Nursing Home Care Practices, Exams of Nursing

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While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should? A. hold the resident down to reduce injury B. keep the airway open and prepare to do CPR C. call the charge nurse and remain with the resident D. place a tongue blade between the resident's teeth - ✔✔C. 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 A. massage the area using lotion B. apply a dry protective dressing over the area C. keep the resident positioned to avoid pressure on the hip D. cleanse the hip using extra soap, then rinse and dry thoroughly - ✔✔C. keep the resident positioned to avoid pressure on the hip Which of the following describes an important requirement when providing colostomy care? A. Use sterile technique when providing care B. Wear gloves for Standard Precautions C. Avoid cleansing skin near the stoma D. Position the resident on the side - ✔✔B. Wear gloves for Standard Precautions A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A. Use the resident's pitcher of water to put out the fire. B. Open the window to allow smoke to escape. C. Remove the resident from the room. D. Yell "FIRE!" along with the location - ✔✔C. Remove the resident from the room

After reporting the observation of a red area on the resident's hip, the nurse aide should expect that the A. resident will be placed on short-term bed rest B. area will be covered with a protective dressing C. area will need frequent massage with a moisturizing lotion D. resident should be positioned to avoid pressure on the area - ✔✔D. resident should be positioned to avoid pressure on the area A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should A. hold the gait belt tighter and ask the resident to rest for a minute B. suggest the resident lean on the nurse aide for more support C. guide the resident over to the handrail and ask to hold D. ease the resident to the floor if a chair is not available - ✔✔D. ease the resident to the floor if a chair is not available While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff and will not bend. The nurse aide should A. continue exercises but move onto another joint B. continue sine stiff joints are a normal part of aging C. apply very gentle pressure to try to bend the elbow slightly D. suggest the resident see a physical therapist for the elbow - ✔✔A. continue exercises but move onto another joint To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may A. block exit doors B. restrain residents C. place large stop signs on doors D. keep confused residents in their rooms - ✔✔C. place large stop signs on doors

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? A. "Let's go see if Bingo has started yet. You love Bingo." B. "remember you are in a nursing home. Your daughter is all grown up." C. "Do you mean your great-granddaughter? Your daughter just turned 60." D. "What do you like to do with your daughter when she gets home from school?" - ✔✔D. "What do you like to do with your daughter when she gets home from school?" A resident whose husband died a few years ago, says, "I have to get dinner started. My husband will be home from work soon." What is the best way for the nurse aide to respond? A. Offer to walk with the resident to the activity department's kitchen B. Remind the resident that the nursing home prepares her meals C. Ask the resident about her husband's favorite dinners D. Explain gently that the resident's husband is dead - ✔✔C. Ask the resident about her husband's favorite dinners When feeding a resident who is lying in bed, the head of the bed is raised to A. make chewing food easier B. decrease the risk of aspiration C. improve the resident's digestion D. allow for better respiration between bites - ✔✔B. decrease the risk of aspiration A nurse aide hears another staff member yelling and cursing at a resident. This is an example of A. resident neglect B. resident abuse C. nurse aide carelessness D. nurse aide non-compliance - ✔✔B. resident abuse A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do?

A. Consider if the task can be performed another way B. Provide the care and perform the task as best as possible C. Contact the ombudsman's office since resident's rights may be violated D. Refuse to perform the task and explain it is not within the nurse aide's role - ✔✔D. Refuse to perform the task and explain it is not within the nurse aide's role A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, "I had an accident. I wet myself.", What should the nurse aide do? A. Explain that the next shift will assist the resident in a short time B. Remove any wet clothing and place the resident on a dry underpad C. Ask if the resident feels very uncomfortable D. Provide incontinent care to the resident - ✔✔D. Provide incontinent care to the resident A resident with advance directives has a DNR order. This means that the resident A. Does not remember B. Should not be restrained C. Does not respond to instructions D. Should not be resuscitated - ✔✔D. Should not be resuscitated A resident says she is 5 feet 6 inches tall. When the nurse aide measures the resident's height, the resident is 5 feet 4 inches. What should the nurse aide do? A. Record the resident's height as 5 feet 4 inches B. Record the resident's height as 5 feet 6 inches C. Explain that older people shrink with aging. D. Measure the resident again - ✔✔D. Measure the resident again Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar? A. Shakiness or trembling B. Thirst and dry mouth C. Sweet breath odor

