Nurse Aide Procedures and Resident Rights, Exams of Medicine

Download Nurse Aide Procedures and Resident Rights and more Exams Medicine in PDF only on Docsity! CNA Practice Questions and Answers - Prometric While watching the residents in the dining room, a nurse aide notices tht a resident is eating very little lunch. It is most important that the nurse aide... A. Check if the resident was snacking before the meal B. Ask if the resident would like something else to eat C. Remind the resident that dinner is several hours away D. Check when the resident last had a bowel movement - \B A resident with dementia says, "I need to get home. My daughter's school bus is coming soon." The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide? A. "Let's go see if Bingo has started yet. You love Bingo." B. "Remember you are in a nursing home. Your daughter is all grown up." C. "Do you mean you great-granddaughter? Your daughter just turned 60." D. "What do you like to do with your daughter when she gets home from school?" - \D A resident reports that his wristwatch is missing. The nurse aide should ask... A. if the resident thinks someone took it B. if the resident has checked the lost and found box C. who was assigned to the resident on the previous shift D. for permission to help look around the resident's room - \D According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures? A. Getting linen from a linen cart B. Removing soiled linen from a bed C. Performing range of motion exercises D. Transferring a resident to a shower chair - \B A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide? A. Ask another nurse aide to trade assignments B. Provide the care since the resident cannot be harmed C. Talk to other nurse aides about how to perform the procedure D. Discuss the nurse aide's lack of experience with the nurse - \D When caring for a resident who is comatose, the nurse aide is expected to A. provide mouth care once a day B. avoid changing the resident's position C. talk to the resident while providing care D. keep the resident's room dark and quiet - \C A resident has a contracture of the right arm. When putting on the resident's button-front shirt, the nurse aide should... A. put the shirt sleeve on the left arm first, then the right arm B. ask which arm the resident prefers the sleeve to go on first C. put the shirt sleeve on the right arm first, then the left arm D. raise the resident's arms up to slide both sleeves on at the same time - \C The nurse aide can help the resident have regular bowel movements by A. making sure the resident gets a lot of rest B. providing a routine time for the resident to toilet C. giving the resident cereal for breakfast every morning D. keeping a bedpan within reach while the resident is in bed - \B The care plan requires that the resident be ambulated 100 feet twice a day at 10 am and 2pm. When the nurse aide arrives to walk the resident at 10am, the resident refuses. Which of the following is the best response by the nurse aide? A. "Maybe you can plan to walk a little further this afternoon?" B. "The doctor ordered your walking exercise. You really need to try." C. "You have the right to refuse. Do you want me to tell the nurse?" D. "Would you prefer to walk a little later?" - \D While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action? A. Dress the resident quickly. B. Check the resident's vital signs. D. Attached to the seat of the wheelchair, positioned below the level of the resident's bladder - \D Which foods are found on a high protein diet? A. Pasta and rice B. Meat and eggs C. Fruits and vegetables D. Whole grains and milk products - \B A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first? A. Try to get the resident to take a few sips of water through a straw B. Reach around from behind the resident to provide abdominal thrusts C. Pat the resident's back and then reach in his mouth to remove the blockage D. Ask the resident to take a deep breath and cough - \B A resident's care plan provides the nurse aide with information about A. the financial arrangements made for the resident's care B. specific care required for the resident and the goals of care C. facility procedures for performing different nursing care procedures D. the nurse aide's assignments and when care is provided to each resident - \B A resident, who is on bed rest, asks for a bedpan. The resident is not able to lift own hips to help with the placement of the bedpan. The best action by the nurse aide is to A. ask the nurse if the resident should have a urinary catheter B. turn the resident onto one side to place the bedpan under the resident's hips C. place an underpad on incontinent brief under the resident to collect the urine D. have another nurse aide assist to lift the resident onto the bedpan - \B To prevent skin tears or shearing when moving the resident, the nurse aide should A. wear gloves to reduce friction against the skin B. avoid pulling or sliding the resident when moved C. tell the resident to be careful and follow directions D. ask the resident to keep arms held over the resident's head - \B Which statement is true about the effects of aging? A. the aging process can be reversed with good health