CNA Practice Exam III

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CNA Quizzes & Trivia

Practice Exam to help pass the State Competency Exam.


Questions and Answers
  • 1. 

    Its is important to practice standard precautions when

    • A.

      A. dressing a patient

    • B.

      B. feeding a patient

    • C.

      C. providing oral hygeiene

    • D.

      D. ambulating a patient

    Correct Answer
    C. C. providing oral hygeiene
    Explanation
    Standard precautions are a set of infection control practices that healthcare workers follow to prevent the spread of infections. These precautions include hand hygiene, using personal protective equipment, safe handling and disposal of sharps, and respiratory hygiene. When providing oral hygiene to a patient, healthcare workers come into contact with saliva, which can contain microorganisms. Therefore, practicing standard precautions during oral hygiene procedures is important to prevent the transmission of infections from the patient to the healthcare worker or vice versa.

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  • 2. 

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

    • A.

      A. supine

    • B.

      B. Fowler's

    • C.

      C. prone

    • D.

      D left Sim's

    Correct Answer
    D. D left Sim's
    Explanation
    The correct answer is d left Sim's. In a left Sim's position, the patient lies on their left side with their left leg straight and their right leg bent. This position allows for easy access to the rectum for the administration of an enema. The left side positioning helps to facilitate the flow of the enema solution into the rectum and colon, promoting effective evacuation.

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  • 3. 

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

    • A.

      A. milk,ham sandwich,ice cream bar

    • B.

      B. water,mashed potatoes,gelatin

    • C.

      C. milk, custard,soup

    • D.

      D. orange juice,soft boiled eggs,toats

    Correct Answer
    C. C. milk, custard,soup
    Explanation
    The correct answer is c. milk, custard, soup. These items would be included in fluid intake because they are all liquid or semi-liquid substances that contain water. Milk and soup are obvious choices as they are liquid in nature. Custard is a semi-liquid dessert made with milk and eggs, so it also contributes to fluid intake. The other options (a, b, and d) include solid food items that do not count as fluid intake.

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  • 4. 

    The nurse aide must use a stethscope to determine the

    • A.

      A. apical pulse rate

    • B.

      B. carotid pulse rate

    • C.

      C popliteal pulse rate

    • D.

      D. brachial pulse rate

    Correct Answer
    A. A. apical pulse rate
    Explanation
    The nurse aide must use a stethoscope to determine the apical pulse rate because the apical pulse is the most accurate measurement of the heart's contractions. It is located at the apex of the heart, which is the point where the heartbeat can be heard most clearly. Using a stethoscope allows the nurse aide to listen to the sounds produced by the heart and count the number of beats per minute, providing an accurate measurement of the apical pulse rate.

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  • 5. 

    Another name for unrination is

    • A.

      A. defecation

    • B.

      B. voiding

    • C.

      C. wetting the bed

    • D.

      D. flatus

    Correct Answer
    B. B. voiding
    Explanation
    Unrination is another term for the process of voiding, which refers to the act of emptying the bladder by releasing urine. The other options provided in the question are incorrect. Defecation refers to the act of emptying the bowels, wetting the bed refers to involuntary urination during sleep, and flatus refers to the release of gas from the digestive system. Therefore, the correct answer is b. voiding.

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  • 6. 

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

    • A.

      A. massage her legs with lotion

    • B.

      B. ask the nurse to check the client immediately

    • C.

      C. have the client walk to relieve the cramp

    • D.

      D. assess the soreness every hour for a few hours

    Correct Answer
    B. B. ask the nurse to check the client immediately
    Explanation
    If a client complains of a sore spot in her calf, it could be indicative of a potential issue such as a blood clot or muscle strain. Therefore, it is important for the nurse aid to ask the nurse to check the client immediately. This will ensure that the client receives appropriate medical attention and any necessary interventions can be implemented promptly.

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  • 7. 

    An example of possible contamination through direct contact is

    • A.

      A. cleaning a bedpan

    • B.

      B. touching used linens

    • C.

      C. being sneezed on

    • D.

