Nurse Aide Guidelines and Best Practices, Exams of Nursing

Download Nurse Aide Guidelines and Best Practices and more Exams Nursing in PDF only on Docsity! CNA EXAM FOR BOARDS QUESTIONS AND ANSWERS. When taking an oral temperature, it is important to.... - \place therometer under the tounge For safety, when leaving a client alone in a room, the nurse aide SHOULD - \place signaling light within the person's reach To convert four ounces of juice to milliliters (ml), the nurse aide should multiply - \4x30 ml Why do residents with Parkinson's disease require assistance when walking? - \They have a shuffling gait and often tremors an Apical plus is counted for how long - \1 minute A Foley catheter is used for: - \to drain fluids from the bladder. A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should - \tell the resident that a nursing aide is not allowed to do that, yet they will report it. Which conditions promotes the growth of bacteria? - \dark, warm, moist You observe a co-worker verbally abusing a resident, what should you do? - \report it to the charge nurse When documenting in a patient's record, which statement is FALSE? - \"to save time, chart the procedure before doing the task While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should ___________. - \pause the bath, make sure resident is safe, and go check on the alarm Why should heat not be applied to a diabetic resident's feet/ - \diabetics have a decreased sensitivity to heat Mrs. Johnson, a resident with dementia, loves to wear her favorite blue plaid shirt with her favorite green striped pants. What should you do? - \respect her choice in clothing A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD: - \respect the residents beliefs The most comfortable position for a resident with a respiratory problem is - \Fowlers The nurse aide finds a resident sobbing. What is the best thing for the nurse aide to say? - \'You seem sad. Do you want to talk about it?" The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is - \call for help and stay with the client or resident What are the main components for successful communication? - \a sender, a message, a receiver A patient complains of feeling short of breath and nauseated. Her face is rapidly turning red. She tells the nurse aide that she didn't know there were strawberries in the gelatin she ate. The aide should - \notify the nurse immediately How many tips does a quad-cane base have? - \4 A terminally ill resident, John Castillo, visits with his family. He discusses his funeral arrangements with them. He lets them know that he is concerned about their well-being after he is gone. He says he wants to spend as much time as possible with them before he dies. Mr. Castillo is going through the ________ stage of grief. - \Acceptance When dry, hard stool fills the rectum and will not pass, it is called - \Impaction You can assist clients with their spiritual needs by - \Encouraging them to talk about their beliefs Which of the following foods is allowed in a clear liquid diet? - \Jello The circulatory system consists of the - \heart, arteries, vein, before meals - A patient tells a nurse aide that the foods on her tray conflict with her religious beliefs. The nurse aide should - \take the tray away and notify the nurse What is the branch of medicine that deals with physical medicine and rehabilitation called? - \Physiatry The definition of scope of practice is? - \skills that they can legally preform Which of the following is a correct measurement of urinary output? - \300cc cc are the correct measurement Factors that increase a resident's risk of falling include - \sensory problems muscle complications medication A good way to reduce confusion or agitation for residents with dementia is - \follow familiar schedule daily If the nurse aide discovers fire in a client's room, the FIRST thing to do is - \remove the client The Heimlich maneuver (abdominal thrust) is administered to the patient if they have - \a blocked airway The nurse aide is going to take Mr. Heath's vital signs. What should the nurse aide do to get Mr. Heath to cooperate and reduce his anxiety? - \explain the procedures to the resident Which does NOT prevent or reduce odors? - \placing fresh flowers in the room Ms. Smith is a new resident at your facility. What can you do as the CNA? - \Introduce the room mate or mates Guide them to their room Introduce them to staff You are sitting at the dining room table feeding a total care resident. You are talking with the resident, but another CNA who is also feeding a resident keeps trying to talk to you about last night's party. You should - \tell the CNA we will talk on break. Considering the resident's activity, which of the following sets of vital signs should be reported to the charge nurse immediately? - \Resting: 92degrees 72-32 Patients can suddenly become combative and hit a nurse aide. If this happens, you should _____. - \back away from the resident and talk to them in a clam voice A resident with dementia has wandered to another unit. What should the nurse aide say after finding the resident? - \"Let's walk back together, okay?" When a resident is expressing anger, the nurse aide should _________. - \listen closely to the residents concerns A patient has just finished taking a cold beverage. How long should you wait before taking an oral temperature? - \15-20 mins Reality orientation therapy should include - \addressing the resident by their proper name A patient's child died in the accident they were both in. What should the nurse aide do? - \give the patient time to grieve Death of a partner results in the loss of a _____. - \lover friend companion As death nears, the last sense to leave the body is - \hearing