Professional Documents
Culture Documents
Questions
1.
A.
B.
C.
D.
The correct answer is A. Standing behind him and using a transfer belt protects both the client and the aide.
2.
A.
B.
an inability to urinate.
C.
Incontinence.
D.
The correct answer is B. Urinary retention refers to an inability to urinate. Retention of urine is a symptom that
should be reported to the charge nurse as soon as it is noted.
3.
A.
high-pitched sounds.
B.
loud sounds.
C.
all sounds.
D.
rapid speech.
The correct answer is A. Because of this aspect of hearing loss, the aged hear well if you lower your voice.
Shouting in a high-pitched voice does not help.
4.
A.
B.
C.
D.
The correct answer is D. A confused patient may answer to any name or lie down in any bed.
5.
Mrs. Jones is on a bowel and bladder training program. She has not had a bowel movement for three days.
B.
C.
D.
Increase fluids.
The correct answer is A. The nurse aide should report it to the charge nurse. Nurse aides cannot order a procedure
or increase fluids. Anything unusual must be reported to the nurse in charge.
6.
A.
p.c.
B.
b.i.d.
C.
a.c.
D.
t.i.d.
The correct answer is C. The proper medical abbreviation for before meals is a.c.
7.
A.
diabetes.
B.
hypertension.
C.
hypotension.
D.
CVA.
The correct answer is B. The proper medical term for high blood pressure is hypertension.
8.
A patient who has difficulty chewing or swallowing will need what type of diet?
A.
clear liquid
B.
low residue
C.
bland
D.
mechanical soft
The correct answer is D. A mechanical soft diet is easy to chew, swallow, and digest.
9.
Mrs Smith is an 81-year-old resident with Alzheimers disease and cannot find her room. What should the
B.
C.
D.
The correct answer is C. Helping her locate her room on her own would make Ms. Lee feel better about herself.
10.
A.
B.
twice a day
C.
D.
every 12 hours
The correct answer is A. Input and output are totaled once per shift as well as every 24 hours.
11.
Which of the following should you observe and record when admitting a client?
A.
B.
C.
D.
insurance information
The correct answer is C. Failure to notice bruises or marks on the skin on admission may later cause someone to
believe you were involved in abuse.
12.
A.
B.
C.
give your name and position and say, May I help you?
D.
The correct answer is C. When responding to a patient on the intercom, you should give your name and position.
13.
Which of the following things should you do to familiarize a new client with his or her surroundings?
A.
Show the client where the call light is and how to work it.
B.
C.
Ask visitors to leave the room while you finish admitting the client.
D.
Raise the side rails of the bed and raise the bed to high position.
The correct answer is A. You should never leave a new admit until the patient knows how to call for help.
14.
When arranging a patients room, you should do all of the following EXCEPT
A.
B.
C.
administer medications.
D.
check lighting.
The correct answer is C. Nursing assistants are never allowed to give medications.
15.
When assisting a client in and out of bed, the nurse aide should always
A.
B.
C.
pull the clients feet out first, and then lift the back up.
D.
The correct answer is A. You should always use good body mechanics when moving patients.
16.
It is important to reposition a patient during an eight-hour shift. How often should he or she be turned?
A.
q2h
B.
q4h
C.
q1h
D.
q1d
The correct answer is A. It is necessary to turn the patient q2h to prevent pressure ulcers.
17.
Which 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.
The correct answer is C. You should not bring the tray into the room until you have time to feed.
18.
The most serious problem that wrinkles in the bedclothes can cause is
A.
restlessness.
B.
sleeplessness.
C.
decubitus ulcers.
D.
The correct answer is C. The most serious problem that wrinkles in the bedclothes can cause patients is decubitus
ulcers, or decubiti.
19.
A.
B.
as soon as possible.
C.
D.
twice a week.
The correct answer is B. Restorative care begins as soon as possible to prevent further complications.
20.
You are told to put a client in Fowlers position. Before changing the position of the clients bed, you should
A.
B.
C.
D.
During hand washing, you accidentally touch 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.
D.
The correct answer is C. You have contaminated your hands and must start over.
22.
You are going on a job interview. How should you prepare to dress?
A.
B.
C.
D.
The correct answer is C. Your appearance is important. You should wear business attire.
23.
Mr. Brown, a newly admitted conscious client, has been put to bed. Before leaving him alone, the first action
would be to
A.
B.
C.
D.
The correct answer is D. Always make sure new patients can call for help.
24.
When lifting a heavy object, the correct method would be to bend at the
A.
B.
C.
D.
The correct answer is C. Keeping your back straight forces you to use your strong leg muscles.
25.
At what time(s) during a shift should a nurse aide wash his or her hands?
A.
before eating
B.
C.
D.
The correct answer is D. Frequent hand washing is the first line to prevent the spread of infection.
26.
When assisting a client with eating, one of the first things the nurse aide should do is
A.
B.
C.
D.
A patient has a new cast on his right arm. While caring for him, it is important to first observe for
A.
B.
C.
D.
The correct answer is C. A new cast may cut off circulation. This is the only choice that reminds you to check for
circulatory impairment.
28.
Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding
is
A.
B.
C.
D.
The correct answer is C. Rehabilitation should always be part of the care plan.
29.
A.
keep the bed rails 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 him from becoming upset.
D.
Before assisting a client into a wheelchair, the first action would be to check if the
A.
B.
floor is slippery.
C.
D.
The correct answer is D. Before assisting a patient into a wheelchair, check to see if the wheels of the chair are
locked.
31.
