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A collection of multiple-choice questions and answers related to nursing assistant training. It covers various aspects of nursing care, including infection control, resident care, communication, and safety. The questions are designed to test knowledge and understanding of essential nursing assistant skills and practices.
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While emptying the trash in a client's room, you get stuck by a needle that should have been placed in the sharps container. What is the first thing to do? ANSWER-Wash the site for several minutes. Infection control practices that prevent the transmission of disease are called- ANSWER-standard precautions A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions? ANSWER Offer support and care using a comforting and calming manner. There are certain steps to follow from start to finish when beginning a procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks? ANSWER Verify the residents identification. As dementia progresses, incontinence can become an issue. How can the nurse
aide assist?- ANSWER Watch for signs of discomfort so you can take the resident to the bathroom. When a patient is dying, the last of the five senses the patient loses is ?- ANSWER Hearing If you have a resident who is completely deaf, which of these would be the most important for effective communication?
As a nursing assistant, you may encounter residents who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with this anxiety is to .ANSWER- Speak in a calm voice and exhibit a calm and comforting demeanor. Used disposable supplies and equipment should be discarded-ANSWER- in a designated receptacle. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? ANSWER-Put them in the dirty linen container. A resident who consistently becomes more confused during dusk, early evening, or during the night is most likely suffering from .ANSWER- Sundowners Syndrome The primary reason for combative behavior in a resident is-ANSWER-. confusion It is important that a client's dressings remain-ANSWER-. Clean and dry. A resident catches you off guard with a comment that is sexual. Your best response would be to-ANSWER- Let the resident know that the comment is not acceptable to
you. The nurse asks you to ambulate a patient BID during your shift. This means you will ambulate the patient- times.
B. Grooming is difficult for patients with dementia. C. People with dementia act uncooperative in order to be spiteful. D. Patients can have vivid hallucinations. - C. People with dementia act uncooperative in order to be spiteful. In a reality orientation program you would do all of the following EXCEPT A. Ask them to identify the smells of their meal. B. Show them the weather outside their window. C. Ask the resident about their childhood. D. Tell them the date and time each morning. - C. Ask the resident about their childhood. When preparing to give peri-care to an incontinent female resident with dementia, the CNA knows
A. the resident may become tearful. B. the resident may feel sexually assaulted. C. the resident may become combative. D. all of the above. - D. all of the above. Which of these should be reported to the charge nurse "STAT"? A. Urine that is cloudy. B. A respiratory rate of 18. C. Loose stools. D. A radial pulse of 135. - D. A radial pulse of 135. what does the abbreviation STAT mean? - immediately what is the normal range of the radial pulse? a. 80- 120
C. bacteria D. ebola - D. ebola When caring for a patient with MRSA, the nurse aide should wear A. isolation suit. B. surgical goggles. C. rebreather mask. D. gown and gloves. - D. gown and gloves. A resident is pacing around his room, yelling and swearing. What is the first action the nursing assistant should take? A. the resident to calm down. B. Call the residents family to assist with the situation. C. Call the charge nurse. D. Attempt to apply restraints. - C. Call the charge nurse.
Which of these is not part of the process upon entering a residents room for the first time? A. Showing the resident your licensing card. B. Knocking and waiting a few seconds before entering. C. Speaking to the resident using his or her name. D. Telling the resident your name. - A. Showing the resident your licensing card. What is an important way to help the resident feel comfortable in a long-term facility? A. Discourage visitors until the resident has settled in. B. Allow the resident to establish their own schedule. C. Bring the resident to all activities. D. Provide space for personal possessions. - D. Provide space for personal possessions. Residents with cognitive impairments often have difficulty sleeping. What can be helpful?
B. Make jokes and laugh to lighten the residents mood. C. Make eye contact, sit with the resident, and listen. D. Leave the resident alone to minimize his or her agitation. - C. Make eye contact, sit with the resident, and listen. Which of these is not a normal biological change to the body from the aging process? A. The ability to make decisions is weakened. B. Joints become stiffer and less flexible. C. Bones become thinner and less strong. D. The movement of food from the digestive system becomes slower. - A. The ability to make decisions is weakened. Which of these is not a common cause of constipation? A. An increase in intestinal motility. B. A low fiber diet. C. Ignoring the urge to go.
D. Not drinking enough water. - A. An increase in intestinal motility. Which of these is not a sign of depression? A. Increased amount of time sleeping. B. A decrease in appetite. C. Withdrawal D. Increased interest in participating in social activities. - D. Increased interest in participating in social activities. While Mr. Jones is visiting his wife, you notice that he is sneezing and blowing his nose. What is the best step? A. Teach him proper hand washing. B. Move them to a private area. C. Ask the nurse for a decongestant. D. Tell him to leave until he is better. - A. Teach him proper hand washing.
A. Sanitizer B. Hand washing C. Antibiotics D. Vaccinations - B. Hand washing When wearing gloves, it is important to remember A. alcohol wipes do not affect gloves. B. gloves are sturdy enough for jewelry. C. gloves are worn when using disinfectants. D. gloves can be left on for as long as needed. - C. gloves are worn when using disinfectants. All of these are ways that a nursing assistant can help a resident who is dealing with his or her impending death, except. A. Spending more time with the resident than you normally would so you are available to offer support. B. Sitting and listening if the resident wants to talk about it.
C. Giving the resident privacy if they ask for it. D. Spending less time with the resident so there is no pressure to be sociable. - D. Spending less time with the resident so there is no pressure to be sociable. A resident recently learned that her spouse has died. The best response the nursing assistant can give is to. A. Sit and offer support if the resident wants to talk about it. B. Introduce humor to lighten the mood. C. Bring in other residents frequently so it occupies the residents time. D. Ignore the topic and switch the conversation if the resident gets emotional so it takes his or her mind off of it. - A. Sit and offer support if the resident wants to talk about it. All of these are indications of visual impairment except. A. The resident squints or tilts his or her head to one side to focus on an object. B. The resident spills or knocks over food. C. The resident withdraws from social activities he or she once enjoyed.
The end of the day can bring a common behavior for residents with dementia, called A. Sundown Syndrome. B. Overstimulation Fatigue. C. Depressive Disorder. D. Evening Paranoia. - A. Sundown Syndrome. All of the following are clues to aggressive behavior EXCEPT A. Pacing B. Clenched jaw C. Rocking D. Depressed mood - D. Depressed mood A resident with dementia has wandered to another unit. What should the nurse aide say after finding the resident?
A. "Let's go. Don't you know I have work to do?" B. "Let's walk back together, okay?." C. "Do you think you're Christopher Columbus?" D. "How on Earth did you get here?" - B. "Let's walk back together, okay?." Some patients may exhibit some "false beliefs" not supported by facts or reality. This is known as A. Deliberation B. Digression C. Duration D. Delusion - D. Delusion A resident with Alzheimer's disease tells the nurse aide that she smells smoke. The nurse aide should A. put the patient to bed because she is clearly tired. B. tell her that no one is allowed to smoke in the building.