other required tasks are done
A. Wash hands, put on gloves and perform the requested care
When changing the bed linens on a soiled bed, the nurse aide should:
A. Make sure there are enough sheets on the linen cart
B. Comment to the other nurses aides about how many beds have to be changed in a day
C. Wear gloves
D. let the next shift re-make the bed
C. Wear gloves
After Mr. Johnson's bath, the nurse aide realizes she needs another towel to completely dry Mr. Johnson. The nurse aide should:
A. Use what appears to be a clean towl left in the shower room by another aide
B. Ask another staff member to obtain a clean towel for her from the clean linen cart
C. Tell Mr. Johnson you'll both go back to his room when he air dries
D. Ask Mr. Johnson if he is dry enough and continue to dress him
B. Ask another staff member to obtain a clean towel for her from the clean linen cart
During a bed bath, Mrs. Smith uses a washcloth to clean her peri-area and puts the washcloth into the basin of water, but the nurse aide needs to wash Mrs. Smith's face. The nurses aide should:
A. Scold Mrs. Smith for washing her peri-area first
B. Do nothing, continue with the bath
C. Obtain a clean cloth, change the water in the basin and continue the bath
D. Let Mrs. Smith give her own bath the way she wants to
C. Obtain a clean cloth, change the water in the basin and continue the bath
What is the best response if you are not sure how to use a piece of equipment:
A. Do the best you can
B. Dont use the equipment
C. Find a different way to complete the task
D. Ask the nurse to explain
D. Ask the nurse to explain
The nurses aide is making an occupied bed. Which of the following is the most restorative approach:
A. Encourage the resident to help
B. Do everything for the resident
C. Tell the resident to get out of bed
D. Lower both side rails
A. Encourage the resident to help
The primary goal of restorative care is:
A. Keep the resident comfortable in the nursing home
B. Take care of the resident's personal business
C. Do everything for the resident
D. Return the resident to a normal life at home
D. Return the resident to a normal life at home
Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT:
A. Foot supports
B. Cones
C. Splints
D. Bed cradles
B. Cones
The plan, which begins on the resident's admission that assists when the resident goes home, is called:
A. Treatment plan
B. Nurse aide flow record
C. Discharge plan
D. Nursing care plan
C. Discharge plan
The nurse aide just admitted a new resident. Which of the following is the most restorative approach:
A. Unpack all of his clothes and put them away for him
B. Encourage a family member to unpack for him
C. Tell him he'll need to unpack for himself
D. Encourage the resident to participate in unpacking
D. Encourage resident to participate in unpacking
A mentally challenged resident is having difficulty cutting and eating her roast beef. What should the nurse aide do:
A. Feed the resident
B. Cut the meat into smaller pieces allowing her to feed herself
C. Tell her to chew the big pieces longer
D. Take away her roast beef
B. cut the meat into smaller pieces allowing her to feed herself.
When the nurses aide moves a joint during ROM exercises, and the resident complains of pain, the nurses aide should:
A. Ask nurse to give pain meds so exercises can continue
B. Push past the point where the pain occurs to see if it hurts worse
C. Stop the movement at the point of pain and report it to the nurse.
D. Stop giving resident any ROM exercies
C. Stop movement at point of pain and report it to the charge nurse
A contracture is caused by:
A. Too much exercise
B. Lack of movement of the muscles
C. Pressure on the muscle
D. Old age
B. Lack of movement of the muscles
The nurses aide documents that about 45 minutes after the resident is put to bed for an afternoon nap, the resident urinates in bed. To help with bladdar training, the nurses aide should:
