Nursing Assistant Care Questions

• When using a transfer belt, it should be placed over the resident's clothing.
• When transferring a resident from a bed to a wheelchair, the wheelchair should be placed on the stronger side of the resident.
• Eating is an example of an activity of daily living (ADL).
• If a resident starts to fall, the best action is to widen stance and bring the resident's body close.
• A good way to promote respect, dignity, and privacy is to encourage the resident to do as much as possible for themselves.
• When skin first begins to break down, it turns pale, white, red, or purple.
• Restricted mobility increases the risk of pressure ulcers.
• Pressure ulcers can lead to life-threatening infections.
• The tailbone (sacrum) is at a higher risk of skin breakdown.
• Immobile residents should be repositioned at least every two hours.
• A bed cradle keeps the covers from resting on a resident's legs and feet.
• The perineum should be washed every day.
• Mechanical lifts prevent injury.
• Ensure the room is warm enough before beginning to bathe a resident.
• When cleaning the perineal area, work from front to back.
• NAs should check residents' skin each time they are repositioned.
• Nail care should be provided when the nails are dirty.
• Promote independence and dignity by honoring the resident's preferences.
• An NA must always wear gloves when shaving a resident.
• NAs should cut residents' hair when it gets long and when residents request it.
• "Involved side" is an appropriate way to refer to a resident's weakened side when assisting with dressing.
• If a resident has weakness on one side, start with the weaker side when dressing.
• Oral care should be done at least twice a day.
• Clean dentures placed into the residents mouth or denture cup
• Use as little liquid as possible when giving oral care to prevent aspiration of unconscious residents.
• Dangling means sitting up with legs over the side of the bed.
• Bedbound residents should be repositioned at least every two hours.
• Reposition residents in wheelchairs at least every hour.
• A resident lying on either her left or right side is in the lateral position.
• A resident with head and shoulders elevated in a semi-sitting position (45 to 60 degrees) is in the Fowler's position.
• A resident lying on her stomach with arms at her sides is in the prone position.
• Fowler's position is when a resident is lying on their left side with their upper knee flexed and raised towards the chest.
• Always promote independence.
• Styling hair is part of grooming.
• Perineal care is not care of the nails.
• A resident legal right to have care explained to them.
• Always knock before entering a room.
• Personal care provides the NA with an opportunity to observe a residents mental state.
• If the resident appears tired, stop the procedure.
• Bed should be in it's lowest position before leaving the room.
• Call light should be within reach.
• The bottom sheet on residents bed must be kept tight.
• Cloth-covered items that keep the hand or fingers in a natural natural position is a handroll.
• Shearing results from pulling a resident across a sheet.
• Sking should be kept clean and dry
• Bed cradle keeps the covers from resting on the legs and feet.
• Plastic prevents air from circulating.
• Reposition immobile residents at least every two hours.
• Do not massage red skin.
• Injury in the lateral position is a pressure injury.
• Always check: Side of Head, Ear, Shoulder, Hip, Knee, Ankles
• Always check: Cheek, Collar bone, Breast, Buttock, Genitals, Knees, Toes.
• Supine Positions check: Back of Head, Shoulder Blades, Elbows, Abdomen, Sacrum, Between the legs, Heels.
• In a stage one pressure injury, the skin is intact but may appear red.
• Handle with care.
• Wheelchair bound residents need to be re-positioned.
• Proper nutrition helps keep the skin healthy.
• Another name for pressure injuries are decubitus ulcers.
• An orthosis helps support an align a limb.
• bony prominences: Areas of the body where the bone lies close to the skin
• A draw sheet is used to help a resident that cannot turn in bed and prevent skin damage from shearing.
• A foot board is placed against the feet to keep proper alignment.
• Handrolls keep fingers in a natural position.
• Pressure points are areas of the body that bears much weight.
• To wash the face during a bed bath one should use only water and a washcloth.
• The resident should be able to choose the water temperature.
• When shampooing a resident's hair the water should be no higher than 105 F.
• You must wash the residents perineum once a day
• Use shampoo for showers and tub baths.
• Change gloves before washing the perineal area.
