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1. When should postmortem care be performed?

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Postmortem care needs to be done before rigor mortis sets in so that the patient's appearance can be maintained.

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2. A walker may be used if the client can

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A resident must be able to support some weight before using a walker.

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3. A cane should be used on

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If the cane is not used on the strong side, the resident may fall.

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4. A nurse aide is collecting linens for a bed change and drops a sheet on the floor. What should the nurse aide do?

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To prevent contamination and the spread of microorganisms, the sheet should be put in the soiled linen hamper.

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5. When applying a cold treatment to a patient, it is important to observe the patient closely for signs of

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Cyanosis is an indication of poor circulation, which could lead to tissue death. The nurse aide should stop the treatment and report it to the charge nurse.

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6. The purpose of correctly positioning the client is to

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Correctly positioning a patient should prevent skin breakdown, increase comfort, and maintain the function of joints and muscles.

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7. A surgical bed should be left in what position?

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The bed should be level with the stretcher. This makes a transfer safer.

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8. The preferred way to remove a bedpan from a client who is unable to lift her buttocks is to

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Turning the resident is the easiest method, and it is important to hold the pan to prevent spilling the contents.

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9. After shaving a patient with a safety razor, the nurse aide should

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Sharps containers are puncture resistant. They are used to prevent contact with blood borne pathogens.

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10. When a client complains that his dentures are hurting, the appropriate action is to

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Always bring such complaints to the charge nurse.

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11. A nurse aide notices that a water pitcher has spilled onto the floor. The best action for the aide to perform is to

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Take care of spills immediately, or a patient may be injured while waiting for housekeeping.

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12. Upon entering a room, the nurse aide notices that a patient is not breathing. The aide's first action is to

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Call for help to activate the facility's emergency medical services. Early activation increases the client's chances for survival.

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13. A patient is on bed rest, wearing a TED hose. How often should the hose be removed?

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To allow normal blood flow to the lower extremities, the hose should be removed twice a day.

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14. Decubitus ulcers can be prevented by

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While choices a and b are correct, there is no data to suggest that choice c is correct.

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15. The first step in getting a client up to walk is to

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Always make sure the resident is allowed to get up first.

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16. A client's vital signs are as follows: 118/80-8.8-80-30. Which finding should be reported at once?

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The respiratory rate of this client is elevated.

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17. All of the following can cause an inaccurate oral temperature reading EXCEPT

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Electronic thermometers are commonly used for assessing temperature.

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18. Diastolic blood pressure is determined by

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The diasto lie blood pressure occurs when the heart muscle relaxes. It is the bottom number of the reading and is the last sound heard before silence.

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19. All of the following are correct when measuring blood pressure, EXCEPT

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Use a cuff that fits. If the cuff is too large, you will get a reading that is too low.

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20. The first step in performing any procedure is to

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Infection control (handwashing) is always the first step in a procedure.

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21. Which of the following best destroys all bacteria?

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Only sterilizing destroys bacteria.

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22. In the event of a fire in a client's room, the nurse aide should first

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Always get the client to safety first.

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23. Safe use of oxygen therapy includes

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Choice a is wrong because the flow is set by the physician. Choice b is wrong because wool can cause sparks, and c is wrong because alcohol causes drying. Therefore, only choice d is correct.

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24. During CPR, the client should be lying

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The client should be lying flat on a hard surface to assure adequate compressions and blood flow.

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25. A procedure manual is a

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A procedure manual is a written set of instructions on how to perform procedures.

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26. If a client cannot speak English, the nurse aide should

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It is mandatory to provide a certified interpreter to clients not fluent in English.

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27. The accepted way to identify a client is to

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Only an identification band is a definitive way to identify the patient. A confused patient may answer to any name.

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28. Which of the following best describes nail care?

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All residents need nail care. The nursing assistant should be able to obtain information needed from the care plan.

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29. When performing perineal care on a male client, always

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Material may build up under the foreskin in uncircumcised males unless the foreskin is retracted for cleaning.

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30. Back rubs aid in all of the following EXCEPT

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Back rubs are not used to improve posture.

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31. A client's elbows are dry and red. The nurse aide should

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Report this to the charge nurse, since there are many reasons for redness.

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32. A decubitus ulcer can be caused by all of the following EXCEPT

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Poor circulation, poor nutrition, and pressure on the skin all can cause decubitus ulcers.

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33. The nursing assistant shampoos a client's hair to improve all of the following EXCEPT

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Shampooing can improve circulation to the client's scalp, the client's general appearance, and the client's sense of well-being, but not a client's hair growth rate.

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34. When removing a soiled gown from a client who has an IV, the best action is to

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Remove the sleeve from the arm without tubing first.

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35. If a client does not eat all the food on his tray, the first thing an aide should do is

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The patient may not be eating due to personal dislike of the food. Asking first allows the nurse aide to request a replacement if the problem is this simple.

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36. The client states that a mistake has been made: There is salt on her tray, although the doctor has ordered a low-salt diet. The nurse aide should

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Any diet question must be answered before the resident eats.

