1.
The MOST important member of the care team is:
Correct Answer
C. The resident
Explanation
The resident is the most important member of the care team because they are responsible for directly providing medical care and treatment to patients. They have undergone extensive training and education to become doctors and are knowledgeable in diagnosing and managing various medical conditions. The resident plays a crucial role in making medical decisions, prescribing medications, and coordinating with other healthcare professionals to ensure the best possible care for patients. Their expertise and skills are essential in delivering effective and comprehensive healthcare services.
2.
Keeping information about residents confidential:
Correct Answer
D. Is a legal resposibility
Explanation
Keeping information about residents confidential is a legal responsibility. This means that it is required by law to protect the privacy and confidentiality of residents' personal information. It is not just important, but a legal obligation to ensure that sensitive information is not disclosed or accessed by unauthorized individuals. This responsibility extends beyond just medical records and applies to all personal information that is collected or obtained in the course of providing care or services to residents.
3.
If you are unable to work, it is MOST important to:
Correct Answer
B. Inform your supervisor at the earliest opportunity that you are unable to work
Explanation
It is most important to inform your supervisor at the earliest opportunity that you are unable to work because this allows them to make necessary arrangements and find a replacement if needed. By notifying your supervisor promptly, you demonstrate professionalism and respect for their time and the overall workflow of the organization. This also allows them to plan and allocate resources accordingly, minimizing any potential disruptions or delays in work.
4.
Nursing Assistants report to:
Correct Answer
D. A. Activities director
Licensed nurse
Explanation
Nursing assistants report to both the activities director and the licensed nurse. The activities director is responsible for planning and coordinating recreational activities for patients, while the licensed nurse oversees the medical care and treatment of patients. Nursing assistants work closely with both of these individuals to provide support and assistance in patient care and activities.
5.
Upholding resident rights:
Correct Answer
B. Is A legal requirements
Explanation
The correct answer is "Is A legal requirement." This means that upholding resident rights is not optional or a matter of choice, but rather a legal obligation. It is important for healthcare professionals, including CNAs, to understand and respect the rights of residents in order to provide quality care and ensure their well-being. Upholding resident rights should be a priority and is not dependent on whether a resident complains or not.
6.
Learn about individual beliefs so you can:
Correct Answer
A. Avoid offending someone
Explanation
Understanding and learning about individual beliefs allows you to be more sensitive and respectful towards others. By being aware of different beliefs, you can avoid unintentionally offending someone by saying or doing something that goes against their beliefs. This promotes a harmonious and inclusive environment where everyone feels valued and respected.
7.
If you think a resident has been abused:
Correct Answer
C. Report the abuse
Explanation
If you think a resident has been abused, it is important to report the abuse. Reporting the abuse is necessary to ensure the safety and well-being of the resident. By reporting the abuse, appropriate actions can be taken to address the situation and protect the resident from further harm. It is not enough to simply tell the abuser to stop or wait to see if it happens again, as this may not effectively address the issue or prevent future abuse. Keeping quiet would also not be a suitable response, as it would not provide any assistance or support to the resident.
8.
Difficult behavior may be the result of:
Correct Answer
A. A need for comfort and understanding
Explanation
Difficult behavior may be the result of a need for comfort and understanding. When individuals are going through challenging situations or experiencing emotional distress, they may exhibit difficult behavior as a way to communicate their need for support and empathy. By understanding their need for comfort, we can respond with compassion and provide the necessary understanding to help alleviate their difficult behavior.
9.
The CNA should deal with sexuality:
Correct Answer
D. In a mature and professional manner
Explanation
The CNA should deal with sexuality in a mature and professional manner. This means approaching the topic with respect and sensitivity, recognizing the individual's right to privacy and autonomy. It involves providing support, education, and guidance while maintaining a professional demeanor. By doing so, the CNA can create a safe and comfortable environment for the residents to discuss their concerns and receive appropriate care.
10.
Whenever you feel angry or frustrated:
Correct Answer
A. Try to understand your feelings
Explanation
The correct answer is "Try to understand your feelings." This is because when we feel angry or frustrated, it is important to take a step back and try to analyze and understand why we are feeling that way. This self-reflection allows us to gain insight into our emotions, identify triggers, and find healthier ways to cope with our anger or frustration. It promotes self-awareness and helps us make better choices in how we respond to these emotions.
11.
