Best Practices in Nurse Aide Care: Safety, Hygiene, and Client-Centered Approach, Exams of Nursing

Download Best Practices in Nurse Aide Care: Safety, Hygiene, and Client-Centered Approach and more Exams Nursing in PDF only on Docsity! NNAAP EXAM LATEST REAL EXAM 2024 | ALL 100 QUESTIONS AND CORRECT ANSWERS (GRADED A+) | VERIFIED ANSWERS | LATEST EDITION While assisting a client with denture care the nurse aide observes that the upper plate in cracked. The nurse aide SHOULD: A) report the damage to the nurse in charge B) clean the dentures and return them to the client's mouth C) call the dentist and make an appointment D) call the client's family ------CORRECT ANSWER---------------A) report the damage to the nurse in charge A new client declines the offer to wear a clothing protector at lunch. The nurse aide SHOULD: A) respect the client's wishes B) put the clothing protector on the client C) tell the client that he must wear it D) report this to the nurse in charge ------CORRECT ANSWER--------------- A) respect the client's wishes The nurse aide can BEST show that he is listening to the client by: A) directing the conversation B) correcting the client's mistakes C) changing the subject frequently D) responding when appropriate ------CORRECT ANSWER---------------D) responding when appropriate The BEST time to prepare for a disaster is: A) while evacuating residents B) during lunch C) when everyone is safely in bed D) before it happens ------CORRECT ANSWER---------------D) before it happens A client drinks 240mL of soup, 120mL of coffee, and 90mL of juice for lunch. The client's total liquid intake for lunch is? A) 360mL B) 450mL C) 480mL D) 520mL ------CORRECT ANSWER---------------B) 450mL What is the most important reason for using a mechanical lift to transfer clients? A) It takes fewer staff to transfer someone B) It's the safest method for clients and staff C) It is faster than the other methods D) It is the method that clients like best ------CORRECT ANSWER------------- --B) It's the safest method for clients and staff When preparing to take a meal tray into a client's room, what is the most important action for the nurse to take? A) Check that the client's name is displayed on the tray card B) Make sure the client's favorite foods are present C) Determine if enough fluids have been ordered D) Keep all foods covered until eaten ------CORRECT ANSWER--------------- A) Check that the client's name is displayed on the tray card The nurse aide should use proper body mechanics in order to: A) keep the nurse aide's weight down B) tell the client the food tray is in front of the client after the food tray has been delivered C) provide a dimly lit environment for the client D) announce self before touching the client ------CORRECT ANSWER------- --------D) announce self before touching the client When ambulating the client, the nurse aide should: A) be sure the client is wearing non skid footwear B) ask the client if they can get up C) be sure that the client has grippy socks on D) make the client ambulate themselves ------CORRECT ANSWER----------- ----A) be sure the client is wearing non skid footwear The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide has forgotten to bring the supplies needed. What should the nurse aide do next? A) Instruct the client to lie still B) Quickly go get the supplies C) Lower the bed, and place the call light within reach D) Ask the roommate to watch the client while the nurse aide gets the supplies ------CORRECT ANSWER---------------C) Lower the bed, and place the call light within reach The nurse aide must wear gloves when: A) providing mouth care B) measuring blood pressure C) washing their hands D) measuring the weight of a client ------CORRECT ANSWER---------------A) providing mouth care What is the first area of a client's body that the nurse aide should wash when providing a bed bath? A) Legs B) Face C) Arms D) Chest ------CORRECT ANSWER---------------B) Face To promote independence when feeding a client the nurse aide should: A) feed the client themselves B) allow self feeding as much as possible C) only let the client hold the utensil D) leave the client alone during feeding ------CORRECT ANSWER------------ ---B) allow self feeding as much as possible A client requests that the nurse aide call the client's minister. The nurse aide should: A) tell the client that the nurse aide will inform the nurse of the client's request B) ignore the client's request C) call the client's priest themselves D) tell the client that they can call their priest themselves ------CORRECT ANSWER---------------A) tell the client that the nurse aide will inform the nurse of the client's request The health care team member who assists the client's performance of activities of daily living is the: A) program director B) physician C) nurse aide D) occupational therapist ------CORRECT ANSWER---------------D) occupational therapist Which of the following client observations should the nurse aide report immediately to the nurse? A) Pink nailbeds B) Rectal temperature, 99.6F (37.5C) C) Radial pulse 110 D) Clear, yellow urine ------CORRECT ANSWER---------------C) Radial pulse 110 Articles contaminated with blood or body fluids should be disposed of in the: A) soiled linen basket B) biohazard container. C) soiled utility room D) client's room trash container ------CORRECT ANSWER---------------B) biohazard container. The nurse aide must understand the signaling device must be: A) answered after the nurse aide has made care rounds B) placed on the bedside table at foot of bed C) placed within the client's reach D) deactivated for clients with dementia ------CORRECT ANSWER------------ ---C) placed within the client's reach When collecting a 24-hour urine sample for a client, the nurse aide should request that the client: A) Take a shower or bath before starting the urine collection. B) select food items that do not contain red meat C) drink 2 L of water D) discard the first voided urine ------CORRECT ANSWER---------------D) discard the first voided urine What is the term for a device used to take the place of a missing body part? A) Prosthesis B) Pronation To BEST communicate with a client who is totally deaf, the nurse aide should: A) write out information B) smile frequently and speak loudly C) avoid eye contact D) smile often and talk rapidly ------CORRECT ANSWER---------------A) write out information The nurse aide is asked by a confused client what day it is. The nurse aide should: A) point to the date on the calendar and say the date B) ignore the request C) provide the date and then test the client later D) explain that memory loss is natural and the date is not important ------ CORRECT ANSWER---------------A) point to the date on the calendar and say the date To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's: A) hip B) upper thigh C) bed sheet D) bed frame ------CORRECT ANSWER---------------B) upper thigh A nurse aide can assist clients with their spiritual needs by: A) allowing clients to talk about their beliefs B) taking clients to the nurse aide's church C) avoiding any religious discussions D) talking about the nurse aide's own spiritual beliefs ------CORRECT ANSWER---------------A) allowing clients to talk about their beliefs A nurse aide MUST wear gloves when: A) feeding a client B) doing range of motion C) doing peri-care D) giving a back rub ------CORRECT ANSWER---------------C) doing peri- care When getting ready to dress a client, the nurse aide SHOULD: A) get the first clothes the nurse aide can reach in the closet B) choose clothes that the nurse aide personally likes C) use the clothes the client wore the day before D) give the client a choice of what to wear ------CORRECT ANSWER--------- ------D) give the client a choice of what to wear If the nurse aide discovers fire in a client's room, the FIRST thing to do is: A) remove the client B) open a window C) call the nurse in charge D) try to put out the fire ------CORRECT ANSWER---------------A) remove the client In order to communicate clearly with a client who has hearing loss, the nurse aide should: A) stand behind the client when speaking B) speak in a loud and slow manner C) look directly at the client when speaking D) speak in a high pitched tone of voice ------CORRECT ANSWER------------ ---C) look directly at the client when speaking Which of the following stages of dying usually is the final stage? A) Depression B) Bargaining C) Anger D) Acceptance ------CORRECT ANSWER---------------D) Acceptance If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond? A) Ignore the client B) Reply, "God doesn't punish people." C) Make jokes D) Listen quietly ------CORRECT ANSWER---------------D) Listen quietly The role of the ombudsman is to: A) run a group of nursing homes B) control the nursing home budget C) prepare classes that nurse aides take to learn about client hygiene D) work with the nursing home to protect the clients' rights ------CORRECT ANSWER---------------D) work with the nursing home to protect the clients' rights 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: A) help the client understand the nurse aide's faith B) respect the clients beliefs and avoid starting religious discussions C) arrange to have the nurse aide's clergyman visit the client D) tell the client that it is important for the client to join some church, even if it is not the nurse aide's church ------CORRECT ANSWER---------------B) respect the clients beliefs and avoid starting religious discussions The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide SHOULD: A) give the client the unopened mail and offer help as needed B) open the mail and leave it on the client's table C) read the mail to make sure it doesn't contain upsetting news If a client is confused, the nurse aide should: A) help the client to recognize familiar things and people B) ignore the client until he starts to make sense C) restrain the client so that he does not hurt himself D) keep the client away from other clients ------CORRECT ANSWER--------- ------A) 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? A) Rehabilitation B) Reincarnation C) Retention D) Responsibility ------CORRECT ANSWER---------------A) Rehabilitation When changing an unsterile dressing, the nurse aide should wash hands: A) before and after the procedure B) before, after removal of the soiled dressing, and after the procedure C) before the procedure D) after the procedure ------CORRECT ANSWER---------------B) before, after removal of the soiled dressing, and after the procedure Clean bed linen placed in a client's room but NOT used should be: A) returned to the linen closet B) used for a client in the next room C) taken to the nurse in charge D) put in the dirty linen container ------CORRECT ANSWER---------------D) put in the dirty linen container The nurse aide finds a conscious client lying on the bathroom floor. The FIRST thing the nurse aide should do is: A) check for signs on injury B) call for assistance from the nurse in charge C) help the client into a sitting position D) offer the client a drink of water ------CORRECT ANSWER---------------B) call for assistance from the nurse in charge If a nurse aide finds a client who is sad and crying, the nurse aide should: A) call the client's family B) tell the client to cheer up C) ask the client if something is wrong D) tell the client to stop crying ------CORRECT ANSWER---------------C) ask the client if something is wrong Clients have the right to: A) have access to a telephone B) see other clients' medical reports C) smoke in any area of the facility D) go anywhere in the facility ------CORRECT ANSWER---------------A) have access to a telephone Proper use of a waist restraint requires that the nurse aide: A) release the restraint every four hours B) watch for skin irritation C) tie restraints to the side rail D) apply the restraint tightly so the client cannot move ------CORRECT ANSWER---------------B) watch for skin irritation To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? A) Shake them in the air B) Put them in the dirty linen container C) Place them in a neat pile on the floor D) Carry them close to the nurse aide's body ------CORRECT ANSWER----- ----------B) Put them in the dirty linen container A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should: A) try to move the client alone B) have the family do it C) ask another nurse aide to help D) go on to another task ------CORRECT ANSWER---------------C) ask another nurse aide to help To prevent dehydration of the client, the nurse aide SHOULD: A) wake the client hourly during the night to offer fluids B) give the client frequent baths C) feed the client salty foods to increase thirst D) offer fluids frequently while the client is awake ------CORRECT ANSWER---------------D) offer fluids frequently while the client is awake When transferring a client, MOST of the client's weight should be supported by the nurse aide's: A) shoulders B) back C) legs D) wrists ------CORRECT ANSWER---------------C) legs To be sure that a client's weight is measured accurately, the client should be weighed: A) at the same time of day B) after a good night's sleep C) by a different nurse aide D) after a meal ------CORRECT ANSWER---------------A) at the same time of day The nurse aide enters a client's room, and the client states that he has pain. What should the nurse aide do? A) Tell the client that the pain will go away soon B) Tell the client to get out of bed for a while C) Report it to the nurse in charge D) Ignore the client's statement ------CORRECT ANSWER---------------C) Report it to the nurse in charge A client is upset and crying over the recent death of her husband. How should the nurse aide respond? A) Tell her not to cry because it will make her feel sad B) Close the door and leave the client to cry alone C) Sit with the client and allow her to talk about her feelings D) Take the client to an activity to help her forget her husband ------ CORRECT ANSWER---------------C) Sit with the client and allow her to talk about her feelings Which temperature is considered MOST accurate? A) Oral B) Axillary C) Groin D) Rectal ------CORRECT ANSWER---------------D) Rectal What is the beginning sign of a pressure sore? A) Coolness B) Numbness C) Swelling D) Discoloration ------CORRECT ANSWER---------------D) Discoloration A nurse aide who wants to demonstrate effective listening skills should: A) give complete attention to the client while the client is talking B) talk over the client C) ignore the client D) leave the room ------CORRECT ANSWER---------------A) give complete attention to the client while the client is talking When a client has memory loss or confusion, the nurse aide should: A) make tasks as complicated as possible B) leave the client alone C) give the client simple step-by-step instructions D) tell the client to "figure it out" ------CORRECT ANSWER---------------C) give the client simple step-by-step instructions The nurse aide should understand that a back massage: A) causes muscle spasms B) increases blood pressure C) promotes circulation D) increases the heart rate ------CORRECT ANSWER---------------C) promotes circulation What should the nurse aide do first when finding out that a client's property has been stolen? A) Keep quite and try to catch the thief B) Call the family C) Call the police D) Inform the nurse ------CORRECT ANSWER---------------D) Inform the nurse The nurse aide is assigned to a client that frequently expresses concerns about the care they are receiving. When the client begins to express concern the nurse aide should: A) remind the client that no one is perfect B) suggest that the client live with a family member C) refuse to care for the client until the client stops expressing concerns D) listen carefully to show concern and willingness to help ------CORRECT ANSWER---------------D) listen carefully to show concern and willingness to help When giving a bed bath to a client, the nurse aide should cover the client and only expose the part of the body being bathed. This is done in order to: A) assist the nurse aide in remembering the order of the bath B) provide the client with privacy and dignity C) keep the bed linen as dry as possible D) make the client aware of which body part is being bathed ------ CORRECT ANSWER---------------B) provide the client with privacy and dignity The most important care for a person with a cast is: A) keeping the extremity aligned with the clients body B) keeping the extremity elevated C) report a change in color, movement and sensation of the client's extremity D) making sure the cast does not become soiled ------CORRECT ANSWER---------------C) report a change in color, movement and sensation of the client's extremity The nurse aide is providing oral care for a client who is unconscious. The nurse aide should place the client in which of the following positions? A) Prone B) Side-lying C) Fowler's D) Modified-Trendelenburg's ------CORRECT ANSWER---------------B) Side- lying When working with a client with Alzheimer's disease, it is important that the nurse aide: