Gna Practice Exam Quiz Maryland

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Gna Practice Exam Quiz Maryland - Quiz

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Questions and Answers
  • 1. 

    Its is important to practice standard precautions when

    • A.

      Dressing a patient

    • B.

      Feeding a patient

    • C.

      Providing oral hygeiene

    • D.

      Ambulating a patient

    Correct Answer
    C. Providing oral hygeiene
    Explanation
    Standard precautions are necessary when providing oral hygiene to a patient because it involves direct contact with the patient's mouth, which can contain various microorganisms. These precautions include wearing gloves, using appropriate disinfectants, and maintaining proper hand hygiene to prevent the 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 recommended 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 better 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 fluid intake ?

    • A.

      Milk,ham sandwich,ice cream bar

    • B.

      Water,mashed potatoes,gelatin

    • C.

      Milk, custard,soup

    • D.

      Orange juice,soft boiled eggs,toats

    Correct Answer
    C. Milk, custard,soup
    Explanation
    The items in the list that would be included in fluid intake are milk, custard, and soup. These items are all liquid or semi-liquid in nature and can contribute to the overall fluid intake of an individual.

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  • 4. 

    The nurse aide must use a stethscope to determine the

    • A.

      Apical pulse rate

    • B.

      Carotid pulse rate

    • C.

      Popliteal pulse rate

    • D.

      Brachial pulse rate

    Correct Answer
    A. Apical pulse rate
    Explanation
    The nurse aide must use a stethoscope to determine the apical pulse rate because the apical pulse is located at the apex of the heart, which is not easily palpable. By using a stethoscope, the nurse aide can listen to the heart sounds and count the number of beats per minute to determine the apical pulse rate. This method provides a more accurate measurement of the heart rate compared to palpating other pulse sites such as the carotid, popliteal, or brachial pulses.

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  • 5. 

    Another name for unrination is

    • A.

      Defecation

    • B.

      Voiding

    • C.

      Wetting the bed

    • D.

      Flatus

    Correct Answer
    B. Voiding
    Explanation
    Voiding is another term used to describe the act of urination. It refers to the process of expelling urine from the bladder through the urethra. This term is commonly used in medical and healthcare settings to describe the act of emptying the bladder.

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  • 6. 

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

      D. assess the soreness every hour for a few hours

    Correct Answer
    B. Ask the nurse to check the client immediately
    Explanation
    If a client complains of a sore spot in her calf, it is important to ask the nurse to check the client immediately. This is because the sore spot could be indicative of a more serious condition such as a blood clot or deep vein thrombosis. Promptly notifying the nurse allows for timely assessment and appropriate intervention to prevent any potential complications.

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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 as the droplets from the sneeze can contain pathogens that can be transmitted to the person who was sneezed on. This direct contact allows for the transfer of the pathogens from one person to another, increasing the risk of infection or illness.

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  • 8. 

    A nurse aid finds smoke and flames coming from 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 the event of a fire, the safety of the resident should be the top priority. Attempting to get the resident out of the room and closing the door is the correct first step because it helps to prevent the fire from spreading and protects the resident from smoke inhalation and further danger. Getting the fire extinguisher and putting out the fire may put the nurse aide and resident at risk if they are not properly trained to handle fire emergencies. Taking away the resident's cigarettes is not a priority in this situation. Pulling the fire alarm should be done after ensuring the resident's safety.

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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
    To place a client in good alignment, the nurse aide should keep the client's straight as possible. This means ensuring that the client's body is positioned in a straight line, with the head, neck, spine, and limbs in proper alignment. This helps to maintain proper body posture and prevents strain or discomfort for the client. It also helps to distribute weight evenly and maintain balance. Keeping the client straight as possible promotes optimal body mechanics and reduces the risk of developing musculoskeletal issues or 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.

      On the right side

    • B.

      On the left side

    • C.

      When he is lying flat in bed.

    • D.

      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, and starting with the weaker side allows for better support and assistance during the dressing process. By starting on the left side, the nurse aide can provide the necessary help and ensure the client's comfort and safety.

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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 may indicate an allergic reaction, infection, or an adverse drug reaction. It could be a sign of a serious medical condition that requires immediate attention and treatment. Reporting this symptom promptly allows the charge nurse to assess the situation and take appropriate action to ensure the patient's safety and well-being.

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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.

      Tell another coworker

    • B.

      Call the charge nurse to supervise

    • C.

