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- 1. Open EndedWhen getting ready to make a bed, the aide should place the clean linens on a. in the bathroom b. Chair or table beside the bed c. Roommate's bed d. The floor
- 2. Open EndedThe only purpose for using a restraint is to a. keep the client quiet b. make nurses job easier c. calm a verbally abusive client d. ensure safety of others
- 3. Open EndedArticles contaminated with blood or body fluids should be disposed of in the a. trash b. soiled utility room c. biohazard container d. soiled linen basket
- 4. Open EndedTo avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's a. upper thigh b. bed sheet c. bed frame d. hip
- 5. Open EndedWhen collecting a 24 hour urine sample for a client, the nurse aide should request that the client a. avoid red meat b. drink 2 L of water c. take a bath or shower before starting the urine collection d. discard the first voided urine
- 6. Open EndedWhen ambulating the client, the nurse aide should a. ask the nurse for help b. be sure the client is wearing non-skid footwear c. ask a family member for assistance walk in front of the client and show the client the way
- 7. Open EndedWhich of the following is the best personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray? a. shoe covers b. mask c. goggles d. Face shield
- 8. Open EndedWhich of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? a. "Why are you so mean today?" b. "You should not say such mean things to people." c. "You seem upset, would you like to talk about it?" d. "I'll come back when your bad mood is over."
- 9. Open EndedThe nurse aide has raised the height of the client's bed to provide care, but the nurse aide forgot to bring the needed supplies. What should the nurse aide do NEXT? a. instruct client to lay still b. lower the bed and place the call light within reach c. Ask roommate to watch the client & get the supplies d. quickly get the supplies
- 10. Open EndedA client requests that the nurse aide call the client's spiritual advisor. The nurse aide should: a. call the spiritual advisor for the client b. ask why they want the advisor called c. tell the client that this is not part of the nurse aide's job d. tell the client that the aide will inform the nurse of the request
- 11. Open EndedA client wakes up during the night and asks for something to eat. The nurse aide should: a. tell the client nothing is available at night b. tell the client eating is not allowed at night c. check clients diet before offering food d. explain that breakfast is in 3 hours
- 12. Open EndedThe nurse aide is preparing to bathe a client. What should the nurse aide do first? a. test water temperature b. help client undress c. close door and windows d. tell client what the nurse aide is going to do
- 13. Open EndedWhen making a bed that is occupied by a client, the nurse aide should: a. leave the bed in the lowest position b. make the toe pleat c. leave the bottom sheet untucked d. place soiled linens on the floor
- 14. Open EndedFrequent turning and repositioning of the client helps prevent: a. cyanosis b. indigestion c. coronary disease d. pressure injuries
- 15. Open EndedWhen applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: a. lying down in bed b. dangling the legs from the edge of the bed c. standing at the side of the bed d. sitting in a wheelchair
- 16. Open EndedThe nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The aide should: a. join in the convo b. suggest that this is not the place to discuss a client c. stay quiet d. return to the unit and tell the client what was said
- 17. Open EndedThe client's signaling device should be placed: a. on the bed b. within the client's reach c. on the client's right side d. over the rail
- 18. Open EndedWhen helping a client who is recovering from a stroke to walk, the nurse aide should assist: a. on the client's strong side b. on the client's weak side c. from behind the client d. with a wheelchair
- 19. Open EndedA client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do next? a. place the client in a geriatric chair b. restrain the client to his bed c. talk to the client in a calm voice about familiar things d. leave the client alone in his room until he calms down
- 20. Open EndedWhich of the following actions would be best for the nurse aide to take to show respect to the spiritual needs of a client? a. escorting the client to religious services b. discussing the nurse aide's religion with the client c. assisting the client to read the client's religious materials d. requesting that the facility's spiritual advisor visits the client
- 21. Open EndedWhile the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's deceased child. The aide's best response would be to: a. quickly finish providing care and leave the client alone b. pretend to be the client's child c. ignore the client because they are confused d. ask the client about their favorite memories of their child
