Download Nurse Aide Procedures and Client Care and more Exams Nursing in PDF only on Docsity! HOSA NURSING ASSISSTING EXAM PREP 2024- GRADED A What is the term for a device used to take the place of a missing body part? - Prosthesis when a client has left-sided weakness, what part of a sweater is put on first - Left sleeve It is appropriate for a nurse aide to share the information regarding a client's status with: - the staff on the next shift When helping a client who is recovering from a stroke to walk, the nurse aide should assist - on the clients weak side The nurse aide is caring for a client who is agitated. The nurse aide SHOULD: - talk in a slow, calm, reassuring manner the purpose for paddling side rails on the clients bed is to: - protect the client from injury exercises that move each muscle and joint are called - range of motion How can the nurse aide BEST help a client who is not accepting a loss - Encourage the cliet to accept the loss The Heimlich maneuver ( abdominal thrust) is used for a cliet who has: - a blocked airway The BEST communicate with a client who is totally dea, the nurse aide should - write out information The Nurse is asked by a confused client what day it is. The nurse should - point to the date on a calendare and say the date To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the clients - upper thigh A nurse can assist client with their spiritual needs by: - allowing clients to talk about their beliefs A nurse MUST wear gloves when: - doing a peri-care When getting ready to dress a client, the Nurse should: - give the client choice of what to wear if the nurse discovers fire in a clients room, The FIRST thing to do - remove the client In order to comminicate clearly with a client who has hearing loss, the nurse aide should. - look directly at the client when speaking what is the final stage of dying - acceptance If a client says, " God is ponishing me" or "Why me", how should the nurse aide respond - listen quietly The role of ombudsman is to - work with the nursing hometo protect clients rights A nurse who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse SHOULD: - respect the clients beliefes and avoid starting religious discussions The nurse notices that a client mail has been delivered to te clients room. The nurse SHOULD: - give the client the unopened mail and offer help as needed. Wat is the correct measurement of urinary output - 300cc the clients offers a nurse aide a twenty dollar bill as a thank you for all that the nurse has done. The nurse aid should - politely refuse the money All of the following situations are examples of abuse or neglect except - restraining a client according to a physician's order if a client is sitting in a chair in his room masturating, the nurse aide should - leave the client alone and provide privacy to convert four ounces of juice to milliliters ( ml) the nurse SHOULD: - 4x30 ml In giving care according to the clients Bill of Rights, the nurse SHOULD: - provide privacy during the clients personal care The last sence of dying client will lose - hearing a client wakes up during the night and asks for something to eat. the Burse aide Should: - check clients diet before offering nourishment The normal aging process is BEST defined as the time when: - normal body functions and senses decline If a client confused, The nurse SHOULD: - help the client to recognize familiar things and people What is the process of restoring a disabled client to the highest level of functioning possible. - Rehabilitation you need to turn a heavy person in bed. YOU - use good body mechanics When transforring a person from a wheelchair to bed, you never - have the person put his or her arms around neck When making a bed you - wear gloves when removing linen to give perineal care to a male you - use a circular motion and start at the meatus and work outwards A person has an indwelling catheter. YOU - have the drainage bag hang from the bed frame or chair. A person needs to eat a diet that containes protein. Protein.. ... - is needed for tissue repair and growth Older Persons - may not feel thirsty a person is NPO. You - remoce the water pitcher and glass fromt eh room A person drank 3 oz of milk at lunch. He or she drank - 90ml When feeding a person - allow time for chewing and swallowing You need to do ROM to a person's right shoulder. YOU. ... - support the part being exersized A person has a week left leg. The person should - hold the cane in his or her right hand To promote comfort and relieve pain, you - position the person in good allignment A person is receiving oxygen through a nassal cannal. YOU - check behind the ears and under the nose fr signs of irritation you accidentally dropped a mercury- glass thermometer. YOU - tell the nurse at once When taking a person's pulse. YOU - tell the nurse if the pulse is less than 60 you are counting respirations on a person. YOu - count for one minute if an abnormal breathing pattern is noted you are taking blood preasure on people assigned to you . An older person has a blood pressire of 188/96. YOU - report the BP to the nurse at once When would you take a rectal temperature? - the person is unconscious A person has been admitted to the nurse nursing center recently. YOU - Introduce the person to the other residents When taking person height and weight, you - have the person void before being weighted A person is bedfast. to prevent pressure ulcers, you - keep the skin free of moisture from urine, stools or perspiration a person has a hearing problem. when talking with the person - face the person when caring for a person who is blind or vissualy impaired, you - explain the location of food and beverages you are caring for a person with demenia. you - protect confedential information When caring for a confused person. you - ask clear simple questions A person with Alzheimer's disease likes to wonder. You - exercise the person as ordered Restorative nursing programs - promote self-care measures When caring for a person with disability, you - remind he person of his or hers progress in the rehabilitation program after a person dies, you - respect the persons right to privacy you enter a person's room and find fire in the waste basket. your first action is to - remove the person from the room you leave a person lying in urine and he or she develops a bedsore. This is - Neglect A nurse asks you to place a drug and sterile dressing on a small foot wound. you - politely tell the nurse you cannot do the task you observe a person's urine is foul-smelling and darn amber. your first action is to - tell the nurse A daughter asks you for water for her mom. your response is - i will be happy to do that a person has a restraint on. you - know that unnecessary restraint is false imprisonment The nurse asks you to place a person in the supine postion. you - place the person on his or her back with the bed flat the most important way to prevent or avoid spreading infecton is to - wash hands when moving a person up in bed, you should - ask a co-worker to help you a person is on sodium - controlled diet. this means - canned vegetables are ommited from his or her diet elastic stockings - should not have wrinkles or creases after being applied before bathing a person, you should - offer the bed pan or urinal when taking a rectal temperature, you insert the thermometer - 1 inch what does the word "Touch" mean - is a form of nonverbal comunication you may share information about a persons care and condition to - the staff caring for the person A person tells you he or she has pain upon urination. YOu - tell the nurse a persons culture and religion are different from yours. YOU - ask the person to explain his or her beliefs and practice to you you need to wear gloves when you - give perineal care an older person is normally alert. Today he or she is confused . What should you do - tell the nurse while walking with a person, he or she tells you he feels faint. what do you do first - have the person sit down you are asked to encourage fluids for a person. YOU - increase the person's fluid intake communication fils when you - talk to much during bathing a person may - decide what product to use people in late adulhood need to - develop new friends and relationships one myth about aging is that - mental function declines with age when providing nail and foot care. you - check between the toes for cracks and sores a person needs a condom catheter applied. you remember to - use elastic tape to secure the catheter for comfort during bowel elimination - leave the person alone if possible Resident's rights - Rights for home health care clients and residents of long term care facilities provided by OBRA 87 regulations Skin changes occur during aging. Care should NOT include: - Using soap daily Changes occur in the musculoskeletal system during aging. What statement is false? - Bed rest is needed because of loss of strength The people between the ages 65 and 85 are - Old Respiratory changes occur with aging. What statement is false? - The side-lying position is the best for breathing Changes occur in the digestive system. The older person should NOT eat... - Fruits and vegetables with skin and seeds, dry and fatty foods, and raw apricots and celery. The doctor has ordered an increased fluid intake for an older resident. You should... - Give most of the fluid before 5:00 pm Changes occur in the reproductive system during aging. What statement is false? - Ovaries and testies increase in size (T/F) Bed fails are kept up when bed is in the highest horizontal position - True (T/F) Bed rails are restraints under OBRA - True (T/F) Calling patients and residents by name is the best way to identify them - False (T/F) Restraints are used for staff convenience - False (T/F) Restraints are removed every 2 hours - True (T/F) A vest restraint is used to position a person on the toilet - False (T/F) Restrained persons are checked every 30 minutes - False (T/F) A vest restraint crosses in front - True (T/F) Bed rails are padded when vest restraints are used - True To prevent equipment accident, you should - Check glass and plastic items for damage (T/F) An item is sterile if nonpathogens are present - False (T/F) Protective equipment is removed before leaving work area - True The person with an infection may have: - Fever Nausea Vomiting Sores Pain/tenderness Redness Swelling Fatigue Loss of appetite Discharge Microbes enter and leave the body through... - The respiratory tract The gastrointestinal system Blood The reproductive system Urinary system A mask... - Is contaminated when moist When are contaminated work surfaces cleaned? - After completing a task Immediately when there is obvious contamination After blood or potentially infectious material is spilled The Bloodborne Pathogen Standard involves... - Washing hands after gloves are removed Discarding sharp objects into containers with the BIOHAZARD symbol Staring food and blood in separate places The Food Guide Pyramid encourages... - A low-fat diet How many daily servings of breads, cereals, rice, and pasta are recommended? - 6-11 How many daily servings of the meat group are recommended? - 2-3 What food group contains the most fat? - Meat, poultry, fish, dry beans, eggs, and nuts Fats, oils, and sweets... - Are used sparingly Protein is needed for - Tissue growth and repair What foods provide the most protein? - Meats and fish Sodium restricted diets are usually ordered for those with... - Heart disease Kidney disease Liver disease For persons with diabetes mellitus, diet planning involves... - A consistant amount of carbohydrate daily OBRA requires that: - Hot foods and cold foods be served hot and cold, respectively Food smells good Food tastes good Adult fluid requirements for a normal fluid balance are about... - 2000-2500 mL daily a person is NPO. You - remove the water pitcher and glass from the room What are signs of a swallowing problem? - Drooling Coughing while eating Pocketing What statements about feeding a person is false? - Engage the person in a pleasant conversation A person with a feeding tube is usually... - NPO To prevent regurgitation after a tube feeding, the person is positioned... - In semi-Fowler's position for 1 hour after the feeding What is true of medical records? - The record is used to communicate information about the person The record can be used in a court of law Anyone working in the agency can read the medical record You assist the patient with oral care. You will record this on the... - Activities of daily living Flow sheet What is considered a symptom? - Pain Measures in the comprehensive care plan are carried out. What step of the nursing process is this? - Implementation What statement is true of nursing process? - It is used to communicate the patient's care pleurisy - inflammation of the pleura cholecystitis - inflammation of the gallbladder cirrhosis - chronic degenerative disease of the liver diverticulitis - inflammation of the diverticula gastroenteritis - stomach flu GERD (gastroesophageal reflux disease) - Chronic disease of the digestive tract peritonitis - inflammation of the peritoneum ulcerative colitis - chronic inflammation of the colon with ulcerations renal calculus - kidney stone uremia - urine in the blood goiter - enlarged thyroid gland Graves disease - Hyperthyroidism hyperparathyroidism - excessive production of parathormone hypoparathyroidism - deficient production of parathyroid hormone Addison's disease - Decreased secretion of aldosterone Cushing's syndrome - Over secretion of adrenal cortex, too much hormone, too much steroid prostatic hypertrophy - enlarged prostate Infancy - Birth to 1 year Feeding Toddler - 1-3 years Toilet training Preschool - 3-6 years Independance School age - 6-12 years School adolescence - 12-18 years Peer Young adulthood - 19-40 years Love Middle adulthood - Parenting older adulthood - 65-death Reflection/Acceptance What layer of skin contains pigment? - Epidermis