Section 1
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Which of the following options is the primary cause of death for individuals who are 85 years or older?
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Section 1
(50 cards)
Which of the following options is the primary cause of death for individuals who are 85 years or older?
Injuries related to falling
You are asked to take the patient's radial pulse, where on the patient's body would you perform this task?
Wrist
Which of the following locations is the appropriate location to store a patient's bedpan?
In the bottom drawer of the patient's bedside table
When taking the patient's radial pulse the first time, you find that his pulse rate is 45 BPM. Which of the following actions should you take next?
You should recount the patient's pulse for 60 seconds
As a nursing assistant, what is your first priority when a fire occurs at the facility?
Immediately remove all patients located in the fire zone
You are visiting Mr. Jones as he eats his lunch. While chewing a bite of his food, you notice that he grabs his throat and begins choking. As a nursing assistant, what is the first thing you should do?
Perform the Heimlich maneuver
When you are recording your observations of a resident, it is important that you do NOT:
Use red ink
A patient who is dysphasic is one who has trouble:
Speaking
Which of the following options is NOT acceptable when changing a patient's linens?
Placing the linens on the floor while changing them
Which of the following items is NOT information that is recorded on the facility form after taking a patient's radial or apical pulse?
Depth
Which of the following options BEST defines hazardous waste?
All waste matter that has the potential to cause infection
The patient would not be quiet during dinner, so the nurse isolated her in the closet for two hours. Which of the following options BEST identifies this action?
Involuntary seclusion
You are assigned a comatose resident that is in need of oral care every four hours. Which of the following options identifies how you should provide this patient with oral care?
Be sure the patient's head is turned to its side and use the proper equipment to swab the patient's mouth and mucous membranes
If a patient is in tears, his or her pain level is at a
5
Which of the following terminology definitions is FALSE?
Hypertension is when an individual has low blood pressure
If you are asked to place a patient in the Sim's position, how will you place them?
On his or her side with the patient's undermost arm positioned at his or her back
Which of the following actions do NOT decrease with age?
Need to sleep
An elderly patient who has been diagnosed with Parkinson's disease may be affected by all of the following EXCEPT:
The ability to learn new skills
A resident with heart disease may experience health issues with atherosclerosis. Which of the following options BEST defines atherosclerosis?
Fats and calcium that accumulate inside the artery's lining
Which of the following statements is TRUE in regards to providing perineal care to a female patient?
Rinse the genital area with a fresh washcloth
When it comes to communicating with patients who are hearing impaired, which of the following statements is TRUE?
You should speak short, clear statements
The nurse punched out the patient's medications and placed them in the trash without giving them to the patient. After two days of not receiving his medications, the patient was in severe pain. Which of the following options BEST identifies this action?
Negligence
Which of the following options is NOT considered nonverbal communication?
Congratulating a patient on their success
One of your patients has recently started to refuse to participate in social activities and has been having trouble sleeping and eating. These are all signs that the patient:
Is in pain
Which of the following options BEST describes the role of a nursing assistant?
Providing the patient with direct personal care
The tympanic membrane temperature is one in which you:
Take the patient's temperature using his or her ear
When a facility decides to transfer or to discharge a patient, how much time MUST the facility provide to the resident or resident's representative before they may do so?
Within 30 days
When measuring a patient's blood pressure for the very first time, what process should you follow?
Measure the blood pressure in both arms and use the second measurement as the patient's baseline
You are asked to take a urine specimen from a patient's indwelling catheter. What should you do immediately before you expel the urine sample into the sterile container?
Remove the clamp
Which of the following methods is the appropriate method for removing a mask?
Untie the bottom tie first, then the top tie
Which of the following approaches should be taken with your patients?
Prevention
Which of the following is NOT an abnormal reaction to analgesia?
Diarrhea
In order for a nursing assistant to be considered a team player, what MUST they be willing to accept?
Constructive criticism
Which of the following options identifies the appropriate method for securing a urinary drainage bag?
Secure the drainage bag to the bed frame
Which of the following options BEST describes MRSA?
Life threatening skin disease that spreads through the blood stream
The nurse's son called and asked her to bring home a package of bandages, so the nurse grabbed a package from the facility's stockroom to take home. Which of the following options BEST identifies this action?
Theft
All of the following are physical signs that a resident is in pain EXCEPT:
Hypotension
Which of the following team members is responsible for working with the patient's therapist and dietician to ensure that the patient is receiving the proper care?
Registered Nurse
Which of the options below is NOT care that you would provide a patient who has dementia?
Vary the patient's routines
Which of the following personal qualities is a nursing assistant demonstrating when he or she accepts his or her own limitations?
Honesty
Which of the following options is a warning sign that a patient may have a fecal impaction?
If the patient has a small, watery leakage of stool
One of your patients is blind and it is your responsibility to assist with feeding her lunch. While feeding the patient you should do all of the following EXCEPT:
Keep silent so the patient can enjoy her meal
When providing oral care to a resident, how should you position the patient?
In the Fowler's position
If a patient wakes up confused, or delirious, this is a sign that indicates:
The patient is not getting enough oxygen to the brain
Which of the following options is the MOST effective safeguard used to manage infections in patients and workforce?
Hand washing
When providing denture care for your patients, you should do all of the following EXCEPT:
Carry the patient's dentures in your gloved hand to the sink for cleaning
What should a nursing assistant do when he or she notices warning signs that indicate the patient may be developing a bedsore?
Immediately report the warning signs to the patient's assigned nurse
When applying a condom catheter, what do you need to do?
Leave a one-inch space between the catheter and the penis
Which of the following options identify the two general goals of skin care when bathing a patient?
Promote comfort and remove pathogens
Needles are often used in the health care of patients. If you should find a needle when changing a patient's bed sheets, what should you do with it?
Place it in the sharps container
Section 2
(50 cards)
Which of the following options BEST describes why isolation procedures are implemented?
To control infection
Which of the following options is NOT an age-related condition that all residents must adapt to?
Inability to learn new skills
Which of the following statements is TRUE in regards to reporting accidents or incidents?
All accidents and incidents require an incident report to be completed.
When you check a patient's vitals, which of the following functions are you NOT performing?
Taking the patient's glucose level
Which of the following statements is TRUE in regards to a patient asking you to pray with him or her?
Praying with patients is acceptable, but it is not mandatory
While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide
keep the resident positioned to avoid pressure on the hip
a resident who is usually alert and oriented is having difficulty remembering where he is today. what should the nursing aid do first
report the change to the charge nurse.
If you are accidentally punctured by a patient's needle, you could be at risk for:
Hepatitis B
Which of the following options BEST describes what you should do when a patient begins to fall during ambulation?
