NNAAP – NURSING ASSISTANT PRACTICE EXAM 1

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1. When assisting a client in learning how to use a cane, the nurse aide stands
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Standing slightly behind the client at her weak side better enables the nurse aide to prevent falls.
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2. When working with a client who has urinary retention, the nurse aide can expect that the client will
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Urinary retention means that the client cannot urinate. This problem should be reported to the nurse as soon as it is noted.
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3. Aging-related hearing changes result in older clients gradually losing their ability to hear
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Age-related hearing loss, also called presbycusis, results in older persons gradually losing their ability to hear high-pitched sounds.
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4. The best way to safely identify your patient is by
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A confused patient may answer to any name or lie down in any bed.
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5. A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should
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The nurse aide should report this problem, as nurse aides cannot do any of the interventions on their own.
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6. The proper medical abbreviation for before meals is
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The proper medical abbreviation for before meals is a.c.
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7. A client diagnosed with hypertension will most likely have a history of
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Hypertension is the medical term for high blood pressure, so the client will most likely have this problem in his history, although it may now be controlled with medication.
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8. A patient who has difficulty chewing or swallowing will need what type of diet?
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A mechanical soft diet is easy to chew, swallow, and digest.
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9. An elderly resident with Alzheimer’s disease cannot find her room. How can the nurse aide help the client feel more independent?
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A familiar object can enable the client to find her room on her own, helping her feel more independent.
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10. How often should a patient’s intake and output records be totaled?
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Input and output are totaled once per shift, as well as every 24 hours.
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11. Which of the following should the nursing assistant observe and record when admitting a client?
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Bruising may be due to accidents, abuse, medications, or illness, and should be recorded and reported.
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12. When responding to a client on the intercom, the nursing assistant should say
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Always give your name and position when answering the call bell, and politely ask the client what she wants.
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13. Which of the following things should the nurse aide do to familiarize new clients with their surroundings?
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Make sure clients know how to call for help.
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14. When arranging a client’s room, the nursing assistant should do all of the following EXCEPT
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Nursing assistants are not allowed to administer medications.
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15. When assisting a client out of bed, the nurse aide should always
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Always use proper body mechanics when moving clients.
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16. How often should clients be repositioned during an eight-hour shift?
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Clients should be turned every two hours to prevent decubiti.
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17. Which of the following is the correct procedure for serving a meal to a client who must be fed?
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An aide should not bring the tray into the room until he has time to feed the client.
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18. The most serious problem that wrinkles in the bedclothes can cause is
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The most serious problem that wrinldes in the bedclothes can cause patients are decubitus ulcers, or decubiti.
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19. Restorative care begins
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Restorative care begins as early as possible to prevent further disability.
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20. Before placing a client in Fowler’s position, the nurse aide should
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Caregivers should always explain procedures first, so b is the correct answer.
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21. During hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to
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The aide has contaminated her hands and must start over.
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22. How should a nurse aide dress for a job interview?
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First impressions are critical, so nurse aides should wear business attire.
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23. An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should
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New clients should always know how to call for help before being left alone.
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24. When lifting a heavy object, the correct method would be to bend at the
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Keeping the back straight forces the body to use the strong leg muscles.
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25. When should nurse aides wash their hands?
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Nurse aides should wash their hands after client care to prevent cross-contamination.
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26. When assisting a client with eating, one of the first things the nurse aide should do is
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Always remember to consider infection control.
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27. A patient has a new cast on her right arm. While caring for her, it is important to first observe for
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A new cast may cut off circulation. Choice c reminds the nurse aide to check for circulatory impairment.
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28. Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is
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Rehabilitation should always be part of the care plan.
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29. In caring for a confused elderly man, it is important to remember to
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Make sure to follow agency policy.
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30. Before assisting a client into a wheelchair, the first action would be to check if the
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Before assisting a patient into a wheelchair, check to see if the wheels of the chair are locked.
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31. A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand
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Assist the client at the client’s weak side.
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32. While making rounds at 5:30A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first?
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Assess pulse and breathing first. The client may have fainted.
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33. When moving a wheelchair onto an elevator, the nurse aide should stay
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The nurse aide must stay behind the chair to control it and move it backward to prevent the wheels from falling into the door opening.
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34. The Foley bag must be kept lower than the client’s bladder so that
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Raising the bag above the bladder level can lead to backflow of the urine, with its bacteria, into the bladder.
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35. As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first
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The nursing assistant should report this error to the charge nurse, who in turn will contact the kitchen and obtain the correct nourishment.
