Gna Practice Questions

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1/60 Questions

When you make a bed, you should place the soiled linen
- On the bedside table
- On the overbed table
- In a laundry bag
- On a chair

About This Quiz

GNA Practice Questions provides focused preparation for nursing assistants specializing in geriatric care. This quiz assesses critical skills needed to effectively support elderly residents, including managing physical disabilities, respecting privacy and dignity, understanding sexual health concerns, and providing prosthetic care. Each question is designed to simulate real-life caregiving scenarios, helping learners build confidence and competence in bedside nursing tasks.

By practicing with this quiz, nursing assistants can identify knowledge gaps and strengthen their ability to deliver compassionate, respectful, and comprehensive care to older adults. It serves as an essential resource for those preparing for certification or seeking to enhance their practical skills in long-term care settings. This targeted approach ensures readiness to meet the unique challenges of geriatric nursing with professionalism and empathy.

Quiz Preview

2.

When family members visit a resident, the visitors should
- Stay in the day room
- Stay a short while so as not to tire the resident
- Be expected to help with care
- Be allowed privacy with the resident
Correct Answer

A. Be allowed privacy with the resident

Explanation

The family should expect and be allowed privacy time with their loved one

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4
3.

When giving daily care you should observe
- General appearance
- Mental condition
- Skin condition
- All of the above
Correct Answer

A. All of the above

Explanation

When giving daily care, it is important to observe the general appearance of the individual, which includes their overall physical condition and any noticeable changes. Observing the mental condition is also crucial to assess their cognitive abilities, mood, and behavior. Additionally, monitoring the skin condition is necessary to identify any abnormalities, such as rashes, wounds, or signs of infection. Therefore, all of the above observations are essential to ensure the well-being and health of the individual receiving care.

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2
4.

You observe that Mr. Nix has an open red area on her coccyx that is draining. You should
- Wash the area with soap and water and apply alcohol
- Ask another nursing assistant to look at it and give her opinion
- Check it again the next day
- Tell the supervisor so she can check it.
Correct Answer

A. Tell the supervisor so she can check it.

Explanation

An opening in the skin predisposes the patient to and must be checked by the nurse

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4
5.

When you have a resident sit up and dangle her legs before getting up, you should watch for
- Sudden paleness
- Excessive sweating
- Increased respirations
- All of the above
Correct Answer

A. All of the above

Explanation

When a resident sits up and dangles her legs before getting up, it is important to watch for sudden paleness, excessive sweating, and increased respirations. These signs may indicate that the resident is experiencing orthostatic hypotension, a sudden drop in blood pressure when changing positions. Sudden paleness can occur due to decreased blood flow to the skin, excessive sweating may be a compensatory mechanism to cool the body, and increased respirations can be a result of the body trying to compensate for the drop in blood pressure. Therefore, all of the above signs should be monitored to ensure the resident's safety and well-being.

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4
6.

The resident's religion forbids eating pork. Ham is being served for lunch. You should
- Tell the resident to eat it because she needs protein
- Tell the resident it's all right since her doctor ordered the diet
- Ask the nurse to call the kitchen
- Tell the resident that restrictions don't pertain in times of illness
Correct Answer

A. Ask the nurse to call the kitchen

Explanation

The correct answer is to ask the nurse to call the kitchen. This is the most appropriate action because the resident's religion forbids eating pork, and as a healthcare professional, it is important to respect and accommodate the resident's religious beliefs and dietary restrictions. By asking the nurse to call the kitchen, they can inquire about alternative meal options that are suitable for the resident's dietary needs.

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7.

Before any transfer, you should
- Have the nurse's approval
- Know the proper procedure
- Use a transfer belt if needed
- All of the above
Correct Answer

A. All of the above

Explanation

The correct answer is "all of the above" because before any transfer, it is important to have the nurse's approval to ensure the safety and well-being of the patient. Additionally, knowing the proper procedure is crucial to prevent any injuries or complications during the transfer. Lastly, using a transfer belt if needed provides extra support and stability for both the patient and the caregiver, reducing the risk of falls or accidents. Therefore, all of these steps are necessary before performing any transfer.

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4
8.

Special devices that residents use to dress themselves include
- Velcro closings
- An extended shoe horn
- A zipper pull
- All of the above
Correct Answer

A. All of the above

Explanation

Promote ADL and independent

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2
9.

Wrinkles in the bedclothes can
- Overheat the patient
- Irritate the patient's skin
- Result in torn sheets
- Restrict the patietn's activity
Correct Answer

A. Irritate the patient's skin

Explanation

Wrinkles in the bedclothes can irritate the patient's skin. When the bedclothes are wrinkled, they can create friction against the patient's skin, causing discomfort and irritation. This can lead to redness, itching, and even skin breakdown in some cases. It is important to ensure that the bedclothes are smooth and wrinkle-free to provide maximum comfort for the patient and prevent any skin irritation or damage.