A. Take the resident to the bathroom right before going to bed
B. Scold the resident for always messing up the clean beds
C. Report to the charge nurse that the resident will not succeed in bladder training
D. Take the resident to the bathroom after about 30 minutes of being in bed for a nap
A. Take resident to the bathroom right before going to bed.
Mr. Schwartz is concerned about his son and asks to speak to his rabbi. The nurse aide should:
A. Ask nurse if rabbis are allowed in the facility
B. Ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit
C. Tell Mr. Schwartz his son is going to be fine and not to worry
D. Tell Mr. Schwartz's family about his request
B. Ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit
The nurses aide reported bruises on Mr. Jenkin's arm last week. Today, during AM care, there are more bruises. The nurses aide should:
A. Report the abuse again, this time to a different nurse or call the abuse hotline at the state office
B. Do nothing, Mr. Jenkins did not complain
C. Tell another nurse aide to report the new abuse
D. Call the police because nothing has been done
A. Report the abuse again, this time to a different nurse or call the abuse hotline at the state office
Once a nurse aide's name is placed on the abuse registry for neglect, he may:
A. Never work as an aide again
B. Continue to work as a nurses aide as long as he abuses no one else
C. Work only with young children
D. Petition the nurse aide program to have his name removed from the abuse registry after one year
D. Petition the nurse aide program to have his name removed from the abuse registry after one year
A nurses aide reclines a resident in a geri-chair so the resident cannot attempt to stand. This is a violation of:
A. The resident's right to cooperate
B. The resident's right to be free from restraints
C. The nurses aide to practice safety for the residents
D. The residents right to walk
B. The resident's right to be free from restraint
Mr. Joseph overhears the nurse aide speaking to the nurse aide about his diagnosis and demends that the nurse aide discuss the roomate's condition with him. The nurses aide should:
A. Firmly, but politely explain she cannot discuss another resident's condition
B. Tell Mr. Joseph it is not his concern, he should worry about himself
C. Tell Mr. Joseph to askt he roommate's family
D. Tell Mr. Joseph that if his roommate wants him to know, the roommate will tell Mr. Joseph
A. Firmly, but politely explain she cannot discuss another resident's condition
Respect is demonstrated by the nurses aide for the resident by:
A. Correcting the residents mistakes
B. Keeping the resident's room free of clutter
C. Agreeing with the resident
D. Always listening to what the resident has to say
D. Always listening to what the resident has to say.
Mr. Black was admitted this morning to the facility. The nurse aide should:
A. Give him a list of tasks to complete before morning
B. Encourage other residents to welcome Mr. Black
C. Introduce Mr. Black to others
D. Both b and c
D. Both b and c
There are two kinds of restraints:
A. Masks and goggles
B. Chemical and medication
C. Belts and wristbands
D. Chemical and physical
D. Chemical and physical
Mr. Smith refused to take a bath. The nurses aide bathed him anyway. What resident right was violated?
A. The right to be free from odor
B. The right to refuse treatment
C. The right to privacy
D. The right to complain
B. The right to refuse treatment
You observe your co-worker verbally abusing a resident. What should you do:
A. Talk to her after work
B. Tell the resident's family
C. Do nothing, words wont hurt the resident
D. Report it to the charge nurse
D. Report it to the charge nurse
If a resident has long hair, which procedure can NOT be done by the nurse aide:
A. Shampooing
B. Daily brushing and combing
C. Braiding and styling the hair
D. Cutting the hair to remove tangles
D. Cutting the hair to remove tangles
Forgetting to raise the side rails as ordered causes a resident to fall out and be injured. This could be called:
A. An accidental fall, it could not be helped
B. Neglect to keep the resident safe
C. Unreported incident
D. Safety standard
B. Neglect to keep the resident safe.
You hear another nurse aide tell a confused resident, "If you dont eart, I'll lock you in your room." You should:
A. Do nothing, the resident is too confused to understand
B. Tell the other aides so they can watch this aide with alert residents
C. Tell the charge nurse
D. Tell the aide if she does it again, you will report her
C. Tell the charge nurse
A nurses aide refuses to discuss a resident's condition with a neighbor. Which one of the resident's rights is being protected:
A. Informed consent
B. Privacy
C. Confidentiality
D. Respect
C. Confidentiality
Each resident in a long term care facility has the right:
A. To be free from chemical and physical restraints
B. To have their hair done weekly at the beauty shop free of charge
C. To use any supplies their roommate has
D. To call long distance from the nurses station to relatives
A. To be free from chemical and physical restraints.
The last sense a dying client will lose is:
A. Smell
B. Hearing
C. Taste
D. Sight
B. Hearing
The nurses aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurses 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
B. Call for assistance from the nurse in charge
Which temperature is considered MOST accurate?
A. Oral
B. Axillary
C. Groin
D. Rectal
A. Oral