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- 1. Open EndedWhen assisting a client in learning how to use a cane, the nurse aide stands a. approximately two feet directly behind the client. b. about one foot from the client's weak side. c. about one foot from the client's strong side. d. slightly behind the client on the client's weak side.
- 2. Open EndedWhen working with a client who has urinary retention, the nurse aide can expect that the client will a. urinate large volumes. b. be unable to urinate. c. urinate frequently. d. be incontinent of urine.
- 3. Open EndedAging-related hearing changes result in older clients gradually losing their ability to hear a. high-pitched sounds. b. low-pitched sounds. c. slow sounds. d. rapid sounds.
- 4. Open EndedThe best way to safely identify your patient is by a. asking his name. b. calling his name and waiting for his response. c. checking the bed plate. d. checking the name tag.
- 5. Open EndedA client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should a. report it to the charge nurse. b. give the client an enema. c. offer the client prune juice. d. encourage the client to drink more fluids.
- 6. Open EndedThe proper medical abbreviation for before meals is a. p.c. b. b.i.d. c. a.c. d. t.i.d.
- 7. Open EndedA client diagnosed with hypertension will most likely have a history of a. low blood pressure. b. high blood pressure. c. low blood sugar. d. high blood sugar.
- 8. Open EndedA patient who has difficulty chewing or swallowing will need what type of diet? a. clear liquid b. low residue c. bland d. mechanical soft
- 9. Open EndedAn elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent? a. Tell her to stay in the room. b. Have her roommate secretly watch her. c. Place a familiar object on the client's door. d. Write the room number on a piece of paper.
- 10. Open EndedHow often should a patient's intake and output records be totaled? a. once each shift b. twice a day c. every four hours d. every 12 hours
- 11. Open EndedWhich of the following should the nursing assistant observe and record when admitting a client? a. freckles b. wrinkles c. short nails d. bruises
- 12. Open EndedWhen responding to a client on the intercom, the nursing assistant should say a. "Hello, who is calling, please?" b. "What is it that you want?" c. "This is [nursing assistant name and position], can I help you?" d. "Please hold; I'll have the nurse answer your call."
- 13. Open EndedWhich of the following things should the nurse aide do to familiarize new clients with their surroundings? a. Demonstrate the location and use of the call light. b. Explain that the TV is not to be used. c. Instruct family to leave the room after the aide is finished with the admission. d. Raise the bed to the high position and raise the safety rails.
- 14. Open EndedWhen arranging a client's room, the nursing assistant should do all of the following EXCEPT a. checking the placement of the call bell. b. adjusting the back rest as directed. c. administering the client's medications. d. adjusting the lighting as appropriate.
- 15. Open EndedWhen assisting a client out of bed, the nurse aide should always a. employ body mechanic techniques. b. get another nurse aide to assist. c. raise the bed to its maximum height. d. lower all safety rails.
- 16. Open EndedHow often should clients be repositioned during an eight-hour shift? a. qlh b. q2h c. q3h d. q4h
- 17. Open EndedWhich of the following is the correct procedure for serving a meal to a client who must be fed? a. Serve the tray along with all the other trays, and then come back to feed the client. b. Bring the tray to the client last; feed after you have served all the other clients. c. Bring the tray into the room when you are ready to feed the client. d. Have the kitchen hold the tray for one hour.
- 18. Open EndedThe most serious problem that wrinkles in the bedclothes can cause is a. restlessness. b. sleeplessness. c. decubitus ulcers. d. bleeding and shock.
- 19. Open EndedRestorative care begins a. as soon as possible. b. when the client is ready. c. when the client is discharged. d. when the client is diagnosed as terminally ill.
- 20. Open EndedBefore placing a client in Fowler's position, the nurse aide should a. open the window. b. explain the procedure to the client. c. check with the client's family. d. remake the bed.
- 21. Open EndedDuring hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to a. allow the water to run over the hands for two minutes. b. dry the hands and turn off the faucet with the paper towel. c. repeat the wash from the beginning. d. repeat washing, but for half the time.
- 22. Open EndedHow should a nurse aide dress for a job interview? a. wearing a clean t-shirt and casual slacks b. wearing a nurse aide uniform c. wearing a business suit, dress, or pants and dress shirt d. wearing formal attire
- 23. Open EndedAn ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should a. ask if the client is hungry. b. inspect the client's skin. c. assess the client's intake and output. d. make sure the client knows how to use the call bell.