D. Increased urine - ✔✔A. Shakiness or trembling When counting a resident's pulse, the nurse aide should A. notice if the rhythm of the heart-beat is regular B. ask if the resident takes any heart medication C. consider the time of day when the pulse is taken D. multiply the rate by four if counted for 30 seconds - ✔✔A. notice if the rhythm of the heart-beat is regular Which of the following most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation? A. The resident's shoe-fit B. The resident's pulse rate C. The way the resident walks D. The color of the resident's toes - ✔✔D. The color of the resident's toes A resident who use to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide? A. Assist the resident and report the change to the charge nurse. B. Understand that these changes are just a normal part of aging. C. Update the resident's care plan and explain the change to the charge nurse. D. Encourage independence and suggest that the resident try going to the bathroom on her own. - ✔✔A. Assist the resident and report the change to the charge nurse. A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The nurse aide should respond to the resident's requests by A. telling the resident that it is not time B. decreasing the resident's fluid intake C. asking the resident to follow the schedule D. taking the resident to the bathroom as needed - ✔✔D. taking the resident to the bathroom as needed

A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the resident's friends are often leaving when the resident gets to the dining room. The nurse aide should A. set out clothing that the resident can dress in more quickly B. dress the resident to make sure the resident gets to breakfast earlier C. ask if there is any help the resident would like in the morning D. remind the resident that the friends will also be at activities later - ✔✔C. ask if there is any help the resident would like in the morning Which of the following statements is true about how people experience pain? A. Pain is usually worse in the morning B. Residents with dementia do not feel pain C. A person's culture can affect response to pain D. Younger people can handle pain better than older adults - ✔✔C. A person's culture can affect response to pain Which of the following describes a resident's concern that needs to be reported to the charge nurse immediately? A. A resident's complaint of not getting to activities on time B. A resident who states a need for a new pair of elastic stockings C. A resident with dementia who states the need to talk to resident's son D. A resident who has always been oriented is suddenly scared and confused - ✔✔D. A resident who has always been oriented is suddenly scared and confused A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first? A. Speak loudly and directly into the hearing aid B. Check that the hearing aid is in the correct ear C. Ask when the hearing aid battery was replaced D. Make sure the hearing aid is turned on. - ✔✔D. Make sure the hearing aid is turned on.

While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action A. Dress the resident quickly B. Check the resident's vital signs C. Stop the dressing to let the resident rest D. Go to find a nurse to check the resident - ✔✔C. Stop the dressing to let the resident rest 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. Which of the following is the best action for the nurse aide to take? A. Take the resident back to the resident's room B. Distract the resident by asking about the resident's family C. Invite the resident to sit down at the piano with the nurse aide D. Ask the activity director to find something for the resident to do - ✔✔C. Invite the resident to sit down at the piano with the nurse aide A nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath? A. Keep the bed in the lowest position throughout bathing B. Keep the resident's body covered during the bath C. Open the window for fresh air during the bath D. Add a lot of soap to the water in the basin - ✔✔B. Keep the resident's body covered during the bath A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should A. check the resident's arms and jaw for possible injury or bruising B. check the care plan to see if the resident is on heart attack precautions C. ask if the resident might have eaten something that has upset her stomach D. recognize the seriousness of the signs and observations and report immediately - ✔✔D. recognize the seriousness of the signs and observations and report immediately