- 22. Open EndedWhen providing care for a client receiving oxygen therapy, the nurse aide should: a. check ears for pressure points b. tape cracks in oxygen tubing c. let the nurse know that the aide cannot care for the client d. change the flow rate if the client is short of breath
- 23. Open EndedA client falls and suffers a deep cut on the forehead. What should the nurse aide do next? a. take the client out to the hospital b. help the client back to the bed c. take the client into the bathroom to was out the cut d. stay with the client and call for help
- 24. Open EndedThe client has been sad and depressed since being admitted into the facility yesterday. What would be the best thing for the nurse aide to do for the client? a. arrange for the client's spiritual advisor to visit b. turn on the TV in the client's room and leave the client alone c. introduce the client to other clients and staff members d. Force the client to take part in facility activities
- 25. Open EndedThe nurse aide is asked by a confused client "what day is it?" The nurse aide should: a. explain that memory loss is natural and the date is not important b. point to the date on a calendar and say the date c. ignore the request d. provide the date and test the client later
- 26. Open EndedWhich of the following is most important for the prevention of skin breakdown in the client? a. air drying the client's skin b. rubbing lotion on the client's skin c. ambulating the client once a day d. repositioning the client every 2 hours
- 27. Open EndedWhen caring for a client who is dying, the nurse aide should: a. only allow 1 visitor in the room at a time b. keep the room dark at all times c. pay special attention to fluid intake and mouth care d. wear gloves when providing personal care
- 28. Open EndedTo best communicate with a client who has total hearing loss, the nurse aide should: a. smile frequently and speak loudly b. smile often and talk rapidly c. avoid eye contact d. write out the information
- 29. Open EndedWhen a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide should a. check the client every 5 minutes b. make sure the client's water pitcher is full c. protect the client with a seat belt d. place the signaling device within the client's reach
- 30. Open EndedWhat would be the best way for the nurse aide to promote client independence when bathing a client who had a stroke? a. give the client a complete bath only when the client requests it b. encourage the client to do as much as possible and assist as needed c. Leave the client alone and assume the client will do as much as the client can d. Limit the client to washing the client's hands
- 31. Open EndedWhich of the following methods is the correct way to remove a dirty isolation gown? (A) Pull the gown over the head (B) Let the gown drop to the floor and step out of the gown (C) Roll the gown dirty side in and away from the body (D) Pull the gown off by the sleeve and shake the gown out
- 32. Open EndedThe health care team member who assists the client with the performance of activities of daily living is the: (A) social worker. (B) occupational therapist. (C) speech therapist. (D) case manager.
- 33. Open EndedWhat does "ambulate with assistance" mean? a. walk with the client twice a day b. client may use a wheelchair c. have the client use a cane for walking d. the client can walk with the nurse aide providing help
- 34. Open EndedWhen transferring a client, most of the client's weight should be supported by the nurse aide's: A. legs b. back c. shoulders d. wrists
- 35. Open EndedWhen changing a soiled dressing, the nurse aide should wash their hands: a. before the procedure b. before & after the procedure c. after the procedure d. before, after, & during the procedure
- 36. Open EndedThe nurse aide must wear gloves when a. transferring a client b. dressing a client c. providing mouth care d. weighing a client
- 37. Open EndedWhen assisting a client who has right-sided weakness to transfer from a wheelchair, the aide should support the client's: a. left side b. right side c. front side d. back side
- 38. Open EndedThe nurse aide can help prevent pressure injuries in the client by a. repositioning the client every 4 hours b. massaging reddened areas c. keeping linens clean, dry, and wrinkle-free d. using perfumed soap to clean the client's skin
- 39. Open EndedIf an aide discovers a small fire in a client's room, the aide should first: a. remove the client from any danger b. extinguish the fire c. contain the fire d. sound the alarm
- 40. Open EndedWhen the client has memory loss or confusion, the aide should a. reassure the client that forgetting information is expected with age b. speak loudly to the client c. ignore the client's statements that are not accurate d. give the client simple step-by-step instructions
- 41. Open EndedWhat does the abbreviation ADL mean? a. Ad Lib b. As Doctor Likes c. Activities of Daily Living d. After Daylight
