問題一覧
1
It is most important for the nurse aide to check the temperature of the water before:
Soaking the resident's feet for foot care.
2
A resident with advance directives has a DNR order. This means that the resident
Should not be resuscitated.
3
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 most appropriate response by the nurse aide?
Discuss the nurse aide's lack of experience with the nurse.
4
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
Purple.
5
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.
6
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 resident's toes.
7
A resident is NPO because of nausea. What should the nurse aide do?
Remove any fluids at the bedside including the water pitcher.
8
Residents are most likely to feel the urge to have a bowel movement.
After eating a meal.
9
The first step the nurse aide should take when discovering a fire is to
Remove any residents near the fire.
10
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.
11
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.
12
While watching the residents in the dining room, a nurse aide notices that a resident is eating very little lunch. It is most important that the nurse aide
Ask if the resident would like something else to eat.
13
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.
14
When a resident is not able to stand, the resident's height is usually measured by
Taking the measurement from head to heels while the resident is flat in bed.
15
The nurse aide is taking routine vital signs on a resident. The resident's temperature is 101.4° Fahrenheit. The most appropriate response by the nurse aide is to
Report the temperature promptly.
16
After reporting the observation of a red area on the resident's hip, the nurse aide should expect that the
Resident should be positioned to avoid pressure on the area.
17
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.
18
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.
19
When weighing a resident, it is important to make sure the
Scale is balanced or calibrated before helping the resident onto the scale.
20
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.
21
What is the main purpose of a restorative care program?
Help the resident improve his/her level of functioning
22
A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept?
In the residents room.
23
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.
24
The Health Insurance Portability and Accountability Act (HIPAA) is important to the nurse aide because it
Identifies protected health information that must remain confidential.
25
Which of the following is generally experienced by a resident with low blood sugar?
Weakness
26
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.
27
Before helping a resident to stand who has been lying in bed, the nurse aide needs to
Allow time for the resident to adjust to sitting at the edge of the bed.
28
What should a nurse aide do with a used disposable razor?
Place the razor in a sharps container immediately.
29
While eating lunch, hot tea splashes on a residents hand. The nurse aide's first response should be to
Wet a towel or napkin with cool water and place against the injured area.
30
A nurse aide hears another staff member yelling and cursing at a resident. This is an example of
Resident abuse.
31
A resident is choking. The first response by the nurse aide should be to
Begin abdominal thrusts.
32
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
33
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.
34
The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident refuses. Which of the following is the best response by the nurse aide?
"Would you prefer to walk a little later?"
35
A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first?
Report the change to the charge nurse.
36
A nurse aide is assigned to a resident with Alzheimer's disease. 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.
37
Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar?
Shakiness or trembling
38
When preparing to shower a resident, what should the nurse aide do next after checking the water temperature?
Ask the resident to check the water temperature
39
The nurse aide is bathing a resident and notices new swelling in the resident's ankles. Which of the following is the best response by the nurse aide?
Report the swelling to the charge nurse.
40
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.
41
A nurse aide finds a resident who has a history of falls lying on the floor in the resident's room. The resident is crying and says, "I fell again." What should the nurse aide do first?
Call for help while keeping the resident calm.
42
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.
43
A resident's hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide?
Suggest that the resident might do well with a cup with a lid.
44
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 a nurse to check the resident.
45
When giving perineal care to a male resident who is uncircumcised, the nurse aide should
Push the foreskin back to clean.
46
Which of 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
47
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. What's keeping you in your room so much?"
48
If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the resident's side quickly?
To help prevent aspiration
49
A nurse aide is assigned to a table in the dining 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 aide should be to
Guide the resident from the chair to the floor.
50
Which of the following best describes the daily routine needs of residents with dementia?
Providing opportunities for activity and periods for rest is important.