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Q.1)	Which of the followin should you observe and record when admittin a client?

A.	color of the stool and amount of urine voided

B.	how much the client has eaten and drunk

C.	bruises,marks,rashes,or broken skin

D.	insurance information

Q.2)	When responding to a client on the intercom you should

A.	ask for the client's name.

B.	say,"What do you want?"

C.	give your name and position and sy "may I help you?"

D.	say,"The nuse will answer your call."

Q.3)	Which of the following things should you do to familiarize a new client with his or her surroundings?

A.	Show the client where the call light is and how to work it.

B.	Tell the client no to operate the TV.

C.	Ask visitors to leave the room while you finish admittin th client.

D.	Raise the side rails of the bed and raise the bed to high position.

Q.4)	When arranging a patient's room, you should do all of the following EXCEPT

A.	check signal cords.

B.	adjust the back and knee rests as directed,

C.	administer medications.

D.	check lighting

Q.5)	When assistin a client in and out of bed, the nurse aide should always

A.	employ body mechanic techniques.

B.	get another person to help.

C.	pull the client's fee out first, and then lift the back up.

D.	put shoes on the client because the patient may slip

Q.6)	When should you wash your hands?

A.	when you notice they look or feel dirty

B.	when the charge nurse tells you to

C.	at least twice daily

D.	before and after contact with a patient

Q.7)	Which of the following is correct procedure for serving a meal to a client who mut be fed?

A.	serve the tray along with all the other trays, and then come back to feed the client

B.	bring the tray to the client last; feed after you have served all other clients

C.	bring the tray into the room when yo are ready to feed the client

D.	have the kichen hold the tray for one hour

Q.8)	The MOST serious problem that wrinkles in the bedclothes can caues is

A.	restlessness.

B.	sleeplessness.

C.	decubitus ulcers.

D.	bleeding and shock.

Q.9)	An important way to reduce the incidence of decubitus ulcers is to

A.	keep the clientin bed.

B.	force fluids every 2 hours.

C.	change position every 2 hours.

D.	all of the above.

Q.10)	You are told to put a client in Fowler's position. Before changing the position of the client's bed you should

A.	open the window.

B.	explain the procedure to the client.

C.	check with the client's family.

D.	remaike the bed.

Q.11)	During had washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The NEXT action is to

A.	allow the water to run over the hands for two minutes.

B.	dry the hands and turn off the faucet with th paper towel.

C.	repeat the wash form the beginning.

D.	none of the above

Q.12)	When giving mouth care to an unconscious patient, the safest position to privent aspiraion is

A.	on her aor his back.

B.	in semi-Fowler's position.

C.	with the head turned to the side.

D.	in the supine position

Q.13)	Mr. Roark, a newly admitted conscious client, has been put to bed. Before leaving him alone, the FIRST ction would be to

A.	ask him if he is hungry.

B.	inspect his skin.

C.	complete the listing of clothing and valuables.

D.	make sure he knows how to use the call light.

Q.14)	Whe lifting a heavy object, the correct method would be to bend at the

A.	wast, keeping your legs straight.

B.	wast, rounding your shoulders.

C.	knees, keeping your back straight.

D.	knees and waist.

Q.15)	When cleaning a client's dentures at the sink the reason th either line the emesis basin wiht a paper towel or to fill the sink with water is to

A.	prevent contamintion of the dentures.

B.	hide the dentures from view.

C.	guard against breaking the dentures.

D.	protect the basin from scratches.

Q.16)	When assistin a client with eating, one of the FIRST things the nurse aide should do is

A.	cut the food into large bite-size pieces.

B.	wash his/her hads and the client's hands.

C.	butter the client's bread.

D.	provide the client with privacy.

Q.17)	A patien has a new cast on his right arm. While caring for him, it is improtant to FIRST observe for

A.	pulse above the cast.

B.	color and hardness of the cast.

C.	warmth and color of fingers.

D.	signs of crumbling at the cast end.

Q.18)	Encouraging a client to take part in activities fo daily living (ADLS) such as bathing, combing hair, and feedin is

A.	done only when time permits.

B.	the family's reponsibility.

C.	necessary for rhabilitation.

D.	a violation fo client rights.

Q.19)	In carin for a confused ederly man, it is improtant to remember to

A.	keep the dedrails up excrpt when you are at the deside.

B.	close the door to the room so that he does not disturb other patients

C.	keep the room dark and quiet from becoming upset.

D.	remind him each mourning to showe and shave independently.

Q.20)	Before assisting a client into wheelchair, the FISRT action would be to check if the