A resident's hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide? A. Thicken the liquid so it will not spill. B. Place a clothing protector on the resident C. Seat the resident with other residents who also spill D. Suggest that the resident might do well with a cup with a lid - ✔✔D. Suggest that the resident might do well with a cup with a lid 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? A. Put hand rolls in the resident's hands B. Avoid raising the head of the resident's bed C. Turn and position the resident according to schedule D. Provide range of motion (ROM) exercises every two hours - ✔✔C. Turn and position the resident according to schedule Before helping a resident to stand who has been lying in bed, the nurse aide needs to A. find out what the resident plans to do for the day B. make sure a walker is available for support in case it is needed C. ask if the resident has taken any medication recently D. allow time for the resident to adjust to sitting at the edge of the bed - ✔✔D. allow time for the resident to adjust to sitting at the edge of the bed A resident who is Roman Catholic is dying. The resident comments that she has not been to confession and she worries that she will die in a state of sin. Which of the following is the best response by the nurse aide? A. "Don't you think God knows you are in a nursing home?" B. "Would you like it arranged for a priest to visit you?" C. "Sounds like you are not ready to die." D. "Have you considered praying? - ✔✔B. "Would you like it arranged for a priest to visit you?"

The resident is restrained. What observation should the nurse aide report to the nurse immediately? A. The resident states, "I do not like this thing." B. The resident's position needs to be adjusted. C. The resident has suddenly become very agitated. D. The restraint was removed according to the care plan schedule - ✔✔C. The resident has suddenly become very agitated. 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 A. check if the resident was snacking before the meal B. ask if the resident would like something else to eat C. remind the resident that dinner is several hours away D. check when the resident last had a bowel movement - ✔✔B. ask if the resident would like something else to eat A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed? A. Hang the urinary drainage bag higher than the level of the resident's bladder B. Use the measurements on the drainage bag to measure urine output C. Raise the bed to the highest position for better urine drainage D. Wear gloves when emptying the urinary drainage bag - ✔✔D. Wear gloves when emptying the urinary drainage bag When helping admit a new resident, the nurse aide notices the resident's right-sided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should A. ask how the resident went to the bathroom at home B. ask the resident to wait until the care plan is completed C. get instructions from the nurse about how to toilet the resident D. help the resident to the bathroom immediately, supporting the right-side - ✔✔C. get instructions from the nurse about how to toilet the resident

According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures? A. Getting linen from a linen cart B. Removing soiled linen from a bed. C. Performing range of motion exercises D. Transferring a resident to a showerchair - ✔✔B. Removing soiled linen from a bed. The nurse aide is to obtain a resident's weight. The nurse aide should A. ask if the resident remembers his/her last weight B. ask when the resident last ate food or drank fluid C. wait until after the resident has a bowel movement D. check what scale is usually used for this resident - ✔✔D. check what scale is usually used for this resident Which foods are found on a high protein diet? A. pasta and rice B. meat and eggs C. fruits and vegetables D. whole grains and milk products - ✔✔B. meat and eggs A nurse aide who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex. What should the nurse aide do? A. Check on the residents every few minutes B. Report the residents' behavior to the charge nurse. C. Ask the nurse if the residents should be medicated. D. Tell the residents that sex is not allowed in the nursing home - ✔✔B. Report the residents' behavior to the charge nurse.

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? A. Help the resident to a sitting position on the floor. B. Ask the resident to stay still while the nurse aide calls for help. C. Ask the resident to describe the pain and how the fall happened D. Support the injured arm by placing a pillow under the arm and shoulder. - ✔✔B. Ask the resident to stay still while the nurse aide calls for help. 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? A. Tell the resident not to feel bad about needing more help today. B. Provide extra help as needed to avoid the resident becoming frustrated. C. Ask if the resident would prefer to stay in night clothes for the day. D. Check if the resident will get dressed for another nurse aide. - ✔✔A. Tell the resident not to feel bad about needing more help today. The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident? A. "Have you been able to hold it since you last went o the toilet?" B. "How much longer do you feel like you can hold it?" C. "May I please check to see if you are wet?" D. "Can I help you to the bathroom now?" - ✔✔D. "Can I help you to the bathroom now?" When a resident is receiving oxygen, the nurse aide should A. make sure the tubing is free of kinks B. remove oxygen when the resident is eating C. place a NO VISITORS sign on the resident's door. D. limit how often mouth care is provided to the resident - ✔✔A. make sure the tubing is free of kinks

