Practice Questions Cna State Exam

Front 1

1. When assisting a client in learning how to use a cane, the nurse aide stands

a. approximately two feet directly behind the
client.
b. about one foot from the client's weak side.
c. about one foot from the client's strong side.
d. slightly behind the client on the client's weak
side.

Back 1

d. slightly behind the client on the client's weak
side.

Front 2

When working with a client who has urinary
retention, the nurse aide can expect that the
client will
a. urinate large volumes.
b. be unable to urinate.
c. urinate frequently.
d. be incontinent of urine.

Back 2

b. be unable to urinate.

Front 3

3. Aging-related hearing changes result in older
clients gradually losing their ability to hear
a. high-pitched sounds.
b. low-pitched sounds.
c. slow sounds.
d. rapid sounds.

Back 3

a. high-pitched sounds.

Front 4

4. The best way to safely identify your patient is by
a. asking his name.
b. calling his name and waiting for his
response.
c. checking the bed plate.
d. checking the name tag.

Back 4

d. checking the name tag.

Front 5

5. A client is on a bowel and bladder training
program and has not had a bowel movement in
three days. The nurse aide should
a. report it to the charge nurse.
b. give the client an enema.
c. offer the client prune juice.
d. encourage the client to drink more fluids.

Back 5

a. report it to the charge nurse.

Front 6

6. The proper medical abbreviation for before
meals is
a. p.c.
b. b.i.d.
c. a.c.
d. t.i.d.

Back 6

c. a.c.

Front 7

7. A client diagnosed with hypertension will most
likely have a history of
a. low blood pressure.
b. high blood pressure.
c. low blood sugar.
d. high blood sugar.

Back 7

b. high blood pressure.

Front 8

8. A patient who has difficulty chewing or
swallowing will need what type of diet?
a. clear liquid
b. low residue
c. bland
d. mechanical soft

Back 8

d. mechanical soft

Front 9

9. An elderly resident with Alzheimer's disease
cannot find her room. How can the nurse aide
help the client feel more independent?
a. Tell her to stay in the room.
b. Have her roommate secretly watch her.
c. Place a familiar object on the client's door.
d. Write the room number on a piece of paper.

Back 9

c. Place a familiar object on the client's door.

Front 10

10. Hbw often should a patient's intake and output
records be totaled?
a. once each shift
b. twice a day
c. every four hours
d. every 12 hours

Back 10

a. once each shift

Front 11

11. Which of the following should the nursing
assistant observe and record when admitting a
client?
a. freckles
b. wrinkles
c. short nails
d. bruises

Back 11

d. bruises

Front 12

12. When responding to a client on the intercom,
the nursing assistant should say
a. "Hello, who is calling, please?"
b. "What is it that you want?"
c. "This is [nursing assistant name and position], can I help you?"
d. "Please hold; I'll have the nurse answer your
call."

Back 12

c. "This is [nursing assistant name and position], can I help you?"

Front 13

13. Which of the following things should the nurse
aide do to familiarize new clients with their
surroundings?
a. Demonstrate the location and use of the call
light.
b. Explain that the TV is not to be used.
c. Instruct family to leave the room after the
aide is finished with the admission.
d. Raise the bed to the high position and raise
the safety rails.

Back 13

a. Demonstrate the location and use of the call
light.

Front 14

14. When arranging a client's room, the nursing
assistant should do all of the following
EXCEPT
a. checking the placement of the call bell.
b. adjusting the back rest as directed.
c. administering the client's medications.
d. adjusting the lighting as appropriate.

Back 14

c. administering the client's medications.

Front 15

15. When assisting a client out of bed, the nurse
aide should always
a. employ body mechanic techniques.
b. get another nurse aide to assist.
c. raise the bed to its maximum height.
d. lower all safety rails.

Back 15

a. employ body mechanic techniques.

Front 16

16. How often should clients be repositioned
during an eight-hour shift?
a. qlh
b. q2h
c. q3h
d. q4h

Back 16

b. q2h

Front 17

17. Which of the following is the correct procedure
for serving a meal to a client who must be fed?
a. Serve the tray along with all the other trays,
and then come back to feed the client.
b. Bring the tray to the client last; feed after
you have served all the other clients.
c. Bring the tray into the room when you are
ready to feed the client.
d. Have the kitchen hold the tray for one hour.

Back 17

c. Bring the tray into the room when you are
ready to feed the client.

Front 18

18. The most serious problem that wrinkles in the
bedclothes can cause is
a. restlessness.
b. sleeplessness.
c. decubitus ulcers.
d. bleeding and shock.

Back 18

c. decubitus ulcers.

Front 19

19. Restorative care begins
a. as soon as possible.
b. when the client is ready.
c. when the client is discharged.
d. when the client is diagnosed as terminally ill.

Back 19

a. as soon as possible.

Front 20

20. Before placing a client in Fowler's position, the
nurse aide should
a. open the window.
b. explain the procedure to the client.
c. check with the client's family.
d. remake the bed.

Back 20

b. explain the procedure to the client.

Front 21

21. During hand washing, the nurse aide
accidentally touches the inside of the sink while
rinsing the soap off. The next action is to
a. allow the water to run over the hands for
two minutes.
b. dry the hands and turn off the faucet with
the paper towel.
c. repeat the wash from the beginning.
d. repeat washing, but for half the time.

Back 21

c. repeat the wash from the beginning.