Help lower the patient to the floor by spreading your feet and bending your knees
Due to ethnic, racial, and cultural factors, which of the following groups is LESS likely to be diagnosed with diabetes?
White Americans
A resident who must stay in bed is at risk for developing
footdrop
a residents hands shake when trying to drink liquid, the liquiud causes spills. what is the best response by the nurse aid?
suggest that the resident might do well with a cup with a lid
Which of the following options is NOT when you would use a gait belt on a patient?
When you are moving a patient from the supine position to the Sim's position
When applying a mitt restraint on a patient, you should ensure:
That the patient can slightly flex his or her fingers
All of the following options are examples of contamination through droplet transmission EXCEPT:
Arteriosclerosis
When taking a patient's blood pressure, where should you place the bell of the stethoscope diaphragm?
Over the brachial artery
While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to
wet a towel or napkin with cool water and place it against the injured area
Which of the following approaches to work would NOT work for a nursing assistant?
An isolated approach
it is most important for the nurse aide to check the temp of the water before
soaking the residents feet for foot care
the term vital signs refers to
temperature, pulse, respirations
when a resident wears a restraint, the nurse aide must make sure the
restraint is applied following the manufacture instructions
Which of the following options is the correct sequence for donning the required personal protective equipment for isolation procedures?
Wash hands; put on disposable gown; put on mask; put on goggles; put on gloves
While performing your duties as a nursing assistant you experience a coworker giving you a hard time. Which of the following approaches to the issue should you take?
Privately discuss the situation with your immediate supervisor
Which of the following statements BEST describes abduction?
When you move the extremity away from the body
One of your assigned patients is in need of an IV in order to receive his or her nutrients. Which of the following actions are you NOT certified to do?
Adjust the patient's IV therapy
The use of a physical restraint helps
Protect the resident from injury
In order to protect the patient and yourself, you should always use proper body mechanics when you are doing all of the following EXCEPT:
Feeding patients
If you have a patient who cannot independently perform range of motion, your job is to help them by performing passive range of motion (PROM). PROM will help the patient with all of the following EXCEPT:
Increase his or her nutrition
When you are giving a resident a partial bedbath, what is the first thing that you should do?
Verify that the water is at a safe and comfortable temperature
Which of the following statements is FALSE in regards to indwelling catheter care for a male patient?
Leave the perineal area moist after cleaning it
When taking a patient's rectal temperature, what step should you take immediately after you expose the patient's buttocks?
Attach the rectal probe to the thermometer after removing the thermometer pack from its charger
Which of the following statements is the correct process for using sphygmomanometers, tympanic thermometers, and stethoscopes?
You should always use the manufacturer's guidelines
The nurse exposed the patient's genitals while she changed the bandage on his lower left thigh. Which of the following options BEST identifies this action?
Invasion of privacy
Which of the following statements is TRUE in regards to administering a cleansing enema?
The enema bag should be hung on the IV pole with the tubing at the bottom
a resident who is Roman Catholic is dying. the resident comments that she has not been to confession and she worries that she will die in a state of sin. which of the following is the best response by the nurse aid?
"would you like it arranged for a priest to visit you"
Which of the following patients would benefit the MOST from large print reading materials?
A visually impaired patient
Which of the following options is NOT a sign or symptom of extreme blood sugar levels in a hypoglycemia patient?
A sluggish mood
Which of the following personal qualities is a nursing assistant demonstrating when he or she accepts a new assignment without complaint?
Flexibility
You are assigned a hemiplegia patient. Which of the following options BEST describes what the patient's medical condition is?
The patient's entire right side of his or her body is paralyze
One of your terminally ill patients has just had her analgesics increased. Which of the following options BEST describes what you should do?
Watch the patient for a change in alertness
An immobile patient is susceptible to all of the following alterations EXCEPT:
An increased appetite
One of your patients is diagnosed with depression. While checking his vitals, he confides in you that he has thought about committing suicide. Which of the following options BEST identifies what you should do?
Report his suicidal thoughts to his nurse
A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed?
wear gloves when emptying the urinary drainage bag
You can promote sleep for your patients by all of the following actions EXCEPT:
Change the patient's routine on a daily basis
How should you record a patient's output?
Using cubic centimeters or milliliters
When you remove the soap from your hands during the hand washing process, you should always:
Keep your fingers lower than your wrist
Which of the following options BEST identifies what a nursing assistant should do after feeding a dysphagic patient?
Keep the patient upright for at least 30 minutes
If one of your patients is from a non-western culture, he or she may believe that his or her illness is caused from:
Magic
Which of the following chronic diseases is NOT responsible for affecting the thinking and reasoning processes of elders?
Tuberculosis
Which of the following options is FALSE in regards to feeding a patient?
Use a fork to feed the patient
Section 3
(50 cards)
a nurse aide is assigned to a table in the dinning room during the residents lunch. one of the residents who is seated at the table begins to have a seizure. the nurse has been called the next action by the nurse should be to
guide the resident from the chair to the floor
which of the following best describes how persons affected by Parkinson's disease typically walk
they shuffle their feet while taking small steps
what is the best reason for giving frequent perineal care to residents
It helps prevent skin breakdown
While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide?
Stop feeding and ask the nurse to check the res
A nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath?
Keep the resident's body covered during the bath
A resident with dementia says, "I need to get home. My daughter's school bus is coming soon." The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide?
"What do you like to do with your daughter when she gets home from school?"
which of the following actions helps to prevent skin tears
Dressing the resident in long sleeves
which of the following is a right of nursing home residents
To make decisions about their care and treatment
while receiving personal care one bed, a resident begins to have a seizure. the nurse aid should
call the charge nurse and remain with the resident
A resident's leg has recently been amputated. Since the surgery the resident has not wanted to leave his room. What response by the nurse aide is most supportive?
"you used to enjoy activities. whats keeping you in your room so much?"
When feeding a resident who is lying in bed, the head of the bed is raised to
decrease the risk of aspiration
A resident is restrained. What observation should the nurse aide report to the nurse immediately?
The resident has suddenly become very agitated
a resident who is on a toileting schedule ask to go to the bathroom frequently. the nurse aide should respond to the residents request by
taking the resident to the bathroom as needed
the HIPPA is important to the nurse aide because it
identify protected health info that must remain confidential
The goal when removing gloves that are soiled is to
avoid contact with the outside of the gloves
a resend scheduled for a morning shower but is refusing to take one. the best response by the nurse aide is to
ask if the resident has another preference for bathing today
while watching the resident in the dinning room a nurse aide notices that a resident is eating very little lunch. it's important that the nurse aide
ask if the resident would like something else to eat
When moving a resident in bed, a lift or turning sheet may be used to help prevent
Shearing
when a resident is not able to stand the residents height is usually measured by
taking the measurement from head to heels while the resident is flat in bed
An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do?
