1.
Your resident has a right hemiplegia.When up in a chair, the resident's right arm should be
Correct Answer
C. Be elevated on a pillow in her lap
Explanation
elevating a paralyze limb will help prevent edema and injury
2.
When family members visit a resident, the visitors should
Correct Answer
D. Be allowed privacy with the resident
Explanation
The family should expect and be allowed privacy time with their loved one
3.
Sexuality changes in aging can result in
Correct Answer
D. All of the above
Explanation
Sexual desire is related to emotions as well as physical ability, so all the answers listed may be correct for different individuals
4.
H.S. care is care that is given
Correct Answer
B. Before bedtime
Explanation
H.S. care refers to care that is given before bedtime. This implies that the care is provided to the individual right before they go to sleep. It could include activities such as helping the person change into their night clothes, brushing their teeth, and ensuring they are comfortable and ready for bed. This type of care is important in maintaining good hygiene and ensuring a restful night's sleep for the individual.
5.
A prosthesis is
Correct Answer
A. An artificial substitute for a missing body part
Explanation
Examples of prostheses include artificial limbs, hearing aids, and dentures
6.
When you make a bed, you should place the soiled linen
Correct Answer
C. In a laundry bag
Explanation
Soiled linen should be directly placed in laundry bags to prevent contaimination
7.
On entering a room, you notice that the patient is not breathing. You first action should be to
Correct Answer
A. Call for help
Explanation
In this scenario, the correct action to take is to call for help. This is because the patient is not breathing, indicating a medical emergency. Calling for help is the first step to ensure that medical professionals can provide immediate assistance and potentially save the patient's life.
8.
A water pitcher has tipped over and you notice water on the floor. You should
Correct Answer
A. Wipe it up immediately
Explanation
Take care of spills immediately, or patient may be injured while waiting for housekeeping
9.
When making an occupied bed, it is important to
Correct Answer
D. Do all of the above
Explanation
When making an occupied bed, it is important to do all of the above. Making half of the bed at one time ensures that the patient remains comfortable and supported throughout the process. Having one side rail up and one down provides safety and stability for the patient. Making a toe pleat in the top covers helps to prevent pressure points on the patient's feet and ensures proper positioning. Therefore, all of these actions are necessary when making an occupied bed.
10.
A resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing
Correct Answer
D. Abdominal thrusts
Explanation
Abdominal thrusts are always the first step for airway obstructions
11.
For a resident who is classified as wound and skin isolation, the soiled linen should be
Correct Answer
C. Bagged before removing from the room
Explanation
Wound and skin isolation means high likelihood of linen contamination. Therefore, all linens must be double-bagged
12.
Mr. Johnson has not had a bowel movement for five days. He might complain of
Correct Answer
D. All of the above
Explanation
Lack of peristalsis causes all of these symptoms and must be documented and reported
13.
Common signs and symptoms of urinary tract infection may include
Correct Answer
D. Frequent urination with burning sensation
Explanation
The correct answer is frequent urination with burning sensation. This symptom is commonly associated with urinary tract infections. The burning sensation is caused by inflammation in the urinary tract, and the frequent urination is a result of the body's attempt to flush out the infection. Other symptoms such as extreme thirst, lack of appetite, stomach pain, and no bowel movement for several days are not typically associated with urinary tract infections.
14.
While you are walking Mrs. Grey in the hallway, she complains of chest pain and dizziness. Your fist response should be
Correct Answer
B. Call for help immediately but stay with her
Explanation
Never leave a patient alone in the time of an emergency.Get help immediately
15.
When giving daily care you should observe
Correct Answer
D. All of the above
Explanation
When giving daily care, it is important to observe the general appearance of the individual, which includes their overall physical condition and any noticeable changes. Observing the mental condition is also crucial to assess their cognitive abilities, mood, and behavior. Additionally, monitoring the skin condition is necessary to identify any abnormalities, such as rashes, wounds, or signs of infection. Therefore, all of the above observations are essential to ensure the well-being and health of the individual receiving care.
16.
During his bath, Mr. Ramirez complains of chest pain and shortness of breath. You should
Correct Answer
A. Contact your supervisor immediately
Explanation
Any chest pain should be reported immediately as it may be a sign of heart attack
17.
You observe that Mr. Nix has an open red area on her coccyx that is draining. You should
Correct Answer
D. Tell the supervisor so she can check it.
Explanation
An opening in the skin predisposes the patient to and must be checked by the nurse
18.
Behavior management is a system for
Correct Answer
B. Increasing positive behavior
Explanation
A positive behavior affects attitude and builds self-esteem
19.
Which statement about a family's involvement in a resident's care is correct?
