Questions Part 2 Flashcards
Which of these describes stage 4 of a decubitus ulcer?
Open area with damage reaching to the bone, joint, or tendons.
As dementia progresses, incontinence can become an issue. How can the nurse aide assist?
Watch for signs of discomfort so you can take the resident to the bathroom
When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?
Ask the family to get several identical outfits
A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to:
ask the resident about his job and if he is hungry
A resident who has not been discharged insists she is going home. What should the nurse aide do?
Notify the charge nurse immediately
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is :
between 95F and 110F
The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:
30 mins before meals and at bedtime
The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. which of the following statements is best when pertaining to this situation?
in changing a dressing, always note the colors, order, amount, and consistency of the drainage on the old dressing.
What is correct about ostomy care?
Able clients can perform this procedure by themselves once they have been taught by the nurse
A client has deep vein thrombosis (DVT) and has been ordered by the doctor to apply elastic stocking. The nurse assistant is correct in performing this when she:
applies the stocking while the client is on bed
The nursing assistant is aware that the purpose of the elastic stoking is to:
prevent blood clots
A COPD client recently admitted to the floor needs constant oxygen therapy. when assisting this pateint, the nurisng assisant can:
After applying an elastic bandage to the client’s right leg, you need to check the color and temperature of the leg:
every hour
Which of the following statements is correct pertaining to binders application?
The double T-binder is specifically used for male clients
Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following device is least likely used for this particular purpose?
Rubber sheet
clients requiring oxygen therapy should be monitored for hypoxia. early signs for hypoxia included
Restlessness, dizziness, and disorientation
An asthmatic client can be relieved from dyspnea when he is placed in an orthopneic position. This can be done by:
sitting up and leaning over a table with a pillow
Which action is incorrect when flossing the client’s teeth?
use a new piece of floss for each tooth.
To obtain a 24-hour urine specimen, the nurse assistant should:
Discard the first voided specimen and then collect the total volume of each voiding in 24 hours
A client was fitted with a hearing aid. She understands the proper use and wears of this device correctly when she says that the device is turned on and adjusted to a:
audible level
One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:
Are not able to express themselves meaningfully through speech.
The nursing assistant is aware that the responsibility for keeping accurate I&O records is part of her duties. If the client is incontinent, how should she document the output?
Record on the output side of the I&O sheet each time the bed is wet.
Which of the following are examples of fluid output that need to be recorded on the I&O sheet?
Urine, emesis, blood loss, and excessive perpiration
A client is receiving oxygen therapy via a face mask. Which of the following is contraindicated for this client?
Shaving using an electric razor
Use of which of the following articles or types of clotting would help a client with osteoarthritis perform activities of daily living adequately?
Velcro clothing, slip-on shoes, and rubber grippers.
Which of the following is not included in the care of clients with pacemakers?
The client is not allowed to be around electrical appliances
Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action?
Ask the nurse to observe the stool
Which is NOT a rule for collecting specimens?
Collect the specimens when you have time
A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. Which of the following protective equipment should the nursing assistant wear?
clean gloves
A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate?
Report to the nurse immediately
Which of the following methods should be used to collect a specimen for a urine culture?
Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.
The nursing assistant is correctly providing penile hygiene to an unconscious client if she:
dries all areas of the penis thoroughly.
A nursing assistant must obtain the blood pressure of a client in airborne isolation. which of the following methods is the best to prevent transmission of infection to other clients by the equipment?
Leave the equipment in the room for use only with that client
To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?
apply the bandage while stretching it slightly
The following information is recorded on an intake and output record: milk 180 ml; orange juice, 60 ml; 1 serving scrambled eggs; 1 slice toast; 1 can ensure oral nutritional supplement, 240 ml; 50 ml water after twice-daily medications. medications as given by the nurse at 9:00 AM and 9:00 PM. What is the client’s total intake for the 7:00 AM to 3:00 PM shift?
530 ml
While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. she places the tubing in a loop on the bed with the client and makes sure the client won’t lie on the tubing. Which of the following rationales explains the nursing assistant’s action?
to allow drainage to occur
A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate to you in ensuring the client’s safety?
Stay with him at all times
A client who has Alzheimer’s disease is told by the nurse assistant to brush his teeth. He shouts angrily, “tomato soup!” Which of the following actions by the nurse assistant would be correct?
Giving him step-by-step directions
When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should:
report immediately to the nurse
A divorced 33-year old former drug addict is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his need as they related to roles and relationships?
Provide paper and pen for letter writing to his sons
Clients and families have the right to receive care that is:
Culturally acceptable to them
When caring for a dying client, the nurse aide should perform which of the following activities?
Assist client towards a peaceful death
When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in?
Denial
As you assist a Hispanic client during her mealtime, which food selections do you expect to be incorporated into the diet that would represent culturally sensitive care?
Beans and tortillas
Which of the following techniques would you use when interviewing a 94-year old patient?
using a low pitched voice
A 69-year-old client has been diagnosed with colon cancer. upon the request of her daughters, the powers of attorneys, the information was withheld from her. when her daughters leave, the client asks you a question about her diagnosis. what will be your response to this situation?
“I don’t have any information as pf the moment, but ill find out for you”
A client in the ling term facility tells the nursing assistant “I am too depressed to talk to you. leave me alone.” which of the following response by the nursing assistant is most therapeutic?
ill sit with you for a moment
A client says to you “I am a worthless person, I should be dead.” what is the best response that you, the nursing assistant, can make?
What makes you feel worthless?
A client with a hearing impairment is admitted to busy hospital unti. which intervention is most appropriate to meet the client’s needs while preventing sensory overload?
have conversation at the bedside directed to the client
legally, clients charts are:
Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge.
The nursing assistant assigned to obtain vital signs for a group of residents omits to take the vital signs of one of the residents. When the nurse inquires as to the resident’s missing vital signs, the nursing assistant admits to forgetting the resident. this is an example of which of the following?
accountability
Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again?
Undergo a retraining and a new competency evaluation
It’s a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Terramycin ointment and gives you instructions to apply it to a patients’ eyes. How would you respond to this?
Politely refuse the nurse’s request and explain your hob limitations as a nursing assistant.
During a nursing assistant’s orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated effective care to their clients. To communicate, the nursing assistant should do all of the following except:
use terms with many meanings
A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. how should the nursing assistant facilitate the call transfer?
tell the caller that you are going to transfer the call and give the phone number in case gets disconnected or the line is busy
A nursing assistant is in the process of giving a client a bed bath. in the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call, the appropriate action is to:
cover the client, place the call light within reach, and answer the phone call.
A nursing assistant assigned to the medical ward receives a new client for the shift. she wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client’s condition throughout her stay at the hospital. the nursing assistant, therefore, reads the:
Kardex
On nursing rounds, a client is found lying on the floor. which statement would be most appropriate for the nurse aide to record in the client’s medical record?
Upon entering the room, the client was found lying on the floor
which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse’s station?
Share passwords for computer access with colleagues who have forgotten their own passwords
a registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communication with these clients, the nursing assistant should:
use an interpreter to speak to the client
