Itemg1gofg150
A resident falls from her chair when she has a seizure. Before the nurse
g g g g g g g g g g g g g g
arrives, the seizure is finished and the nurse aide observes the resident i
g g g g g g g g g g g g
s breathing. What should the nurse aide do next?
g g g g g g g g
A
Getgthegemergencygcart
.
B. Turngthegresidentgontoghergside
C. Checkgifgthegresidentgisgablegtogtalk
D
Helpgthegresidentgbackgintogthegchair
.
Incorrect
Rationale:gAftergagseizure,gsalivagmaygpoolgingthegmouthgandgthegindividualgmaygalsogvomit.gTurninggthegresidentgonto
gthegsidegpreventsgaspirationgbygallowinggthegfluidsgtogdraingoutgofgthegmouth.gThisgisgthegmostgimportantgactiongforgthe
gnursegaidegtogtakegingthisgsituation.gThegnursegaidegshouldgnotgleavegthegresidentgunattendedgandgshouldgnotgmovegth
egresidentguntilgcheckedgbygthegnurse.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. Carter,gP.g(2012).gLippincottgTextbookgforgNursinggAssistantsg(3rdg Ed.).gPhiladelphia,gPA:gWoltersgKluwer/Lippinco
ttgWilliamsg&gWilkins.gPageg220.
2. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
TermgCaregNursinggAssistantsg(6thgEd.).gSt.gLouis,gMO:gElseviergMosby.gPageg706.
Markgitemgforgreview
Itemg2gofg150
To prevent skin tears or shearing when moving the resident, the nurse ai
g g g g g g g g g g g g
de should
g
A. weargglovesgtogreducegfrictiongagainstgthegskin.
B. avoidgpullinggorgslidinggthegresidentgwhengmoved.
C
tellgthegresidentgtogbegcarefulgandgfollowgdirections.
.
D
askgthegresidentgtogkeepgarmsgheldgovergthegresident'sghead.
.
Correct
Rationale:gThegskingofgangelderlygresidentgisgthingandgfragile.gPullinggbedgsheetsgagainstgthegresident’sgskin,gorgslidinggt
hegresidentgwhengmovinggorgtransferring,gcangcauseginjurygtogthegskin,gsuchgasgskingtears.gThisgisgthegresultgofgshearin
g.gGreatgcaregisgneededgtogpreventgskingtears.gActionsglikegrollinggorgusinggagturninggsheet,gslide,gorgtransfergsheetgcan
ghelpgreducegthegriskgofgskinginjury.
Wearinggglovesgwhengtransferringgagresidentgmaygbegappropriategifgthegnursegaidegisgatgriskgofgexposuregtogbloodgorgb
odygfluids,gbutgitgwillgnotgpreventgshearinggorgskingtears.gTellinggthegresidentgtogfollowgdirectionsgorghavinggthegresidentg
holdgarmsgovergthegheadgwillgnotgpreventgskingtearsgorgshearing.
Understandingghowgtogpreventgskingtearsgisgimportantgforgthegnursegaidegwhogsharesgresponsibilitygforgthegsafetygofgre
sidents.gThegnursegaidegshouldgbegawaregthatgskingtearsgaregpainful,gandgthegskingopeninggalsogincreasesgthegresiden
t’sgriskgforginfection.
,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
What should a nurse aide do with a used disposable razor?
g g g g g g g g g g
A
Throwgthegrazorgawaygingagtrashgcan.
.
B. Placegthegrazorgingagsharpsgcontainergimmediately.
C. Clean,grinse,gandgdrygthegrazorgsogitgcangbegused
gagain.
D
Wrapgthegrazorgingagpapergtowelguntilgitgcangbegthrowngaway.
.