Correct Answer
A. Families should be asked to attend care plan meetings
Explanation
Promotes communication and continuity of care
20.
If Mrs. Force loses her temper and starts swearing, you should
Correct Answer
D. Follow the care plan
Explanation
Don't reinforce negative behavior. The care plan should communicate what the staff is to do should the resident engage in undesirable behavior
21.
Before transferring the resident, you should first wash you hands and then
Correct Answer
C. Get help if needed
Explanation
Before transferring the resident, it is important to ensure that you have taken necessary precautions such as washing your hands. Once this is done, you should prioritize getting help if needed. Transferring a resident can require physical strength and assistance, so it is crucial to have additional support if necessary. This ensures the safety and well-being of both the resident and the caregiver.
22.
When you have a resident sit up and dangle her legs before getting up, you should watch for
Correct Answer
D. All of the above
Explanation
When a resident sits up and dangles her legs before getting up, it is important to watch for sudden paleness, excessive sweating, and increased respirations. These signs may indicate that the resident is experiencing orthostatic hypotension, a sudden drop in blood pressure when changing positions. Sudden paleness can occur due to decreased blood flow to the skin, excessive sweating may be a compensatory mechanism to cool the body, and increased respirations can be a result of the body trying to compensate for the drop in blood pressure. Therefore, all of the above signs should be monitored to ensure the resident's safety and well-being.
23.
Before any transfer, you should
Correct Answer
D. All of the above
Explanation
The correct answer is "all of the above" because before any transfer, it is important to have the nurse's approval to ensure the safety and well-being of the patient. Additionally, knowing the proper procedure is crucial to prevent any injuries or complications during the transfer. Lastly, using a transfer belt if needed provides extra support and stability for both the patient and the caregiver, reducing the risk of falls or accidents. Therefore, all of these steps are necessary before performing any transfer.
24.
In caring for a confused elderly man, you should remember to
Correct Answer
A. Keep the bedrails up except when you are at the bedside
Explanation
Keeping the bedrails up except when you are at the bedside is important in caring for a confused elderly man because it helps to ensure his safety. Confused elderly individuals may have difficulty understanding their surroundings and may be at risk of falling out of bed. By keeping the bedrails up, it provides a physical barrier that can prevent falls and injuries. However, it is also important to lower the bedrails when you are at the bedside to provide care and assistance to the patient. This allows for easier access and prevents the patient from feeling trapped or confined.
25.
While giving an unconscionably patient a bath, it is imporatnt to
Correct Answer
A. Give passive range of motion to all joints
Explanation
Passive ROM should always be given with the bath on an unconscious patient
26.
When assisting Mr. Cohen in learning to use a walker, you should
Correct Answer
A. Stand behind him and use a transfer belt
Explanation
standing behind him and using a transfer belt protects both the client and the aide
27.
Wrinkles in the bedclothes can
Correct Answer
B. Irritate the patient's skin
Explanation
Wrinkles in the bedclothes can irritate the patient's skin. When the bedclothes are wrinkled, they can create friction against the patient's skin, causing discomfort and irritation. This can lead to redness, itching, and even skin breakdown in some cases. It is important to ensure that the bedclothes are smooth and wrinkle-free to provide maximum comfort for the patient and prevent any skin irritation or damage.
28.
Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is
Correct Answer
C. Necessary for rehabilitation
Explanation
Rehab should always be part of the care plan
29.
When assisting a patient with eating, one of the first things you should do is
Correct Answer
B. Wash your hands and the patient's hands
Explanation
When assisting a patient with eating, it is important to prioritize hygiene and cleanliness. Washing your hands and the patient's hands before a meal helps to prevent the spread of germs and reduce the risk of infection. This step ensures that both you and the patient have clean hands, promoting a safe and healthy eating environment.
30.
The first thing you should do before giving a patient a tub bath is to
Correct Answer
D. Gather necessary supplies
Explanation
Check for an order on the care pan before performing any activity
31.
The resident's religion forbids eating pork. Ham is being served for lunch. You should
Correct Answer
C. Ask the nurse to call the kitchen
Explanation
The correct answer is to ask the nurse to call the kitchen. This is the most appropriate action because the resident's religion forbids eating pork, and as a healthcare professional, it is important to respect and accommodate the resident's religious beliefs and dietary restrictions. By asking the nurse to call the kitchen, they can inquire about alternative meal options that are suitable for the resident's dietary needs.
32.
When a resident is on I and O, which of the following are measured?
Correct Answer
D. All substances that are fluid at room temperature
Explanation
All items that are liquid at room temperature are considered fluid (for example, ice cream gelatin, dessert, and so on)
33.
