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When the nurse aide moves a joint during ROM (range of motion) exercises, and the resident complains of pain, the nurse aide should: a. ask the nurse to give pain medication so the exercises can continue b. push past the point where the pain occurs to see if it hurts worse c. stop the movement at the point the pain occurs and report to the nurse d. stop giving the resident any ROM exercises - Ans - c. stop the movement at the point the pain occurs and report to the nurse A contracture (tightening, or shortening of a muscle) is caused by: a. too much exercise b. lack of movement of the muscle c. pressure on the muscle d. old age - Ans - b. lack of movement of the muscle
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When the nurse aide moves a joint during ROM (range of motion) exercises, and the resident complains of pain, the nurse aide should: a. ask the nurse to give pain medication so the exercises can continue b. push past the point where the pain occurs to see if it hurts worse c. stop the movement at the point the pain occurs and report to the nurse d. stop giving the resident any ROM exercises
- Ans - c. stop the movement at the point the pain occurs and report to the nurse A contracture (tightening, or shortening of a muscle) is caused by: a. too much exercise b. lack of movement of the muscle c. pressure on the muscle d. old age - Ans - b. lack of movement of the muscle The nurse aide documents that about 45 minutes after the resident is put to bed for an afternoon nap, the resident urinates in bed. To help with bladder training, the nurse aide should: a. take the resident to the bathroom right before going to bed b. scold the resident for always messing up the clean bed
c. report to the registered nurse that the resident will not succeed in bladder training d. take the resident to the bathroom after about 30 minutes of being in bed for the nap
- Ans - a. take the resident to the bathroom right before going to bed Mr. Schwartz is concerned about his son and asks to speak to his rabbi. The nurse aid should: a. ask the nurse if rabbis are allowed in the facility b. ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit c. tell Mr. Schwartz his son is going to be fine and not to worry d. tell Mr. Schwartz's family about his request - Ans - b. ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit The nurse aide reported bruises on Mr. Jenkins' arm last week. Today, during A.M. care, there were more bruises. The nurse aide should: a. report the abuse again, this time to a different nurse or call the abuse hotline at the state office b. do nothing, Mr. Jenkins did not complain c. tell another nurse aide to report the new bruises d. call the police because nothing has been done - Ans - a. report the abuse again, this time to a different nurse or call the abuse hotline at the state office Once a nurse aide's name is placed on the abuse registry for neglect he may: a. never work as a nurse aide again b. continue to work as a nurse as as long as he abuses no one else c. work only with young children d. petition the nurse aide program to have his name removed from the abuse registry after one year - Ans - d. petition the nurse aide program to have his name removed from the abuse registry after one year
d. ask the nurse to explain
- Ans - d. ask the nurse to explain The nurse aide is making an occupied bed. Which of the following is the most restorative approach: a. encourage the resident to help b. do everything for the resident c. tell the resident to get out of bed d. lower both side rails - Ans - a. encourage the resident to help he primary goal of restorative care is: a. keep the resident comfortable in the nursing home b. take care of the resident's personal business c. do everything for the resident d. return the resident to a normal life at home - Ans - d. return the resident to a normal life at home Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT: a. foot supports b. cones c. splints d. bed cradles - Ans - b. cones The plan, which begins on the resident's admission that assists when the resident goes home, is called:
a. treatment plan b. nurse aide flow record c. discharge plan d. nursing care plan
- Ans - c. discharge plan The nurse aide just admitted a new resident. Which of the following is the most restorative approach: a. unpack all of his clothes and put them away for him b. encourage a family member to unpack for him c. tell him he'll need to unpack for himself d. encourage the resident to participate in unpacking - Ans - d. encourage the resident to participate in unpacking A mentally challenged resident is having difficulty cutting and eating her roast beef. What should the nurse aide do: a. feed the resident b. cut the meat into small pieces allowing her to fed herself c. tell her to chew the big pieces longer d. take away the roast beef - Ans - b. cut the meat into small pieces allowing her to fed herself Mr. Black was admitted this morning to the facility. The nurse aide should: a. give him a list of tasks to complete before morning b. encourage other residents to welcome Mr. Black c. introduce Mr. Black to others d. both b and c
d. cutting the hair to remove tangles