Allow the resident to be alone with her spouse
the nurse aides role assistant with a bowel and bladder retraining program includes
being consistent with carrying out the toileting schedule
the nurse aide is bathing a resident and notices new swelling in the residents ankle. which of the following is the best response by the nurse aide
report the swelling to the charge nurse
A resident is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the resident's needs?
Help the resident focus on even small accomplishments
when counting a residents pulse the nurse aide should
notice if the rhythm of the heart-beat is regular.
which of the following should be reported to the charge nurse STAT?
resident complains of chest pain
a nurse aide is assigned to a resident with AD. the nurse aide notices that today the resident is restless and is pacing a lot. the resident is also observed rubbing his stomach. the nurse aide should report this change to the nurse and
check if the resident is hungry or needs to go to the bathroom
when preparing to shower a resident, what should the nurse aide do next after checking the water temp
ask the resident to check the water temperature
which of the following is an example of disinfection
cleaning shower with a chemical cleanser
A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the resident's friends are often leaving when the resident gets to the dining room. The nurse aide should
ask if there is any help the resident would like in the morning.
A resident reports that his wrist watch is missing. The nurse aide should ask
for permission to help look around the resident's room.
the nursing aide notices a resident with dementia keeps walking over to the piano, pausing there touching the piano and walking away only to return again. which if the following is the best action for the nurse aide to take
invite the resident to sit down at the piano with the nurse aide
after reporting the observation of a red area on the residents hip, the nurse aide should expect that the
resident should be positioned to avoid pressure on the area
which of the following describes an important requirement when providing colostomy care
wear gloves for std. pre
A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide?
Assist the resident and report the change to the charge nurse.
when helping admit a new resident, the nurse aide notices the residents right-sided weakness from a stroke. The resident asks for help to the bathroom. before assisting the resident, the nurse aide should
get instructions from the nurse about how to toilet the resident
which foods are found on high protein diet
meat and eggs
The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident?
"Can I help you to the bathroom now?"
which of the following statements is true about how people experience pain
a person culture can affect responses to pain
a nurse aide who is new to the unit, observes two resident go into a room and close the door. the nurse aide suspects that the two residents are going to have sex. what should the nurse aid do?
report the residents behavior to the charge nurse
which of the following is generally experienced by a resident with low blood pressure?
weakness
when cleaning which area of the body, is it important to change the spot on the wash cloth for each washing and rinsing stroke
perineal care
A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, "I had an accident. I wet myself." What should the nurse aide do?
Provide incontinent care to the resident.
when giving perineal care to a male resident who is uncircumcised the nurse aide should
push the foreskin back to clean
To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may
place large stop signs on doors
The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to
check all assigned residents to see if anyone has immediate needs
When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide?
Report the observation to the charge nurse.
a resident who is wearing a hearing aid keeps asking the nurse aide to repeat info. which of the following actions should the nurse aide do first
make sure hearing aid is turned on
A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first?
Try to find out if there is something the resident needs.
according to std. pre. the nurse aid should wear gloves for which for the following procedures
removing soiled linen from a bed
the purpose of a gait or transfer belt is to
help steady and support a resident when transferring or walking.
Section 4
(50 cards)
which of the following is the best example of using reality orientation for a resident with early dementia
"look at the time. lunch is in 30 min. are you feeling hungry?"
the first step the nurse aide should take when dissolving a fire is to
remove any residents near the fire
a resident tells the nurse aide that she has pain down her arms and into the jaw, she feels nauseated. the nurse aide observed that the resident appears pale and is sweating. the nurse aide should
recognized the seriousness of the signs and observations and report STAT!!!!!
A resident is NPO( nothing by month) because of nausea. What should the nurse aide do?
Remove any fluids at the bedside including a water pitcher
how should the nurse aide respond when a resident tries to talk about the recent death of another resident
allow the resident to talk about the resident who died
A resident has an indwelling urinary catheter. which of the following is part of the catheter procedure performed by the nurse aid
clean the catheter start at the meatus and moving downward
the care plan requires that the resident be ambulated 100ft twice a day at 10 a.m. and 2 p.m. when the nurse aide arrives to walk the resident at 10am the resident refuses which of the following is the best response by the nurse aide
"would you prefer to walk a little later"
When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should
wait to take the vital signs after the minister has left.
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques?
Follow the transfer technique as described in the care plan
when a resident had an indwelling urinary catheter the nurse aide should expect that the residents care plan will include
keeping the area where the catheter enters the body clean
a nurse aide is assisting a resident at mealtime the resident grabs his throat and can't speak what should the nurse aide do first
reach around from behind the resident to provide abdominal thrust
a resident is being showered while sitting in a shower chair the resident says " I feel weak. i think i'm going to faint." the nurse aide immediate concerns are calling for help and
keeping the resident safe and comfortable
To help prevent burns to residents during meals, the nurse aide should
let residents know which foods and beverages are hot.
a resident, who is on BR ask for a bedpan the resident is not able to lift own hips to help with the placement of the bedpan the best action by the nurse aide is to
turn the resident onto one side to place the bedpan under the residents hips
before helping a resident to stand who has been lying in bed the nurse aide needs to do
allow time for the resident to adjust to sitting at the edge of the bed
a nurse aide is asked to provide post-mortem care to a resident who died of natural causes which of the following is the most appropriate practice to follow when providing postmortem care
Wash hands and wear gloves throughout care
A nurse aide enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
Report the observation to the charge nurse immediately
A resident must have assistance to walk. When leaving the resident in the resident's room, what must the nurse aide do before leaving the room?
Place the call light where the resident can reach it.
while helping in the dining room the nurse aide notices a male resident is distress holding his throat the nurse aide believes the resident maybe choking after calling for help the nurse aide next action should be to
ask if the resident can talk
a resident care plan provides the nurse aide with info about
specific care required for the resident and the goals of care
the nurse aide is taking routine vital signs on a resident. the resident temp is 101.4 the most appropriate response by the nurse aide is to
report the temp promptly
A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, "I fell down and I cannot move my arm." What should be the nurse aide's next action?
Ask the resident to stay still while the nurse aide calls for help.
a nurse aide is assigned to provide postmortem care for a resident but has never done this procedure before which of the following is the appropriate response by the nurse aide
discuss the nurse aides lack of experience with the nurse
Residents are most likely to feel the urge to have a bowel movement
after eating a meal
the normal appearance of urine is
clear
A resident whose husband died a few years ago, says, "I have got to get dinner started. My husband will be home from work soon." What is the best way for the nurse aide to respond?
