Advanced Certified Nursing Assistant Practice Test!

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Advanced Certified Nursing Assistant Practice Test! - Quiz

Advanced Certified Nursing Assistant Practice Test! A nurse's job is not a nut job but more of a severe duty that must be carried out with dedication and persistence. But before reaching there, you must have the certification exam cleared, which again requires hard work. So, that's why this quiz is created to help you prepare for the exam. Take it, examine and keep your knowledge updated. All the best!


Questions and Answers
  • 1. 

    It is important to practice standard precautions when:

    • A.

      Dressing a patient

    • B.

      Feeding a patient

    • C.

      Providing oral hygiene

    • D.

      Ambulating a patient

    Correct Answer
    C. Providing oral hygiene
    Explanation
    Standard precautions are a set of infection control practices that healthcare workers follow to prevent the spread of infection. These precautions include using personal protective equipment (such as gloves and masks), practicing proper hand hygiene, and safely handling and disposing of contaminated materials. When providing oral hygiene to a patient, there is a risk of exposure to bodily fluids, such as saliva and blood, which may contain infectious agents. Therefore, it is important to practice standard precautions during this procedure to minimize the risk of transmission of infections.

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  • 2. 

    What position should a patient be in to receive an enema?

    • A.

      Supine

    • B.

      Fowler's

    • C.

      Prone

    • D.

      Left Sim's

    Correct Answer
    D. Left Sim's
    Explanation
    The correct answer is left Sim's. Left Sim's position is the ideal position for a patient to receive an enema. In this position, the patient lies on their left side with the left leg straight and the right leg bent. This position allows for easy access to the rectum and facilitates the flow of the enema solution. It also helps to prevent discomfort and leakage during the procedure.

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  • 3. 

    Which of the following lists only items that would be included in the fluid intake?

    • A.

      Milk, ham sandwich, and ice cream bar

    • B.

      Water, mashed potatoes, and gelatin

    • C.

      Milk, custard, and soup

    • D.

      Orange juice, soft boiled eggs, and toasts

    Correct Answer
    C. Milk, custard, and soup
    Explanation
    The items that would be included in fluid intake are those that contain a significant amount of liquid. Milk, custard, and soup are all examples of foods that have a high liquid content and can contribute to fluid intake.

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  • 4. 

    The nurse aide must use a stethoscope to determine:

    • A.

      The apical pulse rate

    • B.

      The carotid pulse rate

    • C.

      The popliteal pulse rate

    • D.

      The brachial pulse rate

    Correct Answer
    A. The apical pulse rate
    Explanation
    The nurse aide must use a stethoscope to determine the apical pulse rate. The apical pulse is measured by placing the stethoscope on the chest over the apex of the heart. This allows the nurse aide to listen to the heart sounds and count the number of beats per minute. The apical pulse rate is an important indicator of cardiac function and can provide valuable information about a patient's health.

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  • 5. 

     Another name for urination:

    • A.

      Defecation

    • B.

      Voiding

    • C.

      Wetting the bed

    • D.

      Flatus

    Correct Answer
    B. Voiding
    Explanation
    Voiding is another name for urination. It refers to the act of emptying the bladder by releasing urine through the urethra. This term is commonly used in medical and healthcare settings to describe the process of eliminating waste fluids from the body.

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  • 6. 

    A client complains of a sore spot in her calf. The nurse aide should:

    • A.

      Massage her legs with lotion

    • B.

      Ask the nurse to check the client immediately

    • C.

      Have the client walk to relieve the cramp

    • D.

      Assess the soreness every hour for a few hours

    Correct Answer
    B. Ask the nurse to check the client immediately
    Explanation
    The correct answer is to ask the nurse to check the client immediately. This is the best course of action because a sore spot in the calf could potentially be a sign of a more serious condition such as a blood clot or muscle tear. It is important to involve the nurse to assess the client's condition and provide appropriate medical intervention if necessary. Massaging the legs with lotion, having the client walk, or assessing the soreness every hour may not address the underlying cause of the sore spot and could potentially worsen the condition.

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  • 7. 

    An example of possible contamination through direct contact is:

    • A.

      Cleaning a bedpan

    • B.