Correct
Rationale:gAgdisposablegrazorgisgagsafetygconcerngbecausegitgisgconsideredgagsharpgandgagusedgrazorgisglikelygtogalsog
havegbloodgcellsgongit.gSincegitgisgconsideredgagsharpgandgpotentiallygcontaminatedgwithgbloodgcells,gitgmustgbegdispo
sedgofgingthegSharpsgcontainer.gSafegdisposalgofgsharpsgisgagpartgofgthegnursegaide’sgresponsibilitygbecausegitgpertain
sgtogthegsafetygofgthegresident.
Thegnursegaidegmustgalwaysgbegawaregofgsafetygofgallgresidents,gbutgespeciallygconcernedgforgresidentsgwhogaregconfu
sedgandgcouldgbegaccidentallygharmedghandlinggagrazorgthatgwasgleftgout.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. Carter,gP.g(2012).gLippincottgTextbookgforgNursinggAssistantsg(3rdgEd.).gPhiladelphia,gPA:gWoltersgKluwer/Lippincot
tgWilliamsg&gWilkins.gPageg370.
2. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
TermgCaregNursinggAssistantsg(6thgEd.).gSt.gLouis,gMO:gElseviergMosby.gPageg321.
Itemg4gofg150
Which of the following is the best example of using reality orientation for
g g g g g g g g g g g g g
a resident with early dementia?
g g g g
A. "Yourgsongplansgtogvisitgtodaygatg2:00gp.m."
B. "Yougaregingthegnursingghome.gIgamgheregtoghelpgyou."
C. "ThisgisgyourgdaughtergAnna.gDogyougremembergher?"
D
"Lookgatgthegtime.gLunchgisging30gminutes.gAregyougfeelingghungry?"
.
Incorrect
Rationale:gRealitygorientationgisgagprocessgofgremindinggandgorientinggthegresidentgtogperson,gplace,gandgtime.gForgag
residentgwithgearlygdementia,gputtinggtimegintogthegcontextgofgthegdaygandgroutinegcangbeghelpful.gLunchgisgagpartgofgag
lifegroutine,gandgremindinggthegresidentgaboutgthatgandgrelatinggitgtogeatinggandgbeingghungrygcangbegreassuringgandg
helpful.
IngthegearliergstagesgofgAlzheimer’sgdisease,gwhengagresidentgmaygbegawaregandgfrightenedgbyglossgofgmemory,gavoidg
contributinggtogthegresident’sganxietygbygmakinggstatementsgsuchgas,g"Don’tgyougremembergyourgdaughter?"
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. DugangD.g(2012).gNursinggAssisting:gAgFoundationgingCaregivingg(3rdgEd.).gAlbuquerque,gNM.gHartmangPublishing
,gInc.gPageg415.
2. Hedman,gS.,gFuzy,gJ.,gandgRymer,gS.g(2010).gHartman'sgNursinggAssistantgCare:gLong-
TermgCareg(2ndgEd.).gAlbuquerque,gNM:gHartmangPublishing,gInc.gPageg359.
Markgitemgforgreview
, Itemg5gofg150
While feeding a resident, the nurse aide notices that the resident is coug
g g g g g g g g g g g g
hing a lot after each drink of fluid. What is the appropriate response by th
g g g g g g g g g g g g g g
e nurse aide?
g g
A
Allowgthegresidentgmoregtimegtogswallow.
.
B. Usegagstrawgwhenggivinggthegresidentgfluids.
C. Addgagthickeninggproductgtogthegresident'sgfluids.
D
Stopgfeedinggandgaskgagnursegtogcheckgthegresident.
.
Correct
Rationale:gWhengagresidentgcoughsgfrequentlygaftergdrinkinggfluids,gitgmaygindicategthatgthegresidentgisghavinggsomeg
difficultygswallowing.gThisgdifficultygswallowinggcangresultgingfluidsggoinggintogthegresident’sglung.gThisgconditiongisgkn
owngasgaspiration.gItgcangresultgingthegdevelopmentgofgseriousgmedicalgconditions,gsuchgasgpneumonia,gwhichgmaygre
quiregmedicalgattention.
