Nurse aide test preparation

Itemg1gofg150
Agresidentgfallsgfromghergchairgwhengsheghasgagseizure.gBeforeg
thegnursegarrives,gthegseizuregisgfinishedgandgthegnursegaidegob
servesgthegresidentgisgbreathing.gWhatgshouldgthegnursegaidegd
ognext?
A
Getgthegemergencygcart
.
B. Turngthegresidentgontoghergside
C. Checkgifgthegresidentgisgablegtogtalk
D
Helpgthegresidentgbackgintogthegchair
.
Incorrect

Rationale:gAftergagseizure,gsalivagmaygpoolgingthegmouthgandgthegindividualgmaygalsogvomit.gTurnin
ggthegresidentgontogthegsidegpreventsgaspirationgbygallowinggthegfluidsgtogdraingoutgofgthegmouth.g
Thisgisgthegmostgimportantgactiongforgthegnursegaidegtogtakegingthisgsituation.gThegnursegaidegshoul
dgnotgleavegthegresidentgunattendedgandgshouldgnotgmovegthegresidentguntilgcheckedgbygthegnurse
.

Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. Carter,gP.g(2012).gLippincottgTextbookgforgNursinggAssistantsg(3rdg Ed.).gPhiladelphia,gPA:gWoltersgKlu
wer/LippincottgWilliamsg&gWilkins.gPageg220.
2. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
Markgitemgforgreview




Itemg2gofg150
Togpreventgskingtearsgorgshearinggwhengmovinggthegresident,gt
hegnursegaidegshould
A. weargglovesgtogreducegfrictiongagainstgthegskin.
B. avoidgpullinggorgslidinggthegresidentgwhengmoved.
C
tellgthegresidentgtogbegcarefulgandgfollowgdirections.
.
D
askgthegresidentgtogkeepgarmsgheldgovergthegresident'sghead.
.
Correct

Rationale:gThegskingofgangelderlygresidentgisgthingandgfragile.gPullinggbedgsheetsgagainstgthegreside
nt’sgskin,gorgslidinggthegresidentgwhengmovinggorgtransferring,gcangcauseginjurygtogthegskin,gsuchga
sgskingtears.gThisgisgthegresultgofgshearing.gGreatgcaregisgneededgtogpreventgskingtears.gActionsglik
egrollinggorgusinggagturninggsheet,gslide,gorgtransfergsheetgcanghelpgreducegthegriskgofgskinginjury.
Wearinggglovesgwhengtransferringgagresidentgmaygbegappropriategifgthegnursegaidegisgatgriskgofgex
posuregtogbloodgorgbodygfluids,gbutgitgwillgnotgpreventgshearinggorgskingtears.gTellinggthegresidentgt
ogfollowgdirectionsgorghavinggthegresidentgholdgarmsgovergthegheadgwillgnotgpreventgskingtearsgorgs
hearing.
Understandingghowgtogpreventgskingtearsgisgimportantgforgthegnursegaidegwhogsharesgresponsibility
gforgthegsafetygofgresidents.gThegnursegaidegshouldgbegawaregthatgskingtearsgaregpainful,gandgthegs

,Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1.Alvare,gS..gFuzy,gJ.,gandgRymer,gS.g(2009).gHartman’sgNursinggAssistantgCare:gLong-
TermgCaregandgHomegHealth.gAlbuquerque,gNM:gHartmangPublishing,gInc.gPagesg149gandg197.
2. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
TermgCaregNursinggAssistantsg(6thgEd.).gSt.gLouis,gMO:gElseviergMosby.gPagesg225gandg538-539.
Markgitemgforgreview

,Itemg3gofg150
Whatgshouldgagnursegaidegdogwithgagusedgdisposablegrazor?
A
Throwgthegrazorgawaygingagtrashgcan.
.
B. Placegthegrazorgingagsharpsgcontainergimmediately.
C. Clean,grinse,gandgdrygthegrazorgsogitgcangbegu
sedgagain.
D
Wrapgthegrazorgingagpapergtowelguntilgitgcangbegthrowngaway.
.
Correct

Rationale:gAgdisposablegrazorgisgagsafetygconcerngbecausegitgisgconsideredgagsharpgandgagusedgraz
orgisglikelygtogalsoghavegbloodgcellsgongit.gSincegitgisgconsideredgagsharpgandgpotentiallygcontamin
atedgwithgbloodgcells,gitgmustgbegdisposedgofgingthegSharpsgcontainer.gSafegdisposalgofgsharpsgisga
gpartgofgthegnursegaide’sgresponsibilitygbecausegitgpertainsgtogthegsafetygofgthegresident.
Thegnursegaidegmustgalwaysgbegawaregofgsafetygofgallgresidents,gbutgespeciallygconcernedgforgresid
entsgwhogaregconfusedgandgcouldgbegaccidentallygharmedghandlinggagrazorgthatgwasgleftgout.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. Carter,gP.g(2012).gLippincottgTextbookgforgNursinggAssistantsg(3rdgEd.).gPhiladelphia,gPA:gWoltersgKlu
wer/LippincottgWilliamsg&gWilkins.gPageg370.
2. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
TermgCaregNursinggAssistantsg(6thgEd.).gSt.gLouis,gMO:gElseviergMosby.gPageg321.


