AND ANSWERS SURE A+
✔✔11. A nurse aide notices that a water pitcher has spilled onto the floor. The best
action for the aide to perform is to - ✔✔Take care of spills immediately, or a patient may
be injured while waiting for housekeeping.
✔✔12. Upon entering a room, the nurse aide notices that a patient is not breathing. The
aide's first action is to - ✔✔Call for help to activate the facility's emergency medical
services. Early activation increases the client's chances for survival.
✔✔13. A patient is on bed rest, wearing a TED hose. How often should the hose be
removed? - ✔✔To allow normal blood flow to the lower extremities, the hose should be
removed twice a day.
✔✔14. Decubitus ulcers can be prevented by - ✔✔While choices a and b are correct,
there is no data to suggest that choice c is correct.
✔✔15. The first step in getting a client up to walk is to - ✔✔Always make sure the
resident is allowed to get up first.
✔✔16. A client's vital signs are as follows: 118/80-8.8-80-30. Which finding should be
reported at once? - ✔✔The respiratory rate of this client is elevated.
✔✔17. All of the following can cause an inaccurate oral temperature reading EXCEPT -
✔✔Electronic thermometers are commonly used for assessing temperature.
✔✔18. Diastolic blood pressure is determined by - ✔✔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.
, ✔✔19. All of the following are correct when measuring blood pressure, EXCEPT -
✔✔Use a cuff that fits. If the cuff is too large, you will get a reading that is too low.
✔✔20. The first step in performing any procedure is to - ✔✔Infection control
(handwashing) is always the first step in a procedure.
✔✔21. Which of the following best destroys all bacteria? - ✔✔Only sterilizing destroys
bacteria.
✔✔22. In the event of a fire in a client's room, the nurse aide should first - ✔✔Always
get the client to safety first.
✔✔23. Safe use of oxygen therapy includes - ✔✔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.
✔✔24. During CPR, the client should be lying - ✔✔The client should be lying flat on a
hard surface to assure adequate compressions and blood flow.
✔✔25. A procedure manual is a - ✔✔A procedure manual is a written set of instructions
on how to perform procedures.
✔✔26. If a client cannot speak English, the nurse aide should - ✔✔It is mandatory to
provide a certified interpreter to clients not fluent in English.
✔✔27. The accepted way to identify a client is to - ✔✔Only an identification band is a
definitive way to identify the patient. A confused patient may answer to any name.
✔✔28. Which of the following best describes nail care? - ✔✔All residents need nail
care. The nursing assistant should be able to obtain information needed from the care
plan.
✔✔29. When performing perineal care on a male client, always - ✔✔Material may build
up under the foreskin in uncircumcised males unless the foreskin is retracted for
cleaning.
✔✔30. Back rubs aid in all of the following EXCEPT - ✔✔Back rubs are not used to
improve posture.
✔✔31. A client's elbows are dry and red. The nurse aide should - ✔✔Report this to the
charge nurse, since there are many reasons for redness.