Nursing Assistant Exam 5 Learning

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CNA Quizzes & Trivia

Practice Exam to help pass the State Competency Exam.


Questions and Answers
  • 1. 

    Its is important to practice standard precautions when

    • A.

      A. dressing a patient

    • B.

      B. feeding a patient

    • C.

      C. providing oral hygeiene

    • D.

      D. ambulating a patient

    Correct Answer
    C. C. providing oral hygeiene
    Explanation
    It is important to practice standard precautions when providing oral hygiene because this involves direct contact with the patient's mouth and potential exposure to saliva, blood, and other bodily fluids. Standard precautions include wearing gloves, masks, and protective eyewear, as well as proper hand hygiene before and after the procedure. These precautions help to prevent the transmission of infectious agents and maintain a safe and hygienic environment for both the patient and the healthcare provider.

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  • 2. 

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

    • A.

      A. supine

    • B.

      B. Fowler's

    • C.

      C. prone

    • D.

      D left Sim's

    Correct Answer
    D. D left Sim's
    Explanation
    The correct answer is d left Sim's. In a left Sim's position, the patient lies on their left side with the left leg straight and the right leg flexed. This position allows for easier insertion of the enema tube into the rectum and promotes the flow of the enema solution. It also helps to prevent leakage and discomfort for the patient during the procedure.

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  • 3. 

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

    • A.

      A. milk,ham sandwich,ice cream bar

    • B.

      B. water,mashed potatoes,gelatin

    • C.

      C. milk, custard,soup

    • D.

      D. orange juice,soft boiled eggs,toats

    Correct Answer
    C. C. milk, custard,soup
    Explanation
    The items in option c, milk, custard, and soup, would be included in fluid intake because they all contain a significant amount of liquid. Milk and soup are obvious sources of fluid, while custard is made with milk and therefore also contributes to fluid intake. The items in the other options, such as ham sandwich, ice cream bar, mashed potatoes, gelatin, orange juice, soft boiled eggs, and toast, may contain some liquid but are not primarily fluid sources.

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  • 4. 

    The nurse aide must use a stethscope to determine the

    • A.

      A. apical pulse rate

    • B.

      B. carotid pulse rate

    • C.

      C popliteal pulse rate

    • D.

      D. brachial pulse rate

    Correct Answer
    A. A. apical pulse rate
    Explanation
    The nurse aide must use a stethoscope to determine the apical pulse rate because the apical pulse is measured by listening to the heart sounds at the apex of the heart, which is located at the fifth intercostal space at the midclavicular line. The stethoscope helps amplify the sound of the heartbeat and allows the nurse aide to accurately count the number of beats per minute. This method is commonly used in healthcare settings to assess the heart rate and rhythm of patients.

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  • 5. 

    Another name for unrination is

    • A.

      A. defecation

    • B.

      B. voiding

    • C.

      C. wetting the bed

    • D.

      D. flatus

    Correct Answer
    B. B. voiding
    Explanation
    The correct answer is b. voiding because voiding refers specifically to the act of emptying the bladder by releasing urine. The term "unrination" is not commonly used or recognized, but "voiding" is a widely accepted term in medical and anatomical contexts to describe the process of urination. The other options, such as defecation (which refers to the elimination of feces), wetting the bed (which refers to involuntary urination during sleep), and flatus (which refers to the release of gas from the digestive system) are not synonymous with urination.

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  • 6. 

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

    • A.

      A. massage her legs with lotion

    • B.

      B. ask the nurse to check the client immediately

    • C.

      C. have the client walk to relieve the cramp

    • D.

      D. assess the soreness every hour for a few hours

    Correct Answer
    B. B. ask the nurse to check the client immediately
    Explanation
    If a client complains of a sore spot in her calf, it could be a sign of a serious condition such as a blood clot or deep vein thrombosis. Therefore, it is important for the nurse aid to ask the nurse to check the client immediately. This is necessary to ensure the client's safety and to rule out any potential serious complications. Massaging the legs with lotion, having the client walk, or assessing the soreness every hour would not address the potential underlying issue and may delay appropriate medical intervention.

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  • 7. 

    An example of possible contamination through direct contact is

    • A.

      A. cleaning a bedpan

    • B.

      B. touching used linens

    • C.

      C. being sneezed on

    • D.

      D. using a doorknob

    Correct Answer
    C. C. being sneezed on
    Explanation
    Being sneezed on can lead to possible contamination through direct contact because respiratory droplets containing bacteria or viruses can be transmitted from the person who sneezed to the person who is being sneezed on. This direct contact with the respiratory droplets can result in the transfer of pathogens and potential infection.

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  • 8. 

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

    • A.

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

    • B.

      B. get the fire extinguisher and put out the fire

    • C.

      C. take away the resident's cigarettes

    • D.

      D. pull the fire alarm

    Correct Answer
    A. A. attempt to get the resident out of the room and close the door
    Explanation
    In the event of a fire, the safety of the resident is the top priority. By attempting to get the resident out of the room and closing the door, the nurse aid can help contain the fire and prevent it from spreading to other areas. This action also ensures the resident's immediate safety by removing them from the dangerous environment. The other options, such as using a fire extinguisher or taking away the resident's cigarettes, may not be as effective or prioritize the resident's safety in the same way. Pulling the fire alarm is also important, but it 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.

      A. keep the client's joint well lubricated.

    • B.

      B. keep the clients straight as possible.

    • C.

      C. keep bed linens wrinkle free.

    • D.

      D ambulate the client at least twice day.

    Correct Answer
    B. B. keep the clients straight as possible.
    Explanation
    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 properly aligned and not twisted or bent in any way. This is important for maintaining proper posture and preventing any strain or discomfort for the client. It also helps to promote proper circulation and prevent pressure ulcers. By keeping the client straight as possible, the nurse aide is promoting overall comfort and well-being for the client.

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  • 10. 

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

    • A.

      A. on the right side

    • B.

      B. on the left side

    • C.

      C. when he is lying flat in bed.

    • D.

      D. as he lies on either side

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

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  • 11. 

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

    • A.

      A. rash that appears suddenly

    • B.

      B. warm,dry,and pink skin

    • C.

      C. tough skin on the feet

    • D.

      D. scarred skin

    Correct Answer
    A. A. rash that appears suddenly
    Explanation
    A rash that appears suddenly needs to be reported immediately to the charge nurse because it could be a sign of an allergic reaction or an infectious disease. Prompt reporting is necessary to ensure that appropriate measures are taken to prevent the spread of any potential infection and to provide timely treatment to the patient.

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  • 12. 

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

    • A.

      A scold him and tell him never to smoke unsupervised again

    • B.

      B. remain with the patient until he finishes smoking

    • C.

      C. tell another coworker

    • D.

      D. call the charge nurse to supervise

    Correct Answer
    B. B. remain with the patient until he finishes smoking
    Explanation
    The nurse aide should remain with the patient until he finishes smoking because it is important to ensure the safety of the patient and prevent any potential accidents or harm that may occur during smoking. By staying with the patient, the nurse aide can monitor the situation and respond promptly if any issues arise. This approach allows for appropriate supervision and support while respecting the patient's autonomy and choices within the facility's smoking policy.

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  • 13. 

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

    • A.

      A fracture pan

    • B.

      B. plastic pan

    • C.

      C. pediatric pan

    • D.

      D. metal pan

    Correct Answer
    A. A fracture pan
    Explanation
    A client with a broken hip requires a fracture pan for an enema. This is because a fracture pan is specifically designed with a low rim and a flat surface, making it easier for the client to position themselves without causing discomfort or further injury. Plastic, pediatric, and metal pans may not provide the same level of support and comfort needed for a client with a broken hip.

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  • 14. 

    Which of the following is true about visually challenged clients ?

    • A.

      A. they prefer to eat alone

    • B.

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

    • C.

      C. they prefer to be fed.

    • D.

      D. they need liquid diets.

    Correct Answer
    B. B. they use a "clock" system to find their food.
    Explanation
    Visually challenged clients use a "clock" system to find their food. This means that they mentally divide their plate into sections, with each section representing a specific food item. By using this system, they can locate and identify different food items on their plate based on their position, similar to the positions on a clock. This method helps visually challenged individuals navigate their meals independently and efficiently.

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  • 15. 

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

    • A.

      A. clamp off the catheter and disconnect it

    • B.

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

    • C.

      C. carry the bag below bladder level

    • D.

      D. hide the bag in a pillow case

    Correct Answer
    C. C. carry the bag below bladder level
    Explanation
    The nurse aide should carry the bag below bladder level to prevent urine from flowing back into the bladder and causing infection. This position helps maintain proper drainage and prevents any tension or pulling on the catheter.