Front 22

22. How should a nurse aide dress for a job
interview?
a. wearing a clean t-shirt and casual slacks
b. wearing a nurse aide uniform
c. wearing a business suit, dress, or pants and
dress shirt
d. wearing formal attire

Back 22

c. wearing a business suit, dress, or pants and
dress shirt

Front 23

23. An ambulatory client is newly admitted. Before
leaving the client alone, the nurse aide should
a. ask if the client is hungry.
b. inspect the client's skin.
c. assess the client's intake and output.
d. make sure the client knows how to use the
call bell.

Back 23

d. make sure the client knows how to use the
call bell.

Front 24

24. When lifting a heavy object, the correct method
would be to bend at the
a. waist, keeping your legs straight.
b. waist, rounding your shoulders.
c. knees, keeping your back straight.
d. knees and waist.

Back 24

c. knees, keeping your back straight.

Front 25

25. When should nurse aides wash their hands?
a. after eating
b. before using the bathroom
c. after client care
d. before cleaning a bedpan

Back 25

c. after client care

Front 26

26. When assisting a client with eating, one of the
first things the nurse aide should do is
a. cut the food into bite-size pieces.
b. wash his own hands and the client's hands.
c. butter the client's bread.
d. provide the client with privacy.

Back 26

b. wash his own hands and the client's hands.

Front 27

27. A patient has a new cast on her right arm.
While caring for her, it is important to first
observe for
a. pulse above the cast.
b. color and hardness of the cast.
c. warmth and color of fingers.
d. signs of crumbling at the cast end.

Back 27

c. warmth and color of fingers.

Front 28

28. Encouraging a client to take part in activities of
daily living (ADLs) such as bathing, combing
hair, and feeding is
a. done only when time permits.
b. the family's responsibility.
c. necessary for rehabilitation.
d. a violation of client rights.

Back 28

c. necessary for rehabilitation.

Front 29

29. In caring for a confused elderly man, it is
important to remember to
a. keep the bedrails up except when you are at
the bedside.
b. close the door to the room so that he does
not disturb other patients.
c: keep the room dark and quiet at all times to
keep the patient from becoming upset,
d. remind him each morning to shower and
shave independently.

Back 29

a. keep the bedrails up except when you are at
the bedside.

Front 30

30. Before assisting a client into a wheelchair, the
first action would be to check if the
a. client is adequately covered.
b. floor is slippery.
c. door to the room is closed.
d. wheels of the chair are locked.

Back 30

d. wheels of the chair are locked.

Front 31

31. A client has a weak left side. When transferring
the client from the bed to the wheelchair, the
nurse aide should stand
a. on the right side.
b. in front of the client.
c. on the left side.
d. behind the client.

Back 31

c. on the left side.

Front 32

32. While making rounds at 5:30 A.M., a nurse aide
finds a patient lying on the floor. What should
the nurse aide do first?
a. Call 911.
b. Perform CPR.
c. Call for help.
d. Assess the client's pulse and respirations.

Back 32

d. Assess the client's pulse and respirations.

Front 33

33. When moving a wheelchair onto an elevator,
the nurse aide should stay
a. behind the chair and pull it toward the aide.
b. behind the chair and push it away from the
aide.
c. in front of the client to observe the client's
condition.
d. at the side of the wheelchair while opening
the door.

Back 33

a. behind the chair and pull it toward the aide.

Front 34

34. The Foley bag must be kept lower than the
client's bladder so that
a. urine will not leak out, soiling the bed.
b. urine will not return to the bladder, causing
infection.
c. the bag will be hidden and the client will not
be embarrassed.
d. the client will be more comfortable in bed.

Back 34

b. urine will not return to the bladder, causing
infection.

Front 35

35. As an afternoon snack, the kitchen sent a
diabetic client a container of chocolate ice
cream. The nursing assistant should first
a. substitute diet soda for the ice cream.
b. hold the afternoon snack and report to the
charge nurse.
c. call the kitchen and report the error.
d. allow the client to have half of the ice cream.

Back 35

b. hold the afternoon snack and report to the
charge nurse.

Front 36

36. When assisting a client who is using the
commode, it is important to
a. leave the call light within reach.
b. lock the door to promote privacy.
c. stand next to the client until the client is
finished.
d. restrain the client to prevent a fall.

Back 36

a. leave the call light within reach.

Front 37

37. Ensuring adequate circulation to tissues is a
major factor in preventing skin breakdown.
This can be accomplished by doing all of the
following EXCEPT
a. positioning the patient every four hours.
b. using mechanical aids.
c. giving backrubs.
d. performing active or passive ROM exercises.card

Back 37

a. positioning the patient every four hours.

Front 38

38. The purpose of cold applications is usually to
a. speed the flow of blood to the area.
b. prevent heat exhaustion.
c. prevent or reduce swelling.
d. prevent the formation of scar tissue.

Back 38

c. prevent or reduce swelling.%3

Front 39

39. The hot water bottle is an example of a
a. local dry heat application.
b. generalized dry heat application.
c. local moist heat application.
d. generalized moist heat application.

Back 39

a. local dry heat application.

Front 40

40. Clients receiving an enema are usually placed
a. on the right side.
b. on the left side.
c. flat on the back.
d. in a semisitting position.

Back 40

b. on the left side.x

Front 41

41. A female client's perineal area should be
cleansed before which specimen is collected?
a. 24-hour urine specimen
b. midstream clean-catch urine specimen
c. pediatric routine urine specimen
d. routine urine specimens

Back 41

b. midstream clean-catch urine specimen>

Front 42

42. The most common site for counting the pulse
is the
a. carotid artery.
b. femoral artery.
c. brachial artery.
d. radial artery.

Back 42

d. radial artery.

