When assisting a client in learning to use a walker, it is important to *Stand behind him and use a transfer belt Put padding all the way around the top rim Let him walk by himself so he gains independence Let him practice using the walker on the day he is discharged ?Standing behind him and using a transfer belt protects both the client and the aide Urinary retention refers to Normal output of urine *Inability to urinate Incontinence Large output of urine ? Retention of urine is a symptom that should be reported to the charge nurse as soon as it is noted. Normal hearing loss in aging is usually related to the ability to hear *High-pitched sounds Loud sounds All sounds Rapid speech ?Because of this aspect of hearing loss, the aged hear better if you lower your voice. Shouting in a high-pitched voice does not help. The best way to safely identify your patient is by Asking his name Calling his name and waiting for his response Checking the bed plate *Checking the name tag ?A confused patient may answer to any name or lie down in any bed OSHA rules specify that, when washing out soiled lines, the following must be worn Gloves Goggles *Gloves and goggles Gloves, goggles, and apron ?To protect yourself, you must wear gloves and goggles. The proper medical abbreviation for before meals is p.c. b.i.d. *a.c. t.i.d. ? The proper medical abbreviation for before meals is a.c. The proper medical term for high blood pressure is Diabetes *Hypertension Hypotension CVA ?The proper medical term for high blood pressure is hypertension. A patient who has difficulty chewing or swallowing will need what type of diet? Clear liquid Low residue Bland *Mechanical soft ?A mechanical soft diet is easy to chew, swallow, and digest.. When shaving a male patient's face, it is important to Apply shaving cream sparingly Use upward strokes when shaving the cheeks Apply Betadine to any nicks *None of the above ?All of the answers are wrong. How often should a patient's intake and output records be totaled? *Once each shift Twice a day Every 4 hours Every 12 hours ?Input and output are totaled once per shift as well as every 24 hours. Which of the following should you observe and record when admitting a client? Color of the stool and amount of urine voided How much the client has eaten and drunk *Bruises, marks, rashes, or broken skin Insurance information ?Failure to notice bruises or marks on the skin on admission may later cause someone to believe you were involved in abuse. When responding to a client on the intercom, you should Ask for the client's name Say, "What do you want?" *Give your name and position and say, "may I help you?" Say, "The nurse will answer your call." ?When responding to a patient on the intercom, you should give your name and position. Which of the following things should you do to familiarize a new client with his or her surroundings? *Show the client where the call light is and how to work it Tell the client not to operate the TV Ask visitors to leave the room while you finish admitting the client Raise the side rails of the bed and raise the bed to high position ?You should never leave a new admit until the patient knows how to call for help. When arranging a patient's room, you should do all of the following EXCEPT Check signal cords Adjust the back and knee rests as directed *Administer medications Check lighting ?Nursing assistants are never allowed to give medications. When assisting a client in and out of bed, the nurse aide should always *Employ body mechanic techniques Get another person to help Pull the client's feet out first, and then lift the back up Put shoes on the client because the patient may slip ?You should always use good body mechanics when moving patients. When should you wash your hands? When you notice they look or feel dirty When the charge nurse tells you to At least twice a day *Before and after contact with a patient Which of the following is the correct procedure for serving a meal to a client who must be fed? Serve the tray along with all the other trays, and then come back to feed the client Bring the tray to the client last; feed after you have served all the other clients *Bring the tray into the room when you are ready to feed the client Have the kitchen hold the tray for one hour ?You should not bring the tray into the room until you have time to feed. The MOST serious problem that wrinkles in the bedclothes can cause is Restlessness Sleeplessness *Decubitus ulcers Bleeding and shock ?The most serious problem that wrinkles in the bedclothes can cause patients are decubitus ulcers, or decubiti. An important way to reduce the incidence of decubitus ulcers is to Keep the client in bed Force fluids every 2 hours *Change positions every 2 hours All of the above ?Changing the patient's position every two hours prevents bedsores. You are told to put a client in Fowler's position. Before changing the position of the client's bed, you should Open the window *Explain the procedure to the client Check with the client's family Remake the bed ?You should always explain procedures first. During hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The NEXT action is to Allow the water to run over the hands for two minutes Dry the hands and turn off the faucet with the paper towel *Repeat the wash from the beginning None of the above ?You have contaminated your hands and must start over. When giving mouth care to an unconscious patient, the safest position to prevent aspiration is On her or his back In semi-Fowler's position *With the head turned to the side In the supine position ?Turing the head to the side will assist in drainage out of the mouth. Mr. Roark, a newly admitted conscious client, has been put to bed. Before leaving him alone, the FIRST action would be to Ask him if he is hungry Inspect his skin Complete the listing of his clothing and valuables *Make sure he knows how to use the call light ?Always make sure new patients can call for help. When lifting a heavy object, the correct method would be to bend at the Waist, keeping your legs straight Waist, rounding your shoulders *Knees, keeping your back straight Knees and waist ?Keeping your back straight forces you to sue your strong leg muscles. When cleaning a client's dentures at the sink, the reason to either line the emesis basin with a paper towel or to fill the sink with water is to Prevent contamination of the dentures Hide the dentures from view *Guard against breaking the dentures Protect the basin from scratches ?The purpose of this procedure is to prevent breakage. When assisting a client with eating, one of the FIRST things the nurse aid should do is Cut the food into large bite-size pieces *Wash his/her hands and the client's hands Butter the client's bread Provide the client with privacy ?Always remember to consider infection control. A patient has a new cast on his right arm. While caring for him, it is important to FIRST observe for Pulse above the cast Color and hardness of the cast *Warmth and color of fingers Signs of crumbling at the cast end ?A new cast may cut off circulation. The correct choice reminds you to check for circulatory impairment. Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is Done only when time permits The family's responsibility *Necessary for rehabilitation A violation of client rights ?Rehabilitation should always be part of the care plan. In caring for a confused elderly man, it is important to remember to *Keep the bedrails up except when you are at the bedside Close the door to the room so that he doses not disturb other patients Keep the room dark and quiet at all times to keep the patient from becoming upset Remind him each morning to shower and shave independently ?Make sure to follow agency policy. Before assisting a client into a wheelchair, the FIRST action would be to check if the Client is adequately covered Floor is slippery Door to the room is closed *Wheels of the chair are locked ?Before assisting a patient into a wheelchair, check to see if the wheels of the chair are locked. While giving an unconscious patient a bath, it is important to *Give passive range of motion to all joints Let the charge nurse exercise the patient's joints Call the physical therapist to exercise the patient afterwards Exercise the patient only if the doctor has ordered it ?Passive ROM should always be given with the bath on an unconscious patient. You are assigned to assist Mrs. Kelley with her lunch. She is on bed rest. The BEST position for her, if permitted, would be Trendelenburg position Hyperextension Legs dangling at the side of the bed *Fowler's position ?Semi-Fowler's position is correct because the patient is on bedrest. When moving a wheelchair onto an elevator, you should stay *Behind the chair, pulling it toward you Behind the chair, pushing it away from you In front of the client to observe his or her condition To the side and hold the door open ?You must stay behind the chair to control it, but it should go on and come off an elevator backwards to prevent the wheels from falling into the door opening. The Foley bag must be kept lower than the client's bladder so that Urine will not leak out, soiling the bed *Urine will not return to the bladder, causing infection The bag will be hidden and the client will not be embarrassed The client will be more comfortable in bed ?Raising the bag above the bladder level can lead to backflow of the urine, with its bacteria into the bladder. Mrs. Black is a diabetic. For her midafternoon nourishment, the kitchen has sent a carton of chocolate ice cream. Your FIRST action should be to Substitute diet cola for ice cream *Hold the nourishment and report to the charge nurse Ask the secretary to notify the kitchen of an error Ask Mrs. Black if she likes ice cream ?Always report abnormal conditions When assisting a client to use the bedside commode, it is important to Leave the call light within reach Place toilet tissue close by Return to check on the client periodically *All of the above When assisting Mr. Byrd, a blind client, with his meal, it is NECESSARY to Sit next to him to help *Identify each item on his tray Feed him so he won't spill his food Insist that he use only a spoon ?A blind patient should know what you are giving him before it enters his mouth. The purpose of cold applications is usually to Speed the flow of blood to the area Prevent heat exhaustion *Prevent or reduce swelling Prevent the formation of scar tissue The hot water bottle is an example of a *Local dry heat application Generalized dry heat application Local moist heat application Generalized moist heat application ?A hot water bottle applied by itself is dry heat. Clients receiving an enema are usually placed On the right side *On the left side Flat on the back In a semi sitting position ?Placing the patient on the left side allows better entry into the colon. A female client's perineal area should be cleansed before which specimen is collected? 