Ask the resident about her husband's favorite dinners.
which of the following is considered a normal age related changes seen in elderly residents
decrease in taste sensation and smell
a charge nurse asks a nurse aide to perform a task that is not part of the nurse aides scope of practice what should the nurse aide do
Refuse to perform the task and explain it is not within the nurse aide's role.
when a resident is receiving O2 the nurse aide should
make sure the tubing is free of kinks
why is it impairment to check the get of a resident with diabetes at least once a day
to look for sores on the feet resident may not feel
when providing foot care the nurse aide observes an open sore on the residents foot. the nurse aide should
report the skin opening to the charge nurse as soon as possible
when a resident is dark skinned, the first signs of skin breakdown instead of appearing pale or red, may appear
purple
which if the following describes a residents concern that needs to be reported to the charge nurse STAT
a resident who has always been oriented is suddenly scared and confused
if a resident is lying in bed vomiting why does the nurse aide need to help the residents turn onto the residents side quickly
to help prevent aspiration
A resident who was admitted today is sitting in a chair in his room. He asks for help to go to the bathroom. The nurse aide knows the resident's care plan has not been completed. To help the resident the nurse aide should?
ask the charge nurse for instructions on what assistance the resident needs.
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should
respect the resident's decision and ask what the resident would like to do
which if the following is the most appropriate schedule for residents who are incontinent to receive perineal care
whenever the resident is soiled with urine or stool
A resident has a contracture of the right arm. When putting on the resident's button-front shirt, the nurse aide should
put the shirt sleeve on the right arm first, then the left arm.
A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be
going to physical therapy to increase mobility.
which of the following best describes the daily routine need of residents with dementia
providing opportunities for activity and periods for rest is important
when caring for a resident who is comatose the nurse aide is expected to
talk to the resident while providing care
A resident reports having a very large bowel movement two days ago. What should the nurse aide do first?
Ask if this is a normal pattern for the resident's body
A nurse aide hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. The nurse aide should also
report the situation to the charge nurse's supervisor.
to prevent skin tears or shearing when moving the resident the nurse aide should
avoid pulling or sliding the resident when moved.
while performing ROM exercises the nurse aide notices that the residents elbow is stiff and not bend. the nurse aide should
continue exercises but move onto another joint
A resident is choking. The first response by the nurse aide should be to
Begin abdominal thrusts
The heart is an important muscle for which body system?
circulatory
How much assistance does a resident receiving passive range of mention (PROM) need from the nurse aide?
Full assistance with the nurse aide taking the joints through exercises
which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation
the color of the residents toes
"sundowning" is a term used to describe when residents
become restless and agitated late in the day
Section 5
(50 cards)
what should a nurse aide do with a used disposable razor
Place the razor in a sharps container immediately.
A resident usually responds verbally to the nurse aide's greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aide's next action should be to
call for the charge nurse immediately.
Which of the following statements is true about residents who are restrained?
They are at greater risk for developing pressure sores.
A resident says, "I am not going to eat this food. It is poisoned," What is the best response by the nurse aide?
Ask if there is something else the resident would like to eat.
which statement is true about effects of aging
Joints tend to be less flexible as a person ages.
A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying that she can't find her baby. The nurse aide should
offer comfort to the resident and help her look for her baby.
When a resident's husband begins telling the nurse aide how to care for his wife, the nurse aide should
understand that the husband wants staff aware of his wife's needs.
When walking a resident, a gait or transfer belt is often
put around the resident's waist to provide a way to hold onto the resident.
A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to
raise the head of the bed.
When a person is admitted to the nursing home, the nurse aide should expect that the resident will
experience a sense of loss related to the life change.
which member of the health care team counsels resident and their families and arranged for needed services
social worker
a resident with advance directives has a DNR order this means that the resident
should not be resuscitated
a nurse aide finds a resident who has a history of falling lying on the floor in the residents room the resident is crying and says " i fell again" what should the nurse aide do
call for help while keeping the resident calm
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?
Promote circulation at pressure points
While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should
give the resident the hairbrush to hold.
While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action?
Stop the dressing to let the resident rest.
A resident with a feeding tube is scheduled for a shower. The resident's feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide?
Ask the charge nurse for assistance with the feeding pump.
A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should
ask if the resident realizes that the shoes do not match.
A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag?
Attached to the seat of the wheelchair, positioned below the level of the resident's bladder
a resident who is in isolation needs a temp taken several times a day. where is the appropriate place for the thermometer to be kept
in the residents room
Which of the following statements is true about range of motion (ROM) exercises?
Are often performed during ADLs such as bathing or dressing
A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on
providing for the resident's comfort.
A nurse aide is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aide has never done this before. The best response by the nurse aide is to
ask a nurse to watch the nurse aide change the bag since it is the first time.
A nurse aide hears another staff member yelling and cursing at a resident. This is an example of
resident abuse.
When feeding a resident, frequent coughing can be a sign the resident is
having difficulty swallowing.
which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar
shakiness or trembling
which action is most helpful to help decrease a residents incontinence
Answering the resident's call light quickly
A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers?
Turn and position the resident according to schedule.
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to
remove the resident's shoe and inspect the foot.
Gloves should be worn for which of the following procedures?
Emptying a urinary drainage bag
A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first?
Remove the resident from the room.
what is the main purpose of a restorative care program
help the resident improve his/her level of functioning
a resident with an indwelling catheter says " i need to urinate." which if the following is the best response by the nurse aide
check to see if the tubing is linked and draining properly
when a person is receiving end of life care the residents care plan is likely to include
ways to best provide for the comfort of the resident
When weighing a resident, it is important to make sure the
scale is balanced or calibrated before helping the resident onto the scale.
The nurse aide can help the resident have regular bowel movements by
providing a routine time for the resident to toilet.
A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately?
The resident's fingers are cold and blue in color.
To help soften the beard before shaving with a disposable razor, the nurse aide should
hold a warm, wet wash cloth against the face first.
While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should
make the resident being bathed safe and go check the door right away.
Areas of the body where bone lies close to the skin is known as
pressure point
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should
ease the resident to the floor if a chair is not available.
a resident tells the nurse aide about being bored. the resident says "my days seem to last forever." what should the nurse aide do
ask about activities the resident has enjoyed in the past
When checking the resident's urinary drainage bag, the nurse aide observes that the resident has had about 50 ccs (mls) of urine output in the last six hours. What should the nurse aide do first?
Check to see if the tubing is kinked or bent.
A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next?
