STNA Practice Test 1

50 Questions  I  By Ajmeyer16933
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  • 1. 
    A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying that she can't find her baby. The nurse aide should
    • A. 

      Ask the resident where she last had her doll.

    • B. 

      Ask the activity department if they have any other doll.

    • C. 

      Offer comfort to the resident and help her look for her baby.

    • D. 

      Let the other staff know the resident is very confused and should be watched closely.


  • 2. 
    A nurse aide is asked to change a urinary bag attached to an indwelling urinary catheter. The nurse aide has never done this before. The besst response by the nurse aide is to
    • A. 

      Change the indwelling catheter at the same time.

    • B. 

      Ask another nurse aide to change the urinary drainage bag.

    • C. 

      Change the bag asking for help only if the nurse aide has promblems.

    • D. 

      Ask a nurse to watch the nurse aide change the bag since it is the first time.


  • 3. 
    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.


  • 4. 
    Which of the following is a job task performed by the nurse aide?
    • A. 

      Participating in resident care planning conferences.

    • B. 

      Taking a telephone order from a physician.

    • C. 

      Giving a medications to assigned residents.

    • D. 

      Changing sterile wound dressings.


  • 5. 
    Which of the following statements is true about range of motion (ROM) exercise?
    • A. 

      Done just once a day

    • B. 

      Help prevent strokes and paralysis

    • C. 

      Require at least ten repetitions of each exercise

    • D. 

      Are often performed during ADL's such as bathing or dressing


  • 6. 
    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 hair brush away and out of sight.

    • B. 

      Give the resident the hair brush to hold.

    • C. 

      Try to dress the resident more quickly.

    • D. 

      Restrain the resident's hand.


  • 7. 
    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.


  • 8. 
    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 resident's comfort.

    • C. 

      Keeping the resident's care routine, such as for bathing.

    • D. 

      Giving the resident a lot of quite time and privacy.


  • 9. 
    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.


  • 10. 
    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


  • 11. 
    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.


  • 12. 
    Which of the following statements is true about residents who are restrained?
    • A. 

      They are greater risk for developing pressure sores.

    • B. 

      They are at lower risk of developing pneumonia.

    • C. 

      Their posture and alignment are improved.

    • D. 

      They are not at risk for falling.


  • 13. 
    A resident has diabetes. Which of the following is a common sign of low blood sugar?
    • A. 

      Fever

    • B. 

      Shakiness

    • C. 

      Thirst

    • D. 

      Vomiting


  • 14. 
    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 the water cool to prevent burns.

    • D. 

      Apply lotion, including between the toes.


  • 15. 
    When feeding a resident, frequent coughing can be sign the resident is
    • A. 

      Choking.

    • B. 

      Getting full.

    • C. 

      Needs to drink more fluids.

    • D. 

      Having difficulty swallowing.


  • 16. 
    When a person is admitted to the nursing home, the nurse aide should expect that the resident will
    • A. 

      Have problems related to incontinence.

    • B. 

      Require a lot of assistance with personal care.

    • C. 

      Experience a sense of loss related to the life change.

    • D. 

      Adjust more quickly if admitted directly from the hospital.


  • 17. 
    A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should
    • A. 

      Tease the resident by complimenting the resident's sense of style.

    • B. 

      Ask if the resident realizes that the shoes do not match.

    • C. 

      Remind the resident that the nurse aide can dress the resident.

    • D. 

      Ask if the resident lost some of his shoes.


  • 18. 
    A resident's wife recently died. The resident is now staying in his room all the time and eating very little. The best response by the nurse aide is to
    • A. 

      Remind the resident to be thankful for the years he shared with his wife.

    • B. 

      Tell the resident that he needs to get 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.


  • 19. 
    When a resident refuses a bedbath, the nurse aide should
    • A. 

      Offer the resident a bribe.

    • B. 

      Wait a while 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.


  • 20. 
    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.


  • 21. 
    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 residentss 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.


  • 22. 
    Which of the following questions asked to the resident is most likely to encourage conversation? 
    • A. 

      Are you feeling tired today?

    • B. 

      Do you want to wear this outfit?

    • C. 

      What are your favorite foods?

    • D. 

      Is the water warm enough?


  • 23. 
    When trying to communicate with a resident who speaks 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.


  • 24. 
    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.


  • 25. 
    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 culture backround.

    • C. 

      Whether the resident has been sad recently.

    • D. 

      Whether the resident has family that visits routinely.


  • 26. 
    When a resident is expressing anger, the nurse aide should consider
    • A. 

      Correct the resident's misperceptions.

    • B. 

      Ask the resident to speak in a kinder tone.

    • C. 

      Listen closely to the resident's concerns.

    • D. 

      Remind the resident that everyone gets angry.


  • 27. 
    When giving a backrub, the nurse aide should
    • A. 

      Apply lotion to the back directly from the bottle.