      Touching used linens

    • C.

      Being sneezed on

    • D.

      Using a doorknob

    Correct Answer
    C. Being sneezed on
    Explanation
    Being sneezed on can lead to possible contamination through direct contact because when someone sneezes, respiratory droplets containing germs are released into the air. If these droplets come into direct contact with a person, they can easily transfer the germs and potentially cause infection or illness.

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  • 8. 

    A nurse aide finds smoke and flames coming from the resident's room. The nurse aide should first:

    • A.

      Attempt to get the resident out of the room and close the door

    • B.

      Get the fire extinguisher and put out the fire

    • C.

      Take away the resident's cigarettes

    • D.

      Pull the fire alarm

    Correct Answer
    A. Attempt to get the resident out of the room and close the door
    Explanation
    In case of a fire, the safety of the resident should be the nurse aide's first priority. Attempting to get the resident out of the room and closing the door is the correct action to take. This helps to contain the fire and prevent it from spreading to other areas of the facility. It also ensures that the resident is moved to a safe location away from the fire.

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  • 9. 

    To place a client in good alignment, the nurse aide should:

    • A.

      Keep the client's joint well lubricated.

    • B.

      Keep the clients straight as possible.

    • C.

      Keep bed linens wrinkle free.

    • D.

      Ambulate the client at least twice day.

    Correct Answer
    B. Keep the clients straight as possible.
    Explanation
    The nurse aide should keep the client's straight as possible in order to place them in good alignment. This means ensuring that the client's body is properly aligned and positioned, with the spine straight and the limbs in a neutral position. This helps to prevent any strain or discomfort on the client's joints and muscles, and promotes proper posture and body mechanics. Keeping the client straight as possible also helps to maintain proper body alignment while performing activities such as transferring or repositioning the client.

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  • 10. 

    When a dressing a client with left-sided weakness, it is important for the nurse aide to begin dressing him:

    • A.

      On the right side.

    • B.

      On the left side.

    • C.

      When he is lying flat in bed.

    • D.

      As he lies on either side.

    Correct Answer
    B. On the left side.
    Explanation
    When dressing a client with left-sided weakness, it is important for the nurse aide to begin dressing him on the left side. This is because the client's left side is weaker, so starting on the left side allows the nurse aide to provide support and assistance to the client as needed. By starting on the left side, the nurse aide can ensure that the client is comfortable and safe during the dressing process.

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  • 11. 

    Which of the following conditions need to be reported immediately to the charge nurse?

    • A.

      Rash that appears suddenly

    • B.

      Warm, dry, and pink skin

    • C.

      Tough skin on the feet

    • D.

      Scarred skin

    Correct Answer
    A. Rash that appears suddenly
    Explanation
    A rash that appears suddenly needs to be reported immediately to the charge nurse because it could be a sign of an allergic reaction or an infection. It may require immediate medical attention or intervention to prevent further complications.

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  • 12. 

    A nurse aide is making rounds at 1:00 A.M. She finds a patient lighting a cigarette. Assuming smoking is allowed in the facility, what should she do?

    • A.

      Scold him and tell him never to smoke unsupervised again.

    • B.

      Remain with the patient until he finishes smoking.

    • C.

      Tell another coworker.

    • D.

      Call the charge nurse to supervise.

    Correct Answer
    B. Remain with the patient until he finishes smoking.
    Explanation
    The nurse aide should remain with the patient until he finishes smoking because it is important to ensure the safety of the patient and prevent any potential accidents or incidents that may occur while smoking unsupervised. By staying with the patient, the nurse aide can monitor the situation and intervene if necessary. This approach promotes responsible and safe smoking practices within the facility.

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  • 13. 

    A client with a broken hip needs an enema. The best bedpan to use would be a:

    • A.

      Fracture pan

    • B.

      Plastic pan

    • C.

      Pediatric pan

    • D.

      Metal pan

    Correct Answer
    A. Fracture pan
    Explanation
    A client with a broken hip would require a fracture pan for an enema. A fracture pan is specifically designed with a low profile and a flat front to accommodate individuals with limited mobility or those who cannot flex their hips. This type of pan helps to minimize discomfort and prevent further injury to the client's hip during the enema procedure. Plastic, pediatric, and metal pans may not provide the necessary support and positioning required for a client with a broken hip.

