1.
Which of the followin should you observe and record when admittin a client?
Correct Answer
C. Bruises,marks,rashes,or broken skin
Explanation
When admitting a client, it is important to observe and record any bruises, marks, rashes, or broken skin. This is essential for assessing the client's overall health and identifying any potential injuries or skin conditions. By documenting these observations, healthcare professionals can monitor changes in the client's condition and provide appropriate care and treatment. Additionally, this information can be used for legal and insurance purposes if necessary.
2.
When responding to a client on the intercom you should
Correct Answer
C. Give your name and position and sy "may I help you?"
Explanation
When responding to a client on the intercom, it is important to provide a professional and polite greeting. Giving your name and position and saying "may I help you?" demonstrates a courteous and helpful attitude towards the client. This approach shows that you are ready to assist them with their needs and creates a positive impression of the company or organization you represent.
3.
Which of the following things should you do to familiarize a new client with his or her surroundings?
Correct Answer
A. Show the client where the call light is and how to work it.
Explanation
To familiarize a new client with their surroundings, it is important to show them where the call light is and how to work it. This will allow the client to easily alert the healthcare staff when they need assistance. The other options provided in the question, such as telling the client not to operate the TV, asking visitors to leave the room, and raising the side rails and bed, do not directly contribute to familiarizing the client with their surroundings.
4.
When arranging a patient's room, you should do all of the following EXCEPT
Correct Answer
C. Administer medications.
Explanation
When arranging a patient's room, it is important to check signal cords to ensure that the patient can easily call for assistance if needed. Adjusting the back and knee rests as directed is necessary to provide comfort and support to the patient. Checking lighting is important to ensure that the room is well-lit and conducive for the patient's needs. However, administering medications is not a task related to arranging the patient's room. It falls under the responsibility of healthcare professionals such as nurses or doctors.
5.
When assistin a client in and out of bed, the nurse aide should always
Correct Answer
A. Employ body mechanic techniques.
Explanation
When assisting a client in and out of bed, it is important for the nurse aide to employ body mechanic techniques. This means using proper body mechanics and lifting techniques to prevent injury to both the client and the nurse aide. By using these techniques, the nurse aide can minimize the strain on their own body and reduce the risk of back injuries. This ensures the safety and well-being of both the client and the nurse aide during the transfer process.
6.
When should you wash your hands?
Correct Answer
D. Before and after contact with a patient
Explanation
Washing hands before and after contact with a patient is important because it helps to prevent the spread of germs and infections. Before contact, it helps to remove any potential harmful bacteria or viruses that may be on the hands. After contact, it helps to eliminate any germs that may have been picked up from the patient and prevents them from spreading to other surfaces or individuals. This practice is crucial in healthcare settings to maintain hygiene and protect both patients and healthcare workers from getting sick.
7.
Which of the following is correct procedure for serving a meal to a client who mut be fed?
Correct Answer
C. Bring the tray into the room when yo are ready to feed the client
8.
The MOST serious problem that wrinkles in the bedclothes can caues is
Correct Answer
C. Decubitus ulcers.
Explanation
Wrinkles in bedclothes can cause decubitus ulcers, also known as pressure ulcers or bedsores. These ulcers occur when there is prolonged pressure on the skin, leading to reduced blood flow and tissue damage. Restlessness and sleeplessness may be discomforting, but they are not as serious as the development of decubitus ulcers. Bleeding and shock are not directly caused by wrinkles in bedclothes, making decubitus ulcers the most serious problem.
9.
An important way to reduce the incidence of decubitus ulcers is to
Correct Answer
C. Change position every 2 hours.
Explanation
Changing position every 2 hours is an important way to reduce the incidence of decubitus ulcers. This helps to relieve pressure on certain areas of the body, which can prevent the development of ulcers. Keeping the client in bed and forcing fluids every 2 hours may have some benefits, but they are not as crucial in preventing decubitus ulcers as changing position regularly.