    • B. 

      Keep the resident covered as much as possible.

    • C. 

      Leave extra lotion on the skin when compleeting the procedure.

    • D. 

      Exspect the resident to lie on his/her stomach.


  • 28. 
    A nurse aide finds a resident looking in the refrigerator at  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 the resident back to his room into bed.

    • B. 

      Ask the resident about his job and is 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.


  • 29. 
    Which of the following is true about caring for a resident who wears a hearing aid?
    • A. 

      Apply hairspray after the earing aid is in place.

    • B. 

      Remove the hearing aid before showering.

    • C. 

      Clean the earmold and battery case with water daily, drying completely.

    • D. 

      Replace batteries weekly.


  • 30. 
    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 a shuffling walk and tremors.


  • 31. 
    A resident who is inactive is at the 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


  • 32. 
    A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine drainage bag. The nurse aide should first
    • A. 

      Ask the resident to try urinating.

    • B. 

      Offer the resident fluid intake.

    • C. 

      Check for kinks in the tubing.

    • D. 

      Obtain a new urinary drainage bag.


  • 33. 
    A resident who is incontinent of urine has an increased risk of developing
    • A. 

      Dementia.

    • B. 

      Urinary tract infection.

    • C. 

      Pressure sores.

    • D. 

      Dehydration.


  • 34. 
    When cleansing the gential area during perineal care, the nurse aide should
    • A. 

      Cleanse the penis with a 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 are first, before cleansing the genital area.

    • D. 

      Use the same are on the washcloth for each washing and rinsing stroke for a female resident.


  • 35. 
    Which of the following is considered a mormal age-related change?
    • A. 

      Dementia

    • B. 

      Contractures

    • C. 

      Bladder holding less urine

    • D. 

      Wheezing when breathing


  • 36. 
    A resident  is on a bladder retraining program. The nurse aide should 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.


  • 37. 
    A resident who has stress incontinence
    • A. 

      Will have an indwelling urinary catheter.

    • B. 

      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.


  • 38. 
    The doctor has told the resident that his cancer is growing and that 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 the doctor would not lie.

    • C. 

      Suggest the resident ask for more tests.

    • D. 

      Ask if the resident is afraid of dying.


  • 39. 
    A slipknot is used when securing a restraint so that
    • A. 

      The restraint cannot be removed by the resident.

    • B. 

      The restrsint can be removed quickly when needed.

    • C. 

      Body alignment is maintained while wearing the restraint.

    • D. 

      It can be easilty observed whether the restraint is applied correctly.


  • 40. 
    When using personal protective equipment (PPE) the nurse aide correctly follows standard precautions when wearing
    • A. 

      Double gloves when providing perineal care to a resident.

    • B. 

      A amsk and gown while feeding a resident that coughs.

    • C. 

      Gloves to remove a resident's bedpan.

    • D. 

      Gloves while ambulating a resident.


  • 41. 
    To help prevent resident falls, the nurse aide should
    • A. 

      Always raise siderails when any residents is in his/her bed.

    • B. 

      Leave residents' beds at the lowest level when care is complete.

    • C. 

      Encourage residents to wear larger-sized, loose fitting clothing.

    • D. 

      Remind residents who use call lights that they need to wait patiently for staff.


  • 42. 
    As the nurse aide begins his/her assignment, which of the following should the nurse aide do first?
    • A. 

      Collect linen supplies for the shift

    • B. 

      Check all the 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 theraphy in one hour


  • 43. 
    Which of the following would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse to be ineligible to work in a nursing home? 
    • A. 

      Haveing been terminated from another facility for repeated tardiness.

    • B. 

      Missing a manatory infection control inservice training program.

    • C. 

      Failing to show for work without calling to report the absence

    • D. 

      Having a finding for resident neglect.


  • 44. 
    To help prevent the spread of germs between patients, nurse aide 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 spread germs.


  • 45. 
    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 the water off

    • 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


  • 46. 
    When moving a resident up in bed who is able to move with assistance, the nurse aide should
    • A. 

      Position self with knees straight and bent at the waist.

    • B. 

      Use a gait or transfer belt to assist with the 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.


  • 47. 
    The resident's weight is abtained routinely as a way to check the resident's
    • A. 

      Growth and development.

    • B. 

      Adjustment to the facility.

    • C. 

      Nutrition and health.

    • D. 

      Activity level.


  • 48. 
    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 plan otions that are based on financial need.

    • C. 

      To have religious services offered at the facility daily.

    • D. 

      To make decisions and participate in own care.


  • 49. 
    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


  • 50. 
    Considering the resident's activity, which of the following sets of vital signs should be reported to the charge immediately?
    • A. 

      Resting: 98.6* 98-32

    • B. 

      After eating: 97.0* 64-24

    • C. 

      After walking exercise: 98.2* 98-28

    • D. 

      While watching television: 98.8* 72-14


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