Nursing Assistant/ Nurse Aide Practice Exam 1 Essay

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When assisting a client in learning how to use a cane, the nurse aide stands
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Slightly behind the client on the client’s weak side
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When working with a client who has urinary retention, the nurse aide can expect that the client will
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Be unable to urinate
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Aging-related hearing changes result in older clients gradually losing their ability to hear
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High-pitched sounds
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The best way to safely identify your patient is by
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Checking the name tag
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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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Report it to the charge nurse
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The proper medical abbreviation for before meals is
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a.c.
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A client diagnosed with hypertension will most likely have a history of
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High blood pressure
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A patient who has difficulty chewing or swallowing will need what type of diet?
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Mechanical soft
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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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Place a familiar object on the client’s door
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How often should a patient’s intake and output records be totaled?
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Once each shift
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Which of the following should the nursing assistant observe and record when admitting a client?
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Bruises
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When responding to a client on the intercom, the nursing assistant should say
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“This is [nursing assistant name and position], how can I help you?”
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Which of the following things should the nurse aide do to familiarize new clients with their surroundings?
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Demonstrate the location and use of the call light
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When arranging a client’s room, the nursing assistant should do all of the following EXCEPT
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Administer the client’s medications
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When assisting a client out of bed, the nurse aide should always
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Employ body mechanic techniques
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How often should clients be repositioned during an eight-hour shift?
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q2h
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Which of the following is the correct procedure for serving a meal to a client who much be fed?
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Bring the tray into the room when you are ready to feed the client
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The most serious problem that wrinkles in the bedclothes can cause is
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Decubitus ulcers
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Restorative care begins
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As soon as possible
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Before placing a client in Fowler’s position, the nurse aide should
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Explain the procedure to the client
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During handwashing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to
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Repeat the wash from the beginning
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How should a nurse aide dress for a job interview?
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Wear a business suit, dress, or pants and dress shirt
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An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should
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Make sure the client knows how to use the call bell
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When lifting a heavy object, the correct method would be to bend at the
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Knees, keeping you back straight
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When should nurse aides wash their hands?
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After client care
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When assisting a client with eating, one of the first things the nurse aide should do is
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Wash his own hands and the client’s hands
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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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Warmth and color of fingers
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Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is
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Necessary for rehabilitation
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In caring for a confused elderly man, it is important to remember to
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Follow the agency’s policies for caring for a confused patient
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Before assisting a client into a wheelchair, the first action would be to check if the
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Wheels of the chair are locked
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A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stant
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On the left side
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While making rounds at 5:30 am, a nurse aide finds a patient lying on the floor. What should the nurse aide do first?
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Assess the client’s pulse and respirations
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When moving a wheelchair onto an elevator, the nurse aide should stay
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Behind the chair and pull it toward the aide
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The Foley bag must be kept lower than the client’s bladder so that
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Urine will not return to the bladder, causing infection
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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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Hold the afternoon snack and report to the charge nurse
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When assisting a client who is using the commode, it is important to
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Leave the call light within reach
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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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Positioning the patient every four hours
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The purpose of cold applications is usually to
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Prevent or reduce swelling
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The hot water bottle is an example of a
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Local dry heat application
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Clients receiving an enema are usually placed
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On the left side
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A female client’s perineal area should be cleansed before which specimen is collected?
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Midstream clean-catch urine specimen
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The most common site for counting the pulse is the
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Radial artery
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When counting respirations, the nurse aide should
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Not tell the patient what he is going to do
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Which of the following is NOT the nurse aide’s responsibility when caring for clients who have urinary catheters?
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Inserting the catheter
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When giving information to the charge nurse for an incident report, the nurse aide should
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State the facts clearly
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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 ’87
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A resident is blind. It is important NOT to
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Rearrange the furniture
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When family members visit a client, the visitors should
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Be allowed privacy with the client
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A resident asks, “If I need help during the night, who will be there?” The nursing assistant should respond
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“There are people here all night to help you.”
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Which of the following is client’s right?
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Having a personal information kept confidential
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A resident often cries while she is receiving her P.M. care. What should the nurse aide do?
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Tell her that it’s all right to cry and that the aide is there for her if she wants to talk
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When providing denture care, the nurse aide must
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Place them on a towel in the sink with cool water
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Sexuality in long-term care clients may include all of the following EXCEPT
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Engaging in public fondling
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A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client’s
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Face, hands, axillae, genitalia, and buttocks
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A goal for an extended care facility (ECF) resident is that she will not swear at the nurses or aides. When she call an aide by his name, the appropriate action is to
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Smile and give the appropriate reward
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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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Speak quietly and calmly
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If a client objects to certain food for religious or cultural reasons, the appropriate action would be to
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Offer to substitute something different for him
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The client’s religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is to
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Call the kitchen for a tray without bacon
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Which type of communication can often be most powerful?
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Silent
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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 is she does not have her bath. This is an example of
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Verbal abuse
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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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Call for help
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A client’s dentures are lost. The first action should be to
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Notify the charge nurse
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Nursing assistants are responsible for
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Doing tasks assigned by the charge nurse
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A patient turns on the call light when he needs to urinate. The appropriate action is to
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Answer the call light and get the urinal
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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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Place the client in the side- lying position
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When performing catheter care, the nurse aide should wash the catheter
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Away from the meatus
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A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of
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False imprisonment
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H.S. care is care that is given
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Before bedtime
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The best food choices for a geriatric client with no teeth would include
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Baked fish, whipped potatoes, spinach souffle, and tapioca
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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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Carry on the conversation away from the client

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