      Scold him and tell him never to smoke unsupervised again

    • D.

      Remain with the patient until he finishes smoking

    Correct Answer
    D. 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 engage in this activity. By staying with the patient, the nurse aide can monitor them and provide any necessary assistance or support. This also helps to prevent any potential accidents or incidents that may occur during smoking.

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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 needs an enema, and the best bedpan to use would be a fracture pan. A fracture pan is specifically designed with a low profile and a flat front to make it easier for individuals with limited mobility or those with fractures, such as a broken hip, to use. Its unique shape helps to minimize discomfort and reduce the risk of further injury during the process. Plastic, pediatric, and metal pans may not provide the same level of support and comfort required in this situation.

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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 rely on spatial awareness and memory to locate their food on a plate or tray. They mentally divide the plate into sections, like the numbers on a clock, and use this system to navigate and identify the different food items. This method helps them maintain independence and control over their eating experience.

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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
    To prevent backflow of urine and potential infection, the nurse aide should carry the Foley catheter bag below bladder level. This ensures that gravity helps to drain the urine into the bag and reduces the risk of urine flowing back into the bladder. Clamping off or disconnecting the catheter can cause urine to back up into the bladder, while letting the bag dangle or hiding it in a pillowcase does not promote proper drainage.

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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 nurse aide should continue to observe the client because restraining the resident may be unnecessary and potentially harmful. Walking with the resident may not be necessary if they are able to walk independently. Placing the resident in a locked room is not appropriate unless there is a specific reason for doing so. Therefore, the best course of action is 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
    In this situation, the nurse's aide's first action should be to grasp the transfer belt and lower the client to the floor. This is because the client is weak and beginning to fall, and it is important to prevent any further injury by gently guiding them to the floor. Holding the transfer belt provides stability and control during the transfer, ensuring the client's safety. Calling for help may be necessary, but it should not be the first action. Holding the client tightly may cause harm or discomfort to the client, so it is not the appropriate response.

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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
    To measure accurate daily weights, it is important to weigh the client at the same time and day. This is because weight can fluctuate throughout the day due to factors such as food and fluid intake, as well as bowel movements. By consistently weighing the client at the same time and day, any changes in weight can be more accurately attributed to actual changes in body mass rather than temporary fluctuations. Weighing the client without clothing or after breakfast may introduce additional variables that can affect the accuracy of the 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.

      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 baby is not real

    Correct Answer
    C. Ask her if she is upset with her doll
    Explanation
    In situations where a client, particularly one potentially experiencing cognitive impairments such as dementia, is interacting with a doll as if it were real, it is important to handle the situation with sensitivity and respect for their feelings and perceptions. The correct response should be to acknowledge the client's feelings and reality without reinforcing any delusions but also without dismissing or challenging their experiences harshly.
    Ask her if she is upset with her doll: This approach validates the client's feelings by recognizing her concern without affirming the doll as a real baby. It opens up a conversation that allows her to express her feelings and provides an opportunity for comfort and reassurance in a respectful manner.

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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, especially if they are restless or have mobility issues. The padding on the side rails helps to cushion any accidental impact, reducing the risk of bruises, cuts, or fractures. This safety measure is particularly important for individuals who may be at a higher risk of falls or have cognitive impairments that may affect their awareness of their surroundings.

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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.

      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 cause the urine bag to appear empty even if there is urine in the bladder. By checking for kinks, the nurse aide can ensure that the urine is flowing properly and address any obstructions or issues with the catheter. Irrigating the catheter, replacing the drainage bag, or replacing the catheter may not be necessary if the issue is simply a kink in the tube.

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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.

      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 scenario, the client is clutching her neck and unable to speak, which suggests that she may be choking. The Heimlich maneuver is a first aid technique used to help a choking person by applying pressure to the abdomen to dislodge the obstruction. Therefore, performing the Heimlich maneuver is the most appropriate action to take in this situation. Calling for help may be necessary after attempting the maneuver, but the immediate priority is to address the choking. Offering her a drink of water or hitting her on the back may not effectively resolve the choking 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.

      Nausea

    • B.

      Headache

    • C.

      Leg cramps

    • D.

      Chest pain

    Correct Answer
    A. Nausea
    Explanation
    The client's lack of bowel movement for five days may be causing a buildup of waste in their digestive system, leading to discomfort and nausea. The other symptoms mentioned, such as headache, leg cramps, and chest pain, may be secondary effects of the constipation.

