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Practice Exams 1,2,3, & 4 (5 still needed)
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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 o f 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.
A patient is scheduled for an ECG. This stands for
b. electrocardiogram.
Which of the following sets of vital signs should be reported immediately?
a. T-98.2 P-122 R-20 BP-84/40
A piece of linen that is placed beneath the client from shoulders to thighs is called
c. a drawsheet.
Which bedmaking procedure is used when the client remains in the bed?
a. occupied bedmaking procedure
Which complication may happen if a post-op client does not take in adequate fluids?
a. constipation
Which type of client is most likely to have problems as a result of poor nail care?
b. a diabetic client
When performing mouth care for a client with right-sided weakness, the nurse aide should
b. let her do as much of it as she can.
A trochanter roll is used to
c. keep the hip in alignment.
A resident with a paralyzed left arm may be able to feed herself if she uses a
a. plate guard.
Which statement about residents with mental retardation is generally correct?
c. They learn at a slower pace.
A diabetic client has had her leg amputated. Her need for sexuality will
b. be less important for a while.
Clients with Alzheimer's disease may show which of the following symptoms?
d. physical and mental decline
If a client is upset and is yelling, the nurse aide should respond by
d. calmly sitting down with the client and listening.
A common sign of depression is
c. decreased appetite.
A client who has just been told she is dying asks the nurse aide to help her make a list of things she wants t o do before she dies. The nurse aide should
c. help her make the list.
To assist a client with his psychological needs, the nurse aide should
a. be a good listener and show empathy.
A Catholic client refuses to eat meat on Fridays. Her lunch one Friday consists o f a roast beef sandwich and a salad. The nurse aide should first
b. offer to get her a meatless lunch.
A nurse aide enters a room and finds a patient having sex with his wife. What should the nurse aide do?
b. Step out of the room quietly and close the door.
A young, permanently handicapped resident tends to be very quiet and act as if nothing matters. The nurse aide can best show respect for her by
a. including her in the plan of care.
An example of using body language while communicating is
a. using gestures and facial expressions.
A nurse aide smiles and nods her head while sitting with a client. This type of nonverbal
a. encouragement for the client to continue talking.
Barriers to effective communication include
c. assuming.
A client's best friend asks the nurse aide what is wrong with the client. The nurse aide's best response is
b. "You really should ask the charge nurse for that information."
A client who is alert and oriented refuses his bath. The best response from the nurse aide is
c. "Can you tell m e why you don't feel like bathing today?"
An example of false imprisonment is
a. using restraints without a doctor's order or the client's consent.
Another nurse aide is not providing adequate care for the residents. The nurse aide who notices this should
d. report this to the charge nurse immediately.
A nurse aide notes a bright red rash on a client. This type of observation is termed
b. objective.
A former union leader was the victim of an industrial accident and is now a resident. To maintain this resident's dignity, the nurse aide may suggest that the client
b. serve on the resident council.
A client's daughter wants to help with her mother's care. The nurse aide should
d. have her do whatever the nurse agrees to.
It is important to remember that a client i n the last stage o f a terminal illness should
b. be offered care to meet her physical and emotional needs.
Allowing clients to dress in their personal clothing
b. improves client well-being.
A young postoperative client has his door closed and the nurse aide needs to check his vital signs. The nurse aide should
a. knock on the door and wait for the client to respond.
A restraint may be used on a resident for
d. safety.
A client insists on wearing a striped blouse and plaid pants. The nurse aide should
c. respect her clothing choice.
Failure t o perform service for which a person is trained is called
b. malpractice.
After assisting a client to the bedside commode, the nurse aide should
b. provide privacy with the curtain pulled.
A healthcare team includes all of the following EXCEPT
c. receptionists
In order to keep their jobs, nurse aides will need t o follow institutional guidelines that may include all o f the following EXCEPT
d. performing tasks without training.
Staff who are supervised by an RN are
c. assistive personnel.
During a job interview, the nurse aide should never
b. make negative comments about former supervisors.
When assisting a client in learning how to use a cane, the nurse aide stands
d. slightly behind the client on the client's weak side.
When working with a client who has urinary retention, the nurse aide can expect that the client will
b. be unable to urinate.
Aging-related hearing changes result in older clients gradually losing their ability to hear
a. high-pitched sounds.
The best way to safely identify your patient is by
d. checking the name tag.
A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should
a. report it to the charge nurse.
The proper medical abbreviation for before meals is
c. a.c.
A client diagnosed with hypertension will most likely have a history of
b. high blood pressure.
A patient who has difficulty chewing or swallowing will need what type of diet?
d. mechanical soft
An elderly resident with Alzheimer’s disease cannot find her room. How can the nurse aide help the client feel more independent?
c. Place a familiar object on the client's door.
How often should a patient’s intake and output records be totaled?
a. once each shift
Which of the following should the nursing assistant observe and record when admitting a client?
d. bruises
When responding to a client on the intercom, the nursing assistant should say
c. "This is [nursing assistant name and position], can I help you?"
Which of the following things should the nurse aide do to familiarize new clients with their surroundings?
a. Demonstrate the location and use o f the call light.
When arranging a client's room, the nursing assistant should d o all of the following EXCEPT
c. administering the client's medications.
When assisting a client out of bed, the nurse aide should always
a. employ body mechanic techniques.
How often should clients be repositioned during an eight-hour shift?
b. q2h
Which o f the following is the correct procedure for serving a meal to a client who must be fed?
c. Bring the tray into the room when you are ready to feed the client.
The most serious problem that wrinkles in the bedclothes can cause is
c. decubitus ulcers.
Restorative care begins
a. as soon as possible.
Before placing a client in Fowler's position, the nurse aide should
b. explain the procedure to the client.
During hand washing, the nurse aide accidentally touches the inside o f the sink while rinsing the soap off. The next action is to
c. repeat the wash from the beginning.
How should a nurse aide dress for a job interview?
c. wearing a business suit, dress, or pants and dress shirt
An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should
d. make sure the client knows how to use the call bell.
When lifting a heavy object, the correct method would be to bend at the
c. knees, keeping your back straight.
When should nurse aides wash their hands?
c. after client care
When assisting a client with eating, one of the first things the nurse aide should do is
b. wash his own hands and the client's hands.
A patient has a new cast on her right arm. While caring for her, it is important to first observe for
c. warmth and color of fingers.
Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is
c. necessary for rehabilitation.
In caring for a confused elderly man, it is important to remember to
a. keep the bedrails up except when you are a the bedside.
Before assisting a client into a wheelchair, the first action would be to check if the
d. wheels of the chair are locked.