Itemp1pofp150
A resident falls from her chair when she has a seizure. Before the nurse
p p p p p p p p p p p p p p
arrives, the seizure is finished and the nurse aide observes the resident i
p p p p p p p p p p p p
s breathing. What should the nurse aide do next?
p p p p p p p p
A. Getpthepemergencypcart
B. Turnpthepresidentpontopherpside
C. Checkpifpthepresidentpispableptoptalk
D. Helppthepresidentpbackpintopthepchair
Incorrectp
Rationale:pAfterpapseizure,psalivapmayppoolpinpthepmouthpandpthepindividualpmaypalsopvomit.pTurningpthepresidentponto
pthepsideppreventspaspirationpbypallowingpthepfluidsptopdrainpoutpofpthepmouth.pThispispthepmostpimportantpactionpforpthe
pnursepaideptoptakepinpthispsituation.pThepnursepaidepshouldpnotpleavepthepresidentpunattendedpandpshouldpnotpmovept
hepresidentpuntilpcheckedpbypthepnurse.p
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pCarter,pP.p(2012).pLippincottpTextbookpforpNursingpAssistantsp(3rdpEd.).pPhiladelphia,pPA:pWolterspKluwer/Lippincottp
Williamsp&pWilkins.pPagep220.
2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagep706.
Markpitempforpreview
Itemp2pofp150
To prevent skin tears or shearing when moving the resident, the nurse ai
p p p p p p p p p p p p
de should
p
A. wearpglovesptopreducepfrictionpagainstpthepskin.
B. avoidppullingporpslidingpthepresidentpwhenpmoved.
C. tellpthepresidentptopbepcarefulpandpfollowpdirections.
D. askpthepresidentptopkeepparmspheldpoverpthepresident'sphead.
Correctp
Rationale:pThepskinpofpanpelderlypresidentpispthinpandpfragile.pPullingpbedpsheetspagainstpthepresident’spskin,porpslidingp
thepresidentpwhenpmovingporptransferring,pcanpcausepinjuryptopthepskin,psuchpaspskinptears.pThispispthepresultpofpsheari
ng.pGreatpcarepispneededptoppreventpskinptears.pActionsplikeprollingporpusingpapturningpsheet,pslide,porptransferpsheetpc
anphelppreducepthepriskpofpskinpinjury.p
Wearingpglovespwhenptransferringpapresidentpmaypbepappropriatepifpthepnursepaidepispatpriskpofpexposureptopbloodporpb
odypfluids,pbutpitpwillpnotppreventpshearingporpskinptears.pTellingpthepresidentptopfollowpdirectionsporphavingpthepresident
pholdparmspoverpthepheadpwillpnotppreventpskinptearsporpshearing.p
Understandingphowptoppreventpskinptearspispimportantpforpthepnursepaidepwhopsharespresponsibilitypforpthepsafetypofpre
sidents.pThepnursepaidepshouldpbepawarepthatpskinptearspareppainful,pandpthepskinpopeningpalsopincreasespthepresiden
t’spriskpforpinfection.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pAlvare,pS..pFuzy,pJ.,pandpRymer,pS.p(2009).pHartman’spNursingpAssistantpCare:pLong-
TermpCarepandpHomepHealth.pAlbuquerque,pNM:pHartmanpPublishing,pInc.pPagesp149pandp197.p
,2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagesp225pandp538-539.
Markpitempforpreview
,Itemp3pofp150
What should a nurse aide do with a used disposable razor?
