1.
Placing a resident in good alignment means you should
Correct Answer
B. Keep him as straignt as possible
Explanation
The correct answer is "keep him as straight as possible". When placing a resident in good alignment, it is important to ensure that their body is positioned in a straight and aligned manner. This helps to maintain proper posture, prevent muscle imbalances, and reduce the risk of pressure ulcers or injuries. Keeping the resident straight also promotes optimal breathing and circulation.
2.
Before giving any hot or cold treatment, you should be sure you have
Correct Answer
A. A doctor's order
Explanation
Before giving any hot or cold treatment, it is important to have a doctor's order. This ensures that the treatment is appropriate and safe for the patient. Without a doctor's order, there is a risk of administering the wrong treatment or causing harm to the patient. It is crucial to follow medical protocols and seek professional guidance before proceeding with any medical procedure.
3.
Signs of possible skin problems include
Correct Answer
D. All of the above
Explanation
Any skin irritation can cause a decubitus ulcer and needs to be reported
4.
When changing a pillowcase, you should NOT hold he pillow under you chin because this would
Correct Answer
D. Spread bacteria
Explanation
Inhaling the bacteria can cause infection to the health care worker
5.
A non sterile dressing is one that is
Correct Answer
C. Clean
Explanation
A clean dressing is not sterile but promotes protection to the skin. A band-aid is an example of a clean dressing
6.
Mr. Scranton often chokes while his is eating. You should
Correct Answer
A. Stay close by when he eats
Explanation
The correct answer is to stay close by when he eats. This is because Mr. Scranton often chokes while eating, so it is important to be nearby in case he needs assistance. Being close by allows for immediate help if he starts choking, ensuring his safety and well-being.
7.
Mr. Smith has just smoked a cigarette. You need to take his temperature. You should
Correct Answer
A. Wait 15-20 minutes and then take an oral temperature
Explanation
Smoking may cause a misreading of the patient's body temperature
8.
Mary Jones begs, "Just let me live until my grandchild is born. " She is in what stage of dying?
Correct Answer
C. Bargaining
Explanation
Mary Jones is in the bargaining stage of dying because she is pleading for more time to live until her grandchild is born. Bargaining is a common stage in the process of dying where individuals try to negotiate or make deals in an attempt to delay or avoid death. In this case, Mary is trying to bargain with her plea, hoping that she can be granted more time to witness the birth of her grandchild.
9.
Bed side rails are used for
Correct Answer
C. Residents whose doctors order them
Explanation
Bed side rails are used for residents whose doctors order them. This means that the use of bed side rails is not based on the age or mental status of the resident, but rather on the specific recommendation or prescription from a doctor. The reason for this could be to prevent falls or injuries, provide support and stability, or assist with mobility or positioning. The decision to use bed side rails is therefore determined by the medical needs and requirements of the individual resident, as determined by their doctor.
10.
Bed side rails are used for
Correct Answer
C. Residents whose doctors order them
Explanation
Bed side rails are used for residents whose doctors order them. This means that the use of bed side rails is not universal for all residents, regardless of age or mental status. Instead, it is specifically prescribed by a doctor for certain residents who may require the additional safety and support provided by bed side rails. This ensures that the use of bed side rails is based on individual medical needs and is not applied indiscriminately to all residents.
11.
Which statement about injuries to residents and staff members is correct?
Correct Answer
A. Injuries should be treated and reported on incident report
Explanation
Injuries should be treated and reported on an incident report because it is important to ensure the safety and well-being of both residents and staff members. Treating injuries promptly can prevent further complications and promote healing. Reporting injuries on an incident report allows for documentation of the incident, which is crucial for identifying patterns, implementing preventive measures, and addressing any potential hazards or risks in the future. It also helps in maintaining transparency and accountability within the organization.
12.
If you find a damaged piece of equipment you should
Correct Answer
B. Report it immediately
Explanation
It is important to report a damaged piece of equipment immediately because using it anyway or trying to repair it yourself can be dangerous. Reporting it allows the proper authorities or maintenance personnel to assess the damage and take appropriate action to fix or replace the equipment. This ensures the safety of yourself and others who may use the equipment.
13.