- 42. Open EndedWhich of the following actions SHOULD the nurse aide take to communicate with a client who has hearing loss? (A) Face the client when speaking (B) Repeat statements twice every time (C) Shout so that the client can hear you (D) Use a high-pitched voice
- 43. Open EndedWhat is the first area of a client's body that the aide should wash when providing a bed bath? a. legs b. face c. arms d. chest
- 44. Open EndedWhen a nurse provides the aide confidential information about a client, the aide should a. share it with other clients b. keep the information private c. tell other staff d. tell the client's family
- 45. Open EndedBefore entering a client's room, the aide should first: a. turn lights on b. identify self c. knock on the door d. call the client by the client's name
- 46. Open EndedMouth care for a client who is unconscious must be done every: a. 2 hours b. 4 hours c. 6 hours d. 8 hours
- 47. Open EndedThe nurse aide should place the client's soiled bedsheets: a. on the bedside table b. on the floor of the soiled utility room c. in a biohazard bag d. in the soiled linen container
- 48. Open EndedBefore taking oral temperature of a client who has just finished a cold drink, the nurse should wait: a. 20 minutes b. 25-35 minutes c. 45-55 minutes d. at least 1 hour
- 49. Open EndedTo prevent dehydration of the client, the nurse aide should: a. offer fluids frequently while the client is awake b. wake the client hourly during the night to offer fluids c. give the client salty foods to increase thirst d, feed the client salty foods to increase thirst
- 50. Open EndedWhen preparing to take a meal tray into the client's room, what is the most important action for the nurse aide to take? a. check that the client's name is displayed on the tray card b. make sure the client's favorite foods are present c. determine if enough fluids have been ordered d. keep all foods covered until eaten
- 51. Open EndedWhich of the following equipment should the nurse aide have available when caring for a client's beard? a. basin, mirror, nail file, and towel b. towel, gloves, razor, shaving cream c. shaving cream, razor, gloves, comb d. razor, shaving cream, towels, and orange stick
- 52. Open EndedTo find out what type of diet the client should be receiving, it would be best for the nurse aide to check: a. with the kitchen staff b. on the client's room bulletin board c. in the client's care plan d. with the client's family
- 53. Open EndedWhat should the nurse aide do when a client with Alzheimer's disease seems depressed and quiet? a. talk when the client is silent b. observe the client for non-verbal cues c. change subjects until the client begins to discuss something d. tell the client not to worry
- 54. Open EndedWhich of the following actions by the nurse aide can best demonstrate active listening skills? a. changing the subject frequently b. responding when appropriate c. correcting the client's mistakes d. directing the conversation
- 55. Open EndedThe nurse aide should understand that a back massage: a. causes muscle spasms b. increases blood pressure c. promotes circulation d. increases the heart rate
- 56. Open EndedWhen assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on first? a. both sleeves b. left sleeve c. client's choice d. right sleeve
- 57. Open EndedA client with arthritis reports difficulty when cutting the food. What should the nurse aide do to encourage the client's independence in eating? a. cut the food and feed the client b. insist that the client eat the meal without help c. Assist the client in cutting the food and encourage the client to use the special eating utensils d. ask the dietary department to puree the client's food
- 58. Open EndedThe nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs should the nurse aide understand that a quad cane has? a. 1 b. 2 c. 3 d. 4
- 59. Open EndedOnce a client has been pronounced dead, the responsibility of the nurse aide is to: a. make sure the body is clean b. call the family c. leave the room d. give spiritual care
- 60. Open EndedA client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: a. 360 mL b. 450 mL c. 480 mL d. 520 mL
- 61. Open EndedThe client's call light should always be placed: a. on the bed b. within the client's reach c. on the client's right side d. over the side rail
- 62. Open EndedWhich of the following items is used in the prevention and treatment of bedsores or pressure sores? a. rubber sheet b. air mattress c. emesis basin d. restraint
- 63. Open EndedWhen caring for a dying client, the nurse aide should: a. keep the client's room dark and quiet b. allow the client to express his feelings c. change the subject if client talks about death d. contact the client's minister, priest, or rabbi
- 64. Open EndedAfter giving a client a back rub the nurse aide should always note: a. the last time the client had a back rub b. any change in the client's skin c. client's weight d. amount of lotion used
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