Gna Practice Exam Quiz Maryland

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.

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.

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.

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.

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.

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.

In this scenario, the nurse aide should allow the client privacy. It is important to respect the client's autonomy and personal boundaries. Engaging in masturbation is a normal and private behavior for many individuals, and it is not the nurse aide's role to interfere or pass judgment. Respecting the client's privacy promotes a therapeutic and respectful relationship between the nurse aide and the client.

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.

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.

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.

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.

It is important to speak to unconscious clients during the bath because they may still have some level of awareness and can potentially hear what is being said to them. This can help provide comfort and reassurance to the client, as well as maintain a sense of dignity and respect. Communication is a crucial aspect of care, even for unconscious clients.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

When providing postmortem care, it is important for the nurse aide to wear gloves. This is because the deceased body may still pose a risk of transmitting infectious diseases, and wearing gloves helps to protect the nurse aide from coming into direct contact with bodily fluids or other potentially harmful substances. By wearing gloves, the nurse aide can maintain proper hygiene and prevent the spread of infection.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.