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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 residents decision and ask what the resident would like to do.
When a resident is not able to stand, the residents height is usually measured by taking the measurement from the
head to heels while the resident is flat in bed.
The use of a physical restraint helps protect the
resident from injury
A resident with a feeding tube is scheduled for a shower. The resident’s feeding tube is connected to a pump. The appropriate response by the nurse aide is to
ask the nurse for assistance with the feeding pump.
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. The best action for the nurse aide to take is
invite the resident to sit down at the piano with the nurse aide
The nurse aide is taking routine vital signs on a resident. The resident’s temperature is 101.4 degrees F. The most appropriate response by the nurse aide is to
report the temperature promptly
Which of the following should be reported to the charge nurse immediately?
a residents complaint of chest pain
A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the urinary catheter and their urinary drainage bag while the resident is in bed?
Wear gloves when emptying the urinary drainage bag.
While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. The appropriate response by the nurse aide is to
stop feeding and ask a nurse to check the resident
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.
It is most important for the nurse aide to check the temperature of the water before soaking the
resident’s feet for foot care
The purpose of a gait or transfer belt is to
help steady and support a resident when transferring or walking
A resident with an indwelling catheter says, “I need to urinate.” The best response by the nurse aide is to
check to see if the tubing is kinked and draining properly
The nurse aide can help the resident have regular bowel movements by providing a
routine time for the residents toilet.
Which foods are found on a high protein diet?
meat and eggs
The first step the nurse aide should take when discovering a fire is to
remove the residents near the fire.
The normal appearance of urine is
clear
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aides first response should be to
remove the resident’s shoe and inspect the foot.
The goal when removing gloves that are soiled is to
avoid contact with the outside of the glove
Which statement is true about the effects of aging?
joints tend to be less flexible as a person ages
Which of the following best describes the daily routine needs of residents with dementia?
providing opportunity for activity and rest periods is important
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?”
A nurse aide is assigned to provide post mortem care for a resident, but has never done this procedure before. The most appropriate response by the nurse aide is to
discuss the nurse aides lack of experience with the nurse.
A nurse aide hears another staff member yelling and cursing at a resident. This is an example of
Resident abuse
A resident, who is on bed rest, asks for a bedpan. The resident is unable 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 residents hips
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
A nurse aide finds a resident who has a history of falls lying on the floor in the residents 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
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 post-mortem care?
Wash hands and wear gloves throughout care
A resident tells a 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.
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.
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aides scope of practice. What should the nurse aide do?
Refuse to perform the task and explain it is not within the nurses aide role
What should a nurse aide do with a disposable razor?
place the razor in a sharps container immediately.
What is the best reason for giving frequent perineal care to residents?
It helps prevent skin breakdown
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 aides next action should be to
ask if the resident can speak
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
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
if a resident is lying in bed vomiting, why does the nurse aide need to help the resident turn onto the residents side quickly?
to help prevent aspiration
A resident with advanced directives has a DNR order. This means that the resident
should not be resuscitated
The care plan requires that the resident be ambulated 100 feet twice a day at 10am and 2pm. When the nurse aide arrived to walk the resident at 10am the resident refused. Which is the best response by the nurse aide?
“Would you prefer to walk a little later?”
A resident who must stay in bed is at risk for developing
foot drop
A resident who is on a toileting schedule asks to go to the bathroom frequently. The nurse aide should respond to the residents request by taking the resident
to the bathroom as needed
When a resident is receiving oxygen, the nurse aide should make sure the tubing is
free of kinks
When helping admit a new resident, the nurse aide notices the residents 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
To prevent skin tears or shearing, when moving the resident, the nurse aide should
avoid pulling or sliding the resident when moved.
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
Which of the following is an observation often seen when a resident is impacted?
Liquid feces seeping out of the anus
A resident’s hands shake when trying to drink fluids, causing the liquids to spill. What is the best response by the nurse aide?
Suggest the resident might do well with a cup with a lid
The nurse aide’s role in assisting with bowel and bladder retraining program includes being
consistent with carrying out the toileting schedule.
What is the nurse aide most likely to observe in a resident who has low blood sugar?
Shakiness and trembling
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.