Nurse Aide Practice State FINAL Exam LATEST UPDATED STUDY GUIDE WITH FREQUENTLY TESTED QUE, Exams of Nursing

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Nurse Aide Practice State FINAL Exam

LATEST UPDATED STUDY GUIDE WITH

FREQUENTLY TESTED QUESTIONS AND

VERIFIED ANSWERS ALREADY GRADED A

A resident has just been admitted to the facility. The nurse aide should: a. ignore the new resident, he has too much to remember anyway b. introduce him to his roommate c. announce his arrival at dinner d. do whatever the charge nurse says - ANSWER>>b. introduce him to his roommate The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should: a. report this to the charge nurse b. ask the other nurse aides if the resident had a bowel movement that wasn't recorded c. ask the resident's roommate if she saw the resident use the bathroom d. wait to see if she uses the bathroom tomorrow - ANSWER>>a. report this to the charge nurse A resident has refused to eat breakfast and lunch. The nurse aide should: a. tell the resident's family to make him eat b. tell the resident he will die if he doesn't eat soon c. force feed the resident d. report the refusals to the nurse for further assessment - ANSWER>>d. report the refusals to the nurse for further assessment A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should: a. go ahead and do it, it is part of the job b. tell the resident ok, but the resident will have to soak her feet first c. tell the resident "not on your life" d. tell the resident that the nurse aide can not do this, but will report it to the charge nurse - ANSWER>>d. tell the resident that the nurse aide can not do this, but will report it to the charge nurse What is the term for a device used to take the place of a missing body part? (A) Pronation (B) Abduction (C) External rotation (D) Prosthesis - ANSWER>>(D) Prosthesis When a client has left-sided weakness, what side of a sweater is removed first? (A) Both sleeves (B) Left sleeve

(C) Client's choice (D) Right sleeve - ANSWER>>(D) Right sleeve It is appropriate for a nurse aide to share the information regarding a client's status with: (A) any one the nurse aide sees fit (B) the client's family members (C) the client's roommate (D) the staff on the next shift - ANSWER>>(D) the staff on the next shift The purpose for padding side rails on the client's bed is to: (A) use them as a restraint (B) have a place to connect the call signal (C) protect the client from injury (D) keep the client warm - ANSWER>>(C) protect the client from injury Exercises that move each muscle and joint are called: (A) adduction (B) range of motion (C) abduction (D) rotation - ANSWER>>(B) range of motion How can the nurse aide BEST help a client who is not accepting a loss? (A) Leave the client alone (B) Convince the client to accept the loss (C) Encourage the client to talk (D) Discourage individual activity - ANSWER>>(C) Encourage the client to talk The Heimlich maneuver (abdominal thrust) is used for a client who has: (A) a bloody nose (B) a blocked airway (C) fallen out of bed (D) impaired eyesight - ANSWER>>(B) a blocked airway To BEST communicate with a client who is totally deaf, the nurse aide should: (A) smile frequently and speak loudly (B) smile often and talk rapidly (C) avoid eye contact (D) write out information - ANSWER>>(D) write out information A nurse aide MUST wear gloves when: (A) feeding a client (B) doing peri-care (C) giving a back rub (D) doing range of motion - ANSWER>>(B) doing peri-care When getting ready to dress a client, the nurse aide SHOULD: (A) get the first clothes the nurse aide can reach in the closet (B) give the client a choice of what to wear

(C) use the clothes the client wore the day before (D) choose clothes that the nurse aide personally likes - ANSWER>>(B) give the client a choice of what to wear In order to communicate clearly with a client who has hearing loss, the nurse aide should: (A) speak in a high pitched tone of voice (B) stand behind the client when speaking (C) speak in a loud and slow manner (D) look directly at the client when speaking - ANSWER>>(D) look directly at the client when speaking Which of the following stages of dying is usually the final stage? (A) Anger (B) Acceptance (C) Bargaining (D) Depression - ANSWER>>(B) Acceptance If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond? (A) Reply, "God doesn't punish people." (B) Listen quietly (C) Ignore the client (D) Make jokes - ANSWER>>(B) Listen quietly The role of the ombudsman is to: (A) run a group of nursing homes (B) work with the nursing home to protect clients' rights (C) control the nursing home budget (D) prepare classes that nurse aides take to learn about client hygiene - ANSWER>>(B) work with the nursing home to protect clients' rights A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD: (A) help the client understand the nurse aide's faith (B) tell the client that it is important for the client to join some church, even if it is not the nurse aide's church (C) respect the client's beliefs and avoid starting religious discussions (D) arrange to have the nurse aide's clergyman visit the client - ANSWER>>(C) respect the client's beliefs and avoid starting religious discussions The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide SHOULD: (A) open the mail and leave it on the client's table (B) open the mail and read it to the client (C) read the mail to make sure it doesn't contain upsetting news (D) give the client the unopened mail and offer help as needed - ANSWER>>(D) give the client the unopened mail and offer help as needed Which of the following is a correct measurement of urinary output? (A) 40 oz

