Basic nursing skills 3

Question 1

Why should heat NOT be applied to a diabetic resident’s feet?
a Their feet might be dirty.
b The feet have more oil glands.
c It makes diabetics’ feet wrinkle.
d Diabetics have decreased sensitivity to heat.

Answer 1

d Diabetics have decreased sensitivity to heat.

Question 2

Constipation and indigestion can result from
a slowed mental response.
b slowed brain waves.
c slowed respiration.
d slowed peristalsis.

Answer 2

d slowed peristalsis.

Question 3

Strokes are seen in the elderly. A stroke occurs when
A the heart fails.
B the muscles die.
C the brain is deprived of oxygen.
D the lungs fill with fluid.

Answer 3

C the brain is deprived of oxygen.

Question 4

Many elderly residents lose their appetite because of
A decrease in number of taste buds.
B depression.
C social isolation.
D any of the above.

Answer 4

D any of the above.

Question 5

The plan that starts on the resident’s admission and assists when the resident goes home is called
A the nursing care plan.
B the treatment plan.
C the nurse aide flow record.
D the discharge plan.

Answer 5

D the discharge plan.

Question 6

A bedsore or decubitus ulcer is caused by
A abrasions.
B fatigue.
C inadequate turning.
D burns.

Answer 6

C inadequate turning.

Question 7

The best way for a nurse aide to gather information about the safety and well-being of a resident is
A to listen to other nurse aides during the break.
B flow sheets.
C to listen to the nurses talk in the med room.
D observation.

Answer 7

D observation.

Question 8

When dry, hard stool fills the rectum and will not pass, it is called
A atrophy.
B impaction.
C edema.
D incontinence.

Answer 8

B impaction.

Question 9

Various factors will change pulse rate. An increased pulse rate can be caused by
A sleep.
B depression.
C coma.
D exercise.

Answer 9

D exercise.

Question 10

What can the nurse aide give a resident who has an order for NPO?
A Only clear liquids
B No food or liquids
C Small amounts of ice
D Unlimited fluids

Answer 10

B No food or liquids

Question 11

A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should
A tell the resident OK, but the resident will have to soak her feet first.
B do it because it is part of the job.
C ask another nurse aide to help.
D tell the resident that the nurse aide cannot do it but will report it to the charge nurse.

Answer 11

D tell the resident that the nurse aide cannot do it but will report it to the charge nurse.

Question 12

All of the following statements about type 2 diabetes are true EXCEPT
A Type 2 diabetes is very rare in adults.
B It is associated with being overweight or obese.
C It can be controlled with diet and exercise.
D Type 2 diabetes may require medications or insulin.

Answer 12

A Type 2 diabetes is very rare in adults.

Question 13

Elderly residents sometimes appear stooped over and seem to have lost height. This is due to
A the deterioration of muscle tissue.
B osteoporosis in the spinal column.
C decreased cardiac output.
D the resident’s increased difficulty breathing.

Answer 13

B osteoporosis in the spinal column.

Question 14

Signs of poor circulation include
A paleness; cold skin; and edema.
B warm, dry, pink skin.
C perspiration and red skin.
D hot flashes.

Answer 14

A paleness; cold skin; and edema.

Question 15

Wasting or a decrease in the size of a muscle is called
A atrophy.
B impaction.
C decubitus.
D edema.

Answer 15

A atrophy.

Question 16

Which of the following is a major reason for urinary incontinence in the elderly?
A The muscle that keeps urine in the bladder weakens.
B They can’t tell when they need to urinate.
C They are too lazy to go to the bathroom.
D Their circulatory system is failing.

Answer 16

A The muscle that keeps urine in the bladder weakens.

Question 17

The nurse aide knows to wear which of the following when performing care for clients?
A Clean uniform or scrubs
B Name badge with job title
C Shoes with non-skid soles
D All of the above

Answer 17

D All of the above

Question 18

A Foley catheter is used
A as a rectal tube.
B for gastric feeding.
C to drain urine from the bladder.
D to suction stomach contents.

Answer 18

C to drain urine from the bladder.

Question 19

What is the purpose of the chain of command in a long-term care facility?
A To provide more jobs in nursing
B To prevent residents from going behind the nurses’ station
C To be sure that residents follow the rules
D To keep communication about a problem flowing smoothly

Answer 19

D To keep communication about a problem flowing smoothly

Question 20

A hospice specializes in the care of people who are
on Medicare.
on Medicaid.
chronically ill.
terminally ill.

