Nursing Assistant Practice Exam 1

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Questions and Answers

When assisting a client in learning how to use a cane, where does the nurse aide stand?

Far away from the client

In front of the client

Slightly behind the client on the client's weak side (correct)

Next to the client on the strong side

What can the nurse aide expect from a client who has urinary retention?

Unable to urinate

Aging-related hearing changes result in older clients gradually losing their ability to hear which type of sounds?

High-pitched sounds

What is the best way to safely identify your patient?

Checking the name tag Signup and view all the answers

What should a nurse aide do if a client on a bowel and bladder training program has not had a bowel movement in three days?

Report it to the charge nurse Signup and view all the answers

What is the proper medical abbreviation for before meals?

a.c. Signup and view all the answers

A client diagnosed with hypertension will most likely have a history of what?

High blood pressure Signup and view all the answers

What type of diet does a patient who has difficulty chewing or swallowing need?

Mechanical soft Signup and view all the answers

How can the nurse aide help an elderly resident with Alzheimer's disease who cannot find her room feel more independent?

Place a familiar object on the client's door Signup and view all the answers

How often should a patient's intake and output records be totaled?

Once each shift Signup and view all the answers

Which of the following should the nursing assistant observe and record during a client admission?

Bruises Signup and view all the answers

What should the nursing assistant say when responding to a client on the intercom?

This is [nursing assistant name and position], can I help you? Signup and view all the answers

What should the nurse aide do to familiarize new clients with their surroundings?

Demonstrate the location and use of the call light Signup and view all the answers

When arranging a client's room, which of the following should the nursing assistant not do?

Administer the client's medications Signup and view all the answers

When assisting a client out of bed, what should the nurse aide always employ?

Body mechanic techniques Signup and view all the answers

How often should clients be repositioned during an eight-hour shift?

q2h Signup and view all the answers

What is the correct procedure for serving a meal to a client who must be fed?

Bring the tray into the room when you are ready to feed the client Signup and view all the answers

What is the most serious problem that wrinkles in the bedclothes can cause?

Decubitus ulcers Signup and view all the answers

When does restorative care begin?

As soon as possible Signup and view all the answers

Before placing a client in Fowler's position, what should the nurse aide do?

Explain the procedure to the client Signup and view all the answers

During hand washing, if the nurse aide accidentally touches the inside of the sink while rinsing the soap off, what should the next action be?

Repeat the wash from the beginning Signup and view all the answers

How should a nurse aide dress for a job interview?

Wearing a business suit, dress, or pants and dress shirt Signup and view all the answers

An ambulatory client is newly admitted. Before leaving the client alone, what should the nurse aide ensure?

Make sure the client knows how to use the call bell Signup and view all the answers

When lifting a heavy object, what is the correct method?

Bend at the knees, keeping your back straight Signup and view all the answers

When should nurse aides wash their hands?

After client care Signup and view all the answers

What should the nurse aide do first when assisting a client with eating?

Wash his own hands and the client's hands Signup and view all the answers

What should a nurse aide observe for in a patient who has a new cast on her right arm?

Warmth and color of fingers Signup and view all the answers

Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is necessary for what?

Rehabilitation Signup and view all the answers

In caring for a confused elderly man, what is important to remember?

Keep the bedrails up except when you are at the bedside Signup and view all the answers

Before assisting a client into a wheelchair, what should the nurse aide check?

If the wheels of the chair are locked Signup and view all the answers

A client has a weak left side. Where should the nurse aide stand when transferring the client from the bed to the wheelchair?

On the left side Signup and view all the answers

While making rounds at 5:30 am, if a nurse aide finds a patient lying on the floor, what should the nurse aide do first?

Assess the client's pulse and respirations Signup and view all the answers

When moving a wheelchair onto an elevator, where should the nurse aide stay?

Behind the chair and pull it toward the aide Signup and view all the answers

Why must the Foley bag be kept lower than the client's bladder?