Whenever verbal and nonverbal impressions are mixed:
Correct Answer
B. Actions speak louder than words
Explanation
This phrase means that actions have a stronger impact or convey a clearer message than words alone. It suggests that people's actions are more important and more truthful than their words. It implies that actions can reveal a person's true intentions or beliefs, while words can be deceptive or insincere.
12.
If you supervisor corrects a procedure:
Correct Answer
C. Learn from your mistake
Explanation
The correct answer is "Learn from your mistake." When your supervisor corrects a procedure, it is important to take responsibility for your actions and learn from the mistake. Blaming someone else or getting defensive will not help in improving your skills or preventing similar errors in the future. It is essential to have a growth mindset and use the correction as an opportunity to improve and grow professionally.
13.
If a person is visually impaired, you would:
Correct Answer
B. Identify yourself whenever you enter the room
Explanation
When a person is visually impaired, it is important to identify yourself whenever you enter the room. This is because the person may not be able to recognize or see who is entering, and it helps them to be aware of your presence. It also allows them to feel more comfortable and ensures effective communication between both parties. By identifying yourself, you are showing respect and consideration for their condition, and promoting inclusivity and understanding.
14.
If a person is hearing impaired:
Correct Answer
A. Get the person’s attention before talking
Explanation
When a person is hearing impaired, it is important to get their attention before talking because they may not be able to hear or understand what is being said. By getting their attention first, it allows them to focus on the conversation and gives them the opportunity to use any necessary accommodations, such as lip reading or sign language. Scolding the person for not wearing a hearing aid is not helpful or respectful, shouting may not be effective or comfortable for the person, and avoiding talking to them can be isolating and exclusionary.
15.
What is the term for a device used to take the place of a missing body part?
Correct Answer
D. Prosthesis
Explanation
A prosthesis is a device that is used to replace a missing body part. It is designed to mimic the function and appearance of the original body part, allowing individuals to regain some level of mobility and functionality. Prostheses can be used for various body parts such as limbs, joints, or even organs. They are custom-made to fit the individual's specific needs and can greatly improve their quality of life.
16.
When a client has left-sided weakness, what part of a sweater is put on first?
Correct Answer
B. Left sleeve
Explanation
When a client has left-sided weakness, it is advisable to put on the left sleeve of the sweater first. This allows the client to have better control and support on their weaker side while dressing. By putting on the left sleeve first, it ensures that the client's weaker arm is properly accommodated and makes the dressing process more comfortable and manageable for them.
17.
It is appropriate for a nurse aide to share the information regarding a client's status with:
Correct Answer
D. The staff on the next shift
Explanation
A nurse aide should share information regarding a client's status with the staff on the next shift. This is because the staff on the next shift needs to be aware of the client's condition and any changes that may have occurred during the previous shift. Sharing this information ensures continuity of care and allows the next shift to provide appropriate and personalized care to the client. Sharing information with other individuals, such as the client's family members or roommate, may violate the client's privacy and confidentiality rights.
18.
When helping a client who is recovering from a stroke to walk, the nurse aide should assist:
Correct Answer
B. On the client's weak side
Explanation
When helping a client who is recovering from a stroke to walk, it is recommended to assist on the client's weak side. This is because the weak side of the body is the side that needs more support and assistance. By assisting on the weak side, the nurse aide can provide the necessary support and help the client maintain balance and stability while walking. This can also help prevent falls or injuries during the walking process.
19.
The nurse aide is caring for a client who is agitated. The nurse aide SHOULD:
Correct Answer
C. Talk in a slow, calm, reassuring manner
Explanation
When a client is agitated, it is important for the nurse aide to communicate in a slow, calm, reassuring manner. Speaking loudly may further agitate the client, while asking to reassign the care may not be necessary if the nurse aide can effectively manage the situation. Telling the client to be quiet is not appropriate and may escalate the agitation. Therefore, talking in a slow, calm, reassuring manner is the most appropriate approach to help calm the client.
20.
The purpose for padding side rails on the client's bed to:
Correct Answer
C. Protect the client from injury
Explanation
Padding side rails on the client's bed is done to protect the client from injury. Side rails can be a potential hazard as clients may accidentally hit or bump into them while moving or turning in bed. Padding the side rails helps to minimize the risk of injuries such as bruises, cuts, or fractures that could occur from such collisions. It provides a soft and cushioned surface that absorbs impact and reduces the chances of harm to the client.
21.