A.	client is adequately covered.

B.	floor is lippery.

C.	door to the room is closed.

D.	wheels fo the chair are locked.

Q.21)	While giving an unconsious patient a bath, it is important to

A.	passive range of motion to all joints,

B.	let the charge nurse exercie the patient's joints.

C.	call the physical therapist to exercise the patient afterwards.

D.	exercise the patient only if the doctor has ordered it

Q.22)	Yor are assigned to assist Mrs. Kelley with her lunch. She is on bed rest. The BEST position for her, if permitted, would be

A.	Tredelenberg position.

B.	hyperextension.

C.	legs dangling at the side of the bed.

D.	Fowler's position.

Q.23)	When moving a wheelchair onto and elevator, you should stay

A.	behind the chair, pulling it toward you.

B.	behind the chair, pushing it away from you.

C.	in fron of client to observe his or her condition.

D.	to the side and hold the door open.

Q.24)	The Foley bag must be kept lower than the client's bladder so that

A.	urine will not leak out, soiling the bed.

B.	urine will not return to the bladder, causing infection.

C.	the bag will be hidden and theclient will not be embarrassed.

D.	the client will be more comfortable in bed.

Q.25)	Mrs. Black is a diabetic. For her midafternoon nourishment, the kitchen has sent a cartoon of chocolate ice cream.Your FIRST action should be to

A.	substitue diet cola for ice cream.

B.	hold the nourishment adn report to the charge nurse.

C.	ask the secretary to notify the kitchen of an errir,

D.	ask Mrs. Black if she like ice cream.

Q.26)	When assisting a client to use the bedside commode, it is important to

A.	leave the call light within reach.

B.	place toilet tissue close by.

C.	return to check on the client periodically.

D.	all of the above.

Q.27)	When assistin Mr. Byrd, a blind client, with his meal, it is NECESSARY to

A.	sit next to him to help.

B.	identify each item on his tray.

C.	feed him so he won't spill his food

D.	insist that he use only a spoon.

Q.28)	The purpose of cold applications is usually to

A.	speed the flow of blood to the area.

B.	prevent heat exhaustion.

C.	prevent or reduce swelling.

D.	prevent the formation of scar tissue.

Q.29)	The hot water bottle is an example of a

A.	local dry heat application.

B.	generalized dry heat application.

C.	local moist heat appliction.

D.	generalized moist heat application.

Q.30)	Clients receiving an enema are usully placed

A.	on the right side.

B.	on the left side.

C.	flat on the back.

D.	in a semisitting position

Q.31)	A female client's perineal are should be cleansed before which specimen is collected?

A.	24-hor urine specimen

B.	midstream clean-catch urine specimen.

C.	pediatric routine urine specimen

D.	routine urine specimen

Q.32)	The most common site for counting the pulse is the

A.	carotid artery.

B.	fermoral artery.

C.	brachial artery.

D.	radial artery.

Q.33)	Whe counting respirations, the nurse aide should

A.	wait until after the client has exercised.

B.	not tell the patient what you are going to do.

C.	count five respirations and then check your watch.

D.	have the client count respirations whilse you take her pulse.

Q.34)	With catherized patients, which of the following is NOT the nurse aide's responsibilty?

A.	insertion of catheter

B.	prevention of inferction

C.	checking to make sure the catheter is drainin properly

D.	recording output

Q.35)	When giving information to the charge nurse for an incident report, the nurse aide should

A.	write in the client's chart that an incident occurred.

B.	keep the report in you personal file.

C.	stat the facts clearly.

D.	give you opinions as to the cause of the incident.

Q.36)	All long-term-care nurse aides must be competency evaluated and must complete a distinct ecducaion course, These requiremnets are set by

A.

OBRA.

B.

OSHA.

C.

CDC.

D.

FDA.

Q.37)	Sexuality changes in aging can result in

A.	decreased sexual desire.

B.	unchanged sexual desire.

C.	increased sexual desire.

D.	all of the above

Q.38)	When family members visit a client, the visitors should

A.	stay in the day room.

B.	stay a short while so as not to tire the client.

C.	be expected to help with care.

D.	be allowed privacy with the client.

Q.39)	You may attend resident council meetings in an eldercare facilty (ECF) if

A.	you are invited to attend.

B.	your superior assigns you to attend.

C.	you are interested in what the residents are discussing.

D.	none of the above

Q.40)	Which of the followin is considered a client's right?