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? A. "You do realize that you will look normal when you get prosthesis?" B. "Do you think you will ever leave your room? It will help you feel better" C. "There is no reason to feel embarrassed about losing your leg?" D. "You used to enjoy activities. What's keeping you in your room so much?" - ✔✔D. "You used to enjoy activities. What's keeping you in your room so much?" The use of a physical restraint helps A. control a resident's behavior B. protect the resident from injury C. make staff members' jobs easier D. decrease how often staff need to check the resident - ✔✔B. protect the resident from injury 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? A. Ask if the resident has been eating salty foods lately B. Elevate the resident's legs and check again later. C. Report the swelling to the charge nurse. D. Avoid bathing the resident's lower legs - ✔✔C. Report the swelling to the charge nurse.

. 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? A. At the nurse's station B. On the isolation cart outside the resident's room C. In the dirty utility room D. In the resident's room - ✔✔D. In the resident's room When giving perineal care to a male resident who is uncircumcised, the nurse aide should A. push the foreskin back to clean

B. keep the foreskin in place over the penis C. wipe from the base of the penis towards the tip D. just cleanse the tip and directly over the urethra - ✔✔A. push the foreskin back to clean A resident is NPO because of nausea. What should the nurse aide do? A. Give the resident fluids in small amounts. B. Provide the resident with a small cup of ice chips C. Ask if the resident can handle any fluids with the nausea D. Remove any fluids at the bedside including the water pitcher - ✔✔D. Remove any fluids at the bedside including the water pitcher 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? A. To get the resident into a more comfortable position B. To get towels placed to protect the bed linen C. To keep the vomit off the resident's face D. To help prevent aspiration - ✔✔D. To help prevent aspiration A nurse aide hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. The nurse aide should also A. call the police immediately B. ask if the nurse is feeling stressed about something C. report the situation to the charge nurse's supervisor D. ask if any other staff have ever observed this behavior - ✔✔C. report the situation to the charge nurse's supervisor When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear A. black B. green

C. purple D. white - ✔✔C. purple A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide? A. Clean the catheter, starting at the meatus and moving downward B. Clean the catheter, starting at the end and moving towards the genitalia C. Disconnect the drainage bag rom the catheter to empty the bag fully D. Cleanse around the meatus with alcohol swabs, wiping front to back. - ✔✔A. Clean the catheter, starting at the meatus and moving downward A resident says, "I am not going to eat this food. It is poisoned." What is the best response by the nurse aide? A. Offer to taste all the food first to prove it is not poisoned B. Report to the charge nurse that the resident is acting crazy C. Ask if there is something else the resident would like to eat D. Leave the resident alone because the resident will eat when hungry enough - ✔✔C. Ask if there is something else the resident would like to eat When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should A. pat gently to dry and cover with a dry dressing before applying a sock B. stop the foot care immediately and ask the resident what happened C. report the skin opening to the charge nurse as soon as possible D. check the resident's sock for any wound drainage - ✔✔C. report the skin opening to the charge nurse as soon as possible Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care? A. In the morning and at bedtime B. At the beginning and near the end of a shift