(B) 300 cc or 300ml (C) 2 cups (D) 1 quart - ANSWER>>(B) 300 cc or 300ml The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide SHOULD: (A) take the money so as not to offend the client (B) politely refuse the money (C) take the money and buy something for the floor (D) ask the nurse in charge what to do - ANSWER>>(B) politely refuse the money All of the following situations are examples of abuse or neglect EXCEPT: (A) restraining a client according to a physician's order (B) leaving a client alone in a bathtub (C) threatening to withhold a client's meals (D) leaving a client in a wet and soiled bed - ANSWER>>(A) restraining a client according to a physician's order If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD: (A) report the incident to the other nurse aides (B) tell the client to stop (C) laugh and tell the client to go in the bathroom (D) leave the client alone and provide privacy - ANSWER>>(D) leave the client alone and provide privacy To convert four ounces of juice to milliliters (ml), the nurse aide should multiply: (A) 4 x 5 ml (B) 4 x 10 ml (C) 4 x 15 ml (D) 4 x 30 ml - ANSWER>>(D) 4 x 30 ml In giving care according to the client's Bill of Rights, the nurse aide SHOULD: (A) provide privacy during the client's personal care (B) open the client's mail without permission (C) use the client's personal possessions for another client (D) prevent the client from complaining about care - ANSWER>>(A) provide privacy during the client's personal care The LAST sense a dying client will lose is: (A) smell (B) hearing (C) taste (D) sight - ANSWER>>(B) hearing The normal aging process is BEST defined as the time when: (A) people become dependent and childlike (B) Alzheimer's disease begins (C) normal body functions and senses decline

(D) people are over sixty-five years of age - ANSWER>>(C) normal body functions and senses decline If a client is confused, the nurse aide should: (A) ignore the client until he starts to make sense (B) restrain the client so that he does not hurt himself (C) keep the client away from other clients (D) help the client to recognize familiar things and people - ANSWER>>(D) help the client to recognize familiar things and people What is the process of restoring a disabled client to the highest level of functioning possible? (A) Responsibility (B) Retention (C) Rehabilitation (D) Reincarnation - ANSWER>>(C) Rehabilitation Clean bed linen placed in a client's room but NOT used should be: (A) returned to the linen closet (B) used for a client in the next room (C) taken to the nurse in charge (D) put in the dirty linen container - ANSWER>>(D) put in the dirty linen container The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is: (A) help the client into a sitting position (B) call for assistance from the nurse in charge (C) offer the client a drink of water (D) check for signs of injury - ANSWER>>(B) call for assistance from the nurse in charge Clients have the right to: (A) smoke in any area of the facility (B) have access to a telephone (C) go anywhere in the facility (D) see other clients' medical reports - ANSWER>>(B) have access to a telephone Proper use of a waist restraint requires that the nurse aide: (A) release the restraint every four hours (B) watch for skin irritation (C) tie restraints to the side rail (D) apply the restraint tightly so the client cannot move - ANSWER>>(B) watch for skin irritation To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? (A) Shake them in the air (B) Place them in a neat pile on the floor (C) Carry them close to the nurse aide's body (D) Put them in the dirty linen container - ANSWER>>(D) Put them in the dirty linen container

A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should: (A) try to move the client alone (B) have the family do it (C) ask another nurse aide to help (D) go on to another task - ANSWER>>(C) ask another nurse aide to help When transferring a client, MOST of the client's weight should be supported by the nurse aide's: (A) back (B) shoulders (C) legs (D) wrists - ANSWER>>(C) legs To be sure that a client's weight is measured accurately, the client should be weighed: (A) after a meal (B) by a different nurse aide (C) at the same time of day each time they are weighed (D) after a good night's sleep - ANSWER>>(C) at the same time of day each time they are weighed A safety device used to assist a DEPENDENT client from a bed to a chair is called a: (A) posey vest (B) hand roll (C) transfer/gait belt (D) foot board - ANSWER>>(C) transfer/gait belt If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST: (A) wear the same gown to care for all other assigned clients (B) leave the gown untied (C) take the gown off before leaving the client's room (D) take the gown off in the dirty utility room - ANSWER>>(C) take the gown off before leaving the client's room When making an occupied bed, for a resident that has side rails ordered the nurse aide SHOULD: (A) put the dirty sheets on the floor (B) help the client to sit in a chair while the bed is being made (C) lower both side rails before changing the sheets (D) raise side rail on unattended side as ordered - ANSWER>>(D) raise side rail on unattended side as ordered The nurse aide enters a client's room, and the client states that he has pain. What should the nurse aide do? (A) Report it to the nurse in charge (B) Tell the client to get out of bed for awhile (C) Tell the client that the pain will go away soon (D) Ignore the client's statement - ANSWER>>(A) Report it to the nurse in charge A client is upset and crying over the recent death of her husband. How should the nurse aide respond? (A) Tell her not to cry because it will make her feel sad

