問題一覧
1
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.
2
The heart is an important muscle for which body system?
Circulatory
3
The use of a physical restraint helps
Protect the resident from injury.
4
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
5
When caring for a resident who is comatose, the nurse aide is expected to
Talk to the resident while providing care.
6
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.
7
When counting a resident's pulse, the nurse aide should
Notice if the rhythm of the heart-beat is regular.
8
A resident with an indwelling catheter says, "I need to urinate." Which of the following is the best response by the nurse aide?
Check to see if the tubing is kinked and draining properly.
9
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.
10
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.
11
Areas of the body where bone lies close to the skin is known as
a pressure point.
12
Which member of the health care team counsels residents and their families and arranges for needed services?
Social worker
13
A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first?
Make sure the hearing aid is turned on.
14
When a person is receiving end-of-life care, the resident's care plan is likely to include
Ways to best provide for the comfort of the resident.
15
While helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to
Ask if the resident can talk.
16
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.
17
To help prevent burns to residents during meals, the nurse aide should
Let residents know which foods and beverages are hot.
18
To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may
Place large stop signs on doors.
19
Which foods are found on a high protein diet?
Meat and eggs
20
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.
21
A resident is restrained. What observation should the nurse aide report to the nurse immediately?
The resident has suddenly become very agitated.
22
Which of the following should be reported to the charge nurse immediately?
A resident's complaint of chest pain
23
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.
24
Which of the following statements is true about how people experience pain?
A person's culture can affect response to pain
25
To prevent skin tears or shearing when moving the resident, the nurse aide should
Avoid pulling or sliding the resident when moved.
26
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 throughounsare.
27
Which of the following is a right of nursing home residents?
To make decisions about their care and treatment
28
Which of the following is considered a normal age-related change seen in elderly residents?
Decrease in taste sensation and smell
29
A resident is being showered while sitting in a showerchair. The resident says, ''' feel weak. I think I am going to faint." The nurse aide's immediate concerns are calling for help and
keeping the resident safe and comfortable.
30
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.
31
A resident's care plan provides the nurse aide with information about
Specific care required for the resident and the goals of care.
32
When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide?
Stop the feeding and report the coughing to the charge nurse right away.
33
Which of the following describes a resident's concern that needs to be reported to the charge nurse immediately?
A resident who has always been oriented is suddenly scared and confused.
34
The normal appearance of urine is
Clear.
35
The nurse aide is to obtain a resident's weight. The nurse aide should
Check what scale is usually used for this resident.
36
Which of the following is an example of disinfection?
Cleaning a shower chair with a chemical cleanser
37
A resident, who is on bed rest, asks 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 resident's hips.
38
A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The nurse aide should respond to the resident's requests by
Taking the resident to the bathroom as needed.
39
When helping admit a new resident, the nurse aide notices the resident's 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.
40
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.
41
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
42
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
43
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.
44
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.
45
Which statement is true about the effects of aging?
Joints tend to be less flexible as a person ages.
46
When a resident wears a restraint, the nurse aide must make sure the
Restraint is applied following the manufacturer's instructions.
47
A resident reports that his wrist watch is missing. The nurse aide should ask
For permission to help look around the resident's room.
48
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.
49
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.
50
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.
51
A nurse aide who is new to the unit, observes two residents 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 aide do?
Report the residents' behavior to the charge nurse.
52
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.
53
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.
54
When a resident is receiving oxygen, the nurse aide should
Make sure the tubing is free of kinks.
55
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.
56
While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should
Call the charge nurse and remain with the resident.
57
A resident who must stay in bed is at risk for developing
Footdrop
58
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 minutes. Are you feeling hungry?"
59
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's 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.
60
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.
61
When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should
Report the skin opening to the charge nurse as soon as possible.
62
According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures?
Removing soiled linen from a bed.
63
The term vital signs refers to
Temperature, pulse, and respirations.
64
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.
65
When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke?
Perineal area
66
Which of the following best describes how persons affected by Parkinson's disease typically walk?
They shuffle their feet while taking small steps.
67
When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include
Keeping the area where the catheter enters the body clean.
68
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.
69
A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide?
Clean the catheter, starting at the meatus and moving downward.
70
Which of the following is an observation often seen when a resident is impacted?
Liquid feces seeping out of the anus
71
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.
72
Why is it important to check the feet of a resident with diabetes at least once a day?
To look for sores on the feet the resident may not feel
73
The purpose of a gait or transfer belt is to
Help steady and support a resident when transferring or walking.
74
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.
75
The nurse aide can help the resident have regular bowel movements by
Providing a routine time for the resident to toilet.
76
The goal when removing gloves that are soiled is to
Avoid contact with the outside of the gloves.
77
What is the best reason for giving frequent perineal care to residents?
It helps prevent skin breakdown.
78
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.
79
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.
80
When feeding a resident who is lying in bed, the head of the bed is raised to
Decrease the risk of aspiration.
81
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 aide?
"Would you like it arranged for a priest to visit you?"
82
A resident is 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.
83
Which action is most helpful to help decrease a resident's incontinence?
Answering the resident's call light quickly
84
While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff and will not bend. The nurse aide should
Continue exercises but move onto another joint.
85
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.
86
How much assistance does a resident receiving PROM need from the nurse aide?
Full assistance with the nurse aide taking the joints through exercises
87
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first?
Reach around from behind the resident to provide abdominal thrusts.
88
A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should
Recognize the seriousness of the signs and observations and report immediately.
89
The nurse aide notices that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of 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.
90
The nurse aide's role in assisting with a bowel and bladder retraining program includes
Being consistent with carrying out the toileting schedule.
91
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?"
92
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?"
93
When moving a resident in bed, a lift or turning sheet may be used to help prevent
Shearing
94
Which of the following actions helps to prevent skin tears?
Dressing the resident in long sleeves