To prevent urine from returning to the bladder, causing infection Signup and view all the answers

What should the nursing assistant do when given a container of chocolate ice cream as an afternoon snack for a diabetic client?

Hold the afternoon snack and report to the charge nurse Signup and view all the answers

When assisting a client who is using the commode, what is important to remember?

Leave the call light within reach Signup and view all the answers

What can be accomplished to ensure adequate circulation to tissues and prevent skin breakdown?

Positioning the patient every two hours Signup and view all the answers

What is the purpose of cold applications?

To prevent or reduce swelling Signup and view all the answers

What is a hot water bottle an example of?

Local dry heat application Signup and view all the answers

Where are clients receiving an enema usually placed?

On the left side Signup and view all the answers

Before collecting a midstream clean-catch urine specimen, what area should a female client's perineal area be cleansed?

Before the specimen is collected Signup and view all the answers

What is the most common site for counting the pulse?

Radial artery Signup and view all the answers

When counting respirations, what should the nurse aide do?

Not tell the patient what he is going to do Signup and view all the answers

What is not the nurse aide's responsibility when caring for clients with urinary catheters?

Inserting the catheter Signup and view all the answers

What should the nurse aide do when giving information to the charge nurse for an incident report?

State the facts clearly Signup and view all the answers

Who sets the requirements for competency evaluation and distinct education courses for long-term care nurse aides?

OBRA Signup and view all the answers

What should a resident who is blind not have done in their environment?

Rearrange the furniture Signup and view all the answers

When family members visit a client, what should visitors be allowed?

Privacy with the client Signup and view all the answers

If a resident asks, 'If I need help during the night, who will be there?' how should the nursing assistant respond?

There are people here all night to help you Signup and view all the answers

What is a client's right regarding personal information?

Having personal information kept confidential Signup and view all the answers

When a resident often cries during her PM care, what should the nurse aide do?

Tell her that it's all right to cry, and that the aide is there for her if she wants to talk Signup and view all the answers

When providing denture care, what must the nurse aide do?

Place them on a towel in the sink with cool water Signup and view all the answers

Sexuality in long-term care clients may include all of the following except what?

Engaging in public fondling Signup and view all the answers

What does a partial bed bath mean for the nurse aide?

Wash the client's face, hands, axillae, genitals, and buttocks Signup and view all the answers

What is an appropriate response when a resident calls an aide by name and a goal for the resident is to not swear at staff?

Smile and give the appropriate reward Signup and view all the answers

What is the first action of the nurse aide when waking up an agitated resident who must be turned every two hours?

Speak quietly and calmly Signup and view all the answers

If a client objects to certain food for religious or cultural reasons, what is the appropriate action?

Offer to substitute something different for him Signup and view all the answers

What should the nurse aide do if a client's religion forbids eating pork and bacon is being served?

Call the kitchen for a tray without bacon Signup and view all the answers

What type of communication can often be most powerful?

Silent Signup and view all the answers

A client refuses to allow the nurse aide to bathe her. What is this an example of?

Verbal abuse Signup and view all the answers

What should the aide's first action be upon entering a room where the client is not breathing?

Call for help Signup and view all the answers

What should be done first if a client's dentures are lost?

Notify the charge nurse Signup and view all the answers

What are nursing assistants responsible for?

Doing tasks assigned by the charge nurse Signup and view all the answers

What is the appropriate action when a patient turns on the call light needing to urinate?

Answer the call light and get the urinal Signup and view all the answers

What should the nurse aide first do if a client is on CMR and is vomiting bright red blood?

Place the client in the side-lying position Signup and view all the answers

When performing catheter care, how should the nurse aide wash the catheter?

Away from the meatus Signup and view all the answers

What may a nurse aide be accused of if they apply restraints on a client without direction from the charge nurse?

False imprisonment Signup and view all the answers

H.S. care is care that is given when?