(B) Close the door and leave the client to cry alone (C) Take the client to an activity to help her forget her husband (D) Sit with the client and allow her to talk about her feelings - ANSWER>>(D) Sit with the client and allow her to talk about her feelings Which temperature is considered MOST accurate? (A) Oral (B) Axillary (C) Groin (D) Rectal - ANSWER>>(D) Rectal What is a beginning sign of a pressure sore? (A) Swelling (B) Numbness (C) Discoloration (D) Coolness - ANSWER>>(C) Discoloration While assisting a client with denture care the nurse aide observes that the upper plate is cracked. The nurse aide SHOULD: (A) clean the dentures and return them to the client's mouth (B) call the client's family (C) call the dentist and make an appointment (D) report the damage to the nurse in charge - ANSWER>>(D) report the damage to the nurse in charge A new client refuses to wear a clothing protector at lunch. The nurse aide SHOULD: (A) tell the client that he must wear it (B) put the clothing protector on the client (C) report this to the nurse in charge (D) respect the client's wishes - ANSWER>>(D) respect the client's wishes The BEST time to prepare for a disaster is: (A) while evacuating residents (B) during lunch (C) when everyone is safely in bed (D) before it happens - ANSWER>>(D) before it happens Nursing assistants work under the direction of a. The doctor b. The administrator c. Other nursing assistants d. Licensed nurses - ANSWER>>d. Licensed nurses A patient's signal light goes unanswered. The person's son finds the patient lying on sheets soaked with urine. This is a. Neglect b. Emotional abuse c. Physical abuse d. Malpractice - ANSWER>>a. Neglect

When recording, you should do the following EXCEPT a. Write neatly b. Use correct spelling, grammar, and punctuation c. To save time, chart a procedure before completing it d. Record only what you did yourself - ANSWER>>c. To save time, chart a procedure before completing it Encephalo- means a. Heart b. Brain c. Vein d. Vessel - ANSWER>>b. Brain The goal of care planning is to a. Collect information about the person b. Do assessments c. Complete the required paperwork d. Provide effective care - ANSWER>>d. Provide effective care The study of the aging process is a. Geriatrics b. Gerontology c. Presbyopia d. Menopause - ANSWER>>b. Gerontology Older persons are at risk for foreign-body airway obstruction (FBAO) for the following reasons EXCEPT a. Dysphagia b. Osteoporosis c. Poorly fitting dentures d. Chronic illnesses - ANSWER>>b. Osteoporosis A person is choking. The person is conscious and can cough. Which action is needed? a. Abdominal thrusts b. Cardiopulmonary resuscitation c. Encouraging the person to cough forcefully d. Defibrillation - ANSWER>>c. Encouraging the person to cough forcefully You need to transfer a patient using a transfer/gait belt. Which is correct? a. The belt is always applied over clothing. b. The belt is applied over the person's chest. c. The buckle is positioned over the person's spine. d. The excess strap is left dangling. - ANSWER>>a. The belt is always applied over clothing. Restraints are used a. When the nurse thinks they are needed b. To discipline a person c. When other measures fail to protect the person and they have physician orders for restraints d. For staff convenience - ANSWER>>c. When other measures fail to protect the person and they have physician orders for restraints