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10.

Mr. Brook has a broken hip and needs to have an enema. The best type of bedpan to use would be a
- Fracture pan
- Plastic pan
- Child sized pan
- Metal pan
Correct Answer

A. Fracture pan

Explanation

choose a fracture pan so Mr. Brook will have a minimal distance to lift his hips

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11.

A prosthesis is
- An artificial substitute for a missing body part
- A device for moving patients
- An expected condition of the aging process
- A disease of the circulatory system
Correct Answer

A. An artificial substitute for a missing body part

Explanation

Examples of prostheses include artificial limbs, hearing aids, and dentures

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2
12.

A water pitcher has tipped over and you notice water on the floor. You should
- Wipe it up immediately
- Throw a towel over the water to prevent accidents
- Notify the charge nurse
- Call housekeeping
Correct Answer

A. Wipe it up immediately

Explanation

Take care of spills immediately, or patient may be injured while waiting for housekeeping

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1
13.

A resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing
- Back blows
- Mouth to mouth ventilation
- A finger sweep
- Abdominal thrusts
Correct Answer

A. Abdominal thrusts

Explanation

Abdominal thrusts are always the first step for airway obstructions

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4
14.

Common signs and symptoms of urinary tract infection may include
- Extreme thirst
- Lack of appetite and stomach pain
- No bowel movement for several days
- Frequent urination with burning sensation
Correct Answer

A. Frequent urination with burning sensation

Explanation

The correct answer is frequent urination with burning sensation. This symptom is commonly associated with urinary tract infections. The burning sensation is caused by inflammation in the urinary tract, and the frequent urination is a result of the body's attempt to flush out the infection. Other symptoms such as extreme thirst, lack of appetite, stomach pain, and no bowel movement for several days are not typically associated with urinary tract infections.

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4
15.

While you are walking Mrs. Grey in the hallway, she complains of chest pain and dizziness. Your fist response should be
- Sit her on the floor and go get help
- Call for help immediately but stay with her
- Continue the walk so as not to alarm her
- Tell her to relax because everything will be okay
Correct Answer

A. Call for help immediately but stay with her

Explanation

Never leave a patient alone in the time of an emergency.Get help immediately

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4
16.

When assisting Mr. Cohen in learning to use a walker, you should
- Stand behind him and use a transfer belt
- Put padding all the way around the top rim
- Let him walk by himself so he gains independence
- Let him practice using the walker on the day he is discharged
Correct Answer

A. Stand behind him and use a transfer belt

Explanation

standing behind him and using a transfer belt protects both the client and the aide

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2
17.

When reporting your patient's condition to your team leader, you should report immediately
- Rash that appears suddenly
- Warm, dry, and pink skin
- Tough skin on the feet
- Scarred skin
Correct Answer

A. Rash that appears suddenly

Explanation

Only A is an acute change

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18.

Which statement about a family's involvement in a resident's care is correct?
- Families should be asked to attend care plan meetings
- Families should be asked to leave during care plan meetings
- Families' wishes can have no effect on care planning
- Families may attend religious services only
Correct Answer

A. Families should be asked to attend care plan meetings

Explanation

Promotes communication and continuity of care

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4
19.

Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is
- Done only when time permits
- The family's responsibility
- Necessary for rehabilitation
- A violation of patient rights
Correct Answer

A. Necessary for rehabilitation

Explanation

Rehab should always be part of the care plan

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20.

Because of lack of exercise, bedridden residents often develop
- Decubitus ulcers
- Foot drop
- Contractures and muscle atrophy
- All of the above
Correct Answer

A. All of the above

Explanation

Exercise promotes and improves circulation in bedridden patients

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21.

Failure to raise the side rails on the bed of a confused patient is an act of
- Malpractice
- Negligence
- Overt commission
- Breaking a criminal law
Correct Answer

A. Negligence

Explanation

Negligence is an unintentional act of injury

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22.

When assisting a patient with eating, one of the first things you should do is
- Cut the meat bite-size pieces
- Wash your hands and the patient's hands
- Butter the patient's bread
- Provide the patient with privacy
Correct Answer

A. Wash your hands and the patient's hands

Explanation

When assisting a patient with eating, it is important to prioritize hygiene and cleanliness. Washing your hands and the patient's hands before a meal helps to prevent the spread of germs and reduce the risk of infection. This step ensures that both you and the patient have clean hands, promoting a safe and healthy eating environment.