24-hour urine specimen *Midstream clean-catch urine specimen Pediatric routine urine specimen Routine urine specimen ?The clean-catch specimen requires cleaning the perineum. The most common site for counting the pulse is the Carotid artery Femoral artery Brachial artery *Radial artery ?The other sites are rarely used by the nursing assistant. When counting respirations, the nurse aide should Wait until after the client is exercised *Not tell the patient what you are going to do Count five respirations and then check your watch Have the client count respirations while you take her pulse ?Telling the patient you are watching her breathing will cause her to slightly change her breathing pattern. With catherized patients, which of the following is NOT the nurse's aide's responsibility? *Insertion of catheter Prevention of infection Checking to make sure the catheter is draining properly Recording output ?A nursing assistant is responsible for the other options but never inserts a catheter. When giving information to the charge nurse for an incident report, the nurse aid should Write in the client's chart that an incident occurred Keep the report in your personal file *State the facts clearly Give your opinions as to the cause of the incident ?An incident report becomes a permanent part of the legal record. Make sure the facts are clear. All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by *OBRA OSHA CDC FDA ?OBRA stands for Omnibus Budget and Reform Act Sexuality changes in aging can result in Decreased sexual desire Unchanged sexual desire Increased sexual desire *All of the above ?Sexual desire is related to emotions as well as physical ability, so all the answers listed may be correct for different individuals. When family members visit a client, the visitors should Stay in the day room Stay a short while so as not to tire the client Be expected to help with care *Be allowed privacy with the client ?The family members should expect and be allowed private time with their loved one. You may attend resident council meetings in an eldercare facility (ECF) if *You are invited to attend Your superior assigns you to attend You are interested in what the residents are discussing None of the above ?The resident council is a meeting of the residents, and no staff may attend unless invited. Which of the following is considered a client's right? Having curtains pulled during personal care Having personal information kept confidential Receiving and sending private mail *All of the above An ECF resident wishes to wash her own underwear. You should Ignore the request Tell her that clothing must go to the laundry Tell her you will do it *Help her obtain supplies ?The patient has a right to wash her own clothes if she so wishes. You must help her to do so. In the long-term-care facility, the family member should be asked to Leave during treatments *Attend care-planning meetings Avoid visiting during mealtimes Help perform client care ?Federal law states that residents have the right to have family involvement in care planning. Sexuality in long-term-care clients may include all of the following expect Needing private time with a partner Caring about one's physical appearance *Engaging in public fondling Desiring sexual interaction ?As long-term-care providers, nursing assistants must respect the resident's right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other residents' rights. Which statement about some patients with developmental disabilities is correct? They usually have no ADL skills They are usually bed bound *They can learn, but at a slow pace They are dangerous because they are always strong ?Patients with mental retardation are all different. The important thing to remember is that many of them can learn; those who can just do so more slowly than other people. A goal for an ECF resident is that she not swear at the nurses or aides. When she calls you by your name, your appropriate action is to *Smile and give the appropriate reward Continue whatever task that is being done Tease the resident about not swearing Tell all of the staff that she didn't swear ?You want to positively reinforce the resident's appropriate behavior, so smiling and rewarding her good behavior is the best action. An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to Turn on the light *Speak quietly and calmly Touch her shoulder Shout her name ?Do not startle the resident, as this may agitate her. Speak as you enter the room. If a client objects to certain food for religious or cultural reasons, the appropriate action would be to Tell him to wait for the next meal *Offer to substitute something different for him Call the dietician on the next day Tell him he needs to eat what is on his tray ?Consideration of cultural or religious beliefs is important to all patients. The client's religion forbids eating pork. Bacon is being served for breakfast. The MOST appropriate response is to Encourage the client to eat it because she needs protein Tell the client it is all right since her doctor ordered the diet *Call the kitchen for a tray without bacon Tell the client that restrictions don't pertain in times of illness ?The other answers do not address the resident's right to practice religion. If a client asks a question you cannot answer, the best response is to Tell the client you will ask another aide *Ask the charge nurse to talk to the client Call the doctor to talk to the client Tell the client that you cannot answer the question ?Always refer such questions to the charge nurse to handle. Before bathing a client, the nursing assistant should *Close the door and pull the curtain Gather a change of clothing Check for a doctor's order All of the above ?Gather a change of clothing is incorrect because some residents are capable of choosing their own clothing. Check for a doctor's order is incorrect because there will not be a doctor's order for a bath. Therefore, all of the above is also incorrect. On entering a room, you notice that he client is not breathing. Your FIRST action should be to *Call for help Lay the client down on his back Give four quick breaths Give 8-10 abdominal thrusts ?Always call for help first in an emergency. A client's dentures are lost. The first action would be to Notify the administrator Look for them Notify the doctor *Notify the charge nurse ?The first step for any lost belongings is always to notify the charge nurse. As a nurse aide, it is your responsibility to Plan the client's care *Do the tasks the supervisor assigns to you Do the best you can without asking for help Compare assignments with your coworkers ?Plan the client's care is incorrect because you are a member of the planning team, not the major planner. Do your best without asking for help is incorrect because in healthcare the correct action is often to ask for help. Compare assignments is incorrect because there is no legitimate reason to compare notes with coworkers. A patient turns on the call light when he needs to urinate. The appropriate action is to Ignore the light since he is not your client Announce on the intercom that there are two patients ahead of him *Answer the call light and get the urinal Answer the call light when you have time ?Answer any call lights as soon as possible. A prosthesis is *An artificial substitute for a missing body part A device for moving patients An expected condition of the aging process A disease of the circulatory system ?Examples of prostheses include artificial limbs, hearing aids, and dentures. When performing catheter care, the nurse aide should wash the catheter Toward the meatus With Betadine soap *Away from the meatus With alcohol ?You should follow the clean-to-dirty principle, with the meatus considered cleaner than the catheter tubing. A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of Slander Battery *False imprisonment Negligence ?Applying restraints without an order/without consent can be considered false imprisonment. H.S. care is care that is given Before meals *Before bedtime After meals Upon awakening ?H.S. is the abbreviation for hour of sleep. The BEST food choices for a geriatric client with no teeth would include Hamburger, French fries, corn, and ice cream Baked chicken, dressing, green beans, and coconut macaroons Spare ribs, macaroni and cheese, coleslaw, and