Progressive Care RN CNA Exam 2

A patient's daughter wants to help with mother's care. What should the nurse aide tell her in regards to her mother? A. cannot help because it is against facility policy B. must be bathed only by the nursing staff C. can do whatever she wants to do D. can do whatever the nurse supervisor allows - D. can do whatever the nurse supervisor allows A goal for an aggressive resident is that she will not swear at the staff. When the nurse aide is called by their name, the appropriate response is to: A. smile and give an appropriate response B. continue whatever task that is being done C. tease the patient about not swearing D. tell all the staff that the patient did not swear - A. smile and give an appropriate response A developmental task of the older patient is: A. selecting an appropriate career B. coping with the loss of friends C. becoming a model citizen for the community D. coping with the death of a parent - C. becoming a model citizen for the community An 85 year old patient tells you that her mom is coming to visit. Your best response would be: A. "That's impossible. Your mother can't come to see you." B. "That's nice, when is the visit?" C. "Tell me, how old is your mother?" D. "Are you wishing you could see your mother?" - D. "Are you wishing you could see your mother?" A patient hits you during lunch. The appropriate response is to: A. call the nurse supervisor B. leave and feed another patient C. continue to feed the patient D. restrain the patient - A. call the nurse supervisor A patient with Alzheimer's disease is confused and does not know what her name is. She asks the nursing assistant what her name is. The nursing assistant should: A. tell resident to look on her identification band B. ask the patient to sit down and try to remember her name C. mention resident's name to her D. tell the patient to ask someone else - C. mention resident's name to her The patient tells the nurse aide that there are ants on her bed. The nurse aide is aware that the patient is confused. She should: A. check the bed, reassure the resident and then report to the nurse supervisor B. ask the patient to go to bed and forget about the ants because they are not real C. ignore the patient and continue with your work D. change the bed linen and tell the resident that the ants are all gone - A. check the bed, reassure the resident and then report to the nurse supervisor A resident tells the nurse aide, "I am feeling sad today." The nurse aide responds by saying, "You are feeling sad today." What communication technique did she use? A. active listening B. clarification C. silence D. reflection - A. active listening In caring for a confused patient, it is important to remember to: A. use simple words during communication B. close the door to the room so he does not disturb other patients C. keep the room darkened to decrease confusion D. remind him that he is confused and should be quiet - A. use simple words during communication A resident is recovering from a stroke and is able to give herself a partial bath. What would you do to assist in maintaining the resident's independence? A. assist with set up, encourage and assist as needed B. give a complete bed bath to save time C. tell resident that she needs to go to rehabilitation for help with bathing D. assist with set up and leave the room to provide privacy - A. assist with set up, encourage and assist as needed A patient needs to go to activities, but you cannot transfer the patient unassisted. Which piece of equipment would you need to transfer the patient, one cannot transfer alone? A. Hoyer lift B. cane C. walker D. splint - A. Hoyer lift As you are transferring a resident, the resident becomes weak and starts to fall. You should first: A. hold the resident's transfer belt so the patient does not fall to the floor B. reach for the call signal and request assistance from the nurse supervisor C. grasp the transfer belt and lower the patient to the floor along your bent leg D. hold the resident tightly and lean backwards towards the wall so the resident doesn't fall - C. grasp the transfer belt and lower the patient to the floor along your bent leg When assisting a patient in learning to use a walker, it is important to: A. stand behind resident and use a transfer belt B. put padding all the way around the top rim of the walker C. walk by himself to gain confidence D. let resident practice using the walker on the day to be discharged - A. stand behind resident and use a transfer belt A resident's hands shake during meals. What device will be needed to assist with eating? A. weighted utensils B. plastic utensils C. a shortened fork D. wooden utensils - A. weighted utensils A resident has painful arthritic hands and she complains that her hands hurt her. She finds it hard to button her shirt. How would the nurse aide help make decisions about picking out clothing to wear? A. assist in picking clothing with big buttons