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23.

The nursing assistant must report abuse of a resident by
- The family
- The staff
- Another patient
- All of the above
Correct Answer

A. All of the above

Explanation

Federal and state laws require reporting of any abuse, whether it comes from staff, family or other residents.

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1
24.

Before you ambulate a patient who has a Foley catheter, you should
- Clamp off the catheter and disconnect it, since the bag would be in the way
- Leave the catheter dangling between the patient's legs
- Carry the bag below the level of the bladder
- Hide the bag in a pillowcase so the patient will not be embarrassed
Correct Answer

A. Carry the bag below the level of the bladder

Explanation

You cannot disconnect the bag without an order, but you still must ensure that the bag remains below the bladder level

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5
25.

Mr. Johnson has not had a bowel movement for five days. He might complain of
- Abdominal cramping
- Lack of appetite
- Slight nausea
- All of the above
Correct Answer

A. All of the above

Explanation

Lack of peristalsis causes all of these symptoms and must be documented and reported

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1
26.

Sexuality changes in aging can result in
- Decreased sexual desire
- Unchanged sexual desire
- Increased sexual desire
- All of the above
Correct Answer

A. All of the above

Explanation

Sexual desire is related to emotions as well as physical ability, so all the answers listed may be correct for different individuals

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5
27.

On entering a room, you notice that the patient is not breathing. You first action should be to
- Call for help
- Lay the resident down on his back
- Give four quick breaths
- Give 8-10 abdominal thrusts
Correct Answer

A. Call for help

Explanation

In this scenario, the correct action to take is to call for help. This is because the patient is not breathing, indicating a medical emergency. Calling for help is the first step to ensure that medical professionals can provide immediate assistance and potentially save the patient's life.

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3
28.

Behavior management is a system for
- Making residents follow the rules
- Increasing positive behavior
- Punishing negative behavior
- Making individual staff decisions
Correct Answer

A. Increasing positive behavior

Explanation

A positive behavior affects attitude and builds self-esteem

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4
29.

When caring for a patient with a nasogastric tube, you should
- Offer the patient water if she starts to gag
- Take the tape off the nose if it bothers the patient
- Never unfasten the connecting tubing from the patient's gown
- Protect the tube when moving or changing the patient's position
Correct Answer

A. Protect the tube when moving or changing the patient's position

Explanation

You must ensure that the tube is not dislodged

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30.

Your resident has a right hemiplegia.When up in a chair, the resident's right arm should be
- Placed in her lap
- Allowed to dangle freely
- Be elevated on a pillow in her lap
- None of the above
Correct Answer

A. Be elevated on a pillow in her lap

Explanation

elevating a paralyze limb will help prevent edema and injury

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5
31.

If Mrs. Force loses her temper and starts swearing, you should
- Put her in her room
- Swear back at her
- Ignore the outburst
- Follow the care plan
Correct Answer

A. Follow the care plan

Explanation

Don't reinforce negative behavior. The care plan should communicate what the staff is to do should the resident engage in undesirable behavior

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4
32.

When making an occupied bed, it is important to
- Make half of the bed at one time
- Have one side rail up and one down
- Make a toe pleat in the top covers
- Do all of the above
Correct Answer

A. Do all of the above

Explanation

When making an occupied bed, it is important to do all of the above. Making half of the bed at one time ensures that the patient remains comfortable and supported throughout the process. Having one side rail up and one down provides safety and stability for the patient. Making a toe pleat in the top covers helps to prevent pressure points on the patient's feet and ensures proper positioning. Therefore, all of these actions are necessary when making an occupied bed.

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2
33.

Mr. Kull is weak and unsteady. He needs to urinate. You could safely leave him alone to use
- A bedside commode
- The toilet
- A bedpan
- A urinal
Correct Answer

A. A bedpan

Explanation

Keep the resident in bed to prevent a fall, but allow privacy while voiding

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1
34.

During his bath, Mr. Ramirez complains of chest pain and shortness of breath. You should
- Contact your supervisor immediately
- Continue the bath
- Stop the bath and have the resident take some deep breaths
- Assist the resident to a chair to sit upright
Correct Answer

A. Contact your supervisor immediately

Explanation

Any chest pain should be reported immediately as it may be a sign of heart attack

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3
35.

A resident with a paralyzed left arm may be able to feed herself if she uses a
- Plate guard
- Build-up spoon
- Zipper pull
- A and b only
Correct Answer

A. A and b only

Explanation

A resident with a paralyzed left arm may be able to feed herself if she uses a plate guard and a build-up spoon. A plate guard can be placed around the edge of a plate to prevent food from falling off, making it easier for the resident to scoop food onto a spoon using her right hand. A build-up spoon has a larger handle, providing a better grip and making it easier for the resident to hold and manipulate the spoon with her right hand. A zipper pull is unrelated to the task of feeding oneself and would not assist in this situation.