- 24. Open EndedWhen lifting a heavy object, the correct method would be to bend at the a. waist, keeping your legs straight. b. waist, rounding your shoulders. c. knees, keeping your back straight. d. knees and waist.
- 25. Open EndedWhen should nurse aides wash their hands? a. after eating b. before using the bathroom c. after client care d. before cleaning a bedpan
- 26. Open EndedWhen assisting a client with eating, one of the first things the nurse aide should do is a. cut the food into bite-size pieces. b. wash his own hands and the client's hands. c. butter the client's bread. d. provide the client with privacy.
- 27. Open EndedA patient has a new cast on her right arm. While caring for her, it is important to first observe for a. pulse above the cast. b. color and hardness of the cast. c. warmth and color of fingers. d. signs of crumbling at the cast end.
- 28. Open EndedEncouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is a. done only when time permits. b. the family's responsibility. c. necessary for rehabilitation. d. a violation of client rights.
- 29. Open EndedIn caring for a confused elderly man, it is important to remember to a. keep the bedrails up except when you are at the bedside. b. close the door to the room so that he does not disturb other patients. c: keep the room dark and quiet at all times to keep the patient from becoming upset, d. remind him each morning to shower and shave independently.
- 30. Open EndedBefore assisting a client into a wheelchair, the first action would be to check if the a. client is adequately covered. b. floor is slippery. c. door to the room is closed. d. wheels of the chair are locked.
- 31. Open EndedA client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand a. on the right side. b. in front of the client. c. on the left side. d. behind the client.
- 32. Open EndedWhile making rounds at 5:30 A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first? a. Call 911. b. Perform CPR. c. Call for help. d. Assess the client's pulse and respirations.
- 33. Open EndedWhen moving a wheelchair onto an elevator, the nurse aide should stay a. behind the chair and pull it toward the aide. b. behind the chair and push it away from the aide. c. in front of the client to observe the client's condition. d. at the side of the wheelchair while opening the door.
- 34. Open EndedThe Foley bag must be kept lower than the client's bladder so that a. urine will not leak out, soiling the bed. b. urine will not return to the bladder, causing infection. c. the bag will be hidden and the client will not be embarrassed. d. the client will be more comfortable in bed.
- 35. Open EndedAs an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first a. substitute diet soda for the ice cream. b. hold the afternoon snack and report to the charge nurse. c. call the kitchen and report the error. d. allow the client to have half of the ice cream.
- 36. Open EndedWhen assisting a client who is using the commode, it is important to a. leave the call light within reach. b. lock the door to promote privacy. c. stand next to the client until the client is finished. d. restrain the client to prevent a fall.
- 37. Open EndedEnsuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT a. positioning the patient every four hours. b. using mechanical aids. c. giving backrubs. d. performing active or passive ROM exercises.card
- 38. Open EndedThe purpose of cold applications is usually to a. speed the flow of blood to the area. b. prevent heat exhaustion. c. prevent or reduce swelling. d. prevent the formation of scar tissue.
- 39. Open EndedThe hot water bottle is an example of a a. local dry heat application. b. generalized dry heat application. c. local moist heat application. d. generalized moist heat application.
- 40. Open EndedClients receiving an enema are usually placed a. on the right side. b. on the left side. c. flat on the back. d. in a semisitting position.
- 41. Open EndedA female client's perineal area should be cleansed before which specimen is collected? a. 24-hour urine specimen b. midstream clean-catch urine specimen c. pediatric routine urine specimen d. routine urine specimens
- 42. Open EndedThe most common site for counting the pulse is the a. carotid artery. b. femoral artery. c. brachial artery. d. radial artery.
- 43. Open EndedWhen counting respirations, the nurse aide should a. wait until after the client has exercised. b. not tell the patient what he is going to do. c. count five respirations and then check his watch. d. have the client count respirations while the aide takes her pulse
- 44. Open EndedWhich of the following is NOT the nurse aide's responsibility when caring for clients who have urinary catheters? a. inserting the catheter b. ensuring that the catheter drains properly c. preventing infection d. recording urinary output
- 45. Open EndedWhen giving information to the charge nurse for an incident report, the nurse aide should a. write in the client's chart that an incident occurred. b. keep the report in her personal file. c. state the facts clearly. d. give her opinions as to the cause of the incident
- 46. Open EndedAll long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by a. OBRA. b. OSHA. c. CDC. d. FDA.
