Nurse Aide Procedures and Best Practices, Exams of Medicine

Download Nurse Aide Procedures and Best Practices and more Exams Medicine in PDF only on Docsity! Prometric CNA Test 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. - \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. - \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. - \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." - \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. - \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. - \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. - \D. scale is balanced or calibrated before helping the resident onto the scale. A resident reports that his wrist watch 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. for permission to help look around the resident's room. When a resident wears a restraint, the nurse aide must make sure the A. resident is wearing an incontinent brief. B. resident is checked once every two hours. C. restraint is applied following the manufacturer's instructions. D. restraint is applied tightly and placed under the resident's clothing. - \C. restraint is applied following the manufacturer's instructions. When giving perineal care to a male resident who is uncircumcised, the nurse aide should A. push the foreskin back to clean. B. keep the foreskin in place over the penis. C. wipe from the base of the penis towards the tip. D. just cleanse the tip and directly over the urethra. - \A. push the foreskin back to clean. 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. - \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 - \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. - \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. - \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. - \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 A. massage the beard area of the face gently. B. rub the beard in the direction of the hair growth. C. hold a warm, wet wash cloth against the face first. D. lather the face with soap instead of shaving cream. - \C. hold a warm, wet wash cloth against the face first. 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 allow smoke to escape. C. Remove the resident from the room. D. Yell "Fire!" along with the location. - \C. Remove the resident from the room. 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 rinse and dry thoroughly. - \B. apply a dry protective dressing over the area. Which member of the health care team counsels residents and their families and arranges for needed services? A. Dietitian B. Social worker C. Physical therapist D. Activities director - \B. Social worker When a person is receiving end-of-life care, the resident's care plan is likely to include A. ways to best provide for the comfort of the resident. B. exercises to help improve the resident's strength. C. frequent observation to help prevent confusion. D. instructions for providing post-mortem care. - \A. ways to best provide for the comfort of the resident. While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to A. quickly move the resident to the nurses' station. B. ask the resident how badly the burned area hurts. C. wet a towel or napkin with cool water and place against the injured area. D. apply antibiotic ointment to the burned area and then cover with a bandage. - \C. wet a towel or napkin with cool water and place against the injured area. 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. Discuss the nurse aide's lack of experience with the nurse. 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. 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. - \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. - \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.