Nurse Aide Best Practices and Procedures, Exams of Nursing

Download Nurse Aide Best Practices and Procedures and more Exams Nursing in PDF only on Docsity! Prometric CNA Test 50 Questions and Answers 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 on her own. - ANS A. Assist the resident and report the change to the charge nurse. 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. - ANS B. Place the razor in a sharps container immediately. 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. - ANS C. identifies protected health information that must remain confidential. A resident must have assistance to walk. When leaving the resident in the resident's room, what must the nurse aide do before leaving the room? A. Turn on the resident's television. B. Make sure the resident's bedpan is within reach. C. Place the call light where the resident can reach it. D. Say to the resident, "Remember that you need help to walk." - ANS C. Place the call light where the resident can reach it. 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. - ANS C. Report the swelling to the charge nurse. 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 resident's arms up to slide both sleeves on at the same time. - ANS C. put the shirt sleeve on the right arm first, then the left arm. 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. - ANS D. scale is balanced or calibrated before helping the resident onto the scale. 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. - ANS D. Provide incontinent care to the resident. A nurse aide 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. - ANS C. Report the observation to the charge nurse immediately. When going to take routine vital signs, the nurse aide discovers that a minister is praying with the 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. - ANS D. wait to take the vital signs after the minister has left. 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 aide's role. - ANS D. Refuse to perform the task and explain it is not within the nurse aide's role. 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 your great-granddaughter? Your daughter just turned 60." D. "What do you like to do with your daughter when she gets home from school?" - ANS D. "What do you like to do with your daughter when she gets home from school?" 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. - ANS C. respect the resident's decision and ask what the resident would like to do. A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, "I fell down and I cannot move my arm." What should be the nurse aide's next action? A. Help the resident to a sitting position on the floor. B. Ask the resident to stay still while the nurse aide calls for help. C. Ask the resident to describe the pain and how the fall happened. D. Support the injured arm by placing a pillow under the arm and shoulder. - ANS B. Ask the resident to stay still while the nurse aide calls for help. 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 - ANS D. Attached to the seat of the wheelchair, positioned below the level of the resident's bladder A resident who must stay in bed is at risk for developing A. dementia. B. arthritis. C. footdrop. D. Parkinson's disease. - ANS C. footdrop. When counting a resident's pulse, the nurse aide should A. notice if the rhythm of the heart-beat is regular. B. ask if the resident takes any heart medication. C. consider the time of day when the pulse is taken. D. multiply the rate by four if counted for 30 seconds. - ANS A. notice if the rhythm of the heart-beat is regular. 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. - ANS D. taking the measurement from head to heels while the resident is flat in bed. To help soften the beard before shaving with a disposable razor, the nurse aide should D. Controlling fluid intake throughout the day - ANS C. Answering the resident's call light quickly 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. - ANS A. being consistent with carrying out the toileting schedule. A resident with advance directives has a DNR order. This means that the resident A. does not remember. B. should not be restrained. C. does not respond to instructions. D. should not be resuscitated. - ANS D. should not be resuscitated. 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. - ANS D. understand that the husband wants staff aware of his wife's needs. 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. - ANS D. temperature, pulse, and respirations. 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. - ANS B. providing a routine time for the resident to toilet. When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide? A. Give the resident more time to swallow. B. Keep the amount of fluid small by using a spoon to give fluids. C. Add thickener to the fluid and see if it helps stop the coughing. D. Stop the feeding and report the coughing to the charge nurse right away. - ANS D. Stop the feeding and report the coughing to the charge nurse right away. A resident who was admitted today is sitting in a chair in his room. He asks for help to go to the bathroom. The nurse aide knows the resident's care plan has not been completed. To help the resident the nurse aide should A. ask the resident to use a walker while assisting the resident to the bathroom. B. get another nurse aide's help to walk the resident to the bathroom. C. position a commode chair next to the chair the resident is sitting in. D. ask the charge nurse for instructions on what assistance the resident needs. - ANS D. ask the charge nurse for instructions on what assistance the resident needs. 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) - ANS C. Help the resident improve his/her level of functioning 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 the water pitcher. - ANS D. Remove any fluids at the bedside including the water pitcher. NPO: nothing by mouth While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff 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. - ANS A. continue exercises but move onto another joint. 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.