Back to AI Flashcard MakerNursing /Nurse Aide Certification Exam Part 4

Nurse Aide Certification Exam Part 4

Nursing50 CardsCreated 4 months ago

Comprehensive flashcard-style study guide for CNA/Nurse Aide certification exams, covering essential topics including infection control, safety, resident care, legal responsibilities, ethics, communication, chronic conditions, and emergency procedures. Ideal for fast review and exam preparation.

A nurse aid is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aid has never done this before. The best response by the nurse aide is to

ask a nurse aid to watch the nurse aid change the bag since it is the first time

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Term
Definition

A nurse aid is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aid has never done this before. The best response by the nurse aide is to

ask a nurse aid to watch the nurse aid change the bag since it is the first time

Before feeding a resident, which of the following is the best reason to wash the resident's hands?

(A) The resident may still touch his/her mouth or food.
(B) It reduces the risk of spreading airborne diseases.
(C) It improves resident morale and appetite.
(D) The resident needs to keep meal routines

A The resident may still touch his/her mouth or food.

Which of the following is a job task performed by the nurse aid?

A. Participating in resident care plannning conferences
B. Taking a telephone order from a physician
C. Giving medications to assigned residents
D. Changing sterile wound dressings

A Participating in resident care plannning conferences

Which of the following statements is true about range of motion excersises?
A. Done just once a day
B. Help prevent strokes and paralysis
C. Require at least 10 reps of each excersise
D. Are performed during adls such as bathing or dressing

D Are performed during adls such as bathing or dressing

While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should

(A) put the hairbrush away and out of sight.
(B) give the resident the hairbrush to hold.
(C) try to dress the resident more quickly.
(D) restrain the resident's hand.

B

A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to

(A) ask the resident to take deep breaths.
(B) take the resident's vital signs.
(C) raise the head of the bed.
(D) elevate the resident's feet.

C

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TermDefinition

A nurse aid is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aid has never done this before. The best response by the nurse aide is to

ask a nurse aid to watch the nurse aid change the bag since it is the first time

Before feeding a resident, which of the following is the best reason to wash the resident's hands?

(A) The resident may still touch his/her mouth or food.
(B) It reduces the risk of spreading airborne diseases.
(C) It improves resident morale and appetite.
(D) The resident needs to keep meal routines

A The resident may still touch his/her mouth or food.

Which of the following is a job task performed by the nurse aid?

A. Participating in resident care plannning conferences
B. Taking a telephone order from a physician
C. Giving medications to assigned residents
D. Changing sterile wound dressings

A Participating in resident care plannning conferences

Which of the following statements is true about range of motion excersises?
A. Done just once a day
B. Help prevent strokes and paralysis
C. Require at least 10 reps of each excersise
D. Are performed during adls such as bathing or dressing

D Are performed during adls such as bathing or dressing

While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should

(A) put the hairbrush away and out of sight.
(B) give the resident the hairbrush to hold.
(C) try to dress the resident more quickly.
(D) restrain the resident's hand.

B

A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to

(A) ask the resident to take deep breaths.
(B) take the resident's vital signs.
(C) raise the head of the bed.
(D) elevate the resident's feet.

C

A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on

A. helping the resident through the stages of grief
B. providing for the residents comfort
C. keeping the residents routine, such as for bathing
D. Giving the resident a lot of quiet time

B

While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should

(A) wait a few minutes to see if the alarm stops.
(B) report the alarm to the charge nurse immediately.
(C) make the resident being bathed safe and go check the door right away.
(D) stop the bedbath and go check on the location of all assigned residents.

C

Gloves should be worn for which of the following procedures?

(A) Emptying a urinary drainage bag
(B) Brushing a resident's hair
(C) Ambulating a resident
(D) Feeding a resident

A

When walking a resident, a gait or transfer belt is often

(A) worn around the nurse aide's waist for back support.
(B) used to keep the resident positioned properly in the wheelchair.
(C) used to help stand the resident, and then removed before walking.
(D) put around the resident's waist to provide a way to hold onto the resident.

D

Which of the following statements is true about residents who are restrained?
A. They are at a greater risk for developing pressure sores
B. They are at a lower risk for developing pnemonia
C. Their posture and alignment are improved
D. They are not at risk for falling

A

A resident had diabetes. Which of the following is a common sign of a low bloodsugar?
A. fever
B. Shakiness
C. Thirst
D. Vomiting

B. Shakiness

When providing foot care to a resident it is important for the nurse aide to
A. remove calluses and corns.
B. check the feet for skin breakdown
C. keep water cool to prevent burns
D. apply lotion, including between the toes

B

When feeding a resident, frequent coughing can be a sign the resident is

(A) choking.
(B) getting full.
(C) needs to drink more fluids.
(D) having difficulty swallowing.

D

When a person is admitted to the nursing home, the nurse aid should expect that the resident will
A. have problems related to incontinence
B. require a lot of assistance with personal care
C. expeirence a sense of loss related to life change
D. adjust more quickly if admitted directly from the hospital

C

A resident gets dressed and comes out of his room wearing shoes that are from two different pairs the nurse aid should

ask if the resident realizes that the shoes do not match

A residents wife jhust died. the resident is now staying in room all the time no eating. what should nurse aide do.
A. remind the resident to be thankul for the years spent with his wife
B. tell the resident that he needs to get out of his room at least once a day
C. understand the resident is grieving and give him chances to talk
D. avoid mentioning his wife when caring for him

C

When a resident refuses a bedbath, the nurse aide should

(A) offer the resident a bribe.
(B) wait awhile and then ask the resident again.
(C) remind the resident that people who smell don't have friends.
(D) tell the resident that nursing home policy requires daily bathing.

B

When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to

(A) show the resident that the nurse aide is in control.
(B) call for help to make sure there are witnesses.
(C) explain that if the resident is not calm a restraint may be applied.
(D) step back to protect self from harm while speaking in a calm manner.

D

During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to

(A) remain calm and ask what is upsetting the resident.
(B) begin removing all the other residents from the dining room.
(C) scold the resident and ask the resident to leave the dining room immediately.
(D) remove the resident's plate, fork, knife, and cup so there is nothing else to throw.

A

Which of the following questions asked to the resident is most likely to encourage conversation?
A. Are you feeling tired?
B. Do you want to wear this outfit
C. What are your favorite foods?
D. Is the water warm

C

When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should

(A) use pictures and gestures.
(B) face the resident and speak softly when talking.
(C) repeat words often if the resident does not understand.
(D) assume when the resident nods his/her head that the message is understood.

A

While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to

(A) contact the state agency that inspects the nursing facility.
(B) enter the room immediately to provide for the resident's safety.
(C) wait to confront the nurse aide when he/she leaves the resident's room.
(D) check the resident for any signs of injury after the nurse aide leaves the room.

B

Before touching a resident who is crying to offer comfort, the nurse aide should consider

(A) the resident's recent vital signs.
(B) the resident's cultural background.
(C) whether the resident has been sad recently.
(D) whether the resident has family that visits routinely.

B

When a resident is expressing anger, the nurse aide should:A. Correct residents misperceptions.B. Ask resident to speak in a kinder tone.C. Listen closely to resident's concerns.D. Remind resident that everyone gets angry.

C. Listen closely to resident's concerns.

When giving a backrub, nurse aide should:A. Apply lotion to the back directly from the bottle.B. Keep resident covered as much as possible.C. Leave extra lotion on skin when completing the procedure.D. Expect resident to lie on his/her stomach

B. Keep resident covered as much as possible.

A nurse aide finds a resident looking in the refrigerator at the nurses' station at 5 a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to:A. Help resident back into his room and back to bed.B. Ask resident about his job and if he is hungry.C. Tell him that residents are not allowed in the nurses' station.D. Remind him that he is retired from his job and in a nursing home.

B

Which of the following is true about caring for a resident who wears a hearing aid?A. Apply hairspray after hearing aid is in place.B. Remove hearing aide before showering.C. Clean earmold and battery case with water daily, drying completely.D. Replace batteries weekly.

B

Residents with Parkinson's disease often require assistance with walking because they:A. Become confused and forget how to take steps without help.B. Have poor attention skills and do not notice safety problems.C. Have visual problems that require special glasses.D. Have shuffling walk and tremors.

D

A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation.A. Adequate fluid intake.B. Regular mealtimes.C. High protein diet.D. Low fiber diet.

A

A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first:A. Ask the resident to try urinating.B. Offer the residents fluid to drink.C. Check for kinks in the tubing.D. Obtain a new urinary drainage bag.

C

A resident who is incontinent of urine has an increased risk for developing:A. Dementia.B. Urinary tract infections.C. Pressure sores.D. Dehydration.

C

When cleansing the genital area during peri care, the nurse aide should:
A. Cleanse penis with circular motion starting from the base and moving toward the tip.B. Replace the foreskin when pushed back to cleanse an uncircumcised penis.C. Cleanse the rectal area first, before cleansing the genital area.D. Use the same area on the washcloth for each washing and rinsing stroke for a female residen

B

Which of the following is considered a normal age-related change?A. Dementia.B. Contractures.C. Bladder holding less urine.D. Wheezing when breathing.