Exercises that move each muscle and joint are called:
Correct Answer
B. Range of motion
Explanation
Exercises that move each muscle and joint are called "range of motion" exercises. These exercises involve moving a joint through its full range of movement, which helps improve flexibility, maintain joint health, and prevent stiffness. Range of motion exercises can be performed for various body parts, such as the shoulders, hips, knees, and spine. They are commonly used in rehabilitation programs, as well as in warm-up and cool-down routines for athletes. By regularly incorporating range of motion exercises into a fitness routine, individuals can enhance their overall mobility and reduce the risk of injury.
22.
How can the nurse aide BEST help a client who is not accepting a loss?
Correct Answer
C. Encourage the client to talk
Explanation
Encouraging the client to talk is the best way for the nurse aide to help a client who is not accepting a loss. By providing a supportive and empathetic environment, the nurse aide can allow the client to express their feelings and thoughts about the loss. This can help the client process their emotions and come to terms with the loss in their own time and way. It also allows the nurse aide to understand the client's perspective better and provide appropriate support and guidance.
23.
The Heimlich maneuver (abdominal thrust) is used for a client who has:
Correct Answer
B. A blocked airway
Explanation
The Heimlich maneuver (abdominal thrust) is used for a client who has a blocked airway. This maneuver is performed to dislodge an object that is blocking the airway and preventing the person from breathing properly. It involves applying pressure to the abdomen to create an upward force that can help expel the obstruction. This technique is commonly used in emergency situations when someone is choking and unable to breathe.
24.
To BEST communicate with a client who is totally deaf, the nurse aide should:
Correct Answer
D. Write out information
Explanation
To best communicate with a client who is totally deaf, the nurse aide should write out information. This is because the client is unable to hear verbal communication, so writing out information allows for effective communication. Smiling frequently and speaking loudly or rapidly may not be helpful as the client cannot hear the nurse aide's voice. Avoiding eye contact is also not recommended as it can be seen as rude or dismissive. Therefore, writing out information is the most appropriate method to communicate with a deaf client.
25.
The nurse aide is asked by a confused client what day it is. The nurse aide should:
Correct Answer
C. Point to the date on a calendar and say the date
Explanation
When a confused client asks about the day, pointing to the date on a calendar and saying the date is the most appropriate response. This allows the client to receive immediate information about the current date and helps them orient themselves in time. It is a simple and effective way to address the client's question and provide them with the information they need. Ignoring the request or dismissing the importance of the date may increase the client's confusion and anxiety. Providing the date and then testing the client can be done if further assessment is needed to evaluate their cognitive function.
26.
To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's:
Correct Answer
B. Upper thigh
Explanation
To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's upper thigh. This is because the upper thigh provides a stable and secure area to tape the catheter tube, preventing it from being accidentally pulled or dislodged during movement. Taping the catheter tube to the bed sheet or bed frame may not provide enough stability and can increase the risk of catheter displacement. Taping the catheter tube to the hip may also cause discomfort and restrict the client's movement.
27.
A nurse aide can assist clients with their spiritual needs by:
Correct Answer
B. Allowing clients to talk about their beliefs
Explanation
A nurse aide can assist clients with their spiritual needs by allowing them to talk about their beliefs. This means giving them the opportunity to express their thoughts and feelings about their spirituality, without judgment or criticism. By actively listening and being open to these conversations, the nurse aide can provide emotional support and help clients explore and find comfort in their spiritual beliefs.
28.
A nurse aide MUST wear gloves when:
Correct Answer
B. Doing peri-care
Explanation
Peri-care refers to the cleaning and care of the perineal area, which includes the genitals and anus. This procedure involves direct contact with bodily fluids and waste, making it necessary for the nurse aide to wear gloves to protect themselves and prevent the spread of infection.
29.
When getting ready to dress a client, the nurse aide SHOULD:
Correct Answer
B. Give the client a choice of what to wear
Explanation
The nurse aide should give the client a choice of what to wear because it promotes autonomy and allows the client to express their individual preferences. Giving the client a choice also helps to maintain their dignity and respect their personal preferences. It is important for the nurse aide to prioritize the client's comfort and preferences when assisting with dressing.
30.
If the nurse aide discovers fire in a client's room, the FIRST thing do is:
Correct Answer
D. Remove the client
Explanation
If the nurse aide discovers fire in a client's room, the first thing to do is to remove the client from the room. This is because the safety and well-being of the client should be the top priority in such a situation. Removing the client from the room will help ensure their safety and prevent any potential harm that may be caused by the fire.
31.
