NURSE AIDE TEST PREPARATION2025

NURSE AIDE TEST PREPARATION2025Item 1 of 150 A resident falls from her chair when she has a seizure. Beforethenurse arrives, the seizure is finished and the nurse aide observestheresident is breathing. What should the nurse aide do next?A Get the emergency cart .B. Turn the resident onto her side C. Check if the resident is able to talk D Help the resident back into the chair . To prevent skin tears or shearing when moving the resident, thenurseaide should A. wear gloves to reduce friction against the skin. B. avoid pulling or sliding the resident when moved. C tell the resident to be careful and follow directions. .D ask the resident to keep arms held over the resident's head. . ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 2 DO NOT COPYMark itemfor reviewReference(s): Examples of references where knowledge for this question is covered include: 1. Alvare, S.. Fuzy, J., and Rymer, S. (2009). Hartman’s Nursing Assistant Care: Long-Term Care and Home Health. Albuquerque, NM: Hartman Publishing, Inc. Pages 149 and 197. 2. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO: Elsevier Mosby. Pages 225 and 538-539. ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 3 DO NOT COPYCorrect Rationale: A disposable razor is a safety concern because it is considered a sharp and a used razor is likely to alsohave blood cells on it. Since it is considered a sharp and potentially contaminated with blood cells, it must be disposed of in the Sharps container. Safe disposal of sharps is a part of the nurse aide’s responsibility because it pertains to the safety of the resident. The nurse aide must always be aware of safety of all residents, but especially concerned for residents who are confused and could be accidentally harmed handling a razor that was left out. Reference(s): Examples of references where knowledge for this question is covered include: 1. Carter, P. (2012). Lippincott Textbook for Nursing Assistants (3rd Ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. Page 370. 2. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO: Elsevier Mosby. Page 321. Item 4 of 150 Incorrect Rationale: Reality orientation is a process of reminding and orienting the resident to person, place, and time. For aresident with early dementia, putting time into the context of the day and routine can be helpful. Lunch is a part of alife routine, and reminding the resident about that and relating it to eating and being hungry can be reassuring andhelpful. In the earlier stages of Alzheimer’s disease, when a resident may be aware and frightened by loss of memory, avoidcontributing to the resident’s anxiety by making statements such as, "Don’t you remember your daughter?" Reference(s): Examples of references where knowledge for this question is covered include: 1. Dugan D. (2012). Nursing Assisting: A Foundation in Caregiving (3rd Ed.). Albuquerque, NM. Hartman Publishing, Inc. Page 415. 2. Hedman, S., Fuzy, J., and Rymer, S. (2010). Hartman's Nursing Assistant Care: Long-Term Care (2nd Ed.). Albuquerque, NM: Hartman Publishing, Inc. Page 359. Mark itemfor reviewItem 3 of 150 What should a nurse aide do with a used disposable razor? A Throw the razor away in a trash can. .B. Place the razor in a sharps container immediately. C. Clean, rinse, and dry the razor so it can be used again. D Wrap the razor in a paper towel until it can be thrown away. .Which of the following is the best example of using reality orientationfor a resident with early dementia? A. "Your son plans to visit today at 2:00 p.m." B. "You are in the nursing home. I am here to help you." C. "This is your daughter Anna. Do you remember her?" D "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?" . ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 4 DO NOT COPYCorrect Rationale: When a resident coughs frequently after drinking fluids, it may indicate that the resident is having somedifficulty swallowing. This difficulty swallowing can result in fluids going into the resident’s lung. This condition is known as aspiration. It can result in the development of serious medical conditions, such as pneumonia, which mayrequire medical attention. The nurse aid should notify the nurse immediately. The resident will require an evaluation of the resident’s ability toswallow. Thickening agents are sometimes added to liquids for residents that have difficulty swallowing fluids, but theuse of these thickeners is decided by the physician and not the nurse aide. Reference(s): Examples of references where knowledge for this question is covered include: 1. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO: Elsevier Mosby. Pages 386-387. 