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  • 14. 

    Which of the following is true about visually challenged clients?

    • A.

      They prefer to eat alone.

    • B.

      They use a "clock" system to find their food.

    • C.

      They prefer to be fed.

    • D.

      They need liquid diets.

    Correct Answer
    B. They use a "clock" system to find their food.
    Explanation
    Visually challenged clients use a "clock" system to find their food. This means that they mentally divide their plate into sections like a clock and use their sense of touch to locate and eat their food. This technique helps them navigate their plate independently and ensures that they can eat their meal without assistance.

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  • 15. 

    Before ambulating a client who has a Foley catheter, the nurse aide should first:

    • A.

      Clamp off the catheter and disconnect it.

    • B.

      Let the bag dangle between the client's legs.

    • C.

      Carry the bag below bladder level.

    • D.

      Hide the bag in a pillow case.

    Correct Answer
    C. Carry the bag below bladder level.
    Explanation
    Before ambulating a client who has a Foley catheter, the nurse aide should carry the bag below bladder level. This is important because if the bag is positioned above the level of the bladder, urine may flow back into the bladder, increasing the risk of infection. By carrying the bag below bladder level, gravity helps to maintain proper drainage and prevent any backflow of urine. This is the safest and most appropriate action to ensure the client's comfort and minimize the risk of complications.

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  • 16. 

    A resident is walking back and forth in the hall. The nurse aide should:

    • A.

      Restrain the resident.

    • B.

      Walk with the resident.

    • C.

      Place the resident in a locked room.

    • D.

      Continue to observe the client.

    Correct Answer
    D. Continue to observe the client.
    Explanation
    The correct answer is to continue to observe the client. Restraining the resident may not be necessary or appropriate if they are able to walk safely. Walking with the resident may not be feasible for the nurse aide if they have other responsibilities. Placing the resident in a locked room is not an appropriate or ethical solution. Therefore, the best course of action is for the nurse aide to continue observing the client to ensure their safety and well-being.

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  • 17. 

    When transferring a client, the client becomes weak and begins to fall. The nurse's aide's first action is to:

    • A.

      Hold the transfer belt and lean against the wall.

    • B.

      Call for help.

    • C.

      Grasp the belt and lower the client to the floor.

    • D.

      Hold the client tightly to prevent falling.

    Correct Answer
    C. Grasp the belt and lower the client to the floor.
    Explanation
    The nurse's aide's first action should be to grasp the belt and lower the client to the floor. This is the safest and most appropriate response in a situation where the client is weak and beginning to fall. By grasping the belt and lowering the client to the floor, the nurse's aide can prevent further injury and ensure the client's safety. Holding the transfer belt and leaning against the wall may not provide enough support to prevent the client from falling. Calling for help is important, but it should be done after taking immediate action to prevent the client from falling. Holding the client tightly may not be effective in preventing a fall and could potentially cause harm to the client.

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  • 18. 

    The best way to measure accurate daily weights is to:

    • A.

      Weigh the client without clothing.

    • B.

      Weigh the client fully clothed.

    • C.

      Weigh the client at the same time and day.

    • D.

      Weigh the client after breakfast.

    Correct Answer
    C. Weigh the client at the same time and day.
    Explanation
    The best way to measure accurate daily weights is to weigh the client at the same time and day. This ensures consistency and eliminates variables that could affect the weight measurement, such as clothing or meals. By weighing the client at the same time and day, healthcare professionals can obtain reliable and comparable daily weight measurements, which are important for monitoring changes in fluid status or body mass.

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  • 19. 

    A client is sitting in her room with a doll in her arms, stating, "My baby is sick". What should the nurse aide do?

    • A.

      Tell her not to worry because the baby will be fine.

    • B.

      Tell her the aide will call the baby's doctor.

    • C.

      Ask her if she is upset with her doll.

    • D.

      Tell her the bay is not real.

    Correct Answer
    C. Ask her if she is upset with her doll.
    Explanation
    The nurse aide should ask the client if she is upset with her doll. This response shows empathy and understanding towards the client's feelings and allows for open communication. It acknowledges the client's concern and provides an opportunity for the client to express her emotions and thoughts. By asking this question, the nurse aide can better understand the client's perspective and provide appropriate support and reassurance.

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  • 20. 

    Padded side rails are used to:

    • A.

      Keep the client in bed.

    • B.

      Protect the client from injury.

    • C.

      Provide additional warmth.

    • D.

      Remind the client of home.

    Correct Answer
    B. Protect the client from injury.
    Explanation
    Padded side rails are used to protect the client from injury. They act as a barrier to prevent the client from falling out of bed or getting trapped between the bed and the rail. The padding helps to cushion any impact and reduce the risk of injury if the client accidentally hits the rail. This safety measure is particularly important for clients who are at risk of falls or have mobility issues.

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  • 21. 

    A nurse aide is recording the output of a resident who has a Foley catheter. She sees the urine bag is empty.  What should she do first?

    • A.

      Irrigate the catheter.

    • B.

      Check for kinks in the tube.

    • C.

      Replace the drainage bag.

    • D.

      Replace the catheter.

    Correct Answer
    B. Check for kinks in the tube.
    Explanation
    The nurse aide should first check for kinks in the tube. This is important because a kink in the tube can obstruct the flow of urine and prevent it from draining into the bag. By checking for kinks, the nurse aide can ensure that the urine is able to flow freely and that the Foley catheter is functioning properly. If there are no kinks in the tube, then other possible causes for the empty urine bag can be explored.

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  • 22. 

    In the middle of the lunch, a client stands up, clutching her neck and unable to speak. The nurse aide should first:

    • A.

      Call for help.

    • B.

      Offer her drink of water.

    • C.

      Hit her on the back.

    • D.

      Perform the Heimlich maneuver.

    Correct Answer
    D. Perform the Heimlich maneuver.
    Explanation
    In this situation, the client's inability to speak and clutching of her neck suggests that she may be choking. The Heimlich maneuver is a technique used to clear a person's airway when they are choking. It involves applying pressure to the abdomen to force air out of the lungs and dislodge the obstruction. Therefore, performing the Heimlich maneuver would be the most appropriate and immediate action to take in order to help the client.

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  • 23. 

    A client who has not had a bowel movement in five days. He may also complain of:

    • A.

      Nausea

    • B.

      Headache

    • C.

      Leg cramps

    • D.

      Chest pain

    Correct Answer
    A. Nausea
    Explanation
    The client's lack of bowel movement for five days could be indicative of constipation, which can cause a variety of symptoms including nausea. When stool builds up in the intestines, it can lead to discomfort and bloating, which may trigger feelings of nausea. The other listed symptoms such as headache, leg cramps, and chest pain could also be associated with constipation, as the body may experience overall discomfort and tension. It is important to address the client's constipation and relieve it to alleviate the accompanying symptoms.

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  • 24. 

    A client who is weak and unsteady needs to urinate. The nurse aide can safely leave him alone to use a:

    • A.

      Commode

    • B.

      Toilet

    • C.

      Bedpan

    • D.

      Urinal

    Correct Answer
    C. Bedpan
    Explanation
    A client who is weak and unsteady may not have the strength or stability to safely use a commode or toilet without assistance. Therefore, the nurse aide should provide a bedpan, which can be used while the client remains in bed. This ensures the client's safety and prevents the risk of falls or injuries. A bedpan allows the client to urinate without having to get up or move, which is especially important for those who are weak or unsteady.

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  • 25. 

    For a client who is classified as wounded and skin isolation, the soiled linen should be:

    • A.

      Placed in the linen hamper.

    • B.

      Discarded.

    • C.

      Bagged before removing from the room.

    • D.

      Taken directly to the laundry.

    Correct Answer
    A. Placed in the linen hamper.
    Explanation
    When a client is classified as wounded and has skin isolation, it is important to handle their soiled linen properly to prevent the spread of infection. Placing the soiled linen in a linen hamper is the correct answer because it allows for proper containment and prevents contamination of other items or surfaces. Discarding the linen or taking it directly to the laundry without proper containment can increase the risk of spreading infection. Bagging the linen before removing it from the room is also a good practice to minimize the risk of contamination during transportation.