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  • 16. 

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

    • A.

      A restrain the resident

    • B.

      B. walk with the resident

    • C.

      C. place the resident in a locked room

    • D.

      D. continue to observe the client

    Correct Answer
    D. D. continue to observe the client
    Explanation
    The correct answer is d. continue to observe the client. This is because the resident is walking back and forth in the hall, which may indicate restlessness or agitation. By continuing to observe the client, the nurse aide can monitor their behavior and ensure their safety. Restraining the resident (option a) may not be necessary or appropriate, walking with the resident (option b) may not be feasible or necessary at all times, and placing the resident in a locked room (option c) may be considered a form of seclusion and is generally not recommended unless there is a safety concern.

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  • 17. 

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

    • A.

      A. hold the transfer belt and lean against the wall

    • B.

      B. call for help

    • C.

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

    • D.

      D. hold the client tightly to prevent falling

    Correct Answer
    C. C. grasp the belt and lower the client to the floor
    Explanation
    The correct answer is c. grasp the belt and lower the client to the floor. When a client becomes weak and begins to fall during a transfer, the nurse's aide's first action should be to grasp the transfer belt and lower the client to the floor. This is done to prevent the client from falling and potentially getting injured. Holding the transfer belt provides stability and control, allowing the nurse's aide to safely lower the client to the floor. Calling for help and holding the client tightly may be necessary actions, but the immediate priority should be to prevent the client from falling.

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  • 18. 

    The best way to measure accurate daily weights is to

    • A.

      A weigh the client without clothing

    • B.

      B. weigh the client fully clothed

    • C.

      C. weigh the client at the same time and day

    • D.

      D. weigh the client after breakfast

    Correct Answer
    C. C. weigh the client at the same time and day
    Explanation
    The best way to measure accurate daily weights is 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 intake, hydration levels, and clothing. By consistently weighing the client at the same time and day, any variations caused by these factors can be minimized, resulting in more accurate weight measurements.

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  • 19. 

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

    • A.

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

    • B.

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

    • C.

      C. ask her if she is upset with her doll

    • D.

      D. tell her the bay is not real

    Correct Answer
    C. C. ask her if she is upset with her doll
    Explanation
    The correct answer is c. ask her if she is upset with her doll. This is the most appropriate response because it shows empathy and understanding towards the client's feelings. By asking if she is upset with her doll, the nurse aide can assess the client's emotional state and provide appropriate support or comfort if needed. It also allows the nurse aide to engage in a conversation with the client and potentially distract her from her worries.

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  • 20. 

    Padded side rails are used to

    • A.

      A. keep the client in bed

    • B.

      B. protect the client from injury

    • C.

      C. provide additional warmth

    • D.

      D. remind the client of home

    Correct Answer
    B. B. protect the client from injury
    Explanation
    Padded side rails are used to protect the client from injury. They act as a barrier to prevent the client from falling out of bed, especially for those who may have difficulty with mobility or may be at risk of rolling out of bed. The padding helps to cushion any impact and reduce the risk of injury if the client were to accidentally hit or bump into the side rails. Overall, padded side rails provide a safety measure to ensure the client's well-being and prevent potential harm.

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  • 21. 

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

    • A.

      A. irrigate the catheter

    • B.

      B. check for kinks in the tube

    • C.

      C replace the drainage bag

    • D.

      D. replace the catheter

    Correct Answer
    B. B. check for kinks in the tube
    Explanation
    The nurse aide should first check for kinks in the tube. This is important because a kink in the tube can obstruct the flow of urine and cause the urine bag to remain empty. By checking for kinks, the nurse aide can ensure that the urine is able to flow freely from the resident's bladder into the bag. If there are no kinks in the tube, then the nurse aide can proceed to consider other possible causes for the empty urine bag.

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  • 22. 

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

    • A.

      A call for help

    • B.

      B. offer her drink of water

    • C.

      C. hit her on the back

    • D.

      D. perform the Heimlich maneuver

    Correct Answer
    D. D. perform the Heimlich maneuver
    Explanation
    The client's inability to speak and clutching her neck suggests that she may be choking. Performing the Heimlich maneuver is the appropriate response in this situation as it is a technique used to help clear a person's airway when they are choking. It involves applying pressure to the abdomen to create an upward force that can help dislodge the obstruction. This action should be taken first to try and alleviate the choking before seeking additional help or offering a drink of water.