• Regular grooming gives: Appearance/Confidence/Feelings of happiness/Cleanliness/How they feel about others
• Electric razors can cause: electrocution = around water / explosion = around oxygen.
• What kind of clothes should wear during the day: Wear clean clothing.
• Undressing a resident with weakness, place clothes on weaker side first
• Always have the Resident place on stronger
• Provide oral care: Before and after meals.
• When giving oral care report: infection/Irritation/ -Swollen tongue/Raised areas/Flaky white spots/-Dry bleeding lips/-Loose chipped decayed teeth/-Bad breath
• Turning Residents on their sides prevents aspiration
• Aspiration is when food or fluid goes into your lungs.
• Fracture pans are used for voiding for residents who cannot rise their hips
• Men generally use a urinal for urination when they cannot get out of bed
• A portable commode may be used by residents who can get out of bed but cannot walk to the bathroom.
• Another name for a portable commode is a bedside commode.
• When handling wastes, gloves should be always be worn.
• The NA should report the color, odor, and amount of urine and stool.
• First signs of a medical problem
• The semi-sitting position in which a person's head and shoulders are elevated 45 to 60 degrees is Fowler's
• The lateral position means" on side both hands in front"
• Prone means stomach
• Supine means spine
• Sims: on side on arm behind the back
• Residents who spend a lot of time in bed or wheelchairs need to be positioned often because they are at risk from skin breakdown and pressure injuries:
• The weaker side on the body is called the involved side.
• Draw sheet used as assist in repositioning resident without causing shearing.
• Logrolling: moving a resident as a unit without disturbing alignment
• Dangling: A way to help residents regain balance before standing up
• When working with a resident in a wheelchair the NA should check the residents alignment in the chair.
• A sling can be used to help someone who cannot bear weight on their legs.
• Mechanical or hydraulic lifts prevent injury to the nursing assistant and the resident.
• Apply the transfer belt over the resident's clothing.
• If the resident starts to fall during the transfer NA should lower the resident to the floor.
• The elderly have more safety concerns than younger people bcs of issues like dementia confusion, illness, disability, and diminished senses.
• The key to safety in facilities: Prevention
• Those at greatest risk of burns are: Older adults and those with loss of sensation
• Scalds are burns caused by: Hot liquids
• A serious burn can occur with a liquid temp of 140F in 5 seconds or less
• Check the temperature of the hot water with a water thermometer
• If an appliance looks unsafe,report it immediately
• Pour hot liquids away from the resident
• When serving hot liquids to residents: pour hot drink away from the resident
• If a NA doesn't identify a resident before mealtimes or care: It can cause death or serious problems
• MSDS stands for Material Safety Data Sheet.
• It contains chemical ingredients and dangers.
• Employers must have a MSDS for every chemical used
• The purpose of restraints is to restrict voluntary movement or behavior
• Raised side rails on a bed is an example of a physical restraint.
• Medication used to control behavior is a chemical restraint is
• Restraints were restricted bcs they were abused
• Restraint can be used when a doctor has ordered the use
• Restraint-free means restraints are never used
• restraint alternatives are any interventions used in place of a restraint
• Clear walkways to prevent falls
• Diabetes may cause lack of sensation
• Pour liquids away from residents
• Identify a resident before helping with feeding
• Residents should be sitting upright when eating
• Oxygen is a dangerous fire hazard
• Do not use open flames around oxygen
• MSDS contains description of emergency response actions
• Putting both side rails up on the bed is physically restraining a resident
• Restraints can be applied only with a doctors order
• A serious problem has been associated with restraint use is pressure ulcers
• People tend to like restraint alternatives not restraints:
• Giving the resistant repetitive task helps as alternative:
• if a restraint is applied a nursing assistant must check on the resident every 15 minutes
• Fulcrum and liver are applies to body mechanics
• Body mechanics help save energy and prevent injury:
• When helping a resident sit up stand up or walk the NA should bend her knees
• To use proper body mechanic stand shoulder width apart
• RACE means: Remove residents, activate alarm, contain fire and extinguish

Test your knowledge of nursing assistant care with questions covering repositioning, devices, hygiene, mechanical lifts, bathing, perineal care, positioning, nail care, and dressing. This quiz helps assess understanding of essential care procedures and resident well-being.