An 85 year old resident tells you that his mother is coming to visit. Your best response would be,
Correct Answer
D. "Are you wishing you could see your mother?"
Explanation
D is the only response that uses therapeutic communication skills
34.
The nursing assistant must report abuse of a resident by
Correct Answer
D. All of the above
Explanation
Federal and state laws require reporting of any abuse, whether it comes from staff, family or other residents.
35.
Sexuality in long term care patients may included all of the following except
Correct Answer
C. Engaging in public fondling
Explanation
As long term care providers, nursing assistants must respect the resident's right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other resident's rights
36.
A resident who is eating poorly should be offered
Correct Answer
D. Dietary supplements
Explanation
A resident who is eating poorly should be offered dietary supplements. This is because dietary supplements can provide essential nutrients that may be lacking in their diet. These supplements can help improve their overall nutrition and prevent any deficiencies. Offering dietary supplements is a practical and effective solution to ensure that the resident receives the necessary nutrients despite their poor eating habits.
37.
Each resident who is not NPO must always have
Correct Answer
C. Fresh water
Explanation
Residents who are not NPO (nothing by mouth) are allowed to consume food and beverages, unlike those who are on a restricted diet. Among the given options, fresh water is a necessity for all residents, regardless of their dietary restrictions. It is essential for hydration and maintaining overall health. While fresh fruit, three hot meals, and juice and pop might be important for a balanced diet, they are not mandatory for every resident who is not NPO.
38.
Which of the following is not a special or therapeutic diet?
Correct Answer
D. Regular
Explanation
Regular diet is not considered a special or therapeutic diet because it does not have any specific restrictions or modifications. It is a standard diet that does not cater to any specific dietary needs or health conditions. On the other hand, diabetic diet is designed for individuals with diabetes to manage their blood sugar levels, low salt diet is recommended for individuals with high blood pressure or heart conditions, and bland diet is often prescribed for individuals with gastrointestinal issues.
39.
To prevent infection in a resident with an indwelling catheter, you should
Correct Answer
B. Do perineal care from front to back as needed
Explanation
Always wipe from the front to the back to prevent rectal germs from entering the vagina or urinary tract
40.
Which statement about dressing residents is not true?
Correct Answer
B. Residents need to be completely dressed by the nurse aide
Explanation
The statement "Residents need to be completely dressed by the nurse aide" is not true because residents have the right to choose how they want to dress and have control over their own clothing choices. The nurse aide should assist residents in dressing if needed, but it is not necessary for the nurse aide to completely dress the residents.
41.
Mr. Kull is weak and unsteady. He needs to urinate. You could safely leave him alone to use
Correct Answer
C. A bedpan
Explanation
Keep the resident in bed to prevent a fall, but allow privacy while voiding
42.
A resident with a paralyzed left arm may be able to feed herself if she uses a
Correct Answer
D. A and b only
Explanation
A resident with a paralyzed left arm may be able to feed herself if she uses a plate guard and a build-up spoon. A plate guard can be placed around the edge of a plate to prevent food from falling off, making it easier for the resident to scoop food onto a spoon using her right hand. A build-up spoon has a larger handle, providing a better grip and making it easier for the resident to hold and manipulate the spoon with her right hand. A zipper pull is unrelated to the task of feeding oneself and would not assist in this situation.
43.
You perform passive range of motion exercises for a resident, you should do all the following except
Correct Answer
B. Move the joint until the resident feels pain
Explanation
Never extend the joint to the point of pain
44.
Special devices that residents use to dress themselves include
Correct Answer
D. All of the above
Explanation
Promote ADL and independent
45.
If the chains of a Hoyer lift are uneven, then the
Correct Answer
B. Shorter end goes toward the resident's head
Explanation
Bring the patient to a sitting position by lifting the head and back forward
46.
Which of the following statements about range of motion exercises is not true?
Correct Answer
C. Active range of motion means the nursing assistant does the exercises
Explanation
AROM means the patient performs his or her own exercises
47.
Because of lack of exercise, bedridden residents often develop
Correct Answer
D. All of the above
Explanation
Exercise promotes and improves circulation in bedridden patients
48.
When reporting your patient's condition to your team leader, you should report immediately
Correct Answer
A. Rash that appears suddenly
Explanation
Only A is an acute change
49.
When caring for a patient with a nasogastric tube, you should
Correct Answer
D. Protect the tube when moving or changing the patient's position
Explanation
You must ensure that the tube is not dislodged
50.
Before you ambulate a patient who has a Foley catheter, you should
Correct Answer
C. Carry the bag below the level of the bladder
Explanation
You cannot disconnect the bag without an order, but you still must ensure that the bag remains below the bladder level