fruit cocktail *Baked fish, whipped potatoes, spinach soufflé, and tapioca The family wants to talk about Bill's approaching death, but Bill does not. The family should be encouraged to *Carry on the conversation away from Bill Talk freely in the room regardless of Bill's wishes Wait until Bill dies Try to encourage Bill to take part in the conversation ?Involve Bill if he chooses, but have the family talk privately otherwise. Decubitus ulcers may develop in clients who are Incontinent Paralyzed Poorly nourished *All of the above ?Any patient who is bed bound may develop a decubitus ulcer. Those who also are incontinent, paralyzed, or poorly nourished will develop ulcers more rapidly. A walker may be used if the client can *Support some weight Use her hands well Balance without help Walk independently ?A resident must be able to support some weight before using a walker. A cane should be used on The affected (weak) side of the body *The unaffected (strong) side of the body The side with the strongest arm The weak side one day, strong side next day. ?If the cane is not used on the strong side, the resident may fall. Which of the following statements about ROM is FALSE? Active ROM means the client does the exercises Passive ROM means the nursing assistant does the exercises *Active ROM means the nursing assistant does the exercises Active ROM is best, if possible. ?Active ROM means the resident moves his or her own limbs. When helping a client using a walker, it is important to tell him to Move the walker and his feet at the same time *Move the walker, place the walker firmly, and step. Move the walker and then slide his feet Take several steps, slide the walker, and then place the walker firmly. The purpose of correctly positioning the client is to Prevent skin breakdown Maintain function of joints and muscles Increase comfort *All of the above Which of the following statements about dressing ECF residents is true? It is not necessary for handicapped resident to dress in street clothes Resident like staff members to dress them *Residents are concerned about how they look Resident are used to being dressed in front of others The preferred way to remove a bedpan from a client who is unable to lift her buttocks is to Use a mechanical lifting device Have another nursing assistant lift the client *Turn the client to the side while holding the pan Slowly slide the pan from under the client At the beginning of your shift, you give a client a water pitcher containing 270 cc (9 oz) of water. At the end of your shift, you note that 35 cc of water is left in the pitcher. How much water has been consumed? 35 cc 135 cc 175 cc *235 cc When a client complains the his dentures are hurting, the appropriate action is to Encourage him to wear the dentures more often *Report the complaint to the charge nurse Report the complaint to the physician Put the dentures on the bedside table A water pitcher has been tipped over and you notice water on the floor. The BEST action is to *Wipe it up immediately Throw a towel over the water to prevent accidents Notify the charge nurse Call housekeeping When making an occupied bed, it is important to Make half the bed at one time Have one side rail up and one down Make a toe pleat in the top covers *All of the above On entering a room, you notice that he client is not breathing. Your FIRST action should be to *Call for help Lay the client down on his back Give four quick breaths Give 8-10 abdominal thrusts ?Always call for help first in an emergency. Decubitus ulcers can be prevented by Changing the client's position frequently Placing an egg-crate mattress on top of the mattress Increasing the patient's vitamin C consumption *Both changing the client's position and an egg-crate mattress The first step in getting a client up to walk is to Sit the client on the side of the bed Put the client's slippers on *Check the activity order Tell the client what you want him to do The patient's TPR is 98.8-80-30. The finding that should be reported at once is Pulse Temperature *Respiration All of the above Which of the following can cause an inaccurate oral temperature reading? Drinking hot or cold liquids within ten minutes of the reading Failure to shake down a mercury thermometer Vigorous exercise prior to measuring temperature *All of the above Systolic blood pressure is determined by Reviewing previous readings *Listening for the first clear sound Waiting for a change in sound Listening for the last clear sound The order "weigh client q.o.d." means to weigh the client every Other week *Other day Morning Week The FIRST step in performing any procedure is to Explain the procedure Gather needed equipment *Wash your hands Provide privacy Which of the following procedures best destroys all bacteria? Soaking in alcohol Washing with bleach *Sterilizing All of the above In the event of a fire in a client's room, your FIRST action should be to Notify the charge nurse Turn in a fire alarm *Get the client to a safe place Get the fire extinguisher Safe use of oxygen therapy includes Always setting the flow meter at 2-3 liters per minute Using wool blankets only Cleansing the nasal prongs each shift with alcohol *Posting a "no smoking" sign on the door When you perform CPR, the client should be lying *Flat on a hard surface With head and shoulders elevated With the head and feet slightly raised None of the above A procedure manual is a *Written set of instructions on how to perform procedures Set of directions needed to complete your job description Book of directions for administering medications Book listing the procedures you have been assigned to do If a client cannot speak English, the nurse aide should Have the family interpret *Ask the charge nurse to arrange for an interpreter Call the doctor to talk to the client Tell the client that you cannot answer the question The accepted way to identify a client is to Check the bed name and number *Check the identification band Ask the client's name Call the client by name Which of the following best describes nail care? Nail care is not needed for the elderly Use scissors for all nail care *All clients need nail care Check with the charge nurse for nail-care instructions When performing perineal care on a male, always Clean the scrotum first *Retract the foreskin if uncircumcised Clean from front to back Hold the penis at 90-degree angle The reasons for rubbing a client's back include Improving circulation Increasing one-on-one interaction time Relaxing the client *All of the above The client's elbows are dry and red. You should *Report this to the charge nurse Rub them with lotion Apply elbow protectors All of the above A decubitus ulcer is caused by Poor circulation Pressure on the skin Poor nutrition *All of the above You would shampoo a client's hair to improve Circulation to the scalp The client's general appearance The client's feeling of well-being *All of the above When removing a soiled gown from a client who has an IV, the BEST action is to *Remove the opposite arm from the gown first Have the nurse remove the IV needle Disconnect the bag and tubing Slip the gown over the IV solution bag If your client does not eat all the food on his tray, the FIRST thing you should do is Notify the charge nurse *Ask the client why Remove the tray Urge the client to eat all the food The client states that a mistake has been made. There is salt on her tray, although the doctor has ordered a low-salt diet. The nurse aide should Explain this means no salt when preparing food Tell the client not to use the salt *Check the diet order with the charge nurse Call the kitchen for a new tray The MAIN safety factor in transferring a client is to Always transfer slowly Raise the side rails *Secure adequate assistance Make sure the client is not tired Before transferring a client from the bed to a wheelchair, the nurse aide should sit him or her on the edge of the bed for a few minutes to Rearrange his or her gown or clothing *Prevent orthostatic hypotension Position and secure the wheelchair Rest and remove the transfer belt The client's religion forbids eating meat. Beef stew is being served for lunch. The nurse aide should Tell the client to eat it because she needs protein Tell the client it is all right since her doctor ordered the diet *Ask the nurse to call the kitchen Tell the client that restrictions don't pertain in times of illness It is important to remember that dying patients *Have the same needs for care as other patients Need to be by themselves in a quiet room Do not need to be consulted regarding their care Are usually in pain Dying patients and their families Always pass through five stages of dying in order Always accept death before it occurs *May go back and forth among the five stages Must go through all stages of dying before they die A sign of dementia in elderly clients is A need to eat regular meals *Not knowing who and where they are An ability to figure out problems A good memory for recent events Clients with Alzheimer's disease may show which of the following signs/symptoms? Physical and mental wasting away Extremely clear memory Frequent pacing or wandering *Physical and mental wasting away and frequent pacing or wandering only When a client turns on the call light every few minutes, the appropriate response is to Ask the client not to call so soften *Stop by the room more often Place the call light out of reach Tell the client how busy you are Many older adults suffer loss of Income Physical strength Loved ones *All of the above How a client reacts to illness and disability is MOST dependent on his or her Age and stage of life Spouse's