Thegnursegaidgshouldgnotifygthegnursegimmediately.gThegresidentgwillgrequiregangevaluationgofgthegresident’sgabilitygtog
swallow.gThickeninggagentsgaregsometimesgaddedgtogliquidsgforgresidentsgthatghavegdifficultygswallowinggfluids,gbutgthe
gusegofgthesegthickenersgisgdecidedgbygthegphysiciangandgnotgthegnursegaide.
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-
TermgCaregandgHomegHealth.gAlbuquerque,gNM:gHartmangPublishing,gInc.gPageg268.
Itemg6gofg150
A resident wears a hand splint. Which observation should the nurse aide
g g g g g g g g g g g g
report to the nurse immediately?
g g g g
A
Thegresident'sgfingersgaregcoldgandgbluegingcolor.
.
B.
Thegsplintgwasgremovedgasgscheduledgingthegc
aregplan.
C
Thegresidentgasksgtoghavegthegsplintgremovedgforgagfewgminutes.
.
D. Thegresidentgasksgthegnursegaidegtogrepositiongthegarmgwithgthegsplint.
Correct
Rationale:gWhengagresidentgwearsgagsplint,gitgisgimportantgtogmakegsuregthegsplintgisgappliedgproperlygandgisgnotgcausi
nggpressuregthatgcouldgaffectgcirculation.gIfgnotgproperlygapplied,gthegsplintgcangcausegpressure.gWhengagresidentgwea
rsgagsplint,gthegcaregplangmaygalsogincludegscheduledgperiodsgforgremovinggthegsplintgtogallowgthegskingtogbegopengtog
airgandgtogpromotegcirculation.gWhengagresidentgwearsgagsplint,gitgisgimportantgtogobservegforganygchangesgingskingcol
orgingthegextremity,gwhichgifgobservedgshouldgbegreportedgtogthegnursegimmediately.gSkingcolorgchangesgandgchanges
gingthegtemperaturegofgthegextremitygcouldgalsogbegsignsgofgimpairedgcirculation.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
A resident falls from her chair when she has a seizure. Before the nurse
g g g g g g g g g g g g g g
arrives, the seizure is finished and the nurse aide observes the resident i
g g g g g g g g g g g g
s breathing. What should the nurse aide do next?
g g g g g g g g
A
Getgthegemergencygcart
.
B. Turngthegresidentgontoghergside
C. Checkgifgthegresidentgisgablegtogtalk
D
Helpgthegresidentgbackgintogthegchair
.
Incorrect
Rationale:gAftergagseizure,gsalivagmaygpoolgingthegmouthgandgthegindividualgmaygalsogvomit.gTurninggthegresidentgonto
gthegsidegpreventsgaspirationgbygallowinggthegfluidsgtogdraingoutgofgthegmouth.gThisgisgthegmostgimportantgactiongforgthe
gnursegaidegtogtakegingthisgsituation.gThegnursegaidegshouldgnotgleavegthegresidentgunattendedgandgshouldgnotgmovegth
egresidentguntilgcheckedgbygthegnurse.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. Carter,gP.g(2012).gLippincottgTextbookgforgNursinggAssistantsg(3rdg Ed.).gPhiladelphia,gPA:gWoltersgKluwer/Lippinco
ttgWilliamsg&gWilkins.gPageg220.
2. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
TermgCaregNursinggAssistantsg(6thgEd.).gSt.gLouis,gMO:gElseviergMosby.gPageg706.
Markgitemgforgreview
Itemg2gofg150
To prevent skin tears or shearing when moving the resident, the nurse ai
g g g g g g g g g g g g
de should
g
A. weargglovesgtogreducegfrictiongagainstgthegskin.
B. avoidgpullinggorgslidinggthegresidentgwhengmoved.
C
tellgthegresidentgtogbegcarefulgandgfollowgdirections.
.
D
askgthegresidentgtogkeepgarmsgheldgovergthegresident'sghead.
.