Unnecessary restraint is a. False imprisonment b. Malpractice c. Negligence d. Emotional abuse - ANSWER>>a. False imprisonment Asepsis means a. Clean technique b. The process of destroying pathogens c. An infection acquired after admission to a health care agency d. Being free of disease-producing microbes - ANSWER>>d. Being free of disease-producing microbes Healthcare-associated infections can be spread by the following EXCEPT a. Personal care items and eating and drinking utensils b. Poor hand hygiene c. Coughing, sneezing, talking, laughing, and singing d. Medical asepsis - ANSWER>>d. Medical asepsis Which is the easiest and most important way to prevent the spread of infection? a. Sterile technique b. Practicing hand hygiene c. Transmission-Based Precautions d. The Bloodborne Pathogen Standard - ANSWER>>b. Practicing hand hygiene When washing your hands, your hands and forearms are kept a. Above your elbows b. Lower than your elbows c. Even with your elbows d. Close to your body - ANSWER>>b. Lower than your elbows Which is a semi-sitting position? a. Fowler's position b. The prone position c. The dorsal recumbent position d. Sims' position - ANSWER>>a. Fowler's position Friction and shearing can lead to a. Osteoporosis b. Back injuries c. Infection and pressure ulcers d. Poor posture and body mechanics - ANSWER>>c. Infection and pressure ulcers Painful or difficult urination is a. Dysuria b. Nocturia c. Oliguria d. Polyuria - ANSWER>>a. Dysuria

Which is the most common type of permanent dementia? a. Alcoholism b. Alzheimer's disease (AD) c. Cerebrovascular disease d. Multi-infarct dementia - ANSWER>>b. Alzheimer's disease (AD) Many elderly residents lose their appetite due to a. a decrease in saliva b. hardening of the arteries c. decrease in number of taste buds d. both a and c - ANSWER>>c. decrease in number of taste buds The thinning of the fatty layer under the skin could cause the resident to: a. lose their appetite b. have difficulty walking c. develop pressure sores d. have slowed mental responses - ANSWER>>c. develop pressure sores Elderly residents sometimes appear stooped over and like they have lost height. This is due to: a. the resident's increased difficulty in breathing b. the deterioration of muscle tissue c. loss of calcium causing changes in the spinal column d. decreased cardiac output - ANSWER>>c. loss of calcium causing changes in the spinal column One of the major reasons the elderly person is incontinent of urine is: a. they are too lazy to go to the bathroom b. they can't get a nurse aide to help them to the bathroom c. the circulatory system is failing d. the muscle that keeps urine in the bladder weakens - ANSWER>>d. the muscle that keeps urine in the bladder weakens Constipation and indigestion can be result from: a. slowed respirations b. slowed mental response c. slowed peristalsis d. slowed brain waves - ANSWER>>c. slowed peristalsis Strokes are seen in the elderly. Strokes are best described as: a. when the muscles die b. when the brain is deprived of oxygen c. when the heart fails d. when the lungs fill with fluid - ANSWER>>b. when the brain is deprived of oxygen Which statement is TRUE concerning sexuality in the elderly: a. sex and intimacy are not important b. elderly women are not interested in sex c. the elderly men and women are attracted to each other

d. elderly people are only interested in their health - ANSWER>>c. the elderly men and women are attracted to each other One of the major causes of depression in the elderly is: a. inability to run their own lives b. going to nursing home activities c. living with their children d. lack of money - ANSWER>>a. inability to run their own lives Which of the following statements about aging is true: a. most elderly people are confused b. most older people live in nursing homes c. most older people are alert and oriented d. most older people are sick and helpless - ANSWER>>c. most older people are alert and oriented When dry, hard stool fills the rectum and will not pass, it is called: a. edema b. incontinence c. atrophy d. impaction - ANSWER>>d. impaction Which of the following statements about nursing home admissions is false: a. most families prefer to care for elderly relatives at home b. some elderly people are unsafe at home c. most people prefer to put elderly relatives in a long term care facility d. family members may be unable to care for elderly relatives at home - ANSWER>>c. most people prefer to put elderly relatives in a long term care facility Wasting or a decrease in the size of a muscle is called: a. decubitus b. atrophy c. impaction d. edema - ANSWER>>b. atrophy A confused resident tells you there is a monster in the closet. The nurse aide should: a. pretend to kill the monster in the closet b. tell the resident there are no such things as monsters c. open the closet and show the resident nothing is there d. tell the resident you will take the monster home with you - ANSWER>>c. open the closet and show the resident nothing is there All of the following are clues to aggressive behavior EXCEPT: a. clenched jaw b. depressed mood c. pacing d. rocking - ANSWER>>b. depressed mood

