Nurse Aide Procedures and Priorities in a Nursing Home, Exams of Nursing

Download Nurse Aide Procedures and Priorities in a Nursing Home and more Exams Nursing in PDF only on Docsity! Prometric CNA Practice| Questions and Answers, 100% Correct| Latest 2024-2025 Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar? A. Shakiness or trembling B. Thirst and dry mouth C. Sweet breath odor D. Increased urine A. Shakiness or trembling 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. after eating a meal. Before helping a resident to stand who has been lying in bed, the nurse aide needs to A. find out what the resident plans to do for the day. B. make sure a walker is available for support in case it is needed. C. ask if the resident has taken any medication recently. D. allow time for the resident to adjust to sitting at the edge of the bed. D. allow time for the resident to adjust to sitting at the edge of the bed. 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. C. Stop the dressing to let the resident rest. D. Go to find a nurse to check the resident. C. Stop the dressing to let the resident rest. The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide 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. check all assigned residents to see if anyone has immediate needs. The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., 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. "Would you prefer to walk a little later?" 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. Make sure the hearing aid is turned on. 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. In the resident's room. What is the best reason for giving frequent perineal care to residents? A. It increases comfort. B. It decreases sexual responses. C. It helps prevent skin breakdown. D. It prevents incontinence. C. It helps prevent skin breakdown. The first step the nurse aide should take when discovering a fire is to A. check how quickly the fire is spreading. B. remove any residents near the fire. C. throw a blanket over the flames. D. pull the alarm. B. remove any residents near the fire. To help prevent burns to residents during meals, the nurse aide should A. place a clothing protector on the resident. B. wait to serve the food until hot food is cold. C. add ice to any hot liquids, such as coffee or soup. D. let residents know which foods and beverages are hot. D. let residents know which foods and beverages are hot. 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 seem 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. Ask about activities the resident has enjoyed in the past. Why is it important to check the feet of a resident with diabetes at least 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. To look for sores on the feet the resident may not feel A resident's hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide? A. Thicken the liquid so it will not spill. B. Place a clothing protector on the resident. C. Seat the resident with other residents who also spill. D. Suggest that the resident might do well with a cup with a lid. D. Suggest that the resident might do well with a cup with a lid. A resident who has dementia is usually able to get dressed with some prompting. This morning the resident is more confused and needs more help with all activities of daily living. What should the nurse aide do? A. Tell the resident not to feel bad about needing more help today. B. Provide extra help as needed to avoid the resident becoming frustrated. C. Ask if the resident would prefer to stay in night clothes for the day. D. Check if the resident will get dressed for another nurse aide. B. Provide extra help as needed to avoid the resident becoming frustrated. 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. turn the resident onto one side to place the bedpan under the resident's hips. 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. 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. The resident has suddenly become very agitated. 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. Stop feeding and ask a nurse to check the resident. 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. Check to see if the tubing is kinked or bent. 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. talk to the resident while providing care. 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. taking the measurement from head to heels while the resident is flat in bed. 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 from 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. guide the resident from the chair to the floor. A resident says, "I am not going to eat this food. It is poisoned," What is the best response by the nurse aide? 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 if there is something else the resident would like to eat. D. Leave the resident alone because the resident will eat when hungry enough. C. Ask if there is something else the resident would like to eat. Which of the following is an example of disinfection? A. Washing a resident's hands after toileting B. Using a wipe to clean around a resident's stoma C. Cleaning a shower chair with a chemical cleanser D. Cleaning a resident's bath basin with soap after use C. Cleaning a shower chair with a chemical cleanser Disinfecting is a process that involves using a chemical to kill microbes, and it is used on equipment that comes in contact with body fluids or substances--generally used in the nursing home setting on equipment that is used between residents. 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. To make decisions about their care and treatment 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. resident should be positioned to avoid pressure on the area. 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. ask if there is any help the resident would like in the morning A nurse aide 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. Remove the resident from the room. When fire presents an immediate danger to residents, the first response should be to remove any residents from harm. The acronym of R-A-C-E is used to remind staff of the steps to follow when responding to a fire emergency. R - removal of residents from danger A - alarm (getting emergency assistance) C- confine the fire (closing doors and windows) E - extinguish (if this can be done safely) A resident with a feeding tube is scheduled for a shower. The resident's feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide? A. Disconnect the feeding tube temporarily to give the shower. B. Protect the pump with a plastic bag before bringing into the shower room. C. Ask the charge nurse for assistance with the feeding pump. D. Give the resident a bed bath since the resident has a feeding tube. C. Ask the charge nurse for assistance with the feeding pump. The normal appearance of urine is A. clear. B. cloudy. C. dark yellow. D. strong smelling. A. clear. 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. Call for help while keeping the resident calm.