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  • 23. 

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

    • A.

      A nausea

    • B.

      B. headache

    • C.

      C. leg cramps

    • D.

      D. chest pain

    Correct Answer
    A. A nausea
    Explanation
    The client's lack of bowel movement for five days indicates possible constipation or bowel obstruction, which can lead to nausea. Nausea is a common symptom associated with bowel issues, as the body's digestive system becomes disrupted. The other symptoms listed (headache, leg cramps, chest pain) may or may not be related to the client's bowel movement issue and would require further investigation to determine their cause.

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  • 24. 

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

    • A.

      A commode

    • B.

      B. toilet

    • C.

      C. bedpan

    • D.

      D. urinal

    Correct Answer
    C. C. bedpan
    Explanation
    A bedpan is the most appropriate option for a weak and unsteady client who needs to urinate because it can be used while the client is lying down or sitting on the edge of the bed. This ensures that the client does not have to bear weight or risk falling while trying to use a commode or toilet. A bedpan also provides support and stability for the client, making it the safest option. A urinal is not suitable for a client who needs to urinate because it is designed for male clients and requires the client to be in an upright position.

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  • 25. 

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

    • A.

      A placed in the linen hamper

    • B.

      B. discarded

    • C.

      C. bagged before removing from the room

    • D.

      D. taken directly to the laundry

    Correct Answer
    A. A placed in the linen hamper
    Explanation
    The client being classified as wounded and having skin isolation indicates that they have open wounds or skin infections that require special precautions to prevent the spread of infection. Placing the soiled linen in a linen hamper is the appropriate action as it ensures that the contaminated linen is contained and can be properly cleaned and disinfected. Discarding the linen or taking it directly to the laundry without proper containment could potentially spread infection to others. Bagging the linen before removing from the room is not necessary as long as it is placed in a designated linen hamper.

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  • 26. 

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

    • A.

      A back blows

    • B.

      B mouth - to - mouth ventilation

    • C.

      C. a finger sweep

    • D.

      D. abdominal thrusts

    Correct Answer
    D. D. abdominal thrusts
    Explanation
    If a resident begins to choke while being fed and is unable to speak, the nurse aide should call for help and begin doing abdominal thrusts. Abdominal thrusts, also known as the Heimlich maneuver, are the recommended first aid technique for choking victims who are conscious and unable to speak. This technique involves applying upward pressure to the abdomen to forcefully expel the object blocking the airway. It is important to call for help first in order to ensure that additional assistance is available if needed.

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  • 27. 

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

    • A.

      A on the bedside table

    • B.

      B. on the floor

    • C.

      C. in a laundry bag

    • D.

      D. in a red plastic bag

    Correct Answer
    C. C. in a laundry bag
    Explanation
    When making a bed, the nurse aide should place the soiled linen in a laundry bag. This is the correct answer because placing the soiled linen in a laundry bag ensures that it is contained and ready for proper cleaning. The laundry bag can be easily transported to the laundry room or designated area for cleaning, preventing any potential contamination or spread of germs. Placing the soiled linen on the bedside table or on the floor would not be hygienic or appropriate. Using a red plastic bag may not be necessary unless there are specific protocols in place for infectious or hazardous materials.

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  • 28. 

    The ABC's of emergency care stand for

    • A.

      A. airway,breathing,circulation

    • B.

      B. action before calling

    • C.

      C. airway before circulation

    • D.

      D. action, benefit,contact

    Correct Answer
    A. A. airway,breathing,circulation
    Explanation
    The ABC's of emergency care stand for airway, breathing, circulation. This acronym is used to prioritize the steps in providing immediate medical assistance in emergency situations. The first step is to ensure that the person's airway is clear and open, followed by checking their breathing and then assessing their circulation. This sequence is crucial in order to address life-threatening conditions and provide the necessary support to the individual in need.

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  • 29. 

    When forcing fluids, the nurse aide should offer

    • A.

      A. clear fluids only

    • B.

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

    • C.

      C fluids every hour

    • D.

      D. high calorie fluids

    Correct Answer
    C. C fluids every hour
    Explanation
    When forcing fluids, the nurse aide should offer fluids every hour. This is important because it ensures a consistent intake of fluids throughout the day, which helps to prevent dehydration. Offering fluids every hour also allows for frequent monitoring of the patient's fluid intake and helps to ensure that they are receiving an adequate amount of fluids.

