Chapter 5

Question 1

Adapting work style and the work environment to be safer; how a person safely moves about the environment and physically completes tasks while at work

Answer 1

Ergonomics

Question 2

Lying on the back; common position; comfortable for sleeping for most people

Answer 2

Supine

Question 3

A device placed around the resident’s waist for use when transferring and ambulating

Answer 3

Gait belt

Question 4

Lying on the side; common position for sleeping; alternated with supine position

Answer 4

Side-lying

Question 5

Head of bed elevated; degree of elevation depends on intervention; common to relieve breathing problems, used when visiting with people or watching television

Answer 5

Fowler’s

Question 6

Lying on the stomach; hard for many people to tolerate; used if resident requests or if required by medical condition

Answer 6

Prone

Question 7

Exaggerated for of side-lying position; used when giving an enema

Answer 7

Sims’s

Question 8

Used when resident is sitting in a chair or wheelchair; resident’s elbows are placed on table and head is held in resident’s hands; used to relieve breathing problems

Answer 8

Tripod

Question 9

An implement that attaches to the bed frame, extending out overhead and used for leverage by the resident for repositioning in bed

Answer 9

Trapeze

Question 10

The position used for a resident who will be receiving an enema is

A) Sims’s
B)Supine
C)Semi-Fowler’s
D)Prone

Answer 10

A)Sims’s

Question 10

to place a resident in a semi-Fowler’s position, the head of the bed should be

A)Left flat
B) raised 35-40 degrees
C)Raised 45-60 degrees
D)Raised 80-90 degrees

Answer 10

B) raised 35-40 degrees

Question 11

the most comfortable position for a resident with breathing problem is

A)Prone
B)Supine
C)Sims’s
D)Fowler’s

Answer 11

D)Fowler’s

Question 12

The position that puts a resident at great risk of shearing injuries to the back ,sacrum and Coccyx.

A) Supine
B)High-Fowler’s
C)Side-lying
D)Semi-Fowler’s

Answer 12

B)High-Fowler’s

Question 13

Positioning a resident properly in a wheelchair helps to

A)Prevent pressure injuries
B)Decrease discomfort
C)Reduce the risk of sliding out of the wheelchair
D)Do all of the above

Answer 13

D)Do all of the above

Question 14

When a resident’s is in Fowler’s position, pillows should be placed

A)Under the head and lower legs
B)Under the head and shoulders
C)Under the head only
D) Behind the knees

Answer 14

A)Under the head and lower legs

Question 15

One nursing assistant can move a resident up in bed if

A) The resident has no side rails on his bed
B) The resident has a trapeze secured to the bed
C)The resident grabs the nursing assistant’s arms for support
D) None of the above; repositioning requires a two assist

Answer 15

B) The resident has a trapeze secured to the bed

Question 16

When two nursing assistant move a resident up in the bed, they should grasp the draw sheet

A)4 inches away from the resident’s body
B)6 inches away from the resident’s body
C)As close to the resident’s body as possible
D)As far from the resident’s body as possible

Answer 16

C)As close to the resident’s body as possible

Question 17

The FIRST step in transferring a resident from bed to wheelchairs is to

A) Place the wheelchair at the foot of the bed
B)Remove the leg rests from the wheelchair
C)Tell the resident what you need her to do
D) Check the resident’s care plan for level of assistance needed

Answer 17

D) Check the resident’s care plan for level of assistance needed

Question 18

For repositioning a bariatric resident while in bed, you need to

A)Ask for help from at least one other coworker
B)Use a top sheet, bath blanket, or bed blanket
C)Ask the resident to help as much as she is able
D)Do all of the above

Answer 18

D)Do all of the above

Question 19

You are transporting a resident in her wheelchair. Her feet drag into the floor because she is unable to keep them lifted while you are moving. You should

A)Place a cushion under her buttocks to keep her feet from touching the floor.
B)Place leg rests on the wheelchair if indicated on the resident’s care plan.
C)Have a coworker hold her legs up while you transport the resident
D)Pull the wheelchair backward so her feet do not get hurt.

Answer 19

B)Place leg rests on the wheelchair if indicated on the resident’s care plan.

Question 20

Sara is a resident who uses her wheelchair to move throughout the facility. She has leg rest on her wheelchair to keep her legs elevated. You help her to her room since she is unable to propel herself before leaving Sarah’s room, you should

A)Remove the leg rests and hand her the call light
B)Remove the leg rests out to the side of her chair so she can keep her feet on the floor
C)Position the leg rests according to the care plan and hand her the call light
D)Do all of the above.