      D. using a doorknob

    Correct Answer
    C. C. being sneezed on
    Explanation
    Being sneezed on can result in direct contact with respiratory droplets containing infectious particles, which can lead to contamination. Sneezing releases a large number of droplets that can travel through the air and land on surfaces or be inhaled by others in close proximity. This direct contact can easily transmit pathogens and potentially cause infection. Cleaning a bedpan, touching used linens, and using a doorknob can also lead to contamination, but they involve indirect contact rather than direct contact like being sneezed on.

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  • 8. 

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

    • A.

      A. attempt to get the resident out of the room and close the door

    • B.

      B. get the fire extinguisher and put out the fire

    • C.

      C. take away the resident's cigarettes

    • D.

      D. pull the fire alarm

    Correct Answer
    A. A. attempt to get the resident out of the room and close the door
    Explanation
    In the event 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 helps to contain the fire and prevent it from spreading further. This action also ensures the resident's immediate safety by removing them from the source of danger. Once the resident is safe, the nurse aide can then proceed to alert others and take further necessary actions such as pulling the fire alarm or using a fire extinguisher if trained to do so.

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  • 9. 

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

    • A.

      A. keep the client's joint well lubricated.

    • B.

      B. keep the clients straight as possible.

    • C.

      C. keep bed linens wrinkle free.

    • D.

      D ambulate the client at least twice day.

    Correct Answer
    B. B. keep the clients straight as possible.
    Explanation
    The correct answer is b. keep the clients straight as possible. This is because maintaining good alignment is important for the client's overall comfort and well-being. By keeping the client's body straight, the nurse aide can help prevent any unnecessary strain or pressure on the client's joints and muscles. This can also help promote proper circulation and prevent the development of pressure ulcers.

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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.

      A. on the right side

    • B.

      B. on the left side

    • C.

      C. when he is lying flat in bed.

    • D.

      D. as he lies on either side

    Correct Answer
    B. 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 starting on the weaker 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 help the client maintain balance and stability while dressing, ensuring their safety and comfort throughout the process.

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  • 11. 

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

    • A.

      A. rash that appears suddenly

    • B.

      B. warm,dry,and pink skin

    • C.

      C. tough skin on the feet

    • D.

      D. scarred skin

    Correct Answer
    A. A. rash that appears suddenly
    Explanation
    A rash that appears suddenly should be reported immediately to the charge nurse because it could indicate an allergic reaction or an infectious condition that requires immediate attention. It is important to identify the cause of the rash and provide appropriate treatment to prevent further complications.

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  • 12. 

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

    • A.

      A scold him and tell him never to smoke unsupervised again

    • B.

      B. remain with the patient until he finishes smoking

    • C.

      C. tell another coworker

    • D.

      D. call the charge nurse to supervise

    Correct Answer
    B. 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 patient's safety while they are smoking. By staying with the patient, the nurse aide can monitor the situation and take immediate action if any issues arise. This also helps to prevent any potential accidents or harm that may occur if the patient smokes unsupervised.

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  • 13. 

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

    • A.

      A fracture pan

    • B.

      B. plastic pan

    • C.

      C. pediatric pan

    • D.

      D. metal pan

    Correct Answer
    A. A fracture pan
    Explanation
    A client with a broken hip needs an enema, and the best bedpan to use would be a fracture pan. This is because a fracture pan is specifically designed with a low, flat profile and a handle to make it easier for patients with limited mobility or injuries, such as a broken hip, to use. The low profile allows the patient to slide onto the pan without lifting their legs too high, reducing discomfort and potential further injury. The handle provides stability and support for the patient while using the pan.

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  • 14. 

    Which of the following is true about visually challenged clients ?

    • A.

      A. they prefer to eat alone

    • B.

      B. they use a "clock" system to find their food.

    • C.

      C. they prefer to be fed.

    • D.

      D. they need liquid diets.

    Correct Answer
    B. 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, similar to the numbers on a clock, and use their sense of touch to locate and identify different food items on their plate. This system helps them navigate their meal independently and accurately.

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  • 15. 

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

    • A.

      A. clamp off the catheter and disconnect it

    • B.

      B. let the bag dangle between the client's legs

    • C.

      C. carry the bag below bladder level

    • D.