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  • 30. 

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

    • A.

      A stand or sit facing the client

    • B.

      B. speak clearly and softy

    • C.

      C. raise your voice

    • D.

      D. use simple words and sentences

    Correct Answer
    C. C. raise your voice
    Explanation
    When caring for a hearing impaired client, the nursing assistant should do all of the following except raise their voice. This is because raising the voice 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 facilitate effective communication with the hearing impaired client.

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  • 31. 

    Security of a client's dentures includes

    • A.

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

    • B.

      B. placing them in a labeled denture cup

    • C.

      C. insisting the client wear the denture

    • D.

      D. placing an identifying mark on the dentures

    Correct Answer
    B. B. placing them in a labeled denture cup
    Explanation
    Placing the client's dentures in a labeled denture cup is the correct answer because it ensures the security of the dentures. By using a labeled denture cup, it becomes easier to identify and locate the dentures when needed. It also helps prevent mix-ups or confusion with other clients' dentures. Additionally, storing the dentures in a denture cup protects them from damage or loss, as compared to keeping them in a tissue in a dresser drawer or insisting the client wear them. Placing an identifying mark on the dentures may also be helpful, but it is not as secure as using a labeled denture cup.

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  • 32. 

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

    • A.

      A rinse them out with clear water

    • B.

      B. call 911

    • C.

      C. report the incident to the charge nurse

    • D.

      D. document it.

    Correct Answer
    A. A rinse them out with clear water
    Explanation
    When a nurse aide accidentally gets blood in her eyes, the first action she should take is to rinse them out with clear water. This is important because rinsing the eyes with water can help to flush out any potential contaminants and reduce the risk of infection or other complications. Calling 911 may not be necessary in this situation unless there are severe symptoms or complications. Reporting the incident to the charge nurse and documenting it should also be done, but these actions can be taken after rinsing the eyes.

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  • 33. 

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

    • A.

      A. 4 ounces

    • B.

      B four ounces

    • C.

      C. one cup

    • D.

      D 120 cc

    Correct Answer
    D. D 120 cc
    Explanation
    The correct answer is d 120 cc. In the medical field, cc (cubic centimeter) is often used as a unit of measurement for fluids. One cc is equivalent to one milliliter, so 120 cc is equal to 120 milliliters. The nurse aides would document the client's juice intake as 120 cc to accurately record the amount consumed.

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  • 34. 

    When using client restraints, the nurse aide should

    • A.

      A. observe skin irritation

    • B.

      B. disallow the client to drink

    • C.

      C. release the restraints every four hours

    • D.

      D. leave the client alone to rest

    Correct Answer
    A. A. observe skin irritation
    Explanation
    When using client restraints, the nurse aide should observe skin irritation. This is because the use of restraints can cause pressure on the skin, leading to skin irritation or even pressure ulcers. By regularly observing the client's skin, the nurse aide can identify any signs of irritation or damage and take appropriate measures to prevent further complications. This ensures the client's safety and well-being while using restraints.

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  • 35. 

    Which of the following vital signs should be reported immediately ?

    • A.

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

    • B.

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

    • C.

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

    • D.

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

    Correct Answer
    B. B. T-95.4,P-40,R-10,BP-80/40
    Explanation
    The vital signs that should be reported immediately are the ones that are outside of the normal range and indicate a potential medical emergency. In option b, the temperature (T) is significantly low at 95.4, the pulse rate (P) is low at 40, the respiratory rate (R) is low at 10, and the blood pressure (BP) is low at 80/40. These abnormal vital signs could indicate hypothermia, bradycardia, bradypnea, and hypotension, which are all serious conditions that require immediate attention.

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  • 36. 

    Examples of client abuse include all of the following EXCEPT

    • A.

      A. forcing clients fingers off the side rail

    • B.

      B. deliberately leaving the call bell out of reach

    • C.

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

    • D.

      D. using gloves to provide peri-care

    Correct Answer
    D. D. using gloves to provide peri-care
    Explanation
    The correct answer is d. using gloves to provide peri-care. This answer is correct because using gloves to provide peri-care is not an example of client abuse. Peri-care is a necessary and common practice in healthcare, and using gloves is a standard precaution to prevent the spread of infection. The other options, 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, are all examples of client abuse as they involve intentionally causing discomfort or neglecting the client's needs.