10.
You are told to put a client in Fowler's position. Before changing the position of the client's bed you should
Correct Answer
B. Explain the procedure to the client.
Explanation
Before changing the position of the client's bed, it is important to explain the procedure to the client. This ensures that the client is aware of what is going to happen and can provide any necessary input or express any concerns they may have. By explaining the procedure, the client can feel more comfortable and informed about the changes that will be made to their bed position. This also allows for open communication between the client and the caregiver, promoting a sense of trust and understanding in the caregiving process.
11.
During had washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The NEXT action is to
Correct Answer
C. Repeat the wash form the beginning.
Explanation
If the nurse aide accidentally touches the inside of the sink while rinsing the soap off, it means that the hands have come into contact with a potentially contaminated surface. To ensure proper hand hygiene and prevent the spread of germs, it is necessary to repeat the hand washing process from the beginning. This will ensure that the hands are thoroughly cleaned and any potential contaminants are removed.
12.
When giving mouth care to an unconscious patient, the safest position to privent aspiraion is
Correct Answer
C. With the head turned to the side.
Explanation
When giving mouth care to an unconscious patient, the safest position to prevent aspiration is with the head turned to the side. This position helps to ensure that any fluids or secretions that may be present in the patient's mouth do not flow into the airway and cause choking or aspiration. It allows gravity to assist in draining any fluids out of the mouth and reduces the risk of them entering the lungs. This position is commonly recommended for unconscious patients to maintain their airway and prevent complications.
13.
Mr. Roark, a newly admitted conscious client, has been put to bed. Before leaving him alone, the FIRST ction would be to
Correct Answer
D. Make sure he knows how to use the call light.
Explanation
The first action before leaving Mr. Roark alone would be to make sure he knows how to use the call light. This is important for his safety and well-being, as it allows him to easily call for assistance if needed. Asking if he is hungry, inspecting his skin, and completing the listing of clothing and valuables can be done after ensuring he knows how to use the call light.
14.
Whe lifting a heavy object, the correct method would be to bend at the
Correct Answer
C. Knees, keeping your back straight.
Explanation
When lifting a heavy object, it is important to protect your back and use proper lifting technique. Bending at the knees allows you to engage the strong muscles in your legs, which can handle the weight more effectively than your back. Keeping your back straight helps to maintain proper alignment and minimize the risk of injury. This method distributes the weight evenly and reduces strain on the back, making it the correct and safest way to lift a heavy object.
15.
When cleaning a client's dentures at the sink the reason th either line the emesis basin wiht a paper towel or to fill the sink with water is to
Correct Answer
C. Guard against breaking the dentures.
Explanation
To guard against breaking the dentures, it is necessary to either line the emesis basin with a paper towel or fill the sink with water. This is because dentures are fragile and can easily break if dropped onto a hard surface like the sink. By using a paper towel or filling the sink with water, there is a cushioning effect that helps protect the dentures from impact and reduces the risk of them breaking.
16.
When assistin a client with eating, one of the FIRST things the nurse aide should do is
Correct Answer
B. Wash his/her hads and the client's hands.
Explanation
The first thing the nurse aide should do when assisting a client with eating is to wash his/her hands and the client's hands. This is important to maintain proper hygiene and prevent the spread of germs. By washing their hands, the nurse aide can ensure that they are providing a clean and safe environment for the client. Additionally, washing the client's hands can help prevent any contamination from their hands to the food they are about to eat.
17.
A patien has a new cast on his right arm. While caring for him, it is improtant to FIRST observe for
Correct Answer
C. Warmth and color of fingers.
Explanation
When a patient has a new cast on their right arm, it is important to first observe the warmth and color of their fingers. This is because a cast can potentially cause circulation problems, and changes in warmth and color of the fingers can indicate restricted blood flow. By monitoring the warmth and color of the fingers, healthcare providers can identify any potential issues and take appropriate action to ensure proper circulation and prevent complications.