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36. When assisting a client who is using the commode, it is important to
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The client should always have access to a means to get help when needed.
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37. Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT
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The patient must be positioned every two hours to prevent skin breakdown due to poor circulation.
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38. The purpose of cold applications is usually to
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The purpose of cold applications is usually to prevent or reduce swelling.
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39. The hot water bottle is an example of a
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A hot water bottle applied by itself is local dry heat.
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40. Clients receiving an enema are usually placed
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Placing the patient on the left side allows better entry into the colon.
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41. A female client’s perineal area should be cleansed before which specimen is collected?
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The dean-catch specimen requires cleaning the perineum.
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42. The most common site for counting the pulse is the
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The other sites are rarely used by the nursing assistant.
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43. When counting respirations, the nurse aide should
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Telling the patient that the aide is watching her breathing will cause her to slightly change her breathing pattern.
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44. Which of the following is NOT the nurse aide’s responsibility when caring for clients who have urinary catheters?
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Nurse aides are not responsible for catheter insertion.
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45. When giving information to the charge nurse for an incident report, the nurse aide should
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An incident report becomes a permanent part of the legal record. Make sure the facts are clear.
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46. All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by
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OBRA stands for the Omnibus Budget and Reform Act.
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41. A resident is blind. It is important not to
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Never rearrange the furniture in a blind patient’s room after the patient settles into it. This can cause falls.
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48. When family members visit a client, the visitors should
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The family members should expect and be allowed private time with their loved one.
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49. A resident asks, “If I need help during the night, who will be there?” The nursing assistant should respond,
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To make clients feel safe, assure them that help is there if needed.
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50. Which of the following is a client’s right?
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Clients have a right to confidentiality.
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51. A resident often cries while she is receiving her P.M. care. What should the nurse aide do?
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It is normal for a person to have moments of sadness, and it is important for the patient to know that the nurse aide cares.
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52. When providing denture care, the nurse aide must
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Dentures are expensive. The towel prevents breakage if dropped, and cool water prevents warping.
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53. Sexuality in long-term-care clients may include all of the following EXCEPT
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As long-term-care providers, nursing assistants must respect the resident’s right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other residents’ rights.
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54. A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client’s
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Partial bed baths are generally given before breakfast due to incontinence to help the client feel comfortable and clean.
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55. A goal for an extended care facility (ECF) resident is that she not swear at the nurses or aides. When she calls an aide by his name, the appropriate action is to
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The nurse aide should positively reinforce the resident’s appropriate behavior, so smiling and rewarding her good behavior is the best action.
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56. An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to
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Do not startle the resident, as this may agitate her. The aide should speak as he enters the room.
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57. If a client objects to certain food for religious or cultural reasons, the appropriate action would be to
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Consideration of cultural or religious beliefs is important to all patients.
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58. The client’s religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is to
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The other answers do not address the resident’s right to practice her religion.
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59. Which type of communication can often be most powerful?
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Listening to someone shows that you are very interested in what he or she is saying.
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60. A client refuses to allow the nurse aide to bathe her. The nurse aide tells the client that she will not be allowed to eat lunch or go to bingo if she does not have her bath. This is an example of
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Threatening to withhold activities and food is verbally abusive.
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61. On entering a room, an aide notices that the client is not breathing. The aide’s first action should be to
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Always call for help first in an emergency.
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62. A client’s dentures are lost. The first action should be to
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The first step for any lost belongings is always to notify the charge nurse.
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63. Nursing assistants are responsible for
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Nursing assistants work under the supervision of practical and registered nurses and perform the tasks assigned them.
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64. A patient turns on the call light when he needs to urinate. The appropriate action is to
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Answer any call light as soon as possible.
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65. A client is on CMR and in the prone position. The nurse aide finds the client vomiting bright red blood. The nurse aide should first
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Placing the client in the side-lying position prevents aspiration of the vomitus.
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66. When performing catheter care, the nurse aide should wash the catheter
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You should follow the dean-to-dirty principle, with the meatus considered cleaner than the catheter tubing.
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67. A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of
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Applying restraints without an order or without consent can be considered false imprisonment.
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68. H.S. care is care that is given
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H.S. is the abbreviation for hour of sleep.
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69. The best food choices for a geriatric client with no teeth would include
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Of the choices listed, only d is a soft diet.
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70. A client’s family wants to talk about the client’s impending death, but the client does not want to talk about it. The family should be encouraged to
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If the client does not want to talk about death, the family should be allowed to talk privately, away from the client.

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