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Exams 1, 2, 3, 4, & 5
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It is important to practice standard precautions when
c. providing oral hygiene.
What position should a patient be in to receive an enema?
d. left Sim's
Which of the following lists only items that would be included in fluid intake?
c. milk, custard, soup
The nurse aide must use a stethoscope to determine the
a. apical pulse rate.
Another name for urination is
b. voiding.
A client complains of a sore spot in her calf. The nurse aide should
b. ask the nurse to check the client immediately.
An example of possible contamination through direct contact is
c. being sneezed on.
A nurse aide finds smoke and flames coming from a resident's room. The nurse aide should first
a. attempt to get the resident out of the room and close the door.
To place a client in good alignment, the nurse aide should
b. keep the client as straight as possible.
When dressing a client with left-sided weakness, it is important for the nurse aide to begin dressing him
b. on the left side.
Which of the following conditions needs to be reported immediately to the charge nurse?
a. rash that appears suddenly
A nurse aide is making rounds at 1:00 A.M. She finds a patient lighting a cigarette. Assuming smoking is allowed in the facility, what should she do?
b. Remain with the patient until he finishes smoking.
A client with a broken hip needs an enema. The best bedpan to use would be a
a. fracture pan.
Which of the following is true about visually challenged clients?
b. They use a "clock" system to find their food.
Before ambulating a client who has a Foley catheter, the nurse aide should first
c. carry the bag below bladder level.
A resident is walking back and forth in the hall. The nurse aide should
d. continue to observe the client.
When transferring a client, the client becomes weak and begins to fall. The nurse aide's first action is to
c. grasp the belt and lower the client to the floor.
The best way to measure accurate daily weights is to
c. weigh the client at the same time each day.
A client is sitting in her room with a doll in her arms, stating, "My baby is sick." What should the nurse aide do?
c. Ask her if she is upset with her doll.
Padded side rails are used to
b. protect the client from injury.
A nurse aide is recording the output of a resident who has a Foley catheter. She sees that the urine bag is empty. What should she do first?
b. Check for kinks in the tube.
In the middle of lunch, a client stands up, clutching her neck and unable to speak. The nurse aide should first
d. perform the Heimlich maneuver.
A client has not had a bowel movement in five days. He may also complain of
a. nausea.
A client who is weak and unsteady needs to urinate. The nurse aide can safely leave him alone to use a
c. bedpan.
For a client who is classified a s wound-and-skin isolation, the soiled linen should be
a. placed in the linen hamper.
If a resident begins to choke while being fed and is unable to speak, the nurse aide should call for help and begin doing
d. abdominal thrusts.
When making a bed, the nurse aide should place the soiled linen
c. in a laundry bag.
The ABCs of emergency care stand for
a. airway, breathing, circulation.
When forcing fluids, the nurse aide should offer
c. fluids every hour.
When caring for a hearing-impaired client, the nursing assistant should do all of the following EXCEPT
c. raise your voice.
Security for a client's dentures includes
b. placing them i n a labeled denture cup.
While caring for a client, a nurse aide accidentally gets blood in her eyes. The nurse aide should first
a. rinse them out with clear water.
A client drinks four ounces of juice. The nurse aide would document this as
d. 120 cc.
When using client restraints, the nurse aide should
a. observe for skin irritation.
Which of the following vital signs should be reported immediately?
b. T-95.4, P-40, R-10, BP-80/40
Examples of client abuse include all of the following EXCEPT
d. using gloves when providing peri-care.
When bathing a client, the nurse aide recognizes which of the following as the first sign of a pressure sore?
a. redness
Nurse aides should wash their hands in all of the following situations EXCEPT
a. before going to the bathroom.
While bathing a resident, the nursing assistant notices a rash on the resident's legs. The nursing assistant should
d. notify the charge nurse of the rash.
The nursing assistant should tell clients
b. how to call for help.
A client begins to have a seizure while the nurse aide is bathing him. The nurse aide should
c. protect him from injuring himself.
Sputum is best collected
c. upon awakening in the morning.
To change direction, a nurse aide should
a. turn her whole body by moving her feet.
When repositioning a heavy client, the nurse aide should
c. get another aide to help.
To help a client into a wheelchair, the nurse aide should position the chair
d. at the side of the bed, facing the foot of the bed.
Transferring a client from a bed to a stretcher requires that the nurse aide use
a. proper body mechanics.
Which statement about dressing residents is correct?
c. Residents care about what they wear,
Which of the following is a n example of a client's delusion?
c. thinking that the CIA is secretly watching him
Reality orientation techniques include all of the following EXCEPT
d. reminding a client that his spouse is deceased.
A young resident with muscular dystrophy talks about wanting a boyfriend. This feeling is best described as
a. normal.
A nurse aide walks in a client masturbating in his bathroom. The nurse aide should
d. allow the client privacy.
When providing postmortem care, the nurse aide must
c. wear gloves.
Which statement about bathing unconscious clients is correct?
a. Unconscious clients may be able t o hear you speaking to them during the bath.
A client wants to know what is wrong with his roommate. The nurse aide's best response is
c. "Sorry, I can't share that information with you."
The care plan includes all of the following EXCEPT
c. cost of the hospital stay.
A ten-month-old baby cries and pulls at his left ear. The nurse aide should
d. report it to the charge nurse.
A client is hard of hearing and repeatedly turns her call light on. The nurse aide should
a. take time to listen to her to determine her needs.
When giving a client a bath, the nurse aide should do all of the following EXCEPT
d. performing a mental status exam.
A client who is eating poorly should be offered
d. dietary supplements.
What are the signs of death?
c. no respirations, pulse, or blood pressure
On Good Friday, a Catholic client is served chicken and requests a meatless meal. The nurse aide should
a. offer to get another meal within the client's diet.
A client is observing the Islamic holy month of Ramadan by fasting from sunup to sundown. The most appropriate action for the nurse aide would be to
c. find out what the client may eat and drink.
An ECF resident tells the nurse aide something about her family in confidence. The nurse aide
b. ethically cannot tell anyone else.
A nurse aide observes a client falling in the hallway. It is important that the nurse aide report
b. exactly what the nurse aide observed.
A client's daughter offers the nurse aide $50 to thank her for caring for the client. The nurse aide should
b. politely refuse it.
An elderly resident recently cared for her husband until he died. The nurse aide recognizes that this client needs to
b. have adequate time alone to grieve for her husband.
A resident refuses to go to physical therapy one morning. The nurse aide reports this to the charge nurse, who discusses this with the resident. The resident states that she will go to physical therapy the next day. The nurse aide understands that the resident
a. has the right to refuse treatment.
A person admitted to a hospital or extended-care facility can be expected to be treated according to the
c. Patient's Bill of Rights.
The nurse aide is told to bring a client by wheelchair to the X-Ray Department and covers the client with a robe, blanket, and slippers. The nurse aide has maintained the client's
b. right to privacy.
Nurse aides need to identify themselves with their names and title of CNA before giving any care to clients. This is an example of the patient's right to
c. identification of healthcare workers.
The charge nurse asks the nurse aide to place a client in the Fowler's position after the client eats breakfast. How should the aide position the client?
a. lying with the head of the bed elevated at a 90-degree angle
How many stages of death were identified by Dr. Elizabeth Kubler-Ross?
b. five
A cane should be used on
b. the unaffected side.
All of the following factors contribute to lack of appetite EXCEPT
c. increased exercise.
Atrophy is
c. muscle wasting.
The nurse aide, a member of the healthcare team, can participate in the nursing process except for
b. planning the care.
When using crutches, the client's weight must rest on the
c. hand rests.
How often should a client be repositioned if he cannot move himself?
b. every two hours
A client who had a CVA is going through a self-care/grooming program. The main goal of this program is for the client to
b. gain independence.
The goal of bladder training is to
a. gain voluntary control of urination.
A resident sometimes chokes while eating. The nursing assistant should
d. observe him while he eats.
If a client complains of a burning, tingling area on her skin, the aide should first
b. report the complaint to the licensed nurse.
When changing a pillowcase, a nurse aide should not hold the pillow under his chin because this would
d. spread bacteria.
A nonsterile dressing is one that is
c. clean.
When asked to clean a resident's eye, the nurse aide should
c. use a clean surface of the cloth each time he wipes.
One nurse aide is assigned vital signs, while another is assigned bathing. This is an example of which type of nursing?
d. modular
Gloves must be worn when
a. providing peri-care.
While the nurse aide was caring for a client for four hours, the client asked to be taken to the bathroom every 15 minutes. The nurse aide's best action is
d. discussing this with the charge nurse.
An elderly resident becomes confused and begins to wander. The nurse aide should
d. report her behavior to the charge nurse.
The Hoyer lift is used for all of the following purposes EXCEPT
b. supporting ambulatory clients.
When performing active range-of-motion exercises for a resident, the nurse aide should
c. have the client do as much as she can.
Using a broad base of support means
a. keeping the feet comfortably apart.
If a client is in traction, the nursing assistant should NOT
c. change the position of the weights.
When the nurse aide is moving the client up in bed, the pillow goes
c. at the head of the bed, to protect the head.
Dangling a client's legs over the side of the bed is done to
d. prevent orthostatic hypotension.
Walking with a client is safest if done with a
a. transfer belt.
When having a client sit up and dangle his legs before walking, the nurse aide should observe for all of the following EXCEPT
a. cheerfulness.
When the nurse aide is transferring a client from the bed to the wheelchair, she should always
b. lock the brakes on the wheelchair first.
Before any transfer, the nurse aide should do all of the following EXCEPT
d. check with the client's physician.
The pulse located in the wrist is called the
d. radial pulse.