You are transferring a resident from the bed to the wheelchair. The patient has a weak left side. You should
stand
A.
B.
C.
D.
The correct answer is C. You must assist the patient from the weak side.
32.
While making rounds at 4:00am, a nurse aide finds a patient lying on the floor. What should she or he do
first?
A.
Call 911/000.
B.
Perform CPR.
C.
D.
The correct answer is D. Always check for vital signs; the patient may have fainted.
33.
A.
B.
C.
D.
The correct answer is A. You must stay behind the chair to control it, but it should go on and come off an elevator
backward to prevent the wheels from falling into the door opening.
34.
The Foley bag must be kept lower than the clients bladder so that
A.
B.
C.
the bag will be hidden and the client will not be embarrassed.
D.
The correct answer is B. Raising the bag above the bladder level can lead to backflow of the urine, with its bacteria,
into the bladder.
35.
Mr Jones is a diabetic. For his afternoon tea, the kitchen has sent a carton of chocolate ice cream. Your first
action should be to
A.
B.
C.
D.
A.
B.
C.
D.
Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be
B.
C.
giving backrubs.
D.
The correct answer is A. The patient must be positioned every two hours to prevent skin breakdown due to poor
circulation.
38.
A.
B.
C.
D.
The correct answer is C. The purpose of cold applications is usually to prevent or reduce swelling.
39.
A.
B.
C.
D.
The correct answer is A. A hot water bottle applied by itself is dry heat.
40.
A.
B.
C.
D.
in a semi-sitting position.
The correct answer is B. Placing the patient on the left side allows better entry into the colon.
41.
A female clients perineal area should be cleansed before which specimen is collected?
A.
B.
C.
D.
The correct answer is B. The clean-catch specimen requires cleaning the perineum.
42.
A.
carotid artery.
B.
femoral artery.
C.
brachial artery.
D.
radial artery.
The correct answer is D. The other sites are rarely used by the nursing assistant.
43.
A.
B.
C.
D.
have the client count respirations while you take her pulse.
The correct answer is B. Telling the patient you are watching her breathing will cause her to change her breathing
pattern slightly.
44.
With catheterized patients, which of the following is NOT the nurse aides responsibility?
A.
B.
preventing infection
C.
D.
recording output
The correct answer is A. A nurse aide is responsible for the other options, but he or she never inserts a catheter.
45.
When giving information to the charge nurse for an incident report, you should
A.
B.
C.
D.
The correct answer is C. An incident report becomes a permanent part of the legal record. Make sure the facts are
clear.
46.
All long-term-care nurse aides must be competency evaluated and must complete a distinct educational
OBRA.
B.
OSHA.
C.
CDC.
D.
FDA.
The correct answer is A. OBRA stands for the Omnibus Budget and Reform Act.
47.
A.
B.
C.
D.
explain the location of food on the plate, using the face of the clock to assist.
The correct answer is B. Never rearrange the furniture in a blind patients room after the patient settles into it. This
can cause falls.
48.
A.
B.
C.
D.
The correct answer is D. The family members should expect and be allowed private time during visits.
49.
A new resident asks you, If I need help or get sick during the night, who is going to be here? You should
say,
A.
B.
C.
D.
The correct answer is D. Telling the patient that someone is always there will make him feel safe. Explaining how to
use the call system will also help patients feel safe.
50.
A.
B.
C.
D.
The correct answer is D. All of the choices given are rights of the resident.
51.
Mrs. Wilkes often cries while she is receiving her P.M. care. What should you do?
A.
B.
C.
D.
Tell her that its all right to cry and youre there for her if she wants to talk.
The correct answer is D. It is normal for a person to have moments of sadness, and it is important for the patient to
know you care.
52.
A.
B.
C.
D.
The correct answer is D. Dentures are very expensiveholding firmly and using cool water prevents them from
warping, and padding the sink will prevent breakage if dropped.
53.
A.
B.
C.
D.
The correct answer is C. As long-term-care providers, nursing assistants must respect the residents right to
sexuality. However, engaging in public fondling is inappropriate and may infringe upon other residents rights.
54.
Mrs. Wilkes is scheduled for a partial bed bath. This means you must wash her
A.
B.
C.
D.
The correct answer is D. Partial bed bath is generally given before breakfast because of incontinence. You want the
patient to feel comfortable and clean.
55.
A goal for an extended care facility (ECF) resident is that she not swear at the nurses or aides. When she
calls you by your name instead of swearing at you, your appropriate action is to
A.
B.
C.
D.
The correct answer is A. You want to positively reinforce the residents appropriate behavior, so smiling and
rewarding her good behavior is the best action.
56.
An agitated resident must be turned every two hours all night long. The first action of the nurse aide when
B.
C.
D.
The correct answer is B. Do not startle the resident, as this may agitate her. Speak as you enter the room.
57.
If a client objects to a certain food for religious or cultural reasons, the appropriate action would be to
A.
B.
C.
D.
The correct answer is B. Consideration of cultural or religious beliefs is important to all patients.
58.
A clients religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is
to
A.
B.
tell the client it is all right because her doctor ordered the diet.
C.
D.
tell the client that restrictions are not as important as her health.
The correct answer is C. The other answers do not address the residents right to practice her religion.
59.
A.
written
B.
verbal
C.
silent
D.
tactile
The correct answer is C. Listening to someone shows that you are very interested in what he or she is saying.
60.
Your patient refuses to let you bathe her. You tell her that if she doesnt let you wash her, she will not get
discipline.
B.
verbal abuse.
C.
mental abuse.
D.
physical abuse.