A common sign of appraching death is
Correct Answer
D. Decreased body functions
Explanation
A common sign of approaching death is decreased body functions. As a person nears the end of life, their body begins to shut down and various bodily functions start to decline. This can include decreased heart rate, decreased respiratory rate, decreased blood pressure, and decreased organ function. These changes indicate that the body is no longer able to maintain its normal functions and is a sign that death is approaching.
14.
The resident's elbows are dry and red. You should
Correct Answer
A. Report this to the charge nurse
Explanation
The resident's dry and red elbows may indicate a potential skin issue or irritation. It is important to report this to the charge nurse so that appropriate measures can be taken to address the resident's condition. Rubbing them with lotion may provide temporary relief, but it is essential to involve the charge nurse for a proper assessment and guidance. Applying elbow protectors may also be considered, but this decision should be made in consultation with the charge nurse.
15.
The acceptable way to identify a resident is to
Correct Answer
A. Check the identification band
Explanation
The acceptable way to identify a resident is to check the identification band. This is because the identification band is specifically assigned to each resident and contains important information such as their name, date of birth, and medical record number. Checking the identification band ensures accurate identification and helps prevent any mix-ups or confusion regarding the resident's identity.
16.
Which of the following statemewnt about dressing residents is TRUE?
Correct Answer
C. Residents are concerned about how they look
Explanation
Residents being concerned about how they look is the most logical and plausible explanation for the given correct answer. It is a common human trait to care about one's appearance, and residents in a care facility would likely have the same concern. This statement aligns with the general understanding of human nature and the desire to present oneself in a favorable manner.
17.
If the resident does not eat all the food on his tray, the first thing you should do is
Correct Answer
B. Ask the resident why
Explanation
The correct answer is to ask the resident why they did not eat all the food on their tray. This is important because it allows for open communication and understanding of the resident's preferences, dietary restrictions, or any other concerns they may have. It also provides an opportunity to address any potential issues and ensure that the resident's needs are being met.
18.
The preferred way to remove a bedpan from a resident who is unable to lift herself to
Correct Answer
C. Turn the resident to th eside whild holding the bedpan
Explanation
The preferred way to remove a bedpan from a resident who is unable to lift herself is to turn the resident to the side while holding the bedpan. This method ensures that the resident is supported and comfortable during the process of removing the bedpan. It also minimizes the risk of injury or discomfort for the resident. Using a mechanical lifting device or having another nursing assistant lift the resident may not be necessary or appropriate in this situation. Sliding the pan from under the resident slowly may cause discomfort or potential spills.
19.
The resident states that a mistake has been made: there is salt on her tray, although the doctor has ordered a low-salt diet. You should
Correct Answer
C. Check the diet order with the nurse
Explanation
The correct answer is to check the diet order with the nurse. This is the most appropriate course of action because it allows for verification of the resident's diet order. By confirming with the nurse, you can ensure that there hasn't been a mistake or miscommunication regarding the resident's dietary restrictions. This step is crucial in order to address the resident's concern and provide them with the appropriate meal according to their dietary needs.
20.
Mr. Roark, is a newly admitted conscious resident, has been put to bed. Before leaving him alone, you should
Correct Answer
D. Make sure he knows how to use the call light
Explanation
Before leaving Mr. Roark alone, it is important to make sure he knows how to use the call light. This is crucial for his safety and well-being as it allows him to call for assistance if he needs it. By ensuring that he is familiar with how to use the call light, it provides him with a sense of control and empowerment in his new environment. It also helps to ensure that his needs can be met promptly and efficiently, promoting a positive and responsive care experience.
21.
As a safety measure, when you give mouth care to an unconscious residnet, you should position the resident
Correct Answer
C. With the head turned to the side
Explanation
When giving mouth care to an unconscious resident, positioning the resident with the head turned to the side is important for safety. This position helps prevent choking or aspiration of fluids or debris into the airway. It allows any excess saliva or oral care products to drain out of the mouth instead of going down the throat. Additionally, it helps maintain an open airway by preventing the tongue from obstructing the air passage.
22.