care B. bladder incontinence is a normal part of aging C. joints tend to be less flexible as a person ages D. sensitivity to pain increases with age - \C A resident tells the nurse aide about being bored. The resident says, "My days seem to last forever." What should the nurse aide do? A. Tell the resident, "I know what you mean. My days seems long too." B. Ask the charge nurse if the resident can have some medication. C. Ask about activities the resident has enjoyed in the past. D. Tell the resident to check the activity schedule. - \C A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept? A. at the nurses' station B. on the isolation cart outside the resident's room C. in the dirty utility room D. in the resident's room - \D Which of the following best describes how persons affected by Parkinson's disease typically walk? A. they tend to walk quickly B. they tend to lean back when walking C. they walk normally but with some shakiness D. they shuffle their feet while taking small steps - \D The normal appearance of urine is A. clear B. cloudy C. dark yellow D. strong smelling - \A A resident is restrained. What observation should the nurse aide report to the nurse immediately? A. The resident states, "I do not like this thing." B. The resident's position needs to be adjusted. C. The resident has suddenly become very agitated D. The restraint was removed according to the care plan schedule - \C A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and A. ask the resident when he had his last bowel movement B. check if the resident is hungry or needs to go to the bathroom C. try to keep the resident close to observe the resident throughout the shift D. allow the resident to move around as long as he does not harm other residents - \B The nurse aide is bathing a resident and notices new swelling in the resident's ankles. Which of the following is the best response by the nurse aide? A. ask if the resident has been eating salty foods lately B. elevate the resident's legs and check again later C. report the swelling to the charge nurse D. avoid bathing the resident's lower legs - \C When checking the resident's urinary drainage bag, the nurse aide observes that the resident has had about 50 ccs (mls) of urine output in the last six hours. What should the nurse aide do first? A. begin offering the resident fluids to drink every 15 minutes B. report the observation to the charge nurse immediately C. ask if the resident is having any pain when urinating D. check to see if the tubing is kinked or bent - \D When helping admit a new resident, the nurse aide notices the resident's right-sided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should A. ask how the resident went to the bathroom at home B. ask the resident to wait until the care plan is completed C. get instructions from the nurse about how to toilet the resident D. help the resident to the bathroom immediately, supporting the right-side - \C C. "This is your daughter Anna. Do you remember her?" D. "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?" - \D What is the main purpose of a restorative care program? A. ensure the resident can return home B. provide meaningful activities for the resident C. help the resident improve his/her level of functioning D. provide assistance with activities of daily living (ADLs) - \C The goal when removing gloves that are soiled is to A. remove quickly since there is a risk of exposure to germs B. dispose of the gloves in a biohazard-safe trash can C. avoid contact with the outside of the gloves D. keep germs in the trash can area - \C Residents are most likely to feel the urge to have a bowel movement A. after taking a nap B. after eating a meal C. just before bedtime D. during the shift change - \B A nurse aide hears another staff member yelling and cursing at a resident. This is an example of A. resident neglect B. resident abuse C. nurse aide carelessness D. nurse aide non-compliance - \B A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next? A. get the emergency cart B. turn the resident onto her side C. check if the resident is able to talk D. help the resident back into the chair - \B A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, "I had an accident. I wet myself." What should the nurse aide do? A. Explain that the next shift will assist the resident in a short time B. Remove any wet clothing and place the resident on a dry underpad C. Ask if the resident feels very uncomfortable D. Provide incontinent care to the resident - \D A resident who must stay in bed is at risk for developing A. dementia B. arthritis C. footdrop D. Parkinson's disease - \C A nurse aide hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. Th nurse aide should also A. call the police immediately B. ask if the nurse is feeling stressed about something C. report the situation to the charge nurse's supervisor D. ask if any other staff have ever observed this behavior - \C A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first? A. speak loudly and directly into the hearing aid B. check that the hearing aid is in the correct ear C. ask when the hearing aid battery was replaced D. make sure the hearing aid is turned on - \D After reporting the