support Income and level of education *Support system and life history An 85-year-old tells you that his mother is coming to visit. Your BEST response would be "That's impossible. Your mother can't come to see you." "That's nice, when is she coming?" "Tell me how old your mother is." *"Are you wishing you could see your mother?" A client hits you during lunch. The appropriate response is to *Call the charge nurse for help Continue to feed her Apply a restraint Yell at her to stop hitting you The nurse aide must report abuse of a client by The family The staff Another client *All of the above If the client is in traction, the nurse aide should never Monitor affected skin temperature Give a total bed bath *Change the position of weights Monitor distal pulses Security for a client's dentures includes Keeping them in a tissue in a dresser drawer *Placing them in a labeled denture cup Insisting the resident wear the dentures Placing an identifying mark on the dentures If family members bring new clothes in for an ECF resident, the nurse aide should Put them in the resident's dresser drawers *Label them with the resident's name Ask the family to remove an equal number of old clothes Make sure the charge nurse sees the clothes The charge nurse instructs you to clean an ECF resident's closet. You should Throw away all torn clothes Ask the family to come do it *Enlist the help of the resident Tell the nurse you are too busy Before dressing an ECF resident, the nurse aide should *Close the door and pull the curtain Choose the proper clothes Check for a doctor's order All of the above Confidentiality refers to Never sharing information with anyone The right of the patient to privacy Only sharing information with those involved in the client's care *Both the right of the patient to privacy and sharing information only with those involved in the client's care Maintaining good interpersonal relationships depends on Going along with the crowd *Communicating clearly with others Following orders without questioning All of the above If you do not know how to do an assigned task, you should Call another nursing assistant for help Ask the client how she prefers to have it done *Call the charge nurse and ask for help Follow the instructions in the procedure manual Reporting exactly what you see is an example of a (an) _____ observation. Clinical *Objective Personal Subjective The purpose of using restraints is to Position an atrophied extremity *Protect the client and others from injury Prevent wandering in the halls All of the above Failure to raise the side rail on the bed of a confused client is an act of Malpractice *Negligence Overt commission Breaking a criminal law During a job interview, it is important to tell the interviewer about your Scheduling needs Childcare needs *Qualifications All of the above When you are unable to work due to an illness, you should Arrange for someone to cover for you *Call the facility as early as possible Call your charge nurse an hour before your scheduled time Notify the facility at least 30 minutes before your scheduled time The primary reason for laundering a nursing uniform after each day's wearing is to Look professional Look neat Remove body odor *Prevent the spread of germs The client asks to see a priest. The nurse aide should *Ask the charge nurse to call a priest Tell the client to see if a priest walks by his or her door Call the doctor Tell the client to call herself When caring for a client who has just been placed on NPO, the nurse aide should first Encourage the client not to think about food and water Encourage the client to eat and drink *Remove the water pitcher and all items of food and drink Give the client meticulous mouth care A client states that his wallet is lost. The FIRST action of the nurse aide would be to Help to look for it Notify the doctor Ask all of the other clients if they have seen it *Notify the charge nurse Which statement about mouth care for unconscious residents is correct? *Unconscious resident may be able to hear you speaking to them during mouth care Unconscious residents can both swallow and spit Unconscious residents do not need to be observed for mouth sores Unconscious residents have very moist gum tissue A client is hearing impaired. The client has the right to Written notes A professional interpreter Assistance with hearing aids *All of the above A coworker states that she will need help in lifting a heavy client. The nurse aide should Offer to get a Hoyer lift Locate additional coworkers State that she has back trouble *Offer to get a Hoyer lift and locate additional coworkers Inactivity and immobility may cause all of the following EXCEPT for Skin breakdown Permanent contractures *Increased intestinal peristalsis Secretions remaining in the lungs The nurse aide knows that the term "up ad lib" means the client Is not permitted out of bed *Is independent with balanced periods of rest and activity Is out of bed at mealtime only Will need assistance of two for all activities of daily living Mr. Perez is very weak and uncoordinated from a previous stroke. The nurse aide selects which device to assist Mr. Perez in walking safely? Geri-chair *Transfer belt Trochanter roll Hoyer lift A common sign of approaching death is Increased appetite Normal or elevated vital signs Severe, unceasing pain *Decreased body functions The BEST definition of the range-of-motion term abduction is to Bring a body part to a center or middle line Bed the sole of the foot Overextend a limb or part *Move a body part away from a center or middle line You notice that Mrs. Small's vital signs are decreasing and her respirations are zero. You SHOULD Continue with her normal care Wait five minutes and take her vital signs again Tell the family that she is dead *Contact the charge nurse immediately After Mrs. Small's death, her husband wishes to share his feelings and emotions. The nurse aide SHOULD *Listen and try to comfort him Change the subject Tell him to go to a counselor Tell him to keep his feelings to himself An example of a special device to help prevent contractures is a (an) *Handroll Doppler Air mattress Manometer Saying that a coworker took a client's money when this is UNTRUE is an example of Negligence Assault *Defamation Hoarding Paraplegia refers to paralysis of the *Legs or lower part of the body The left half of the body All four extremities Arms or upper part of the body The MOST accurate method of measuring body temperature is *Rectal Oral Axial Feeling the forehead Which of the following sets of vital signs should be reported IMMEDIATELY? T-98.6, P-60, R-14, BP-120/60 *T-102.4, P-100, R-32, BP-180/100 T-99.6, P-80, R-16, BP-132/70 T-97.6, P-82, R-20, BP-110/60 A large glass holds 240 cc. The patient drank one-third of the large glass. The nurse aide would record this as 1/3 of 240 cc 30 cc *80 cc 120 cc Mr. Jones is placed on strict intake and output after surgery. The nurse aide SHOULD Keep Mr. Jones NPO Record all of the solid foods Mr. Jones eats *Record all fluid intake and output every shift Measure only the first voiding after surgery The nurse aide shouts at Mr. Moore for climbing out of bed. This behavior is not acceptable an is considered to be *Verbal abuse Neglect Physical abuse None of the above Which of the following would be included in a client's output record? Urine, food eaten, and IV solutions *Urine, emesis, and bleeding Liquids taken in during the shift Bowel movements only Which of the following is an intake-and-output problem that the nurse aide MUST report? The client states that he is not hungry The client requests a bedpan *The client has not voided in eight hours The client's eight-hour output is 600 cc Mrs. Brown's water pitcher holds 600 cc. The pitcher is full at the beginning of the shift. Halfway through the shift, the pitcher is empty, and you refill it. At the end of the shift, the pitcher is one-half full. Total water intake for the shift is 1,200 cc 600 cc *900 cc 300 cc The nurse aide finds a damaged piece of equipment. The nurse aide SHOULD Dispose of it immediately Use it until new equipment arrives *Report it immediately Repair it herself and then use it The nurse aide finds ants in the client's room. The nurse aide SHOULD Ask the client to wear slippers in the room *Contact housekeeping immediately Ask the client not to eat in the room Place ant traps around the room When restraints are in use, the nurse aide SHOULD report The type of device being used The time the restraint was released Any unusual observations about the patient's skin condition *All of the above The pulse located in the neck is called the Apical pulse Femoral pulse Radial pulse *Carotid pulse Mrs. Wilson complains of numbness on one side of her body. You notice that her grip is weak and her speech is slurred. You SHOULD *Realize that this may be a sign of a CVA and notify the charge nurse Call the doctor and tell him Mrs. Wilson had a CVA Check to see if Mrs. Wilson's condition is the same the next day Accept the condition as normal and reassure Mrs. Wilson Commons signs and symptoms of a urinary tract infection may include Extreme thirst and hunger Lack of appetite and stomach pain Constipation alternating with diarrhea *Frequent urination with burning sensation The order "vital signs q.i.d." means to record vital signs *Four times per day Twice per day Morning and evening Once per shift The nurse aide notices that Mrs. Nix has an open red area on her coccyx that the draining. The nurse aide SHOULD Wash the area with soap and water and apply alcohol Ask another nursing assistant to look at it and give her opinion Check it