Before bedtime Signup and view all the answers

What are the best food choices for a geriatric client with no teeth?

Baked fish, whipped potatoes, spinach souffle, and tapioca Signup and view all the answers

What should a client's family be encouraged to do when discussing the client's impending death, if the client does not want to talk about it?

Carry on the conversation away from the client Signup and view all the answers

Study Notes

Cane Assistance

When helping a client with a cane, position is key: stand slightly behind the client on their weak side.

Urinary Retention

Clients with urinary retention experience difficulty; they may be unable to urinate completely.

Hearing Changes in Aging

Older adults gradually lose the ability to hear high-pitched sounds due to aging-related changes.

Patient Identification

Safely identifying a patient involves checking their name tag correctly to ensure proper care.

Bowel and Bladder Training

If a client under a bowel and bladder training program has not had a bowel movement in three days, report to the charge nurse promptly.

Medical Abbreviations

"a.c." is the proper abbreviation for "before meals."

Hypertension History

A client diagnosed with hypertension typically has a history of high blood pressure.

Diet for Swallowing Difficulties

Patients who have difficulty chewing or swallowing are prescribed a mechanical soft diet to aid in eating.

Alzheimer's Care

Helping an elderly resident with Alzheimer's disease feel independent can involve placing a familiar object on their door.

Intake and Output Records

Patient intake and output records should be totaled once each shift for accurate monitoring.

Initial Assessment on Admission

During client admission, the nursing assistant needs to observe and document any bruises for health records.

Intercom Communication

When responding to a client through the intercom, introduce yourself clearly, stating your name and position.

Familiarizing Clients

To help new clients acclimate, demonstrate the call light’s location and functionality.

Room Arrangement Duties

Nursing assistants do not administer medication while arranging a client’s room.

Safe Client Transfer

Always employ body mechanics when assisting a client out of bed to minimize the risk of injury.

Repositioning Guidelines

Clients should be repositioned every two hours during an eight-hour shift to promote comfort and skin health.

Meal Service Protocol

Serve meals by bringing the tray to the room only when ready to feed the client.

Skin Integrity

Wrinkles in bed linens can lead to serious problems like decubitus ulcers if not addressed.

Restorative Care Timing

Initiate restorative care as soon as it is practical to support recovery.

Fowler's Position

Always inform the client about the procedure before positioning them in Fowler's position.

Handwashing Protocol

If the inside of the sink is touched during handwashing, start the process over to maintain hygiene standards.

Job Interview Dress Code

Appropriate interview attire for nurse aides includes a business suit, dress, or dress shirt with formal pants.

Client Independence

Ensure that a newly admitted ambulatory client knows how to use the call bell before leaving them alone.

Lifting Technique

Bend at the knees and maintain a straight back when lifting heavy objects to avoid injury.

Handwashing Timing

Nursing aides should wash their hands frequently, especially after providing client care.

Client Hygiene

Wash both one's own hands and the client's hands before assisting with eating.

Cast Care

Check for warmth and color of fingers first when caring for a patient with a new cast on their arm.

ADLs and Rehabilitation

Encouraging participation in activities of daily living (ADLs) is essential for the rehabilitation process.

Confused Elder Care

Maintain safety by keeping bedrails up for confused elderly clients except when providing direct care.

Wheelchair Transfers

Before assisting the client into a wheelchair, confirm that the wheelchair's wheels are locked for safety.

Transfers with Weak Side

Stand on the client's weak side (e.g., left side) when transferring them from a bed to a wheelchair.

Client on the Floor

If a client is found on the floor, the first action should be to assess their pulse and respirations for immediate needs.

Elevator Wheelchair Protocol

When moving a wheelchair into an elevator, stay behind and pull the wheelchair towards you for control.

Foley Catheter Care

Keep the Foley bag lower than the client's bladder to prevent urinary tract infections.

Diabetic Care

If a diabetic client is served inappropriate food like chocolate ice cream, hold the snack and notify the charge nurse.