Front 43

43. When counting respirations, the nurse aide
should
a. wait until after the client has exercised.
b. not tell the patient what he is going to do.
c. count five respirations and then check his
watch.
d. have the client count respirations while the
aide takes her pulse..Z

Back 43

b. not tell the patient what he is going to do.

Front 44

44. Which of the following is NOT the nurse aide's
responsibility when caring for clients who have
urinary catheters?
a. inserting the catheter
b. ensuring that the catheter drains properly
c. preventing infection
d. recording urinary output

Back 44

a. inserting the cathetertion

Front 45

45. When giving information to the charge nurse
for an incident report, the nurse aide should
a. write in the client's chart that an incident
occurred.
b. keep the report in her personal file.
c. state the facts clearly.
d. give her opinions as to the cause of the
incident.0cardP

Back 45

c. state the facts clearly.

Front 46

All long-term-care nurse aides must be
competency evaluated and must complete a
distinct educational course. These requirements
are set by
a. OBRA.
b. OSHA.
c. CDC.
d. FDA.none)

Back 46

a. OBRA.

Front 47

47. A resident is blind. It is important not to
a. leave the door completely opened.
b. rearrange the furniture.
c. announce yourself before entering the room.
d. explain the location of food on the plate,
using the face of the clock to assist.

Back 47

b. rearrange the furniture.on.%3

Front 48

48. When family members visit a client, the visitors
should
a. stay in the day room.
b. stay a short while so as not to tire the client.
c.,be expected to help with care.
d. be allowed privacy with the client.³N

Back 48

d. be allowed privacy with the client.n>

Front 49

49. A resident asks, "If I need help during the
night, who will be there?" The nursing assistant
should respond,
a. "Don't worry, you'll be okay."
b. "Just yell; someone will hear you."
c. "Your roommate will probably ring the call
bell."
d. "There are people here all night to help you."

Back 49

d. "There are people here all night to help you.

Front 50

50. Which of the following is a client's right?
a. having personal information kept
confidential
b. obtaining private duty staff if desired
c. knowing what is wrong with the client's
roommate
d. treating the staff any way he or she pleases¤

Back 50

a. having personal information kept confidential

Front 51

51. A resident often cries while she is receiving her
P.M. care. What should the nurse aide do?
a. Tell her to stop crying.
b. Ignore her and continue with her carq.
c. Tell her jokes to make her laugh.
d. Tell her that it's all right to cry, and that the
aide is there for her if she wants to talk.

Back 51

d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk.

Front 52

52. When providing denture care, the nurse aide
must
a. wash them in boiling water.
b. hold them under warm running water.
c. dunk them in and out of cool water.
d. place them on a towel in the sink with cool
water.

Back 52

d. place them on a towel in the sink with cool
water.

Front 53

53. Sexuality in long-term-care clients may include
all of the following EXCEPT
a. needing private time with a partner.
b. caring about one's physical appearance.
c. engaging in public fondling.
d. desiring sexual interaction

Back 53

c. engaging in public fondling.

Front 54

54. A client is scheduled for a partial bed bath. This
means that the nurse aide must wash the
client's
a. face, neck, ears, arms, and hands.
b. face, axillae, hands, and buttocks.
c. face, hands, axillae, and legs.
d. face, hands, axillae, genitals, and buttocks.

Back 54

d. face, hands, axillae, genitals, and buttocks

Front 55

56. An agitated resident must be turned every two
hours all night long. The first action of the
nurse aide when waking up this resident is to
a. turn on the light.
b. speak quietly and calmly.
c. touch her shoulder.
d. shout her name.

Back 55

b. speak quietly and calmly.

Front 56

If a client objects to certain food for religious
or cultural reasons, the appropriate action
would be to
a. tell him to wait for the next meal.
b. offer to substitute something different for
him.
c. call the dietician the next day.
d. tell him he needs to eat what is on his tray.

Back 56

b. offer to substitute something different for
him.

Front 57

58. The client's religion forbids eating pork. Bacon
is being served for breakfast. The most
appropriate response is to
a. encourage the client to eat it because she
needs protein.
b. tell the client it is all right since her doctor
ordered the diet.
c. call the kitchen for a tray without bacon.
d. tell the client that restrictions are not as
important as her health.

Back 57

c. call the kitchen for a tray without bacon.

Front 58

59. Which type of communication can often be
most powerful?
a. written
b. verbal
c. silent
d. tactile

Back 58

c. silent

Front 59

60. A client refuses to allow the nurse aide to bathe
her. The nurse aide tells the client that she will
not be allowed to eat lunch or go to bingo if she
does not have her bath. This is an example of
a. rehabilitation.
b. discipline.
c. verbal abuse.
d. physical abuse.

Back 59

c. verbal abuse.

Front 60

61. On entering a room, an aide notices that the
client is not breathing. The aide's first action
should be to
a. call for help.
b. lay the client down on his back.
c. give four quick breaths.
d. give 8-10 abdominal thrusts.

Back 60

a. call for help.

Front 61

62. A client's dentures are lost. The first action
should be to
a. notify the administrator.
b. look for them.
c. notify the doctor.
d. notify the charge nurse.

Back 61

d. notify the charge nurse.

Front 62

63. Nursing assistants are responsible for
a. planning client care.
b. doing tasks assigned by the charge nurse.
c. performing without ever asking for help.
d. comparing assignments with coworkers.

Back 62

b. doing tasks assigned by the charge nurse.