C

A resident is on a bladder restraining program. The nurse aide can expect the resident to:A. Have a fluid intake restriction to prevent sudden urges to urinate.B. Wear an incontinent brief in case of an accident.C. Have an indwelling urinary catheter.D. Have a schedule for toileting.


D. Have a schedule for urinating.

A resident who has stress incontinence:A. Will have an indwelling catheterB. Should wear an incontinent brief at night.C. May leak urine when laughing or coughing.D. Needs toileting every 1-2 hours throughout the day.


C. May leak urine when laughing or coughing.

The doctor has told the resident that his cancer is growing and he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should:A. Understand that denial is a normal reaction.B. Remind the resident that the doctor would not lie.C. Suggest the resident to ask for more tests.D. Ask if the resident is afraid of dying.

A. Understand that denial is a normal reaction.

A slipknot is used when securing a restraint so that:A. The restraint cannot be removed by the resident.B. The restraint can be removed quickly when needed.C. Body alignment is maintained while wearing the restraint.D. It can be easily observed whether the restraint is applied correctly

B. The restraint can be removed quickly when needed.

When using personal protective equipment (PPE) the nurse aide correctly follows Standard Precautions when wearing:
A. Double gloves when providing peri care to a resident.B. A mask and gown while feeding a resident that coughs.C. Gloves to remove a resident's bedpans.D. Gloves while ambulating a resident.

C

To help prevent resident falls, the nurse aide should:
A. Always raise siderails when any resident is in his/her bed.B. Leave residents beds at the lowest level when care is complete.C. Encourage resident to wear larger-sized, loose-fitting clothing.D. Remind resident who use call lights that they need wait patiently for staff.

B. Leave resident's bed at lowest level when care is complete.

As the nurse aide begins his/her assignment, which of the following should nurse aide do first?A. Collect linen supplies for the shift.B. Check all nurse aide's assigned residents.C. Assist a resident that has called for assistance to get off the toilet.D. Start bathing a resident that has physical therapy in one hour.

C. Assist a resident that has called for assistance to get off the toilet.

Which of the following would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse aide to be ineligible to work in a nursing home?
A. Having been terminated from another facility for repeated tardiness.B. Missing a mandatory infection control inservice training program.C. Failing to show up for work without calling to report the absence.D. Having a finding for resident neglect.

D. Having a finding for resident neglect.

To help prevent the spread of germs between patients, nurses aides should:
A. Wear gloves when touching residents.B. Hold supplies and linens away from their uniforms.C. Wash hands for at least two minutes after each resident contact.D. Warn residents that holding hands spreads germs.

B. Hold supplies and linens away from their uniforms.

When a sink has hand-control faucets, the nurse aide should use:
A. A paper towel to turn the water on.B. A paper towel to turn off the water.C. An elbow, if possible to turn the faucet controls on and off.D. Bare hands to turn the faucet controls both on and off.

B

When moving a resident up in bed who is able to move with assistance, the nurse aide should:
A. Position self with knees staright and bent at waist.B. Use a gait or transfer belt to assist with repositioning.C. Pull the resident up holding onto one side of the drawsheet at a time.D. Bend the resident's knees and ask the resident to push with his/her feet.

D. Bend the resident's knees and ask the resident to push with his/her feet.

The residents weight is obtained routinely as a way to check the resident's:A. Growth and development.B. Adjustment to facility.C. Nutrition and health.D. Activity level.

C. Nutrition and health.

which of the following is a right that is included in the Resident's Bill of Rights?
A. To have staff available that speak different languages on each shift.B. To have payment plans that are based on financial needs.C. To have religious servies offered at the facility daily.D. To make decisions and participate in own care.

D. To make decisions and participate in own care

Which of the following, if observed as a sudden change in the resident is considered a possible warning sign of a stroke?
A. Dementia.B. Contractures.C. Slurred Speech.D. Irregular Heartbeat.

C. Slurred Speech.

Considering the resident's activity, which of the following sets of vital signs [temp-pulse-respiration-BP] should be reported to the charge nurse immediately?
A. Resting: 98.6-98-32 // 140-90
B. After eating: 97-64-24 // 120-80
C. After walking exercise: 98.2-98-28 // 125-70
D. While watching television: 98.8-72-14 // 110-60

A. Resting [high respirations] 98.6-98-32 // 140-90

of the following, which is most likely due to an infection in a resident?
A. Pale skin
B. Tented skin
C. Sudden onset confusion
D. Aphasia

C. Sudden onset confusion
Tinted or tented skin is normal and pale skin
aphasia could indicate stroke