ANSWERS MARKED A+
✔✔A charge nurse asks a nurse aide to perform a task that is not part of the nurse
aide's scope of practice. What should the nurse aide do?
A. Consider if the task can be performed another way
B. Provide the care and perform the task as best as possible
C. Contact the ombudsman's office since resident's rights may be violated
D. Refuse to perform the task and explain it is not within the nurse aide's role - ✔✔D.
Refuse to perform the task and explain it is not within the nurse aide's role
✔✔A few minutes before the end of the shift, a resident calls and whispers to the nurse
aide, "I had an accident. I wet myself.", What should the nurse aide do?
A. Explain that the next shift will assist the resident in a short time
B. Remove any wet clothing and place the resident on a dry underpad
C. Ask if the resident feels very uncomfortable
D. Provide incontinent care to the resident - ✔✔D. Provide incontinent care to the
resident
✔✔A resident with advance directives has a DNR order. This means that the resident
A. Does not remember
B. Should not be restrained
C. Does not respond to instructions
D. Should not be resuscitated - ✔✔D. Should not be resuscitated
✔✔A resident says she is 5 feet 6 inches tall. When the nurse aide measures the
resident's height, the resident is 5 feet 4 inches. What should the nurse aide do?
A. Record the resident's height as 5 feet 4 inches
B. Record the resident's height as 5 feet 6 inches
C. Explain that older people shrink with aging.
D. Measure the resident again - ✔✔D. Measure the resident again
✔✔Which of the following is the nurse aide most likely to observe in a resident who has
a low blood sugar?
A. Shakiness or trembling
B. Thirst and dry mouth
C. Sweet breath odor
D. Increased urine - ✔✔A. Shakiness or trembling
✔✔When counting a resident's pulse, the nurse aide should
A. notice if the rhythm of the heart-beat is regular
B. ask if the resident takes any heart medication
C. consider the time of day when the pulse is taken
,D. multiply the rate by four if counted for 30 seconds - ✔✔A. notice if the rhythm of the
heart-beat is regular
✔✔Which of the following most important to closely observe when a resident wears
elastic stockings, the type that are worn to help circulation?
A. The resident's shoe-fit
B. The resident's pulse rate
C. The way the resident walks
D. The color of the resident's toes - ✔✔D. The color of the resident's toes
✔✔A resident who use to go to the bathroom by herself now asks for assistance to walk
to the bathroom. What is the appropriate response by the nurse aide?
A. Assist the resident and report the change to the charge nurse.
B. Understand that these changes are just a normal part of aging.
C. Update the resident's care plan and explain the change to the charge nurse.
D. Encourage independence and suggest that the resident try going to the bathroom on
her own. - ✔✔A. Assist the resident and report the change to the charge nurse.
✔✔A resident, who is on a toileting schedule, asks to go to the bathroom frequently.
The nurse aide should respond to the resident's requests by
A. telling the resident that it is not time
B. decreasing the resident's fluid intake
C. asking the resident to follow the schedule
D. taking the resident to the bathroom as needed - ✔✔D. taking the resident to the
bathroom as needed
✔✔A resident likes to eat breakfast in the dining room with other residents. The resident
is slow when getting dressed each morning so the resident's friends are often leaving
when the resident gets to the dining room. The nurse aide should
A. set out clothing that the resident can dress in more quickly
B. dress the resident to make sure the resident gets to breakfast earlier
C. ask if there is any help the resident would like in the morning
D. remind the resident that the friends will also be at activities later - ✔✔C. ask if there
is any help the resident would like in the morning
✔✔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 can handle pain better than older adults - ✔✔C. A person's culture
can affect response to pain
✔✔Which of the following describes a resident's concern that needs to be reported to
the charge nurse immediately?
A. A resident's complaint of not getting to activities on time
, B. A resident who states a need for a new pair of elastic stockings
C. A resident with dementia who states the need to talk to resident's son
D. A resident who has always been oriented is suddenly scared and confused - ✔✔D. A
resident who has always been oriented is suddenly scared and confused
✔✔A resident who is wearing a hearing aid keeps asking the nurse aide to repeat
information. Which of the following actions should the nurse aide do first?
A. Speak loudly and directly into the hearing aid
B. Check that the hearing aid is in the correct ear
C. Ask when the hearing aid battery was replaced
D. Make sure the hearing aid is turned on. - ✔✔D. Make sure the hearing aid is turned
on.
✔✔While helping the resident to get dressed, the nurse aide observes that the
resident's breathing is faster. The resident says she feels tired. What should be the
nurse aide's first action
A. Dress the resident quickly
B. Check the resident's vital signs
C. Stop the dressing to let the resident rest
D. Go to find a nurse to check the resident - ✔✔C. Stop the dressing to let the resident
rest
✔✔The nurse aide notices that a resident with dementia keeps walking over to the
piano, pausing there, touching the piano, and then walking away only to return again.
Which of the following is the best action for the nurse aide to take?
A. Take the resident back to the resident's room
B. Distract the resident by asking about the resident's family
C. Invite the resident to sit down at the piano with the nurse aide
D. Ask the activity director to find something for the resident to do - ✔✔C. Invite the
resident to sit down at the piano with the nurse aide
✔✔A nurse aide is giving a resident a bed bath. Which of the following should the nurse
aide do during the bed bath?
A. Keep the bed in the lowest position throughout bathing
B. Keep the resident's body covered during the bath
C. Open the window for fresh air during the bath
D. Add a lot of soap to the water in the basin - ✔✔B. Keep the resident's body covered
during the bath
✔✔A resident tells the nurse aide that she has pain down her arms and into the jaw and
that she feels nauseated. The nurse aide observes that the resident appears pale and is
sweating. The nurse aide should
A. check the resident's arms and jaw for possible injury or bruising
B. check the care plan to see if the resident is on heart attack precautions