Turn the resident onto her side
which if the following is an observation often seen when a resident is impacted
liq feces seeping out of anus
a resident who has dementia is usually able to get dressed with some prompting, this morning the resident is more confused and needs more help with all activities of daily living, what should the nurse aide do
Provide extra help as needed to avoid the resident becoming frustrated.
A resident has diabetes. Which of the following is a common sign of a low blood sugar?
Shakiness
When providing foot care to a resident it is important for the nurse aide to
check the feet for skin breakdown.
A resident says she is 5 feet 6 inches tall. When the nurse aide measures the resident's height, the resident is 5 feet 4 inches. What should the nurse aide do?
Measure the resident again.
the nurse aide is to be obtain a residents weight the nurse aide should
check what scale is usually used for this resident
Section 6
(50 cards)
When moving a resident up in bed who is able to move with assistance, the nurse aide should
bend the resident's knees and ask the resident to push with his/her feet.
When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to
step back to protect self from harm while speaking in a calm manner.
which of the following is an example of neglect
Applying a restraint too tight
The resident's weight is obtained routinely as a way to check the resident's
nutrition and health.
Wen caring for a resident who is anxious, it is important for the nurse aide to do which of the following.
Remain calm and speak softly
when resident is dying, which sense is lost last
hearing
As the nurse aide begins his/her assignment, which of the following should the nurse aide do first?
Assist a resident that has called for assistance to get off the toilet
During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to
remain calm and ask what is upsetting the resident.
Which of the following is considered a normal age‐related change?
Bladder holding less urine
Which of the following devices is used to prevent contractures
Hand roll
A resident is on a bladder retraining program. The nurse aide can expect the resident to
have a schedule for toileting
in which of the following locations would the nurse aide stand when assisting a resident who has experienced a stroke to ambulate
On the residents affected side
Before touching a resident who is crying to offer comfort, the nurse aide should consider
the resident's cultural background.
A bed that is free of wrinkles is necessary to prevent which of the following complications
pressure sore
What is the medical term for high blood pressure
hypertension
When a resident is expressing anger, the nurse aide should
listen closely to the resident's concerns.
Which of the following is the last action taken by the nurse aide when making a residents bed
Handwashing
A resident's wife recently died. The resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to
understand the resident is grieving and give him chances to talk.
Which of the following choices is needed to communicate with a completely deaf resident
pen and paper
A resident who has stress incontinence
(C) may leak urine when laughing or coughing.
A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first
check for kinks in the tubing
A nurse aide finds a resident looking in the refrigerator at the nurses' station at 5 a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to
ask the resident about his job and if he is hungry.
When using personal protective equipment (PPE) the nurse aide correctly follows Standard Precautions when wearing
gloves to remove a resident's bedpan.
A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation?
Adequate fluid intake
When cleansing the genital area during perineal care, the nurse aide should
replace the foreskin when pushed back to cleanse an uncircumcised penis.
The nurse administering the wrong medication to a resident is an example of which of the following
malpractice
When a sink has hand‐control faucets, the nurse aide should use
a paper towel to turn the water off.
select the appropriate equipment to use when giving mouth care to an unconscious resident .
Soft toothette
To help prevent resident falls, the nurse aide should
leave residents' beds at the lowest level when care is complete.
Considering the resident's activity, which of the following sets of vital signs should be reported to the charge nurse immediately?
Resting: 98.6°‐98‐32
Which of the following is true about caring for a resident who wears a hearing aid?
Remove the hearing aid before showering.
Which of the following questions asked to the resident is most likely to encourage conversation?
What are your favorite foods?
Which of the following is the medical term for intestinal gas
flatus
A slipknot is used when securing a restraint so that
the restraint can be removed quickly when needed.
A resident who is incontinent of urine has an increased risk of developing
pressure sores.
While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to
enter the room immediately to provide for the resident's safety.
When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should
use pictures and gestures.
When a resident refuses a bedbath, the nurse aide should
wait awhile and then ask the resident again.
Which of the following is the best action of the nurse aide when assisting a resident with morning care to encourage independence
Allowing the resident to do much as possible for own self and then assisting him or her with the rest of the morning care.
Which of the following is a right that is included in the Resident's Bill of Rights?
To make decisions and participate in own care
When a resident is being transferred to a wheelchair by the nurse aide, which of the following is the position for the nursing assistant during the transfer
In front of the wheelchair
Which of the following would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse aide to be ineligible to work in a nursing home?
Having a finding for resident neglect
washing your hands appropriately is important to reduce the spread of infection. which part of the following is a part of the hand washing procedure.
If hands are visibly soiled, you may use an alcohol-based hand sanitizer.
When giving a backrub, the nurse aide should
(B) keep the resident covered as much as possible.
To help prevent the spread of germs between patients, nurse aides should
hold supplies and linens away from their uniforms.
The nurse aide demonstrates correct listing skills by which of the following activities
leaning toward the resident and responding when appropriate
Which of the following best define quadriplegia
No movement of all four extremities
The resident calls the nurse aide into his room to tell her that his dentures are lost. which of the following is the best action of the nurse aide
notify the charge nurse
Which of the following, if observed as a sudden change in the resident, is considered a possible warning sign of a stroke?
Slurred speech
The doctor has told the resident that his cancer is growing and that he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should
understand that denial is a normal reaction.
Section 7
(50 cards)
which of the following is not a sign of impending death
Stable vital signs
which of the following is the responsibility of the nursing assistant when caring for a resident who is receiving intravenous therapy
watch the flow infusion and then communicate and problems
a safety device used to move a resident from the bed to the chair is which of the following
hoyer lift
Resident is receiving oxygen therapy through the nasal cannula . When should the nasal cannula be removed
long enough to clean the nose
which of the following is a correct action in washing hands
use a towel to turn off the water
Washing your hands as a nursing aide is very important. Which of the following is a part of the handwashing procedure
Applying friction for 15-20 seconds
which of the following actions is false regarding the Heimlich maneuver
wrap your arms around the residents waist
of the following sign, which one is not a sign of infection
shortness of breath
Which of the following is a sign that a resident is being physically or verbally abused
with holding the residents sleeping medication because the resident would not take a bath.
Which of the following is not included in the residents right of information
right to free of reduced medical care
which of the following is the recommended position to obtain a residents blood pressure
sitting with both feet on the floor
when a resident falls, what is the most frequent injury that occurs
fractured hip
Which radial pulse should you repeat?