Correct
Rationale:gThegskingofgangelderlygresidentgisgthingandgfragile.gPullinggbedgsheetsgagainstgthegresident’sgskin,gorgslidinggt
hegresidentgwhengmovinggorgtransferring,gcangcauseginjurygtogthegskin,gsuchgasgskingtears.gThisgisgthegresultgofgshearin
g.gGreatgcaregisgneededgtogpreventgskingtears.gActionsglikegrollinggorgusinggagturninggsheet,gslide,gorgtransfergsheetgcan
ghelpgreducegthegriskgofgskinginjury.
Wearinggglovesgwhengtransferringgagresidentgmaygbegappropriategifgthegnursegaidegisgatgriskgofgexposuregtogbloodgorgb
odygfluids,gbutgitgwillgnotgpreventgshearinggorgskingtears.gTellinggthegresidentgtogfollowgdirectionsgorghavinggthegresidentg
holdgarmsgovergthegheadgwillgnotgpreventgskingtearsgorgshearing.
Understandingghowgtogpreventgskingtearsgisgimportantgforgthegnursegaidegwhogsharesgresponsibilitygforgthegsafetygofgre
sidents.gThegnursegaidegshouldgbegawaregthatgskingtearsgaregpainful,gandgthegskingopeninggalsogincreasesgthegresiden
t’sgriskgforginfection.
,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
What should a nurse aide do with a used disposable razor?
g g g g g g g g g g
A
Throwgthegrazorgawaygingagtrashgcan.
.
B. Placegthegrazorgingagsharpsgcontainergimmediately.
C. Clean,grinse,gandgdrygthegrazorgsogitgcangbegused
gagain.
D
Wrapgthegrazorgingagpapergtowelguntilgitgcangbegthrowngaway.
.
Correct
Rationale:gAgdisposablegrazorgisgagsafetygconcerngbecausegitgisgconsideredgagsharpgandgagusedgrazorgisglikelygtogalsog
havegbloodgcellsgongit.gSincegitgisgconsideredgagsharpgandgpotentiallygcontaminatedgwithgbloodgcells,gitgmustgbegdispo
sedgofgingthegSharpsgcontainer.gSafegdisposalgofgsharpsgisgagpartgofgthegnursegaide’sgresponsibilitygbecausegitgpertain
sgtogthegsafetygofgthegresident.
Thegnursegaidegmustgalwaysgbegawaregofgsafetygofgallgresidents,gbutgespeciallygconcernedgforgresidentsgwhogaregconfu
sedgandgcouldgbegaccidentallygharmedghandlinggagrazorgthatgwasgleftgout.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. Carter,gP.g(2012).gLippincottgTextbookgforgNursinggAssistantsg(3rdgEd.).gPhiladelphia,gPA:gWoltersgKluwer/Lippincot
tgWilliamsg&gWilkins.gPageg370.
2. Sorrentino,gS.g(2011).gMosby'sgTextbookgforgLong-
TermgCaregNursinggAssistantsg(6thgEd.).gSt.gLouis,gMO:gElseviergMosby.gPageg321.
Itemg4gofg150
Which of the following is the best example of using reality orientation for
g g g g g g g g g g g g g
a resident with early dementia?
g g g g
A. "Yourgsongplansgtogvisitgtodaygatg2:00gp.m."
B. "Yougaregingthegnursingghome.gIgamgheregtoghelpgyou."
C. "ThisgisgyourgdaughtergAnna.gDogyougremembergher?"
D
"Lookgatgthegtime.gLunchgisging30gminutes.gAregyougfeelingghungry?"
.
Incorrect
Rationale:gRealitygorientationgisgagprocessgofgremindinggandgorientinggthegresidentgtogperson,gplace,gandgtime.gForgag
residentgwithgearlygdementia,gputtinggtimegintogthegcontextgofgthegdaygandgroutinegcangbeghelpful.gLunchgisgagpartgofgag
lifegroutine,gandgremindinggthegresidentgaboutgthatgandgrelatinggitgtogeatinggandgbeingghungrygcangbegreassuringgandg
helpful.