18.
Encouraging a client to take part in activities fo daily living (ADLS) such as bathing, combing hair, and feedin is
Correct Answer
C. Necessary for rhabilitation.
Explanation
Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is necessary for rehabilitation. These activities are essential for maintaining and improving the client's physical and mental well-being. By actively participating in ADLs, the client can regain their independence, improve their motor skills, and enhance their overall quality of life. Rehabilitation aims to restore the client's functional abilities, and engagement in ADLs plays a crucial role in achieving this goal.
19.
In carin for a confused ederly man, it is improtant to remember to
Correct Answer
A. Keep the dedrails up excrpt when you are at the deside.
Explanation
The correct answer is to keep the bedrails up except when you are at the bedside. This is important because bedrails can help prevent falls and injuries, especially for confused elderly individuals who may wander or have difficulty with balance. However, it is also necessary to lower the bedrails when you are at the bedside to provide direct care and assistance to the patient. This ensures their comfort, allows for easier communication, and facilitates their mobility when needed.
20.
Before assisting a client into wheelchair, the FISRT action would be to check if the
Correct Answer
D. Wheels fo the chair are locked.
Explanation
Before assisting a client into a wheelchair, the first action would be to check if the wheels of the chair are locked. This is important to ensure the client's safety and stability while transferring into the wheelchair. If the wheels are not locked, there is a risk of the chair moving or rolling away, potentially causing harm to the client. Therefore, it is crucial to confirm that the wheels are securely locked before assisting the client into the wheelchair.
21.
While giving an unconsious patient a bath, it is important to
Correct Answer
A. Passive range of motion to all joints,
Explanation
When giving an unconscious patient a bath, it is important to perform passive range of motion to all joints. This means gently moving each joint through its full range of motion without the patient's active participation. This helps to prevent stiffness, contractures, and muscle atrophy that can occur when a person is immobile for an extended period of time. It also promotes circulation and helps maintain joint flexibility. The charge nurse or physical therapist may assist in this process, but it does not necessarily require a doctor's order.
22.
Yor are assigned to assist Mrs. Kelley with her lunch. She is on bed rest. The BEST position for her, if permitted, would be
Correct Answer
D. Fowler's position.
Explanation
Fowler's position is the best position for Mrs. Kelley because it involves sitting up at a 45-60 degree angle, which helps to improve lung expansion and promote easier breathing. This position also helps to prevent aspiration and allows for easier feeding. The Tredelenberg position involves the bed being tilted with the head lower than the feet, which is not suitable for Mrs. Kelley's condition. Hyperextension and having the legs dangling at the side of the bed are also not appropriate positions for someone on bed rest.
23.
When moving a wheelchair onto and elevator, you should stay
Correct Answer
A. Behind the chair, pulling it toward you.
Explanation
When moving a wheelchair onto an elevator, it is important to stay behind the chair and pull it toward you. This position allows for better control and stability while maneuvering the wheelchair onto the elevator. Pushing the chair away from you can be more difficult to control and may increase the risk of accidents or injuries. Staying in front of the client to observe their condition is not necessary during the process of moving the wheelchair onto the elevator. Holding the door open from the side can be helpful, but the primary focus should be on safely maneuvering the wheelchair.
24.
The Foley bag must be kept lower than the client's bladder so that
Correct Answer
B. Urine will not return to the bladder, causing infection.
Explanation
The Foley bag must be kept lower than the client's bladder so that urine will not return to the bladder, causing infection. This is because if the bag is positioned higher than the bladder, gravity will cause urine to flow back into the bladder, increasing the risk of infection. By keeping the bag lower than the bladder, urine will flow out of the bladder and into the bag, preventing any potential contamination or infection.
25.