      D. hide the bag in a pillow case

    Correct Answer
    C. C. carry the bag below bladder level
    Explanation
    To prevent backflow of urine and ensure proper drainage, it is important to carry the Foley catheter bag below bladder level. This helps to maintain the flow of urine from the bladder into the bag and prevents any potential complications or discomfort for the client. It is not necessary to clamp off or disconnect the catheter before ambulating the client, as long as the bag is carried below bladder level. Letting the bag dangle between the client's legs or hiding it in a pillow case are not appropriate actions and may lead to complications or discomfort for the client.

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  • 16. 

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

    • A.

      A restrain the resident

    • B.

      B. walk with the resident

    • C.

      C. place the resident in a locked room

    • D.

      D. continue to observe the client

    Correct Answer
    D. D. continue to observe the client
    Explanation
    The correct answer is d. continue to observe the client. This is because the resident is walking back and forth in the hall, which may indicate agitation or restlessness. By continuing to observe the client, the nurse aide can monitor their behavior and ensure their safety. Restraint should only be used as a last resort, and placing the resident in a locked room may be considered a form of restraint. Walking with the resident may not be necessary if they are able to walk independently and safely.

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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.

      A. hold the transfer belt and lean against the wall

    • B.

      B. call for help

    • C.

      C. grasp the belt and lower the client to the floor

    • D.

      D. hold the client tightly to prevent falling

    Correct Answer
    C. C. grasp the belt and lower the client to the floor
    Explanation
    When transferring a client, if the client becomes weak and begins to fall, the nurse's aide's first action should be to grasp the transfer belt and lower the client to the floor. This action is important to prevent any further injury to the client and ensure their safety. Holding the transfer belt allows the nurse's aide to have control and support while guiding the client down to the floor gently. It is important to prioritize the client's safety and well-being in such situations.

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  • 18. 

    The best way to measure accurate daily weights is to

    • A.

      A weigh the client without clothing

    • B.

      B. weigh the client fully clothed

    • C.

      C. weigh the client at the same time and day

    • D.

      D. weigh the client after breakfast

    Correct Answer
    C. C. weigh the client at the same time and day
    Explanation
    To measure accurate daily weights, it is important to weigh the client at the same time and day. This ensures consistency and eliminates any variations that may occur due to factors like food intake or clothing. Weighing the client without clothing or fully clothed can lead to inaccurate measurements as it does not provide a consistent baseline. Weighing the client after breakfast can also be misleading as food intake can affect weight. Therefore, weighing the client at the same time and day is the best approach for accurate daily weight measurements.

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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.

      A tell her not to worry because the baby will be fine

    • B.

      B.tell her the aide will call the baby's doctor.

    • C.

      C. ask her if she is upset with her doll

    • D.

      D. tell her the bay is not real

    Correct Answer
    C. C. ask her if she is upset with her doll
    Explanation
    The client is displaying behavior that suggests she may be upset or distressed with her doll. By asking her if she is upset with her doll, the nurse aide can assess the client's emotional state and potentially address any concerns or provide comfort if needed. This response shows empathy and a willingness to understand the client's feelings.

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  • 20. 

    Padded side rails are used to

    • A.

      A. keep the client in bed

    • B.

      B. protect the client from injury

    • C.

      C. provide additional warmth

    • D.

      D. remind the client of home

    Correct Answer
    B. B. protect the client from injury
    Explanation
    Padded side rails are used to protect the client from injury. These rails provide a soft cushioning effect, reducing the risk of the client hitting or injuring themselves against the hard side rails of the bed. They act as a barrier, preventing the client from falling out of bed or getting trapped between the rails. Padded side rails are commonly used in healthcare settings to ensure the safety and well-being of the clients.

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  • 21. 

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

    • A.

      A. irrigate the catheter

    • B.

      B. check for kinks in the tube

    • C.

      C replace the drainage bag

    • D.

      D. replace the catheter

    Correct Answer
    B. B. check for kinks in the tube
    Explanation
    The nurse aide should first check for kinks in the tube. This is important because kinks in the tube can obstruct the flow of urine, preventing it from reaching the urine bag. By checking for kinks and ensuring that the tube is properly aligned and free from obstructions, the nurse aide can ensure that the urine can flow freely into the bag. This is a simple and non-invasive step that should be taken before considering any other interventions such as irrigating the catheter or replacing the drainage bag or catheter.