- 47. Open EndedA resident is blind. It is important not to a. leave the door completely opened. b. rearrange the furniture. c. announce yourself before entering the room. d. explain the location of food on the plate, using the face of the clock to assist.
- 48. Open EndedWhen family members visit a client, the visitors should a. stay in the day room. b. stay a short while so as not to tire the client. c.,be expected to help with care. d. be allowed privacy with the client
- 49. Open EndedA resident asks, "If I need help during the night, who will be there?" The nursing assistant should respond, a. "Don't worry, you'll be okay." b. "Just yell; someone will hear you." c. "Your roommate will probably ring the call bell." d. "There are people here all night to help you."
- 50. Open EndedWhich of the following is a client's right? a. having personal information kept confidential b. obtaining private duty staff if desired c. knowing what is wrong with the client's roommate d. treating the staff any way he or she pleases
- 51. Open EndedA resident often cries while she is receiving her P.M. care. What should the nurse aide do? a. Tell her to stop crying. b. Ignore her and continue with her carq. c. Tell her jokes to make her laugh. d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk.
- 52. Open EndedWhen providing denture care, the nurse aide must a. wash them in boiling water. b. hold them under warm running water. c. dunk them in and out of cool water. d. place them on a towel in the sink with cool water.
- 53. Open EndedSexuality in long-term-care clients may include all of the following EXCEPT a. needing private time with a partner. b. caring about one's physical appearance. c. engaging in public fondling. d. desiring sexual interaction
- 54. Open EndedA client is scheduled for a partial bed bath. This means that the nurse aide must wash the client's a. face, neck, ears, arms, and hands. b. face, axillae, hands, and buttocks. c. face, hands, axillae, and legs. d. face, hands, axillae, genitals, and buttocks.
- 55. Open EndedAn agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to a. turn on the light. b. speak quietly and calmly. c. touch her shoulder. d. shout her name.
- 56. Open EndedIf a client objects to certain food for religious or cultural reasons, the appropriate action would be to a. tell him to wait for the next meal. b. offer to substitute something different for him. c. call the dietician the next day. d. tell him he needs to eat what is on his tray.
- 57. Open EndedThe client's religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is to a. encourage the client to eat it because she needs protein. b. tell the client it is all right since her doctor ordered the diet. c. call the kitchen for a tray without bacon. d. tell the client that restrictions are not as important as her health.
- 58. Open EndedWhich type of communication can often be most powerful? a. written b. verbal c. silent d. tactile
- 59. Open EndedA client refuses to allow the nurse aide to bathe her. The nurse aide tells the client that she will not be allowed to eat lunch or go to bingo if she does not have her bath. This is an example of a. rehabilitation. b. discipline. c. verbal abuse. d. physical abuse.
- 60. Open EndedOn entering a room, an aide notices that the client is not breathing. The aide's first action should be to a. call for help. b. lay the client down on his back. c. give four quick breaths. d. give 8-10 abdominal thrusts.
- 61. Open EndedA client's dentures are lost. The first action should be to a. notify the administrator. b. look for them. c. notify the doctor. d. notify the charge nurse.
- 62. Open EndedNursing assistants are responsible for a. planning client care. b. doing tasks assigned by the charge nurse. c. performing without ever asking for help. d. comparing assignments with coworkers.
- 63. Open EndedA patient turns on the call light when he needs to urinate. The appropriate action is to a. ignore the light, since he is not the aide's own client. b. announce on the intercom that there are two patients ahead of him. c. answer the call light and get the urinal. d. answer the call light when the aide has the time.
- 64. Open EndedA client is on CMR and in the prone position. The nurse aide finds the client vomiting bright red blood. The nurse aide should first a. clean up the vomit. b. place the client in the side-lying position. c. provide the client with an emesis basin. d. call the charge nurse.
- 65. Open EndedWhen performing catheter care, the nurse aide should wash the catheter a. toward the meatus. b. with Betadine soap. c. away from the meatus. d. with alcohol.
- 66. Open EndedA nurse aide who applies restraints on a client without directions from the charge nurse may be accused of a. slander. b battery. c. false imprisonment. d. negligence.
- 67. Open EndedH.S. care is care that is given a. before meals. b. before bedtime. c. after meals. d. upon awakening.