59 beats per minute and irregular
select the appropriate location for a thermometer when taking an axillary temperature
place the probe of the thermometer in the center of the axilla
Which appropriate action by the nursing aide that demonstrates adherence to the residents right to privacy
Before beginning a procedure, the nurse aide closes the curtains
seizures are sometimes know by which of the following
convulsions
Which of the following is a description of a stage one decubitus ulcer
redness
which of the following is true regarding the use of a gait belt
Use a rocking and pulling motion when using the belt to get up from a sitting position
which of the following is not a step in attaining a radial pulse
When counting the pulse rate, if it is irregular, count for at least 60 seconds
Which of the following is the most appropriate action of the nurse aid when a resident complains of chest pain.
call for help immediately
When a confused resident is place in restraints by the nurse, the nursing aide knows which of the following is true
resident are not allowed to have any visitors
What is the normal ranges pulse at rest
60-100 beats per minute
which of the following health care team members is responsible for carrying out the medical plan under the supervision of the registered nurse
LPN
In Which of the following conditions is a cold pack applied
to decrease swelling
The resident consumed 3 ounces of juice. How many Milliliters should the nurse aide document on the flow sheet.
90 ml
Select the appropriate location for a thermometer when taking a axillary temperature
Place the probe of the thermometer in the center of the axilla
select the appropriate medical term for the abnormal shortening of muscle tissue
contracture
in which of the following locations would a nursing aide stand when assisting a resident who has experienced a stroke to ambulate
on the residents affected side
elastic stockings are applied to the residents legs to help reduce venous stasis. Which of the following is a critical step to remember with the application in the morning
make sure that the sticking are wrinkle free at all time
How often should the nursing assistant turn a resident who is unable to move himself of herself
every two hours
A nurse aide is assigned to change a resident that has a ostomy drainage bag that is scheduled to be changed. What is the first action
Empty the collection bag
in which of the following of the food groups is vitamin D found
Dairy
An assigned resident does not want lifesaving measures to be performed if he expires. you know the term written on the chart is which of the following
DNR
when one of the residents is in restraints, what is the responsibility of the nursing aide
promote residents comfort throughout the use of restraints.
what is the medical term for low blood pressure
hypotension
Which of the following is the correct method of washing the perineum of a residents who has an indwelling catheter
wash away from the meatus
The resident is to be placed in flower position. Which of the following is the correct definition
head of the bed 45-60 Degrees with legs either bent or straight
The nurse aide is cleaning a residents dentures. Which of the following is a correct safety precaution
The nurse aide place a towel in the sink while cleaning the dentures
the nurse aide should use a mask when entering a residents room who has been placed in what type of precautions
droplet precautions
A resident has just been told of a family members death. the best way to help the resident deal with the death is by which of the following
Staying with the resident and encouraging him or her to talk
when a resident falls, What is the most frequent injury that occurs
fractured hip
When helping to lift a resident up in bed, which of the following positions demonstrates Proper use of body mechanics
Bend slightly at the waist, keep knees partially flexed, and lift with legs muscles
Which of the following choices is not a safety precaution used for showering a resident
Leaving the resident unattended in the shower
which of the following is the first sign of a decubitus ulcer
Redness
Which of the following should the nursing assistant report immediately after the resident has received an enema
severe abdominal cramping
which of the following actions is used by the nursing aide when caring for a resident with a condom catheter
remove the catheter at least once daily and report any problems
if the nursing assistant recognizes that a resident is not eating enough, he or she should do which of the following
offer dietary supplements as prescribed
When wearing gloves, remember to do which of the following to ensure adequate protection
Wash your hands before and after gloves use.
which of the following locations is the body temperature of a resident taken most often
Oral
what is the first action of a nursing assistant before performing a procedure
Checking the residents identification
Section 8
(50 cards)
if the nursing assistant recognizes that a resident is not eating enough, he or she should do which of the following
offer dietary supplements as prescribed
which of the following would the nursing aide not charts as input
intravenous fluids
Which radial pulse should you repeat?
59 beats per minute and irregular
A resident is exhibiting sign of depression. which of the following is not a sign of depression
increased interest in activities
which statement about taking a rectal temperature is true
Privacy is provided during the procedure.
Which of the following is the responsibility of the nursing assistant when caring for a resident who is receiving intravenous therapy
watch the flow infusion and then communicate any problems
Which of the following is an appropriate response to a resident who is making sexual comments?
"the comment is not acceptable to me"
which of the following describes sensory impairment?
loss of hearing
which of the following locations is the body temperature of a resident taken most often
fractured hip
which of the following is true regarding the use of a gait belt?
Use a rocking and pulling motion when using the belt to get up from a sitting position
which of the following should be reported to the nurse aide immediately when the resident is using splints
pain with use
Which of the following actions would the nursing aide carry out when assisting a residents to use the bedpan?
protect the bed with an absorbent pad
When a resident falls, what is the most frequent that occurs?
Fractured hip
Which type of device would the physician order to help a resident with ambulation?
assertive
what is the appropriate action by the nurse aide that demonstrates adherence to the residents right to privacy?
before beginning a procedure, the nursing aide closes the curtains
A resident is exhibiting sign of depression. which of the following is not a sign of depression
increased interest in activities
which of the following should be reported to the nurse aide immediately when the resident is using splints
pain with use
Which type of device would the physician order to help a resident with ambulation?
assertive
which of the following locations is the body temperature of a resident taken most often?
oral
What is the first action of a nursing aide before performing a procedure?
checking the residents identification
Which of the follow is the responsibility of the nursing aide when caring for a resident who is receiving intravenous therapy?
Watch the flow infusion and then communicate any problems
what is the proper way an nurse aide should use a fire extinguisher?
nurse aide should point the fire extinguisher at the base of the fire, and never direct to or towards a person
the appropriate medical term for the abnormal shortening of muscle tissue?
contracture
which of the following is true regarding the use of a gait belt?
Use a rocking and pulling motion when using the belt to get up from a sitting position
which of the following creates an environment for effective communication with a resident who is visually impaired?
making sure the residents glasses and other visual aids are within reach
Which of the following is at the center of rehabilitative care?
to restore function to as near normal as possible
what is the medical term high blood pressure is?
Hypertension
why is an indwelling catheter taped or secured to the residents leg.
to prevent trauma to the resident.
Which of the following actions is used by the nursing aide when caring for a resident with a condom catheter?