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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
    The client is weak and unsteady, indicating that they may have difficulty maintaining balance and stability while using the bathroom. Leaving the client alone on a commode or toilet may pose a risk of falling or injury. A bedpan is a flat, shallow container that can be used while lying down, providing stability and minimizing the risk of falls. Therefore, using a bedpan would be the safest option for this client. A urinal is typically used for male clients who are able to sit up or stand, but it may not be suitable for a weak and unsteady client.

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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
    The correct answer is placed in the linen hamper. When a client is classified as wounded and 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 cleaned and disinfected. Discarding the linen or taking it directly to the laundry without proper containment could lead to the spread of infectious agents. Bagging the linen before removing it from the room is also a good practice to prevent contamination of other areas.

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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
    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 technique used to forcefully expel an obstruction from the airway. This involves standing behind the person, placing a fist just above the navel, and grasping it with the other hand. The nurse aide should then perform quick upward thrusts to apply pressure on the diaphragm and force air out of the lungs, hopefully dislodging the obstruction. This is the appropriate action to take in a choking emergency.

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  • 27. 

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

    • A.

      On the bedside table

    • B.

      On the floor

    • C.

      In a laundry bag

    • D.

      In a red plastic bag

    Correct Answer
    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 appropriate method of handling soiled linen to maintain cleanliness and prevent the spread of germs. Placing it on the bedside table or on the floor would not be hygienic, and using a red plastic bag is not specified as the correct method. Therefore, using a laundry bag is the best option for containing and transporting the soiled linen for proper cleaning.

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  • 28. 

    The ABC's of emergency care stand for

    • A.

      Airway,breathing,circulation

    • B.

      Action before calling

    • C.

      Airway before circulation

    • D.

      Action, benefit,contact

    Correct Answer
    A. Airway,breathing,circulation
    Explanation
    The ABC's of emergency care stand for airway, breathing, circulation. This acronym is used to prioritize the steps to be taken in emergency situations. First, the airway needs to be cleared to ensure proper breathing. Then, breathing needs to be assessed and any necessary interventions should be performed. Finally, circulation should be evaluated and appropriate measures taken to maintain blood flow. This order of actions is crucial in order to provide immediate and effective care to individuals in emergency situations.

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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 correct answer is "fluids every hour". When forcing fluids, the nurse aide should offer fluids every hour to ensure that the patient stays hydrated and maintains a proper fluid balance. This frequent offering of fluids helps to prevent dehydration and ensures that the patient's fluid intake is sufficient throughout the day. It also allows for regular monitoring of the patient's fluid intake and output.

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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 may distort the sound and make it more difficult for the client to 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 the client's dentures in a labeled denture cup ensures their security. This method helps in keeping the dentures organized and easily identifiable. It reduces the risk of misplacing or losing the dentures, as the labeled cup provides a designated and safe place for storage. Additionally, it allows for easy transportation if the client needs to bring their dentures along. Overall, using a labeled denture cup is a practical and effective way to ensure the security and proper care of the client's dentures.

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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.

      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 got blood in her eyes while caring for a client. The first step she should take is to rinse her eyes out with clear water. This is important because rinsing her eyes will help to flush out any potential contaminants and reduce the risk of infection or further damage to her eyes. It is necessary to prioritize her own safety and well-being before taking any further actions such as calling 911, reporting the incident to the charge nurse, or documenting it.

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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. CC stands for cubic centimeters, which is a unit of measurement commonly used in the medical field. This measurement is more precise and accurate compared to ounces or cups, making it the preferred choice for documenting fluid intake.

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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, the nurse aide should observe skin irritation. This is because restraints can cause pressure ulcers or skin breakdown if they are too tight or left on for too long. By regularly checking the client's skin, the nurse aide can identify any signs of irritation or damage and take appropriate measures to prevent further harm. This includes adjusting the restraints, providing skin care, and reporting any concerns to the healthcare team.

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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, low pulse rate, low respiratory rate, and low blood pressure. These values are outside the normal range and may indicate a medical emergency or a critical condition that requires immediate attention.

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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
    Explanation
    The given answer is using gloves to provide peri-care. This is because using gloves to provide peri-care is a standard and necessary practice in healthcare settings to maintain hygiene and prevent the spread of infection. It is not an example of client abuse. On the other hand, the other options mentioned in the question, such as forcing clients fingers off the side rail, deliberately leaving the call bell out of reach, and turning the light out against the client's wishes, all involve mistreating or neglecting the client's needs, which can be considered as examples of client abuse.

