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1. 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?
Look for devices designed to maintain foot position and alignment to prevent complications associated with foot drop.
2. A client at the facility receives a new roommate. While the roommate is in the bathroom, the client leans toward the nurse and whispers, “Why is she here anyway? Is she sick?” The best response by the nursing assistant is:
Think about the importance of patient privacy and the ethical guidelines healthcare workers must follow regarding sharing information about others.
3. 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:
Consider the importance of maintaining regularity and comfort in gastrointestinal health, especially for those experiencing cognitive challenges.
4. Which of the following is an example of a pulse rate that should be reported to the nurse?
Consider a pulse rate that falls significantly below the normal range for adults, as this may indicate a serious health concern that needs immediate attention.
5. A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should:
Ensure the drainage bag is positioned correctly to prevent backflow when assisting the client to ambulate.
6. The nursing assistant knows that residents on bed rest must be turned every:
Remember that turning residents helps prevent skin breakdown and other complications by redistributing pressure and promoting circulation. Consider the common recommendation for frequent repositioning to maintain their health.
7. 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?
Consider the time when secretions in the lungs are most concentrated for optimal specimen quality.
8. Before dressing an EF resident, the nursing assistant should:
Remember to prioritize the resident’s comfort and dignity before any personal care activities.
9. Incontinence means that the patient is:
Consider conditions that lead to unintentional loss of bodily control, particularly in relation to urinary or fecal functions.
10. Of the following symptoms, which one is most likely due to an infection in a resident?
Consider the symptoms that can indicate a change in mental status, particularly in elderly individuals, as they may signal an underlying infection.
11. Which of the following residents is demonstrating orthopneic position?
Look for the resident who is sitting upright, leaning forward, and using a support like a table or their knees to aid their breathing.
12. Which of the following is a correct aspect of making an occupied bed?
Remember to prioritize the patient’s comfort and safety by keeping side rails up and mitering corners during the bed-making process. Always ensure clean linens are applied to a properly cleaned surface.
13. 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?
Think about a seating arrangement where the individual is nearly vertical, maximizing comfort and safety during meals, especially to prevent choking.
14. Which of the following options is the best method to prevent insomnia?
Consider the benefits of regular physical activity and its impact on sleep quality.
15. Proper body mechanics and lifting clients involve which of the following?
Remember to engage your legs, not your back, when lifting. Keeping your load close and maintaining a straight posture are crucial for safety.
16. 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?
Check the resident’s ability to communicate or cough, as their responses will guide your next steps in determining if they are truly choking.
17. Shane Stokes respirations occur in a client who:
Consider conditions where the respiratory system is significantly compromised, often linked to terminal illness or advanced heart failure.
18. The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has Type 2 diabetes. Which of the following actions is best?
Check for specific physician orders regarding foot and nail care for clients with diabetes.
19. Fecal impaction may present with which of the following symptoms?
Consider the common signs of gastrointestinal blockage and the unusual characteristics of bowel movements that might be misinterpreted as a typical digestive issue.
20. Which of the following most addresses a client’s needs in regard to spirituality?
Consider options that promote direct engagement with a client’s unique spiritual beliefs and practices, especially those that enable them to connect with their faith in a supportive setting.
21. Which of the following statements is true about Alzheimer’s residence?
Consider the importance of stability and familiarity in the daily lives of those with cognitive impairments, particularly in Alzheimer’s. Reflect on how structured routines can help manage symptoms and provide a sense of security.
22. The nursing assistant cares for a client who is extremely agitated; she yells, screams, and frequently tries to bite staff. The nursing assistant should:
Focus on de-escalation techniques by remaining calm, using a soothing tone, and ensuring safety without provoking further agitation.
23. When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication?
Consider the physical consequences of neglecting a natural bodily urge over time, particularly how it could affect bladder function and urinary control.
24. A nursing assistant cares for a resident. Which of the following skin care measures are correct?
Pay attention to any changes in a resident’s skin condition, especially areas prone to pressure ulcers. Early detection and communication are key to preventing further complications. Always follow facility protocols and healthcare provider instructions for skin care.
25. 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 nursing assistant knows this is a:
Focus on the characteristics of the skin: look for the presence of blisters and redness, which indicate damage to multiple skin layers.
26. When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client’s cane:
Remember to position the cane on the strong side to enhance support and stability during mobility.
27. What is the best way for a nursing assistant to prevent infection?
Remember that hand hygiene plays a crucial role in infection control; regular and proper handwashing can significantly reduce the risk of spreading infections.
28. A patient is on a clear liquid diet which of the following is not allowed on this diet?
Consider whether the item contains any solid components or particles, as they do not fit the criteria for a clear liquid diet.
29. The nursing assistant walks into a patient’s room and discovers him masturbating. Which of the following actions is correct?
Consider the importance of maintaining dignity and privacy in sensitive situations, while ensuring a respectful and professional atmosphere for the patient.
30. What type of client may opt to receive hospice care?
Consider a client with a serious disease that cannot be cured and who might have limited time left.