Remove the catheter at least once daily and report and problems
which of the following creates an environment for effective communication with a resident who is visually impaired?
making sure the residents glasses and other visual aids are within reach
Which of the following actions would the nursing aide carry out when assisting a residents to use the bedpan?
protect the bed with an absorbent pad
the nursing aide should use a mask when entering a residents room who has been placed on what type of precautions?
droplet precautions
of the following signs, which one is not a sign of infection
shortness of breath
which statement about taking a rectal temperature is true
Privacy is provided during the procedure.
an alcohol-based hand-cleanser should not be considered in which of the following situations?
when hand are visibly soiled
how frequently should the nursing assistant record the totaled intake and output in the residents chart
at the end of the shift
the appropriate medical term for the abnormal shortening of muscle tissue?
contracture
Which of the following is not included in the residents right of information
right to free of reduced medical care
Which of the following is the responsibility of the nursing assistant when caring for a resident who is receiving intravenous therapy
watch the flow infusion and then communicate any problems
which of the following would the nursing aide not charts as input
intravenous fluids
what is the normal range of a residents pulse at rest
60-100 beats per minute
Which of the following is at the center of rehabilitative care?
to restore function to as near normal as possible
of the following signs, which one is not a sign of infection
shortness of breath
Which of the following is not included in the residents right to information?
right to free or reduced medical care
while trimming a residents nails, you accidently cut his finger. this consider which of the following legal terms
negligence
which of the following describes sensory impairment?
loss of hearing
why is an indwelling catheter taped or secured to the residents leg.
to prevent trauma to the resident.
what is the proper way an nurse aide should use a fire extinguisher?
nurse aide should point the fire extinguisher at the base of the fire, and never direct to or towards a person
while trimming a residents nails, you accidently cut his finger. this consider which of the following legal terms
negligence
how frequently should the nursing assistant record the totaled intake and output in the residents chart
at the end of the shift
Section 9
(50 cards)
What is the best way for a nursing assistant to prevent infection?
Frequent hand washing
Fecal impaction may present with which of the following symptoms?
Small, watery leakage of stool.
quadriplegia
No movement of all four extremes
Which of the following is an example of a pulse rate that should be reported to the nurse?
45
A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?
480 ml. The abbreviation of "cc" is no longer appropriate in the medical field. Only 'ml' should be used. A large glass is 480 ml.
Dyspnea is a term that refers to difficulty with which of the following?
Breathing
When correctly washing hands, the nursing assistant should scrub hands thoroughly and completely for how long?
15 seconds, or the time it takes to sing Happy Birthday, is the correct amount of time.
A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should..
Keep the bag below the bladder level. Keeping the bag below the level of the cavity ensures that bacteria cannot migrate up from the bag and up into the bladder due to gravity.
What is the medical term D.O.A
dead on arrival
Which of the following items is necessary in order to place a patient in restraints?
The physician needs to order restraints before they can be legally applied. No one else can ask for restraints for a patient or it is considered battery.
The following is an example of involuntary seclusion..
The nursing assistant keeps a resident isolated from others as a form of punishment.
The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?
The nursing assistant waits at least 15 minutes before retaking the temperature. Waiting fifteen minutes ensures the temperature of the mouth will be more accurate. Axillary temperatures in the elderly are often not the best measure.
Which of the following most addresses a client's needs in regard to spirituality?
Assist the client to the facility's chapel every Sunday. Support the client in their own individual religious needs. Treat any religious objects in their room with respect.
In which of the following locations would a nursing aide stand when assisting a resident who has experienced a stroke to ambulate?
On the residents affected side
"Log-rolling" is a technique best used for which of the following patient diagnoses?
Spinal cord injury (SCI). A SCI patient is prone to further damage and injury to the spinal cord if the legs cross over the midline (in a twisting motion). This can be avoided with proper log-rolling technique.
A resident is choosing items for breakfast. Which of the following items contains the most amount of potassium?
Cantaloupe is a melon that contains massive amounts of potassium. Other foods that contain high potassium include bananas and dark leafy greens.
Which of the following guidelines regarding residents who are hard of hearing would be considered correct?
Speaking slowly and clearly is the key to helping hard-of-hearing clients understand what you're saying.
What type of client may opt to receive hospice care?
Terminally ill clients may receive hospice care, which is designed to relieve pain rather than to cure disease.
Which of the following actions is used by the nursing aide when caring for a resident with a condom catheter?
Remove the catheter at least once daily and report and problems
The nursing assistant should tell the nurse if the client with diabetes
Does not touch their lunch tray. Someone with diabetes should always eat regular meals to keep their blood sugar relatively stable.
A nursing assistant takes the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should
Report the finding to the nurse. It is very important to report a symptomatic low blood pressure to the nurse for further investigation.
what are the 5 stages of grief.
1. denial , 2. anger, 3.bargaining, 4. depression, and 5. acceptance
When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client's cane
On the right side. The nursing assistant should place the cane on the side that is the strongest so that it can support the weak side.
A resident is ordered to be in High Fowler position for each meal. Which of the following descriptions is the most accurate depiction of High Fowler position?
The patient is sitting straight up in the bed, meaning the bed, meaning the bed itself has to be at a 90 degree angle to support them.
The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best?
Diabetic clients often have special instructions regarding nail trimming. Check the chart for specific orders.
A nursing assistant cares for resident. Which of the following skin care measures are correct?
The nursing assistant notes an unblanchable red area on the resident's sacrum and reports it to the nurse.
if a resident has a left side weakness, which side should the nurse aide walk for additional support?
the residents weak side. the left side.
Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs?
Radial
The nursing assistant knows that residents on bedrest must be turned every
2 hours
what's is the normal blood purser of an adult
120/80
Which of the following is a correct aspect of making an occupied bed?
Lower the bed to the lowest level when the procedure is complete.
Which of the following is a key part of care when administering a bath to a resident?
Allow participation in care to promote a sense of independence.
Of the following symptoms, which one is most likely due to an infection in a resident?
Sudden onset confusion
Which of the following options is the best method to prevent insomnia?
Encourage the client to take several walks around the facility daily. Walking and physical activity during the day promotes rest and well-being at night.
A client under the nursing assistant's care suffers from chronic "foot drop". The nursing assistant can expect to find which of the following devices in the client's room?
Positioning boots. The boots will ensure that the feet are dorsiflexed to prevent contractures and discomfort.
A client with Alzheimer's wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by
Taking the client to the bathroom will most likely prompt a bowel movement, which supports GI tract health. A confused patient may not remember what the urge means.
The nursing assistant knows that signs of hypoglycemia include which of the following?
Sweating as well as confusion and tremors
When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication?
Incontinence. Incontinence can occur if the bladder becomes too full and is unrelieved
The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first?
Ask the resident if they are choking. It is important to first assess whether or not the resident is choking. If they are able to answer, air is still moving through the trachea. If they nod yes, but are unable to speak, it is time to begin the Heimlich maneuver. The Heimlich should not be performed on anyone who is able to cough or speak.
ADLs (activities of daily living)
personal care behaviors. Bathing, dressing, transferring, using the toilet, eating.
The nursing assistant knows that the responsibilities of his/her position includes...
Helping a resident to bathe.Applying an icepack as ordered.Keeping a resident's room tidy.
