Practice Test 2

Question 1

Which member of the health care team counsels residents and their families and arranges for needed services?

Answer 1

Social worker

Question 2

Before helping a resident to stand who has been lying in bed, the nurse aide needs to

Answer 2

allow time for the resident to adjust to sitting at the edge of the bed.

Question 3

The nurse aide can help the resident have regular bowel movements by

Answer 3

providing a routine time for the resident to toilet.

Question 4

Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?

Answer 4

Promote circulation at pressure points

Question 5

A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately?

Answer 5

The resident’s fingers are cold and blue in color.

Question 6

While helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide’s next action should be to

Answer 6

ask if the resident can talk.

Question 7

Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar?

Answer 7

Shakiness or trembling

Question 8

Which of the following is an example of disinfection?

Answer 8

Cleaning a shower chair with a chemical cleanser

Question 9

A resident reports having a very large bowel movement two days ago. What should the nurse aide do first?

Answer 9

Ask if this is a normal pattern for the resident’s body.

Question 10

A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, “I had an accident. I wet myself.” What should the nurse aide do?

Answer 10

Provide incontinent care to the resident.

Question 11

When feeding a resident who is lying in bed, the head of the bed is raised to

Answer 11

decrease the risk of aspiration.

Question 12

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?

Answer 12

Refuse to perform the task and explain it is not within the nurse aide’s role.

Question 13

A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first?

Answer 13

Make sure the hearing aid is turned on.

Question 14

A resident is choking. The first response by the nurse aide should be to

Answer 14

begin abdominal thrusts.

Question 15

A resident is restrained. What observation should the nurse aide report to the nurse immediately?

Answer 15

The restraint was removed according to the care plan schedule.

Question 16

When a resident is unable to stand, the resident’s height is generally obtained by

Answer 16

taking the measurement from head to heels while the resident is flat in bed.

Question 17

A resident is being showered while sitting in a showerchair. The resident says, ““I feel weak. I think I am going to faint.” The nurse aide’s immediate concerns are calling for help and

Answer 17

keeping the resident safe and comfortable.

Question 18

A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first?

Answer 18

Report the change to the charge nurse.

Question 19

A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should

Answer 19

recognize the seriousness of the signs and observations and report immediately.

Symptoms of a heart attack include pain radiating to arms and jaw and diaphoresis (sweating). it should be reported to the nurse.

Question 20

A resident’s hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide?

Answer 20

Suggest that the resident might do well with a cup with a lid.

Question 21

The nurse aide is taking routine vital signs on a resident. The resident’s temperature is 101.4º Fahrenheit. The most appropriate response by the nurse aide is to

Answer 21

report the temperature promptly.

Question 22

To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may

Answer 22

place large stop signs on doors.

Question 23

A resident with an indwelling catheter says, “I need to urinate.” Which of the following is the best response by the nurse aide?

Answer 23

Check to see if the tubing is kinked and draining properly.

Question 24

“Sundowning” is a term used to describe when residents

Answer 24

become restless and agitated late in the day.

Behaviors such as agitation, anxiety, restlessness, and pacing can become more prevalent in the late afternoon and continue into the night for some residents.

Question 25

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?

Answer 25

Stop the feeding and report the coughing to the charge nurse right away.

Question 26

Which of the following is considered a normal age-related change seen in elderly residents?

Answer 26

Decrease in taste sensation and smell.

Question 27

Which action is most helpful to help decrease a resident’s incontinence?

Answer 27

Answering the resident’s call light quickly.

Question 28

A resident’s leg has recently been amputated. Since the surgery the resident has not wanted to leave his room. What response by the nurse aide is most supportive?

Answer 28

“You used to enjoy activities. What’s keeping you in your room so much?”

Question 29

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?

Answer 29

In the resident’s room.

Question 30

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?

Answer 30

Ask the charge nurse for assistance with the feeding pump.

Question 31

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?

Answer 31

“Would you prefer to walk a little later?”

Question 32

A resident who is Roman Catholic is dying. The resident comments that she has not been to confession and she worries that she will die in a state of sin. Which of the following is the best response by the nurse aide?

Answer 32

“Would you like it arranged for a priest to visit you?”

Question 33

Which of the following is the best example of using reality orientation for a resident with early dementia?

Answer 33

“Look at the time. Lunch is in 30 minutes. Are you feeling hungry?”

Question 34

When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident’s care plan will include

Answer 34

keeping the area where the catheter enters the body clean.

Question 35

A resident with advance directives has a DNR order. This means that the resident

Answer 35

should not be resuscitated.

Question 36

The goal when removing gloves that are soiled is to

Answer 36

avoid contact with the outside of the gloves.

Question 37

Which of the following statements is true about how people experience pain?

Answer 37

A person’s culture can affect response to pain.

Question 38

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?

Answer 38

Report the swelling to the charge nurse.

Question 39

A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next?

Answer 39

Turn the resident onto her side

Question 40

Which of the following is generally experienced by a resident with low blood sugar?

Answer 40

Weakness.

The symptoms of hypoglycemia are weakness, fatigue, confusion, sweating, and trembling. These symptoms indicate that the resident’s blood sugar is too low.

Question 41

When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear

Answer 41

purple.

Question 42

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?

Answer 42

“What do you like to do with your daughter when she gets home from school?”

Question 43

The nurse aide is to obtain a resident’s weight. The nurse aide should

Answer 43

check what scale is usually used for this resident.

Question 44

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?

Answer 44

Ask the resident to stay still while the nurse aide calls for help.

Question 45

An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do?

Answer 45

Allow the resident to be alone with her spouse.

Question 46

Which of the following describes a resident’s concern that needs to be reported to the charge nurse immediately?

Answer 46

A resident who has always been oriented is suddenly scared and confused.

Question 47

Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care?

Answer 47

Whenever the resident is soiled with urine or stool.

Question 48

To help prevent burns to residents during meals, the nurse aide should

Answer 48

let residents know which foods and beverages are hot.

Question 49

Which of the following is a right of nursing home residents?

Answer 49

To make decisions about their care and treatment.

Question 50

A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first?

Answer 50

Reach around from behind the resident to provide abdominal thrusts.