NUR 303 Nurse Aide Test Prep Practice Questions Answers Nursing Assistant Study Guide PDF Download

NUR 303 NURSE AIDE TEST PREP QUESTIONS AND
ASNWERS
Item 1 of 150
A resident falls from her chair when she has a seizure. Before
the
nurse arrives, the seizure is finished and the nurse aide
observes the resident is breathing. What should the nurse
aide do next?
A
Get the emergency cart
.
B. Turn the resident onto her side
C. Check if the resident is able to talk
D
Help the resident back into the chair
.
Incorrect

Rationale: After a seizure, saliva may pool in the mouth and the individual may also vomit. Turning the
resident onto the side prevents aspiration by allowing the fluids to drain out of the mouth. This is the
most important action for the nurse aide to take in this situation. The nurse aide should not leave the
resident unattended and should not move the resident until checked by the nurse.

Reference(s):
Examples of references where knowledge for this question is covered include:
1. Carter, P. (2012). Lippincott Textbook for Nursing Assistants (3rd Ed.). Philadelphia, PA: Wolters
Kluwer/Lippincott Williams & Wilkins. Page 220.
2. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO:
Elsevier Mosby. Page 706.
Mark item for review




Item 2 of 150
To prevent skin tears or shearing when moving the resident,
the nurse
aide should
A. wear gloves to reduce friction against the skin.
B. avoid pulling or sliding the resident when moved.

C tell the resident to be careful and follow directions.
.
D ask the resident to keep arms held over the resident's head.
.
Correct

Rationale: The skin of an elderly resident is thin and fragile. Pulling bed sheets against the resident’s
skin, or sliding the resident when moving or transferring, can cause injury to the skin, such as skin
tears. This is the result of shearing. Great care is needed to prevent skin tears. Actions like rolling or
using a turning sheet, slide, or transfer sheet can help reduce the risk of skin injury.
Wearing gloves when transferring a resident may be appropriate if the nurse aide is at risk of exposure
to blood or body fluids, but it will not prevent shearing or skin tears. Telling the resident to follow
directions or having the resident hold arms over the head will not prevent skin tears or shearing.
Understanding how to prevent skin tears is important for the nurse aide who shares responsibility for
the safety of residents. The nurse aide should be aware that skin tears are painful, and the skin
opening also increases the resident’s risk for infection.

,NUR 303 NURSE AIDE TEST PREP QUESTIONS AND
ASNWERS
Reference(s):
Examples of references where knowledge for this question is covered include:
1. Alvare, S.. Fuzy, J., and Rymer, S. (2009). Hartman’s Nursing Assistant Care: Long-Term Care and Home
Health. Albuquerque, NM: Hartman Publishing, Inc. Pages 149 and 197.
2. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO:
Elsevier Mosby. Pages 225 and 538-539.


Item 3 of 150
What should a nurse aide do with a used disposable razor?
A
Throw the razor away in a trash can.
.
B. Place the razor in a sharps container immediately.
C. Clean, rinse, and dry the razor so it can be
used again.
D
Wrap the razor in a paper towel until it can be thrown away.
.
Correct

Rationale: A disposable razor is a safety concern because it is considered a sharp and a used razor is
likely to also have blood cells on it. Since it is considered a sharp and potentially contaminated with
blood cells, it must be disposed of in the Sharps container. Safe disposal of sharps is a part of the
nurse aide’s responsibility because it pertains to the safety of the resident.
The nurse aide must always be aware of safety of all residents, but especially concerned for
residents who are confused and could be accidentally harmed handling a razor that was left out.

Reference(s):
Examples of references where knowledge for this question is covered include:
1. Carter, P. (2012). Lippincott Textbook for Nursing Assistants (3rd Ed.). Philadelphia, PA: Wolters
Kluwer/Lippincott Williams & Wilkins. Page 370.
2. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO:
Elsevier Mosby. Page 321.


Item 4 of 150
Which of the following is the best example of using reality
orientation
for a resident with early dementia?
A. "Your son plans to visit today at 2:00 p.m."
B. "You are in the nursing home. I am here to help you."
C. "This is your daughter Anna. Do you remember her?"
D
"Look at the time. Lunch is in 30 minutes. Are you feeling hungry?"
.
Incorrect




Dugan D. (2012). Nursing Assisting: A Foundation in Caregiving (3rd Ed.). Albuquerque, NM. Hartman

,NUR 303 NURSE AIDE TEST PREP QUESTIONS AND
ASNWERS

, NUR 303 NURSE AIDE TEST PREP QUESTIONS AND
ASNWERS
Item 5 of 150
While feeding a resident, the nurse aide notices that the
resident is coughing a lot after each drink of fluid. What is
the appropriate response by the nurse aide?
A
Allow the resident more time to swallow.
.
B. Use a straw when giving the resident fluids.
C. Add a thickening product to the resident's fluids.
D
Stop feeding and ask a nurse to check the resident.
.
Correct

Rationale: When a resident coughs frequently after drinking fluids, it may indicate that the resident
is having some difficulty swallowing. This difficulty swallowing can result in fluids going into the
resident’s lung. This condition is known as aspiration. It can result in the development of serious
medical conditions, such as pneumonia, which may require medical attention.
The nurse aid should notify the nurse immediately. The resident will require an evaluation of th e
resident’s ability to swallow. Thickening agents are sometimes added to liquids for residents that have
difficulty swallowing fluids, but the use of these thickeners is decided by the physician and not the
nurse aide.

Reference(s):
Examples of references where knowledge for this question is covered include:
1. Sorrentino, S. (2011). Mosby's Textbook for Long-Term Care Nursing Assistants (6th Ed.). St. Louis, MO:
Elsevier Mosby. Pages 386-387.
2. Alvare, S.. Fuzy, J., and Rymer, S. (2009). Hartman’s Nursing Assistant Care: Long-Term Care and Home


Item 6 of 150
A resident wears a hand splint. Which observation should
the nurse aide report to the nurse immediately?
A
The resident's fingers are cold and blue in color.
.
B. The splint was removed as scheduled in the
care plan.
C
The resident asks to have the splint removed for a few minutes.
.
D. The resident asks the nurse aide to reposition the arm with the splint.
Correct

Rationale: When a resident wears a splint, it is important to make sure the splint is applied properly
and is not causing pressure that could affect circulation. If not properly applied, the splint can cause
pressure. When a resident wears a splint, the care plan may also include scheduled periods for
removing the splint to allow the skin to be open to air and to promote circulation. When a resident
wears a splint, it is important to observe for any changes in skin color in the extremity, which if
observed should be reported to the nurse immediately. Skin color changes and changes in the
temperature of the extremity could also be signs of impaired circulation.
Reference(s):