Questions Part 2

Question 1

Which of these describes stage 4 of a decubitus ulcer?

Answer 1

Open area with damage reaching to the bone, joint, or tendons.

Question 2

As dementia progresses, incontinence can become an issue. How can the nurse aide assist?

Answer 2

Watch for signs of discomfort so you can take the resident to the bathroom

Question 3

When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?

Answer 3

Ask the family to get several identical outfits

Question 4

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:

Answer 4

ask the resident about his job and if he is hungry

Question 5

A resident who has not been discharged insists she is going home. What should the nurse aide do?

Answer 5

Notify the charge nurse immediately

Question 6

In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is :

Answer 6

between 95F and 110F

Question 7

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:

Answer 7

30 mins before meals and at bedtime

Question 8

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?

Answer 8

in changing a dressing, always note the colors, order, amount, and consistency of the drainage on the old dressing.

Question 9

What is correct about ostomy care?

Answer 9

Able clients can perform this procedure by themselves once they have been taught by the nurse

Question 10

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:

Answer 10

applies the stocking while the client is on bed

Question 11

The nursing assistant is aware that the purpose of the elastic stoking is to:

Answer 11

prevent blood clots

Question 12

A COPD client recently admitted to the floor needs constant oxygen therapy. when assisting this pateint, the nurisng assisant can:

Question 13

After applying an elastic bandage to the client’s right leg, you need to check the color and temperature of the leg:

Answer 13

every hour

Question 14

Which of the following statements is correct pertaining to binders application?

Answer 14

The double T-binder is specifically used for male clients

Question 15

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?

Answer 15

Rubber sheet

Question 16

clients requiring oxygen therapy should be monitored for hypoxia. early signs for hypoxia included

Answer 16

Restlessness, dizziness, and disorientation

Question 17

An asthmatic client can be relieved from dyspnea when he is placed in an orthopneic position. This can be done by:

Answer 17

sitting up and leaning over a table with a pillow

Question 18

Which action is incorrect when flossing the client’s teeth?

Answer 18

use a new piece of floss for each tooth.

Question 19

To obtain a 24-hour urine specimen, the nurse assistant should:

Answer 19

Discard the first voided specimen and then collect the total volume of each voiding in 24 hours

Question 20

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:

Answer 20

audible level

Question 21

One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:

Answer 21

Are not able to express themselves meaningfully through speech.

Question 22

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?

Answer 22

Record on the output side of the I&O sheet each time the bed is wet.

Question 23

Which of the following are examples of fluid output that need to be recorded on the I&O sheet?

Answer 23

Urine, emesis, blood loss, and excessive perpiration

Question 24

A client is receiving oxygen therapy via a face mask. Which of the following is contraindicated for this client?

Answer 24

Shaving using an electric razor

Question 25

Use of which of the following articles or types of clotting would help a client with osteoarthritis perform activities of daily living adequately?

Answer 25

Velcro clothing, slip-on shoes, and rubber grippers.

Question 26

Which of the following is not included in the care of clients with pacemakers?

Answer 26

The client is not allowed to be around electrical appliances

Question 27

Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action?

Answer 27

Ask the nurse to observe the stool

Question 28

Which is NOT a rule for collecting specimens?

Answer 28

Collect the specimens when you have time

Question 29

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?

Answer 29

clean gloves

Question 30

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?

Answer 30

Report to the nurse immediately

Question 31

Which of the following methods should be used to collect a specimen for a urine culture?

Answer 31

Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.

Question 32

The nursing assistant is correctly providing penile hygiene to an unconscious client if she:

Answer 32

dries all areas of the penis thoroughly.

Question 33

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?

Answer 33

Leave the equipment in the room for use only with that client

Question 34

To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?

Answer 34

apply the bandage while stretching it slightly

Question 35

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?

Answer 35

530 ml

Question 36

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?

Answer 36

to allow drainage to occur

Question 37

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?

Answer 37

Stay with him at all times

Question 38

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?

Answer 38

Giving him step-by-step directions

Question 39

When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should:

Answer 39

report immediately to the nurse

Question 40

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?

Answer 40

Provide paper and pen for letter writing to his sons

Question 41

Clients and families have the right to receive care that is:

Answer 41

Culturally acceptable to them

Question 42

When caring for a dying client, the nurse aide should perform which of the following activities?

Answer 42

Assist client towards a peaceful death

Question 43

When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in?

Answer 43

Denial

Question 44

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?

Answer 44

Beans and tortillas

Question 45

Which of the following techniques would you use when interviewing a 94-year old patient?

Answer 45

using a low pitched voice

Question 46

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?

Answer 46

“I don’t have any information as pf the moment, but ill find out for you”

Question 47

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?

Answer 47

ill sit with you for a moment

Question 48

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?

Answer 48

What makes you feel worthless?

Question 49

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?

Answer 49

have conversation at the bedside directed to the client

Question 50

legally, clients charts are:

Answer 50

Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge.

Question 51

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?

Answer 51

accountability

Question 52

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?

Answer 52

Undergo a retraining and a new competency evaluation

Question 53

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?

Answer 53

Politely refuse the nurse’s request and explain your hob limitations as a nursing assistant.

Question 54

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:

Answer 54

use terms with many meanings

Question 55

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?

Answer 55

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

Question 56

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:

Answer 56

cover the client, place the call light within reach, and answer the phone call.

Question 57

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:

Answer 57

Kardex

Question 58

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?

Answer 58

Upon entering the room, the client was found lying on the floor

Question 59

which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse’s station?

Answer 59

Share passwords for computer access with colleagues who have forgotten their own passwords

Question 60

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:

Answer 60

use an interpreter to speak to the client