Nurse aide test preparation

Itemm1mofm150
A resident falls from her chair when she has a seizure. Before the
m m m m m m m m m m m m


nurse arrives, the seizure is finished and the nurse aide observes the
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resident is breathing. What should the nurse aide do next?
m m m m m m m m m
A
Getmthememergencymcart
.
B. Turnmthemresidentmontomhermside
C. Checkmifmthemresidentmismablemtomtalk
D
Helpmthemresidentmbackmintomthemchair
.
Incorrect

Rationale:mAftermamseizure,msalivammaympoolminmthemmouthmandmthemindividualmmaymalsomvomit.mTurningmthemresiden
tmontomthemsidempreventsmaspirationmbymallowingmthemfluidsmtomdrainmoutmofmthemmouth.mThismismthemmostmimportantm
actionmformthemnursemaidemtomtakeminmthismsituation.mThemnursemaidemshouldmnotmleavemthemresidentmunattendedmand
mshouldmnotmmovemthemresidentmuntilmcheckedmbymthemnurse.


Reference(s):
Examplesmofmreferencesmwheremknowledgemformthismquestionmismcoveredminclude:
1. Carter,mP.m(2012).mLippincottmTextbookmformNursingmAssistantsm(3rdmm Ed.).mPhiladelphia,mPA:mWoltersmKluwer/Lip
pincottmWilliamsm&mWilkins.mPagem220.
2. Sorrentino,mS.m(2011).mMosby'smTextbookmformLong-
TermmCaremNursingmAssistantsm(6thmEd.).mSt.mLouis,mMO:mElseviermMosby.mPagem706.

Markmitemmformreview




Itemm2mofm150
To prevent skin tears or shearing when moving the resident, the nurse
m m m m m m m m m m m


aide should m

A. wearmglovesmtomreducemfrictionmagainstmthemskin.
B. avoidmpullingmormslidingmthemresidentmwhenmmoved.
C
tellmthemresidentmtombemcarefulmandmfollowmdirections.
.
D
askmthemresidentmtomkeepmarmsmheldmovermthemresident'smhead.
.
Correct

Rationale:mThemskinmofmanmelderlymresidentmismthinmandmfragile.mPullingmbedmsheetsmagainstmthemresident’smskin,mor
mslidingmthemresidentmwhenmmovingmormtransferring,mcanmcauseminjurymtomthemskin,msuchmasmskinmtears.mThismismth

emresultmofmshearing.mGreatmcaremismneededmtompreventmskinmtears.mActionsmlikemrollingmormusingmamturningmsheet,
mslide,mormtransfermsheetmcanmhelpmreducemthemriskmofmskinminjury.

Wearingmglovesmwhenmtransferringmamresidentmmaymbemappropriatemifmthemnursemaidemismatmriskmofmexposuremtomblo
odmormbodymfluids,mbutmitmwillmnotmpreventmshearingmormskinmtears.mTellingmthemresidentmtomfollowmdirectionsmormhavin
gmthemresidentmholdmarmsmovermthemheadmwillmnotmpreventmskinmtearsmormshearing.
Understandingmhowmtompreventmskinmtearsmismimportantmformthemnursemaidemwhomsharesmresponsibilitymformthemsafety
mofmresidents.mThemnursemaidemshouldmbemawaremthatmskinmtearsmarempainful,mandmthemskinmopeningmalsomincreases

mthemresident’smriskmforminfection.

,Reference(s):
Examplesmofmreferencesmwheremknowledgemformthismquestionmismcoveredminclude:
1. Alvare,m S..m Fuzy,m J.,m andm Rymer,m S.m (2009).m Hartman’sm Nursingm Assistantm Care:m Long-
Termm Carem andm Homem Health.mAlbuquerque,mNM:mHartmanmPublishing,mInc.mPagesm149mandm197.
2. Sorrentino,mS.m(2011).mMosby'smTextbookmformLong-
TermmCaremNursingmAssistantsm(6thmEd.).mSt.mLouis,mMO:mElseviermMosby.mPagesm225mandm538-539.
Markmitemmformreview

,Itemm3mofm150
What should a nurse aide do with a used disposable razor?
m m m m m m m m m m
A
Throwmthemrazormawayminmamtrashmcan.
.
B. Placemthemrazorminmamsharpsmcontainermimmediately.
C. Clean,mrinse,mandmdrymthemrazormsomitmcanmbemu
sedmagain.
D
Wrapmthemrazorminmampapermtowelmuntilmitmcanmbemthrownmaway.
.
Correct

Rationale:mAmdisposablemrazormismamsafetymconcernmbecausemitmismconsideredmamsharpmandmamusedmrazormismlikely
mtomalsomhavembloodmcellsmonmit.m Sincemitmismconsideredmamsharpmandmpotentiallymcontaminatedmwithmbloodmcells,mi

tmmustmbemdisposedmofminmthemSharpsmcontainer.mSafemdisposalmofmsharpsmismampartmofmthemnursemaide’smrespons
ibilitymbecausemitmpertainsmtomthemsafetymofmthemresident.
Themnursemaidemmustmalwaysmbemawaremofmsafetymofmallmresidents,mbutmespeciallymconcernedmformresidentsm
whomaremconfusedmandmcouldmbemaccidentallymharmedmhandlingmamrazormthatmwasmleftmout.
Reference(s):
Examplesmofmreferencesmwheremknowledgemformthismquestionmismcoveredminclude:
1. Carter,mP.m(2012).mLippincottmTextbookmformNursingmAssistantsm(3rdmEd.).mPhiladelphia,mPA:mWoltersmKluwer/Lipp
incottmWilliamsm&mWilkins.mPagem370.
2. Sorrentino,mS.m(2011).mMosby'smTextbookmformLong-
TermmCaremNursingmAssistantsm(6thmEd.).mSt.mLouis,mMO:mElseviermMosby.mPagem321.


