Before touching a resident who is crying to offer comfort, the nurse aide should consider

  • 1. 

    A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying that she can't find her baby. The nurse aide should:

    • A. 

      Ask the resident where she last had her doll.

    • B. 

      Ask the activity department if they have any other doll.

    • C. 

      Offer comfort to the resident and help her look for her baby.

    • D. 

      Let the other staff know the resident is very confused and should be watched closely.

  • 2. 

    A nurse aide is asked to change a urinary bag attached to an indwelling urinary catheter. The nurse aide has never done this before. The best response by the nurse aide is to:

    • A. 

      Change the indwelling catheter at the same time.

    • B. 

      Ask another nurse aide to change the urinary drainage bag.

    • C. 

      Change the bag asking for help only if the nurse aide has problems.

    • D. 

      Ask a nurse to watch the nurse aide change the bag since it is the first time.

  • 3. 

    Before feeding a resident, which of the following is the

    best

    reason to wash the resident's hands?

    • A. 

      The resident may still touch his/her mouth or food.

    • B. 

      It reduces the risk of spreading airborne diseases.

    • C. 

      It improves resident morale and appetite.

    • D. 

      The resident needs to keep meal routines.

  • 4. 

    Which of the following is a job task performed by the nurse aide?

    • A. 

      Participating in resident care planning conferences.

    • B. 

      Taking a telephone order from a physician.

    • C. 

      Giving medications to assigned residents.

    • D. 

      Changing sterile wound dressings.

  • 5. 

    Which of the following statements is true about range of motion (ROM) exercise?

    • A. 

      Done just once a day

    • B. 

      Help prevent strokes and paralysis

    • C. 

      Require at least ten repetitions of each exercise

    • D. 

      Are often performed during ADL's such as bathing or dressing

  • 6. 

    While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should:

    • A. 

      Put the hair brush away and out of sight.

    • B. 

      Give the resident the hair brush to hold.

    • C. 

      Try to dress the resident more quickly.

    • D. 

      Restrain the resident's hand.

  • 7. 

    A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to:

    • A. 

      Ask the resident to take deep breaths.

    • B. 

      Take the resident's vital signs.

    • C. 

      Raise the head of the bed.

    • D. 

      Elevate the resident's feet.

  • 8. 

    A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on:

    • A. 

      Helping the resident through the stages of grief.

    • B. 

      Providing for the resident's comfort.

    • C. 

      Keeping the resident's care routine, such as for bathing.

    • D. 

      Giving the resident a lot of quite time and privacy.

  • 9. 

    While giving a bed bath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should:

    • A. 

      Wait a few minutes to see if the alarm stops.

    • B. 

      Report the alarm to the charge nurse immediately.

    • C. 

      Make the resident being bathed safe and go check the door right away.

    • D. 

      Stop the bedbath and go check on the location of all assigned residents.

  • 10. 

    Gloves should be worn for which of the following procedures?

    • A. 

      Emptying a urinary drainage bag

    • B. 

      Brushing a resident's hair

    • C. 

      Ambulating a resident

    • D. 

      Feeding a resident

  • 11. 

    When walking a resident, a gait or transfer belt is often:

    • A. 

      Worn around the nurse aide's waist for back support.

    • B. 

      Used to keep the resident positioned properly in the wheelchair.

    • C. 

      Used to help stand the resident, and then removed before walking.

    • D. 

      Put around the resident's waist to provide a way to hold onto the resident.

  • 12. 

    Which of the following statements is true about residents who are restrained?

    • A. 

      They are at a greater risk of developing pressure sores.

    • B. 

      They are at lower risk of developing pneumonia.

    • C. 

      Their posture and alignment are improved.

    • D. 

      They are not at risk of falling.

  • 13. 

    A resident has diabetes. Which of the following is a common sign of low blood sugar?

    • A. 

      Fever

    • B. 

      Shakiness

    • C. 

      Thirst

    • D. 

      Vomiting

  • 14. 

    When providing foot care to a resident it is important for the nurse aide to:

    • A. 

      Remove calluses and corns.

    • B. 

      Check the feet for skin breakdown.

    • C. 

      Keep the water cool to prevent burns.

    • D. 

      Apply lotion, including between the toes.

  • 15. 

    When feeding a resident, frequent coughing can be a sign that the resident is:

    • A. 

      Choking.

    • B. 

      Getting full.

    • C. 

      Needs to drink more fluids.

    • D. 

      Having difficulty swallowing.

  • 16. 

    When a person is admitted to the nursing home, the nurse aide should expect that the resident will:

    • A. 

      Have problems related to incontinence.

    • B. 

      Require a lot of assistance with personal care.

    • C. 

      Experience a sense of loss related to the life change.

    • D. 

      Adjust more quickly if admitted directly from the hospital.

  • 17. 

    A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should:

    • A. 

      Tease the resident by complimenting the resident's sense of style.

    • B. 

      Ask if the resident realizes that the shoes do not match.

    • C. 

      Remind the resident that the nurse aide can dress the resident.

    • D. 

      Ask if the resident lost some of his shoes.

  • 18. 

    A resident's wife recently died. The resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to:

    • A. 

      Remind the resident to be thankful for the years he shared with his wife.

    • B. 

      Tell the resident that he needs to get of his room at least once a day.

    • C. 

      Understand the resident is grieving and give him chances to talk.

    • D. 

      Avoid mentioning his wife when caring for him.

  • 19. 

    When a resident refuses a bedbath, the nurse aide should:

    • A. 

      Offer the resident a bribe.

    • B. 

      Wait a while and then ask the resident again.

    • C. 

      Remind the resident that people who smell don't have friends.

    • D. 

      Tell the resident that the nursing home policy requires daily bathing.

  • 20. 

    When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to:

    • A. 

      Show the resident that the nurse aide is in control.

    • B. 

      Call for help to make sure there are witnesses.

    • C. 

      Explain that if the resident is not calm a restraint may be applied.

    • D. 

      Step back to protect self from harm while speaking in a calm manner.

  • 21. 

    During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to:

    • A. 

      Remain calm and ask what is upsetting the resident.

    • B. 

      Begin removing all the other residents from the dining room.

    • C. 

      Scold the resident and ask the resident to leave the dining room immediately.

    • D. 

      Remove the resident's plate, fork, knife, and cup so there is nothing else to throw.

  • 22. 

    Which of the following questions asked to the resident is most likely to encourage conversation? 

    • A. 

      Are you feeling tired today?

    • B. 

      Do you want to wear this outfit?

    • C. 

      What are your favorite foods?

    • D. 

      Is the water warm enough?

  • 23. 

    When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should:

    • A. 

      Use pictures and gestures

    • B. 

      Face the resident and speak softly when talking.

    • C. 

      Repeat words often if the resident does not understand.

    • D. 

      Assume when the resident nods his/her head that the message is understood.

  • 24. 

    While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to:

    • A. 

      Contact the state agency that inspects the nursing facility.

    • B. 

      Enter the room immediately to provide for the resident's safety.

    • C. 

      Wait to confront the nurse aide when he/she leaves the resident's room.

    • D. 

      Check the resident for any signs of injury after the nurse aide leaves the room.

  • 25. 

    Before touching a resident who is crying to offer comfort, the nurse aide should consider:

    • A. 

      The resident's recent vital signs.

    • B. 

      The resident's culture backround.

    • C. 

      Whether the resident has been sad recently.

    • D. 

      Whether the resident has family that visits routinely.

How does a CNA provide for a residents comfort?

To provide for the resident's comfort, the CNA should: 1) Create a positive home-like environment (Topic 14). 2) Help the resident develop trust (Topic 9). 3) Offer emotional support and work with the family (Topic 13). 4) Communicate and actively listen.

When giving a back rub the nursing assistant should?

Check the resident's back first, checking for any abnormalities, such as lesions or cuts. Apply lotion to your hands. Working in a circular motion, around the resident's spine. Perform the massage for 3-5 minutes.

Which of the following actions helps to prevent skin tears?

Most skin injuries and tears can be prevented through good nutrition and hydration, regular mobilisation, good skin hygiene and a moisturising regime.

When bathing a resident a nursing assistant should?

CNAs should wash the resident's entire body, one part at a time. The best time for a bath is usually after elimi- nation has occurred, and it can be given along with oral care and a change of bed linens. Always allow and encourage residents to wash as much of themselves as possible.