Nurse Aid practice

When getting ready to make a bed, the nurse aide SHOULD place the clean linens on: (A) a chair or table beside the bed. (B) the roommate's bed. (C) a clean surface in the bathroom (D) the floor beside the bed. - answer-A) a chair or table beside the bed. The only purpose for using a restraint is to: (A) ensure the safety of the client or others. (B) make the nurse aide's job easier (C) calm a client who is verbally abusive. (D) help the client be quiet. - answer-A) ensure the safety of the client or others. Articles contaminated with blood or body fluids SHOULD be disposed of in the: (A) soiled linen basket. (B) biohazard container. (C) soiled utility room. (D) client's room trash container. - answer-B) biohazard container. To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's: (A) bed sheet. (B) upper thigh. (C) bed frame. (D) hip. - answer-B) upper thigh. When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: (A) take a bath or shower before starting the urine collection. (B) select food items that do not contain red meat. (C) drink 2 L of water. (D) discard the first voided urine. - answer-D) discard the first voided urine. When ambulating the client, the nurse aide SHOULD: (A) ask the nurse for help. (B) be sure the client is wearing non-skid footwear. (C) ask a family member for assistance. (D) walk in front of the client and show the client the way. - answer-B) be sure the client is wearing non-skid footwear. Which of the following is the BEST personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray? (A) Shoe covers (B) A mask (C) Goggles (D) A faceshield - answer-D) A faceshield Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? (A) "Why are you being so mean today?" (B) "You should not say such mean things to people." (C) "I will come back when your bad mood is over." (D) "You seem upset. Would you like to talk about it?" - answer-D) "You seem upset. Would you like to talk about it?" The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do NEXT? (A) Instruct the client to lie still (B) Quickly go to get the supplies (C) Lower the bed, and place the call light within reach (D) Ask the roommate to watch the client while the nurse aide gets the supplies - answer-(C) Lower the bed, and place the call light within reach A client requests that the nurse aide call the client's spiritual advisor. The nurse aide SHOULD: (A) ask the client why the client wants the nurse aide to call the client's spiritual advisor. (B) tell the client that this is not part of the nurse aide's job. (C) tell the client that the nurse aide will inform the nurse of the client's request. (D) call the spiritual advisor for the client. - answer-(C) tell the client that the nurse aide will inform the nurse of the client's request. A client wakes up during the night and asks for something to eat. The nurse aide SHOULD: (A) check client's diet before offering nourishment. (B) tell the client nothing is available at night. (C) explain that breakfast is coming in 3 hours. (D) tell the client that eating is not allowed during the night. - answer-(A) check client's diet before offering nourishment. The nurse aide is preparing to bathe a client. What should the nurse aide do FIRST? (A) Test the temperature of the water (B) Help the client undress (C) Tell the client what the nurse aide is going to do (D) Close the door and windows - answer-(C) Tell the client what the nurse aide is going to do When making a bed that is occupied by a client, the nurse aide SHOULD: (A) leave the bed in the lowest position. (B) make the toe pleat. (C) leave the bottom sheet untucked. (D) place soiled linens on the floor. - answer-(B) make the toe pleat. Frequent turning and repositioning of the client helps prevent: (A) cyanosis. (B) indigestion. (C) coronary disease. (D) pressure injuries. - answer-(D) pressure injuries. When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: (A) lying down in bed. (B) dangling the legs from the edge of the bed. (C) standing at the side of the bed. (D) sitting in a wheelchair. - answer-(A) lying down in bed. The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD: (A) join in the conversation. (B) suggest that this is not the place to discuss the client. (C) be quiet and not say anything to the other nurse aides (D) return to the unit and tell the client what was said. - answer-(B) suggest that this is not the place to discuss the client. The client's signaling device SHOULD be placed: (A) on the bed. (B) within the client's reach. (C) on the client's right side. (D) over the side rail. - answer-(B) within the client's reach. When helping a client who is recovering from a stroke to walk, the nurse aide SHOULD assist: (A) on the client's strong side. . (B) on the client's weak side. (C) from behind the client. (D) with a wheelchair. - answer-(B) on the client's weak side. A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do NEXT? (A) Place the client in a geriatric chair (B) Restrain the client in his bed (C) Talk to the client in a calm voice about familiar things (D) Leave the client alone in his room until he calms down - answer-(C) Talk to the client in a calm voice about familiar things Which of the following actions would be BEST for the nurse aide to take to show respect to the spiritual needs of a client? (A) Escorting the client to religious services (B) Discussing the nurse aide's religion with the client (C) Assisting the client to read the client's religious materials (D) Requesting that the facility's spiritual advisor visits the client - answer-(C) Assisting the client to read the client's religious materials While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's child, who died several years ago. The nurse aide's BEST response would be to: (A) quickly finish providing care and leave the client alone. (B) pretend to be the client's child. (C) ignore the client because the client is confused. (D) ask the client about the client's favorite memories of the client's child. - answer-(D) ask the client about the client's favorite memories of the client's child. When providing care for a client receiving oxygen therapy, the nurse aide SHOULD: (A) check ears for pressure points. (B) tape cracks in oxygen tubing. (C) let the nurse know that the nurse aide cannot care for the client. (D) change the flow rate if the client is short of breath. - answer-(A) check ears for pressure points. A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT? (A) Take the client to the hospital (B) Help the client back to the bed (C) Take the client into the bathroom to wash out the cut (D) Stay with the client and call for help - answer-(D) Stay with the client and call for help The client has been sad and depressed since being admitted to the facility yesterday. What would be the BEST thing for the nurse aide to do for the client? (A) Arrange for the client's spiritual advisor to visit the client (B) Turn on the television in the client's room and leave the client alone (C) Force the client to take part in facility activities (D) Introduce the client to other clients and staff members - answer-(D) Introduce the client to other clients and staff members The nurse aide is asked by a client who is confused "what day it is?" The nurse aide SHOULD: (A) explain that memory loss is natural and the date is not important. (B) ignore the request. (C) point to the date on a calendar and say the date. (D) provide the date and then test the client later - answer-(C) point to the date on a calendar and say the date. Which of the following is MOST important for the prevention of skin breakdown in the client? (A) Air-drying the client's skin (B) Rubbing lotion on the client's skin (C) Ambulating the client once a day (D) Repositioning the client every 2 hours - answer-(D) Repositioning the client every 2 hours When caring for a client who is dying, the nurse aide SHOULD: (A) only allow 1 visitor in the room at a time. (B) keep the room dark at all times. (C) pay special attention to fluid intake and mouth care. (D) wear gloves when providing personal care. - answer-(C) pay special attention to fluid intake and mouth care. To BEST communicate with a client who has total hearing loss, the nurse aide should: (A) smile frequently and speak loudly. (B) smile often and talk rapidly. (C) avoid eye contact (D) write out the information. - answer-(D) write out the information. When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide SHOULD: (A) check on the client every 5 minutes. (B) make sure the client's water pitcher is full (C) protect the client with a seat belt. (D) place the signaling device within the client's reach - answer-(D) place the signaling device within the client's reach What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke? (A) Give the client a complete bath only when the client requests it (B) Encourage the client to do as much as possible and assist as needed (C) Leave the client alone and assume the client will do as much as the client can (D) Limit the client to washing the client's hands - answer-(B) Encourage the client to do as much as possible and assist as needed Which of the following methods is the correct way to remove a dirty isolation gown? (A) Pull the gown over the head (B) Let the gown drop to the floor and step out of the gown (C) Roll the gown dirty side in and away from the body (D) Pull the gown off by the sleeve and shake the gown out - answer-(C) Roll the gown dirty side in and away from the body The health care team member who assists the client with the performance of activities of daily living is the: (A) social worker. (B) occupational therapist. (C) speech therapist. (D) case manager. - answer-(B) occupational therapist. What does "ambulate with assistance" mean? (A) Walk with the client twice a day (B) The client may use a wheelchair (C) Have the client use a cane for walking (D) The client can walk with the nurse aide providing help - answer-(D) The client can walk with the nurse aide providing help When transferring a client, MOST of the client's weight should be supported by the nurse aide's: (A) back.