- 68. Open EndedThe best food choices for a geriatric client with no teeth would include a. hamburger, french fries, corn, and ice cream. b. baked chicken, dressing, green beans, and coconut macaroons. c. spare ribs, macaroni and cheese, coleslaw, and fruit cocktail. d. baked fish, whipped potatoes, spinach souffle, and tapioca.
- 69. Open EndedA client's family wants to talk about the client's impending death, but the client does not want to talk about it. The family should be encouraged to a. carry on the conversation away from the client. b. talk freely in front of the client in order to help the client to accept it. c. wait until the client dies to talk about it. d. force the client to talk about it with them.
- 70. Open EndedA nurse aide notices that a water pitcher has spilled onto the floor. The best action for the aide to perform is to a. wipe it up immediately. b. cover it with a towel. c. notify the charge nurse. d. contact housekeeping.
- 71. Open EndedUpon entering a room, the nurse aide notices that a patient is not breathing. The aide's first action is to a. call for help. b. lay the patient down on his back. c. give four quick breaths. d. give ten abdominal thrusts.
- 72. Open EndedWhen should postmortem caer be performed? a. after the family views the body b. Immediately after doctor pronounces c. when rigor mortis sets in. d.after boyd goes to teh morgue.
- 73. Open EndedThe purpose of correctly positioning the client is to:a. prevent skin breakdown. b. maintian function of joints and muscles c. increase comfort. d. All of the above
- 74. Open EndedA surgical bed should be left in what position?
- 75. Open EndedA female resident's husband has asked for some time alone with his wife in her room. What should the nurse aide do? (A) Let the husband visit but listen outside the door. (B) Let the husband visit and leave the door open. (C) Tell the husband not to disturb his wife. (D) Let the husband visit in private.
- 76. Open EndedA resident needs range of motion (ROM) exercises every day. When the nurse aide tries to help her do the exercises, the resident says she will not do them. She says that they are too hard. What is the nurse aide's best response? (A) "Try harder and the exercises will be easier." (B) "I understand, but try working slowly and resting often." (C) "The doctor ordered the exercises because they are important." (D) "Think of something good during the exercises and maybe they won't be so hard."
- 77. Open EndedA nurse aide enters a room to check on a resident who is in restraints. The nurse aide finds that the resident has gotten out of the restraint and is partly out of the bed. What should the nurse aide do? (A) Call for help to get the resident back into bed and put the restraint back on. (B) Put the restraint back on tightly so that the resident cannot move. (C) Leave the restraint off and report the problem to the charge nurse. (D) Put a different type of restraint on the resident. hard."
- 78. Open EndedA resident does not want to wear her dentures. She says she has a sore in her mouth. The nurse aide should (A) tell her to leave her dentures out for a few days. (B) have the resident rinse her mouth with salt water. (C) tell her that she will feel better if she wears the dentures. (D) leave the dentures out and ask the nurse to check the resident's mouth.
- 79. Open EndedAfter a resident has died, the nurse aide is often assigned to do which of the following? (A) Prepare the resident's body. (B) Call the resident's family. (C) Call the resident's doctor. (D) Call the undertaker.
- 80. Open EndedA resident complains that he cannot fall asleep. What can the nurse aide do first to help him relax? (A) Move him to the day room. (B) Give the resident a back rub. (C) Give the resident a sleeping pill. (D) Report the resident's complaint to the charge nurse.
- 81. Open EndedA resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the nurse aide do to each joint? (A) Stretch it until it hurts. (B) Rotate it in both directions until it hurts. (C) Bend it to a 90-degree angle while supporting the limb. (D) Move it to its fullest range or until the resident feels discomfort.
- 82. Open EndedA sign on the resident's door says NPO. What does this sign tell the nurse aide about the resident? (A) The resident is receiving AM care. (B) The resident is receiving oxygen therapy. (C) The resident is not to be given any solid food. (D) The resident is not to be given anything by mouth.
- 83. Open EndedA resident is smoking a cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the nurse aide do first? (A) Stay with the resident until he is finished smoking. (B) Tell the resident that he must be more careful. (C) Check on the resident every few minutes. (D) Go and report it to the charge nurse.
- 84. Open EndedA nurse aide is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the nurse aide do? (A) Scold the resident for talking that way. (B) Ask the resident why she feels this way. (C) Tell the resident, "That isn't true." (D) Ignore the resident's behavior.
- 85. Open EndedA resident is able to dress himself, but he is very slow. What should the nurse aide do to assist this resident to get to breakfast on time? (A) Dress the resident. (B) Tell the resident to hurry. (C) Start the resident dressing earlier. (D) Warn the resident he is going to miss breakfast.