B. tell resident not to worry because someone can button or zip things for her C. encourage resident to buy new clothes D. tell resident to wear hospital gowns since they have no buttons - B. tell resident not to worry because someone can button or zip things for her Placing a resident in good alignment means you should: A. position resident based on his preference B. keep resident as straight as possible C. keep resident sitting most of the day D. make sure he stands at least once per day - B. keep resident as straight as possible A patient in traction should: A. be turned and repositioned as ordered B. not be turned or repositioned in bed C. remain supine at all times during the day D. always be log-rolled when being turned - A. be turned and repositioned as ordered After positioning a dependent patient in a chair, it is important to: A. examine the patient's pillow behind his head B. attach the call signal to the bed frame C. tell resident you will check on them in a couple of hours D. check the position of the non-functioning limbs - D. check the position of the non-functioning limbs Active ROM (range-of-motion) means: A. the patient can perform range of motion exercises alone B. the physical therapist performs range of motion exercises for the patient C. the nurse aide does the range of motion exercises for the patient D. no extra exercises are needed for the patient because he is ambulatory - A. the patient can perform range of motion exercises alone Correct ROM (range-of-motion) for the neck includes: A. flexion, extension, hyperextension, and rotation B. rotation, abduction, flexion, and extension C. pronation, abduction, and extension D. pronation and flexion - A. flexion, extension, hyperextension, and rotation A resident is on a bladder and bowel training program. She needs to be taken to the bathroom before and after meals, and before going to bed. The resident needs to go more frequently than scheduled and rings the bell for assistance. What does the nurse aide do? A. ignore the bell because the resident is just seeking attention B. take resident anyway and inform the nurse supervisor C. it is not quite time based on her schedule D. encourage resident to urinate in her incontinence pads between times - B. take resident anyway and inform the nurse supervisor A resident is on a bowel and bladder training program. She wants to go before her scheduled time. The nurse aide should: A. toilet her B. ignore her request C. take her when she has time D. tell her to wait a while - A. toilet her The goal of bladder training is to: A. remove the Foley catheter B. allow the resident to walk to the bathroom C. gain voluntary control of urination D. collect a urine specimen daily for sugar checks - C. gain voluntary control of urination An in-dwelling catheter should be: A. kept below the level of the bladder B. on the floor C. coiled around the wheelchair D. taped to the ankle - A. kept below the level of the bladder Dentures should be cleaned: A. about once a week B. as frequently as natural teeth C. in very hot water D. with soap and water - B. as frequently as natural teeth A cane should be used on: A. the affected side (weak side) of the body B. the unaffected side (strong side) of the body C. the side with the strongest arm D. the weak side one day and the strong the next - B. the unaffected side (strong side) of the body A walker may be used if the patient can: A. support some weight B. use her hands C. balance without help D. walk independently - A. support some weight When using a cane or walker, the patient's elbows must be: A. bent at a 25 degree angle B. bent at a 15 degree angle C. bent at a 45 degree angle D. kept straight - B. bent at a 15 degree angle An example of using body language while communicating is: A. using gestures and facial expressions B. writing the message on paper C. sharing your feelings and concerns D. offering your advice and opinion - A. using gestures and facial expressions The nurse aide nods her head and smiles while she sits with the patient. This type of nonverbal communication best demonstrates: A. encouragement for the patient to continue talking B. displeasure at having to listen to the patient C. support for the terminally ill patient D. lack of work available for the nurse aide to do - A. encouragement for the patient to continue talking The accepted way to identify a patient is to: A. check the bed name and number of the patient B. check the identity band on the patient's arm C. ask the patient to state name and room number D. call the resident by name to see if resident responds - B. check the identity band on the patient's arm When you are unable to work due to illness, you should: A. arrange for someone to cover for you B. call the facility as soon as possible C. call your nurse supervisor an hour before your scheduled time D. notify the facility at least 30 minutes before your scheduled time - B. call the facility as soon as possible