Answer 20

terminally ill.

Question 21

Which of the following is true regarding the use of side rails on a bed?
A Side rails on one side of a bed should be raised at all times.
B Side rails should not be raised unless stated in the care plan.
C Side rails should be raised on both sides when making an occupied bed.
D Side rails should be raised at night.

Answer 21

B Side rails should not be raised unless stated in the care plan.

Question 22

A sitting or semi-sitting position with the head of the bed elevated is called
A Fowler's.
B supine.
C lateral.
D prone.

Answer 22

A Fowler’s.

Question 23

A nurse aide is going to take Mr. Heath’s vital signs. What should the nurse aide do to reduce Mr. Heath’s anxiety and get him to cooperate?
A Wear disposable gloves for all procedures.
B Wash her hands before and after the procedure.
C Explain the procedures to Mr. Heath.
D Gather all needed equipment before beginning.

Answer 23

C Explain the procedures to Mr. Heath.

Question 24

The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should
A wait to see if she uses the bathroom tomorrow.
B ask the resident’s roommate if she saw the resident use the bathroom.
C report this to the charge nurse.
D ask the other nurse aides if the resident had a bowel movement that wasn’t recorded.

Answer 24

C report this to the charge nurse.

Question 25

Which of the following is a proper way to correct an error in charting?
A Draw a single line through it.
B Erase it completely.
C Scribble it out with several lines.
D Use correction fluid.

Answer 25

A Draw a single line through it.

Question 26

A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that
A the resident cannot walk.
B the resident cannot talk.
C the resident cannot swallow.
D none of the above are true.

Answer 26

B the resident cannot talk.

Question 27

A resident is NPO for tests. The nurse aide should
A remove the water pitcher and glass from the room.
B allow the resident to drink water only.
C encourage fluids for hydration.
D allow the resident to eat ice chips.

Answer 27

A remove the water pitcher and glass from the room.

Question 28

To count respirations, one respiration includes
A one inhalation and one exhalation.
B one exhalation.
C one inhalation and two exhalations.
D one inhalation.

Answer 28

A one inhalation and one exhalation.

Question 29

If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do?
A Take a rectal temperature.
B Wait 15 minutes to take the temperature.
C Brush the resident’s teeth first.
D Tell the next shift to take the temperature.

Answer 29

B Wait 15 minutes to take the temperature.

Question 30

Diabetes mellitus makes a resident more prone to develop
cancer.
fever.
infections.
chills.

Answer 30

infections.

Question 31

The exchange of oxygen and carbon dioxide takes place
A in the intestines.
B in the heart.
C around the kidneys.
D in the lungs.

Answer 31

D in the lungs.

Question 32

A Hepatitis B vaccination protects the person receiving it against a disease that affects
the liver.
the heart.
the kidneys.
the skin.

Answer 32

the liver.

Question 33

For most residents, the range of normal respiration is
A 12 to 20 inspirations per minute.
B 20 to 28 inspirations per minute.
C 28 to 30 inspirations per minute.
D 8 to 16 inspirations per minute.

Answer 33

A 12 to 20 inspirations per minute.

Question 34

Headaches, nausea, and pain are considered
assessment.
charting.
observations.
symptoms.

Answer 34

symptoms.

Question 35

When lifting, the nurse aide should have his or her feet separated in the standing position to
A relieve the pressure on the toes.
B distribute body weight evenly.
C provide a wide base of support.
D to prevent straining the knees.

Answer 35

C provide a wide base of support.

Question 36

When lifting a heavy object, which muscle groups should you use?
Muscles of the shoulders
Muscles of the legs
Muscles of the back
Muscles of the hands

Answer 36

Muscles of the legs

Question 37

Who supervises the work of a nurse aide?
A nurse
A social worker
The resident’s family
The office manager

Answer 37

A nurse

Question 38

The loss of the ability to express oneself is known as
verbal communication.
aphasia.
empathy.
speech therapy.

Answer 38

aphasia.

Question 39

The thinning of the fatty layer under the skin could cause a resident to
have difficulty walking.
lose his or her appetite.
develop pressure sores.
have slowed mental responses.

Answer 39

develop pressure sores.

Question 40

There are two kinds of restraints
chemical and medication.
masks and goggles.
physical and chemical.
belts and wristbands.

Answer 40

physical and chemical.