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  • 26. 

    If a resident begins to choke while being fed and is unable to speak, the nurse aide should call for help and begin doing:

    • A.

      Back blows.

    • B.

      Mouth-to-mouth ventilation.

    • C.

      A finger sweep.

    • D.

      Abdominal thrusts.

    Correct Answer
    D. Abdominal thrusts.
    Explanation
    When a resident begins to choke and is unable to speak, the nurse aide should call for help and begin doing abdominal thrusts. Abdominal thrusts, also known as the Heimlich maneuver, involve applying pressure to the abdomen to forcefully expel the blockage and clear the airway. This technique is effective in dislodging the obstruction and allowing the resident to breathe again. Mouth-to-mouth ventilation would not be appropriate in this situation as the resident is still conscious and able to breathe partially. Back blows and a finger sweep are also not recommended as they may further obstruct the airway.

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  • 27. 

    When making a bed, the nurse aide should place the soiled linen:

    • A.

      In a red plastic bag.

    • B.

      On the bedside table.

    • C.

      On the floor.

    • D.

      In a laundry bag.

    Correct Answer
    D. In a laundry bag.
    Explanation
    When making a bed, the nurse aide should place the soiled linen in a laundry bag. This is the correct answer because a laundry bag is specifically designed to hold dirty or soiled linens and is used to transport them to the laundry room for cleaning. Placing the soiled linen on the bedside table or on the floor would be unhygienic and can spread germs. Using a red plastic bag is not mentioned as a standard practice for handling soiled linens in healthcare settings.

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  • 28. 

    The ABC's of emergency care stands for:

    • A.

      Airway, breathing, and circulation

    • B.

      Action before calling

    • C.

      Airway before circulation

    • D.

      Action, benefit, and contact

    Correct Answer
    A. Airway, breathing, and circulation
    Explanation
    The ABC's of emergency care stand for airway, breathing, and circulation. This mnemonic is used to prioritize the steps in providing immediate care to someone in a life-threatening situation. It emphasizes the importance of ensuring that the person's airway is clear, that they are breathing properly, and that their circulation is adequate. By addressing these three vital functions first, healthcare providers can maximize the chances of saving a person's life in an emergency situation.

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  • 29. 

    When forcing fluids, the nurse aide should offer:

    • A.

      Clear fluids only.

    • B.

      At least 5,000 cc of fluid per shift.

    • C.

      Fluids every hour.

    • D.

      High calorie fluids.

    Correct Answer
    C. Fluids every hour.
    Explanation
    The nurse aide should offer fluids every hour because forcing fluids means encouraging the patient to drink fluids frequently in order to maintain hydration and promote proper bodily functions. Offering fluids every hour ensures that the patient is consistently receiving an adequate amount of fluids throughout the day. It is important to note that the type of fluids offered may vary depending on the patient's condition and dietary restrictions.

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  • 30. 

    When caring for a hearing impaired client, the nursing assistant should do all of the following except:

    • A.

      Stand or sit facing the client.

    • B.

      Speak clearly and softy.

    • C.

      Raise your voice.

    • D.

      Use simple words and sentences.

    Correct Answer
    C. Raise your voice.
    Explanation
    When caring for a hearing impaired client, the nursing assistant should do all of the following except raise their voice. This is because raising the voice does not necessarily improve the client's ability to hear and understand. Instead, the nursing assistant should stand or sit facing the client, speak clearly and softly, and use simple words and sentences to effectively communicate with the hearing impaired client.

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  • 31. 

    Security of a client's dentures includes:

    • A.

      Keeping them in a tissue in a dresser drawer.

    • B.

      Placing them in a labeled denture cup.

    • C.

      Insisting the client wear the denture.

    • D.

      Placing an identifying mark on the dentures.

    Correct Answer
    B. Placing them in a labeled denture cup.
    Explanation
    Placing dentures in a labeled denture cup is the correct answer because it ensures the security of the client's dentures. By using a labeled denture cup, the dentures are kept in a designated and easily identifiable container, reducing the risk of misplacement or confusion. This method also helps to maintain the cleanliness and hygiene of the dentures, as they are protected from dust and other contaminants. Additionally, a labeled denture cup allows for easy identification and retrieval of the client's dentures, promoting efficient and organized care.

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  • 32. 

    While caring for a client, a nurse aide accidentally gets blood in her eyes. The nurse aide should first:

    • A.

      Rinse them out with clear water.

    • B.

      Call 911.

    • C.

      Report the incident to the charge nurse.

    • D.

      Document it.

    Correct Answer
    A. Rinse them out with clear water.
    Explanation
    In this situation, the nurse aide accidentally gets blood in her eyes, which can potentially lead to infection or transmission of diseases. The immediate action should be to rinse the eyes out with clear water to flush out any contaminants and reduce the risk of infection. This is a simple and effective first aid measure that can be done quickly before seeking further medical attention or reporting the incident to the charge nurse.

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  • 33. 

    A client drinks four ounces of juice. The nurse aides would document this as:

    • A.

      4 ounces.

    • B.

      Four ounces.

    • C.

      One cup.

    • D.

      120 cc.

    Correct Answer
    D. 120 cc.
    Explanation
    The nurse aides would document the client's juice intake as 120 cc because cc stands for cubic centimeter, which is a metric unit of volume commonly used in the medical field. In this case, the client consumed four ounces of juice, which is equivalent to 120 cc.

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  • 34. 

    When using client restraints, the nurse aide should:

    • A.

      Observe skin irritation.

    • B.

      Disallow the client to drink.

    • C.

      Release the restraints every four hours.

    • D.

      Leave the client alone to rest.

    Correct Answer
    A. Observe skin irritation.
    Explanation
    When using client restraints, it is important for the nurse aide to observe for any signs of skin irritation. Restraints can cause pressure points and restrict blood flow, which can lead to skin breakdown and irritation. By regularly observing the client's skin, the nurse aide can identify any potential issues and take appropriate action to prevent further complications. This ensures the client's safety and well-being while using restraints.

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  • 35. 

    Which of the following vital signs should be reported immediately?

    • A.

      T-98.6, P-70, R-14, BP-120/60

    • B.

      T-95.4, P-40, R-10, BP-80/40

    • C.

      T-98.8"R", P-60, R-20, BP-132/70

    • D.

      T-97.6 "ax:, P-78, R-16, BP-110/60

    Correct Answer
    B. T-95.4, P-40, R-10, BP-80/40
    Explanation
    The vital signs T-95.4, P-40, R-10, BP-80/40 should be reported immediately because they indicate a low body temperature (T-95.4), a low pulse rate (P-40), a low respiration rate (R-10), and a low blood pressure (BP-80/40). These vital signs suggest that the individual may be experiencing a medical emergency, such as shock or hypovolemia, and immediate medical attention is required.

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  • 36. 

    Examples of client abuse include all of the following except:

    • A.

      Forcing clients fingers off the side rail.

    • B.

      Deliberately leaving the call bell out of reach.

    • C.

      Turning the light out against the client's wishes.

    • D.

      Using gloves to provide peri-care.

    Correct Answer
    D. Using gloves to provide peri-care.
  • 37. 

    When bathing a client, the nurse aide recognizes which of the following as the first sign of a pressure sore?

    • A.

      Redness

    • B.

      Swelling

    • C.

      Numbness

    • D.

      Pain

    Correct Answer
    A. Redness
    Explanation
    The first sign of a pressure sore is redness. This is because pressure on the skin can cause decreased blood flow to the area, leading to tissue damage. The redness is an early indication that the skin is not receiving enough oxygen and nutrients, and if left untreated, it can progress to a pressure sore or ulcer. It is important for the nurse aide to recognize this early sign and take appropriate measures to relieve pressure and prevent further damage.

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  • 38. 

    Nurse aide should wash their hands in all of the following situations except:

    • A.

      Before going to the bathroom.

    • B.

      After each client contact.

    • C.

      Before eating.

    • D.

      After changing dressings.

    Correct Answer
    A. Before going to the bathroom.
    Explanation
    It is important for nurse aides to wash their hands before going to the bathroom to prevent the spread of germs and maintain hygiene. Washing hands before each client contact, before eating, and after changing dressings are all necessary to prevent the transmission of infections and maintain a safe and clean environment for both the nurse aide and the clients.