Front 63

64. A patient turns on the call light when he needs
to urinate. The appropriate action is to
a. ignore the light, since he is not the aide's
own client.
b. announce on the intercom that there are two
patients ahead of him.
c. answer the call light and get the urinal.
d. answer the call light when the aide has the
time.

Back 63

c. answer the call light and get the urinal.

Front 64

65. A client is on CMR and in the prone position.
The nurse aide finds the client vomiting bright
red blood. The nurse aide should first
a. clean up the vomit.
b. place the client in the side-lying position.
c. provide the client with an emesis basin.
d. call the charge nurse.

Back 64

b. place the client in the side-lying position.

Front 65

66. When performing catheter care, the nurse aide
should wash the catheter
a. toward the meatus.
b. with Betadine soap.
c. away from the meatus.
d. with alcohol.

Back 65

c. away from the meatus.

Front 66

67. A nurse aide who applies restraints on a client
without directions from the charge nurse may
be accused of
a. slander.
b battery.
c. false imprisonment.
d. negligence.

Back 66

c. false imprisonment.

Front 67

68. H.S. care is care that is given
a. before meals.
b. before bedtime.
c. after meals.
d. upon awakening.

Back 67

b. before bedtime.

Front 68

69. The best food choices for a geriatric client with
no teeth would include
a. hamburger, french fries, corn, and ice cream.
b. baked chicken, dressing, green beans, and
coconut macaroons.
c. spare ribs, macaroni and cheese, coleslaw,
and fruit cocktail.
d. baked fish, whipped potatoes, spinach
souffle, and tapioca.

Back 68

d. baked fish, whipped potatoes, spinach
souffle, and tapioca.

Front 69

70. A client's family wants to talk about the client's
impending death, but the client does not want
to talk about it. The family should be
encouraged to
a. carry on the conversation away from the
client.
b. talk freely in front of the client in order to
help the client to accept it.
c. wait until the client dies to talk about it.
d. force the client to talk about it with them.

Back 69

a. carry on the conversation away from the
client.

Front 70

11. A nurse aide notices that a water pitcher has
spilled onto the floor. The best action for the
aide to perform is to
a. wipe it up immediately.
b. cover it with a towel.
c. notify the charge nurse.
d. contact housekeeping.

Back 70

a. wipe it up immediately.

Front 71

12. Upon entering a room, the nurse aide notices
that a patient is not breathing. The aide's first
action is to
a. call for help. •
b. lay the patient down on his back.
c. give four quick breaths.
d. give ten abdominal thrusts.20card

Back 71

a. call for help.

Front 72

When should postmortem caer be performed?
a. after the family views the body
b. Immediately after doctor pronounces
c. when rigor mortis sets in.
d.after boyd goes to teh morgue.

Back 72

b. Immediately after doctor pronounces

Front 73

A walker may be used if the client can

Back 73

A. support some weight

Front 74

A cane should be used on

Back 74

the unaffected strong side of the body

Front 75

A CNA collecting linens for a bed change a nd drops a shee on the floor

Back 75

Discard in the soiled linen cart.

Front 76

When applying cold treatment to a patient it is important ot bserve the patient closely for signs of

Back 76

Cyanosis [poor circulation]

Front 77

The purpose of correctly positioning the client is to:a. prevent skin breakdown.
b. maintian function of joints and muscles
c. increase comfort.
d. All of the above

Back 77

D. all of the above

Front 78

A surgical bed should be left in what position?

Back 78

highest position

Front 79

The preferred way to remove a bedpan from a clent who is unable to lift her buttocks is to:

Back 79

Trun the client to the side while holding the bedpan.

Front 80

After shaving a patient with a safety razor, the CNA should

Back 80

dispose of it in a sharps container.

Front 81

When a client complains that his dentures are hurting, the appropriate action is to

Back 81

report the complaint to the charge nurse.

Front 82

1. A female resident’s husband has asked for some
time alone with his wife in her room. What
should the nurse aide do?
(A) Let the husband visit but listen outside the
door.
(B) Let the husband visit and leave the door
open.
(C) Tell the husband not to disturb his wife.
(D) Let the husband visit in private.ÆN

Back 82

(D) Let the husband visit in private.

Front 83

A resident needs range of motion (ROM)
exercises every day. When the nurse aide tries to
help her do the exercises, the resident says she
will not do them. She says that they are too hard.
What is the nurse aide’s best response?
(A) “Try harder and the exercises will be easier.”
(B) “I understand, but try working slowly and
resting often.”
(C) “The doctor ordered the exercises because
they are important.”
(D) “Think of something good during the
exercises and maybe they won’t be so
hard.”

Back 83

(B) “I understand, but try working slowly and
resting often.”€»

Front 84

A nurse aide enters a room to check on a resident
who is in restraints. The nurse aide finds that the
resident has gotten out of the restraint and is
partly out of the bed. What should the nurse
aide do?
(A) Call for help to get the resident back into bed
and put the restraint back on.
(B) Put the restraint back on tightly so that the
resident cannot move.
(C) Leave the restraint off and report the
problem to the charge nurse.
(D) Put a different type of restraint on the
resident.
hard.”

Back 84

(A) Call for help to get the resident back into bed
and put the restraint back on.image

Front 85

4. A resident does not want to wear her dentures.
She says she has a sore in her mouth. The nurse
aide should
(A) tell her to leave her dentures out for a few
days.
(B) have the resident rinse her mouth with salt
water.
(C) tell her that she will feel better if she wears
the dentures.
(D) leave the dentures out and ask the nurse to
check the resident’s mouth.ýïýïýïýïýïýïý

Back 85

(D) leave the dentures out and ask the nurse to
check the resident’s mouth.(ÿÇ

Front 86

5. After a resident has died, the nurse aide is often
assigned to do which of the following?
(A) Prepare the resident’s body.
(B) Call the resident’s family.
(C) Call the resident’s doctor.
(D) Call the undertaker.

