A+ CPA PRACTICE EXAM QUESTIONS AND ANSWERS
Why is it important to check the feet of a resident with diabetes at least once a
day?
To look for sores on the feet the resident may not feel
A resident with diabetes can develop a small wound on the foot that can go unnoticed.
That wound can become worse and require medical intervention, and even amputation.
That is why residents with diabetes should never walk around barefoot, as the resident
can injure the foot and not realize there is a wound. Diabetics also do not heal as well,
especially when the blood sugar is not well-controlled.
While performing range of motion exercises, the nurse aide notices that the
resident's elbow is stiff and will not bend. The nurse aide should
A.continue exercises but move onto another joint.
B.continue since stiff joints are a normal part of aging.
C.apply very gentle pressure to try to bend the elbow slightly.
D.suggest the resident see a physical therapist for the elbow.
A
A nurse aide 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.
B.Report the residents' behavior to the charge nurse.
since nurse aide is new
When moving a resident in bed, a lift or turning sheet may be used to help
prevent
A.atrophy.
,B.shearing.
C.infections.
D.contractures.
B.shearing.
Shearing occurs when the fragile skin of an elderly resident sticks to the surface while
being pulled across a sheet or bedding. Shearing causes skin tears and open wounds
on the skin. These wounds, like a paper cut, can be painful. They may also be difficult to
heal and the skin opening increases the resident's risk of infection. Preventing skin tears
is important. When a resident must be moved in bed, it is best to lift the resident with a
lift sheet or draw sheet instead of sliding or pulling against the bed linen.
A resident is being showered while sitting in a showerchair. The resident says, ""I
feel weak. I think I am going to faint." The nurse aide's immediate concerns are
calling for help and
A.making sure the water temperature is proper.
B.getting the resident back to her room right away.
C.finishing the shower quickly by washing only soiled areas.
D.keeping the resident safe and comfortable.
D.keeping the resident safe and comfortable.
Which of the following is an observation often seen when a resident is impacted?
A.Liquid feces seeping out of the anus
B.Darkening of the resident's urine
C.Many soft, formed stools
D.Bad breath odor
A.Liquid feces seeping out of the anus
The stool hardens and remains in the bowel, but does not move through the bowel.
Impaction does not allow the resident to properly evacuate their bowels. The stool
becomes lodged in the bowel, and only liquid stool or slivers of stool are able to pass
around the hardened stool. When a nurse aide observes that a resident is having liquid
stools or even small slivers of stool, or liquid stool seeping out of the anus, it is
, important to report this to the charge nurse immediately. An impaction of stool can
become a medical emergency. A resident with an impaction may also have abdominal
discomfort, nausea, and cramping.
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 from 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.
A.guide the resident from the chair to the floor.
The nurse aide should also loosen any restrictive clothing, protect the resident's head,
and push furniture out of the way. If the resident begins to vomit or is drooling, turning
the resident onto the side is important to help prevent aspiration.
A resident, who is usually alert and oriented, is having difficulty remembering
where he is today. What should the nurse aide do first?
A.Increase the resident's fluids since dehydration causes confusion.
B.Consider that some memory loss is a normal part of aging.
C.Ask where the resident believes he is.
D.Report the change to the charge nurse.
D..Report the change to the charge nurse.
This sudden confusion is called delirium, and is usually reversible once the cause is
determined and treated. For example, an infection, such as a urinary tract infection, can
cause this kind of change in mental status in a frail elderly person. While dehydration
can be a cause of delirium, it is not within the nurse aide's role to diagnose a resident or
to make decisions about treatment.
The care plan requires that the resident be ambulated 100 feet twice a day at 10
a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the
resident refuses. Which of the following is the best response by the nurse aide?
Why is it important to check the feet of a resident with diabetes at least once a
day?
To look for sores on the feet the resident may not feel
A resident with diabetes can develop a small wound on the foot that can go unnoticed.
That wound can become worse and require medical intervention, and even amputation.
That is why residents with diabetes should never walk around barefoot, as the resident
can injure the foot and not realize there is a wound. Diabetics also do not heal as well,
especially when the blood sugar is not well-controlled.
While performing range of motion exercises, the nurse aide notices that the
resident's elbow is stiff and will not bend. The nurse aide should
A.continue exercises but move onto another joint.
B.continue since stiff joints are a normal part of aging.
C.apply very gentle pressure to try to bend the elbow slightly.
D.suggest the resident see a physical therapist for the elbow.
A
A nurse aide 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.
B.Report the residents' behavior to the charge nurse.
since nurse aide is new
When moving a resident in bed, a lift or turning sheet may be used to help
prevent
A.atrophy.
,B.shearing.
C.infections.
D.contractures.
B.shearing.
Shearing occurs when the fragile skin of an elderly resident sticks to the surface while
being pulled across a sheet or bedding. Shearing causes skin tears and open wounds
on the skin. These wounds, like a paper cut, can be painful. They may also be difficult to
heal and the skin opening increases the resident's risk of infection. Preventing skin tears
is important. When a resident must be moved in bed, it is best to lift the resident with a
lift sheet or draw sheet instead of sliding or pulling against the bed linen.
A resident is being showered while sitting in a showerchair. The resident says, ""I
feel weak. I think I am going to faint." The nurse aide's immediate concerns are
calling for help and
A.making sure the water temperature is proper.
B.getting the resident back to her room right away.
C.finishing the shower quickly by washing only soiled areas.
D.keeping the resident safe and comfortable.
D.keeping the resident safe and comfortable.
Which of the following is an observation often seen when a resident is impacted?
A.Liquid feces seeping out of the anus
B.Darkening of the resident's urine
C.Many soft, formed stools
D.Bad breath odor
A.Liquid feces seeping out of the anus
The stool hardens and remains in the bowel, but does not move through the bowel.
Impaction does not allow the resident to properly evacuate their bowels. The stool
becomes lodged in the bowel, and only liquid stool or slivers of stool are able to pass
around the hardened stool. When a nurse aide observes that a resident is having liquid
stools or even small slivers of stool, or liquid stool seeping out of the anus, it is
, important to report this to the charge nurse immediately. An impaction of stool can
become a medical emergency. A resident with an impaction may also have abdominal
discomfort, nausea, and cramping.
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 from 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.
A.guide the resident from the chair to the floor.
The nurse aide should also loosen any restrictive clothing, protect the resident's head,
and push furniture out of the way. If the resident begins to vomit or is drooling, turning
the resident onto the side is important to help prevent aspiration.
A resident, who is usually alert and oriented, is having difficulty remembering
where he is today. What should the nurse aide do first?
A.Increase the resident's fluids since dehydration causes confusion.
B.Consider that some memory loss is a normal part of aging.
C.Ask where the resident believes he is.
D.Report the change to the charge nurse.
D..Report the change to the charge nurse.
This sudden confusion is called delirium, and is usually reversible once the cause is
determined and treated. For example, an infection, such as a urinary tract infection, can
cause this kind of change in mental status in a frail elderly person. While dehydration
can be a cause of delirium, it is not within the nurse aide's role to diagnose a resident or
to make decisions about treatment.
The care plan requires that the resident be ambulated 100 feet twice a day at 10
a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the
resident refuses. Which of the following is the best response by the nurse aide?