C. Whenever the resident is soiled with urine or stool D. Every two hours when the nurse aide checks on the resident - ✔✔C. Whenever the resident is soiled with urine or stool When a resident is unable to stand, the resident's height is generally obtained by A. having coworkers hold the resident upright to allow for the measurement B. adding the length of legs, chest, and neck/head to determine the height C. asking the resident's height and subtracting an inch for age-related shrinkage D. taking the measurement from head to heels while the resident is flat in bed - ✔✔D. taking the measurement from head to heels while the resident is flat in bed The purpose of a gait or transfer belt is to A. limit physical contact with ill residents who are transferred or walked B. protect the nurse aide's back when walking or transferring a resident C. help steady and support a resident when transferring or walking D. allow residents to transfer or walk independently - ✔✔C. help steady and support a resident when transferring or walking The goal when removing gloves that are soiled is to A. remove quickly since there is a risk of exposure to germs B. dispose of the gloves in a biohazard-safe trash can C. avoid contact with the outside of the gloves D. keep germs in the trash can area - ✔✔C. avoid contact with the outside of the gloves 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? A. Ask another nurse aide to trade assignments B. Provide the care since the resident cannot be harmed C. Talk to other nurse aides about how to perform the procedure

D. Discuss the nurse aide's lack of experience with the nurse - ✔✔D. Discuss the nurse aide's lack of experience with the nurs A resident reports having a very large bowel movement two days ago. What should the nurse aide do first? A. Report this to the charge nurse B. Ask if this is a normal pattern for the resident's body C. Suggest the resident drink more water and increase foods with fiber D. Check if the resident is getting a medication to help with bowel movements - ✔✔B. Ask if this is a normal pattern for the resident's body 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 A. ask the resident to use a walker while assisting the resident to the bathroom B. get another nurse aide's help to walk the resident to the bathroom C. position a commode chair next to the chair the resident is sitting in D. ask the charge nurse for instructions on what assistance the resident needs - ✔✔D. ask the charge nurse for instructions on what assistance the resident needs The heart is an important muscle for which body system? A. Urinary B. Musculoskeletal C. Circulatory D. Digestive - ✔✔C. Circulatory 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? A. Provide total care for the resident. B. Set high standards for the resident's acheivements C. Help the resident focus on even small accomplishments

D. Remind the resident that she will be happier when she is home - ✔✔C. Help the resident focus on even small accomplishments When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques? A. Place a gait belt around the resident's waist B. Position the chair as close to the bed as possible C. Signal the resident to stand by saying, "1,2,3, stand" D. Follow the transfer technique as described in the care plan - ✔✔D. Follow the transfer technique as described in the care plan Which member of the health care team counsels residents and their families and arranges for needed services? A. Dietitian B. Social Worker C. Physical Therapist D. Activities director - ✔✔B. Social Worker When preparing to shower a resident, what should the nurse aide do next after checking the water temperature? A. Give the resident a washcloth to hold B. Suggest the resident wash his or her face C. Ask the resident to check the water temperature D. Check if the resident wants a partial or full shower - ✔✔C. Ask the resident to check the water temperature A resident reports that his wrist watch is missing. The nurse aide should ask A. if the resident thinks someone took it B. if the resident has checked the lost and found box C. who was assigned to the resident on the previous shift

D. for permission to help look around the resident's room - ✔✔D. for permission to help look around the resident's room A resident's care plan provides the nurse aide with information about A. the financial arrangements made for the resident's care B. specific care required for the resident and the goals of care C. facility procedures for performing different nursing care procedures D. the nurse aide's assignments and when care is provided to each residen - ✔✔B. specific care required for the resident and the goals of care What is the main purpose of a restorative care program? A. Ensure that the resident can return home B. Provide meaningful activities for the resident C. Help the resident improve his/her level of functioning D. Provide assistance with activities of daily living (ADLs) - ✔✔C. Help the resident improve his/her level of functioning The normal appearance of urine is A. clear B. cloudy C. dark yellow D. strong smelling - ✔✔A. clear 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 A. remind the resident how much the resident enjoys parties B. encourage the resident to go since so many other residents are attending C. respect the resident's decision and ask what the resident would like to do D. ask if the resident participated in any activities for the Jewish Hanukkah holiday - ✔✔C. respect the resident's decision and ask what the resident would like to do