- 86. Open EndedA nurse aide is caring for a resident on bedrest. The resident is not able to turn herself. What is the longest time that the nurse aide is allowed to leave the resident in one position? (A) 1 hour (B) 2 hours (C) 3 hours (D) 4 hours
- 87. Open EndedA resident's care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the nurse aide that she is unable to do it now. What should the nurse aide do? (A) Ask the resident to be more helpful. (B) Ask the charge nurse to change the care plan. (C) Tell the resident that she can skip her walk today. (D) Allow the resident to choose a better time to ambulate.
- 88. Open EndedA nurse aide notices that a resident has very dry skin on the feet. How should the nurse aide care for the resident's feet? (A) Raise them on a pillow. (B) Wash and dry them only. (C) Keep socks on them at all times. (D) Apply lotion after washing and drying the feet.
- 89. Open EndedAn elderly resident is normally alert, but today she is slightly confused. What should the nurse aide do? (A) Say, "It is not like you to act like this." (B) Report the confusion to the charge nurse. (C) Not worry because all old people get confused sometimes. (D) Ignore the confusion because the resident may only be trying to get extra attention.
- 90. Open EndedA nurse aide has found a fire in a resident's waste can. What should the nurse aide do first? (A) Pull the fire alarm. (B) Pour water on the fire. (C) Move residents out of immediate danger. (D) Use the fire extinguisher to put out the fire.
- 91. Open EndedWhat is the first thing a nurse aide should do after receiving the resident assignments for the shift? (A) Start giving care to the first resident on the assignment. (B) Make rounds and see each resident briefly. (C) Ask another nurse aide what to do first. (D) Find out when the lunch break is.
- 92. Open EndedA nurse aide is walking with a resident. The resident says that she is going to faint. What should the nurse aide do? (A) Open a window to give the resident air. (B) Walk the resident to her room quickly. (C) Assist the resident to sit slowly on the floor. (D) Hold the resident on her feet until she feels better.
- 93. Open EndedA resident is upset after a family visit. The resident tells the nurse aide not to allow the family to visit again. Which of the following is the nurse aide's best response? (A) "OK, I will tell them not to visit." (B) "I will inform the receptionist immediately." (C) "Can you tell me why you are so upset?" (D) "You will feel differently about it tomorrow.
- 94. Open EndedA nurse aide is feeding a resident a pureed diet. How should the nurse aide feed the resident? (A) By feeding all of one food at a time. (B) By giving portions from each food on the tray. (C) By mixing the food together to make feeding easier. (D) Any way the nurse aide wishes because pureed food has no taste.
- 95. Open EndedA resident is on oxygen. He tells the nurse aide that he is not getting enough oxygen through the tubing. What should the nurse aide do first? (A) Turn up the oxygen. (B) Turn off the oxygen. (C) Check the tubing. (D) Tell the patient to breathe faster to get more oxygen.
- 96. Open EndedWhich of the following is a true statement about the elderly? (A) They have no sex drive. (B) They prefer to be alone. (C) They often have problems with vision. (D) They are not concerned about privacy.
- 97. Open EndedA resident refuses to have a bath and to shave every day. He has not bathed for a week. What should the nurse aide do? (A) Force the resident to take a bath and shave every day. (B) Ask the charge nurse for assistance with the problem. (C) Leave the resident alone as he will want a bath some day. (D) Tell the resident's family that the resident has not bathed in a week. ambulate.
- 98. Open EndedA resident usually dresses himself for breakfast. Today the nurse aide finds him in pajamas at 10:00 am. What should the nurse aide do? (A) Nothing (B) Dress the resident (C) Ask him "Is there anything wrong today?" (D) Tell him "I don't have time to dress you."
- 99. Open EndedA nurse aide finds a male resident in bed with a female resident who is confused. What should the nurse aide do? (A) Scold the male resident. (B) Report this to the charge nurse. (C) Close the door and the privacy curtains. (D) Put a "Do Not Disturb" sign on the door.¨
- 100. Open EndedA resident with poor vision was admitted to the unit. What should the nurse aide do to ensure the resident's safety? (A) Arrange the furniture against the walls. (B) Tell the resident to walk around the room by herself. (C) Remove all furniture, except the bed and chair, from the room. (D) Help the resident become familiar with the location of the furniture in the room.. ambulate.
