Nursing Aide Protocols Quiz

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Questions and Answers

Which direction should the washcloth be applied when washing the perineum of a female resident?

From any direction as long as the washcloth is wet and warm

From the middle of the perineum to the top of the perineum

From the back of the perineum to the front

From the front to the back of the perineum (correct)

How should the nurse aide respond to a resident upset about being admitted to a nursing home?

Leave the resident alone to cry in private.

Change the subject to help the resident forget her current situation.

Tell the resident that this is normal and not to be upset.

Sit with the resident and allow her to talk about her feelings. (correct)

How often should residents be assisted in brushing their teeth to help prevent tooth decay?

Gums once a day

In the morning and then after each meal (correct)

At least once a day

Three times at least three hours apart

What is the first step in preventing the spread of germs?

Handwashing Signup and view all the answers

All of the following are examples of the Patients' Bill of Rights except which one?

Low-cost care Signup and view all the answers

Which action should be taken for a resident who is agitated and talking loudly?

Speak to the resident in a calm, comforting manner. Signup and view all the answers

Who is responsible for prescribing medical care in a healthcare team?

Physician or nurse practitioner Signup and view all the answers

Which of the following is an example of neglect?

Applying a restraint too tightly. Signup and view all the answers

What is the appropriate action of a nursing assistant when a resident requests pain medication while the nurse is busy?

Report the request for pain medication to the nurse immediately. Signup and view all the answers

The procedure used to rescue a choking victim is called which of the following?

Abdominal thrust Signup and view all the answers

What is the first sign of a decubitus ulcer?

Redness. Signup and view all the answers

Which exercise is performed to increase muscle strength for a resident unable to move limbs voluntarily?

Passive range of motion exercises. Signup and view all the answers

Where is the most common location to take a resident's body temperature?

Oral. Signup and view all the answers

When transferring a resident to a wheelchair, where should the nursing assistant be positioned?

Behind the wheelchair. Signup and view all the answers

What should be the first action of a nursing assistant before performing a procedure?

Checking the resident's identification. Signup and view all the answers

Which sense is typically lost last in a dying resident?

Hearing. Signup and view all the answers

Which of the following is the best way to communicate with a resident who is completely deaf?

Write out all communication. Signup and view all the answers

Which of the following is not preventative care for a resident receiving oxygen therapy?

Provide the resident supervision while smoking. Signup and view all the answers

What is the nursing assistant's first action when a resident complains of sudden chest pain and shortness of breath?

Call the nurse immediately. Signup and view all the answers

What is the best action of the nursing assistant when a resident with diabetes wakes up in the middle of the night asking for a snack?

Check the resident's diet before bringing the snack. Signup and view all the answers

What should the nursing assistant do to prevent aspiration of tube feeding liquid when changing linens for a resident on continuous gastrostomy tube feedings?

Ask the nurse to stop the tube feeding and wait 15 min before changing the resident to supine position. Signup and view all the answers

What protective equipment should be worn when disposing of emesis?

Gloves Signup and view all the answers

Which of the following is not a sign of hypoglycemia?

Shallow respirations Signup and view all the answers

Which of the following is a form of paralysis?

Hemiplegia Signup and view all the answers

Which statement by a nursing assistant indicates an understanding of cultural awareness?

Care is planned to include resident's cultural needs Signup and view all the answers

What is the best course of action for a nursing assistant offered a $10 tip for good care?

Refuse to accept the money Signup and view all the answers

How should a nursing assistant encourage independence during morning care for a resident?

Allow the resident to do as much as possible for himself or herself and then assist with the rest Signup and view all the answers

Which person should not receive shared resident information by the nursing assistant?

A member of the resident's church Signup and view all the answers

When assisting a resident with right-sided weakness to get dressed, which arm is dressed first?

Left side (the non-affected side) Signup and view all the answers

Which product should be applied to a resident's skin before shaving?

Shaving cream Signup and view all the answers

What is the best way to help a resident deal with the death of a family member?

Stay with the resident and encourage him or her to talk Signup and view all the answers

Which of the following is not part of the procedure when documenting in the medical record?

Write in pencil Signup and view all the answers

When can a nursing assistant refuse to do a delegated task?

It is not a task a nursing assistant should perform Signup and view all the answers

What is the last action taken by a nursing assistant when making a resident's bed?

Fastening the call light near the resident Signup and view all the answers

What does NPO stand for?

Nothing by mouth Signup and view all the answers

How many workers are needed to safely transfer a person with a mechanical lift?

2 workers Signup and view all the answers

Who is responsible for asking visitors to leave the resident's room before giving the resident a bath?

The nursing assistant preparing to give the bath Signup and view all the answers

What is the first stage of grief?

Denial Signup and view all the answers

What is the least likely cause of a skin tear?

Short, cropped nails Signup and view all the answers

Study Notes

Perineal Care Direction

Washcloth should be applied from the front to the back of the perineum to prevent infection.