p p p p p p p p p p
A. Throwptheprazorpawaypinpaptrashpcan.
B. Placeptheprazorpinpapsharpspcontainerpimmediately.
C. Clean,prinse,pandpdryptheprazorpsopitpcanpbepusedpagain.
D. Wrapptheprazorpinpappaperptowelpuntilpitpcanpbepthrownpaway.
Correctp
Rationale:pApdisposableprazorpispapsafetypconcernpbecausepitpispconsideredpapsharppandpapusedprazorpisplikelyptopalsop
havepbloodpcellsponpit.pSincepitpispconsideredpapsharppandppotentiallypcontaminatedpwithpbloodpcells,pitpmustpbepdispos
edpofpinpthepSharpspcontainer.pSafepdisposalpofpsharpspispappartpofpthepnursepaide’spresponsibilitypbecausepitppertainspt
opthepsafetypofpthepresident.p
Thepnursepaidepmustpalwayspbepawarepofpsafetypofpallpresidents,pbutpespeciallypconcernedpforpresidentspwhoparepconf
usedpandpcouldpbepaccidentallypharmedphandlingpaprazorpthatpwaspleftpout.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pCarter,pP.p(2012).pLippincottpTextbookpforpNursingpAssistantsp(3rdpEd.).pPhiladelphia,pPA:pWolterspKluwer/Lippincot
tpWilliamsp&pWilkins.pPagep370.p
2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagep321.
Itemp4pofp150
Which of the following is the best example of using reality orientation for
p p p p p p p p p p p p p
a resident with early dementia?
p p p p
A. "Yourpsonpplansptopvisitptodaypatp2:00pp.m."
B. "Youparepinpthepnursingphome.pIpamphereptophelppyou."
C. "ThispispyourpdaughterpAnna.pDopyouprememberpher?"
D. "Lookpatptheptime.pLunchpispinp30pminutes.pArepyoupfeelingphungry?"
Incorrectp
Rationale:pRealityporientationpispapprocesspofpremindingpandporientingpthepresidentptopperson,pplace,pandptime.pForpapr
esidentpwithpearlypdementia,pputtingptimepintopthepcontextpofpthepdaypandproutinepcanpbephelpful.pLunchpispappartpofpapli
feproutine,pandpremindingpthepresidentpaboutpthatpandprelatingpitptopeatingpandpbeingphungrypcanpbepreassuringpandphe
lpful.p
InpthepearlierpstagespofpAlzheimer’spdisease,pwhenpapresidentpmaypbepawarepandpfrightenedpbyplosspofpmemory,pavoid
pcontributingptopthepresident’spanxietypbypmakingpstatementspsuchpas,p"Don’tpyouprememberpyourpdaughter?"
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pDuganpD.p(2012).pNursingpAssisting:pApFoundationpinpCaregivingp(3rdpEd.).pAlbuquerque,pNM.pHartmanpPublishing,
pInc.pPagep415.p
2.pHedman,pS.,pFuzy,pJ.,pandpRymer,pS.p(2010).pHartman'spNursingpAssistantpCare:pLong-
TermpCarep(2ndpEd.).pAlbuquerque,pNM:pHartmanpPublishing,pInc.pPagep359.
Markpitempforpreview
Itemp5pofp150
, While feeding a resident, the nurse aide notices that the resident is coug
p p p p p p p p p p p p
hing a lot after each drink of fluid. What is the appropriate response by th
p p p p p p p p p p p p p p
e nurse aide?
p p
A. Allowpthepresidentpmoreptimeptopswallow.
B. Usepapstrawpwhenpgivingpthepresidentpfluids.
C. Addpapthickeningpproductptopthepresident'spfluids.
D. Stoppfeedingpandpaskpapnurseptopcheckpthepresident.
Correctp
Rationale:pWhenpapresidentpcoughspfrequentlypafterpdrinkingpfluids,pitpmaypindicatepthatpthepresidentpisphavingpsomepdi
fficultypswallowing.pThispdifficultypswallowingpcanpresultpinpfluidspgoingpintopthepresident’splung.pThispconditionpispknow
npaspaspiration.pItpcanpresultpinpthepdevelopmentpofpseriouspmedicalpconditions,psuchpasppneumonia,pwhichpmayprequir
epmedicalpattention.p
Thepnursepaidpshouldpnotifypthepnursepimmediately.pThepresidentpwillprequirepanpevaluationpofpthepresident’spabilityptop
swallow.pThickeningpagentsparepsometimespaddedptopliquidspforpresidentspthatphavepdifficultypswallowingpfluids,pbutpth
epusepofpthesepthickenerspispdecidedpbypthepphysicianpandpnotpthepnursepaide.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagesp386-387.p
2.pAlvare,pS..pFuzy,pJ.,pandpRymer,pS.p(2009).pHartman’spNursingpAssistantpCare:pLong-
TermpCarepandpHomepHealth.pAlbuquerque,pNM:pHartmanpPublishing,pInc.pPagep268.
Itemp6pofp150
A resident wears a hand splint. Which observation should the nurse aide
p p p p p p p p p p p p
report to the nurse immediately?
p p p p
A. Thepresident'spfingersparepcoldpandpbluepinpcolor.
B. Thepsplintpwaspremovedpaspscheduledpinpthepcarepplan.
C. Thepresidentpasksptophavepthepsplintpremovedpforpapfewpminutes.
D. Thepresidentpaskspthepnursepaideptoprepositionptheparmpwithpthepsplint.
Correctp
Rationale:pWhenpapresidentpwearspapsplint,pitpispimportantptopmakepsurepthepsplintpispappliedpproperlypandpispnotpcausi
ngppressurepthatpcouldpaffectpcirculation.pIfpnotpproperlypapplied,pthepsplintpcanpcauseppressure.pWhenpapresidentpwear
spapsplint,pthepcarepplanpmaypalsopincludepscheduledpperiodspforpremovingpthepsplintptopallowpthepskinptopbepopenptopai
rpandptoppromotepcirculation.pWhenpapresidentpwearspapsplint,pitpispimportantptopobservepforpanypchangespinpskinpcolorpi
npthepextremity,pwhichpifpobservedpshouldpbepreportedptopthepnursepimmediately.pSkinpcolorpchangespandpchangespinpt
heptemperaturepofpthepextremitypcouldpalsopbepsignspofpimpairedpcirculation.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pCarter,pP.pandpGoldschmidt,pW.p(2010).ppLippincott'spTextbookpforpLong-
TermpCarepNursingpAssistants:pApHumanisticpApproachptopCaregiving.pPhiladelphia,pPA:pWolterspKluwer/LippincottpW
illiamsp&pWilkins.pPagep159.p
2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagep429.
Markpitempforpreview
A resident falls from her chair when she has a seizure. Before the nurse
p p p p p p p p p p p p p p
arrives, the seizure is finished and the nurse aide observes the resident i
p p p p p p p p p p p p
s breathing. What should the nurse aide do next?
p p p p p p p p
A. Getpthepemergencypcart
B. Turnpthepresidentpontopherpside
C. Checkpifpthepresidentpispableptoptalk
D. Helppthepresidentpbackpintopthepchair
Incorrectp
Rationale:pAfterpapseizure,psalivapmayppoolpinpthepmouthpandpthepindividualpmaypalsopvomit.pTurningpthepresidentponto
pthepsideppreventspaspirationpbypallowingpthepfluidsptopdrainpoutpofpthepmouth.pThispispthepmostpimportantpactionpforpthe
pnursepaideptoptakepinpthispsituation.pThepnursepaidepshouldpnotpleavepthepresidentpunattendedpandpshouldpnotpmovept
hepresidentpuntilpcheckedpbypthepnurse.p
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pCarter,pP.p(2012).pLippincottpTextbookpforpNursingpAssistantsp(3rdpEd.).pPhiladelphia,pPA:pWolterspKluwer/Lippincottp
Williamsp&pWilkins.pPagep220.
2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagep706.
Markpitempforpreview
Itemp2pofp150
To prevent skin tears or shearing when moving the resident, the nurse ai
p p p p p p p p p p p p
de should
p
A. wearpglovesptopreducepfrictionpagainstpthepskin.
B. avoidppullingporpslidingpthepresidentpwhenpmoved.
C. tellpthepresidentptopbepcarefulpandpfollowpdirections.
D. askpthepresidentptopkeepparmspheldpoverpthepresident'sphead.
Correctp
Rationale:pThepskinpofpanpelderlypresidentpispthinpandpfragile.pPullingpbedpsheetspagainstpthepresident’spskin,porpslidingp
thepresidentpwhenpmovingporptransferring,pcanpcausepinjuryptopthepskin,psuchpaspskinptears.pThispispthepresultpofpsheari
ng.pGreatpcarepispneededptoppreventpskinptears.pActionsplikeprollingporpusingpapturningpsheet,pslide,porptransferpsheetpc
anphelppreducepthepriskpofpskinpinjury.p
Wearingpglovespwhenptransferringpapresidentpmaypbepappropriatepifpthepnursepaidepispatpriskpofpexposureptopbloodporpb
odypfluids,pbutpitpwillpnotppreventpshearingporpskinptears.pTellingpthepresidentptopfollowpdirectionsporphavingpthepresident
pholdparmspoverpthepheadpwillpnotppreventpskinptearsporpshearing.p
Understandingphowptoppreventpskinptearspispimportantpforpthepnursepaidepwhopsharespresponsibilitypforpthepsafetypofpre
sidents.pThepnursepaidepshouldpbepawarepthatpskinptearspareppainful,pandpthepskinpopeningpalsopincreasespthepresiden
t’spriskpforpinfection.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pAlvare,pS..pFuzy,pJ.,pandpRymer,pS.p(2009).pHartman’spNursingpAssistantpCare:pLong-
TermpCarepandpHomepHealth.pAlbuquerque,pNM:pHartmanpPublishing,pInc.pPagesp149pandp197.p
,2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagesp225pandp538-539.
Markpitempforpreview
,Itemp3pofp150
What should a nurse aide do with a used disposable razor?
p p p p p p p p p p
A. Throwptheprazorpawaypinpaptrashpcan.
B. Placeptheprazorpinpapsharpspcontainerpimmediately.
C. Clean,prinse,pandpdryptheprazorpsopitpcanpbepusedpagain.
D. Wrapptheprazorpinpappaperptowelpuntilpitpcanpbepthrownpaway.
Correctp
Rationale:pApdisposableprazorpispapsafetypconcernpbecausepitpispconsideredpapsharppandpapusedprazorpisplikelyptopalsop
havepbloodpcellsponpit.pSincepitpispconsideredpapsharppandppotentiallypcontaminatedpwithpbloodpcells,pitpmustpbepdispos
edpofpinpthepSharpspcontainer.pSafepdisposalpofpsharpspispappartpofpthepnursepaide’spresponsibilitypbecausepitppertainspt
opthepsafetypofpthepresident.p
Thepnursepaidepmustpalwayspbepawarepofpsafetypofpallpresidents,pbutpespeciallypconcernedpforpresidentspwhoparepconf
usedpandpcouldpbepaccidentallypharmedphandlingpaprazorpthatpwaspleftpout.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pCarter,pP.p(2012).pLippincottpTextbookpforpNursingpAssistantsp(3rdpEd.).pPhiladelphia,pPA:pWolterspKluwer/Lippincot
tpWilliamsp&pWilkins.pPagep370.p
2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagep321.
Itemp4pofp150
Which of the following is the best example of using reality orientation for
p p p p p p p p p p p p p
a resident with early dementia?
p p p p
A. "Yourpsonpplansptopvisitptodaypatp2:00pp.m."
B. "Youparepinpthepnursingphome.pIpamphereptophelppyou."
C. "ThispispyourpdaughterpAnna.pDopyouprememberpher?"
D. "Lookpatptheptime.pLunchpispinp30pminutes.pArepyoupfeelingphungry?"
Incorrectp
Rationale:pRealityporientationpispapprocesspofpremindingpandporientingpthepresidentptopperson,pplace,pandptime.pForpapr
esidentpwithpearlypdementia,pputtingptimepintopthepcontextpofpthepdaypandproutinepcanpbephelpful.pLunchpispappartpofpapli
feproutine,pandpremindingpthepresidentpaboutpthatpandprelatingpitptopeatingpandpbeingphungrypcanpbepreassuringpandphe
lpful.p
InpthepearlierpstagespofpAlzheimer’spdisease,pwhenpapresidentpmaypbepawarepandpfrightenedpbyplosspofpmemory,pavoid
pcontributingptopthepresident’spanxietypbypmakingpstatementspsuchpas,p"Don’tpyouprememberpyourpdaughter?"
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pDuganpD.p(2012).pNursingpAssisting:pApFoundationpinpCaregivingp(3rdpEd.).pAlbuquerque,pNM.pHartmanpPublishing,
pInc.pPagep415.p
2.pHedman,pS.,pFuzy,pJ.,pandpRymer,pS.p(2010).pHartman'spNursingpAssistantpCare:pLong-
TermpCarep(2ndpEd.).pAlbuquerque,pNM:pHartmanpPublishing,pInc.pPagep359.
Markpitempforpreview
Itemp5pofp150
, While feeding a resident, the nurse aide notices that the resident is coug
p p p p p p p p p p p p
hing a lot after each drink of fluid. What is the appropriate response by th
p p p p p p p p p p p p p p
e nurse aide?
p p
A. Allowpthepresidentpmoreptimeptopswallow.
B. Usepapstrawpwhenpgivingpthepresidentpfluids.
C. Addpapthickeningpproductptopthepresident'spfluids.
D. Stoppfeedingpandpaskpapnurseptopcheckpthepresident.
Correctp
Rationale:pWhenpapresidentpcoughspfrequentlypafterpdrinkingpfluids,pitpmaypindicatepthatpthepresidentpisphavingpsomepdi
fficultypswallowing.pThispdifficultypswallowingpcanpresultpinpfluidspgoingpintopthepresident’splung.pThispconditionpispknow
npaspaspiration.pItpcanpresultpinpthepdevelopmentpofpseriouspmedicalpconditions,psuchpasppneumonia,pwhichpmayprequir
epmedicalpattention.p
Thepnursepaidpshouldpnotifypthepnursepimmediately.pThepresidentpwillprequirepanpevaluationpofpthepresident’spabilityptop
swallow.pThickeningpagentsparepsometimespaddedptopliquidspforpresidentspthatphavepdifficultypswallowingpfluids,pbutpth
epusepofpthesepthickenerspispdecidedpbypthepphysicianpandpnotpthepnursepaide.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagesp386-387.p
2.pAlvare,pS..pFuzy,pJ.,pandpRymer,pS.p(2009).pHartman’spNursingpAssistantpCare:pLong-
TermpCarepandpHomepHealth.pAlbuquerque,pNM:pHartmanpPublishing,pInc.pPagep268.
Itemp6pofp150
A resident wears a hand splint. Which observation should the nurse aide
p p p p p p p p p p p p
report to the nurse immediately?
p p p p
A. Thepresident'spfingersparepcoldpandpbluepinpcolor.
B. Thepsplintpwaspremovedpaspscheduledpinpthepcarepplan.
C. Thepresidentpasksptophavepthepsplintpremovedpforpapfewpminutes.
D. Thepresidentpaskspthepnursepaideptoprepositionptheparmpwithpthepsplint.
Correctp
Rationale:pWhenpapresidentpwearspapsplint,pitpispimportantptopmakepsurepthepsplintpispappliedpproperlypandpispnotpcausi
ngppressurepthatpcouldpaffectpcirculation.pIfpnotpproperlypapplied,pthepsplintpcanpcauseppressure.pWhenpapresidentpwear
spapsplint,pthepcarepplanpmaypalsopincludepscheduledpperiodspforpremovingpthepsplintptopallowpthepskinptopbepopenptopai
rpandptoppromotepcirculation.pWhenpapresidentpwearspapsplint,pitpispimportantptopobservepforpanypchangespinpskinpcolorpi
npthepextremity,pwhichpifpobservedpshouldpbepreportedptopthepnursepimmediately.pSkinpcolorpchangespandpchangespinpt
heptemperaturepofpthepextremitypcouldpalsopbepsignspofpimpairedpcirculation.
Reference(s):
Examplespofpreferencespwherepknowledgepforpthispquestionpispcoveredpinclude:
1.pCarter,pP.pandpGoldschmidt,pW.p(2010).ppLippincott'spTextbookpforpLong-
TermpCarepNursingpAssistants:pApHumanisticpApproachptopCaregiving.pPhiladelphia,pPA:pWolterspKluwer/LippincottpW
illiamsp&pWilkins.pPagep159.p
2.pSorrentino,pS.p(2011).pMosby'spTextbookpforpLong-
TermpCarepNursingpAssistantsp(6thpEd.).pSt.pLouis,pMO:pElsevierpMosby.pPagep429.
Markpitempforpreview