Mrs. Black is a diabetic. For her midafternoon nourishment, the kitchen has sent a cartoon of chocolate ice cream.Your FIRST action should be to
Correct Answer
B. Hold the nourishment adn report to the charge nurse.
Explanation
The correct answer is to hold the nourishment and report to the charge nurse. This is the appropriate action because Mrs. Black is a diabetic and chocolate ice cream is not suitable for her condition. It is important to ensure that she receives the appropriate nourishment and to inform the charge nurse about the mistake so that it can be addressed.
26.
When assisting a client to use the bedside commode, it is important to
Correct Answer
D. All of the above.
Explanation
When assisting a client to use the bedside commode, it is important to leave the call light within reach so that the client can easily call for assistance if needed. Placing toilet tissue close by ensures that the client has easy access to it for personal hygiene. Returning to check on the client periodically is crucial to ensure their safety and well-being while using the commode. Therefore, all of the above options are important when assisting a client to use the bedside commode.
27.
When assistin Mr. Byrd, a blind client, with his meal, it is NECESSARY to
Correct Answer
B. Identify each item on his tray.
Explanation
When assisting a blind client with his meal, it is necessary to identify each item on his tray. This is important because the client cannot see the food and may not be able to distinguish between different items. By identifying each item, the assistant can help the client understand what is on his tray and make informed choices about what to eat. This ensures that the client is able to have a satisfying and enjoyable meal experience.
28.
The purpose of cold applications is usually to
Correct Answer
C. Prevent or reduce swelling.
Explanation
Cold applications, such as ice packs or cold compresses, are commonly used to prevent or reduce swelling. When applied to the affected area, cold temperature causes vasoconstriction, which narrows the blood vessels and reduces blood flow to the area. This helps to decrease inflammation and prevent the accumulation of excess fluid, thereby reducing swelling. Cold applications can also provide temporary pain relief by numbing the area. However, it is important to note that cold applications should not be used for prolonged periods or on certain conditions, as it may cause tissue damage.
29.
The hot water bottle is an example of a
Correct Answer
A. Local dry heat application.
Explanation
A hot water bottle is a specific device that provides heat to a specific area of the body. It is typically filled with hot water and applied locally to provide dry heat therapy for pain relief or relaxation. This makes it an example of a local dry heat application, as it targets a specific area and does not involve any moisture.
30.
Clients receiving an enema are usully placed
Correct Answer
B. On the left side.
Explanation
When receiving an enema, clients are usually placed on the left side. This position allows the enema solution to flow into the descending colon, which is on the left side of the body. Gravity helps the solution move through the colon more effectively in this position, facilitating the desired effect of the enema. Placing the client on the right side, flat on the back, or in a semi-sitting position would not provide the same benefits and may hinder the effectiveness of the enema.
31.
A female client's perineal are should be cleansed before which specimen is collected?
Correct Answer
B. Midstream clean-catch urine specimen.
Explanation
Before collecting a midstream clean-catch urine specimen, it is important to cleanse the female client's perineal area. This is necessary to reduce the risk of contamination and ensure accurate test results. Cleansing the perineal area helps to remove any potential sources of bacteria or other contaminants that could affect the urine sample. It is a standard procedure to maintain hygiene and obtain a reliable specimen for testing.
32.
The most common site for counting the pulse is the
Correct Answer
D. Radial artery.
Explanation
The radial artery is the most common site for counting the pulse because it is easily accessible and located close to the surface of the skin. It is located on the wrist, on the thumb side, and can be easily felt by placing two fingers (usually the index and middle fingers) on the inner wrist. The radial artery is commonly used to measure the heart rate because it provides a strong and reliable pulse that can be easily counted.
33.
Whe counting respirations, the nurse aide should
Correct Answer
B. Not tell the patient what you are going to do.
Explanation
The nurse aide should not tell the patient what they are going to do when counting respirations. This is because if the patient is aware that their respirations are being counted, they may alter their breathing pattern, leading to inaccurate results. It is important for the nurse aide to obtain an accurate measurement of the patient's respirations in order to assess their respiratory status effectively. Therefore, not informing the patient about the counting process helps ensure the reliability of the measurement.