Commode Assistance

Always leave the call light within the client's reach while assisting them with the commode.

Circulation and Skin Breakdown

Prevent skin breakdown by ensuring adequate circulation; reposition every two hours, not every four.

Cold Applications

Cold applications are used primarily to prevent or reduce swelling in affected areas.

Heat Applications

A hot water bottle serves as an example of a local dry heat application for providing warmth.

Enema Positioning

Clients receiving an enema are typically placed on their left side for procedural effectiveness.

Midstream Specimen Care

Ensure the perineal area is cleansed before collecting a midstream clean-catch urine specimen from female clients.

Pulse Monitoring

The radial artery is the most common site for measuring a patient's pulse.

Respiratory Monitoring

When counting respirations, do not inform the patient what you are doing to avoid altering their natural breathing pattern.

Catheter Responsibilities

Inserting urinary catheters is not within the nurse aide's responsibilities; they assist with care instead.

Incident Reporting

When contributing to an incident report, present facts concisely and clearly.

OBRA Requirements

Long-term care nurse aides must be competency evaluated and complete designated education courses as mandated by OBRA.

Caring for Blind Residents

Avoid rearranging furniture in the living space of blind residents to help maintain their orientation.

Visitor Privacy

Family members visiting clients should be granted privacy during their visits to support emotional well-being.

Nighttime Assistance

Reassure clients needing nighttime help that support is available throughout the night.

Client Confidentiality

A fundamental client right is the confidentiality of their personal information.

Addressing Client Emotions

Provide emotional support by acknowledging a crying resident's feelings and being available for conversation if desired.

Denture Care Practices

When caring for dentures, place them on a towel in the sink with cool water to prevent damage.

Sexuality in Long-term Care

Engaging in public fondling is not acceptable behavior for long-term care clients.

Partial Bed Bath Definition

A partial bed bath involves washing the client's face, hands, axillae, genitals, and buttocks for hygiene.

Reinforcement of Positive Behavior

Reinforce non-swearing behavior in clients by offering rewards when they address aides appropriately.

Dealing with Agitated Residents

Approach agitated residents calmly and quietly when waking them to maintain a peaceful environment.

Cultural and Religious Food Considerations

Respect clients' dietary restrictions due to cultural or religious beliefs by offering alternative food options.

Meal Modification Requests

If a client cannot eat pork, promptly contact kitchen staff for a suitable meal replacement.

Powerful Communication Forms

Silent communication can often be the most impactful in conveying attention and support.

Verbal Abuse Examples

Telling a client they cannot eat unless they bathe constitutes an example of verbal abuse.

Emergency Situations

When entering a room and finding a client not breathing, the first action is to call for immediate help.

Missing Dentures Procedure

If dentures are lost, the first step is notifying the charge nurse for assistance.

Assistant Responsibilities

Nursing assistants are tasked with performing specific duties as assigned by the charge nurse for patient care.

Response to Call Light

Upon a client activating the call light for a bathroom need, respond promptly by fetching a urinal.

Vomiting Client Assistance

For a client in the prone position who is vomiting bright red blood, quickly place them in a side-lying position for safety.

Catheter Care Technique

Clean the catheter away from the meatus to prevent the introduction of bacteria.

Restraint Use Responsibility

Using restraints without clear direction from the charge nurse may lead to accusations of false imprisonment.

H.S. Care Definition

H.S. care refers to personal care provided before bedtime to ensure client comfort.

Geriatric Diet Recommendations

Appropriate food choices for elderly clients without teeth include soft options like baked fish, whipped potatoes, spinach souffle, and tapioca.

Communication on Impending Death

Encourage family discussions about a client’s impending death to take place away from the client for sensitivity.

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Description

Test your knowledge with this Nursing Assistant practice exam. The quiz covers essential concepts related to patient assistance, urinary retention, and aging-related changes in clients. Perfect for those preparing for certification or expanding their nursing skills.