again at the same time the next day *Tell the charge nurse so she can check it While you are walking Mrs. Grey in the hallway, she complains of chest pain and dizziness. Your FIRST response should be to Sit her one the floor and go get help *Call for help immediately but stay with her Continue the walk so as not to alarm her Tell her to relax because everything will be okay Mr. Smith has just smoked a cigarette. It is time to take his temperature. The nurse aide SHOULD *Wait 15-20 minutes and then take an oral temperature Take an oral temperature immediately Give him some cold water to counter the effect of smoking and then take an oral temperature Take a rectal temperature to discourage him from smoking Which of the following observations should be reported IMMEDIATELY? T-98.2, P-88, R-20 Yellow colored urine *Bluish tint to lips and skin Skin that is warm and dry to the touch Microorganisms can be spread by direct and indirect contact. An example of indirect contact is Bathing the patient Using contaminated blood *Touching objects or dirty instruments Breathing dust particles in the air Which statement about use of fire extinguishers is CORRECT? Any fire extinguisher can be used on any fire *Each extinguisher should be used for the correct type of fire Nurse aides are not responsible for using fire extinguishers Fire extinguishers should not be used around patients As you feed Mrs. Sanford, she begins to choke. Mrs. Sanford is conscious, but she is unable to speak or cough. The nurse aide SHOULD *Administer abdominal thrusts Look in her mouth to see what she is choking on Get to the doctor at once Keep feeding her to push the food down The nurse aide SHOULD tell the licensed nurse if a patient with _____ does not finish the food on his tray Stroke Cancer *Diabetes Alzheimer's disease Techniques to keep the client's skin clean and healthy include Using prescription soaps only Using clear water but no soap *Rinsing the skin well after soaping Using a lot of suds Giving good oral care to a client includes all of the following EXCEPT Wearing gloves Handling and storing dentures carefully Using dental floss *Removing oxygen before brushing To prevent infection in a client with an indwelling catheter, the nurse aide SHOULD Keep the drainage bag higher than the bladder *Do perineal care from front to back as needed Let the tubing make a U loop below the bed Do perineal care every other night Mr. Spear is on a full liquid diet. You would expect to find which of the following food items on his breakfast tray? Oatmeal, juice, and coffee Pureed eggs and toast *Clear broth, gelatin, and milk Pancakes, bacon, and tea Which statement about injuries to clients and staff members is CORRECT? *Injuries should be treated and reported on an incident report Injuries can be ignored if they are minor Injuries should be reported only if they are major Injuries should be treated but do not need to be reported Which statement about horseplay and practical jokes is CORRECT? They are permitted if no one is insulted They are acceptable during breaks *They can cause accidents and are unacceptable They are allowed because they cheer up the patients The nurse aide used an electric razor to shave Mr. Bailey and nicked him on the chin. The nurse aide SHOULD Ignore the nick and continue Call the doctor *Report the nick to the licensed nurse Put alcohol on the nick Nonverbal communication includes Talking to the client *Observing the client's body language Asking the client if she is in pain Speaking to the client quietly When clients are in a healthcare institution, they expect to be treated as stated in the Infection Control Manual *Patient's Bill of Rights Policy and Procedure Manual Physician's Code of Ethics A conversation about a client in the hospital's elevator is against the *Client's right to privacy Client's right to medical care Client's right to review their records Client's right to ask questions Which one of your five senses would BEST detect Joan Dillon's body rash? *Sight Smell Touch Hearing Several members of the healthcare team have received verbal sexual comments from Mr. Harris, a client on the unit. In discussing this problem at a staff meeting, the team decides the MOST appropriate response would be "You are making me blush, Mr. Harris." *"Mr. Harris, your comments are not acceptable to me." "You really have a great sense of humor, Mr. Harris." "Mr. Harris, you really should be ashamed of yourself!" The BEST way a nurse aide can clean an infant's eyes is with a (an) Q-tip swab lubricated with Vaseline *Moist cotton ball, wiping from the inner to the outer corner Alcohol wipe, using circular motion Hot towel, wiping from the outer to the inner corner Mrs. Enbody is hard of hearing and repeatedly turns her call light on. When responding to her call light, the nurse aide SHOULD *Take time to listen to her to determine her needs Talk loudly to her since she is hard of hearing Unplug the call light Tell the chare nurse that Mrs. Enbody is uncooperative Mrs. Jones states, "I'm not nervous about this surgery," but she is restless and unable to get comfortable. The nurse aide SHOULD *Recognize that Mrs. Jones's body movements indicate fear and ask the nurse to speak with her Pad the side rails on the bed to prevent an accident Ask Mrs. Jones's family members to leave so she will be able to settle down Tell her everyone is nervous about surgery and that she should relax Which member of the healthcare team is responsible for the client's discharge plan? Nurse aide Ward/unit clerk *Registered nurse Dietician A two-month-old infant has been crying continuously. The nurse aide SHOULD Check the baby's diaper See if it is time for a feeding Cuddle or rock the baby *All of the above Mrs. Beck's husband refuses to leave the room in which you are bathing her. You SHOULD Insist that he leave *Allow him to help you Refuse to bathe Mrs. Beck Say "Fine, do it yourself," and leave While providing personal care for a client, the nurse aide SHOULD Uncover the client completely so he or she can work quickly *Uncover only the area he or she is working on Keep the client completely covered and work under the covers Leave the curtain open at all times When providing morning (A.M.) care for the client, the nurse aide SHOULD *Let the client do as much as he is able to Do everything for the client so it is done correctly Care only for clients who are the same sex Work as quickly as possible After Mr. Hall's stroke, his right arm is wee3k and stiff. He SHOULD be taught to *Put his right arm into his shirt first Put his left arm into his shirt first Put both arms in the shirt at the same time Wear a gown to make dressing easier Dressing will be difficult for a client who *Has a contracted arm Is left-handed Has impaired speech Is elderly If a client objects to certain food for religious or cultural reasons, the nurse aide SHOULD Tell him to grow up and eat like an adult *Offer to get something different for him Tell him he will have to speak to the dietician tomorrow Tell him he will be given a tube feeding if he won't eat Bill, a terminally ill resident, refuses his bath and throws the water basin across the room. He is in what stage of dying? Denial Bargaining Acceptance *Anger Mrs. Jones begs, "Just let me live until my grandchild is born." She is in what stage of dying? Acceptance Anger *Bargaining Denial An important thing the nurse aide can do for a dying client is to Leave him alone to allow for privacy *Give physical and emotional support Encourage him to believe that a miracle may occur Force him to eat three meals a day to keep up his strength What is MOST important to show the client in his new room? The television remote control How to lower and raise the bed *The location of the call bell and how to use it Where to store personal belongings The older adult likes to feel positive about him- or herself by sharing past achievements and experiences. The BEST way the nurse aide can encourage this is by Pairing the older adult with another talkative resident Encouraging frequent rest periods to save energy for socializing *Listening to the older adult's past experiences Telling the older adult that you are too busy to listen to stories In caring for the client with anxiety, the nurse aide SHOULD Remain calm Use simple, easy-to-understand words Provide a quiet atmosphere *All of the above A client asks the nurse aide if she could have a few minutes to pray before her bath. The BEST response by the nurse aide would be to Tell her that her bath comes first *Allow her some private time to pray Tell her to wait until clergy visits Ignore her request and start bathing her During orientation of your new job, you realize your shift ends at 3:30 p.m. and not at 3:00 p.m. as you had thought. Your child needs to be picked up every day by 3:15 p.m. You SHOULD *Discuss this with the charge nurse as soon as possible Ask the other nurse aide to cover your for fifteen minutes Leave early and hope no one notices your absence Come in 15 minutes earlier in the morning The BEST definition of a certified nursing assistant is a Graduate nurse who is registered and licensed by the state to practice nursing Licensed person who provides education about special diets Person who transcribes the physician's orders for patient care *Person who is certified to give care under the direct supervision of a registered or licensed practical nurse When the nurse aide shows genuine interest and concern for the client, this is an example of Honesty *Caring Teamwork Accuracy When you are giving a bed bath to a client, you SHOULD Put the bed in the low position *Cover