A resident has a new cast on his right arm. While caring for him, you should observe for
Correct Answer
C. Warmth and color of fingers
Explanation
When a resident has a new cast on his right arm, it is important to observe for warmth and color of fingers. This is because a cast can potentially restrict blood flow to the fingers, leading to decreased warmth and a change in color. By monitoring these signs, healthcare providers can identify any circulation problems or complications that may arise from the cast.
23.
When you obtain a clean catch urine specimen, you should
Correct Answer
B. Use clean techniques
Explanation
When obtaining a clean catch urine specimen, it is important to use clean techniques. This means ensuring that the area where the specimen is collected is clean and free from any contaminants. While sterile techniques are not necessary for obtaining a clean catch urine specimen, it is still important to maintain cleanliness to avoid any potential contamination that could affect the accuracy of the test results. Washing the resident's hands and performing the procedure in the bathroom may be part of the overall process, but the key aspect is using clean techniques during the collection of the specimen.
24.
Before assisting a resident into a wheelchair, check to see if the
Correct Answer
D. Wheels of trhe chair are locked
Explanation
Before assisting a resident into a wheelchair, it is important to check if the wheels of the chair are locked. This is crucial for the safety of the resident as locked wheels ensure that the chair remains stable and stationary during the transfer process. If the wheels are not locked, there is a risk of the chair moving or rolling, which could cause the resident to fall or injure themselves. Therefore, checking and ensuring that the wheels are locked is a necessary precaution to prevent accidents and ensure the resident's safety.
25.
When giving a completed bed bath, you should
Correct Answer
C. Keep the resident covered as much as possible
Explanation
The correct answer is to keep the resident covered as much as possible. This is important because it helps to maintain the resident's privacy and dignity during the bed bath. By keeping the resident covered, you are respecting their autonomy and ensuring their comfort throughout the process.
26.
The proper medical term for brittle bone is
Correct Answer
D. Osteoporosis
Explanation
Osteoporosis is the correct answer because it is a medical condition characterized by weak and brittle bones. It occurs when the body loses too much bone, makes too little bone, or both. This condition is more common in older individuals, particularly women after menopause. Osteomalacia refers to softening of the bones due to a vitamin D deficiency, osteoarthritis is a degenerative joint disease, and osteosarcoma is a type of bone cancer. Therefore, only osteoporosis accurately describes the condition of brittle bones.
27.
Normal hearing loss in aging is usually related to the ability to hear
Correct Answer
A. High ptiched sounds
Explanation
As individuals age, the structures in the inner ear responsible for detecting high-pitched sounds tend to deteriorate. This leads to difficulty in hearing and perceiving these specific frequencies, resulting in normal hearing loss in aging. It is important to note that this type of hearing loss does not affect the ability to hear all sounds or loud sounds, but specifically impacts the perception of high-pitched sounds. Rapid speech, on the other hand, may be affected by other factors such as cognitive decline or processing speed, but it is not directly related to normal age-related hearing loss.
28.
Lack of movement can cause wasting of muscle tissue. This is called
Correct Answer
B. AtropHy
Explanation
Lack of movement can lead to the wasting or shrinking of muscle tissue, which is known as atrophy. When muscles are not used or exercised regularly, they can become weaker and smaller in size. This can occur due to various reasons such as immobilization, prolonged bed rest, or lack of physical activity. Atrophy can have negative effects on muscle strength and overall physical function.
29.
When you shake down a thermoneter the mercury should be below
Correct Answer
A. 95 F
Explanation
The correct answer is 95 F because shaking down a thermometer is done to ensure that the mercury level is below the desired temperature reading. In this case, the desired temperature is 95 F. Shaking down the thermometer helps to reset the mercury level to ensure accurate temperature measurement.
30.
A specimen collected by having the resident cough from the lungs and bronchial tubes is called
Correct Answer
C. Sputum
Explanation
Sputum is the correct answer because it refers to the specimen collected by having the resident cough from the lungs and bronchial tubes. Sputum is a mixture of saliva and mucus that is expelled from the respiratory tract when a person coughs. It is commonly used for diagnostic purposes to analyze for the presence of bacteria, viruses, or other pathogens that may be causing respiratory infections or diseases.
31.