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  • 37. 

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

    • A.

      A. redness

    • B.

      B. swelling

    • C.

      C. numbness

    • D.

      D. pain

    Correct Answer
    A. A. redness
    Explanation
    The first sign of a pressure sore is redness. This is because when there is prolonged pressure on a particular area of the body, it can cause damage to the skin and underlying tissues. This damage leads to reduced blood flow to the area, resulting in redness. If left untreated, the pressure sore can progress and become more severe, causing pain and potentially leading to infection. Therefore, it is important for the nurse aide to recognize redness as an early sign and take appropriate measures to prevent further damage.

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  • 38. 

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

    • A.

      A. before going to the bathroom

    • B.

      B. after each client contact

    • C.

      C. before eating

    • D.

      D. after changing dressings

    Correct Answer
    A. A. before going to the bathroom
    Explanation
    Nurse aides should wash their hands in all situations except before going to the bathroom. Washing hands before going to the bathroom is not necessary because the purpose of handwashing is to remove germs and bacteria from the hands, and the bathroom is not typically a source of contamination. However, it is important to wash hands after each client contact, before eating, and after changing dressings to prevent the spread of infections and maintain proper hygiene.

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  • 39. 

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

    • A.

      A ignore it if the resident does not complain

    • B.

      B. wash if it see if it disappears

    • C.

      C. rub it with alcohol to dry it out

    • D.

      D. notify the charge nurse of the rash

    Correct Answer
    D. D. notify the charge nurse of the rash
    Explanation
    The nursing assistant should notify the charge nurse of the rash because it is important to report any changes in a resident's condition, such as the presence of a rash. The charge nurse can then assess the rash and determine the appropriate course of action, such as contacting a healthcare provider or providing treatment. Ignoring the rash or attempting to treat it without proper guidance can potentially worsen the condition or lead to complications.

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  • 40. 

    The nursing assistant should tell clients

    • A.

      A. how to dress

    • B.

      B. how to call for help

    • C.

      C. that things will get better

    • D.

      D. that there is nothing to worry about

    Correct Answer
    B. B. how to call for help
    Explanation
    The nursing assistant should tell clients how to call for help because it is important for clients to know how to seek assistance when they need it. This ensures their safety and well-being in case of emergencies or any other situations where they require immediate help or support. By providing clients with the knowledge of how to call for help, the nursing assistant empowers them to take control of their own health and ensures that they can quickly and effectively communicate their needs to the appropriate personnel.

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  • 41. 

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

    • A.

      A. hold him down to prevent him from falling

    • B.

      B. put a tongue depressor in his mouth

    • C.

      C. protect him from injuring himself

    • D.

      D. run out of the room and get help

    Correct Answer
    C. C. protect him from injuring himself
    Explanation
    During a seizure, it is important to protect the client from injuring themselves. Holding the client down may cause further harm or injury. Putting a tongue depressor in the client's mouth is not recommended as it can cause damage to the teeth, gums, or airway. Running out of the room to get help may leave the client unattended and at risk of injury. Therefore, the nurse aide should focus on ensuring the client's safety by protecting them from any potential harm during the seizure.

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  • 42. 

    Sputum is best collected

    • A.

      A. just before bedtime

    • B.

      B. in the afternoon

    • C.

      C. upon awakening in the morning

    • D.

      D. anytime

    Correct Answer
    C. C. upon awakening in the morning
    Explanation
    Sputum is best collected upon awakening in the morning because during the night, secretions in the respiratory tract accumulate and become more concentrated. This makes it easier to cough up sputum in the morning, providing a better sample for analysis. Collecting sputum at this time also allows for a more accurate diagnosis of respiratory conditions, such as infections or diseases.

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  • 43. 

    To change direction, a nurse aide should

    • A.

      A. turn her whole body by moving her feet

    • B.

      B. twist from the waist

    • C.

      C. move her body in sections

    • D.

      D. move her body very slowly

    Correct Answer
    A. A. turn her whole body by moving her feet
    Explanation
    To change direction, a nurse aide should turn her whole body by moving her feet. This is the correct answer because it is important for a nurse aide to maintain proper body mechanics and avoid twisting or straining the back. By turning the whole body and using the feet to pivot, the nurse aide can ensure a safe and efficient change of direction without putting unnecessary strain on the back or other body parts.

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  • 44. 

    When repositioning a heavy client, the nurse aide should

    • A.