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 A. guide the resident form the chair to the floor B. remove the other residents away from the table C. try to open the resident's mouth to check for food D. keep the resident in the chair by holding around the resident's waist - ✔✔A. guide the resident form the chair to the floor The nurse aide's role in assisting with a bowel and bladder retaining program includes A. being consistent with carrying out the toileting schedule B. notifying the family that the resident has been placed on the program C. determining the type of program best suited for the resident D. checking the resident every four hours for incontinence - ✔✔A. being consistent with carrying out the toileting schedule When cleaning the area of the body, it is important to change the spot on the washcloth for each washing and rinsing stroke? A. Arms and hands B. Abdominal area C. Face and neck D. Perineal area - ✔✔D. Perineal area Which of the following should be reported to the charge nurse immediately? A. A resident's change in appetite B. A resident's complaint of chest pain C. A resident who refuses to take a scheduled tub bath D. A resident who wanders is found napping in another resident's bed - ✔✔B. A resident's complaint of chest pain What should a nurse aide do with a used disposable razor?

A. Throw the razor away in a trash can B. Place the razor in a sharps container immediately C. Clean, rinse, and dry the razor so it can be used again D. Wrap the razor in a paper towel until it can be thrown awa - ✔✔B. Place the razor in a sharps container immediately When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should A. ask how long the minister plans to visit B. explain politely that it is time to take vital signs C. check if the resident is praying before interrupting D. wait to take the vital signs after the minister has left - ✔✔D. wait to take the vital signs after the minister has left 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 postmortem care? A. Wear gloves, a mask and a gown when providing care B. Use strict isolation precautions throughout care. C. Wash hands and wear gloves throughout care D. Double bag all items removed from the room - ✔✔C. Wash hands and wear gloves throughout care Which action is most helpful to help decrease a resident's incontinence? A. Leaving the bedpan in place for extra time B. Putting an incontinent brief on the resident C. Answering the resident's call light quickly D. Controlling fluid intake throughout the day - ✔✔C. Answering the resident's call light quickly The first step in the nurse aide should take when discovering a fire is to A. check how quickly the fire is spreading B. remove any residents near the fire

C. throw a blanket over the flames D. pull the alarm - ✔✔B. remove any residents near the fire To prevent skin tears or shearing when moving the resident, the nurse aide should A. wear gloves to reduce friction against the skin B. avoid pulling or sliding the resident when moved C. tell the resident to be careful and follow directions D. ask the resident to keep arms held over the resident's head - ✔✔B. avoid pulling or sliding the resident when moved Which of the following is an example of disinfection? A. Washing a resident's hands after toileting B. Using a wipe to clean around a resident's stoma C. Cleaning a shower chair with a chemical cleanser D. Cleaning a resident's bath basin with soap after use - ✔✔C. Cleaning a shower chair with a chemical cleanser Residents are most likely to feel the urge to have a bowel movement A. after taking a nap B. after eating a meal C. just before bedtime D. during the shift change - ✔✔B. after eating a meal When a resident's husband begins telling the nurse aide how to care for his wife, the nurse aide should A. accept that the husband has always been in charge B. explain that the nurse aide is certified and able to care for his wife C. suggest that the husband participate in his wife's resident care conference D. understand that the husband wants staff aware of his wife's needs - ✔✔D. understand that the husband wants staff aware of his wife's needs