- Ans - d. cutting the hair to remove tangles Forgetting to raise the side rails as ordered causes a resident to fall and be injured. This could be called: a. an accidental fall, it could not be helped b. neglect to keep the resident safe c. unreported incident d. safety standard - Ans - b. neglect to keep the resident safe You hear another nurse aide tell a confused resident, "If you don't eat, I'll lock you in your room." You should: a. do nothing, the resident is too confused to understand b. tell the other aides so they can watch this aide with alert residents c. tell the charge nurse d. tell the aide if she does it again, you will report her - Ans - c. tell the charge nurse A nurse aide refuses to discuss a resident's condition with a neighbor. Which one of the resident's rights is being protected: a. informed consent b. privacy c. confidentiality d. respect - Ans - c. confidentiality Each resident in a long term care facility has the right: a. to be free from chemical and physical restraints b. to have their hair done weekly at the beauty shop free of charge c. to use any supplies their roommate has
d. to call long distance from the nurse's station to relatives - Ans - a. to be free from chemical and physical restraints What is the term for a device used to take the place of a missing body part? (A) Pronation (B) Abduction (C) External rotation (D) Prosthesis - Ans - (D) Prosthesis When a client has left-sided weakness, what side of a sweater is removed first? (A) Both sleeves (B) Left sleeve (C) Client's choice (D) Right sleeve - Ans - (D) Right sleeve It is appropriate for a nurse aide to share the information regarding a client's status with: (A) any one the nurse aide sees fit (B) the client's family members (C) the client's roommate (D) the staff on the next shift - Ans - (D) the staff on the next shift The purpose for padding side rails on the client's bed is to: (A) use them as a restraint (B) have a place to connect the call signal (C) protect the client from injury (D) keep the client warm - Ans - (C) protect the client from injury Exercises that move each muscle and joint are called:
(D) doing range of motion - Ans - (B) doing peri-care When getting ready to dress a client, the nurse aide SHOULD: (A) get the first clothes the nurse aide can reach in the closet (B) give the client a choice of what to wear (C) use the clothes the client wore the day before (D) choose clothes that the nurse aide personally likes - Ans - (B) give the client a choice of what to wear In order to communicate clearly with a client who has hearing loss, the nurse aide should: (A) speak in a high pitched tone of voice (B) stand behind the client when speaking (C) speak in a loud and slow manner (D) look directly at the client when speaking - Ans - (D) look directly at the client when speaking Which of the following stages of dying is usually the final stage? (A) Anger (B) Acceptance (C) Bargaining (D) Depression - Ans - (B) Acceptance If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond? (A) Reply, "God doesn't punish people." (B) Listen quietly (C) Ignore the client (D) Make jokes - Ans - (B) Listen quietly The role of the ombudsman is to:
(A) run a group of nursing homes (B) work with the nursing home to protect clients' rights (C) control the nursing home budget (D) prepare classes that nurse aides take to learn about client hygiene - Ans - (B) work with the nursing home to protect clients' rights A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD: (A) help the client understand the nurse aide's faith (B) tell the client that it is important for the client to join some church, even if it is not the nurse aide's church (C) respect the client's beliefs and avoid starting religious discussions (D) arrange to have the nurse aide's clergyman visit the client - Ans - (C) respect the client's beliefs and avoid starting religious discussions The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide SHOULD: (A) open the mail and leave it on the client's table (B) open the mail and read it to the client (C) read the mail to make sure it doesn't contain upsetting news (D) give the client the unopened mail and offer help as needed - Ans - (D) give the client the unopened mail and offer help as needed Which of the following is a correct measurement of urinary output? (A) 40 oz (B) 300 cc or 300ml (C) 2 cups (D) 1 quart - Ans - (B) 300 cc or 300ml
In giving care according to the client's Bill of Rights, the nurse aide SHOULD: (A) provide privacy during the client's personal care (B) open the client's mail without permission (C) use the client's personal possessions for another client (D) prevent the client from complaining about care - Ans - (A) provide privacy during the client's personal care The LAST sense a dying client will lose is: (A) smell (B) hearing (C) taste (D) sight - Ans - (B) hearing The normal aging process is BEST defined as the time when: (A) people become dependent and childlike (B) Alzheimer's disease begins (C) normal body functions and senses decline (D) people are over sixty-five years of age - Ans - (C) normal body functions and senses decline If a client is confused, the nurse aide should: (A) ignore the client until he starts to make sense (B) restrain the client so that he does not hurt himself (C) keep the client away from other clients (D) help the client to recognize familiar things and people - Ans - (D) help the client to recognize familiar things and people What is the process of restoring a disabled client to the highest level of functioning possible?
