SOLUTIONS!!
Which of the following best describes how persons affected by Parkinson's disease typically
walk?
A. They tend to walk quickly.
B. They tend to lean back when walking.
C. They walk normally but with some shakiness.
D. They shuffle their feet while taking small steps. correct answers D. They shuffle their feet
while taking small steps.
Which of the following is considered a normal age-related change seen in elderly residents?
A. Increase in appetite
B. Decrease in constipation
C. Decrease in taste sensation and smell
D. Increase in amount of confusion experienced daily correct answers C. Decrease in taste
sensation and smell
A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that
today the resident is restless and is pacing a lot. The resident is also observed rubbing his
stomach. The nurse aide should report this change to the nurse and
A. ask the resident when he had his last bowel movement.
B. check if the resident is hungry or needs to go to the bathroom.
C. try to keep the resident close to observe the resident throughout the shift.
D. allow the resident to move around as long he does not harm other residents. correct
answers B. check if the resident is hungry or needs to go to the bathroom.
Residents with Alzheimer's disease or dementia often lack the ability to explain physical
needs, problems or discomfort. When the resident is in pain, the staff may observe the
resident becoming more restless. A resident who has to use the bathroom may say "my
tummy hurts" when the resident's mind no longer recognizes the meaning of body signs such
as a full bladder. The resident's behavior may hold clues that the nurse aide should pay
attention to. A resident rubbing his stomach could be a sign of a number of different things:
hunger, nausea, the need to urinate or have a bowel movement. There could also be a serious
health problem.
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels
dizzy. The nurse aide should
A. hold the gait belt tighter and ask the resident to rest for a minute.
B. suggest the resident lean on the nurse aide for more support.
C. guide the resident over to the handrail and ask to hold.
D. ease the resident to the floor if a chair is not available. correct answers D. ease the resident
to the floor if a chair is not available.
While receiving personal care in bed, a resident begins to have a seizure. The nurse aide
should
A. hold the resident down to reduce injury.
B. keep the airway open and prepare to do CPR.
C. call the charge nurse and remain with the resident.
, D. place a tongue blade between the resident's teeth. correct answers C. call the charge nurse
and remain with the resident.
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. correct answers B. shearing.
A resident has an indwelling urinary catheter. Which of the following is part of the catheter
care procedure performed by the nurse aide?
A. Clean the catheter, starting at the meatus and moving downward.
B. Clean the catheter, starting at the end and moving towards the genitalia.
C. Disconnect the drainage bag from the catheter to empty the bag fully.
D. Cleanse around the meatus with alcohol swabs, wiping front to back. correct answers A.
Clean the catheter, starting at the meatus and moving downward.
Which of the following is the most appropriate schedule for residents who are incontinent to
receive perineal care?
A. In the morning and at bedtime
B. At the beginning and near the end of a shift
C. Whenever the resident is soiled with urine or stool
D. Every two hours when the nurse aide checks on the resident correct answers C. Whenever
the resident is soiled with urine or stool
A resident whose husband died a few years ago, says, "I have got to get dinner started. My
husband will be home from work soon." What is the best way for the nurse aide to respond?
A. Offer to walk with the resident to the activity department's kitchen.
B. Remind the resident that the nursing home prepares her meals.
C. Ask the resident about her husband's favorite dinners.
D. Explain gently that the resident's husband is dead. correct answers C. Ask the resident
about her husband's favorite dinners.
Which of the following statements is true about how people experience pain?
A. Pain is usually worse in the morning.
B. Residents with dementia do not feel pain.
C. A person's culture can affect response to pain.
D. Younger people handle pain better than older adults. correct answers C. A person's culture
can affect response to pain.
When helping a resident transfer from a bed to a chair, which of the following best
demonstrates appropriate safety techniques?
A. Place a gait belt around the resident's waist
B. Position the chair as close to the bed as possible
C. Signal the resident to stand by saying, "1, 2, 3, stand"
D. Follow the transfer technique as described in the care plan correct answers D. Follow the
transfer technique as described in the care plan
The purpose of a gait or transfer belt is to
A. limit physical contact with ill residents who are transferred or walked.