Back 86

(A) Prepare the resident’s body.

Front 87

6. A resident complains that he cannot fall asleep.
What can the nurse aide do first to help him
relax?
(A) Move him to the day room.
(B) Give the resident a back rub.
(C) Give the resident a sleeping pill.
(D) Report the resident’s complaint to the charge
nurse.

Back 87

(B) Give the resident a back rub.

Front 88

7. A resident is to start range of motion (ROM)
exercises. When performing ROM exercises on a
resident, what does the nurse aide do to each
joint?
(A) Stretch it until it hurts.
(B) Rotate it in both directions until it hurts.
(C) Bend it to a 90-degree angle while
supporting the limb.
(D) Move it to its fullest range or until the
resident feels discomfort.

Back 88

(D) Move it to its fullest range or until the
resident feels discomfort.th.(ÿÇ

Front 89

8. A sign on the resident’s door says NPO. What
does this sign tell the nurse aide about the
resident?
(A) The resident is receiving AM care.
(B) The resident is receiving oxygen therapy.
(C) The resident is not to be given any solid
food.
(D) The resident is not to be given anything by
mouth.íg

Back 89

(D) The resident is not to be given anything by
mouth.

Front 90

9. A resident is smoking a cigarette in the smoking
area on the outside porch of the nursing home.
The resident keeps dropping the cigarette in his
lap. What should the nurse aide do first?
(A) Stay with the resident until he is finished
smoking.
(B) Tell the resident that he must be more
careful.
(C) Check on the resident every few minutes.
(D) Go and report it to the charge nurse.

Back 90

(A) Stay with the resident until he is finished
smoking.0¹·Ÿ@°

Front 91

10. A nurse aide is assigned to care for a resident
who asks her to stay with her because she thinks
she is dying. What should the nurse aide do?
(A) Scold the resident for talking that way.
(B) Ask the resident why she feels this way.
(C) Tell the resident, “That isn’t true.”
(D) Ignore the resident’s behavior.

Back 91

(B) Ask the resident why she feels this way.n/xa

Front 92

11. A resident is able to dress himself, but he is very
slow. What should the nurse aide do to assist this
resident to get to breakfast on time?
(A) Dress the resident.
(B) Tell the resident to hurry.
(C) Start the resident dressing earlier.
(D) Warn the resident he is going to miss
breakfast.

Back 92

(C) Start the resident dressing earlier.

Front 93

12. A nurse aide is caring for a resident on bedrest.
The resident is not able to turn herself. What is
the longest time that the nurse aide is allowed to
leave the resident in one position?
(A) 1 hour
(B) 2 hours
(C) 3 hours
(D) 4 hours

Back 93

(B) 2 hours

Front 94

13. A resident’s care plan calls for the resident to
ambulate 50 feet twice a day. The resident tells
the nurse aide that she is unable to do it now.
What should the nurse aide do?
(A) Ask the resident to be more helpful.
(B) Ask the charge nurse to change the care
plan.
(C) Tell the resident that she can skip her walk
today.
(D) Allow the resident to choose a better time to
ambulate.N8

Back 94

(D) Allow the resident to choose a better time to
ambulate.„>P¯

Front 95

14. A nurse aide notices that a resident has very dry
skin on the feet. How should the nurse aide care
for the resident’s feet?
(A) Raise them on a pillow.
(B) Wash and dry them only.
(C) Keep socks on them at all times.
(D) Apply lotion after washing and drying the
feet.

Back 95

(D) Apply lotion after washing and drying the
feet

Front 96

15. An elderly resident is normally alert, but today
she is slightly confused. What should the nurse
aide do?
(A) Say, “It is not like you to act like this.”
(B) Report the confusion to the charge nurse.
(C) Not worry because all old people get
confused sometimes.
(D) Ignore the confusion because the resident
may only be trying to get extra attention.t’s mou

Back 96

(B) Report the confusion to the charge nurse./xa

Front 97

16. A nurse aide has found a fire in a resident’s waste
can. What should the nurse aide do first?
(A) Pull the fire alarm.
(B) Pour water on the fire.
(C) Move residents out of immediate danger.
(D) Use the fire extinguisher to put out the fire.

Back 97

(C) Move residents out of immediate danger.e./xa

Front 98

17. What is the first thing a nurse aide should do after
receiving the resident assignments for the shift?
(A) Start giving care to the first resident on the
assignment.
(B) Make rounds and see each resident briefly.
(C) Ask another nurse aide what to do first.
(D) Find out when the lunch break is.Æ´.

Back 98

(B) Make rounds and see each resident briefly.xa

Front 99

18. A nurse aide is walking with a resident. The
resident says that she is going to faint. What
should the nurse aide do?
(A) Open a window to give the resident air.
(B) Walk the resident to her room quickly.
(C) Assist the resident to sit slowly on the floor.
(D) Hold the resident on her feet until she feels
better0Ñî

Back 99

(C) Assist the resident to sit slowly on the floor.

Front 100

19. A resident is upset after a family visit. The
resident tells the nurse aide not to allow the
family to visit again. Which of the following is
the nurse aide’s best response?
(A) “OK, I will tell them not to visit.”
(B) “I will inform the receptionist immediately.”
(C) “Can you tell me why you are so upset?”
(D) “You will feel differently about it
tomorrow.