In order to communicate clearly with a client who has hearing loss, the nurse aide should:
Correct Answer
D. Look directly at the client when speaking
Explanation
To communicate clearly with a client who has hearing loss, it is important for the nurse aide to look directly at the client when speaking. This allows the client to see the aide's facial expressions, lip movements, and gestures, which can help in understanding the message being conveyed. Speaking in a high pitched tone of voice or standing behind the client may not be effective in improving communication. Speaking in a loud and slow manner can be helpful, but it is essential to combine it with direct eye contact for better understanding.
32.
Which of the following stages of dying is usually the final stage?
Correct Answer
B. Acceptance
Explanation
Acceptance is usually the final stage of dying because it represents the individual coming to terms with their impending death. During this stage, the person may have a sense of peace and may start to detach themselves from the world around them. They may also begin to make peace with their loved ones and resolve any unfinished business. Acceptance allows the person to let go and prepare for the end, both emotionally and spiritually.
33.
If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond?
Correct Answer
B. Listen quietly
Explanation
The nurse aide should respond by listening quietly because it is important to provide a supportive and empathetic environment for the client. By listening quietly, the nurse aide allows the client to express their feelings and thoughts without judgment or interruption. This can help the client feel heard and understood, and may facilitate further communication and exploration of their emotions.
34.
The role of the ombudsman is to:
Correct Answer
B. Work with the nursing home to protect clients' rights
Explanation
The ombudsman's role is to work with the nursing home to protect clients' rights. This means that the ombudsman acts as an advocate for the clients, ensuring that their rights are respected and their needs are met. They may investigate complaints, mediate disputes, and provide support and guidance to both the clients and the nursing home staff. By working closely with the nursing home, the ombudsman helps to ensure that the clients receive the care and treatment they deserve while upholding their rights and dignity.
35.
A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD:
Correct Answer
C. Respect the client's beliefs and avoid starting religious discussions
Explanation
The nurse aide should respect the client's beliefs and avoid starting religious discussions. It is important to maintain professionalism and provide care that is unbiased and respectful of the client's individual beliefs and preferences. Attempting to impose or promote the nurse aide's own faith or suggesting the client join a church would be inappropriate and disrespectful. The nurse aide should focus on providing quality care and support without bringing up religious topics unless specifically requested by the client.
36.
The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide SHOULD:
Correct Answer
D. Give the client the unopened mail and offer help as needed
Explanation
The nurse aide should give the client the unopened mail and offer help as needed. This is the most appropriate action because it respects the client's privacy and allows them to open their own mail. Additionally, offering help shows support and assistance if the client needs it. Opening the mail or reading it to the client would be a violation of their privacy and autonomy. Reading the mail to check for upsetting news is not the nurse aide's responsibility.
37.
Which of the following is a correct measurement of urinary output?
Correct Answer
B. 300 cc
Explanation
300 cc is a correct measurement of urinary output because cc stands for cubic centimeter, which is a unit of volume commonly used in medical settings. Urinary output is typically measured in milliliters or cubic centimeters, as it provides a more precise measurement. Therefore, 300 cc is an appropriate and accurate measurement for urinary output.
38.
The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide SHOULD:
Correct Answer
B. Politely refuse the money
Explanation
The nurse aide should politely refuse the money because accepting monetary gifts from clients can be seen as a conflict of interest and may compromise the nurse aide's professionalism and ethics. It is important to maintain a boundary between personal and professional relationships with clients to ensure the integrity of the nurse aide's role and to avoid any perception of favoritism or impropriety.
39.
All of the following situations are examples of abuse or neglect EXCEPT:
Correct Answer
A. Restraining a client according to a pHysician's order
Explanation
Restraining a client according to a physician's order is not an example of abuse or neglect because it is done for the client's safety and well-being. Abuse or neglect refers to actions that cause harm or neglect the client's needs, such as leaving them alone in a bathtub, threatening to withhold meals, or leaving them in a wet and soiled bed.
40.
If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD:
Correct Answer
D. Leave the client alone and provide privacy
Explanation
The correct answer is to leave the client alone and provide privacy. This is because it is important to respect the client's privacy and autonomy. The nurse aide should not interfere or make the client feel uncomfortable. Providing privacy allows the client to engage in personal activities without feeling judged or embarrassed. It is not appropriate to report or laugh at the client, as this would violate their privacy and dignity.
41.