The parts of the body involved in maintaining a sufficient intake of air include the
Correct Answer
D. All of the above
Explanation
All of the above options are correct because they all play a role in maintaining a sufficient intake of air. The mouth and nasopharynx are responsible for the initial entry of air into the body. The trachea and larynx help in directing the air towards the lungs. Finally, the bronchi and alveoli are involved in the gas exchange process, where oxygen is taken in and carbon dioxide is expelled. Therefore, all of these body parts are necessary for the intake and distribution of air in the respiratory system.
32.
The primary reason for laundering a nursing uniform after each day's wearing is to
Correct Answer
D. Prevent the spread of germs
Explanation
Laundering a nursing uniform after each day's wearing helps prevent the spread of germs. As nurses come into contact with various patients and potentially infectious materials, their uniforms can become contaminated with bacteria and other pathogens. Washing the uniform removes these germs, reducing the risk of spreading infections to other patients or healthcare workers. While looking professional and neat are important aspects of wearing a nursing uniform, the primary reason for laundering it daily is to maintain a hygienic and safe healthcare environment.
33.
The purpose of using restraints is to
Correct Answer
B. Protect the resident and others from injury
Explanation
The purpose of using restraints is to protect the resident and others from injury. Restraints are used to limit the movement of an individual who may pose a risk to themselves or others. By restraining the individual, the likelihood of falls, self-harm, or harm to others is reduced. Restraints are typically used as a last resort when other interventions have been unsuccessful in ensuring safety.
34.
If amily members bring new clothes in for a resident, you should make sure the
Correct Answer
B. Clothes are labeled with the resident's name
Explanation
When family members bring new clothes for a resident, it is important to make sure that the clothes are labeled with the resident's name. This is necessary to ensure that the clothes are easily identifiable and can be returned to the correct resident if they get misplaced or mixed up with other residents' clothes. Labeling the clothes with the resident's name also helps in maintaining organization and ensuring that each resident's belongings are kept separate.
35.
Security for a resident's dentures includes
Correct Answer
B. Placing them in a labeled denture cup
Explanation
Placing dentures in a labeled denture cup is the correct answer because it ensures the security of the resident's dentures. By labeling the cup, it becomes easier to identify the owner of the dentures and prevent mix-ups. Additionally, storing dentures in a cup provides a designated and safe place for them, reducing the risk of damage or loss. This method also promotes hygiene as the cup can be easily cleaned and maintained. Therefore, placing dentures in a labeled denture cup is the most secure and practical option among the given choices.
36.
The charge nurse instructs you to clean a resident's closet. You should
Correct Answer
C. Enlist the help of the resident
Explanation
Enlisting the help of the resident is the correct answer because it promotes independence and empowers the resident to participate in their own care. It also respects the resident's personal belongings and allows them to make decisions about what to keep or discard. This approach fosters a sense of dignity and autonomy for the resident, while also ensuring that their preferences and choices are respected.
37.
To move a resident with a fractured hip, you would
Correct Answer
C. Check the pHysician's order
Explanation
If your resident has a fractured hip, there must be a physician's order for a moving technique
38.
Dressing will be difficult for a resident who
Correct Answer
A. Has a contracted arm
Explanation
A resident with a contracted arm will find dressing difficult because their arm is unable to fully extend or move freely. This limited range of motion makes it challenging to put on or take off clothing, fasten buttons or zippers, and perform other necessary movements involved in dressing. The contracted arm restricts their ability to independently dress themselves, requiring assistance or adaptive equipment to overcome this difficulty.
39.
After assisting a resident to the bathroom
Correct Answer
B. Leave her alone for ten minutes
Explanation
privacy is important to all residents
40.
Which is the best way to place a resident on a bedpan?
Correct Answer
A. Turn him away from you and place the bedpan under his buttocks
Explanation
Turning a resident from side to side allows you to help him move
41.
If a resident objects to certain foods for religious or cultural reasons, you should
Correct Answer
B. Offer to get something different for him
Explanation
If a resident objects to certain foods for religious or cultural reasons, the appropriate response would be to offer to get something different for him. This shows respect for his beliefs and ensures that his dietary needs are met. It is important to accommodate residents' preferences and provide them with suitable alternatives that align with their religious or cultural requirements.
42.