Back 100

(C) “Can you tell me why you are so upset?”ly.xa

Front 101

20. A nurse aide is feeding a resident a pureed diet.
How should the nurse aide feed the resident?
(A) By feeding all of one food at a time.
(B) By giving portions from each food on the
tray.
(C) By mixing the food together to make feeding
easier.
(D) Any way the nurse aide wishes because
pureed food has no taste.r0Ñî

Back 101

(B) By giving portions from each food on the
tray.

Front 102

21. A resident is on oxygen. He tells the nurse aide
that he is not getting enough oxygen through the
tubing. What should the nurse aide do first?
(A) Turn up the oxygen.
(B) Turn off the oxygen.
(C) Check the tubing.
(D) Tell the patient to breathe faster to get more
oxygen.ŠN

Back 102

(C) Check the tubing.

Front 103

22. Which of the following is a true statement about
the elderly?
(A) They have no sex drive.
(B) They prefer to be alone.
(C) They often have problems with vision.
(D) They are not concerned about privacy.

Back 103

(C) They often have problems with vision.

Front 104

23. A resident refuses to have a bath and to shave
every day. He has not bathed for a week. What
should the nurse aide do?
(A) Force the resident to take a bath and shave
every day.
(B) Ask the charge nurse for assistance with the
problem.
(C) Leave the resident alone as he will want a
bath some day.
(D) Tell the resident’s family that the resident
has not bathed in a week.
ambulate.N8

Back 104

(B) Ask the charge nurse for assistance with the
problem.õÔ¸é

Front 105

24. A resident usually dresses himself for breakfast.
Today the nurse aide finds him in pajamas at
10:00 am. What should the nurse aide do?
(A) Nothing
(B) Dress the resident
(C) Ask him “Is there anything wrong today?”
(D) Tell him “I don’t have time to dress you.”

Back 105

(C) Ask him “Is there anything wrong today?”y.xa

Front 106

25. A nurse aide finds a male resident in bed with a
female resident who is confused. What should
the nurse aide do?
(A) Scold the male resident.
(B) Report this to the charge nurse.
(C) Close the door and the privacy curtains.
(D) Put a “Do Not Disturb” sign on the door.¨

Back 106

(B) Report this to the charge nurse.ier.

Front 107

26. A resident with poor vision was admitted to the
unit. What should the nurse aide do to ensure the
resident’s safety?
(A) Arrange the furniture against the walls.
(B) Tell the resident to walk around the room by
herself.
(C) Remove all furniture, except the bed and
chair, from the room.
(D) Help the resident become familiar with the
location of the furniture in the room..
ambulate.N8

Back 107

(D) Help the resident become familiar with the
location of the furniture in the room.ge

Front 108

27. A nurse aide finds clean linen lying on the floor
near the linen cart. What should the nurse aide
do?
(A) Discard the linen in the soiled linen hamper.
(B) Place the linen on the clean linen cart and
cover the cart.
(C) Place the linen in a resident’s room for
immediate use.
(D) Leave the linen on the floor for
housekeeping staff to remove.t it

Back 108

(A) Discard the linen in the soiled linen hamper.

Front 109

28. A resident cannot walk by herself. What must
the nurse aide do before leaving her room?
(A) Give her a bedpan.
(B) Tell her to shout if she needs help.
(C) Put the call light where she can reach it.
(D) Let another nurse aide know that she is in
her room.MEM

Back 109

C) Put the call light where she can reach it.er.

Front 110

29. A resident has trouble finding her room. What
could the nurse aide do to help this resident?
(A) Speak sharply to her whenever she goes to
the wrong room.
(B) Assign another resident to watch her.
(C) Make a special sign for her door.
(D) Keep her in her room.

Back 110

(C) Make a special sign for her door.

Front 111

30. A resident dies during the night. At breakfast,
another resident who was his friend, begins to
talk to the nurse aide about the death. What
should the nurse aide do?
(A) Distract the resident by talking about the
news of the day.
(B) Tell the resident to find someone else to talk
to.
(C) Find out who told the resident about the
death.
(D) Allow the resident to talk about the death.8

Back 111

(D) Allow the resident to talk about the death..

Front 112

31. A resident is lying on the floor having a seizure
when the nurse aide walks into the room. What
should the nurse aide do first?
(A) Restrain the residents arms.
(B) Put a screen around the resident for privacy.
(C) Place a padded tongue blade between her
teeth.
(D) Move any objects which could injure the
resident and support her head.`Ÿ¿

Back 112

(D) Move any objects which could injure the
resident and support her head.

Front 113

32. A resident was given a stuffed animal as a gift.
The resident wants to keep the stuffed animal
with her much of the time. What should the
nurse aide do?
(A) Explain that adults do not hold stuffed
animals.
(B) Ask her relatives to take the stuffed animal
home.
(C) Let her hold the stuffed animal whenever she
wants to.
(D) Suggest that she keep the stuffed animal on
the windowsill.8

Back 113

(C) Let her hold the stuffed animal whenever she
wants to.LT‚½¸

Front 114

33. A resident is dehydrated. The nurse aide’s
assignment says “Force fluids.” What should the
nurse aide do?
(A) Decrease the resident’s fluid intake.
(B) Increase the resident’s fluid intake.
(C) Give liquids with meals only.
(D) Measure output. he

Back 114

(B) Increase the resident’s fluid intake.death..