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  • 39. 

    While bathing a resident, the nursing assistant notices a rash on the resident's leg. The nursing assistant should:

    • A.

      Ignore it if the resident does not complain.

    • B.

      Wash if it see if it disappears.

    • C.

      Rub it with alcohol to dry it out.

    • D.

      Notify the charge nurse of the rash.

    Correct Answer
    D. Notify the charge nurse of the rash.
    Explanation
    The correct answer is to notify the charge nurse of the rash. This is important because the nursing assistant is responsible for the resident's well-being and any changes in their condition should be reported to the charge nurse. The rash could be a sign of an underlying medical condition or an adverse reaction to medication, so it is important to inform the charge nurse so that appropriate action can be taken. Ignoring the rash or attempting to treat it without proper guidance could potentially worsen the resident's condition.

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  • 40. 

    The nursing assistant should tell clients:

    • A.

      How to dress.

    • B.

      How to call for help.

    • C.

      That things will get better.

    • D.

      That there is nothing to worry about.

    Correct Answer
    B. How to call for help.
    Explanation
    The nursing assistant should tell clients how to call for help because it is important for clients to know how to reach out for assistance in case of emergencies or when they need immediate medical attention. This knowledge can ensure their safety and well-being, allowing them to receive timely help when needed.

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  • 41. 

    A client begins to have a seizure while the nurse aide is bathing him. The nurse aide should:

    • A.

      Hold him down to prevent him from falling.

    • B.

      Put a tongue depressor in his mouth.

    • C.

      Protect him from injuring himself.

    • D.

      Run out of the room and get help.

    Correct Answer
    C. Protect him from injuring himself.
    Explanation
    During a seizure, it is important for the nurse aide to protect the client from injuring themselves. This can be done by removing any objects that may cause harm, such as sharp objects or furniture, and creating a safe environment. The nurse aide should also ensure that the client's head is protected and cushioned to prevent any head injuries. Restraining the client or putting a tongue depressor in their mouth is not recommended, as it can potentially cause harm or injury. Running out of the room to get help may delay immediate assistance that the client may need during the seizure.

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  • 42. 

    Sputum is best collected:

    • A.

      Just before bedtime.

    • B.

      In the afternoon.

    • C.

      Upon awakening in the morning.

    • D.

      Anytime.

    Correct Answer
    C. Upon awakening in the morning.
    Explanation
    Sputum is best collected upon awakening in the morning because during the night, secretions accumulate in the respiratory tract. This makes it easier to produce a good quality sputum sample for analysis. Collecting sputum in the morning also helps to minimize contamination from food or other substances that may have been ingested during the day. Additionally, collecting sputum in the morning allows for a more accurate diagnosis of respiratory conditions as it reflects the overnight accumulation of secretions.

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  • 43. 

    To change direction, a nurse aide should:

    • A.

      Turn her whole body by moving her feet.

    • B.

      Twist from the waist.

    • C.

      Move her body in sections.

    • D.

      Move her body very slowly.

    Correct Answer
    A. Turn her whole body by moving her feet.
    Explanation
    To change direction, a nurse aide should turn her whole body by moving her feet. This is the correct answer because it is the safest and most efficient way to change direction while maintaining balance and stability. By turning the whole body and using the feet to pivot, the nurse aide can ensure proper alignment and prevent strain or injury to the back or waist. Twisting from the waist or moving the body in sections can lead to poor body mechanics and potential harm. Moving the body very slowly may not be necessary unless there is a specific reason to do so.

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  • 44. 

    When repositioning a heavy client, the nurse aide should:

    • A.

      Attempt to move the client alone.

    • B.

      Let the family move the client.

    • C.

      Get another aide to help.

    • D.

      Move the client later.

    Correct Answer
    C. Get another aide to help.
    Explanation
    When repositioning a heavy client, it is important for the nurse aide to prioritize the safety of both the client and themselves. Attempting to move the client alone may put both parties at risk of injury. Allowing the family to move the client may not be appropriate as they may not have the necessary training or knowledge to do so safely. Therefore, the best option is to get another aide to help, as this ensures that the task can be completed safely and efficiently.