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  • 22. 

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

    • A.

      A call for help

    • B.

      B. offer her drink of water

    • C.

      C. hit her on the back

    • D.

      D. perform the Heimlich maneuver

    Correct Answer
    D. D. perform the Heimlich maneuver
    Explanation
    In this scenario, the client is clutching her neck and unable to speak, which suggests that she may be choking. The Heimlich maneuver is a technique used to clear a blocked airway and is the appropriate response in this situation. Calling for help is important, but performing the Heimlich maneuver should be done first to immediately address the choking and potentially save the client's life. Offering her a drink of water or hitting her on the back may not be effective in dislodging the obstruction and could potentially worsen the situation.

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  • 23. 

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

    • A.

      A nausea

    • B.

      B. headache

    • C.

      C. leg cramps

    • D.

      D. chest pain

    Correct Answer
    A. A nausea
    Explanation
    The client's lack of bowel movement for five days could indicate constipation or a potential blockage in the digestive system. This can lead to the accumulation of waste and toxins in the body, causing nausea as a common symptom. Headaches, leg cramps, and chest pain are less directly related to the client's bowel movement issue and may have other underlying causes.

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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.

      A commode

    • B.

      B. toilet

    • C.

      C. bedpan

    • D.

      D. urinal

    Correct Answer
    C. C. bedpan
    Explanation
    The nurse aide cannot safely leave a weak and unsteady client alone to use a commode or a toilet as they may not have the strength or balance to sit or stand without assistance. Similarly, a urinal may not be suitable for a client who is weak and unsteady as it requires them to be in a standing position. Therefore, the safest option would be to provide a bedpan for the client, as it can be used while they are lying down and eliminates the risk of falls or injuries.

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  • 25. 

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

    • A.

      A placed in the linen hamper

    • B.

      B. discarded

    • C.

      C. bagged before removing from the room

    • D.

      D. taken directly to the laundry

    Correct Answer
    A. A placed in the linen hamper
    Explanation
    The correct answer is a) placed in the linen hamper. 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 ensures that it is contained and can be properly laundered to kill any potential pathogens. Discarding the linen or taking it directly to the laundry without proper containment could increase the risk of spreading infection. Bagging the linen before removing from the room may also be necessary to further contain any potential contaminants.

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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.

      A back blows

    • B.

      B mouth - to - mouth ventilation

    • C.

      C. a finger sweep

    • D.

      D. abdominal thrusts

    Correct Answer
    D. D. abdominal thrusts
    Explanation
    If a resident begins to choke while being fed 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, are a first aid technique used to dislodge an obstruction in the airway. This involves standing behind the person and using upward pressure on the abdomen to force air from the lungs and dislodge the object. It is important to call for help first because if the obstruction is not cleared, the person may become unconscious and require further assistance.

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  • 27. 

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

    • A.

      A on the bedside table

    • B.

      B. on the floor

    • C.

      C. in a laundry bag

    • D.

      D. in a red plastic bag

    Correct Answer
    C. C. 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 placing the soiled linen in a laundry bag ensures proper containment and prevents the spread of germs and bacteria. It also makes it easier for the laundry staff to collect and transport the soiled linen for cleaning. Placing the soiled linen on the bedside table or on the floor would be unhygienic and could potentially contaminate other surfaces. Using a red plastic bag is not specified or necessary, so the correct option is to place the soiled linen in a laundry bag.

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  • 28. 

    The ABC's of emergency care stand for

    • A.

      A. airway,breathing,circulation

    • B.

      B. action before calling

    • C.

      C. airway before circulation

    • D.

      D. action, benefit,contact

    Correct Answer
    A. A. airway,breathing,circulation
    Explanation
    The correct answer is a. airway, breathing, circulation. In emergency care, the ABC's refer to the order of priorities when assessing and providing initial treatment to a patient. Airway refers to ensuring that the patient's airway is clear and unobstructed. Breathing involves assessing and assisting the patient's breathing if necessary. Circulation refers to evaluating and maintaining the patient's circulation, including checking for a pulse and controlling any bleeding. This order of priorities is crucial in ensuring the patient's survival and preventing further harm.