31. What protective equipment should be worn when changing an incontinent patient?
Consider the importance of infection control and personal protection when dealing with bodily fluids. What items can serve as barriers for both you and the patient’s environment?
32. The range of motion term abduction means:
Think about how the arms and legs move away from your body, creating more space.
33. A client with a terminal illness tells the nurse that he has begun praying every night. The client states, “If I pray every night, God will forgive me.” This represents which stage of grief?
Think about a stage where individuals attempt to make deals or seek forgiveness in hopes of changing their circumstances in response to their grief.
34. Which of the following would be a primary indication of hepatitis?
Consider symptoms related to liver function impairment, particularly those that affect skin and eye coloration.
35. Which of the following aspects of care is important for a confused client?
Consider the importance of providing familiar cues and frequent reorientation to help stabilize a confused client and reduce their anxiety.
36. 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?
Secure the catheter to the patient’s thigh to minimize the risk of pulling during movement.
37. Log rolling is a technique best used for which of the following patient diagnoses?
Consider conditions where spinal stability is critical and any movement could exacerbate injury or lead to complications.
38. 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?
Encourage the patient to use their abilities by allowing them to bathe as much as possible, providing assistance only when necessary to promote confidence and independence.
39. A nursing assistant enters a client’s room and finds a fire burning in a trash can. The nursing assistant’s first action is to:
Focus on the immediate safety of the client and ensure their prompt relocation to a safer environment before addressing the fire itself.
40. 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:
Consider the symptoms and their potential seriousness; prioritize immediate reporting to the nurse for further assessment.
41. The nursing assistant knows that signs of hypoglycemia include which of the following?
Think about the body’s immediate response to low energy levels; look for signs that indicate a need for immediate glucose replenishment.
42. Which of the following is a key part of care when administering a bath to a resident?
Consider the importance of promoting independence and dignity for the resident during personal care activities.
43. The nursing assistant should tell the nurse if the client with diabetes:
Monitor for any signs of food refusal or inadequate intake in clients with diabetes, as this can lead to dangerous fluctuations in blood sugar levels that require immediate intervention.
44. The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 °F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?
Consider the effects of recent food or drink intake on temperature measurements.
45. A client in the day room is having a panic attack. The nursing assistant should:
Focus on calming techniques that promote deep, controlled breathing to help the client regain a sense of control and alleviate their panic symptoms. Avoid discussing the panic or feelings until the client is more settled.
46. Dysphagia is a term that refers to difficulty with which of the following?
Think about the process that involves taking food or liquid from your mouth to your stomach—what could go wrong in that journey?
47. A patient is on bed rest wearing antibiotic stockings. How often should the stockings be removed?
Consider the need for skin assessment and circulation checks when determining how often to remove the stockings. Regular breaks are essential for preventing complications associated with prolonged use.
48. Which of the following items is necessary in order to place a patient in restraints?
Think about the legal and ethical guidelines that healthcare providers must follow when considering interventions that impact a patient’s rights and freedom.
49. A walker may be used if the client can:
Consider the client’s ability to bear weight and maintain balance, as these are crucial for safely using a walking aid.
50. Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?
Consider the safest and most effective method for transferring a client who cannot move independently, emphasizing stability and minimizing injury risk for both the client and caregiver.
51. CPR cardiopulmonary resuscitation should be performed when a:
Look for signs indicating that the person is unresponsive and not showing any signs of life, particularly in the absence of both breathing and a pulse.
52. A client who has not had a bowel movement in 4 days would receive the most benefit from which of the following procedures?
Consider a procedure that directly addresses the buildup of stool in the rectum and promotes immediate relief from constipation. Look for options that involve the introduction of fluid to facilitate a bowel movement.
53. Which of the following guidelines regarding residents who are hard of hearing would be considered correct?
Consider how communication techniques can enhance understanding and respect when interacting with individuals who have hearing impairments.
54. 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:
Focus on expressing empathy and providing reassurance. Acknowledge the patient’s pain and let them know they are not alone in their grief. Your response should convey understanding and support.
55. A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?
Consider standard measurement units in healthcare for recording fluid intake, focusing on milliliters for accuracy and consistency.
56. A resident is choosing items for breakfast; which of the following items contains the most amount of potassium?
Consider the fruit that is often highlighted for its high potassium content, especially when compared to breakfast staples like eggs and toast.
57. Which of the following types of grief is considered a normal and healthy part of grieving?
Consider the type of grief that occurs when anticipating a loss, allowing emotional preparation before the actual event. This reflects a proactive engagement with feelings related to inevitable change.
58. Before shaving a resident, the nursing assistant checks for which of the following items in the Resident care plan?
Check for any guidelines regarding the resident’s bleeding risk or clotting issues in the care plan to ensure safe shaving practices.
59. Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs?
Consider the pulse that can be easily felt at the wrist and is commonly used for quick assessments.
60. While emptying the trash in a client’s room you get stuck by a needle that should have been placed in the sharps container what is the first thing to do?
Promptly clean the affected area with soap and water; this is the essential first step to minimize infection risk.