the resident with a bath blanket Wash the perineal area from back to front Put the dirty towels and linen on the floor An indwelling catheter drains the bladder of Feces Emesis *Urine Blood When assisting a blind client to eat, the nurse aide SHOULD Set the plate as a clock with food at 1:00, 5:00, 8:00, and 11:00 *Set the plate as a clock with food at 12:00, 3:00, 6:00, and 9:00 Give him the plate and tell him where the food is Fee him herself to save time Lena, a 70-year-old resident, wishes to write out her own Christmas cards. The nurse aide SHOULD Call her daughter to do it for her *Provide her with supplies and an appropriate working space Let her manage it entirely by herself Write the Christmas cards out for her A cane SHOULD be used on The affected side *The unaffected side Either side, depending on how the client feels The weak side one day and the strong side the next The client who is at high risk of developing a pressure sore is one who *Eats poorly Moves herself often Has an unwrinkled bed Has Alzheimer's disease Which of the following helps prevent decubitus ulcers? Bed rest Liquid diet *Back rubs Support hose The nurse aide, a member of the healthcare team, can participate in the nursing process EXCEPT for Collecting data *Planning the care Making observations Carrying out selected interventions When using crutches, the client's weight MUST rest on the Armpit Knees *Hand rests Shoulders How often should a client be repositioned if he cannot move himself? Every hour *Every two hours Every three hours Every four hours Correct range of motion for the neck includes *Flexion, extension, hypertension, and rotation Abduction, adduction, flexion, and extension Rotation, abduction, adduction, and extension Pronation, supination, and flexion The goal of bladder training is to Stop using a catheter Gain voluntary control of urination Prevent skin problems caused by incontinence *All of the above Mr. Scranton sometimes chokes while he is eating. The nurse aide SHOULD *Stay close by while he is eating Instruct his roommate to watch him eat Feed him to prevent problems Use the Heimlich maneuver between bites If a client complains of a burning, tingling area on his skin, you should FIRST Rub the area well with lotion *Report the complaint to the licensed nurse Keep an eye on the area for a few days Use cornstarch on the area When changing a pillowcase, you should NOT hold the pillow under your chin because this would Tear the pillowcase Drop the pillowcase Dampen the pillowcase *Spread bacteria A nonsterile dressing is one that is Wet Dry *Clean New If you are asked to clean or put a soak on a resident's eye, you SHOULD Clean it from the inner corner to the outer edge Use a clean surface of the cloth each time you touch the eye Report any exudates *All of the above Before giving any hot or cold treatments, the nurse aide should be sure to have *A doctor's order A sign for the door Disposable equipment A form to chart on Safety precautions for hot treatments SHOULD include Leaving on the treatment for the time ordered Stopping the treatment if the skin is reddened Giving the treatment through a protective pad *Both leave the treatment on for the ordered time and stopping the treatment if the skin is reddened The nurse aide has been caring for Mrs. Jewell for four hours, and during that time she has asked the aide to take her to the bathroom every fifteen minutes. The nurse aide's BEST action is to Trade clients with another nurse aide Put her to bed on a waterproof under pad *Discuss this issue with the licensed nurse Ignore her for a while If an elderly resident begins to wander and becomes confused, you SHOULD Leave her in her pajamas for easier care Joke with her about her funny ideas *Report her behavior for evaluation Tell her family she is near death The Hoyer lift is used to Prevent injuries to healthcare workers Move clients who are very heavy or weak Move a client when only one worker is free *All of the above When you perform passive range-of-motion exercises for a resident, you should do all the following EXCEPT Use good body mechanics *Move the joint until the resident feels pain Keep the body covered except for the joint being exercised Make the resident perform as much of the exercising as he can Using a broad base of support means *Keeping your feet comfortably apart Keeping your knees locked in place Holding objects away from your body All of the above If a client is in traction, you should NOT Monitor affected skin temperature Give a complete bed bath *Change the position of the weights Monitor distal pulses When the nurse aide is moving the client up in bed, the pillow goes On the chair, out of the way At the foot of the bed, out of the way *At the head of the bed, to protect the head Anywhere the client wants it Dangling a client's legs over the side of the bed is done to Make sure she is able to sit up first Give her time to put on her shoes *Prevent decubitus ulcers Prevent orthostatic hypotension Walking with a client is safest if done with a *Transfer belt Wheelchair a few steps behind him Hoyer lift Nurse or doctor ready for emergencies When you have a client sit up and dangle her legs before getting up, you should watch for Sudden paleness Excessive sweating Increased respirations *All of the above When the nurse aide is transferring a client from the bed to the wheelchair, she should ALWAYS Unlock the brakes on the wheelchair *Lock the brakes on the wheelchair first Use a Hoyer lift Put socks on the client first Before any transfer, the nurse aide SHOULD Have the nurse's approval Know the proper procedure Use a transfer belt if needed *All of the above The pulse located in the wrist is called the Carotid pulse Apical pulse Femoral pulse *Radial pulse Mr. Salzberg drinks five ounces of juice. The nurse aide would record this as 500 cc *150 cc 6 cc 5 cc Which of the following sets of vital signs should be reported IMMEDIATELY? *T-98.2, P-122, R-20, BP-84/40 T-99.0, P-72, R-16, BP-134/82 T-98.8, P-66, R-14, BP-100/62 T-98.6, P-90, R-18, BP-120/70 A piece of linen that is placed beneath the client from shoulders to thighs is called An under pad A spread *A draw sheet A sheet Which bedmaking procedure is used when the client remains in the bed? Occupied bedmaking procedure *Unoccupied bedmaking procedure Circle bedmaking procedure Procedure using only fitted sheets Which complication may happen if a post-op client does NOT take in adequate fluids? *Constipation Blood clots Infection Foot drop Which type of client is most likely to have problems as a result of poor nail care? A cancer client *A diabetic client A stroke client A mentally retarded client Mrs. Nelson has right-sided weakness. For her mouth care, the nurse aide SHOULD Do it for her Pay particular attention to the left side of her mouth Tell her to get out the equipment and do it herself *Let her do as much as she can and assist as needed. A cane, walker, and crutches are all used to help a client walk. What else do they have in common? Clients must know how to use them correctly They all must have rubber tips to prevent slipping They all must be fitted to the client *All of the above A resident with a paralyzed left arm may be able to feed herself if she uses a Plate guard Built-up spoon Zipper pull *Plate guard and a built-up spoon only Which statement about residents with mental retardation is generally CORRECT? They should be treated like children They cannot walk or talk *They learn at a slower pace They are suspicious of all teenagers A diabetic client has had her leg amputated. Her need for sexuality will Be more important for a while *Be less important for a while Disappear forever Be unaffected Clients with Alzheimer's disease may show which of the following symptoms? High fever accompanied by chills Clear memory of the recent and distant past Chest pains and difficulty breathing *Physical and mental decline If a client is upset and is yelling, the nurse aide SHOULD respond by *Saying sternly, "Quiet down!" Offering to call her doctor Shutting her door for privacy Calmly sitting down with the client and listening A common sign of depression is Attending activities daily Laughing and smiling *Decrease appetite Socializing with friends Linda is a 35-year-old client with multiple sclerosis whose mother has always taken care of her. It would be normal for Linda to Look to her father for care Refuse to see her mother *Want to make her own decisions Ask her mother's advice about everything A client who is in middle adulthood would be likely to be concerned about her Teenage children Elderly parents Grandchildren *Teenage children and elderly parents only A Catholic client refuses to eat meat on Fridays. Her lunch one Friday consists of a roast beef sandwich and a salad. The nurse SHOULD first Tell the client to eat only the salad *Offer to get her a meatless lunch Ask family members to bring in something else Request that a priest come and speak with her What is the BEST way you can understand cultural practices different from your own? Avoid giving care to clients with cultural practices different from yours *Try to understand other cultural practices by learning more about them Eat out at different ethnic restaurants to taste various foods Discuss your own beliefs and values with clients whose cultural practices are different from yours Beth is a 58-year-old permanently handicapped resident. She tends to be very quiet and to act as if nothing matters. The nurse aide can BEST show respect for her by Telling her she is very lucky to retire so early *Including her in her plan of care Serving her dinner first