observation of a red area on the resident's hip, the nurse aide should expect that the A. resident will be placed on short-term bed rest B. area will be covered with a protective dressing C. area will need frequent massage with a moisturizing lotion D. resident should be positioned to avoid pressure on the area - \D A resident with an indwelling catheter says "I need to urinate." Which of the following is the best response by the nurse aide? A. check to see if the tubing is kinked and draining properly B. report to the charge nurse that the resident is very confused C. remind the resident this is impossible since a catheter is in place D. Tell the resident to try to urinate since the urine will collect in the bag - \A An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do? A. allow the resident to be alone with her spouse B. suggest that the husband take the resident home for a visit C. explain that the facility's policies do not allow for this type of visiting D. remind the resident that this is a nursing home and not a hotel - \A When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should A. pat gently to dry and cover with a dry dressing before applying a sock B. stop the foot care immediately and ask the resident what happened C. report the skin opening to the charge nurse as soon as possible D. check the resident's sock for any wound drainage - \C A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to A. guide the resident form the chair to the floor B. remove the other resident's away from the table C. try to open the resident's mouth to check for food D. keep the resident in the chair by holding around the resident's waist - \A The nurse aide's role in assisting with a bowel and bladder retraining program includes A. being consistent with carrying out the toileting schedule B. notifying the family that the resident has been placed on the program C. determining the type of program best suited for the resident D. checking the resident every four hours for incontinence - \A When feeding a resident who is lying in bed, the head of the bed is raised to D. to make sure the resident does not get a foot fungus - \A Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care? A. in the morning and at bedtime B. at the beginning and near the end of a shift C. whenever the resident is soiled with urine or stool D. every two hours when the nurse aide checks on the resident - \C The nurse aide notices that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of the following is the best action for the nurse aide to take? A. take the resident back to the resident's room B. distract the resident by asking about the resident's family C. invite the resident to sit down at the piano with the nurse aide D. ask the activity director to find something for the resident to do - \C Which of the following statements is true about how people experience pain? A. pain is usually worse in the morning B. residents with dementia do not feel pain C. a person's culture can affect response to pain D. younger people handle pain better than older adults - \C While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide A. massage the area using lotion B. apply a dry protective dressing over the area C. keep the resident positioned to avoid pressure on the hip D. cleanse the hip using extra soap, then rise and dry throughly - \C While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide? A. allow the resident more time to swallow B. use a straw when giving the resident fluids C. add a thickening product to the resident's fluids D. stop feeding and ask a nurse to check the resident - \D How much assistance does a resident receiving PROM need from the nurse aide? A. partial assistance with range of motion exercises B. full assistance with the nurse aide taking the joints through exercises C. minimal assistance to just remind the resident when it is time to exercise D. minimal assistance to provide extremity support while the resident moves joints - \B A resident has an indwelling urinary catheter. Which of the following is part of the catheter care procedure performed by the nurse aide? A. clean the catheter, starting at the meatus and moving downward B. clean the catheter, starting at the end and moving towards the genitalia C. disconnected the drainage bag from the catheter to empty the bag fully D. cleanse around the meatus with alcohol swabs, wiping front to back - \A Which of the following describes an important requirement when providing colostomy care? A. use sterile technique when providing care B. wear gloves for standard precautions C. avoid cleansing skin near the stoma D. position the resident on the side - \B While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff and and will not bend. The nurse aide should A. continue exercises but move onto another joint B. continue since stiff joints are a normal part of aging C. apply very gentle pressure to try to bend the elbow slightly D. suggest the resident see a physical therapist for the elbow - \A A resident says,"I am not going to eat this food. It is poisoned." What is the best response? A. Offer to taste all the food first to prove it is not poisoned. B. report to the charge nurse that the resident