cna prometric (Answered 100% Correctly) 2024-2025
50 Which of the following is most important to closely observe when a resident
wears elastic
... [Show More] stockings, the type that are worn to help circulation?
* The resident's shoe-fit
* The resident's pulse rate
* The way the resident walks
* The color of the resident's toes
correct answer: D
Rationale: When a resident is wearing elastic compression stockings (e.g., TED
stockings), they generally have an opening in the toe area to allow the circulation
to the feet to be checked. If circulation is poor, the colors of the toes will change.
Depending on skin color, the toes may appear red, bluish, purplish, or dark. Any
change in skin color should be reported immediately, and the stocking(s) removed.
When a resident wears elastic compression stockings, it is important to make sure
the stockings are not twisted and are wrinkle free. Also make sure the top of the
stocking is flat and not folded or rolled. Twisting, creases, and the rolling or
folding of the top of the stocking can all restrict blood flow and cause serious
problems.
Nursing interventions that promote the resident's ability to adapt and adjust to
living as independently and safely as possible," best describes ____.
* Proactive Nursing
* Restorative Nursing
* Therapeutic Nursing
* Occupational Nursing
The correct answer is: Restorative Nursing
Explanation: Restorative Nursing is a defined area of nursing that goes beyond
rehabilitation. Some normal function may never be recoverable and the patient
may need behavioral or cognitive activities that help him or her learn how to deal
with an issue that is unrecoverable. The other choices are not defined areas of
nursing like Restorative Nursing, but they may be involved in the process of
restoration.
49 How much assistance does a resident receiving PROM need from the nurse
aide?
* Partial assistance with range of motion exercises
* Full assistance with the nurse aide taking the joints through exercises
* Minimal assistance to provide extremity support while the resident moves joints
* Minimal assistance to just remind the resident when it is time to exercise.
correct answer: B
Rationale:
passive = partial/minimal (not fully)
partial work for resident = more work for CNA
partial work for CNA = more work for resident
48 A resident reports having a very large bowel movement two days ago. What
should the nurse aide do first?
* Report this to the charge nurse.
* Ask if this is a normal pattern for the resident's body.
* Suggest the resident drink more water and increase foods with fiber.
* Check if the resident is getting a medication to help with bowel movements.
correct answer: B
Rationale: Establishing a normal bowel elimination pattern is an important part of
resident care. Bowel elimination patterns are different for different people. For
some people, having a bowel movement daily is normal. For others, every 2-3 days
is normal. Information regarding the resident's normal bowel habits will be
important for the nurse aide to obtain. This will allow the nurse aide to determine if
the resident is having difficulty, which should be reported to the nurse. While
increasing fluid intake and fiber in the diet are helpful in maintaining normal bowel
elimination, having baseline information will be important in determining what
information needs to be reported to the charge nurse regarding the resident's bowel
habits.
47 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?
* Take the resident back to the resident's room.
* Distract the resident by asking about the resident's family.
* Invite the resident to sit down at the piano with the nurse aide.
* Ask the activity director to find something for the resident to do.
correct answer: C
Rationale: When a resident exhibits confusion or uncertainly at anytime, the nurse
aide should take the time to interact with the resident. The nurse aide should try to
see if there is a problem where the nurse aide could assist. In this case, the resident
may be having a problem or the resident may have an interest in the piano and
have forgotten what to do with the piano. The nurse aide will find many clues
about the residents' needs in paying attention to the behaviors of residents with
dementia. Inviting the resident to sit down at the piano and touching the keyboard
to play a few notes may trigger something in the resident's memory.
46 After reporting the observation of a red area on the resident's hip, the nurse aide
should expect that the
* resident will be placed on short-term bed rest.
* area will be covered with a protective dressing.
* area will need frequent massage with a moisturizing lotion.
* resident should be positioned to avoid pressure on the area.
correct answer: D
Rationale: Remaining in one position creates pressure on bony areas. The pressure
restricts blood flow to the tissue, which causes injury to tissue, which can result in
skin breakdown. The redness suggests injury to the tissue. To try to prevent this
from progressing to an open area, it is very important that the resident be
positioned to avoid pressure on that area. The staff will also have to ensure the
resident is repositioned frequently.
There are many factors that increase the resident's risk for skin breakdown.
Residents who are not able to change their own positions are at risk. Poor nutrition,
dehydration, and incontinence also increase the risk of skin breakdown.
An important responsibility of the nurse aide is to closely observe residents' skin at
any opportunity, especially residents who are at risk for skin breakdown, such as
those who are immobile or incontinent. Report any changes to the nurse promptly.
45 It is most important for the nurse aide to check the temperature of the water
before
* assisting the resident with mouth care.
* soaking the resident's feet for foot care.
* giving the resident a bed bath.
* washing hands.
correct answer: B
Rationale: Elderly residents have an increased risk to burns and other skin
impairments. Water that is too hot can produce serious burns very quickly,
particularly in the elderly. Because of circulatory and nervous system changes,
when the elderly resident's feet are placed into hot water, the resident may not [Show Less]