The primary reason for combative behavior in a resident is: a. anger and fear b. confusion c. the resident is evil d. stubbornness - ANSWER>>a. anger and fear Hospice specializes in the care of persons who are: a. on medicare b. chronically ill c. on medicaid d. terminally ill - ANSWER>>d. terminally ill Which of the following is a proper way to correct an error in charting: a. scribble it out with several lines b. erase it completely c. use correction fluid d. draw a single line through it - ANSWER>>d. draw a single line through it Headaches, nausea and pain would be called: a. symptoms b. observations c. charting d. recording - ANSWER>>a. symptoms The nurse aide is giving care to Mr. T. and Mr. T calls the nurse aide by the name of his son who died several years ago. The nurse aide's BEST response is to: a. quickly finish the care and leave Mr. I alone b. pretend to be Mr. T.'s son c. ignore Mr. T. because he is confused d. ask Mr. T. about his favorite memories of his son - ANSWER>>d. ask Mr. T. about his favorite memories of his son Various factors will change pulse rate. Increased pulse rates can be caused by: a. depression b. exercise c. sleep d. coma - ANSWER>>b. exercise To count a respiration, a respiration includes: a. one inhalation b. one exhalation c. one inhalation and two exhalations d. one inhalation and one exhalation - ANSWER>>d. one inhalation and one exhalation The fire alarm has sounded. The nurse aide should FIRST: a. ask the charge nurse for direction b. make sure all the residents are out of the hallway and close all doors c. take the nearest fire extinguisher to the nurses station

d. call the fire department - ANSWER>>b. make sure all the residents are out of the hallway and close all doors If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do: a. brush the resident's teeth first b. take a rectal temperature c. tell the next shift to take the temperature d. wait 15 minutes to take the temperature - ANSWER>>d. wait 15 minutes to take the temperature What can the nurse aide give the resident who has an order for NPO? a. unlimited fluids b. no food or liquids c. small amounts of ice d. only clear liquids - ANSWER>>b. no food or liquids Which action would help prevent skin breakdown around a stoma if the resident has a colostomy? a. clean the stoma with alcohol b. clean the stoma with water and mild soap c. use petroleum jelly (Vaseline) around the stoma site d. wipe the stoma site with tissues until clean - ANSWER>>b. clean the stoma with water and mild soap Residents in the long term care facility depend on who for their safety: a. the director of nursing b. the safety/risk manager c. all employees of the facility d. the nurse aide - ANSWER>>c. all employees of the facility Mouth care should be given to an unconscious person: a. once a day b. every two hours c. every shift d. every night - ANSWER>>b. every two hours A Hepatitis B vaccination protects the person receiving it against a disease that affects: a. liver b. heart c. kidneys d. skin - ANSWER>>a. liver Why should heat NOT be applied to a diabetic resident's feet? a. the feet have more oil glands b. diabetics have decreased sensitivity which means they cannot feel the heat and could cause a burn c. their feet are dirty d. it makes their feet wrinkle - ANSWER>>b. diabetics have decreased sensitivity which means they cannot feel the heat and could cause a burn Which of the following WILL NOT assist bowel elimination: a. drinking a lot of water

b. using a bedside commode c. taking a walk d. reading the newspaper - ANSWER>>d. reading the newspaper Which will NOT prevent pressure sores: a. repositioning or turning every two (2) hours b. applying lotion to dry skin c. keeping bed linens clean, dry, and free of wrinkles d. scrubbing and rubbing the skin vigorously - ANSWER>>d. scrubbing and rubbing the skin vigorously Water for the resident's bath should be: a. 75 degrees F b. l60 degrees F c. 110 degrees F d. 90 degrees F - ANSWER>>c. 110 degrees F A resident's dentures should be stored in a. tissue paper b. an emesis basin c. a labeled cup in water d. the utility room - ANSWER>>c. a labeled cup in water The nurse aide is going to take Mr. Heath's vital signs. What should the nurse aide do to get Mr. Heath to cooperate and reduce his anxiety? a. wash her hands before and after the procedure b. gather all equipment before beginning c. wear disposable gloves for all procedures d. explain the procedures to Mr. Heath - ANSWER>>d. explain the procedures to Mr. Heath What is the purpose of using the chain of command in a long term care facility: a. to keep communication about a problem flowing smoothly b. to be sure residents follow the rules c. to prevent residents from going behind the nurses station d. To provide more jobs in nursing - ANSWER>>a. to keep communication about a problem flowing smoothly Signs of poor circulation are: a. paleness, cold skin, edema b. perspiration, red skin c. warm, dry, pink skin d. hot flashes - ANSWER>>a. paleness, cold skin, edema A foley catheter is used: a. to drain the bladder and remove urine b. to use as a rectal tube c. for gastric feeding d. to suction stomach contents - ANSWER>>a. to drain the bladder and remove urine When transferring a heavy resident from the bed to a wheelchair for the first time: a. a mechanical lift should never be used