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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.

      Redness

    • B.

      Swelling

    • C.

      Numbness

    • D.

      Pain

    Correct Answer
    A. Redness
    Explanation
    The nurse aide recognizes redness as the first sign of a pressure sore because it indicates that there is increased blood flow and inflammation in the area. Redness is often the earliest visible sign of a pressure sore and should be monitored closely to prevent further damage and the development of an open wound.

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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
    Nurse aides are expected to wash their hands after going to the bathroom, not before, as part of standard infection control practices. Washing hands is crucial after bathroom use, after each client contact, before eating, and after changing dressings to prevent the spread of infection.

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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 because the nursing assistant has noticed a rash on the resident's leg, which could be a sign of an underlying health issue or infection. It is important to notify the charge nurse so that appropriate action can be taken, such as consulting a healthcare professional or providing necessary treatment. Ignoring the rash or attempting to treat it without proper guidance could potentially worsen the condition or delay necessary medical intervention.

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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 seek assistance when they need it. This ensures their safety and well-being in case of emergencies or when they require immediate medical attention. By providing them with the knowledge and understanding of how to call for help, the nursing assistant empowers clients to take control of their own health and enables them to receive timely assistance when necessary.

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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 to protect the client from injuring themselves. The nurse aide should ensure that the client is in a safe position, away from any objects that could cause harm. They should also remove any sharp objects or obstacles that may be in the client's vicinity. Restraining the client or putting a tongue depressor in their mouth is not recommended, as it can further harm the client or cause injury. Running out of the room to get help may delay immediate assistance to the client, so protecting them from injury should be the priority.

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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 from the respiratory tract accumulate and are more likely to be present in the morning. This time also allows for the collection of a fresh sample, minimizing the risk of contamination and providing a more accurate representation of the patient's respiratory condition. Collecting sputum in the morning is a common practice in diagnosing respiratory infections and diseases.

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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
    When a nurse aide needs to change direction, it is important for her to turn her whole body by moving her feet. This is the correct answer because it ensures that the nurse aide maintains stability and balance while changing direction. By moving her feet and turning her whole body, the nurse aide can avoid twisting from the waist, which can be harmful to her back and spine. Moving her body in sections or very slowly may not provide the necessary stability and can increase the risk of falls or injuries.

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  • 44. 

    When repositioning a heavy client, the nurse aide should

    • A.

      Attenpt 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. Therefore, it is advisable for the nurse aide to get another aide to help. This ensures that the client is repositioned safely and reduces the risk of accidents or strain on the nurse aide's body.

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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 onto the wheelchair seat. Facing the foot of the bed allows the client to have their back towards the bed, making it easier for the nurse aide to assist them into 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
    When transferring a client from a bed to a stretcher, it is important for the nurse aide to use proper body mechanics. This involves using correct posture, body alignment, and lifting techniques to prevent injury to themselves and the client. By using proper body mechanics, the nurse aide can ensure that they are using their muscles efficiently and effectively, reducing the risk of strain or injury. This technique also allows for a smooth and safe transfer for the client, maintaining their comfort and dignity throughout the process.

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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
    Residents care about what they wear. This statement implies that residents have a preference for their clothing and take an interest in their appearance. It suggests that dressing is not solely a functional task but also a way for residents to express themselves and maintain their personal dignity.

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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 client's belief that the CIA is secretly watching him is an example of a delusion. Delusions are fixed, false beliefs that are not based in reality and are not influenced by evidence or reasoning. In this case, the client's belief about being under surveillance by the CIA is not supported by any evidence and is not a commonly accepted 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 calenders 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 oriented to their surroundings and maintain a sense of reality. This includes labeling items in the client's room, putting up calendars and clocks to help them keep track 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 does not fall under the category of reality orientation techniques. This can be distressing and may not be helpful in maintaining their orientation or reality.

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  • 50. 

    A young resident with musculare 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 young resident with muscular dystrophy expressing a desire for a boyfriend is best described as normal. It is a natural and common feeling for individuals, regardless of their physical condition, to desire companionship and romantic relationships. The fact that the person has muscular dystrophy does not make their desire for a boyfriend 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
  • Apr 19, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Apr 28, 2016
    Quiz Created by
    Celine3311
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