(A) Responsibility (B) Retention (C) Rehabilitation (D) Reincarnation - Ans - (C) Rehabilitation Clean bed linen placed in a client's room but NOT used should be: (A) returned to the linen closet (B) used for a client in the next room (C) taken to the nurse in charge (D) put in the dirty linen container - Ans - (D) put in the dirty linen container The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is: (A) help the client into a sitting position (B) call for assistance from the nurse in charge (C) offer the client a drink of water (D) check for signs of injury - Ans - (B) call for assistance from the nurse in charge Clients have the right to: (A) smoke in any area of the facility (B) have access to a telephone (C) go anywhere in the facility (D) see other clients' medical reports - Ans - (B) have access to a telephone Proper use of a waist restraint requires that the nurse aide: (A) release the restraint every four hours (B) watch for skin irritation
(D) after a good night's sleep - Ans - (C) at the same time of day each time they are weighed A safety device used to assist a DEPENDENT client from a bed to a chair is called a: (A) posey vest (B) hand roll (C) transfer/gait belt (D) foot board - Ans - (C) transfer/gait belt If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST: (A) wear the same gown to care for all other assigned clients (B) leave the gown untied (C) take the gown off before leaving the client's room (D) take the gown off in the dirty utility room - Ans - (C) take the gown off before leaving the client's room When making an occupied bed, for a resident that has side rails ordered the nurse aide SHOULD: (A) put the dirty sheets on the floor (B) help the client to sit in a chair while the bed is being made (C) lower both side rails before changing the sheets (D) raise side rail on unattended side as ordered - Ans - (D) raise side rail on unattended side as ordered The nurse aide enters a client's room, and the client states that he has pain. What should the nurse aide do? (A) Report it to the nurse in charge (B) Tell the client to get out of bed for awhile (C) Tell the client that the pain will go away soon
(D) Ignore the client's statement - Ans - (A) Report it to the nurse in charge A client is upset and crying over the recent death of her husband. How should the nurse aide respond? (A) Tell her not to cry because it will make her feel sad (B) Close the door and leave the client to cry alone (C) Take the client to an activity to help her forget her husband (D) Sit with the client and allow her to talk about her feelings - Ans - (D) Sit with the client and allow her to talk about her feelings Which temperature is considered MOST accurate? (A) Oral (B) Axillary (C) Groin (D) Rectal - Ans - (D) Rectal What is a beginning sign of a pressure sore? (A) Swelling (B) Numbness (C) Discoloration (D) Coolness - Ans - (C) Discoloration While assisting a client with denture care the nurse aide observes that the upper plate is cracked. The nurse aide SHOULD: (A) clean the dentures and return them to the client's mouth (B) call the client's family (C) call the dentist and make an appointment
When recording, you should do the following EXCEPT a. Write neatly b. Use correct spelling, grammar, and punctuation c. To save time, chart a procedure before completing it d. Record only what you did yourself - Ans - c. To save time, chart a procedure before completing it Encephalo- means a. Heart b. Brain c. Vein d. Vessel - Ans - b. Brain The goal of care planning is to a. Collect information about the person b. Do assessments c. Complete the required paperwork d. Provide effective care - Ans - d. Provide effective care The study of the aging process is a. Geriatrics b. Gerontology c. Presbyopia d. Menopause - Ans - b. Gerontology Older persons are at risk for foreign-body airway
obstruction (FBAO) for the following reasons EXCEPT a. Dysphagia b. Osteoporosis c. Poorly fitting dentures d. Chronic illnesses - Ans - b. Osteoporosis A person is choking. The person is conscious and can cough. Which action is needed? a. Abdominal thrusts b. Cardiopulmonary resuscitation c. Encouraging the person to cough forcefully d. Defibrillation - Ans - c. Encouraging the person to cough forcefully You need to transfer a patient using a transfer/gait belt. Which is correct? a. The belt is always applied over clothing. b. The belt is applied over the person's chest. c. The buckle is positioned over the person's spine. d. The excess strap is left dangling. - Ans - a. The belt is always applied over clothing. Restraints are used a. When the nurse thinks they are needed b. To discipline a person c. When other measures fail to protect the person and they have physician orders for restraints d. For staff convenience - Ans - c. When other measures fail to protect the person and they have physician orders for restraints Unnecessary restraint is a. False imprisonment