- 101. Open EndedA nurse aide finds clean linen lying on the floor near the linen cart. What should the nurse aide do? (A) Discard the linen in the soiled linen hamper. (B) Place the linen on the clean linen cart and cover the cart. (C) Place the linen in a resident's room for immediate use. (D) Leave the linen on the floor for housekeeping staff to remove.
- 102. Open EndedA resident cannot walk by herself. What must the nurse aide do before leaving her room? (A) Give her a bedpan. (B) Tell her to shout if she needs help. (C) Put the call light where she can reach it. (D) Let another nurse aide know that she is in her room.
- 103. Open EndedA resident has trouble finding her room. What could the nurse aide do to help this resident? (A) Speak sharply to her whenever she goes to the wrong room. (B) Assign another resident to watch her. (C) Make a special sign for her door. (D) Keep her in her room.
- 104. Open EndedA resident dies during the night. At breakfast, another resident who was his friend, begins to talk to the nurse aide about the death. What should the nurse aide do? (A) Distract the resident by talking about the news of the day. (B) Tell the resident to find someone else to talk to. (C) Find out who told the resident about the death. (D) Allow the resident to talk about the death.
- 105. Open EndedA resident is lying on the floor having a seizure when the nurse aide walks into the room. What should the nurse aide do first? (A) Restrain the residents arms. (B) Put a screen around the resident for privacy. (C) Place a padded tongue blade between her teeth. (D) Move any objects which could injure the resident and support her head.
- 106. Open EndedA resident was given a stuffed animal as a gift. The resident wants to keep the stuffed animal with her much of the time. What should the nurse aide do? (A) Explain that adults do not hold stuffed animals. (B) Ask her relatives to take the stuffed animal home. (C) Let her hold the stuffed animal whenever she wants to. (D) Suggest that she keep the stuffed animal on the windowsill.
- 107. Open EndedA resident is dehydrated. The nurse aide's assignment says "Force fluids." What should the nurse aide do? (A) Decrease the resident's fluid intake. (B) Increase the resident's fluid intake. (C) Give liquids with meals only. (D) Measure output.
- 108. Open EndedA nurse aide wants to get a resident involved in her own care. Which of these statements would best encourage the resident's involvement? (A) "Stop feeling sorry for yourself." (B) "It's time for us to eat our breakfast." (C) "I want to brush your hair right now." (D) "Do you want to take your bath now or after breakfast?"
- 109. Open EndedA resident has an indwelling catheter. As the nurse aide cares for him, which of these should the nurse aide report to the charge nurse immediately? (A) The resident complains of pain and burning. (B) The urine in the collection bag is clear and light yellow in color. (C) The resident tells the nurse aide that he hates to have a catheter. (D) The urine in the collection bag is hanging below the level of the bladder.
- 110. Open EndedWhat is the best source of information about the care a nurse aide needs to give a resident? (A) The resident's family (B) The resident's roommate (C) The resident's plan of care (D) Other nurse aides on the unit
- 111. Open EndedA resident tells the nurse aide that her hearing aid is not working. What should the nurse aide do first? (A) Turn up the volume. (B) Change the battery. (C) Tell the charge nurse. (D) Check to see that the hearing aid is turned on.
- 112. Open EndedWhile making rounds at 3:00 A.M., a nurse aide hears a resident crying softly. How should the nurse aide respond? (A) Tell the resident that everything will be better in the morning. (B) Tell the resident that everything is fine and to cheer up. (C) Pretend not to notice that the resident is crying. (D) Ask the resident what is wrong.
- 113. Open EndedA resident is being discharged from the nursing home. He tells the nurse aide that he feels worried about the change. What is the nurse aide's most helpful response? (A) Encourage the resident to talk about his feelings. (B) Tell the resident not to worry as things will work out fine. (C) Tell the resident that he should be happy to leave the nursing home. (D) Suggest to the resident that his worries will go away if he ignores them.
- 114. Open EndedA nurse aide is called away from a resident's beside. When the nurse aide returns, the resident screams, "I'm too old and too sick to be left alone." How should the nurse aide respond? (A) "You're fine. Don't carry on so." (B) "I understand, but I have other things to do." (C) "Why don't you just forget it and rest awhile?" (D) "I'm sorry I had to leave. Can I help you now?"