b. one person should always try to transfer the resident c. the aide should review the care plan or check with the nurse d. tell the resident they are too heavy for you to transfer - ANSWER>>c. the aide should review the care plan or check with the nurse A pressure ulcer or decubitis ulcer is caused by: a. burns b. abrasions c. inadequate turning d. fatigue - ANSWER>>c. inadequate turning Diabetes mellitus make a resident more prone to develop: a. chills b. fever c. infections d. cancer - ANSWER>>c. infections A resident is NPO for tests. The nurse aid should: a. encourage fluids for hydration b. allow the resident to eat ice chips c. remove the water pitcher and glass from the room d. allow the resident to drink water only - ANSWER>>c. remove the water pitcher and glass from the room The nurse aide is assigned to a resident with a diagnosis of aphasia. The nurse aide knows: a. the resident can not walk b. the resident can not swallow c. the resident can not talk d. none of these - ANSWER>>c. the resident can not talk The nurse aide is caring for a diabetic resident. The nurse aide finds the resident trying to scrape off a callous on the little toe. The nurse aide should FIRST: a. scold the resident b. report the behavior to the nurse c. help the resident remove the callous d. put socks on the resident to keep the resident from scraping - ANSWER>>d. put socks on the resident to keep the resident from scraping The exchange of oxygen and carbon dioxide takes place: a. in the lungs b. in the heart c. around the kidneys d. in the intestines - ANSWER>>a. in the lungs A resident who has not been discharged insists she is going home. What should the nurse aide do: a. tell her she cannot leave without a doctor's order b. notify the charge nurse immediately c. restrain her immediately d. tell her she can leave if she wants to - ANSWER>>b. notify the charge nurse immediately

The nurse aide is making a bed with an unconscious resident in it. Which of the following is most appropriate: a. be quiet and concentrate on your work b. don't explain because the resident can't hear you c. explain what you are doing to the resident d. talk to your co-worker while you make the bed - ANSWER>>c. explain what you are doing to the resident The most important way for the nurse aide to gather information about the safety and well being of the resident is: a. listen to other nurse aides at break b. listen to the nurses talk in the med room c. observation d. flow sheets - ANSWER>>c. observation When communicating with a non-ambulatory resident, the nurse aide should use all of the following EXCEPT: a. block the view so the resident will listen b. position yourself at eye-level with the resident c. avoid talking about the resident as if he is not present d. include the resident in conversation in the room - ANSWER>>a. block the view so the resident will listen The loss of the ability to express one's self is: a. verbal communication b. empathy c. speech therapy d. aphasia - ANSWER>>d. aphasia To remove a hearing aide the nurse aide should: a. turn it off with the volume set at low b. leave it on and set volume at high c. call the nurse d. turn the hearing aid off with volume set on high - ANSWER>>a. turn it off with the volume set at low Negative body language would include: a. placing hands on your hips b. leaning toward the resident to communicate c. shaking hands d. touching a resident's shoulder while talking - ANSWER>>a. placing hands on your hips Which is the best way to talk to a vision impaired resident: a. touch the resident before you begin talking b. verbally announce your presence before touching the resident c. use hand gestures and body movements d. talk loudly and use exaggerated lip movements - ANSWER>>b. verbally announce your presence before touching the resident

The most basic rule of body mechanics is to: a. keep the arms flexed b. bend from the knees and hips c. twist as you lift d. never use a lift belt - ANSWER>>b. bend from the knees and hips Proper body mechanics dictates that when lifting an object, the nurse aide place his feet: a. 3ft-5ftapart b. 61n-l2inapart c. l2in - 18 in apart d. it doesn't matter - ANSWER>>c. l2in - 18 in apart When lifting a heavy object, which muscle groups should be utilized: a. muscles of stomach b. muscles of legs c. muscles of back d. muscles of hands - ANSWER>>b. muscles of legs The nurse aide knows to wear which of the following to perform resident care: a. comfortable, clean uniforms b. non-skid shoes c. loop earrings d. a and b only - ANSWER>>d. a and b only When lifting, the nurse aide should have his feet separated in the standing position to: a. relieve the pressure on his corns b. distribute body weight evenly c. provide a wide base of support d. to prevent straining his knees - ANSWER>>c. provide a wide base of support Which environment promotes the growth of bacteria: a. cold, dark, moist places b. warm, dark, dry places c. warm, sunny, moist places d. dark, warm, moist places - ANSWER>>d. dark, warm, moist places Used disposable supplies and equipment should be discarded: a. in the resident's wastebasket b. in the dirty utility room c. in the clean utility room d. in the bathroom wastebasket - ANSWER>>b. in the dirty utility room The most important way to prevent the spread of infection is: a. isolating sick residents b. wearing gloves c. hand washing d. wearing masks - ANSWER>>c. hand washing