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  • 29. 

    When forcing fluids, the nurse aide should offer

    • A.

      A. clear fluids only

    • B.

      B. at least 5,000 cc of fluid per shift

    • C.

      C fluids every hour

    • D.

      D. high calorie fluids

    Correct Answer
    C. C fluids every hour
    Explanation
    When forcing fluids, the nurse aide should offer fluids every hour. This is because forcing fluids refers to the act of encouraging or increasing fluid intake in a patient, typically to prevent dehydration or promote hydration. Offering fluids every hour ensures a regular and consistent intake of fluids throughout the day, helping to maintain proper hydration levels.

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  • 30. 

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

    • A.

      A stand or sit facing the client

    • B.

      B. speak clearly and softy

    • C.

      C. raise your voice

    • D.

      D. use simple words and sentences

    Correct Answer
    C. 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 improve the client's ability to hear, but instead may distort the sound and make it more difficult for the client to understand. It is important for the nursing assistant to 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.

      A. keeping them in a tissue in a dresser drawer.

    • B.

      B. placing them in a labeled denture cup

    • C.

      C. insisting the client wear the denture

    • D.

      D. placing an identifying mark on the dentures

    Correct Answer
    B. B. placing them in a labeled denture cup
    Explanation
    To ensure the security of a client's dentures, it is important to place them in a labeled denture cup. This helps in keeping the dentures safe and easily identifiable. Storing them in a tissue in a dresser drawer may lead to misplacement or damage. Insisting the client wear the denture does not guarantee security when the dentures are not in use. Placing an identifying mark on the dentures can be helpful, but it is not as effective as placing them in a labeled denture cup for easy identification and protection.

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  • 32. 

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

    • A.

      A rinse them out with clear water

    • B.

      B. call 911

    • C.

      C. report the incident to the charge nurse

    • D.

      D. document it.

    Correct Answer
    A. A rinse them out with clear water
    Explanation
    In this situation, the nurse aide should first rinse her eyes out with clear water. This is important because blood may contain harmful pathogens or infectious agents that can cause eye infections or other health issues. By rinsing her eyes with clear water, she can help to minimize the risk of infection and potential harm to her eyes. It is crucial to prioritize immediate action to ensure her safety and well-being.

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  • 33. 

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

    • A.

      A. 4 ounces

    • B.

      B four ounces

    • C.

      C. one cup

    • D.

      D 120 cc

    Correct Answer
    D. D 120 cc
    Explanation
    The correct answer is d) 120 cc. The nurse aides would document the client drinking four ounces of juice as 120 cc because 1 ounce is equivalent to 30 cc. Therefore, four ounces would be 4 x 30 = 120 cc.

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  • 34. 

    When using client restraints, the nurse aide should

    • A.

      A. observe skin irritation

    • B.

      B. disallow the client to drink

    • C.

      C. release the restraints every four hours

    • D.

      D. leave the client alone to rest

    Correct Answer
    A. A. observe skin irritation
    Explanation
    When using client restraints, the nurse aide should observe skin irritation. This is important because restraints can cause skin damage and irritation if not properly monitored. By observing the client's skin, the nurse aide can identify any signs of irritation such as redness, swelling, or pressure sores. This allows for early intervention and prevention of further skin damage. It is crucial for the nurse aide to regularly check the client's skin while using restraints to ensure their safety and well-being.

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  • 35. 

    Which of the following vital signs should be reported immediately ?

    • A.

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

    • B.

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

    • C.

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

    • D.

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

    Correct Answer
    B. B. T-95.4,P-40,R-10,BP-80/40
    Explanation
    The vital signs that should be reported immediately are those that fall outside of the normal range and indicate a potential medical emergency. In option b, the temperature (T) is significantly lower than the normal range, the pulse (P) is lower than normal, the respiratory rate (R) is lower than normal, and the blood pressure (BP) is significantly lower than the normal range. These abnormal vital signs suggest that the patient may be experiencing hypothermia and hypotension, which require immediate medical attention.

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  • 36. 

    Examples of client abuse include all of the following EXCEPT

    • A.

      A. forcing clients fingers off the side rail

    • B.

