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1. Elderly residents sometimes appear stooped over and seem to have lost height. This is due to:
A) the deterioration of muscle tissue
B) the resident’s increased difficulty breathing
C) osteoporosis in the spinal column
D) decreased cardiac output
Consider conditions that lead to weakened bones and changes in posture, particularly in older adults.
2. A diabetic resident asks the nurse aid to cut her toenails. The nurse aid should:
Consider the risks associated with foot care in diabetic patients and the importance of referring them to a qualified professional for nail trimming.
3. Strokes are seen in the elderly. A stroke occurs when:
Consider the critical role of blood flow to the brain and what happens when it is interrupted.
4. A hospice specializes in the care of people who are:
Consider the type of care that prioritizes comfort and quality of life for individuals facing a life-limiting illness, rather than curative treatment.
5. Headaches, nausea, and pain are considered a charting:
Consider how these experiences are reported by the patient and not directly measurable by a healthcare provider.
6. There are two kinds of restraints:
Consider the two main methods used to limit movement or behavior in patients, one relying on physical means and the other on medication.
7. The plan that starts on the resident’s admission and assists when the resident goes home is called a:
Think about a strategy that begins as soon as a patient arrives and aims to ensure their successful transition back home, including follow-up care and necessary support services.
8. The best way for a nurse aide to gather information about the safety and well-being of a resident is:
Consider the power of your senses; what you see and notice in real-time can reveal crucial details about a resident’s situation.
9. If the resident is smoking and the nurse aid needs to take an oral temperature, what should the nurse aid do?
Wait 15 minutes after smoking before taking an oral temperature to ensure accurate readings.
10. The nurse aid knows to wear which of the following when performing care for clients?
Consider what protects both the caregiver and the client in a healthcare setting, while also promoting a professional image.
11. What is the purpose of the chain of command in a long-term care facility?
Consider how structured communication and accountability can impact the quality of care in a healthcare setting.
12. Which of the following is a proper way to correct an error in charting?
When correcting a charting error, always draw a single line through the mistake to preserve visibility, then add the correct information with your initials and the date. Avoid erasing or using correction fluid.
13. Which of the following is a major reason for urinary incontinence in the elderly?
Consider the physiological changes in muscle strength and bladder function that occur with aging, which can significantly impact urinary control.
14. To count respirations, one respiration includes:
Remember, counting respirations involves observing both the inhalation and exhalation as a complete cycle.
15. Who supervises the work of a nurse aid?
Consider who in the nursing hierarchy has the qualifications to oversee and ensure proper care and compliance in healthcare settings.
16. A resident is NPO for a test. The nurse aid should:
Remember to remove all food and drink items from the resident’s vicinity and ensure clear communication about their NPO status to all staff.
17. Wasting or a decrease in the size of a muscle is called:
Think about the effects of inactivity on the body, particularly how muscles respond when they are not used or stimulated.
18. The thinning of the fatty layer under the skin could cause a resident to:
Consider how the loss of protective cushioning due to fat thinning impacts skin health, especially in relation to prolonged pressure and mobility issues.
19. A bed sore or decubitus ulcer is caused by:
Consider factors such as immobility and sustained pressure over time, especially in areas where bone is close to the skin.
20. A Foley catheter is used:
Think about a scenario where a patient can’t urinate normally due to medical reasons. What device would be used to assist with urine drainage in such cases?
21. When dry hard stool fills the rectum and will not pass, it is called a:
Think about a situation where constipation leads to a blockage, making it impossible to have a bowel movement, often requiring medical help to resolve.
22. A hepatitis B vaccination protects the person receiving it against a disease that affects:
Consider the organ most impacted by infections related to hepatitis and the consequences of viral infections in that area.
23. All of the following statements about type 2 diabetes are true except
Consider the prevalence of type 2 diabetes among adults and its common causes when evaluating the accuracy of the statements.
24. What can the nurse aid give a resident who has an order for NPO?
Consider options that support comfort and hygiene without oral intake, while ensuring clear communication of the NPO status to all staff.
25. Signs of poor circulation include:
Look for physical signs that indicate reduced blood flow, particularly in the extremities, and pay attention to any symptoms related to temperature and swelling.
26. The loss of the ability to express oneself is known as:
Consider a condition often linked to brain injuries, affecting speech and writing, and named after a Greek term related to speech difficulties.
27. Diabetes mellitus makes a resident more prone to develop:
Consider the impact of diabetes on immune function and the body’s ability to heal, particularly in relation to common infection sites.
28. A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that:
Consider the distinction between speaking and understanding: a patient with aphasia may struggle to articulate thoughts but can still comprehend what is being said. Focus on facilitating communication through patience and alternative methods.
29. The nurse aide notices on the flow sheet that a resident has not had a bowel movement for 5 days. The nurse aide should:
Consider the importance of monitoring changes in a resident’s bowel habits and the potential implications of an extended absence of bowel movements.
30. A sitting or semi-sitting position with the head of the bed elevated is called A) prone B) Fowler’s C) lateral D) supine
Think of a position that promotes easy breathing and is often used in healthcare settings. It’s named after a specific figure in medicine and involves sitting up with the upper body elevated.
31. A nurse aid is going to take Mr. Heath’s vital signs. What should the nurse aid do to reduce Mr. Heath’s anxiety and get him to cooperate?
Create a calm atmosphere by clearly explaining the process and addressing any concerns Mr. Heath may have to help him feel more at ease and engaged.
32. The exchange of oxygen and carbon dioxide takes place:
Think about the tiny sacs in the respiratory system where gases are exchanged, and consider what happens during breathing.
