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Questions and correct answers with rationales
A resident with venous stasis has developed pressure sores under elastic stockings. What is the most likely
cause?
Wrinkles in the elastic stockings.
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The resident is allergic to the elastic.
The elastic stockings are the wrong treatment and should be removed.
The resident has been scratching their legs. - Correct Answer :The correct answer is:
Wrinkles in the elastic stockings.
Explanation:
Wrinkles in stockings or bed sheets are a common cause of pressure sores. While the other options may cause
different symptoms, pressure sores develop when there is an article pressing against the body for a period of
time.
To avoid pulling the catheter when turning a patient, the catheter tube should be taped to the patient's:
Knee
Upper thigh
Bed frame
Outer thigh - Correct Answer :The correct answer is:
Upper thigh
Explanation:
Taping the catheter to the upper thigh can help prevent inadvertent removal and physical trauma. Taping it to
the outer thigh, bed frame, or knee can cause pulling and removal when you are turning a patient.
Which of the following is the standard for measuring urinary output?
ounces
liters
cups
mililiters - Correct Answer :The correct answer is:
mililiters
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Explanation:
Urinary output is measured in milliliters (ml). Some facilities may still use cubic centimeters (cc), which are
volumetrically equivalent to milliliters. However, the use of cubic centimeters is not considered best practice due
to the abbreviation "cc" often being confused for the abbreviation "u" (meaning units). The other answers are
not the correct standard of measure for this type of output.
Which of the following is the best advice if you are uncertain you are able to move an obese patient on your own
when it is time for their scheduled re-positioning?
Ask another nursing aide to help.
Ask the family members to assist you.
Try to move the client alone.
Give the patient something sturdy to grab onto and encourage him move to himself - Correct Answer :The
correct answer is:
Ask another nursing aide to help.
Explanation:
Always ask another nursing aide to help if a resident is too heavy and you are not sure if you can manage on your
own. You do not want to risk injury to the patient or yourself. The same applies to family members. The patient is
not able to move himself/herself, so this option is not appropriate in this scenario.
Which of the following best describes the purpose of padded side rails?
To protect a resident from injury
To keep a resident in the proper temperature
To prevent skin breakdown
To use them as a restraint - Correct Answer :The correct answer is:
To protect a resident from injury
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Explanation:
Padded side rails are to protect the resident from injury. The other answers are incorrect.
A CNA is recording the 24-hour urine output of a patient with kidney issues. What 24-hour urine value would
warrant a report to the nurse?
800 cc
600 cc
1900 cc
1400 cc - Correct Answer :The correct answer is:
600 cc
Explanation:
The normal 24-hour urine output for a patient should between 800 and 2000 cc a day. 600 cc of urine in 24
hours could indicate a complication and should be reported.
A resident drinks 8 ounces of milk during lunch, but the standard measurement of documentation in the facility
is cubic centimeters (cc). What value would the nursing assistant record?
120 cc
360 cc
8 cc
240 cc - Correct Answer :The correct answer is:
240 cc
Explanation:
There are approximately 30 cc in every ounce, so 8 ounces is equal to approximately 240 cc of fluid.
You are caring for a patient with a strict dysphagia diet. Which item on the patient's tray would you question?
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