Techniques to keep the resident's skin clean and healthy include
Correct Answer
C. Washing with soap and rinsing well
Explanation
Washing with soap and rinsing well is an effective technique to keep the resident's skin clean and healthy. Soap helps to remove dirt, oils, and bacteria from the skin, while rinsing well ensures that all the soap residue is washed away. This helps to maintain the natural balance of the skin and prevent any irritation or dryness. Using perfumed lotion and powders may actually cause skin allergies or irritations, so it is not recommended. Similarly, using cold, clear water and lots of suds may not necessarily provide the same level of cleanliness and may not effectively remove all the dirt and bacteria from the skin.
43.
Before starting any bath, you should suggest that the resident
Correct Answer
D. Use the bathroom or bedpan
Explanation
Before starting any bath, it is important to suggest that the resident use the bathroom or bedpan. This is necessary to ensure that the resident relieves themselves before getting into the bath, as it can be difficult for them to do so once they are in the water. This step helps to prevent any accidents or discomfort during the bath and ensures the resident's comfort and hygiene.
44.
During the bowel and bladder retraining period, the nursing assistant should
Correct Answer
D. All of the above
Explanation
During the bowel and bladder retraining period, it is important for the nursing assistant to offer water frequently to ensure proper hydration and promote regular bowel and bladder movements. Additionally, seeing that the resident eats a well-balanced diet is crucial for maintaining overall health and preventing constipation. Encouraging the resident to remain active also helps in stimulating bowel and bladder function. Therefore, all of the above options are necessary during the retraining period.
45.
When you are moving the resident up on bed, the pillow goes
Correct Answer
C. At the head of the bed, to protect her head
Explanation
When moving the resident up on the bed, placing the pillow at the head of the bed is the correct answer because it helps to protect her head. Placing the pillow at the head of the bed ensures that her head is properly supported and cushioned during the movement, reducing the risk of any potential injuries or discomfort.
46.
Which information is important in designing a retraining plan?
Correct Answer
D. Both a and b
Explanation
Both a and b are important in designing a retraining plan. Knowing when the resident needs to toilet naturally is crucial in order to establish a schedule for toileting and prevent accidents. Additionally, understanding the resident's food preferences is important to ensure they are provided with meals they enjoy and are more likely to eat. By considering both of these factors, a retraining plan can be tailored to meet the individual needs and preferences of the resident.
47.
Transferring a resident from th ebed to a stretcher requires the bed he positioned at
Correct Answer
C. Waist height
Explanation
When transferring a resident from a bed to a stretcher, it is necessary for the bed to be positioned at waist height. This ensures that the transfer is done safely and comfortably for both the resident and the caregiver. Having the bed at waist height allows for proper body mechanics and reduces the risk of strain or injury during the transfer process. It also allows for better control and stability while moving the resident onto the stretcher.
48.
To help a resident into a wheelchair, you should position the chair
Correct Answer
D. At the side of the bed, facing the foot of the bed
Explanation
To help a resident into a wheelchair, you should position the chair at the side of the bed, facing the foot of the bed. This allows the resident to easily transfer from the bed to the wheelchair without any obstructions. Placing the wheelchair at the side of the bed ensures that the resident can easily slide or pivot from the bed to the chair, using the foot of the bed as a reference point. This positioning also provides the caregiver with better access and control during the transfer process.
49.
The goal of bladder training is to
Correct Answer
D. All of the above
Explanation
The goal of bladder training is to achieve all of the mentioned outcomes. Bladder training aims to help individuals regain control over their urination, which includes stopping the use of a catheter and gaining voluntary control over the bladder. Additionally, bladder training also helps in preventing skin problems that can be caused by incontinence. Therefore, the correct answer is "all of the above."
50.
Mrs. Black is a diabetic. For her mid afternoon nourishment, the kitchen has sent a carton of chocolate ice cream. Your first action should be to
Correct Answer
B. Hold the nourishment and report to the learn leader
Explanation
The correct answer is to hold the nourishment and report to the learn leader. This is the appropriate action to take because Mrs. Black is a diabetic and chocolate ice cream is not suitable for her dietary needs. By holding the nourishment and reporting to the learn leader, the situation can be addressed and corrected to ensure Mrs. Black receives an appropriate and safe mid afternoon nourishment.