Which of the following would be considered an example of battery toward a patient?
The nursing assistant bathes the resident without his or her permission
The nursing assistant knows that the responsibilities of his/her position does not include..?
Administering a medication
washing your hands as a nurse aide is very important. Which of the following is a part of the handwashing procedure
applying friction for 15-20 seconds.
Before shaving a resident, the nursing assistant checks for which of the following items in the resident's care plan?
Shaving instructions related to problems or issues clotting.
Which of the following would be a primary indication of hepatitis?
Jaundice, also known as yellowing of the skin, occurs frequently in cases of hepatitis. (Liver disease)
MRSA is an example of which of the following?
A resistant strain of bacteria that is difficult to treat with antibiotics.
What protective equipment should be worn when changing an incontinent patient?
Gloves and gown
The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next?
Report the suspected situation to the nursing assistant's immediate supervisor.
Which of the following statements is true about Alzheimer's residents?
It is important to maintain a routine to avoid confusion and overstimulation.
Section 10
(50 cards)
What method should be used to collect a specimen for urine culture?
Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream
A client has an indwelling urinary catheter, and the urine is leaking from a hole in the collection bag. What action would be most appropriate?
Report to the nurse immediately
Your client has had a bowel movement. The stool is black in color and has a tarry cosistency. What is your next action?
Ask the nurse to observe the stool
The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen when?
30 minutes before meals and at bedtime
A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can...
Keep the connecting tubing secure and free of kinks; other responsibilities such as turning on and off the oxygen are of a physician
A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she...
Applies the stockings while the client is in bed
What is an example of fluid output that needs to be recorded on the I&O sheet?
Urine, emesis, blood loss, and excessive perspiration
A client is placed on suicide precations. During the care planning conference, the care plan for this client was discussed by the nursing staff. What tasks would you anticipate the licensed nurse will delegate to you in ensuring the client's safety?
Stay with him at all times
Which of the following statements is correct pertaining to binders application?
The double T-binder is specifically used for male clients
A superficial burn...
Appears as blotchiness of the skin with no blistering.
When caring for a dying client, the nurse aide should perform what activity?
Assist the client towards a peaceful death
A client is receiving oxygen therapy via face mask. What activity is contraindicated for this client?
Shaving using an electric razor
A client who has not had a bowel movement in four days would receive the most benefit from which of the following procedures?
Enema. An enema will help the patient in expelling fecal matter before it can become impacted.
What is not a rule for collecting specimens?
Collect the specimen when you have time; specimens should be collected as ordered not on convenience
A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment?
Leave the equpiment in the room for use only with that client
Elderly patients are prone to stomache aches and bloating. What foods are avoided since they are gas-forming and contribute to the said condition?
Cauliflower, beans, cabbage, radishes, and cucumbers
The nurse inserts a Foley catheter to relieve a client's urinary retention. What is an inappropraite action in caring for clients with an indwelling catheter?
Attaching the drainage bag to the lowest part of the siderails near the client's feet
One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia...
Are not able to express themselves meaningfully through speech
A resident comes out of their room saying they have burned their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a...
Partial thickness burn.
To obtain a 24-hour urine specimen, the nurse assistant should...
Discard the first voided specimen and then collect the total volume of each voiding in 24 hours
Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that he/she should....
Turn the client every 2 hours, and encourage coughing and deep breathing
Clients and families have the right to receive care that is...
Culturally acceptable to them
What is not included in the care of clients with a pacemaker?
The client is not allowed to be around electrical appliances
A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. What observations indicates inappropriate application of the restraint by the nursing assistant?
Restraint straps that are safely secured to the side rails
The nursing assistant is aware that the purpose of the elastic stockings is to...
Prevent blood clots
The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient's independence?
Allow the patient to perform as much of the bath as possible. It is best for the patient to perform as much of the bath as possible, with the nursing assistant helping out when necessary.
Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?
Transfer belt. The transfer belt will help staff to safely move the client because it allows for a better grip and minimizes the chance of dropping the client.
The following information is recorded on an intake and output record: milk 180 ml, orange juice 60ml, 1 serving of scrambled eggs, 1 slice of toast, 1 can Ensure oral nutritional supplement 240ml, 50ml water after twice daily medications. Medications as given by the nurse at 9AM and 9PM. What is the client's total intake for the 7AM to 3PM shift?
530ml; 180+60+240+50
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include...
Restlessness, dizziness, and disorientation
A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. What protective equipment should the nursing assistant wear?
Clean gloves
The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?
To the lateral aspect of the patient's thigh. Securing the catheter to the lateral aspect of the patient's thigh ensures it cannot be painfully pulled during the bath.
A divorced 33-year-old former drug addict is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they related to roles and relationships?
Provide paper and pen for letter writing to his sons
A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato Soup!" What action by the nurse assistant would be correct?
Giving him step-by-step directions
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperate of the water. What is the ideal water temperature?
Between 95 and 110 degrees fahrenheit
Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. What device is least likely used for this particular purpose?
Rubber Sheet
The nursing assistant is aware that the responsibility for keeping an accurate Input & Output record is part of her duties. If the client is incontinent, how should she document the output?
Record on the output side of the I&O sheet each time the bed is wet
A patient has just received news about the death of his spouse. He states to the nursing assistant, "I can't believe this has happened to me. I don't know what to do. How can I live without my wife?" The nursing assistant best responds by stating
"I understand that you're in pain. I'll stay with you." This is the best answer because it reflects what the patient is feeling (pain) and stays with the patient to comfort him.
The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation?
In changing a dressing, always note the color, odor, amount and cosistency of the drainage on the old dressing
Use of what articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately?
Velcro clothing, slip-on shoes, and rubber grippers
True or False? Able clients can perform ostomy care by themselves once they have been taught by the nurse.
True
To prevent circulatory impairment in an arm when applying an elastic bandage, what method is best?
Apply the bandage while stretching it slightly
After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg how often?
Every hour
When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in?
Denial
One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect the specimens?
First thing in the morning. The sputum produced upon awakening is the most concentrated sputum and will yield the most accurate result.
A client was fitted with a hearing aid. She understand the proper use and wear of this device correctly when she says that the devise is turned on and adjusted to a...
Audible level
An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can be done by...
Sitting up and leaning over a table with a pillow
A total thickness burn...
appears waxy, and white
What action is incorrect when flossing a client's teeth?
Use a new piece of floss for each tooth; just move to a new section of floss after every second tooth is flossed
Justine (CNA) was instructed by the staff nurse to elevate the client's casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she places the casted limb....
Places the casted limb above the level of the heart
When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant shoud...
Report immediately to the nurse
Section 11
(16 cards)