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  • 45. 

    To help a client into a wheelchair, the nurse aide should position the chair:

    • A.

      At the side of the bed, facing the head of the bed.

    • B.

      At the foot of the bed.

    • C.

      At the head of the bed.

    • D.

      At the sided of the bed, facing the foot of the bed.

    Correct Answer
    D. At the sided of the bed, facing the foot of the bed.
    Explanation
    The nurse aide should position the wheelchair at the side of the bed, facing the foot of the bed. This positioning allows for a smooth transfer of the client from the bed to the wheelchair. Placing the wheelchair at the side of the bed ensures that the client can easily slide or pivot from the bed onto the wheelchair. Facing the foot of the bed allows the client to have their back towards the head of the bed, making it easier for them to sit down in the wheelchair.

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  • 46. 

    Transferring a client from a bed to a stretcher requires that the nurse aide use:

    • A.

      Proper body mechanics.

    • B.

      A Hoyer Lift.

    • C.

      A minimum of three coworkers.

    • D.

      A mobility mattress.

    Correct Answer
    A. Proper body mechanics.
    Explanation
    Transferring a client from a bed to a stretcher requires the nurse aide to use proper body mechanics. This means using the correct posture, body alignment, and techniques to prevent injury to themselves and the client. By using proper body mechanics, the nurse aide can minimize the strain on their muscles and joints and ensure a safe and effective transfer. The other options, such as a Hoyer Lift, a minimum of three coworkers, or a mobility mattress, may be helpful in certain situations, but they are not the primary method for transferring a client in this scenario.

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  • 47. 

    Which statement about dressing resident is correct?

    • A.

      Dressing is a waste of time for a handicapped resident.

    • B.

      Residents are used to dressing in front of others.

    • C.

      Residents care about what they wear.

    • D.

      Residents like the nurse aide to dress them.

    Correct Answer
    C. Residents care about what they wear.
    Explanation
    The correct answer is "residents care about what they wear." This statement implies that residents have a preference for the clothes they wear and want to have a say in their dressing choices. It acknowledges the importance of respecting their autonomy and individuality in deciding what to wear.

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  • 48. 

    Which of the following is an example of a client's delusion?

    • A.

      Seeing demons.

    • B.

      Feeling imaginary bugs crawl on his arms.

    • C.

      Thinking that the CIA is secretly watching him.

    • D.

      Hearing voices demand the he escapes from the facility.

    Correct Answer
    C. Thinking that the CIA is secretly watching him.
    Explanation
    The correct answer is thinking that the CIA is secretly watching him. This is an example of a delusion because the client is having a false belief that the CIA is constantly monitoring his activities without any evidence or rational basis. Delusions are fixed, false beliefs that are not influenced by logical reasoning or evidence to the contrary. In this case, the client's belief is irrational and not based on reality.

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  • 49. 

    Reality orientation techniques include all of the following except:

    • A.

      Labeling items in the client's room.

    • B.

      Putting up calendars and clocks.

    • C.

      Using familiar items in the client's room.

    • D.

      Reminding a client that his spouse is deceased.

    Correct Answer
    D. Reminding a client that his spouse is deceased.
    Explanation
    Reality orientation techniques are used to help individuals with cognitive impairments stay connected to reality and maintain a sense of time, place, and identity. Labeling items in the client's room, putting up calendars and clocks, and using familiar items in the client's room are all examples of reality orientation techniques that can help individuals with memory loss or confusion. However, reminding a client that his spouse is deceased is not a reality orientation technique. It may be emotionally distressing and can potentially worsen their confusion or disorientation.

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  • 50. 

    A young resident with muscular dystrophy talks about wanting a boyfriend. This feeling is best described as:

    • A.

      Normal

    • B.

      Hopeless

    • C.

      Unrealistic

    • D.

      Confused

    Correct Answer
    A. Normal
    Explanation
    The feeling of wanting a boyfriend is best described as normal because it is a common desire for many young individuals, regardless of their physical condition or disability. It is natural for people to seek companionship and emotional connection, and having muscular dystrophy does not make this desire any less valid or normal.

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Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Jan 14, 2011
    Quiz Created by
    Asrane
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