To convert four ounces of juices to milliliters (ml), the nurse aide should multiply:
Correct Answer
D. 4 x 30 ml
Explanation
To convert ounces to milliliters, the nurse aide should multiply the number of ounces by the conversion factor of 30 ml. This conversion factor is used because there are 30 milliliters in one ounce. Therefore, multiplying 4 by 30 will give the correct answer of 120 ml.
42.
In giving care according to the client's Bill of Rights, the nurse aide SHOULD:
Correct Answer
A. Provide privacy during the client's personal care
Explanation
The nurse aide should provide privacy during the client's personal care because it is a fundamental right of the client to have their personal space respected and to feel comfortable during intimate care activities. This ensures that the client's dignity is maintained and promotes a therapeutic and respectful environment. Opening the client's mail without permission, using their personal possessions for another client, or preventing the client from complaining about care would all violate the client's rights and undermine their autonomy and well-being.
43.
The LAST sense a dying client will lose is:
Correct Answer
D. Sight
Explanation
As a person nears death, their body systems begin to shut down. The sense of sight is often the last sense to be lost because it is controlled by the brain, which can continue to function even as other organs fail. While the person may become unresponsive and unable to communicate, they may still be able to perceive light and shadows. This is why loved ones are often encouraged to speak to and be present with the dying person, as they may still be able to see and hear them, even if they cannot respond.
44.
A client wakes up during the night and asks for something to eat. The nurse aide SHOULD:
Correct Answer
A. Check client's diet before offering nourishment
Explanation
The nurse aide should check the client's diet before offering nourishment because it is important to ensure that the client is given food that is appropriate for their dietary needs and restrictions. This helps to prevent any potential harm or discomfort that could be caused by offering the wrong type of food. By checking the client's diet, the nurse aide can ensure that they are providing the client with the appropriate nourishment that meets their specific dietary requirements.
45.
The normal aging process is BEST defined as the time when:
Correct Answer
C. Normal body functions and senses decline
Explanation
The normal aging process refers to the gradual decline in normal body functions and senses that occurs as individuals grow older. This decline is a natural part of the aging process and can include changes in vision, hearing, mobility, memory, and overall physical health. It is important to note that while some decline in these areas is normal, it does not necessarily mean that individuals become completely dependent or childlike. Alzheimer's disease, on the other hand, is a specific condition that can occur in older individuals but is not synonymous with the normal aging process.
46.
When lifting, it is correct to:
Correct Answer
B. Keep your back straight
Explanation
When lifting, it is important to keep your back straight because this helps to maintain proper alignment of the spine and reduces the risk of injury. Keeping your back straight helps to distribute the weight evenly and engage the core muscles for support. It also ensures that the load is lifted using the legs rather than relying on the back muscles, which are more prone to strain and injury. By keeping the back straight, the spine is kept in a neutral position, minimizing stress on the vertebrae and supporting proper posture.
47.
The primary concern when moving a person is to:
Correct Answer
D. Provide safety
Explanation
The primary concern when moving a person is to provide safety. This means taking necessary precautions to ensure that the person being moved is not at risk of injury or harm during the process. This may involve using proper lifting techniques, using assistive devices if needed, and being mindful of the person's physical limitations or any medical conditions they may have. Safety should always be the top priority to prevent accidents or accidents that could potentially cause harm to the person being moved.
48.
Changing positions every hour two:
Correct Answer
A. Prevents serious health problems
Explanation
Changing positions every hour prevents serious health problems in residents. This is because staying in one position for a prolonged period can lead to issues such as pressure ulcers, muscle stiffness, and poor circulation. By regularly changing positions, residents can avoid these health complications and maintain their overall well-being.
49.
Decubitus ulcers are:
Correct Answer
B. Pressure sores
Explanation
Decubitus ulcers, also known as pressure sores, are skin injuries that occur due to prolonged pressure on a particular area of the body. These sores commonly develop in individuals who are bedridden or have limited mobility, as the pressure restricts blood flow to the affected area, leading to tissue damage. The correct answer, "pressure sores," accurately describes decubitus ulcers and their association with prolonged pressure on the skin.
50.
Use Universal / Standard Precautions for:
Correct Answer
D. Blood and body fluids
Explanation
Universal/Standard Precautions are a set of infection control practices used to prevent the transmission of bloodborne pathogens and other infectious diseases. These precautions should be followed when handling or coming into contact with blood and body fluids, as they may contain pathogens such as HIV or hepatitis. By using Universal/Standard Precautions, healthcare workers can protect themselves and others from potential infections and ensure a safe working environment.