Nurse Aide I Exam Review updated 2022

Nurse Aide I Exam Review updated 2022Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that he/she should.... Turn the client every 2 hours, and encourage coughing and deep breathing Justine (CNA) was instructed by the staff nurse to elevate the client's casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she places the casted limb.... Places the casted limb above the level of the heart A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. What observations indicates inappropriate application of the restraint by the nursing assistant? Restraint straps that are safely secured to the side rails The nurse inserts a Foley catheter to relieve a client's urinary retention. What is an inappropraite action in caring for clients with an indwelling catheter? Attaching the drainage bag to the lowest part of the siderails near the client's feet Elderly patients are prone to stomache aches and bloating. What foods are avoided since they are gas-forming and contribute to the said condition? Cauliflower, beans, cabbage, radishes, and cucumbers In preparing a client for a hot Sitz bath, the nurse assistant should check the temperate of the water. What is the ideal water temperature? Between 95 and 110 degrees fahrenheit The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen when? 30 minutes before meals and at bedtime The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation? In changing a dressing, always note the color, odor, amount and cosistency of the drainage on the old dressing True or False? Able clients can perform ostomy care by themselves once they have been taught by the nurse. True A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she... Applies the stockings while the client is in bed The nursing assistant is aware that the purpose of the elastic stockings is to... Prevent blood clots A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can... Keep the connecting tubing secure and free of kinks; other responsibilities such as turning on and off the oxygen are of a physician 00:02 01:08 After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg how often? Every hour Which of the following statements is correct pertaining to binders application? The double T-binder is specifically used for male clients Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. What device is least likely used for this particular purpose? Rubber Sheet Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include... Restlessness, dizziness, and disorientation An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can be done by... Sitting up and leaning over a table with a pillow What action is incorrect when flossing a client's teeth? Use a new piece of floss for each tooth; just move to a new section of floss after every second tooth is flossed To obtain a 24-hour urine specimen, the nurse assistant should... Discard the first voided specimen and then collect the total volume of each voiding in 24 hours A client was fitted with a hearing aid. She understand the proper use and wear of this device correctly when she says that the devise is turned on and adjusted to a... Audible level One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia... Are not able to express themselves meaningfully through speech The nursing assistant is aware that the responsibility for keeping an accurate Input & Output record is part of her duties. If the client is incontinent, how should she document the output? Record on the output side of the I&O sheet each time the bed is wet What is an example of fluid output that needs to be recorded on the I&O sheet? Urine, emesis, blood loss, and excessive perspiration A client is receiving oxygen therapy via face mask. What activity is contraindicated for this client? Shaving using an electric razor Use of what articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately? Velcro clothing, slip-on shoes, and rubber grippers What is not included in the care of clients with a pacemaker? The client is not allowed to be around electrical appliances Your client has had a bowel movement. The stool is black in color and has a tarry cosistency. What is your next action? Ask the nurse to observe the stool What is not a rule for collecting specimens? Collect the specimen when you have time; specimens should be collected as ordered not on convenience A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. What protective equipment should the nursing assistant wear? Clean gloves A client has an indwelling urinary catheter, and the urine is leaking from a hole in the collection bag. What action would be most appropriate? Report to the nurse immediately What method should be used to collect a specimen for urine culture? Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream The nursing assistant is correctly providing penile hygiene to an unconscious client if she/he... Dries all areas of the penis thoroughly A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment? Leave the equpiment in the room for use only with that client To prevent circulatory impairment in an arm when applying an elastic bandage, what method is best? Apply the bandage while stretching it slightly The following information is recorded on an intake and output record: milk 180 ml, orange juice 60ml, 1 serving of scrambled eggs, 1 slice of toast, 1 can Ensure oral nutritional supplement 240ml, 50ml water after twice daily medications. Medications as given by the nurse at 9AM and 9PM. What is the client's total intake for the 7AM to 3PM shift? 530ml; 180+60+240+50 While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won't lie on the tubing. What rationale explains the nursing assistant's action? To allow drainage to occur A client is placed on suicide precations. During the care planning conference, the care plan for this client was discussed by the nursing staff. What tasks would you anticipate the licensed nurse will delegate to you in ensuring the client's safety? Stay with him at all times A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato Soup!" What action by the nurse assistant would be correct? Giving him step-by-step directions When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant shoud... Report immediately to the nurse A divorced 33-year-old former drug addict is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they related to roles and relationships? Provide paper and pen for letter writing to his sons Clients and families have the right to receive care that is... Culturally acceptable to them When caring for a dying client, the nurse aide should perform what activity? Assist the client towards a peaceful death When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in? Denial As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated ito a diet that would represent culturally sensitive care? Beans and tortillas What techniques would you use when interviewing a 94-year-old patient? Using a low-pitched voice; you will be able to convey your messages clearly to the client instead of shouting A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Power of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation? "I don't have any information as of the moment, but I'll find out for you." A client in the long term facility tells the nursing assistant "I am too depressed to talk to you. Leave me alone." What response by the nursing assistant is most therapeutic? "I'll sit with you for a moment" A client says to you "I am worthless, I should be dead." What is the best response that you, the nursing assistant, can make? "What makes you feel you're worthless?" A client with a hearing impairment is admitted to a busy hospital unit. What intervention is most appropriate to meet the client's needs preventing sensory overload? Have conversation at the bedside directed to the client True or False? Legally, client's charts are owned by the hopsital and should not be given to anyone who requests it other than the doctor in charge. True The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nursing assistant admits to forgetting the resident. This is an example of what? Accountability Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again? Undergo a retraining and a new competency evaluation It's a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Teramycin ointment and gives you instructions to apply it to a patient's eyes. How would you respond to this? Politely refuse the nurse's request and explain your job limitations as a nursing assistant During a nursing assistant's orientation to the home facility, the nurse supervisor emphasies that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should NOT... Use terms with many meanings A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer? Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected or the line is busy A nursing assistant is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relat that there is an emergency phone call. The appropriate action is to... Cover the client, place the call light within reach, and answer the phone call The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client's condition throughout her stay at the hospital. The nursing assistant therefore reads the... Kardex; recorded data about a client where information is quickly accessible to all members of the health care team On nursing rounds, a client is found lying on the floor. What statement would be most appropriate for the nurse aide to record in the client's medical records? "Upon entering the room, the client was found lying on the floor." Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station? Share passwords for computer access with colleagues who have forgotten their own passwords A registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, the nursing assistant shoud... Use an interpreter to speak to the client