Calling her "Mom." An example of using body language while communicating is *Using gestures and facial expressions Writing the message on paper Sharing your feelings and concerns Offering your advice and opinions The nurse aide nods her head and smiles while she sits with Mrs. Crane. This type of nonverbal communication BEST demonstrates *Encouragement for the client to continue talking Displeasure at having to listen to the client Support for the terminally ill client Lack of work available for the nurse aide Mr. Jacko states, "I'm feeling really sad today." The nurse aide responds by saying, "You are feeling sad?" This is an example of a communication technique called Active listening Clarification Silence *Reflection If a client asks a question about the health status of another client, the nurse aide SHOULD reply "That's a good question, but I really don't know." *"I cannot share that information with you." "I will let you look at his chart later." "Why don't you ask him yourself?" Miss Talcott, an alert and oriented client, refuses to bathe this morning. The BEST response by the nurse aide would be "You are going to bathe today whether you like it or not." "I don't think you roommate will appreciate the smell in here." *"Can you tell me why you don't feel like bathing today?" "Fine with me. I'll get my work done earlier today." An example of false imprisonment is *Using restraints without a doctor's order or the client's consent Closing the door to the client's room Treating the client differently because of their religious beliefs Refusing to answer a call light that rings frequently You are aware that a coworker is not providing the required care to certain residents on your floor. The nurse aide SHOULD Keep a list of the activities not performed Tell all the other staff members Provide the care yourself *Report this to the charge nurse as soon as possible If you are ill and cannot report to work that day, it is BEST to Arrange for your sister to cover you Bring in a note when you return back to work *Call the facility as early as possible Call the facility after you have seen your doctor Mrs. Larkin, age 52, was the victim of an industrial accident. She was a foreman and a union leader. To help her maintain her dignity as an adult, you might suggest that she Read industrial magazines *Serve on the resident council Rent movies Attend bingo A client's daughter wants to help with her mother's care. You should tell her that she Cannot help Can only bathe her mother Can do whatever care she wants *Can do whatever the nurse agrees to It is important to remember that the client in the last stage of a terminal illness SHOULD Be left alone to grieve *Be offered care to meet their physical and emotional needs Be cared for only by relatives and close friends Not be offered any choices about their care Dressing a resident in personal clothing every day contributes to the resident's Overall appearance Feeling of well being Pulse rate *Overall appearance and feeling of well-being only Mr. Collins, a 42-year-old postoperative client, has his door closed. The nurse aide needs to take a set of routine vital signs. She SHOULD *Knock on the door and wait for the client to respond Assume this means he does not want to be disturbed Open the door immediately, as doors should not be closed Knock and enter without waiting for a response Which of the following are listed in the Patient's Bill of Rights? The right to privacy and confidentiality The right to make decisions about the plan of care The right to have a living will *All of the above Mrs. Philly insists on dressing in a striped green blouse and plaid pants. Knowing that the clothes don't match, the nurse aide SHOULD Insist on selecting another outfit for her Tell her she will look ridiculous in that outfit *Respect her choice of clothing Have her remain in her nightclothes until she changes her mind Failure to perform service for which a person is trained is called Discrimination *Malpractice Slander False imprisonment After assisting a client to the bedside commode, the nurse aide SHOULD Leave the curtain open so she can see the client *Provide privacy with the curtain pulled Make her bed while she is sitting on the commode Tell her she can only use the commode once a shift The healthcare team can include all of the following EXCEPT for the Nurse aide Registered nurse *Receptionist Physical therapist In order to keep your job as a nurse aide, you will need to follow institutional guidelines that may include Reporting to work on time Following the institution's dress code Completing only tasks for which you have been trained *All of the above Members of the healthcare team know that the MOST important reason to all work together is to *Provide the best possible care to the client Eliminate arguments among team members Form long-lasting friendships Be able to do each other's assignments During a job interview, you should NEVER Bring up your scheduling needs *Make negative comments about your previous boss Ask about job responsibilities Share your strengths and weaknesses Nursing orders frequently instruct you to "assist patient to cough and deep breathe." This activity helps the patient avoid Decubitus ulcers *Pneumonia Internal bleeding Dyspnea What position should a patient be in to receive an enema? Supine Fowler's Prone *Left Sim's Which of the following lists only items that would be included in fluid intake? Milk, ham sandwich, ice cream bar Water, mashed potatoes, gelatin *Milk, custard, soup Orange juice, soft-boiled egg, toast The nurse aide must use a stethoscope to determine the *Apical pulse rate Carotid pulse rate Popliteal pulse rate Brachial pulse rate Another name for urination is Defecation *Voiding Wetting the bed Flatus As you bathe Mrs. Sweeney, she complains of an ache or sore spot in her calf. You should Massage her legs with lotion *Stop the bath and ask the nurse to check the ache Tell Mrs. Sweeney to get up and walk to relieve the cramping Continue the bath and report the complaint to the nurse later An example of contamination through indirect contact is Bathing the resident *Touching instruments or linens the resident has used The resident sneezing or coughing on you All of the above As you walk down the hall, you hear a scream and find smoke and flames coming from Mr. Smith's room. You should *Attempt to get the resident out of the room if possible and close the door Throw water on the flames Take Mr. Smith's cigarettes away Run to the telephone and call the fire department Placing a client in good alignment means you should Keep his joints lubricated *Keep him as straight as possible Keep him sitting up during the day Make sure he stands at least five hours per day When using a cane or walker, the resident's elbows must be Bent at a 60-degree angle *Bent at a 15-degree angle Bent at a 90-degree angle Straight Which of the following conditions needs to be reported immediately to the charge nurse? *Rash that appears suddenly Warm, dry, and pink skin Tough skin on the feet Scarred skin To prevent a client from getting decubitus, it is necessary to Wash urine and feces off with only water Put baby powder on the skin to keep it dry Rub the reddened area once day *Turn the client every 2 hours Mr. Book has a broken hip and needs to have an enema. The best type of bedpan to use would be a *Fracture pan Plastic pan Child-sized pan Metal pan Which of the following is true regarding visually challenged clients? *Clients use a "clock" system to locate food Clients usually prefer to eat alone Clients prefer to be fed to prevent spills All of the above are true Before you ambulate a client who has a Foley catheter, the FIRST action would be to Clamp off the catheter and disconnect it, since the bag would be in the way Leave the catheter dangling between the client's legs *Carry the bag below the level of the bladder Hide the bag in a pillowcase so the client will not be embarrassed After position a client, it is MOST important to Examine the client thoroughly Close the door to the client's room so she can rest Offer the client a drink of juice *Check the position of nonfunctional limbs As you are transferring a client, the client becomes weak and starts to fall. Your FIRST action would be to Hold the client's transfer belt and lean away from the fall Call for help *Grasp the transfer belt and lower the client to floor along your bent leg Hold the client tightly and lean backwards Accurate daily weights are measured *At the same time each day With the client fully clothed In the morning All of the above The MOST important factor in preventing the spread of infection is to Place the client in isolation *Wash hands between client contacts Clean the unit each day Wear sterile gloves to care for all clients The purpose of the cleansing bath is to Provide cleanliness Promote circulation Observe skin condition *All of the above OSHA rules require all healthcare workers to be offered immunization against *Hepatitis B Hepatitis A Hepatitis C AIDS When a client is placed on I and O after surgery, this means that you must Measure only the first voiding after surgery Record the color of the client's urine *Record all fluid intake and output Record the first solid food the client eats Mr. Johnson has not had a bowel movement for five days. He might complain of Abdominal cramping Lack of appetite Slight nausea *All of the above Mr. Kull is weak and unsteady. He needs to urinate. You could safely leave him alone to use A bedside commode The toilet *A bedpan A urinal For a client who is classified as wound-and-skin isolation, the soiled linen should