Mrs. Jones is in her wheelchair in the hallway stating she needs a pillow behind her back. The nurse aide should: a. get Mrs. Jones' pillow from her room and place it behind her back b. get any pillow and put it behind Mrs. Jones so she will stop complaining c. tell Mrs. Jones that a pillow is not good for her back d. nothing is needed because Mrs. Jones always says her back hurts - ANSWER>>a. get Mrs. Jones' pillow from her room and place it behind her back Mr. Spaulding's daughter requests that the nurse aide perform mouth care for Mr. Spaulding. The nurse aide should: a. wash his/her hands, put on gloves and perform the requested care b. put on gloves and perform the requested care c. tell Mr. Spaulding's daughter that mouth care was done about 30 minutes ago and doesn't need to be done right now d. perform the care as soon as possible after other required tasks are done - ANSWER>>a. wash his/her hands, put on gloves and perform the requested care When changing the bed linens on a soiled bed, the nurse aide should: a. make sure there are enough sheets on the linen cart b. comment to the other nurse aides about how many beds have to be changed in a day c. wear gloves d. let the next shift re-make the bed - ANSWER>>c. wear gloves After Mr. Johnson's bath, the nurse aide realizes she needs another towel to completely dry Mr. Johnson. The nurse aide should: a. use what appears to be a clean towel left in the shower room by another aide b. ask another staff member to obtain a clean towel for her from the clean linen cart c. tell Mr. Johnson you'll both go back to his room when he air dries d. Ask Mr. Johnson if he is dry enough and continue to dress him - ANSWER>>b. ask another staff member to obtain a clean towel for her from the clean linen cart During a bed bath, Mrs. Smith uses a washcloth to clean her perineal area and puts the washcloth into the basin of water, but the nurse aide needs to was Mrs. Smith's face. The nurse aide should: a. scold Mrs. Smith for washing her perineal area first b. do nothing, continue with the bath c. obtain a clean cloth, change the water in the basin and continue the bath d. let Mrs. Smith give her own bath the way she wants to - ANSWER>>c. obtain a clean cloth, change the water in the basin and continue the bath What is the best response if you are not sure how to use a piece of equipment: a. do the best you can b. don't use the equipment c. find a different way to complete the task d. ask the nurse to explain - ANSWER>>d. ask the nurse to explain The nurse aide is making an occupied bed. Which of the following is the most restorative approach: a. encourage the resident to help b. do everything for the resident c. tell the resident to get out of bed

d. lower both side rails - ANSWER>>a. encourage the resident to help he primary goal of restorative care is: a. keep the resident comfortable in the nursing home b. take care of the resident's personal business c. do everything for the resident d. return the resident to a normal life at home - ANSWER>>d. return the resident to a normal life at home Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT: a. foot supports b. cones c. splints d. bed cradles - ANSWER>>b. cones The plan, which begins on the resident's admission that assists when the resident goes home, is called: a. treatment plan b. nurse aide flow record c. discharge plan d. nursing care plan - ANSWER>>c. discharge plan The nurse aide just admitted a new resident. Which of the following is the most restorative approach: a. unpack all of his clothes and put them away for him b. encourage a family member to unpack for him c. tell him he'll need to unpack for himself d. encourage the resident to participate in unpacking - ANSWER>>d. encourage the resident to participate in unpacking A mentally challenged resident is having difficulty cutting and eating her roast beef. What should the nurse aide do: a. feed the resident b. cut the meat into small pieces allowing her to fed herself c. tell her to chew the big pieces longer d. take away the roast beef - ANSWER>>b. cut the meat into small pieces allowing her to fed herself When the nurse aide moves a joint during ROM (range of motion) exercises, and the resident complains of pain, the nurse aide should: a. ask the nurse to give pain medication so the exercises can continue b. push past the point where the pain occurs to see if it hurts worse c. stop the movement at the point the pain occurs and report to the nurse d. stop giving the resident any ROM exercises - ANSWER>>c. stop the movement at the point the pain occurs and report to the nurse A contracture (tightening, or shortening of a muscle) is caused by: a. too much exercise b. lack of movement of the muscle c. pressure on the muscle d. old age - ANSWER>>b. lack of movement of the muscle

The nurse aide documents that about 45 minutes after the resident is put to bed for an afternoon nap, the resident urinates in bed. To help with bladder training, the nurse aide should: a. take the resident to the bathroom right before going to bed b. scold the resident for always messing up the clean bed c. report to the registered nurse that the resident will not succeed in bladder training d. take the resident to the bathroom after about 30 minutes of being in bed for the nap - ANSWER>>a. take the resident to the bathroom right before going to bed Mr. Schwartz is concerned about his son and asks to speak to his rabbi. The nurse aid should: a. ask the nurse if rabbis are allowed in the facility b. ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit c. tell Mr. Schwartz his son is going to be fine and not to worry d. tell Mr. Schwartz's family about his request - ANSWER>>b. ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit The nurse aide reported bruises on Mr. Jenkins' arm last week. Today, during A.M. care, there were more bruises. The nurse aide should: a. report the abuse again, this time to a different nurse or call the abuse hotline at the state office b. do nothing, Mr. Jenkins did not complain c. tell another nurse aide to report the new bruises d. call the police because nothing has been done - ANSWER>>a. report the abuse again, this time to a different nurse or call the abuse hotline at the state office Once a nurse aide's name is placed on the abuse registry for neglect he may: a. never work as a nurse aide again b. continue to work as a nurse as as long as he abuses no one else c. work only with young children d. petition the nurse aide program to have his name removed from the abuse registry after one year - ANSWER>>d. petition the nurse aide program to have his name removed from the abuse registry after one year A nurse aide reclines a resident in a geri-chair so the resident cannot attempt to stand. This is a violation of: a. the resident's right to cooperation b. the resident's right to be free from restraints c. the nurse aide to practice safety for the resident d. the resident's right to walk - ANSWER>>b. the resident's right to be free from restraints Mr. Joseph overhears the nurse aide speaking to the nurse about his roommate's diagnosis and demands that the nurse aide discuss the roommate's condition with him. The nurse aide should: a. firmly but politely explain she cannot discuss another resident's condition b. tell Mr. Joseph it is not his concern, he should worry about himself c. tell Mr. Joseph to ask the roommate's family d. tell Mr. Joseph that if his roommate wants him to know, the roommate will tell Mr. Joseph - ANSWER>>a. firmly but politely explain she cannot discuss another resident's condition Respect is demonstrated by the nurse aide for the resident by: a. correcting the resident's mistakes

b. keeping the resident's room free of clutter c. agreeing with the resident d. always listening to what the resident has to say - ANSWER>>d. always listening to what the resident has to say Mr. Black was admitted this morning to the facility. The nurse aide should: a. give him a list of tasks to complete before morning b. encourage other residents to welcome Mr. Black c. introduce Mr. Black to others d. both b and c - ANSWER>>d. both b and c There are two kinds of restraints: a. masks and goggles b. chemical and medication c. belts and wristbands d. chemical and physical - ANSWER>>d. chemical and physical Mr. Smith refused to take a bath. The nurse aide bathed him anyway. What resident right was violated: a. the right to be free from odor b. the right to refuse treatment c. the right to privacy d. the right to complain - ANSWER>>b. the right to refuse treatment You observe your co-worker verbally abusing a resident. What should you do: a. talk to her after work b. tell the resident's family c. do nothing, words won't hurt the resident d. report it to the charge nurse - ANSWER>>d. report it to the charge nurse If a resident has long hair, which procedure can NOT be done by the nurse aide: a. shampooing b. daily brushing and combing c. braiding or styling the hair d. cutting the hair to remove tangles - ANSWER>>d. cutting the hair to remove tangles Forgetting to raise the side rails as ordered causes a resident to fall and be injured. This could be called: a. an accidental fall, it could not be helped b. neglect to keep the resident safe c. unreported incident d. safety standard - ANSWER>>b. neglect to keep the resident safe You hear another nurse aide tell a confused resident, "If you don't eat, I'll lock you in your room." You should: a. do nothing, the resident is too confused to understand b. tell the other aides so they can watch this aide with alert residents c. tell the charge nurse d. tell the aide if she does it again, you will report her - ANSWER>>c. tell the charge nurse

A nurse aide refuses to discuss a resident's condition with a neighbor. Which one of the resident's rights is being protected: a. informed consent b. privacy c. confidentiality d. respect - ANSWER>>c. confidentiality Each resident in a long term care facility has the right: a. to be free from chemical and physical restraints b. to have their hair done weekly at the beauty shop free of charge c. to use any supplies their roommate has d. to call long distance from the nurse's station to relatives - ANSWER>>a. to be free from chemical and physical restraints