The doctor has told a resident that his cancer is growing and there are no more treatment options. When the resident tells the nurse aide that there is a mistake, the nurse aide should - \understand that denial is a normal reaction. Which of the following is NOT a sleep aid? - \drinking alcohol Before performing any procedure a nurse aide must - \explain the procedure wash their hands or perform hand hygiene identify the person Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that? - \6 oz Which of the following is a proper way to correct an error in charting? - \draw a single line through it The most important way to prevent the spread of infection is - \hand washing Mr. Mac begins to fall as you are ambulating him. The first thing you do is - \lower him to the floor While assisting a resident with walking, the resident becomes faint and begins to fall. The nurse aide should - \ease the resident to the floor and call for help A major risk factor for a stroke is - \Hypertension The nurse aide is caring for a client who is agitated. The nurse aide SHOULD - \talk in a clam manner and reassure the resident Mrs. Smith, your patient, reports to you that her hearing aid is missing. What do you do? - \immediately report it to the nurse If a client is confused, the nurse aide should - \help the resident recognize familiar things and people The term used when a person repeats a phrase or action over and over is called - \Perseveration A stroke patient with a paralyzed left arm may be able to feed himself if he uses - \a plate guard a weighted spoon When helping a client who is recovering from a stroke to walk, the nurse aide should assist - \on the clients weak side What should the nurse aide do to communicate with a client that only speaks and understands a foreign language? - \Use pictures and gestures The Heimlich maneuver (abdominal thrust) is administered to the patient if they have - \a blocked airway The end of the day can bring a common behavior for residents with dementia, called - \Sundown Syndrome Mr. Schwartz is concerned about his son and asks to speak to his rabbi. The nurse aid should - \ask the nurse to call rabbi and ask him to visit A patient who is on suicide watch should be allowed to have - \picture of her family in an album If a resident displays paranoid behavior, what is important for the nurse aide to know? - \delusions are a normal part of the progression of the dementia process Insulin, a hormone, regulates - \the amount of sugar in the blood Paraphrasing is - \restating a message in your own words Precautions for a patient in respiratory isolation include all EXCEPT - \a gown When transferring a client, MOST of the client's weight should be supported by the nurse aide's - \legs What is rigor mortis? - \stiffness or locking of joints after death Mrs. Thompson is confused. The nurse aide should _____. - \help the client recognize familiar things and people Which statement is false? - \religious and cultural practices are not allowed in a health care agency What are the parts that make up the whole person? - \spiritual, physical, emotional, cognitive, social While helping a resident, the resident hits you. What should you do? - \report the incident to the charge nurse You are giving mouth care to an UNCONSCIOUS resident. You must be especially careful to prevent the resident from - \aspirating any fluids Water for the resident's bath should be - \100 degrees The nurse aide is caring for a diabetic resident. The nurse aide finds the resident trying to scrape off a callous on the little toe. The nurse aide should FIRST - \put a socks on the resident to keep them from scrapping. A resident's dentures should be stored in - \a labeled cup with cool water. Which will NOT prevent pressure sores? - \massaging and rubbing the skin vigorously Before helping a client into a bath or shower, the nurse aide should FIRST - \check the temperature of the water. Right before dinner a client is incontinent of urine. The nurse aide SHOULD - \clean the client and take them to dinner as soon as possible. Which of the following will NOT put strain on the back when lifting a heavy object? - \lifting with the legs A resident weighs over 300 pounds and needs to be repositioned in the bed. The nurse aide should - \get another nurse aid to assist in repositioning the resident. The female perineum should be cleansed - \front to back There is an order to give a female patient a shower, but she refuses. The nurse aide should - \document in the chart that the patient refused to shower How should the nurse aide position the patient to apply elastic stockings? - \laying down in bed Which action would help prevent skin breakdown around a stoma if the resident has a colostomy? - \clean the stoma with water and mild soap. When a client has left-sided weakness, what part of a sweater is put on first? - \left side When assisting a blind resident to walk it is important to - \allow the resident to hold your arm. When assisting a resident with a weak left side from a wheelchair, the nurse aide should support the client's - \weak side Mr. Jones is unconscious. What are some guidelines you need to remember when giving oral care? - \clean mouth, tongue and gums Provide care very (q) 2 hours explain the procedures A patient rings for the bedpan while visitors are in the room. The nurse aide should - \ask the visitors to step out of the room Which of the following is a right of residents in a nursing facility? - \refusing treatment ordered by the doctor Which statement is TRUE concerning sexuality in the elderly? - \elderly can be attracted to each other You observe two adult residents sharing the same bed after lunch. You know these residents are capable of exercising