is acting crazy C. ask is there is something else the resident would like to eat D. leave the resident alone because the resident will eat when hungry enough - \C What should a nurse aide do with a used disposable razor? A. throw the razor away in a trash can B. place the razor in a sharps container immediately C. clean, rinse, and dry the razor so it can be used again D. wrap the razor in a paper towel until it can be thrown away - \B A nurse aide finds a resident who has a history of falls lying on the floor in the resident's room. The resident is crying and says, "I fell again." What should the nurse aide do first? A. call for help while keeping the resident calm B. check for injuries while asking how the resident fell C. place a pillow under the resident's head and cover with a blanket D. consider if the resident is trying to get attention - \A When a resident wears a restraint, the nurse aide must make sure the A. resident is wearing an incontinent brief B. resident is checked once every two hours C. restraint is applied following the manufacturer's instructions D. restraint is applied tightly and placed under the resident's clothing - \C When going to take routine vital signs, the nurse aide discovers that a minister is praying with a resident. The nurse aide should A. ask how long the minister plans to visit B. explain politely that it is time to take vital signs C. check if the resident is praying before interrupting D. wait to take the vital signs after the minister has left - \D A resident is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the resident's needs? A. provide total care for the resident B. set high standards for the resident's achievements C. help the resident focus on even small accomplishments D. remind the resident that she will be happier when she is home - \C C. call the charge nurse and remain with the resident D. place a tongue blade between the resident's teeth - \C The heart is an important muscle for which body system? A. urinary B. musculoskeletal C. circulatory D. digestive - \C When a resident is unable to stand, the resident's height is generally obtained by A. having coworkers hold the resident upright to allow for the measurement B. adding the length of legs, chest, and neck/head to determine the height C. asking the resident's height and subtracting an inch for age-related shrinkage D. taking the measurement from head to heels while the resident is flat in bed - \D When bathing a resident, the CNA observes the resident's great toe is red and swollen. Which of the following is the appropriate action by the CNA? A. protect the toe by putting on an extra sock B. report the observation to the charge nurse C. apply an antibiotic ointment to prevent infection D. soak the foot in very warm water and dry gently - \B To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may A. block exit doors B. restrain residents C. place large stop signs on doors D. keep confused residents in their rooms - \C A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the CNA do first? A. increase the resident's fluids since dehydration causes confusion B. consider that some memory loss is a normal part of aging C. ask where the resident believes he is D. report the change to the charge nurse - \D The nurse aide is taking routine vital signs on a resident. The resident's temperature is 101.4 degrees F. The most appropriate response by the nurse aide is to A. place a cool, wet washcloth to the resident's forehead B. cover the resident with extra blankets C. record and report the change at the end of the shift D. report the temperature promptly - \D A CNA is asked to provide post-mortem care to a resident who died of natural causes. Which of the following is the most appropriate practice to follow when providing post- mortem care? A. wear gloves, a mask and gown when providing care B. use strict isolation precautions throughout care C. wash hands and wear gloves throughout care D. double bag all items removed from the room - \C When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke? A. arms and hands B. abdominal area C. face and neck D. perineal area - \D A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be A. dependent and need total care B. confined to bed for several weeks C. going to physical therapy to increase mobility D. receiving range of motion (ROM) exercises to hip - \C To help prevent burns to residents during meals, the CNA should A. place a clothing protector on the resident B. wait to serve the food until hot food is cold C. add ie to any hot liquids, such as coffee or soup D. let residents know which foods and beverages are hot - \D The use of a physical restraint helps A. control a resident's behavior B. protect the resident form injury C. make staff members' jobs easier D. decrease how often staff need to check the resident - \B If a resident is lying in bed vomiting, why does the CNA need to help the resident to turn onto the resident's side quickly? A, to get the resident into a more comfortable position B. to get towels placed into a more comfortable position C. to keep the vomit off the resident's face D. to help prevent aspiration - \D A CNA enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do? A. leave the room and close the door to allow privacy B. consider if this is normal behavior for this couple C. report the observation to the charge nurse immediately D. tell the wife that she must leave the facility for the day - \C A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The nurse aide should response to the resident's requests by A. telling the resident that it is not time B. decreasing the resident's fluid intake C. asking the resident to follow the schedule D. taking the resident to the bathroom as needed - \D When a resident's husband begins telling the nurse aide how to care for his wife, the nurse aide should A. accept that the husband has always been in charge B. explain that the nurse aide is certified and able to care for his wife C. suggest that the husband participate in his wife's resident care conference D. understand that the husband wants staff aware of his wife's needs - \D Which action is most helpful to help decrease a resident's incontinence? When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques? A. place a gait belt around the resident's waist B. position the chair as close to the best as possible C. signal the resident to stand by saying "1,2,3 stand" D. follow the transfer technique as described in the care plan - \D A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first? A. orient the resident to person, place and time B. review how to use the call light with the resident C. tell the resident to never get out of bed without help D. try to find out if there is something the resident needs - \D When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include A. limiting activity by keeping the resident on bed rest B. emptying the urinary drainage bag every two hours C. keeping the area where the catheter enters the body clean D. toileting the resident every two hours for bladder retraining - \C A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed? A. hang the urinary drainage bag higher than the level of the resident's bladder B. use the measurements on the drainage bag to measure urine output C. raise the bed to the highest position for better urine drainage D. wear gloves when emptying the urinary drainage bag - \D Which member of the health care team counsels residents and their families and arranges for needed services? A. dietician B. social worker C. physical therapist D. activities director - \B A resident is being showered while sitting in a showerchair. The resident says, "I feel weak. I think I am going to faint." The nurse aide's immediate concerns are calling for help and A. making sure the water temperature is proper B. getting the resident back to her room right away C. finishing the shower quickly by washing only soiled areas D. keeping the resident safe and comfortable - \D A nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath? A. keep the bed in the lowest position throughout bathing B. keep the resident's body covered during the bath C. open the window for fresh air during the bath D. add a lot of soap to the water in the basin - \B A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do? A. consider if the task can be performed another way B. provide the care and perform the task as best as possible C. contact the ombudsman's office since resident's rights may be violated D. refuse to perform the task and explain it is not within the nurse's aide role - \D A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately? A. the resident's fingers are cold and blue in color B. the splint was removed as scheduled in the care plan C. the resident asks to have the splint removed for a few minutes D. the resident asks the nurse aide to reposition the arm with the splint - \A The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident? A. "Have you been able to hold it since you last went to the toilet?" B. "How much longer do you feel like you can hold it?" C. "May I please check to see if you are wet?" D. "Can I help you to the bathroom now?" - \D Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours? A. Correct residents' posture B. Improve the residents' breathing C. Promote circulation at pressure points D. Provide an opportunity for incontinent care - \C A resident is NPO because of nausea. What should the nurse aide do? A. Give the resident fluids in small amounts B. Provide the resident with a small cup of ice chips C. Ask if the resident can handle any fluids with the nausea D. Remove any fluids at the bedside including water pitcher - \D When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear A. black B. green C. purple D. white - \C Which of the following actions helps to prevent skin tears? A. keeping side rails raised B. using less lotion on the skin C. sliding the resident up in the bed D. dressing the resident in long sleeves - \D A resident who is Roman Catholic is dying. The resident comments that she has not been to confession and she worries that she will die in a state of sin. Which of the following is the best response by the nurse aide? A. "Don't you think God knows you are in a nursing home?" B. "Would you like it arranged for a priest to visit you?" C. "Sounds like you are not ready to die." D. "Have you considered praying?" - \B