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1
36.

Sexuality in long term care patients may included all of the following except
- Needing private time with a partner
- Caring about one's physical appearance
- Engaging in public fondling
- Desiring sexual interaction
Correct Answer

A. Engaging in public fondling

Explanation

As long term care providers, nursing assistants must respect the resident's right to sexuality. However, engaging in public fondling is inappropriate and may infringe on other resident's rights

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2
37.

A resident who is eating poorly should be offered
- Vitamin pills
- Tube feeding
- Clear broth
- Dietary supplements
Correct Answer

A. Dietary supplements

Explanation

A resident who is eating poorly should be offered dietary supplements. This is because dietary supplements can provide essential nutrients that may be lacking in their diet. These supplements can help improve their overall nutrition and prevent any deficiencies. Offering dietary supplements is a practical and effective solution to ensure that the resident receives the necessary nutrients despite their poor eating habits.

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0
38.

Which of the following is not a special or therapeutic diet?
- Diabetic
- Low salt
- Bland
- Regular
Correct Answer

A. Regular

Explanation

Regular diet is not considered a special or therapeutic diet because it does not have any specific restrictions or modifications. It is a standard diet that does not cater to any specific dietary needs or health conditions. On the other hand, diabetic diet is designed for individuals with diabetes to manage their blood sugar levels, low salt diet is recommended for individuals with high blood pressure or heart conditions, and bland diet is often prescribed for individuals with gastrointestinal issues.

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39.

In caring for a confused elderly man, you should remember to
- Keep the bedrails up except when you are at the bedside
- Close the door to the room so that he does not disturb other patients
- Keep the room dark and quiet at all times to keep the patient form becoming upset
- Remind him each morning to shower and shave independently
Correct Answer

A. Keep the bedrails up except when you are at the bedside

Explanation

Keeping the bedrails up except when you are at the bedside is important in caring for a confused elderly man because it helps to ensure his safety. Confused elderly individuals may have difficulty understanding their surroundings and may be at risk of falling out of bed. By keeping the bedrails up, it provides a physical barrier that can prevent falls and injuries. However, it is also important to lower the bedrails when you are at the bedside to provide care and assistance to the patient. This allows for easier access and prevents the patient from feeling trapped or confined.

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3
40.

To prevent infection in a resident with an indwelling catheter, you should
- Keep the drainage bag higher than the bladder
- Do perineal care from front to back as needed
- Let the tubing make a U loop below the bed
- Do perineal care every other night
Correct Answer

A. Do perineal care from front to back as needed

Explanation

Always wipe from the front to the back to prevent rectal germs from entering the vagina or urinary tract

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1
41.

You perform passive range of motion exercises for a resident, you should do all the following except
- Use good body mechanics
- Move the joint until the resident feels pain
- Keep the body covered except for the joint being exercised
- Make the resident as he can
Correct Answer

A. Move the joint until the resident feels pain

Explanation

Never extend the joint to the point of pain

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42.

Reporting exactly what you see is an example of a(an) ________observation
- Clinical
- Objective
- Personal
- Subjective
Correct Answer

A. Objective

Explanation

Objective means something you can see, feel, smell or touch

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1
43.

Confidentiality refers to
- Never sharing information with anyone
- The right of the patient to privacy
- Only sharing information with those involved in the resident's care
- Both b and c
Correct Answer

A. Both b and c

Explanation

Choice a is incorrect because important patient information would be missed if you never shared information with anyone. Choice d is the correct ans because both b and c are true

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44.

H.S. care is care that is given
- Before meals
- Before bedtime
- After meals
- Upon awakening
Correct Answer

A. Before bedtime

Explanation

H.S. care refers to care that is given before bedtime. This implies that the care is provided to the individual right before they go to sleep. It could include activities such as helping the person change into their night clothes, brushing their teeth, and ensuring they are comfortable and ready for bed. This type of care is important in maintaining good hygiene and ensuring a restful night's sleep for the individual.

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6
45.

While giving an unconscionably patient a bath, it is imporatnt to
- Give passive range of motion to all joints
- Let the team leader exercise the patient's joints
- Call the physical therapist to exercise the patient afterwards
- Exercise the patient only if the doctor has ordered it
Correct Answer

A. Give passive range of motion to all joints

Explanation

Passive ROM should always be given with the bath on an unconscious patient

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3
46.