34.
With catherized patients, which of the following is NOT the nurse aide's responsibilty?
Correct Answer
A. Insertion of catheter
Explanation
The nurse aide's responsibility does not include the insertion of a catheter. This is typically done by a healthcare professional such as a nurse or doctor. The nurse aide's role is to assist with the care of the catheterized patient, which includes tasks such as preventing infection, checking the catheter to ensure proper drainage, and recording the output.
35.
When giving information to the charge nurse for an incident report, the nurse aide should
Correct Answer
C. Stat the facts clearly.
Explanation
The nurse aide should state the facts clearly when giving information to the charge nurse for an incident report. This is important because an incident report should provide an accurate and objective account of what happened. Including opinions as to the cause of the incident may introduce bias and subjective interpretation, which can hinder the investigation and resolution of the incident. Writing in the client's chart that an incident occurred is necessary, but it is not the main focus of the question. Keeping the report in the personal file is also not the correct approach as incident reports are typically filed in a designated system for documentation and analysis.
36.
All long-term-care nurse aides must be competency evaluated and must complete a distinct ecducaion course, These requiremnets are set by
Correct Answer
A. OBRA.
Explanation
The correct answer is OBRA. OBRA stands for the Omnibus Budget Reconciliation Act, which is a federal law that sets the requirements for long-term care nurse aides. It mandates that all nurse aides must undergo competency evaluation and complete a specific education course in order to work in long-term care facilities. OSHA (Occupational Safety and Health Administration), CDC (Centers for Disease Control and Prevention), and FDA (Food and Drug Administration) do not have jurisdiction over the requirements for long-term care nurse aides.
37.
Sexuality changes in aging can result in
Correct Answer
D. All of the above
Explanation
As individuals age, their sexuality can undergo various changes. Some may experience a decrease in sexual desire due to hormonal changes, health issues, or medication side effects. On the other hand, some individuals may maintain the same level of sexual desire throughout their lives. Interestingly, there are also cases where older individuals may experience an increase in sexual desire due to factors such as increased confidence, better communication with partners, or a sense of freedom. Therefore, it is possible for aging to result in decreased, unchanged, or even increased sexual desire, hence the correct answer is "all of the above".
38.
When family members visit a client, the visitors should
Correct Answer
D. Be allowed privacy with the client.
Explanation
When family members visit a client, it is important to allow them privacy with the client. This allows the family members to spend quality time with their loved one without any distractions or interruptions. It also enables them to have personal conversations and engage in activities that they may not feel comfortable doing in a communal space like the day room. Privacy with the client helps to foster a sense of closeness and emotional connection between the family members and the client, promoting their overall well-being and satisfaction.
39.
You may attend resident council meetings in an eldercare facilty (ECF) if
Correct Answer
A. You are invited to attend.
Explanation
The correct answer is "you are invited to attend." This means that attending resident council meetings in an eldercare facility is only allowed if you receive an invitation to attend. It implies that attending these meetings is not open to everyone and requires a specific invitation. The other options, such as being assigned by a superior or having an interest in the residents' discussions, are not valid reasons for attending the meetings.
40.
Which of the followin is considered a client's right?
Correct Answer
D. All of the above
Explanation
All of the options mentioned in the question are considered a client's right. Clients have the right to have curtains pulled during personal care to ensure their privacy and dignity. They also have the right to have their personal information kept confidential, as it is essential for maintaining their privacy and protecting their sensitive information. Additionally, clients have the right to receive and send private mail, which helps them maintain communication and connection with their loved ones. Therefore, all of these options are considered a client's right.
41.
An ECF resident wishes to wash her own underwear. You should
Correct Answer
D. Help her obtain suppies.
Explanation
The correct answer is to help her obtain supplies. This is the appropriate response because the resident wants to wash her own underwear, indicating her desire for independence and autonomy. By assisting her in obtaining the necessary supplies, you are supporting her choice and promoting her independence.