their own rights. This means - \they probably seek intimacy they are free to make their own decisions they have the right of privacy A client wakes up during the night and asks for something to eat. The nurse aide SHOULD - \check the clients diet before offering nourishment Restraints should be unfastened or released - \every 1-2 hours Mr. Smith, a 72-year-old male Alzheimer's patient, has been stopped several times today while wandering from unit. He is ambulatory, but confused and combative. The CNA would first - \redirect the resident or provide alternative activity It is appropriate for a nurse aide to share the information regarding a client's status with - \the staff on the next shift. Which of the following statements about nursing home admissions is false? - \most people prefer to put elderly relatives in a long term care facility Which of the following is a right that is included in the Resident's Bill of Rights? - \to make decision and participate in their own care Restraints are used for all of the following EXCEPT - \to allow staff take care of other patients A new resident refuses to wear a clothing protector at lunch. The nurse aide SHOULD - \Respect the patients wishes Respect is demonstrated by the nurse aide for the resident by - \always listening to what the resident has to say. When your patient needs care, and visitors are in the room, you should _______. - \ask the visitors to step out of the room while you give care Of the human needs listed below, which are considered basic? - \Sexual Spiritual Social An aide puts a resident in a reclining position in a geri-chair, so he cannot stand up while the aide takes care of other residents. This is a violation of resident's right to ________. - \be free from restraints A resident refuses lunch, but about two hours later decides she would like a snack. What is the nurse aide's best response? - \"Sure, let me check your diet and then I'll bring you something" If a resident refuses a bed bath, which is the best response? - \"Why don't you think about it? I check back with you letter". When a resident is expressing anger, the nurse aide should _________. - \listen closely to the residents concerns A Muslim resident wants to fast all day during the month of Ramadan. What should the facility do? - \Ask the dietician to meet with them to plan for the month. To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's - \upper thigh Which of the following is NOT considered to be a way to restrain a client? - \Pain management The nurse aide is responsible for all of the following fire prevention measures EXCEPT - \taking cigarettes and matches from all clients and visitors Ms. Smith is a new resident at your facility. What can you do as the CNA? - \Introduce the room mate or mates Guide them to their room Introduce them to staff A buttom hook and sock assist are all part of what kind of nursing care? - \Restorative and rehabiliation Ms. Fleming, a resident who has recently been diagnosed with terminal pancreatic cancer, has accused the nursing assistants in her unit of taking poor care of her and causing her disease to get worse. What stage of grief is Ms. Fleming in? - \Anger What is the term for a device used to take the place of a missing body part? - \Prosthesis Which of the following would affect a nurse aide's status on the State Registry and possibly cause the nurse aide to be ineligible to work in a nursing home? - \Being change of neglect with patients The thinning of the fatty layer under the skin could cause the resident to - \develop pressure ulcers An example of neglect is when a nurse aide - \leave the client unattended in the tub If a resident becomes confused, you should - \help the resident recognize familiar things A resident has diabetes. Which is a common sign of a low blood sugar? - \Shakiness A nurse aide closes the door, pulls curtains between beds, and covers the resident with a bath sheet when giving a bath. This is an example of maintaining a resident's - \Privacy Which one of these behaviors is NOT a signal of possible combativeness? - \saying "I'm angry" Which statement best describes ALDs (activities of daily living)? - \bathing, ambulating, dressing, and so on The nurse aide is responsible for all of the following fire prevention measures EXCEPT - \taking cigarettes and matches from all clients and visitors Swollen ankles and legs may be signs of - \congestive heart failure As the nurse aide begins their assignment, which should they do first? - \assist a resident that needs assistance with getting off the toilet Your client has been placed on I & O. This means that you should - \Record all fluid intake and output A person with dementia is being admitted to your facility. Which statement is correct? - \ A person with dementia is being admitted to your facility. Which statement is correct? - \the person's confusion may increase in new surroundings The plan, which begins on the resident's admission and assists when the resident goes home, is called - \discharge plan Proper oral hygiene _______________. - \prevents mouth order, plaque and infection Mr. Jones is unconscious. What are some guidelines you need to remember when giving oral care? - \clean mouth, tongue and gums Provide care very (q) 2 hours explain the procedures A patient's child died in the accident they were both in. What should the nurse aide do? - \give them time to grieve and offer support Which device does NOT make toileting easier? - \egg crate toilet cover When caring for a patient with MRSA, the nurse aide should wear - \gown and gloves The period of heart muscle contraction is called - \systole If the nurse aide discovers fire in a client's room, the FIRST thing to do is - \remove the patient