A.	having curtains pulled during personal care

B.	having pesonal information kept confidential

C.	receiving and sending private mail

D.	all of the above

Q.41)	An ECF resident wishes to wash her own underwear. You should

A.	ignore the request.

B.	tell her that clothing must go to the laundry.

C.	tell her you will do it.

D.	help her obtain suppies.

Q.42)	In the long-term-care facility, the family members shuld be ased to

A.	leave during treatments.

B.	attend care-planning meetings.

C.	avoid visiting during mealtimes.

D.	help perform client care.

Q.43)	Sexuality in long-term-care clients may include all the following except

A.	needing private time with a partner.

B.	caring about one's physical appearance.

C.	engaging in public fonding.

D.	desirin sexual interaction.

Q.44)	Which statement about some patients with developmental disabilities is correct?

A.	They usually have no ADL skills.

B.	They are usually bed bound.

C.	They can learn, but at a slow pace.

D.	They are dangerous because they are always strong.

Q.45)	A goal for an ECF resident is that she not swear at times or aides. Whe she calls you by your name, your appropriate action is to

A.	smile and give the appropriate reward.

B.	continue whatever task that is being done.

C.	tease the resident about not swearing.

D.	tell all of the staff that she didn't swear.

Q.46)	An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to

A.	turn on the light.

B.	speak quietly and calmly.

C.	touch her shoulder.

D.	shout her name.

Q.47)	If a client objects to certain food for religious or cultural reasons, the appropriate action would be to

A.	tell him to wait for the next meal.

B.	offer to substitute something different for him.

C.	call the dietician on the next day.

D.	tell him he needs to eat what is on his tray.

Q.48)	The client's religion forbids eatin pork. Bacon is being served for breakfast. The MOST appropriated response is to

A.	encourage the client to eat it because she needs protein.

B.	tell the client it is all right since her doctor ordered the diet.

C.	call the kitchen for a tray without bacon.

D.	tell the client that restricion don't pertain in times of illness.

Q.49)	If a client asks a question you cannot answer, the best response is to

A.	tell the client you will ask another aide.

B.	ask the charge nurse to talk to the client.

C.	call the doctor to talk to the client.

D.	tell the client that you cannot answer the question.

Q.50)	Befor bathing a client, the nursina assistant should

A.	close the door and pull the curtain

B.	gather a change of clothing

C.	check for a doctor's order

D.	all of the above

Q.51)	On enterin a room, you noticee that the client is no breathing. Your FIRST action should be to

A.	call for help.

B.	lay the client down onhis back.

C.	give four qiuck breaths.

D.	give 8-10 abdominal thrusts.

Q.52)	A client's dentures are lost, The first action would be to

A.	notify the administrattor.

B.	look for them.

C.	notify the doctor.

D.	notify the charge nurse.

Q.53)	As a nurse aide, it is you reposibility to

A.	plan the client's care.

B.	do the tasks the supervisor assigns to you.

C.	do the best you can without asking for help.

D.	compare assignments with your coworkers.

Q.54)	A patient turns on the call light when he needs to urinate. The apporpriate action is to

A.	ignore the light since he is not your client.

B.	announce on the intercom that there are two patients ahead fo him.

C.	answer the call light and get the urinal.

D.	answer the call light when you have the time.

Q.55)	A prosthesis is

A.	an artificial substitute for a missing body part.

B.	a device for moving patients.

C.	an expected condition of the aging process.

D.	a disease fo the circulatory system.

Q.56)	When performin catheter care, the nurse aide should wash the catheter

A.	toward the meatus.

B.	with Betadine soap.

C.	away from the meatus.

D.	with alcohol.

Q.57)	A nurse aide who applies restraints on a client without directions from the charge nurse may be accuesd of

A.

slander.

B.

battery.

C.	false imprisonment.

D.	negligence.

Q.58)	H.S. care is care that is given

A.	before meals.

B.	before bedtime.

C.	after meals.

D.	upon awakening,

Q.59)	The BEST food choices for a geriatric client with no teeth would include

A.	hamburger,french fries, corn, and ice cream..

B.	baked chicken, dressin, green beans, and coconut macroons.

C.	spare ribs, macaroni and cheese, coleslaw, and fruit cicktail.

D.	baked fish whipped potatoes, spinach souffle.

Q.60)	The family wants to talk about Bill's approaching death,but Bill does not.The family should be encouraged to

A.	carry on the conversation away from Bill.

B.	talk freely in the room regardless of Bill's wishes.

C.	wait until Bill dies.

D.	try to encourage Bill to take part in the cnoversation.

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