Front 115

34. A nurse aide wants to get a resident involved in
her own care. Which of these statements would
best encourage the resident’s involvement?
(A) “Stop feeling sorry for yourself.”
(B) “It’s time for us to eat our breakfast.”
(C) “I want to brush your hair right now.”
(D) “Do you want to take your bath now or after
breakfast?”

Back 115

(D) “Do you want to take your bath now or after
breakfast?”â…¥

Front 116

35. A resident has an indwelling catheter. As the
nurse aide cares for him, which of these should
the nurse aide report to the charge nurse
immediately?
(A) The resident complains of pain and burning.
(B) The urine in the collection bag is clear and
light yellow in color.
(C) The resident tells the nurse aide that he hates
to have a catheter.
(D) The urine in the collection bag is hanging
below the level of the bladder.ges.

Back 116

(A) The resident complains of pain and burning..

Front 117

36. What is the best source of information about the
care a nurse aide needs to give a resident?
(A) The resident’s family
(B) The resident’s roommate
(C) The resident’s plan of care
(D) Other nurse aides on the unit.d

Back 117

(C) The resident’s plan of care3

Front 118

37. A resident tells the nurse aide that her hearing aid
is not working. What should the nurse aide do
first?
(A) Turn up the volume.
(B) Change the battery.
(C) Tell the charge nurse.
(D) Check to see that the hearing aid is turned
on.re ou

Back 118

(D) Check to see that the hearing aid is turned
on.

Front 119

38. While making rounds at 3:00 A.M., a nurse aide
hears a resident crying softly. How should the
nurse aide respond?
(A) Tell the resident that everything will be
better in the morning.
(B) Tell the resident that everything is fine and
to cheer up.
(C) Pretend not to notice that the resident is
crying.
(D) Ask the resident what is wrong.Ÿ¿

Back 119

(D) Ask the resident what is wrong.

Front 120

39. A resident is being discharged from the nursing
home. He tells the nurse aide that he feels
worried about the change. What is the nurse
aide’s most helpful response?
(A) Encourage the resident to talk about his
feelings.
(B) Tell the resident not to worry as things will
work out fine.
(C) Tell the resident that he should be happy to
leave the nursing home.
(D) Suggest to the resident that his worries will
go away if he ignores them.

Back 120

(A) Encourage the resident to talk about his
feelings.

Front 121

40. A nurse aide is called away from a resident’s
beside. When the nurse aide returns, the resident
screams, “I’m too old and too sick to be left
alone.” How should the nurse aide respond?
(A) “You’re fine. Don’t carry on so.”
(B) “I understand, but I have other things to do.”
(C) “Why don’t you just forget it and rest
awhile?”
(D) “I’m sorry I had to leave. Can I help you
now?”

Back 121

(D) “I’m sorry I had to leave. Can I help you
now?”gs.

Front 122

41. A nurse aide is cleaning a resident’s closet. He
finds moldy food and throws it away. The
resident shouts, “Leave my food alone.” What is
the best response by the nurse aide?
(A) “Why are you saving this food? Do you get
hungry between meals?”
(B) “You should eat all your meals, so that you
are not hungry later on.”
(C) “Hiding food is against health laws.”
(D) “This moldy food smells awful.”

Back 122

(A) “Why are you saving this food? Do you get
hungry between meals?”

Front 123

42. A nurse aide observes that a new resident is upset
and frightened while getting ready for bed. The
resident tells the nurse aide that a dark room
frightens her. What is the nurse aide’s best
response?
(A) “Darkness can’t hurt you.”
(B) “As old as you are, you should not be
afraid.”
(C) “You will soon get used to sleeping in the
dark.”
(D) “I will leave the door open so the light can
come in.”

Back 123

(D) “I will leave the door open so the light can
come in.”Lõ r‹

Front 124

43. A nurse aide is assisting a resident with lunch.
The resident grabs his throat and cannot speak.
What should the nurse aide do first?
(A) Offer the resident a drink.
(B) Perform the Heimlich maneuver.
(C) Place the resident on the floor and elevate
his feet.
(D) Keep the resident warm by putting a blanket
on him.î

Back 124

(B) Perform the Heimlich maneuver.

Front 125

44. A nurse aide realizes from the assignment sheet,
that a resident has not has a bowel movement for
more than 3 days. What should the nurse aide do?
(A) Ignore the problem.
(B) Give the resident an enema.
(C) Report the finding to the charge nurse.
(D) Sit the resident on the toilet until he has a
bowel movement.im.î

Back 125

(C) Report the finding to the charge nurse.ing..

Front 126

45. A resident has had a stroke and has weakness on
her right side. Where should the nurse aide stand
when helping the resident walk?
(A) On the resident’s right side
(B) On the resident’s left side
(C) In front of the resident
(D) Behind the resident

Back 126

(A) On the resident’s right side

Front 127

46. A resident is grieving over the recent death of her
husband. How can the nurse aide best offer
support to the resident?
(A) Leave the resident alone as much as
possible.
(B) Encourage the resident to express her
feelings.
(C) Change the subject when the resident speaks
about her husband.
(D) Tell the resident about the nurse aide’s own
experiences with death.

Back 127

(B) Encourage the resident to express her
feelings.)N

Front 128

47. A nurse aide is assigned to care for a resident
who has wandered over to another unit. What is
the nurse aide’s most helpful response, when the
nurse aide brings the resident back?
(A) “Let me walk with you.”
(B) “How did you get over here?”
(C) “Don’t you know where you belong?”
(D) “Don’t you realize I have a lot to do?”