      B. deliberately leaving the call bell out of reach

    • C.

      C. turning the light out against the client's wishes

    • D.

      D. using gloves to provide peri-care

    Correct Answer
    D. D. using gloves to provide peri-care
    Explanation
    This question asks for an example of client abuse that is NOT included in the given options. Option d, using gloves to provide peri-care, is not an example of client abuse. Using gloves is a standard protocol for hygiene and infection control, and it is necessary to protect both the client and the caregiver from potential pathogens. Therefore, option d is the correct answer.

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  • 37. 

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

    • A.

      A. redness

    • B.

      B. swelling

    • C.

      C. numbness

    • D.

      D. pain

    Correct Answer
    A. A. redness
    Explanation
    The first sign of a pressure sore is redness. This can indicate that there is increased pressure on a specific area of the body, which can lead to tissue damage and the formation of a pressure sore. Redness is often the earliest sign of a pressure sore and should be addressed immediately to prevent further complications. Swelling, numbness, and pain may also be present in later stages of a pressure sore, but redness is typically the initial indicator.

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  • 38. 

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

    • A.

      A. before going to the bathroom

    • B.

      B. after each client contact

    • C.

      C. before eating

    • D.

      D. after changing dressings

    Correct Answer
    A. A. before going to the bathroom
    Explanation
    Nurse aides should wash their hands in all situations except before going to the bathroom. Washing hands before going to the bathroom is not necessary because the purpose of handwashing is to remove germs and prevent the spread of infection. Since the nurse aide will be using the bathroom for personal hygiene purposes, there is no need to wash hands before entering. However, it is important for them to wash their hands after using the bathroom to ensure proper hygiene and prevent the transmission of any potential pathogens.

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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.

      A ignore it if the resident does not complain

    • B.

      B. wash if it see if it disappears

    • C.

      C. rub it with alcohol to dry it out

    • D.

      D. notify the charge nurse of the rash

    Correct Answer
    D. D. notify the charge nurse of the rash
    Explanation
    The correct answer is to notify the charge nurse of the rash. This is the appropriate action to take because the nursing assistant is not qualified to diagnose or treat medical conditions. The charge nurse can assess the rash and determine the appropriate course of action, such as notifying the resident's healthcare provider or applying a topical treatment. It is important to report any changes or abnormalities in a resident's condition to the charge nurse to ensure their health and well-being.

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  • 40. 

    The nursing assistant should tell clients

    • A.

      A. how to dress

    • B.

      B. how to call for help

    • C.

      C. that things will get better

    • D.

      D. that there is nothing to worry about

    Correct Answer
    B. 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 alert the healthcare team in case of emergencies or when they need assistance. This information empowers clients to take control of their own care and ensures that they can receive prompt help when needed. It is a crucial aspect of patient safety and well-being.

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  • 41. 

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

    • A.

      A. hold him down to prevent him from falling

    • B.

      B. put a tongue depressor in his mouth

    • C.

      C. protect him from injuring himself

    • D.

      D. run out of the room and get help

    Correct Answer
    C. C. protect him from injuring himself
    Explanation
    During a seizure, it is important to protect the individual from injuring themselves. Holding them down may cause further harm and restraining them could lead to injuries. Putting a tongue depressor in their mouth is not recommended as it can cause damage to the teeth or airway. Running out of the room and getting help is not the appropriate action as the nurse aide should stay with the client and provide support until the seizure ends. Therefore, the best course of action is to protect the client from injuring themselves during the seizure.

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  • 42. 

    Sputum is best collected

    • A.

      A. just before bedtime

    • B.

      B. in the afternoon

    • C.

      C. upon awakening in the morning

    • D.

      D. anytime

    Correct Answer
    C. 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 is because the body is in a resting position and the cilia, which help in clearing the respiratory tract, are less active during sleep. Therefore, collecting sputum in the morning provides a higher chance of obtaining a good sample for analysis, as it contains a higher concentration of pathogens or abnormal cells that may be present in respiratory infections or diseases.

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  • 43. 

    To change direction, a nurse aide should

    • A.

      A. turn her whole body by moving her feet

    • B.

      B. twist from the waist

    • C.

