2023 Prometric CNA 115 Questions and Answers 2023 Solved Correctly graded A

2023 Prometric CNA 115 Questions and Answers 2023 Solved Correctly graded A A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying that she can't find her baby. The nurse aide should - offer comfort to the resident and help her look for her baby. A nurse aid is asked to change a urinary drainage bag attached to an indwelling catheter. The nurse aid has never done this before. The best response by the nurse aid is to - ask a nurse to watch the nurse aid change the bag since it is the first time Before feeding a resident, which of the following is the best reason to wash the resident's hands? - The resident may still touch his/her mouth or food. What is a job performed by a nurse aid? - participating in resident care planning conferences What is true about range of motion exercises? - are often performed during ADLs such as bathing or dressing While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should - give the resident the hairbrush to hold. A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to - raise the head of the bed. A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on - providing for the resident's comfort. While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should - make the resident being bathed safe and go check the door right away Gloves should be worn for which of the following procedures? Emptying a urinary drainage bag Brushing a resident's hair Ambulating a resident Feeding a resident - emptying a urinary drainage bag What is true about a resident who is restrained? - They are at a greater risk for getting pressure sores When walking a resident, a gait or transfer belt is often - put around the resident's waist to provide a way to hold onto the resident. A resident has diabetes. What is a common sign of low blood sugar? - shakiness When providing foot care to a resident it is important for the nurse aid to - check the feet for skin breakdown When feeding a resident, frequent coughing can be a sign the resident is - having difficulty swallowing. When a person is admitted to the nursing home, the nurse aid should expect that the resident will - experience a sense of loss related to the life change A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should - ask if the resident realizes that the shoes do not match. A resident's wife recently died. The resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to - understand the resident is grieving and give him chances to talk. When a resident refuses a bedbath, the nurse aid should - wait a while and then ask the resident again When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to - step back to protect self from harm while speaking in a calm manner. During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to - remain calm and ask what is upsetting the resident. Which of the following questions asked to the resident is most likely to encourage conversation? - What are your favorite foods? When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should - use pictures and gestures. While walking down the hall, a nurse aid looks into a resident's room and sees another nurse aid hitting a resident. The nurse aid is expected to - enter the room immediately to provide for resident's safety Before touching a resident who is crying to offer comfort, the nurse aide should consider - the resident's cultural background. When a resident is expressing anger, the nurse aide should - listen closely to the resident's concerns. When giving a backrub, the nurse aid should - keep the resident covered as much as possible A nurse aid finds a resident looking in the fridge at the nurses station at 5 a.m. The resident, who is confused, explains he needs his breakfast before he leaves for work. The best response by the nurse aide is to - ask the resident about is job and if he is hungry What is true about caring for a resident with a hearing aid? - remove the hearing aid before showering Residents with Parkinson's disease often require assistance with walking because they - have a shuffling walk and tremors. A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation? - Adequate fluid intake A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first - check for kinks in the tubing. A resident who is incontinent of urine has an increased risk of developing - pressure sores When cleansing the genital area during perineal care, the nurse aide should - replace the foreskin when pushed back to cleanse an uncircumcised penis. What is considered a normal age related change? - bladder holding less urine A resident is on a bladder restraining program. The nurse aid can expect the resident to - have a schedule for toileting A resident who has stress incontinence - may leak urine when laughing or coughing. The doctor has told the resident that his cancer is growing and that he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should - understand that denial is a normal reaction. A slipknot is used when securing a restraint so that - the restraint can be removed quickly when needed. When using personal protective equipment (PPE) the nurse aide correctlyfollows Standard Precautions when wearing - gloves to remove a resident's bedpan. To help prevent resident falls, the nurse aid should - leave residents bed at the lowest level when care is complete As the nurse aide begins his/her assignment, which of the following should the nurse aide do first? - Assist a resident that has called for assistance to get off the toilet What would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse aid to be ineligible to work in a nursing home? - having a finding for resident neglect To help prevent the spread of germs between patients, nurse aides should - hold supplies and linens away from their uniforms When a sink has hand control faucets, the nurse aid should use - a paper towel to turn the water off When moving a resident up in bed who is able to move with assistance, the nurse aide should - bend the resident's knees and ask the resident to push with his/her feet. The resident's weight is obtained routinely as a way to check the resident's - nutrition and health. What is a right that is included in the resident's bill of rights? - to make decisions and participate in own care What is observed as a sudden change in the resident, is considered a possible warning sign of a stroke? - slurred speech Considering the resident's activity, which of the following sets of vital signs should be reported to the charge nurse immediately? - Resting: 98.6°‐98‐32 Gastrointestinal Benefits of Exercise: - promotes appetite and aids regular elimination Urinary benefits of exercise: - improve elimination, helping to decrease infection Integumentary Benefits of Exercise: - improves quality and health of skin Circulatory benefits of exercise - improves circulation Respiratory benefits