Itemg4gofg150
Whichgofgthegfollowinggisgthegbestgexamplegofgusinggrealitygori
entationgforgagresidentgwithgearlygdementia?
A. "Yourgsongplansgtogvisitgtodaygatg2:00gp.m."
B. "Yougaregingthegnursingghome.gIgamgheregtoghelpgyou."
C. "ThisgisgyourgdaughtergAnna.gDogyougremembergher?"
D
"Lookgatgthegtime.gLunchgisging30gminutes.gAregyougfeelingghungry?"
.
Incorrect

Rationale:gRealitygorientationgisgagprocessgofgremindinggandgorientinggthegresidentgtogperson,gplac
e,gandgtime.gForgagresidentgwithgearlygdementia,gputtinggtimegintogthegcontextgofgthegdaygandgrou
tinegcangbeghelpful.gLunchgisgagpartgofgaglifegroutine,gandgremindinggthegresidentgaboutgthatgandgr
elatinggitgtogeatinggandgbeingghungrygcangbegreassuringgandghelpful.
IngthegearliergstagesgofgAlzheimer’sgdisease,gwhengagresidentgmaygbegawaregandgfrightenedgbyglos
sgofgmemory,gavoidgcontributinggtogthegresident’sganxietygbygmakinggstatementsgsuchgas,g"Don’tgy
ougremembergyourgdaughter?"

Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. DugangD.g(2012).gNursinggAssisting:gAgFoundationgingCaregivingg(3rdgEd.).gAlbuquerque,gNM.gHartma
ngPublishing,gInc.gPageg415.
2. Hedman,gS.,gFuzy,gJ.,gandgRymer,gS.g(2010).gHartman'sgNursinggAssistantgCare:gLong-
Markgitemgforgreview

, Itemg5gofg150
Whilegfeedinggagresident,gthegnursegaidegnoticesgthatgthegresid
entgisgcoughinggaglotgaftergeachgdrinkgofgfluid.gWhatgisgthegappr
opriategresponsegbygthegnursegaide?
A
Allowgthegresidentgmoregtimegtogswallow.
.
B. Usegagstrawgwhenggivinggthegresidentgfluids.
C. Addgagthickeninggproductgtogthegresident'sgfluids.
D
Stopgfeedinggandgaskgagnursegtogcheckgthegresident.
.
Correct

Rationale:gWhengagresidentgcoughsgfrequentlygaftergdrinkinggfluids,gitgmaygindicategthatgthegreside
ntgisghavinggsomegdifficultygswallowing.gThisgdifficultygswallowinggcangresultgingfluidsggoinggintogth
egresident’sglung.gThisgconditiongisgknowngasgaspiration.gItgcangresultgingthegdevelopmentgofgserio
usgmedicalgconditions,gsuchgasgpneumonia,gwhichgmaygrequiregmedicalgattention.
Thegnursegaidgshouldgnotifygthegnursegimmediately.gThegresidentgwillgrequiregangevaluationgofgtheg
resident’sgabilitygtogswallow.gThickeninggagentsgaregsometimesgaddedgtogliquidsgforgresidentsgthatg
havegdifficultygswallowinggfluids,gbutgthegusegofgthesegthickenersgisgdecidedgbygthegphysiciangandg
notgthegnursegaide.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
TermgCaregNursinggAssistantsg(6thgEd.).gSt.gLouis,gMO:gElseviergMosby.gPagesg386-387.
2.Alvare,gS..gFuzy,gJ.,gandgRymer,gS.g(2009).gHartman’sgNursinggAssistantgCare:gLong-


Itemg6gofg150
Agresidentgwearsgaghandgsplint.gWhichgobservationgshouldgtheg
nursegaidegreportgtogthegnursegimmediately?
A
Thegresident'sgfingersgaregcoldgandgbluegingcolor.
.
B.

Thegsplintgwasgremovedgasgscheduledgingthegc
aregplan.
C
Thegresidentgasksgtoghavegthegsplintgremovedgforgagfewgminutes.
.
D. Thegresidentgasksgthegnursegaidegtogrepositiongthegarmgwithgthegsplint.
Correct

Rationale:gWhengagresidentgwearsgagsplint,gitgisgimportantgtogmakegsuregthegsplintgisgappliedgprop
erlygandgisgnotgcausinggpressuregthatgcouldgaffectgcirculation.gIfgnotgproperlygapplied,gthegsplintgca
ngcausegpressure.gWhengagresidentgwearsgagsplint,gthegcaregplangmaygalsogincludegscheduledgperi
odsgforgremovinggthegsplintgtogallowgthegskingtogbegopengtogairgandgtogpromotegcirculation.gWheng
agresidentgwearsgagsplint,gitgisgimportantgtogobservegforganygchangesgingskingcolorgingthegextremit
y,gwhichgifgobservedgshouldgbegreportedgtogthegnursegimmediately.gSkingcolorgchangesgandgchang
esgingthegtemperaturegofgthegextremitygcouldgalsogbegsignsgofgimpairedgcirculation.

Reference(s):