correct answers
"Sundowning" is a term used to describe when residents
A. take short naps throughout the day
B. show signs of Alzheimer's at a younger age
C. prefer to go to bed earlier in the evening
D. become restless and agitated late in the day - CORRECT ANSWER-D
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nu rse aide do?
A. consider if the task can be performed another way
B. provide the care and perform the task as best as possible
C. contact the ombudsman's office since resident's rights may be violated
D. refuse to perform the task and explain it is not within the nurse's aide role - CORRECT ANSWER-D
A CNA enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
A. leave the room and close the door to allow privacy
B. consider if this is normal behavior for this couple
C. report the observation to the charge nurse immediately
D. tell the wife that she must leave the facility for the day - CORRECT ANSWER-C
A CNA enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first?
A, Use the resident's pitcher of water to put out the fire
B. Open the window to get the smoke out of the room
C. Yell "fire!" along with the room number
D. Remove the resident from the room - CORRECT ANSWER-D
A CNA is asked to provide post-mortem care to a resident who died of natural causes. Which of the following is the most appropriate practice to follow when providing
post-mortem care?
A. wear gloves, a mask and gown when providing care
B. use strict isolation precautions throughout care
C. wash hands and wear gloves throughout care
D. double bag all items removed from the room - CORRECT ANSWER-C
A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, "I had an accident. I wet myself. " What should the nurse aide do?
A. Explain that the next shift will assist the resident in a short time
B. Remove any wet clothing and place the resident on a dry underpad
C. Ask if the resident feels very uncomfortable
D. Provide incontinent care to the resident - CORRECT ANSWER-D
A nurse aide finds a resident who has a history of falls lying on the floor in the resident's room. The resident is crying and says, "I fell again." What should the nurse aide
do first?
A. call for help while keeping the resident calm
B. check for injuries while asking how the resident fell
C. place a pillow under the resident's head and cover with a blanket
D. consider if the resident is trying to get attention - CORRECT ANSWER-A
A nurse aide hears another staff member yelling and cursing at a resident. This is an exam ple of
A. resident neglect
B. resident abuse
C. nurse aide carelessness
D. nurse aide non-compliance - CORRECT ANSWER-B
A nurse aide hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. Th nurse aide should also
A. call the police immediately
B. ask if the nurse is feeling stressed about something
C. report the situation to the charge nurse's supervisor
D. ask if any other staff have ever observed this behavior - CORRECT ANSWER-C
, A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless a nd is pacing a lot. The resident is also
observed rubbing his stomach. The nurse aide should report this change to the nurse and
A. ask the resident when he had his last bowel movement
B. check if the resident is hungry or needs to go to the bathroom
C. try to keep the resident close to observe the resident throughout the shift
D. allow the resident to move around as long as he does not harm other residents - CORRECT ANSWER-B
A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has
been called. The next action by the nurse aide should be to
A. guide the resident form the chair to the floor
B. remove the other resident's away from the table
C. try to open the resident's mouth to check for food
D. keep the resident in the chair by holding around the resident's waist - CORRECT ANSWER-A
A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the fo llowing is the most appropriate response by
the nurse aide?
A. Ask another nurse aide to trade assignments
B. Provide the care since the resident cannot be harmed
C. Talk to other nurse aides about how to perform the procedure
D. Discuss the nurse aide's lack of experience with the nurse - CORRECT ANSWER-D
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first?
A. Try to get the resident to take a few sips of water through a straw
B. Reach around from behind the resident to provide abdominal thrusts
C. Pat the resident's back and then reach in his mouth to remove the blockage
D. Ask the resident to take a deep breath and cough - CORRECT ANSWER-B
A nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath?
A. keep the bed in the lowest position throughout bathing
B. keep the resident's body covered during the bath
C. open the window for fresh air during the bath
D. add a lot of soap to the water in the basin - CORRECT ANSWER-B
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should
A. hold the gait belt tighter and ask the resident to rest for a minute
B. suggest the resident lean on the nurse aide for more support
C. guide the resident over to the handrail and ask to hold
D. ease the resident to the floor if a chair is not available - CORRECT ANSWER-D
A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to
A. return the resident to bed
B. provide the resident with a cane
C. tell the nurse the resident is having foot pain
D. remove the resident's shoe and inspect the foot - CORRECT ANSWER-D
A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, "I fell down and I cannot move my arm." What should be the nurse aide's
next action?
A. Help the resident to a sitting position on the floor
B. ask the resident to stay still while the nurse aide calls for help
C. ask the resident to describe the pain and how the fall happened
D. support the injured arm by placing a pillow under the arm and shoulder - CORRECT ANSWER-B
A nurse aides who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex.
What should the nurse aide do?
A. Check on the residents every few minutes
B. report the residents' behavior to the charge nurse
C. ask the nurse if the residents should be medicated
D. tell the residents that sex is not allowed in the nursing home - CORRECT ANSWER-B
A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should
the nurse aide do next?
A. get the emergency cart
B. turn the resident onto her side
C. check if the resident is able to talk
D. help the resident back into the chair - CORRECT ANSWER-B
A resident has a contracture of the right arm. When putting on the resident's button-front shirt, the nurse aide should...
A. put the shirt sleeve on the left arm first, then the right arm
B. ask which arm the resident prefers the sleeve to go on first
C. put the shirt sleeve on the right arm first, then the left arm
D. raise the resident's arms up to slide both sleeves on at the same time - CORRECT ANSWER-C
A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the c atheter and the urinary drainage bag while
the resident is in bed?
A. hang the urinary drainage bag higher than the level of the resident's bladder
B. use the measurements on the drainage bag to measure urine output
C. raise the bed to the highest position for better urine drainage
D. wear gloves when emptying the urinary drainage bag - CORRECT ANSWER-D
A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag?
A. On the floor directly next to the wheelchair, positioned well below the resident's bladder
B. Tucked at the resident's side on the seat of the chair to keep the drainage bag level with the resident's bladder
C. Hung from back of the wheelchair so that it is out of the resident's view and above the bladder
D. Attached to the seat of the wheelchair, positioned below the level of the resident's bladder - CORRECT ANSWER-D
A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide?