When caring for a resident who is comatose, the nurse aide is expected to:
A. provide mouth care once a day
B. avoid changing the resident's
... [Show More] position
C. talk to the resident while providing care
D. keep the resident's room dark and quiet
C. talk to the resident while providing care
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
B. provide extra help as needed to avoid the resident becoming frustrated
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 resident
B. specific care required for the resident and the goals of care
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
When bathing a resident, the nurse aide observes 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 to prevent infection
D. soak the foot in very warm water and dry gently
B. report the observation to the charge nurse
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
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
According to Standard Precautions, the nurse aide should wear glove for which of the following procedures?
A. getting linen from a linen cart
B. removing soiled linen from the bed
C. performing range of motion exercises
D. transferring a resident to a showerchair
B. removing soiled linen from the bed
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 feel very uncomfortable
D. provide incontinent care to the resident
D. provide incontinent care to the resident
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?"
An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do?
A. allow the resident to be alone with her spouse
B. suggest that the husband take the resident home for a visit
C. explain that the facility's policies do not allow for this type of visiting
D. remind the resident that this is a nursing home and not a hotel
A. allow the resident to be alone with her spouse
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 since stiff joints are a normal part of aging
C. apply very gentle pressure to try to bend the elbow slightly
D. suggest the patient see a physical therapist for the elbow
A. continue exercises but move onto another joint
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
C. ask where the resident believes he is
The nurse aide s bathing a resident and notices new swelling in the resident's ankles. Which of the following is the nest response by the nurse aide?
A. ask if the resident has been eating salty food 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
What is the main purpose of a restorative care program?
A. ensure 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
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 falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next?
A. get the emergency cart
B. turn the resident onto her side
C. check if the resident is able to talk
D. help the resident back into the chair
C. check if the resident is able to talk
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
Which of the following actions helps to prevent skin tears?
A. keeping side rails raised
B. using less lotion on the skin
C. sliding the resident up in the bed
D. dressing the resident in long sleeves
D. dressing the resident in long sleeves
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first?
A. try to get the resident to take a few sips of water through a straw
B. reach around from behind the resident to provide abdominal thrusts
C. pat the resident's back and then reach in his mouth to remove the blockage
D. ask the resident to take a deep breath and cough
B. reach around from behind the resident to provide abdominal thrusts
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?
A. correct resident's 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 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 best describes how persons affected by Parkinson's disease typically walk?
A. They tend to walk quickly.
B. They tend to lean back when walking.
C. They walk normally but with some shakiness.
D. They shuffle their feet while taking small steps.
D. They shuffle their feet while taking small steps.
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
To help prevent burns to residents during meals, the nurse aide should
A. place a clothing protector on the resident.
B. wait to serve the food until hot food is cold.
C. add ice to any hot liquids, such as coffee or soup.
D. let residents know which foods and beverages are hot
D. let residents know which foods and beverages are hot
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.
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
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
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 to 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?"
A resident is being showered while sitting in a showerchair. The resident says, ""I feel weak. I think I am going to faint." The nurse aide's immediate concerns are calling for help and
A. making sure the water temperature is proper.
B. getting the resident back to her room right away.
C. finishing the shower quickly by washing only soiled areas.
D. keeping the resident safe and comfortable.
D. keeping the resident safe and comfortable.
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
The heart is an important muscle for which body system?
A. Urinary
B. Musculoskeletal
C. Circulatory
D. Digestive Mark item for review
C. Circulatory
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 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. [Show Less]