Answer 20

C)Position the leg rests according to the care plan and hand her the call light

Question 21

wearing shoes that are comfortable and have good arch support helps prevent injury to the nursing assistant by

A) reducing the risk of trips and falls
B)Reducing back strain
C)maintain the back in good alignment
D) All of the above

Answer 21

D) All of the above

Question 22

You can assist the resident who is independent with ambulation with

A) Telling him he must walk to the dinning room for meals
B)Encouraging him to attend group activities offered that day
C)Not allowing him to use a wheel chair
D)Reaming close to him when he walks

Answer 22

B)Encouraging him to attend group activities offered that day

Question 23

Juan’s care plan states that he is a one assist. To assist him with ambulation, you must

A) Use a gait belt with at least one hand on it at all times
B)Ask another nursing assistant to help you
C)Give him verbal reminders to walk each day
D) Use a gait belt only if he feeling weak or unsteady

Answer 23

A) Use a gait belt with at least one hand on it at all times

Question 24

Before you assist a resident to stand, she must be wearing

A) Shoes or have bare feet.
B)Socks or bathroom slippers
C)Footwear with a nonskid sole
D)What she finds most comfortable

Answer 24

C)Footwear with a nonskid sole

Question 25

The nurse request that you assist a resident into a tripod position. This is likely because he

A)Has difficulty breathing
B)Will be getting an enema
C)IS watching television while in bed
D)Has pressure injury on his coccyx

Answer 25

A)Has difficulty breathing

Question 26

Your resident has been up in his wheelchair for 2 hours and does not want to lie in bed or sit in his recliner. His care plan say to reposition him every 2 hours. What should you do?

A)Help him to stand or ambulate
B)Put him in the recliner near the nurses’ desk
C)Assist him back into bed
D)Place him in front of the television

Answer 26

A)Help him to stand or ambulate

Question 27

You are instructed to reposition your resident with three pillows. You only have two. What should you do?

A)Use only the two that you have
B)Borrow one of the roommate’s pillows
C)Call the family to purchase more pillows
D)Roll a bath blanket to use as a positing device

Answer 27

D)Roll a bath blanket to use as a positing device

Question 28

Your resident refuse to allow you to use the gait belt as the care plan states. What should you do?

A)Respect your resident’s wishes and do not use the gait belt.
B)Ask another nursing assistant to complete the transfer
C)Reinforce to the resident the importance of using the gait belt and report to the supervisor
D)Call the patient’s family and inform them that the resident is refusing to use the gait belt.

Answer 28

C)Reinforce to the resident the importance of using the gait belt and report to the supervisor

Question 29

You are asked to boost a bariatric resident up in the bed. The resident is unable to reposition himself but does have a trapeze attached to the bed frame. What should you?

A)Obtain enough assistance from staff to ensure that you do not injure your back
B)Do your best to boost the bariatric resident by yourself; he also has a trapeze to assist
C)Tell the resident that you are unable to perform this task
D)Use a mechanical lift to move the resident upward in bed

Answer 29

A)Obtain enough assistance from staff to ensure that you do not injure your back

Question 30

Your resident is doing well and seems to be able to transfer with an assist of two nursing assistant and gait belt instead of the mechanical lift as the care plan states. What should you do?

A)Transfer the resident with two nursing assistants so he regains strength
B)Use the mechanical lift and report your finding to the supervisor
C)Transfer the resident with two nursing assistants and the gait belt for added safety.
D)Ask your coworkers how they transferred the resident earlier in the day.

Answer 30

B)Use the mechanical lift and report your finding to the supervisor

Question 31

While ambulation your resident, she falls you lower her safety to the ground using the gait belt she was wearing. The resident says she feels fine and not hurt. What should you do?

A)Help her stand and continue to ambulate since she in unhurt
B)Ask a coworker for assistance to continue ambulating
C)Update the supervisor before moving the resident
D)Get the mechanical lift and lift her to a chair

Answer 31

C)Update the supervisor before moving the resident

Question 32

Your resident has had several falls in the past. He is now refusing to ambulate because he is frightened that he might fall again. What should you do

A)Do not ambulate the resident if he is afraid
B)Tell him that it is required for good health
C)Provide encouragement to walk small amounts at a time
D)Call his family and ask if they can convince him to walk with you

Answer 32

C)Provide encouragement to walk small amounts at a time

Question 33

Your resident has asked you to help him to the toilet. While you are trying to put your gait belt around the resident for this transfer, he says, “I need to go now!” He waves you away and tries to stand up alone. What should u do

A)Let him stand up and ambulate without the gait belt
B)Stand in front of him while applying the gait belt and remind him of safety
C)Refuse to help him because he is at risk of injury
D)Tell him to wait in the bathroom while you get the nurse.

Answer 33

B)Stand in front of him while applying the gait belt and remind him of safety