When a resident is not able to stand, the resident's height is usually measured by A. having coworkers hold the resident upright to allow for the measurement B. adding the length of legs, chest, and neck/head to determine the height C. asking the resident's height and subtracting an inch for age-related shrinkage D. taking the measurement from head to heels while the resident is flat in bed - ✔✔D. taking the measurement from head to heels while the resident is flat in bed A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first? A. Increase the resident's fluids since dehydration causes confusion B. Consider that some memory loss is a normal part of aging C. Ask where the resident believes he is D. Report the change to the charge nurse - ✔✔D. Report the change to the charge nurse To help soften the beard before shaving with a disposable razor, the nurse aide should A. massage the beard area of the face gently. B. rub the beard in the direction of the hair growth C. hold a warm, wet wash cloth against the face first D. lather the face with soap instead of shaving cream - ✔✔C. hold a warm, wet wash cloth against the face first How should the nurse aide respond when a resident tries to talk about the recent death of another resident? A. Explain that HIPAA laws forbid staff from discussing residents that died B. Suggest the resident talk to other residents feeling the same loss C. Try distracting the resident with a more cheerful subject D. Allow the resident to talk about the resident who died - ✔✔D. Allow the resident to talk about the resident who died Areas of the body where bone lies close to the skin is known as

A. a skin fold B. a pressure ulcer C. skin breakdown D. a pressure point - ✔✔D. a pressure point Which of the following is considered a normal age-related change seen in elderly residents? A. Increase in appetite B. Decrease in constipation C. Decrease in taste sensation and smell D. Increase in amount of confusion experienced daily - ✔✔C. Decrease in taste sensation and smell When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide? A. Protect the toe by putting on an extra sock B. Report the observation to the charge nurse C. Apply an antibiotic ointment to prevent infection D. Soak the foot in very warm water and dry gently - ✔✔B. Report the observation to the charge nurse While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to A. quickly move the resident to the nurses' station B. ask the resident how badly the burned area hurts C. wet a towel or napkin with cool water and place against the injured area D. apply antibiotic ointment to the burned area and then cover with a bandage - ✔✔C. wet a towel or napkin with cool water and place against the injured area A resident usually responds verbally to the nurse aide's greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aide's next action should be to A. try to wake the resident again in a few more minutes B. speak louder to make sure the resident can hear

C. wipe the resident's face with a cool washcloth D. call for the charge nurse immediately - ✔✔D. call for the charge nurse immediately Which of the following is best example of using reality orientation for a resident with early dementia? A. "Your son plans to visit today at 2:00 PM" B. "You are in the nursing home. I am here to help you." C. "This is your daughter Anna. Do you remember her?" D. "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?" - ✔✔D. "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?" Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours? A. Correct residents' posture B. Improve the residents' breathing C. Promote circulation at pressure points D. Provide an opportunity for incontinent care - ✔✔C. Promote circulation at pressure points When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include A. limiting activity by keeping the resident on bedrest B. emptying the urinary drainage bag every two hours C. keeping the area where the catheter enters the body clean D. toileting the resident every two hours for bladder retraining - ✔✔C. keeping the area where the catheter enters the body clean A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be A. dependent and need total care B. confined to bed for several weeks C. going to physical therapy to increase mobility

D. receiving range of motion (ROM) exercises to hip - ✔✔C. going to physical therapy to increase mobility Which of the following is a right of nursing home residents? A. To select the staff that will provide their care B. To have designated smoking areas in the facility C. To make decisions about their care and treatment D. To have activities offered throughout the day and evening shift - ✔✔C.To make descisions about their care and treatment Which of the following is generally experienced by a resident with low blood sugar? A. fever B. weakness C. Sour breath D. Frequent urination - ✔✔B. weakness A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A. Use the resident's pitcher of water to put out the fire B. Open the window to get the smoke out of the room C. Yell "FIRE!" along with room number. D. Remove the resident from the room - ✔✔D. Remove the resident from the room A nurse aide enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do? A. Leave the room and close the door to allow privacy B. Consider if this is normal behavior for this couple. C. Report the observation to the charge nurse immediately. D. Tell the wife that she must leave the facility for the day - ✔✔C. Report the observation to the charge nurse immediately.