of exercise - reduces the chance of infections and improves oxygen level Musculoskeletal benefits of exercise - increases blood flowto muscles and improves strength Nervous system benefits of exercise - improves relaxation and sleep Endocrine benefits of exercise - increases metabolism, helping to maintain healthy body weight 1oz = mL - 30 Factors that affect bowel elimination - growth and development psychological factors diet fluid intake physical activity and exercise personal habits medications Factors affecting urination - growth and development psychological factors fluid intake physical activity and exercise personal habits medications disorders Observe the skin for: - Pale, white, reddened, gray, or purple skin dry, cracked, or flaking skin torn skin blisters, bruises, or wounds on skin rashes or any discoloration tingling, warmth, or burning of skin itching or scratching swelling of skin wet skin broken skin anywhere on body changes in existing wounds or ulcers Droplet Precautions - used for diseases that are spread by droplets in air For Droplet Precautions: - Follow standard precautions apply mask before entering room. wear mask during resident care residents must wear mask when leaving room. cover nose and mouth if you sneeze or cough. dispose of tissue in no touch waste container and wash your hands. visits from uninfected people may be restricted Assisting with personal care - encourage residents to perform self care whenever they can. this promotes dignity, independence, and proper body functioning be empathetic to emotions residents are experiencing. always explain what you will be doing and answer questions. let resident make as many choices as possible. allow enough time for residents to use bathroom, without rushing or interrupting them. provide for personal choice. be patient. be respectful and provide privacy during phone calls and visits. keep residents covered during bathing and dressing. promote resident's safety. talk to resident's during personal care and report changes, concerns, or problems Residents in LTC facilities - residents are over 65. 71% female. more than 90% white and non Hispanic about 1/3 come from private residence over 50% come from hospital Medicare - for people age 65 or older and people of any age with permanent kidney failure or certain disabilities Part A medicaid - helps pay for care in hospital or skilled nursing facility or for care from home health agency or hospice Part B medicare - helps pay for doctor services and other medical services and equipment Part C medicare - allows private health insurance companies to provide Medicare benefits Part D medicare - Prescription drug coverage Medicaid - a medical assistance program for people with low incomes, as well as for people with disabilities Normal Mouth Temperature (oral) - Fahrenheit: 97.6 degrees - 99.6 degrees Normal Rectum Temperature (Rectal) - Fahrenheit: 98.6 degrees - 100.6 degrees Normal Armpit Temperature (Axilla) - Fahrenheit: 96.9 degrees - 98.6 degrees Normal Ear Temperature (Tympanic) - Fahrenheit: 96.6 degrees - 99.7 degrees Normal Temporal Artery Temperature - Fahrenheit: 97.2 degrees - 100.1 degrees Normal Pulse Rate - 60-100 beats per minute Normal Respiratory Rate - 12-20 respiration per minute Normal Blood Pressure - Systolic: 119 or lower Diastolic: 79 or lower Low Blood Pressure - below 90/60 Prehypertensive Blood Pressure - Systolic: 120-139 Diastolic: 80-89 High Blood Pressure - 140/90 or above Steps to follow for Airborne Precautions - Follow Standard Precautions Residents will be in airborne infection isolation room Keep doors and windows closed. Do not open or close door quickly. Wear special mask during resident care Residents must wear surgical masks if they leave the room Ways to Prevent Aspiration - Position resident in a straight, upright position at a 90 degree angle. Feed resident slowly Avoid distractions Offer small pieces of food or small spoonfuls of pureed food. Offer food and then a liquid. Place food in the non paralyzed side of the mouth. Make sure food is actually swallowed before the next bite of food or sip of drink. Have resident stay in upright position at least 30 minutes after eating and drinking. Provide mouth care after eating. Observe residents closely. Report signs of aspiration immediately. 1 oz = ml - 30 mL 2 oz = ml - 60 ml 3 oz = mL - 90 mL 4 oz = mL - `120 mL 5 oz = ml - 150 mL 6 oz = mL - 180 mL 7 oz = mL - 210 mL 8 oz = mL - 240 mL 1 cup = oz = mL - 8 oz, 240 mL 2 cups = oz = mL - 16 oz, 480 mL 4 cups = oz = mL - 32 oz, 960 mL 1/4 cup = oz = mL - 2 oz, 60 mL 1/2 cup = oz = mL - 4 oz, 120 mL 3/4 cup = oz = mL - 6 oz, 180 mL What describes an important requirement when providing colostomy care? - Wear gloves for standard precaution A resident with a feeding tube is scheduled for a shower. The resident's feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide? - Ask the charge nurse for assistance with the feeding pump When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques? - Follow transfer technique as followed in care plan What is an example of disinfection? - Cleaning shower chair with chemical cleaner A resident is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the resident's needs? - Help them focus on small accomplishments A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag? - attached to the seat of the wheelchair, positioned below the resident's bladder While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide? - Stop feeding and ask the nurse to check on the residentCheck The nurse aide needs to obtain the weight of a resident. The nurse aide should? - Check what scale is usually used A resident is being showered while sitting in a shower chair. The resident says she feels weak and feels like she is going to faint. The nurse aide should all for help and? - keep the resident safe and comfortable A resident's leg has been recently amputated. Since the surgery, the resident has not wanted to leave the room. What should be the nurse aide's response? - You used to enjoy activities What is keeping you in your room? A resident falls from her chair when having a seizure. Before the nurse arrives, the seizure is finished, and the nurse aide observes the resident is breathing. What should the nurse aide do next? - Turn the resident onto her side What is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation? - the color of the resident's toes When caring for a resident who is comatose, the nurse aide is expected to? - talk to the resident while providing care A resident is choking. The first response by the nurse aide should be to? - begin abdominal thrusts A nurse assistant hears another staff member yelling and cussing at a resident. This is an example of? - resident abuse When weighing a resident, it is important to make sure the - scale is balanced or calibrated before helping the resident onto the scale