be *Placed in the linen hamper Discarded Bagged before removing from the room Taken directly to the laundry If a resident begins to choke while being fed and is unable to speak, the nurse aide should call for help and begin doing Back blows Mouth-to-mouth ventilations A finger sweep *Abdominal thrusts When you make a bed, you should place the soiled linen On the bedside table On the over bed table *In a laundry bag On a chair You have come upon a patient lying on the floor who is not moving. Your first action should be to Call for help *Gently sake the victim and ask, "Are you all right?" Check to see if the patient is breathing Check to see if the patient has a pulse If a client is receiving forced-fluid treatment, you should Provide at least 2,000 cc of fluid per shift Provide high-protein fluids *Offer liquids every hour All of the above When a client complains that his hearing aide is hurting, you should Encourage him to leave the hearing aide in *Report the complaint to the charge nurse Report the complaint to the physician Put the hearing aid in the bedside table A client who is too large for staff members to transfer safely is *Moved with a mechanical lifting device Placed on a calorie-controlled diet Left in bed, but turned every two hours Left in bed, but repositioned every hour Mr. Jones drinks five ounces of juice. You would record this as 500 cc *150 cc 6 cc 5 cc Mr. Smith has just had a cup of hot tea. You need to take his temperature. You should Take a rectal temperature Take an oral temperature immediately *Wait 15-20 minutes and then take an oral temperature Give him some cold water, and then take an oral temperature Which of the following vital signs should be reported immediately? T-98.6, P-70, R-14, BP-120/60 *T-95.4, P-40, R-10, BP-80/40 T-98.8 "R", P-60, R-20, BP-132/70 T-97.6 "ax", P-78, R-16, BP-110/60 The Patient's Bill of Rights is A verbal agreement given to those receiving healthcare A list of requests that patients submit when admitted to a healthcare facility *A written statement of rights entitled to those receiving healthcare A bill for their stay at a healthcare institution When giving daily care, you should observe all clients for General appearance Mental condition Skin condition *All of the above When should you wash your hands? After going to the bathroom Before and after each client contact Before eating *All of the above While bathing a resident, you notice a rash on both of her legs. You should Ignore the rash if the resident hasn't complained about it Scrub the rash to see if it disappears after the bath *Notify the charge nurse at once Put alcohol on the rash to dry it out Nurse aides should report the care given to residents by *Telling the charge nurse directly Entering it in the chart Telling the desk clerk to tell the supervisor Leaving a note for the supervisor Mr. Brown starts to jerk and goes into a seizure while you are bathing him. You should Hold him down so he doesn't fall out of bed Shove the washcloth in his mouth *Protect him from injuring himself Run and get help Body mechanics means The way the body parts are aligned with each other Always using a transfer belt *Using the body in a safe and efficient manner All of the above To change your direction, you should *Turn your whole body by moving your feet Twist from the waist Move your body in sections Move very slowly To turn the client toward you, you should *Cross his far leg over the leg nearest you Cross his near arm over his chest Bend his far arm at the elbow Grab his shoulders and pull him toward you To help a client into a wheelchair, the nurse aide should position the chair At the side of the bed, facing the head of the bed At the foot of the bed At the head of the bed *At the side of the bed, facing the foot of the bed To transfer a resident correctly from the bed to stretcher, you MUST *Use good body mechanics Use a Hoyer lift Have the help of seven coworkers Raise the side rail on the stretcher first Which statement about dressing resident is correct? Dressing is a waste of time Resident are used to dressing in front of others *Residents care about what they wear Residents like the nurse aide to dress them A mentally ill resident is likely to Believe she is someone other than herself Be fearful, without a good reason Live in her own world *All of the above Reality orientation techniques include Labeling items in the resident's room Putting up calendars and clocks Using familiar items in the resident's room *All of the above Jane is a 24-year-old resident with muscular dystrophy. She has a supportive family, but she talks often of her desire to have a boyfriend. This feeling is best described *Normal Foolish Both normal and foolish Hopeless Rhonda, an 18-year-old, is a resident admitted for long-term rehabilitation. She tells you she wants to attend the local community college. This seems *Appropriate for her age A waste of time An excuse to leave the facility A waste of money Two resident have decided to become a couple. They may Hold hands Spend a lot of time together Insist on eating together *All of the above Which statement about bathing for unconscious clients is correct? *Unconscious clients may be able to hear you speaking to them during the bath Unconscious clients can turn in bed when asked Unconscious client do not need to be observed for decubiti Unconscious clients have very moist skin Mr. Dobbs wants to know what kind of surgery his roommate is going to have the next day. The best response by the nurse aide is "It really should not be any concern of yours." "I'll speak to the surgeon and find out." *"I cannot share that information with you." "You can call the OR and ask yourself." The best and most effective form of communication is Written communication *Face-to-face communication Telecommunication Third-party communication A ten-month-old infant cries and pulls at his left ear. You should Check the baby's diaper Report this to the charge nurse Cuddle or rock the baby *All of the above A client is hard of hearing and repeatedly turns her call light on. When responding to her call light, the nurse aide SHOULD *Take time to listen to her to determine her needs Talk loudly to her since she is hard of hearing Unplug the call light Tell the chare nurse that the client is uncooperative If you are giving a client a tub or shower bath, you should Ensure the client's privacy Check the water temperature Gather all supplies before beginning *All of the above A client who is eating poorly should be offered Vitamin pills Tube feeding Clear broth *Dietary supplements The nurse aide is encouraged to attend resident council meetings if *Invited to attend The superior assigns you to attend Interested in what the residents are discussing None of the above It is Good Friday and a Catholic client was served chicken and requests a meatless meal. The nurse aide should *Offer to get another meal within the client's diet Call the bishop for a dispensation Tell them that is all right since they are in the hospital Tell them the aide will check with the dietician for the next day's meal A client is observing the Islamic Holy Month of Ramadan by fasting from sunup to sundown. The most appropriate action for the nurse aide would be to Tell her that all clients have to eat at the same time Check with the doctor *Find out when she may eat or drink Both check with the doctor and find out when she may eat or drink An ECF resident tells the nurse aide something in confidence about her family. The nurse aide Can tell any staff member *Ethically cannot tell anyone else Can tell the charge nurse only Can tell anyone who does not know the resident A nurse aide observes a client fall in the hallway. It is important to report What she or he thinks happened *Exactly what was observed Nothing if she or he chooses All of the above Which of the following behaviors may the client consider caring? Making the client comfortable Getting the work done before lunch Showing interest in answering questions *Making the client comfortable and showing interest in answering questions only Mrs. Farber is an 88-year-old resident on your floor. She has cared for herself and her husband until recently when he passed away. The nurse aide recognizes that Mrs. Farber needs to Be involved in planning her own care as much as possible *Be left alone to grieve for her husband Be told not to cry since it only upsets her Be involved in planning care for other residents A resident refuses to go to physical therapy one morning. The nurse aide reports this to the charge nurse, who discusses this with the resident. The resident states that she will go to physical therapy the next day. The nurse aide understands that the resident *Has the right to refuse treatment Should not be given choices in his therapy Does not have the right to refuse therapy Could refuse therapy only with the doctor's permission A person admitted to the hospital or extended-care facility can be expected to be treated according to the State Hospital Association Caregiver's Bill of Rights *Patient's Bill of Rights Physician's Association The nurse aide is told to bring a client by wheelchair to the X-ray Department and covers the client with a robe, blanket, and slippers. The nurse aide has maintained the client's Right to confidentiality *Right to privacy Right to nursing-care plans Right to refuse Nurse aides need to identify themselves with their names and the title of CAN before giving any care to clients. This is an example of the patient's right to Considerate and respectful care Privacy *Identification of healthcare workers Be informed of hospital policies