42.
In the long-term-care facility, the family members shuld be ased to
Correct Answer
B. Attend care-planning meetings.
Explanation
In a long-term care facility, it is important for family members to attend care-planning meetings. These meetings involve discussing the client's care plan, progress, and any changes or updates that need to be made. By attending these meetings, family members can actively participate in decision-making and ensure that the client's needs and preferences are being met. It also allows for open communication between the facility staff and the family, fostering a collaborative approach to the client's care.
43.
Sexuality in long-term-care clients may include all the following except
Correct Answer
C. Engaging in public fonding.
Explanation
The question is asking about what is not included in sexuality in long-term-care clients. The options given are needing private time with a partner, caring about one's physical appearance, engaging in public fonding, and desiring sexual interaction. The correct answer is engaging in public fonding, as it is not appropriate or acceptable behavior in a long-term care setting. Long-term care clients may still have a need for privacy, care about their physical appearance, and desire sexual interaction, but engaging in public fonding is not a part of their sexuality.
44.
Which statement about some patients with developmental disabilities is correct?
Correct Answer
C. They can learn, but at a slow pace.
Explanation
The correct answer is "They can learn, but at a slow pace." This statement acknowledges that individuals with developmental disabilities have the ability to learn, although their learning process may be slower compared to others. It highlights the importance of providing appropriate support and accommodations to help them reach their full potential.
45.
A goal for an ECF resident is that she not swear at times or aides. Whe she calls you by your name, your appropriate action is to
Correct Answer
A. Smile and give the appropriate reward.
Explanation
The appropriate action when an ECF resident calls you by your name is to smile and give the appropriate reward. This implies that the resident has followed the goal of not swearing at times or aides, and acknowledging their behavior with a smile and reward reinforces positive behavior. This response promotes a supportive and encouraging environment for the resident.
46.
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
Correct Answer
B. Speak quietly and calmly.
Explanation
The correct answer is to speak quietly and calmly. This is because the resident may be agitated and turning on the light or shouting her name may further agitate her. By speaking quietly and calmly, the nurse aide can help to soothe the resident and create a calm environment, which is important for the resident's well-being.
47.
If a client objects to certain food for religious or cultural reasons, the appropriate action would be to
Correct Answer
B. Offer to substitute something different for him.
Explanation
If a client objects to certain food for religious or cultural reasons, the appropriate action would be to offer to substitute something different for him. This is because it is important to respect and accommodate the client's religious or cultural dietary restrictions. By offering an alternative, the client can still have a meal that aligns with their beliefs and preferences.
48.
The client's religion forbids eatin pork. Bacon is being served for breakfast. The MOST appropriated response is to
Correct Answer
C. Call the kitchen for a tray without bacon.
Explanation
The most appropriate response in this situation is to call the kitchen for a tray without bacon. This is because the client's religion forbids eating pork, and it is important to respect their religious beliefs and dietary restrictions. By requesting a tray without bacon, the client's needs and preferences are being acknowledged and accommodated.
49.
If a client asks a question you cannot answer, the best response is to
Correct Answer
B. Ask the charge nurse to talk to the client.
Explanation
The best response when a client asks a question you cannot answer is to ask the charge nurse to talk to the client. This is because the charge nurse is usually more experienced and knowledgeable and can provide the client with the appropriate information or guidance. It is important to involve someone who can address the client's concerns rather than simply telling them that you cannot answer the question.
50.
Befor bathing a client, the nursina assistant should
Correct Answer
A. Close the door and pull the curtain
Explanation
Before bathing a client, the nursing assistant should close the door and pull the curtain to ensure the client's privacy and maintain a comfortable environment. This step is important to respect the client's dignity and promote a sense of security during the bathing process. Gathering a change of clothing and checking for a doctor's order may also be necessary, but these steps are not directly related to ensuring privacy and comfort during the bathing process. Therefore, the correct answer is to close the door and pull the curtain.