- 115. Open EndedA nurse aide is cleaning a resident's closet. He finds moldy food and throws it away. The resident shouts, "Leave my food alone." What is the best response by the nurse aide? (A) "Why are you saving this food? Do you get hungry between meals?" (B) "You should eat all your meals, so that you are not hungry later on." (C) "Hiding food is against health laws." (D) "This moldy food smells awful."
- 116. Open EndedA nurse aide observes that a new resident is upset and frightened while getting ready for bed. The resident tells the nurse aide that a dark room frightens her. What is the nurse aide's best response? (A) "Darkness can't hurt you." (B) "As old as you are, you should not be afraid." (C) "You will soon get used to sleeping in the dark." (D) "I will leave the door open so the light can come in."
- 117. Open EndedA nurse aide is assisting a resident with lunch. The resident grabs his throat and cannot speak. What should the nurse aide do first? (A) Offer the resident a drink. (B) Perform the Heimlich maneuver. (C) Place the resident on the floor and elevate his feet. (D) Keep the resident warm by putting a blanket on him.
- 118. Open EndedA nurse aide realizes from the assignment sheet, that a resident has not has a bowel movement for more than 3 days. What should the nurse aide do? (A) Ignore the problem. (B) Give the resident an enema. (C) Report the finding to the charge nurse. (D) Sit the resident on the toilet until he has a bowel movement.
- 119. Open EndedA resident has had a stroke and has weakness on her right side. Where should the nurse aide stand when helping the resident walk? (A) On the resident's right side (B) On the resident's left side (C) In front of the resident (D) Behind the resident
- 120. Open EndedA resident is grieving over the recent death of her husband. How can the nurse aide best offer support to the resident? (A) Leave the resident alone as much as possible. (B) Encourage the resident to express her feelings. (C) Change the subject when the resident speaks about her husband. (D) Tell the resident about the nurse aide's own experiences with death.
- 121. Open EndedA nurse aide is assigned to care for a resident who has wandered over to another unit. What is the nurse aide's most helpful response, when the nurse aide brings the resident back? (A) "Let me walk with you." (B) "How did you get over here?" (C) "Don't you know where you belong?" (D) "Don't you realize I have a lot to do?"
- 122. Open EndedA resident has a cold and is using tissues for his nose. There are used tissues on the resident's bed, floor, and bedside stand. What should the nurse aide do to control the spread of infection? (A) Report the resident's behavior to the resident council. (B) Ask the resident to throw his used tissues in the toilet. (C) Pick up the used tissues in the resident's room once a day. (D) Attach a paper bag to the resident's bed and ask him to put the used tissues in it.
- 123. Open EndedA resident tells a nurse aide he is going to kill himself. What should the nurse aide do? (A) Nothing, because people who threaten suicide usually do not kill themselves. (B) Call the resident's family and ask them to come and sit with him. (C) Tell the resident that things are not as bad as they seem. (D) Stay with the resident and call for help.
- 124. Open EndedA nurse aide sees the charge nurse swallow medication that belongs to a resident. What should the nurse aide do? (A) Ignore the incident because the charge nurse might get the nurse aide fired. (B) Tell the resident's family that the charge nurse is stealing medication. (C) Report the incident to the administrator or nursing supervisor. (D) Suggest the nurse get help immediately.
- 125. Open EndedWhich of the following should the nursing assistant observe and record when admitting a client? a. freckles b. wrinkles c. short nails d. bruises
- 126. Open EndedWhen responding to a client on the intercom, the nursing assistant should say a. "Hello, who is calling, please?" b. "What is it that you want?" c. "This is [nursing assistant name and position], can I help you?" d. "Please hold; I'll have the nurse answer your call."
- 127. Open EndedWhen arranging a client's room, the nursing assistant should do all of the following EXCEPT a. checking the placement of the call bell. b. adjusting the back rest as directed. c. administering the client's medications. d. adjusting the lighting as appropriate.
- 128. Open EndedWhen assisting a client out of bed, the nurse aide should always a. employ body mechanic techniques. b. get another nurse aide to assist. c. raise the bed to its maximum height. d. lower all safety rails.
- 129. Open EndedHow often should clients be repositioned during an eight-hour shift? a. qlh b. q2h c. q3h d. q4h
- 130. Open EndedWhich of the following is the correct procedure for serving a meal to a client who must be fed? a. Serve the tray along with all the other trays, and then come back to feed the client. b. Bring the tray to the client last; feed after you have served all the other clients. c. Bring the tray into the room when you are ready to feed the client. d. Have the kitchen hold the tray for one hour.
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