IngthegearliergstagesgofgAlzheimer’sgdisease,gwhengagresidentgmaygbegawaregandgfrightenedgbyglossgofgmemory,gavoidg
contributinggtogthegresident’sganxietygbygmakinggstatementsgsuchgas,g"Don’tgyougremembergyourgdaughter?"
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
1. DugangD.g(2012).gNursinggAssisting:gAgFoundationgingCaregivingg(3rdgEd.).gAlbuquerque,gNM.gHartmangPublishing
,gInc.gPageg415.
2. Hedman,gS.,gFuzy,gJ.,gandgRymer,gS.g(2010).gHartman'sgNursinggAssistantgCare:gLong-
TermgCareg(2ndgEd.).gAlbuquerque,gNM:gHartmangPublishing,gInc.gPageg359.
Markgitemgforgreview
, Itemg5gofg150
While feeding a resident, the nurse aide notices that the resident is coug
g g g g g g g g g g g g
hing a lot after each drink of fluid. What is the appropriate response by th
g g g g g g g g g g g g g g
e nurse aide?
g g
A
Allowgthegresidentgmoregtimegtogswallow.
.
B. Usegagstrawgwhenggivinggthegresidentgfluids.
C. Addgagthickeninggproductgtogthegresident'sgfluids.
D
Stopgfeedinggandgaskgagnursegtogcheckgthegresident.
.
Correct
Rationale:gWhengagresidentgcoughsgfrequentlygaftergdrinkinggfluids,gitgmaygindicategthatgthegresidentgisghavinggsomeg
difficultygswallowing.gThisgdifficultygswallowinggcangresultgingfluidsggoinggintogthegresident’sglung.gThisgconditiongisgkn
owngasgaspiration.gItgcangresultgingthegdevelopmentgofgseriousgmedicalgconditions,gsuchgasgpneumonia,gwhichgmaygre
quiregmedicalgattention.
Thegnursegaidgshouldgnotifygthegnursegimmediately.gThegresidentgwillgrequiregangevaluationgofgthegresident’sgabilitygtog
swallow.gThickeninggagentsgaregsometimesgaddedgtogliquidsgforgresidentsgthatghavegdifficultygswallowinggfluids,gbutgthe
gusegofgthesegthickenersgisgdecidedgbygthegphysiciangandgnotgthegnursegaide.
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-
TermgCaregandgHomegHealth.gAlbuquerque,gNM:gHartmangPublishing,gInc.gPageg268.
Itemg6gofg150
A resident wears a hand splint. Which observation should the nurse aide
g g g g g g g g g g g g
report to the nurse immediately?
g g g g
A
Thegresident'sgfingersgaregcoldgandgbluegingcolor.
.
B.
Thegsplintgwasgremovedgasgscheduledgingthegc
aregplan.
C
Thegresidentgasksgtoghavegthegsplintgremovedgforgagfewgminutes.
.
D. Thegresidentgasksgthegnursegaidegtogrepositiongthegarmgwithgthegsplint.
Correct
Rationale:gWhengagresidentgwearsgagsplint,gitgisgimportantgtogmakegsuregthegsplintgisgappliedgproperlygandgisgnotgcausi
nggpressuregthatgcouldgaffectgcirculation.gIfgnotgproperlygapplied,gthegsplintgcangcausegpressure.gWhengagresidentgwea
rsgagsplint,gthegcaregplangmaygalsogincludegscheduledgperiodsgforgremovinggthegsplintgtogallowgthegskingtogbegopengtog
airgandgtogpromotegcirculation.gWhengagresidentgwearsgagsplint,gitgisgimportantgtogobservegforganygchangesgingskingcol
orgingthegextremity,gwhichgifgobservedgshouldgbegreportedgtogthegnursegimmediately.gSkingcolorgchangesgandgchanges
gingthegtemperaturegofgthegextremitygcouldgalsogbegsignsgofgimpairedgcirculation.
Reference(s):
Examplesgofgreferencesgwheregknowledgegforgthisgquestiongisgcoveredginclude:
