Nurse Aide Responsibilities and Best Practices in Elderly Care, Exams of Nursing

Download Nurse Aide Responsibilities and Best Practices in Elderly Care and more Exams Nursing in PDF only on Docsity! Prometric CNA Practice 149 Questions and Correct Answers 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 ✔ C Areas of the body where bone lies close to the skin is known as A. a skin fold B. a pressure ulcer C. skin breakdown D. a pressure point - ✔ D Which of the following is more important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation? A. The resident's shoe-fit B. The resident's pulse rate C. The way the resident walks D. The color of the resident's toes - ✔ D A resident's leg has recently bee amputated. Since the surgery the resident has not wanted to leave his room. What response by the nurse aide is most supportive? A. "You do realize that you will look normal when you get your prosthesis?" B. "Do you think you will ever leave your room? It will help you feel better." C. "There is no reason to feel embarrassed about losing your leg." D. "You used to enjoy activities. What's keeping you in your room so much?" - ✔ D When a resident is receiving oxygen, the nurse aide should A. make sure the tubing is free of kinks B. remove oxygen when the resident is eating C. place a NO VISITORS sign on the resident's door D. limit how often mouth care is provided to the resident - ✔ A Which of the following is considered a normal age-related change seen in elderly residents? A. Increase in appetite B. Decrease in constipation C. Decrease in taste sensation and smell D. Increase in amount of confusion experienced daily - ✔ C A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag? A. On the floor directly next to the wheelchair, positioned well below the resident's bladder B. Tucked at the resident's side on the seat of the chair to keep the drainage bag level with the resident's bladder C. Hung from back of the wheelchair so that it is out of the resident's view and above the bladder 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 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 A resident reports having a very large bowel movement two days ago. What should the nurse aide do first? A. report this to the charge nurse B. ask if this is a normal pattern for the resident's body C. suggest the resident drink more water and increase foods with fiber D. check if the resident is getting a medication to help with bowel movements - ✔ B The Health Insurance Portability and Accountability Act (HIPAA) is important to the nurse aide because it A. allows residents to carry health care from the hospital to the nursing home B. provides for insurance coverage for residents and health care workers C. identifies protected health information that must remain confidential D. provides accountability for care offered across health care settings - ✔ C While helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to A. check the resident's ABCs B. ask if the resident can talk C. provide an abdominal thrust D. lower the resident to the floor - ✔ B The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should A. remind the resident how much the resident enjoys parties B. encourage the resident to go since so many other residents are attending C. respect the resident's decision and ask what the resident would like to do D. ask if the resident participated in any activities for the Jewish Hanukah holiday - ✔ C Which of the following should be reported to the charge nurse immediately? A. a resident's change in appetite B. a resident's complaint of chest pain C. a resident who refuses to take a scheduled tub bath D. a resident who wanders is found napping in another resident's bed - ✔ B Which of the following is a right of nursing home residents? A. to select the staff that will provide their care B. to have designated smoking areas in the facility C. to make decisions about their care and treatment D. to have activities offered throughout the day and evening shift - ✔ C "Sundowning" is a term used to describe when residents A. take short naps throughout the day B. show signs of Alzheimer's at a younger age C. prefer to go to bed earlier in the evening D. become restless and agitated late in the day - ✔ D When weighing a resident, it is important to make sure the A. resident's last measured weight is available B. scale measures both pounds and kilograms C. resident is wearing light weight clothing such as pajamas D. scale is balanced or calibrated before helping the resident onto the scale - ✔ D Which of the following is an observation often seen when a resident is impacted? 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 A. make chewing food easier A nurse aides who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex. What should the nurse aide do? A. Check on the residents every few minutes B. report the residents' behavior to the charge nurse C. ask the nurse if the residents should be medicated D. tell the residents that sex is not allowed in the nursing home - ✔ B A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should A. check the resident's arms and jaw for possible injury or bruising B. check the care plan to see if the resident is on heart attack precautions C. ask if the resident might have eaten something that has upset her stomach D. recognize the seriousness of the signs and observations and report immediately - ✔ D Why is it important to check the feet of a resident with diabetes at lease once a day? A. to look for sores on the feet the resident may not feel B. to check if vision problems have resulted in foot injuries C. to trim the toenails so they do not become long or jagged 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 - Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar? A. shakiness and trembling B. thirst and dry mouth C. sweet breath odor D. increased urine - ✔ A A resident is choking. The first response by the CNA should be to A. go find the charge nurse B. get the suction machine C. call emergency services (911) D. begin abdominal thrusts - ✔ D The purpose of a gait or transfer belt is to A. limit physical contact with ill patients who are transferred or walking B. protect the CNA's back when walking or transferring a resident C. help steady and support a resident when transferring or walking D. allow residents to transfer or walk independently - ✔ C Which of the following describes a resident's concern that needs to be reported to the charge nurse immediately? A. a resident's complaint of not getting to activities on time B. a resident who states a need for a new pair of elastic stockings C. a resident with dementia who states the need to talk to the resident's son D. resident who has always been oriented is suddenly scared and confused - ✔ D Which of the following best describes the daily routine needs of residents with dementia? A. it is important that the resident's day be kept full of activities B. changing daily routine is often helpful to residents with dementia C. providing opportunities for activity and periods for rest is important D. following a strict schedule is required to decrease confusion - ✔ C A resident whose husband dies a few years ago, says, "I have got to get dinner started. My husband will be home from work soon." What is the best way for the CNA to respond? A. offer to walk with the resident to the activity department's kitchen B. remind the resident that the nursing home prepared her meals C. ask the resident about her husband's favorite dinners D. explain gently that the resident's husband is dead - ✔ C When a resident is not able to stand, the resident's height is usually measured 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 The nurse aide received resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the CNA to A. decide break times with other nurse aides B. review assignments with others to check if residents are divided evenly C. check all assigned residents to see if anyone has immediate needs D. check what the activity department has scheduled for residents during the shift - ✔ C 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 CNA enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A, Use the resident's pitcher of water to put out the fire B. Open the window to get the smoke out of the room C. Yell "fire!" along with the room number D. Remove the resident from the room - ✔ D While receiving personal care in bed, a resident begins to have seizure. The nurse aide should A. hold the resident down to reduce injury B. keep the airway open and prepare to do CPR 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? 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? A. leaving the bedpan in place for extra time B. putting an incontinent brief on the resident C. answering the resident's call light quickly D. controlling fluid intake throughout the day - ✔ C A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers? A. put hand rolls in the resident's hands B. avoid raising the head of the resident's bed C. turn and position the resident according to schedule D. provide range of motion (ROM) exercises every two hours - ✔ C A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide? A. assist the resident and report the change to the charge nurse B. understand that these changes are just a normal part of aging C. update the resident's care plan and explain the change to the charge nurse D. encourage independence and suggest that the resident try going to the bathroom - ✔ A A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should A. hold the gait belt tighter and ask the resident to rest for a minute B. suggest the resident lean on the nurse aide for more support 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 A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to A. explain that the shower is required to keep clean and healthy B. try to motivate the resident by collecting clothing and supplies C. ask if the resident has another preference for bathing today D. remind the resident ,"You do have the right to refuse care" - ✔ C Which of the following is generally experienced by a resident with low blood sugar? A. fever B. weakness C. sour breath D. frequent urination - ✔ B A resident usually responds verbally to the nurse aide's greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aide's next actions should be to A. try to wake the resident again in a few more minutes B. speak louder to make sure the resident can hear C. wipe the resident's face with a cool washcloth D. call for the charge nurse immediately - ✔ D The term vital signs refers to A. any important information about a resident's condition B. the color, condition, and appearance of the skin C. fluid intake and output, as well as bowel movements D. temperature, pulse, and respirations - ✔ D A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to A. return the resident to bed B. provide the resident with a cane C. tell the nurse the resident is having foot pain D. remove the resident's shoe and inspect the foot - ✔ D A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the resident's friends are often leaving when the resident can dress in more quickly. A. set out clothing that the resident can dress in more quickly B. dress the resident to make sure the resident gets to breakfast earlier C. ask if there is any help the resident would like in the morning D. remind the resident that the friends will also be at activities later - ✔ C The nurse aide is to obtain a resident's weight. The nurse aide should A. ask if the resident remembers his/her last weight B. ask when the resident last ate food or drank fluid C. wait until after the resident has a bowel movement D. check what scale is usually used for this resident - ✔ D