When a resident is on I and O, which of the following are measured?
- Liquids other than water
- See-through liquids only
- Milk, ice cream, and carbonated beverages
- All substances that are fluid at room temperature
Correct Answer

A. All substances that are fluid at room temperature

Explanation

All items that are liquid at room temperature are considered fluid (for example, ice cream gelatin, dessert, and so on)

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47.

Each resident who is not NPO must always have
- Fresh fruit
- Three hot meals
- Fresh water
- Juice and pop
Correct Answer

A. Fresh water

Explanation

Residents who are not NPO (nothing by mouth) are allowed to consume food and beverages, unlike those who are on a restricted diet. Among the given options, fresh water is a necessity for all residents, regardless of their dietary restrictions. It is essential for hydration and maintaining overall health. While fresh fruit, three hot meals, and juice and pop might be important for a balanced diet, they are not mandatory for every resident who is not NPO.

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2
48.

Maintaining good interpersonal relationships depends on
- Going along with the crowd
- Communicating clearly with others
- Following orders without questioning
- Doing all of the above
Correct Answer

A. Communicating clearly with others

Explanation

Maintaining good interpersonal relationships depends on communicating clearly with others. This is because effective communication is essential for understanding and being understood by others, resolving conflicts, and building trust and rapport. By expressing thoughts, feelings, and ideas clearly, individuals can establish open and honest lines of communication, leading to better understanding and stronger relationships.

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49.

Your assignment sheet has the follwoing notation: " S&A, AC, tid" for Mr. Able. This means that you should
- Take an axillary temperature and systolic blood pressure after care is given two time a day
- Do a routine sugar and acetone urine test before meals three time a day
- Do a routine sugar and acid stool test after Mr. Able's next three stools
- Offer snacks and ginger ale three time a day
Correct Answer

A. Do a routine sugar and acetone urine test before meals three time a day

Explanation

S & A is a diabetic test done on urine, before meals

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2

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Apr 28, 2016

Quiz Created by
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Gna Practice Questions

When you make a bed, you should place the soiled linen

Quiz Preview

When family members visit a resident, the visitors should

When giving daily care you should observe

You observe that Mr. Nix has an open red area on her coccyx that is draining. You should

When you have a resident sit up and dangle her legs before getting up, you should watch for

The resident's religion forbids eating pork. Ham is being served for lunch. You should

Before any transfer, you should

Special devices that residents use to dress themselves include

Wrinkles in the bedclothes can

Mr. Brook has a broken hip and needs to have an enema. The best type of bedpan to use would be a

A prosthesis is

A water pitcher has tipped over and you notice water on the floor. You should

A resident begins to choke while being fed and is unable to speak, the nursing assistant should call for help and begin doing

Common signs and symptoms of urinary tract infection may include

While you are walking Mrs. Grey in the hallway, she complains of chest pain and dizziness. Your fist response should be

When assisting Mr. Cohen in learning to use a walker, you should

When reporting your patient's condition to your team leader, you should report immediately

Which statement about a family's involvement in a resident's care is correct?

Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is

Because of lack of exercise, bedridden residents often develop

Failure to raise the side rails on the bed of a confused patient is an act of

When assisting a patient with eating, one of the first things you should do is

The nursing assistant must report abuse of a resident by

Before you ambulate a patient who has a Foley catheter, you should

Mr. Johnson has not had a bowel movement for five days. He might complain of

Sexuality changes in aging can result in

On entering a room, you notice that the patient is not breathing. You first action should be to

Behavior management is a system for

When caring for a patient with a nasogastric tube, you should

Your resident has a right hemiplegia.When up in a chair, the resident's right arm should be

If Mrs. Force loses her temper and starts swearing, you should

When making an occupied bed, it is important to

Mr. Kull is weak and unsteady. He needs to urinate. You could safely leave him alone to use

During his bath, Mr. Ramirez complains of chest pain and shortness of breath. You should

A resident with a paralyzed left arm may be able to feed herself if she uses a

Sexuality in long term care patients may included all of the following except

A resident who is eating poorly should be offered

Which of the following is not a special or therapeutic diet?

In caring for a confused elderly man, you should remember to

To prevent infection in a resident with an indwelling catheter, you should

You perform passive range of motion exercises for a resident, you should do all the following except

Reporting exactly what you see is an example of a(an) ________observation

Confidentiality refers to

H.S. care is care that is given

While giving an unconscionably patient a bath, it is imporatnt to

When a resident is on I and O, which of the following are measured?

Each resident who is not NPO must always have

Maintaining good interpersonal relationships depends on

Your assignment sheet has the follwoing notation: " S&A, AC, tid" for Mr. Able. This means that you should