Itemm4mofm150
Which of the following is the best example of using reality orientation
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for a resident with early dementia?
m m m m m

A. "Yourmsonmplansmtomvisitmtodaymatm2:00mp.m."
B. "Youmareminmthemnursingmhome.mImammheremtomhelpmyou."
C. "ThismismyourmdaughtermAnna.mDomyoumremembermher?"
D
"Lookmatmthemtime.mLunchmisminm30mminutes.mAremyoumfeelingmhungry?"
.
Incorrect

Rationale:mRealitymorientationmismamprocessmofmremindingmandmorientingmthemresidentmtomperson,mplace,mandmtime.
mFormamresidentmwithmearlymdementia,mputtingmtimemintomthemcontextmofmthemdaymandmroutinemcanmbemhelpful.mLun

chmismampartmofmamlifemroutine,mandmremindingmthemresidentmaboutmthatmandmrelatingmitmtomeatingmandmbeingmhungr
ymcanmbemreassuringmandmhelpful.
InmthemearliermstagesmofmAlzheimer’smdisease,mwhenmamresidentmmaymbemawaremandmfrightenedmbymlossmofmmemory,
mavoidmcontributingmtomthemresident’smanxietymbymmakingmstatementsmsuchmas,m"Don’tmyoumremembermyourmdaughter

?"
Reference(s):
Examplesmofmreferencesmwheremknowledgemformthismquestionmismcoveredminclude:
1. DuganmD.m(2012).mNursingmAssisting:mAmFoundationminmCaregivingm(3rdmEd.).mAlbuquerque,mNM.mHartmanmPubli
shing,mInc.mPagem415.
2. Hedman,mS.,mFuzy,mJ.,mandmRymer,mS.m(2010).mHartman'smNursingmAssistantmCare:mLong-
TermmCarem(2ndmEd.).mAlbuquerque,mNM:mHartmanmPublishing,mInc.mPagem359.
Markmitemmformreview

, Itemm5mofm150
While feeding a resident, the nurse aide notices that the resident is
m m m m m m m m m m m m


coughing a lot after each drink of fluid. What is the appropriate res
m m m m m m m m m m m m


ponse by the nurse aide?
m m m m
A
Allowmthemresidentmmoremtimemtomswallow.
.
B. Usemamstrawmwhenmgivingmthemresidentmfluids.
C. Addmamthickeningmproductmtomthemresident'smfluids.
D
Stopmfeedingmandmaskmamnursemtomcheckmthemresident.
.
Correct

Rationale:mWhenmamresidentmcoughsmfrequentlymaftermdrinkingmfluids,mitmmaymindicatemthatmthemresidentmismhavingm
somemdifficultymswallowing.mThismdifficultymswallowingmcanmresultminmfluidsmgoingmintomthemresident’smlung.mThismco
nditionmismknownmasmaspiration.mItmcanmresultminmthemdevelopmentmofmseriousmmedicalmconditions,msuchmasmpneu
monia,mwhichmmaymrequiremmedicalmattention.
Themnursemaidmshouldmnotifymthemnursemimmediately.mThemresidentmwillmrequiremanmevaluationmofmthemresident’smabil
itymtomswallow.mThickeningmagentsmaremsometimesmaddedmtomliquidsmformresidentsmthatmhavemdifficultymswallowingmflu
ids,mbutmthemusemofmthesemthickenersmismdecidedmbymthemphysicianmandmnotmthemnursemaide.
Reference(s):
Examplesmofmreferencesmwheremknowledgemformthismquestionmismcoveredminclude:
1. Sorrentino,mS.m(2011).mMosby'smTextbookmformLong-
TermmCaremNursingmAssistantsm(6thmEd.).mSt.mLouis,mMO:mElseviermMosby.mPagesm386-387.
2. Alvare,mS..mFuzy,mJ.,mandmRymer,mS.m(2009).mHartman’smNursingmAssistantmCare:mLong-
TermmCaremandmHomemHealth.mAlbuquerque,mNM:mHartmanmPublishing,mInc.mPagem268.


Itemm6mofm150
A resident wears a hand splint. Which observation should the nurse
m m m m m m m m m m m


aide report to the nurse immediately?
m m m m m
A
Themresident'smfingersmaremcoldmandmblueminmcolor.
.
B.
Themsplintmwasmremovedmasmscheduledminmthe
caremplan.
m


C
Themresidentmasksmtomhavemthemsplintmremovedmformamfewmminutes.
.
D. Themresidentmasksmthemnursemaidemtomrepositionmthemarmmwithmthemsplint.
Correct

Rationale:mWhenmamresidentmwearsmamsplint,mitmismimportantmtommakemsuremthemsplintmismappliedmproperlymandmismn
otmcausingmpressuremthatmcouldmaffectmcirculation.mIfmnotmproperlymapplied,mthemsplintmcanmcausempressure.mWhenma
mresidentmwearsmamsplint,mthemcaremplanmmaymalsomincludemscheduledmperiodsmformremovingmthemsplintmtomallowmth

emskinmtombemopenmtomairmandmtompromotemcirculation.mWhenmamresidentmwearsmamsplint,mitmismimportantmtomobserve
mformanymchangesminmskinmcolorm inmthemextremity,mwhichmifmobservedmshouldmbemreportedmtomthemnursemimmediately

.mSkinmcolormchangesmandmchangesminmthemtemperaturemofmthemextremitymcouldmalsombemsignsmofmimpairedmcirculati
on.

Reference(s):
Examplesmofmreferencesmwheremknowledgemformthismquestionmismcoveredminclude: