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1. When checking the resident's urinary drainage bag, the nurse aide observes
that the resident has had about 50 ccs (mls) of urine output in the last six hours.
What should the nurse aide do first?
A.Begin offering the resident fluids to drink every 15 minutes.
B.Report the observation to the charge nurse immediately.
C.Ask if the resident is having any pain when urinating.
D.Check to see if the tubing is kinked or bent.: D.Check to see if the tubing is kinked or bent.
2. A resident is NPO because of nausea. What should the nurse aide do?
A.Give the resident fluids in small amounts.
B.Provide the resident with a small cup of ice chips.
C.Ask if the resident can handle any fluids with the nausea.
D. Remove any fluids at the bedside including the water pitcher.: D. Remove any fluids
at the bedside including the water pitcher.
3. A resident who has dementia is usually able to get dressed with some prompt-
ing. This morning the resident is more confused and needs more help with all
activities of daily living. What should the nurse aide do?
A.Tell the resident not to feel bad about needing more help today.
B.Provide extra help as needed to avoid the resident becoming frustrated.
C.Ask if the resident would prefer to stay in night clothes for the day.
D.Check if the resident will get dressed for another nurse aide.: B.Provide extra help as
needed to avoid the resident becoming frustrated.
4. The nurse aide is bathing a resident and notices new swelling in the resident's
ankles. Which of the following is the best response by the nurse aide?
A.Ask if the resident has been eating salty foods lately.
B.Elevate the resident's legs and check again later.
C.Report the swelling to the charge nurse.
D.Avoid bathing the resident's lower legs.b: C.Report the swelling to the charge nurse.
5. A nurse aide enters a room just as a resident's wife slaps the resident. The
resident does not seem upset or hurt. What should the nurse aide do?
A.Leave the room and close the door to allow privacy.
B.Consider if this is normal behavior for this couple.
C.Report the observation to the charge nurse immediately.
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D.Tell the wife that she must leave the facility for the day.: C. Report the observation to
the charge nurse immediately.
6. A resident has returned from the hospital after a hip replacement. The nurse
aide should expect that the resident will be
A.dependent and need total care.
B.confined to bed for several weeks.
C.going to physical therapy to increase mobility.
D.receiving range of motion (ROM) exercises to hip.: C. going to physical therapy to increase
mobility.
7. A resident tells the nurse aide that she has pain down her arms and into the
jaw and that she feels nauseated. The nurse aide observes that the resident
appears pale and is sweating. The nurse aide should
A.check the resident's arms and jaw for possible injury or bruising.
B.check the care plan to see if the resident is on heart attack precautions.
C.ask if the resident might have eaten something that has upset her stomach.
D.recognize the seriousness of the signs and observations and report immedi-
ately.: D. recognize the seriousness of the signs and observations and report immediately.
8. A resident, who is usually alert and oriented, is having difficulty remembering
where he is today. What should the nurse aide do first?
A.Increase the resident's fluids since dehydration causes confusion.
B.Consider that some memory loss is a normal part of aging.
C.Ask where the resident believes he is.
D.Report the change to the charge nurse.: D. Report the change to the charge nurse.
9. When giving perineal care to a male resident who is uncircumcised, the nurse
aide should
A.push the foreskin back to clean.
B.keep the foreskin in place over the penis.
C.wipe from the base of the penis towards the tip.
D.just cleanse the tip and directly over the urethra.: A. push the foreskin back to clean.
10. A resident who is Roman Catholic is dying. The resident comments that she
has not been to confession and she worries that she will die in a state of sin.
Which of the following is the best response by the nurse aide?
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A."Don't you think God knows you are in a nursing home?"
B."Would you like it arranged for a priest to visit you?"
C."Sounds like you are not ready to die."
D."Have you considered praying?": B."Would you like it arranged for a priest to visit you?"
11. A resident is admitted to the nursing home for rehabilitation after a stroke.
The plan is for the resident to stay only a short time, before returning home.
Which of the following shows the best support of the resident's needs?
A.Provide total care for the resident.
B.Set high standards for the resident's achievements.
C.Help the resident focus on even small accomplishments.
D.Remind the resident that she will be happier when she is home: C. Help the resident
focus on even small accomplishments
12. A few minutes before the end of the shift, a resident calls and whispers to
the nurse aide, "I had an accident. I wet myself." What should the nurse aide
do?
A.Explain that the next shift will assist the resident in a short time.
B.Remove any wet clothing and place the resident on a dry underpad.
C.Ask if the resident feels very uncomfortable.
D.Provide incontinent care to the resident.: D.Provide incontinent care to the resident.
13. When feeding a resident who is lying in bed, the head of the bed is raised to
A.make chewing food easier.
B.decrease the risk of aspiration.
C.improve the resident's digestion.
D.allow for better respirations between bites.: B.decrease the risk of aspiration (choking).
14. While performing range of motion exercises, the nurse aide notices that the
resident's elbow is stiff and will not bend. The nurse aide should
A.continue exercises but move onto another joint.
B.continue since stiff joints are a normal part of aging.
C.apply very gentle pressure to try to bend the elbow slightly.
D.suggest the resident see a physical therapist for the elbow.: A.continue exercises but
move onto another joint.
(Rationale: While some stiffness of joints may be part of the aging process, a resident's joints must not be forced from