33. When lifting, the nurse aid should have his or her feet separated in the standing position to:
Think about how a strong foundation helps in maintaining balance and stability when performing tasks.
34. For most residents, the range of normal respiration is:
Consider the typical breathing pattern in adults at rest and the standard range that indicates adequate respiration. Remember to focus on breaths counted over a full minute for accuracy.
35. When lifting a heavy object, which muscle groups should you use?
Focus on using your legs for strength and stability, and remember to maintain a straight back while lifting.
36. Constipation and indigestion can result from:
Consider factors that affect gut motility, particularly those that slow down the muscular contractions in the digestive system.
37. Many elderly residents lose their appetite because of:
Consider the changes in sensory perception and emotional well-being that often affect older adults, alongside physical health factors.
38. Various factors will change pulse rate; an increased pulse rate can be caused by:
Consider situations that require increased energy and oxygen delivery to the body, particularly those involving physical exertion or emotional responses.
39. Why should heat not be applied to a diabetic resident’s feet?
Consider the impact of nerve damage on sensation and the increased risk of burns or injuries when heat is applied.
40. Which of the following is true regarding the use of side rails on a bed?
Consider the safety implications and guidelines surrounding the use of side rails, emphasizing that they should only be employed when clearly indicated in the patient’s care plan.
41. A nursing assistant is caring for a patient with Resa and is wearing a gown and gloves whenever she provides the patient care. When she needs to go care for another patient, she should dispose of her gown and gloves:
Think about the importance of containing potential contaminants. The correct disposal location is crucial to prevent spreading infection to other areas.
42. If you are walking with a resident and they fall, which of these is not an action you should take?
Remember that safety is key after a fall; avoiding any action that could worsen the resident’s condition is essential.
43. Which of these is not true about condom catheters?
Consider how condom catheters differ in placement and function compared to internal catheters, especially regarding their classification as external devices.
44. Which of these should not be part of the process for cleaning a resident’s dentures?
Consider the potential risks associated with temporary placements during the cleaning process.
45. Which medical position can be described as the patient’s head is elevated with legs either bent or straight?
Think about a position that aids breathing and digestion, where the upper body is raised while the legs can be adjusted. This position is often used in clinical settings for comfort and respiratory support.
46. A resident with venous stasis has developed pressure sores under elastic stockings. What is the most likely cause?
Consider how improper fitting and tension from elastic stockings can affect blood circulation, especially in individuals with compromised skin integrity.
47 If you smell smoke and discover a resident smoking in his room, it is best to:
Consider the immediate safety risks and the facility’s policies when addressing the situation. Prioritize stopping the behavior and ensuring everyone understands the potential dangers.
48. A CNA is recording the 24-hour urine output of a patient with kidney issues. What 24-hour urine value could warrant a report to the nurse?
Consider the patient’s kidney function; a significantly low total output within 24 hours may indicate a serious issue that requires immediate reporting.
49. Making a bed, whether occupied or unoccupied, should end with:
Consider the importance of cleanliness and infection control in healthcare settings, especially after tasks that involve touching linens or surfaces.
50. Which of these best describes the purpose of padded side rails?
Consider the primary function of padded side rails in enhancing safety for individuals in bed, focusing on injury prevention and cushioning.
51. The best use of alcohol based sanitizer is:
Consider using alcohol-based sanitizer when your hands are clean but might need a quick disinfection, especially in absence of soap and water.
52. Which of these is the correct step in taking a radial pulse?
Focus on the location where to place your fingers to feel the pulse, ensuring you use a gentle touch for accuracy.
53 which of these examples demonstrates using proper body mechanics when helping to lift a resident in bed
Focus on techniques that prioritize stability and leverage: bend at the knees, keep your back straight, and use your legs for lifting. Avoid bending at the waist or using just your arms.
54. To minimize the spread of bacteria, further infection, and contamination, which procedure should be used for washing the perineum of a resident with a catheter?
Remember to wash from the meatus outward to effectively minimize the risk of introducing bacteria into the urinary tract.
55. A nursing assistant is instructed to take the oral temperature of a patient who just had a cold drink. The patient’s temperature should be taken:
Consider the impact of recent cold intake on temperature readings; allow time for the oral cavity to stabilize before measuring.
56. A resident in your care has called you for help; he claims he can’t find his dentures. As a nursing assistant, it is your responsibility to:
Remember to prioritize the resident’s safety and well-being by involving the supervising nurse for proper handling of missing items. Documentation and appropriate follow-up are key.
57. When transferring a resident from a wheelchair to a stationary chair, the nursing assistant should stand:
Consider positioning yourself to provide support and maintain balance during the transfer, ensuring the resident’s safety and comfort.
58. Which is the best advice if you are uncertain you are able to move an obese patient on your own when it is time for their scheduled repositioning?
If you’re unsure about moving an obese patient alone, prioritize safety and ask for help to ensure proper positioning and reduce the risk of injury.
59. When muscle tissues shorten and then a joint becomes hard to move it is called a:
Think about a condition where muscles are tight, limiting movement at a joint, often seen after injuries or prolonged inactivity.
60. The medical term for a device with two soft plastic prongs that attaches to a plastic tube delivering oxygen is
Think of a device often used in hospitals or home care to provide oxygen directly to the nose, consisting of two customizable soft ends.
61. There is a sign that says NPO on your patient door; you know this means:
Consider the implications of patient preparation for procedures and safety considerations regarding food and drink intake.
62. Which of these is considered an accurate method for counting respiration rate?
Observe the abdomen closely while timing a specific interval to ensure an accurate count of breath cycles.
63. Hypertension is a medical term for:
Think about a common condition that often goes unnoticed but significantly impacts health, involving the measurement of pressure exerted by blood against artery walls.