      A. attenpt to move the client alone

    • B.

      B. let the family move the client

    • C.

      C. get another aide to help

    • D.

      D. move the client later

    Correct Answer
    C. C. get another aide to help
    Explanation
    When repositioning a heavy client, it is important for the nurse aide to prioritize the safety and well-being of both the client and themselves. Attempting to move the client alone may put both parties at risk of injury. Letting the family move the client may not be the best option as they may not have the necessary training or knowledge to do so safely. Therefore, the best course of action would be to get another aide to help. This ensures that there is enough manpower and expertise to safely reposition the heavy client without risking injury.

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  • 45. 

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

    • A.

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

    • B.

      B. at the foot of the bed

    • C.

      C at the head of the bed

    • D.

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

    Correct Answer
    D. D. at the sided of the bed, facing the foot of the bed
    Explanation
    The nurse aide should position the wheelchair at the side of the bed, facing the foot of the bed. This allows the client to easily transfer from the bed to the wheelchair by sliding onto the seat. Placing the wheelchair at the side of the bed also ensures that the client's feet are facing towards the foot of the bed, which helps in maintaining proper body alignment during the transfer.

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  • 46. 

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

    • A.

      A proper body mechanics

    • B.

      B. a Hoyer lift

    • C.

      C. a minimum of three coworkers

    • D.

      D. a mobility mattress

    Correct Answer
    A. A proper body mechanics
    Explanation
    The correct answer is a proper body mechanics. When transferring a client from a bed to a stretcher, it is important for the nurse aide to use proper body mechanics to ensure the safety of both the client and themselves. Proper body mechanics involve using the correct posture, body alignment, and movement techniques to prevent injury and strain on the muscles and joints. This includes bending the knees, keeping the back straight, and using the leg muscles to lift and move the client. By using proper body mechanics, the nurse aide can effectively transfer the client without causing harm.

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  • 47. 

    Which statement about dressing resident is correct ?

    • A.

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

    • B.

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

    • C.

      C. residents care about what they wear.

    • D.

      D. residents like the nurse aide to dress them

    Correct Answer
    C. C. residents care about what they wear.
    Explanation
    Residents care about what they wear. This statement implies that residents have a preference and concern for their clothing choices. It suggests that their clothing is not simply a practical necessity but also a means of self-expression and maintaining a sense of personal identity. This understanding is important for caregivers to consider when assisting residents with dressing, as it allows them to respect and accommodate the residents' preferences and individuality.

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  • 48. 

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

    • A.

      A. seeing demons

    • B.

      B. feeling imaginary bugs crawl on his arms

    • C.

      C. thinking that the CIA is secretly watching him

    • D.

      D. hearing voices demand the he escapes from the facility

    Correct Answer
    C. C. thinking that the CIA is secretly watching him
    Explanation
    The correct answer is c. thinking that the CIA is secretly watching him. This is an example of a client's delusion because it involves a false belief that is not based on reality. Delusions are common symptoms of mental disorders, such as schizophrenia, and can involve a wide range of beliefs that are not supported by evidence. In this case, the client believes that they are being surveilled by the CIA, which is a paranoid and unfounded belief.

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  • 49. 

    Reality orientation techniques include all of the following EXCEPT.

    • A.

      A. labeling items in the client's room

    • B.

      B. putting up calenders and clocks

    • C.

      C. using familiar items in the client's room

    • D.

      D. reminding a client that his spouse is deceased

    Correct Answer
    D. D. reminding a client that his spouse is deceased
    Explanation
    Reality orientation techniques are used to help individuals with cognitive impairments stay connected to reality and improve their orientation to time, place, and person. These techniques involve strategies such as labeling items in the client's room, putting up calendars and clocks, and using familiar items in the client's room. However, reminding a client that his spouse is deceased would not be considered a reality orientation technique. This statement does not align with the goal of reality orientation, which is to provide support and enhance the individual's sense of reality and well-being.

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  • 50. 

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

    • A.

      A. normal

    • B.

      B. hopeless

    • C.

      C. unrealistic

    • D.

      D. confused

    Correct Answer
    A. A. normal
    Explanation
    The feeling of wanting a boyfriend is best described as normal because it is a common desire for many young individuals, regardless of their physical condition or disability. It is natural for people to seek companionship and romantic relationships, and having muscular dystrophy does not change this basic human need for connection and love.

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