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37. Which of the following provides identification of clients in long-term care facilities?

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Both identification bracelets and photographs are used for identification purposes in long-term care facilities.

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38. Before transferring a client from the bed to a wheelchair, the nurse aide should sit her on the edge of the bed for a few minutes to

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Orthostatic hypotension is the light-headed feeling we all get when we rise too fast.

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39. The client's religion forbids eating meat. Beef stew is being served for lunch. The nurse aide should

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The other answers do not address the resident's right to practice religion or her right to choice.

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40. It is important to remember that dying patients

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Not all dying patients have the same problems, but they have all the same care needs as anyone else.

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41. Dying patients and their families

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Because each dying resident has unique emotional needs, each person will go through the stages at different times and in a different order.

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42. Which of the following is a sign of dementia in an elderly client?

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Memory loss is a sign of dementia.

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43. Clients with Alzheimer's disease may have all of the following characteristics EXCEPT

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Memory loss, wandering, and irritability are all signs of Alzheimer's disease.

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44. When a client turns on the call light every few minutes, the appropriate response is to

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Patients who use their call bell frequently are usually afraid they will be ignored if they don't call often. Stopping in frequently reassures them.

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45. The doctor writes an order for "do not resuscitate" (DNR). What does this mean? breathing.

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"Do not resuscitate" means that no attempts will be made to resuscitate the patient.

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46. How a client reacts to illness and disability is most dependent on his

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A person's total environment always affects everything that person does and thinks.

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47. A client with dementia makes sexual advances toward another client who has dementia. The nurse aide should

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Clients with dementia are not able to give consent; therefore, nurse aides have a responsibility to protect clients from sexual advances.

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48. A client hits a nurse aide during lunch. The appropriate response is to

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Obtaining assistance is the only correct way to deal with abuse by a resident.

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49. A resident is confined to her bed. What might keep her from getting pressure sores?

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An air mattress relieves pressure. Air pressure alteration reduces pressure against the body to prevent circulation impairment.

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50. If the client is in traction, the nurse aide should never

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Position of weights in traction is ordered by a doctor. Therefore, the nursing assistant should never change the position of weights without an order.

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51. Security for a client's dentures includes

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Every resident with dentures must have a labeled denture cup to ensure security of the costly dentures.

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52. If family members bring new clothes in for an ECF resident, the nurse aide should

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All residents have the right to their own personal possessions. Labels allow the aide to better provide protection.

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53. The charge nurse instructs the nurse aide to clean an ECF resident's closet. The nurse aide should

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The client has a legal right to decide what to keep and what to throw away, but may need assistance in the cleaning process.

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54. Before dressing an ECF resident, the nurse aide should

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Close the door to promote privacy.

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55. Confidentiality refers to

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Confidentiality refers to the client's right to privacy.

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56. During A.M. care, the nurse aide nicks a resident while shaving him. What should she do first?

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The first step is to stop the bleeding in order to ensure the patient's comfort.

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57. Maintaining good interpersonal relationships depends on

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Clear communications are key to good interpersonal relationships.

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58. If a nursing assistant does not know how to complete an assignment, he should

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Asking for help from a supervisor is a critical component to career growth.

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59. Reporting what the client tells you is an example of

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Subjective observation comes from what the client tells you; objective comes from what you see, feel, or smell.

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60. Incontinence means that the patient is

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Incontinence is generally due to a medical problem. It is important to adhere to a bowel/ bladder training program.

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61. Failure to raise the side rails on the bed of a confused client is an act of

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Negligence is an unintentional act of injury.

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62. During a job interview, it is important to tell the interviewer about

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You need to "sell" yourself during the interview. Ask about benefits and your personal needs after you get the job.

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63. when a nurse aide cannot work due to illness, the nurse aide should

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Contact a supervisor as soon as possible, so that a replacement can be found in a timely manner.

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64. What is the main goal of OBRA?

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All healthcare providers must be responsible for their actions.

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65. The client asks to see a priest. The nurse aide should

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It is a client's right to have clergy available as requested.

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66. when caring for a client who has just been placed on NPO, the nurse aide should first

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NPO means nothing by mouth, so removing all food and water will reduce temptations.

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67. If a nurse aide sees another employee hit a client, the nurse aide should

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Tell the charge nurse immediately when you suspect abuse. You are legally obligated to report it, and you want to do so as soon as possible to prevent further abuse.

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68. which statement about mouth care for unconscious residents is correct?

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The last sense to leave is hearing. Speak with kindness and be aware of what you say.

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69. A hearing impaired client has the right to all of the following EXCEPT

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The client has the right to assistance with hearing aids, but there is no right that pertains to getting expensive options.

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70. Wheen documenting a client's vital signs, the nurse aide makes a mistake. The nurse aide should

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Charting errors are corrected by using a single black line through the error, marking it with the word "error," and initialing it.

NNAAP – NURSING ASSISTANT PRACTICE EXAM 2 – Flashcards

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