2. Alvare, S.. Fuzy, J., and Rymer, S. (2009). Hartman’s Nursing Assistant Care: Long-Term Care and Home Health. Albuquerque, NM: Hartman Publishing, Inc. Page 268. Correct Rationale: When a resident wears a splint, it is important to make sure the splint is applied properly and is not causing pressure that could affect circulation. If not properly applied, the splint can cause pressure. When a resident wears a splint, the care plan may also include scheduled periods for removing the splint to allow the skin to be opento air and to promote circulation. When a resident wears a splint, it is important to observe for any changes in skincolor in the extremity, which if observed should be reported to the nurse immediately. Skin color changes and changes in the temperature of the extremity could also be signs of impaired circulation. Reference(s): Examples of references where knowledge for this question is covered include: Item 5 of 150 While feeding a resident, the nurse aide notices that the resident iscoughing a lot after each drink of fluid. What is the appropriateresponse by the nurse aide? A Allow the resident more time to swallow. .B. Use a straw when giving the resident fluids. C. Add a thickening product to the resident's fluids. D Stop feeding and ask a nurse to check the resident. . Item 6 of 150 A resident wears a hand splint. Which observation should thenurseaide report to the nurse immediately? A The resident's fingers are cold and blue in color. .B. The splint was removed as scheduled in the care plan. C The resident asks to have the splint removed for a few minutes. .D. The resident asks the nurse aide to reposition the arm with the splint. ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 5 DO NOT COPYItem 7 of 150 Correct Rationale: Cultural sensitivity is an important part of providing quality care to residents. Being sensitive to a resident’sculture is a part of the nurse aide’s responsibilities. A resident’s refusal to participate in activities due to cultural differences is the resident’s right. The nurse aide must remain respectful to the resident’s choices. When providingcare to residents of different cultures, the nurse aide should use those opportunities to learn about their cultures. Reference(s): Examples of references where knowledge for this question is covered include: 1. Carter, P. (2012). Lippincott Textbook for Nursing Assistants (3rd Ed.). Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. Page 50 and pages 96-97. 2. Alvare, S.. Fuzy, J., and Rymer, S. (2009). Hartman’s Nursing Assistant Care: Long-Term Care and Home Health. Albuquerque, NM: Hartman Publishing, Inc. Pages 113-115. Item 8 of 150 Correct Rationale: Residents with diabetes may experience low blood sugar (hypoglycemia), which can occur, for example, if the resident skipped a meal or did not eat enough. This is why it is very important for diabetic residents to eat at routine scheduled times, and for the nurse aide to report how the resident eats after each meal. When a resident’s blood sugar is low, the nurse aide may observe a number of different changes. The resident mayshow signs of trembling or shakiness, cold, clammy skin, or tiredness. Some residents will report feeling hungry and1. Carter, P. and Goldschmidt, W. (2010). Lippincott's Textbook for Long-Term Care Nursing Assistants: A HumanisticApproach to Caregiving. Philadelphia, PA: Wolters Kluwer/Lippincott Williams & Wilkins. Page 159. 2. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO: Elsevier Mosby. Page 429. Mark itemfor reviewThe nursing home is having a Christmas party. A resident whoisJewish is not interested in going to the party. The nurse aideshouldA remind the resident how much the resident enjoys parties. .B. encourage the resident to go since so many other residents are attending. C. respect the resident's decision and ask what the resident would like to do. D. ask if the resident participated in any activities for the Jewish Hanukah holiday. Which of the following is the nurse aide most likely to observeinaresident who has a low blood sugar? A Shakiness or trembling .B. Thirst and dry mouth C. Sweet breath odor D. Increased urine ONLYSTUDENTS STORE 2025 ALLLTHE BEST ONLYSTUDENTS STORE 6 DO NOT COPYCorrect Rationale: It is preferable for a resident to be fed when sitting upright in a chair, but when a resident must be fedinbed, it is important that the head of the bed be raised and the resident's position supported so that he/she is sittingupright in at least a 60 degree angle (or higher). This upright position helps prevent aspiration and choking. Apersonlying flat in bed is a greater risk for both aspiration and choking. The upright position when eating is also more normal for the resident. It will allow for the resident to enjoy the meal in a normal position. While the upright position may alsoaid in digestion, the primary reason for this position would be to avoid possible aspiration, which could lead to a moreserious complication, such as pneumonia. Reference(s): Examples of references where knowledge for this question is covered include: 1. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6 th Ed.). St. Louis, MO: Mosby Elsevier. Page 397. 2. Hedman, S., Fuzy, J., and Rymer, S. (2010). Hartman's Nursing Assistant Care: Long-Term Care (2nd Ed.). Albuquerque, NM: Hartman Publishing, Inc. Pages 263-265. weak or even having a headache. Sudden confusion can also occur. When the resident shows any of these signs, it is important to report them to the nurse immediately. The nurse will provide immediate treatment, which if the resident is conscious and able to follow directions, may include giving theresident fruit juice, hard sugar candy,