Supporting Emotional Well-being

When a resident is upset about nursing home admission, the appropriate response is to sit with them and allow them to express their feelings.

Oral Hygiene Importance

Residents should be assisted to brush teeth at least once a day to prevent tooth decay.

Germ Prevention

The first step in preventing the spread of germs is handwashing.

Patients' Bill of Rights

Examples of patient rights include privacy and dignity, confidentiality, and the right to accept or refuse treatment, but not necessarily low-cost care.

Healthcare Team Roles

Medical care prescriptions are the responsibility of a physician or nurse practitioner.

Pain Medication Requests

A nursing assistant should report a resident's request for pain medication to the nurse immediately, regardless of the nurse's busyness.

Emergency Response for Choking

The procedure to rescue a choking victim is called the Heimlich maneuver.

Signs of Inflammation

Warmth and redness in a resident's elbow are indicators of inflammation.

Respecting Religious Beliefs

Each resident has the right to their own religious beliefs; staff should be sensitive to these beliefs.

Deaf Communication

For residents who are completely deaf, writing out communication is the best approach.

Oxygen Therapy Precautions

Preventative care includes providing more frequent oral care and careful skin care; supervision while smoking is not advisable.

Responding to Chest Pain

The nursing assistant's first action when a resident reports chest pain is to call the nurse immediately.

Diabetes Management

If a resident with diabetes requests a snack at night, the assistant should check the diet before providing it.

Reporting Symptoms

Dysuria complaints should be reported to the nurse as soon as possible.

Gastrostomy Care

Before changing linens for a resident on continuous feedings, the assistant must ask the nurse to stop the tube feeding.

Protective Equipment

When disposing of emesis, gloves should be worn for protection.

Hypoglycemia Symptoms

Signs of hypoglycemia do not include shallow respirations.

Paralysis Types

Hemiplegia is a form of paralysis indicating weakness on one side of the body.

Aiding Mobility Post-Stroke

When assisting a resident with right-sided weakness to ambulate, stand on the unaffected side.

Handling Resident Agitation

Respond to an agitated resident by speaking in a calm, comforting manner.

Using Gloves

Gloves are necessary when performing peri-care to maintain hygiene and prevent infection.

Avoiding Neglect

Neglect can occur if restraints are applied too tightly and not attended to promptly.

Senses During Dying

Hearing is the last sense to be lost in dying residents.

Decubitus Ulcer Warning Signs

The first sign of a decubitus ulcer is redness on the skin.

Effective Listening

Correct listening skills include leaning toward the resident and responding appropriately during conversations.

Most Common Temperature Measurement

Body temperature is most frequently taken orally.

Mobility Exercises

Passive range of motion exercises help residents who cannot move their limbs voluntarily.

Wheelchair Transfer Protocol

During a transfer to a wheelchair, the nursing assistant should position themselves at the resident’s side.

Procedure Protocol

The initial action before performing a procedure is to check the resident’s identification.

Cultural Awareness

Care plans should consider and include residents’ cultural needs.

Accepting Tips

Nursing assistants should refuse to accept tips and maintain professional boundaries.

Encouraging Resident Independence

Assist residents with morning care by allowing them to do as much as possible before providing help.

Resident information should not be shared with individuals who are not involved in the resident's care, such as church members.

Dressing Residents with Weakness

When dressing a resident with right-sided weakness, the left side (non-affected side) should be dressed first.

Shaving Preparation

Shaving cream is applied to the resident's skin before shaving for safety and comfort.

Supporting Grieving Residents

The best support for a resident dealing with death is to stay with them and encourage open expression of feelings.

Documentation Practices

When documenting, write in pen, do not erase mistakes, and use correct spelling.

Refusing Tasks

Nursing assistants can refuse tasks not appropriate for their role or training.

Bed Making Procedures

The last action after making a bed should include ensuring the call light is within reach of the resident.

NPO Definition

NPO means nothing by mouth, indicating a resident cannot consume food or drink.

Mechanical Lift Transfers

A minimum of two workers should be present to safely use a mechanical lift.

Bath Preparation

Nursing assistants are responsible for asking visitors to leave before giving a resident a bath.

Resident Phone Rights

Residents have the right to access phones privately.

Stages of Grief

The first stage of grief is denial.

Restorative Nursing Definition

Restorative nursing aims to help residents regain strength, promote well-being, and increase self-care abilities.

Reporting Resident Behavior

Concerns regarding a resident threatening to leave without permission should be reported to the nurse.

Skin Tear Prevention

Skin tears are least likely to occur with short, cropped nails.

Workplace Substance Abuse

Report any colleague suspected of working under the influence to maintain a safe environment.

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Description

Test your knowledge on proper nursing aide protocols, focusing on personal care and emotional support for residents. This quiz will cover essential practices, including hygiene methods and handling resident emotions effectively.