      C. move her body in sections

    • D.

      D. move her body very slowly

    Correct Answer
    A. 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. Twisting from the waist or moving the body in sections can lead to strain or injury, while moving the body very slowly may not be practical in a fast-paced healthcare environment. Moving the feet allows for a smooth and controlled change in direction.

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  • 44. 

    When repositioning a heavy client, the nurse aide should

    • A.

      A. attenpt to move the client alone

    • B.

      B. let the family move the client

    • C.

      C. get another aide to help

    • D.

      D. move the client later

    Correct Answer
    C. 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. Letting the family move the client may not be feasible or appropriate in all situations. Moving the client later may cause discomfort or potential complications. Therefore, the best course of action is to get another aide to help, ensuring that the client is repositioned safely and effectively.

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  • 45. 

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

    • A.

      A. at the side of the bed, facing the head of the bed

    • B.

      B. at the foot of the bed

    • C.

      C at the head of the bed

    • D.

      D. at the sided of the bed, facing the foot of the bed

    Correct Answer
    D. 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, in order to help the client into the wheelchair. This positioning allows for easier transfer of the client from the bed to the wheelchair, as the client can simply pivot and slide into the chair. Placing the wheelchair at the side of the bed also ensures that the client is facing the correct direction when seated in the wheelchair.

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  • 46. 

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

    • A.

      A proper body mechanics

    • B.

      B. a Hoyer lift

    • C.

      C. a minimum of three coworkers

    • D.

      D. a mobility mattress

    Correct Answer
    A. 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 correct posture, body alignment, and techniques to protect their own body from strain or injury while safely moving the client. Using proper body mechanics helps to distribute the weight and force evenly, reducing the risk of musculoskeletal injuries for both the nurse aide and the client. It also ensures a smooth and efficient transfer, maintaining the client's comfort and safety.

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  • 47. 

    Which statement about dressing resident is correct ?

    • A.

      A. dressing is a waste of time for a handicapped resident

    • B.

      B. residents are used to dressing in front of others.

    • C.

      C. residents care about what they wear.

    • D.

      D. residents like the nurse aide to dress them

    Correct Answer
    C. C. residents care about what they wear.
    Explanation
    Residents care about what they wear. This suggests that residents have a preference for their clothing and want to have a say in what they wear. It acknowledges the importance of respecting their autonomy and individuality in the dressing process.

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  • 48. 

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

    • A.

      A. seeing demons

    • B.

      B. feeling imaginary bugs crawl on his arms

    • C.

      C. thinking that the CIA is secretly watching him

    • D.

      D. hearing voices demand the he escapes from the facility

    Correct Answer
    C. C. thinking that the CIA is secretly watching him
    Explanation
    An example of a client's delusion is thinking that the CIA is secretly watching him. Delusions are false beliefs that are not based on reality and are often associated with mental health disorders such as schizophrenia. In this case, the client's belief that the CIA is monitoring him is not supported by evidence or rational thinking, indicating a delusional belief.

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  • 49. 

    Reality orientation techniques include all of the following EXCEPT.

    • A.

      A. labeling items in the client's room

    • B.

      B. putting up calenders and clocks

    • C.

      C. using familiar items in the client's room

    • D.

      D. reminding a client that his spouse is deceased

    Correct Answer
    D. 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 their sense of time, place, and identity. These techniques involve strategies such as labeling items in the client's room, putting up calendars and clocks to provide a sense of time, and using familiar items in the client's room to create a sense of familiarity. However, reminding a client that his spouse is deceased is not a reality orientation technique. This statement can be distressing and may not help the client maintain their connection to reality.

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  • 50. 

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

    • A.

      A. normal

    • B.

      B. hopeless

    • C.

      C. unrealistic

    • D.

      D. confused

    Correct Answer
    A. A. normal
    Explanation
    The feeling of wanting a boyfriend is best described as normal because it is a common desire for many individuals, regardless of their physical condition or disability. It is a natural part of human development and social interaction to seek companionship and romantic relationships. Having muscular dystrophy does not diminish one's longing for emotional connection and intimacy, making this feeling completely understandable and typical.

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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 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Mar 10, 2012
    Quiz Created by
    JasmineKnight
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