Back 128

(A) “Let me walk with you.” side

Front 129

48. A resident has a cold and is using tissues for his
nose. There are used tissues on the resident’s
bed, floor, and bedside stand. What should the
nurse aide do to control the spread of infection?
(A) Report the resident’s behavior to the resident
council.
(B) Ask the resident to throw his used tissues in
the toilet.
(C) Pick up the used tissues in the resident’s
room once a day.
(D) Attach a paper bag to the resident’s bed and
ask him to put the used tissues in it.Mà

Back 129

(D) Attach a paper bag to the resident’s bed and
ask him to put the used tissues in it.

Front 130

49. A resident tells a nurse aide he is going to kill
himself. What should the nurse aide do?
(A) Nothing, because people who threaten
suicide usually do not kill themselves.
(B) Call the resident’s family and ask them to
come and sit with him.
(C) Tell the resident that things are not as bad as
they seem.
(D) Stay with the resident and call for help.jzDDPyD

Back 130

(D) Stay with the resident and call for help.g..

Front 131

50. A nurse aide sees the charge nurse swallow
medication that belongs to a resident. What
should the nurse aide do?
(A) Ignore the incident because the charge nurse
might get the nurse aide fired.
(B) Tell the resident’s family that the charge
nurse is stealing medication.
(C) Report the incident to the administrator or
nursing supervisor.
(D) Suggest the nurse get help immediately.œN8

Back 131

(C) Report the incident to the administrator or
nursing supervisor.

Front 132

11. Which of the following should the nursing
assistant observe and record when admitting a
client?
a. freckles
b. wrinkles
c. short nails
d. bruisesýïýïý

Back 132

.11. d. Bruising may be due to accidents, abuse, %lo cked.
medications, or illness, and should be

Front 133

12. When responding to a client on the intercom,
the nursing assistant should say
a. "Hello, who is calling, please?"
b. "What is it that you want?"
c. "This is [nursing assistant name and
position], can I help you?"
d. "Please hold; I'll have the nurse answer your
call."

Back 133

.12. c. Always give your name and position when may have fainted.

Front 134

14. When arranging a client's room, the nursing
assistant should do all of the following
EXCEPT
a. checking the placement of the call bell.
b. adjusting the back rest as directed.
c. administering the client's medications.
d. adjusting the lighting as appropriate.

Back 134

.14. c. Nursing assistants are not allowed to administer medications.

Front 135

15. When assisting a client out of bed, the nurse
aide should always
a. employ body mechanic techniques.
b. get another nurse aide to assist.
c. raise the bed to its maximum height.
d. lower all safety rails.
39

Back 135

.Always use proper body mechanics when moving clients

Front 136

16. How often should clients be repositioned
during an eight-hour shift?
a. qlh
b. q2h
c. q3h
d. q4hon/x-ms

Back 136

.Clients should be turned every two hours to prevent decubiti

Front 137

17. Which of the following is the correct procedure
for serving a meal to a client who must be fed?
a. Serve the tray along with all the other trays,
and then come back to feed the client.
b. Bring the tray to the client last; feed after
you have served all the other clients.
c. Bring the tray into the room when you are
ready to feed the client.
d. Have the kitchen hold the tray for one hour.

Back 137

.c. An aide should not bring the tray into the
room until he has time to feed the client.

Front 138

18. The most serious problem that wrinkles in the
bedclothes can cause is
a. restlessness.
b. sleeplessness.
c. decubitus ulcers.
d. bleeding and shock.ýïý

Back 138

c. The most serious problem that wrinkles in
weak side better enables the nurse aide to the bedclothes can cause patients are
prevent falls. decubitus ulcers, or decubiti.ed.L<

Front 139

19. Restorative care begins
a. as soon as possible.
b. when the client is ready.
c. when the client is discharged.
d. when the client is diagnosed as terminally ill.

Back 139

.a. Restorative care begins as early as possible to prevent further disability.

Front 140

20. Before placing a client in Fowler's position, the
nurse aide should
a. open the window.
b. explain the procedure to the client.
c. check with the client's family.
d. remake the bed.wo

Back 140

.b. Caregivers should always explain procedures first, so b is the correct answer.

Front 141

21. During hand washing, the nurse aide
accidentally touches the inside of the sink while
rinsing the soap off. The next action is to
a. allow the water to run over the hands for
two minutes.
b. dry the hands and turn off the faucet with
the paper towel.
c. repeat the wash from the beginning.
d. repeat washing, but for half the time.rd

Back 141

.c. The aide has contaminated her hands andures must start over.

Front 142

22. How should a nurse aide dress for a job
interview?
a. wearing a clean t-shirt and casual slacks
b. wearing a nurse aide uniform
c. wearing a business suit, dress, or pants and
dress shirt
d. wearing formal attired

Back 142

.c. First impressions are critical, so nurse aides should wear business attire.

Front 143

23. An ambulatory client is newly admitted. Before
leaving the client alone, the nurse aide should
a. ask if the client is hungry.
b. inspect the client's skin.
c. assess the client's intake and output.
d. make sure the client knows how to use the
call bell.

Back 143

.d. New clients should always know how to calls for help before being left alone.

Front 144

24. When lifting a heavy object, the correct method
would be to bend at the
a. waist, keeping your legs straight.
b. waist, rounding your shoulders.
c. knees, keeping your back straight.
d. knees and waist.

Back 144

.c. Keeping the back straight forces the body to use the strong leg muscles.

Front 145

25. When should nurse aides wash their hands?
a. after eating
b. before using the bathroom
c. after client care
d. before cleaning a bedpan

Back 145

.25. c. Nurse aides should wash their hands after client care to prevent cross-contamination.after

Front 146

26. When assisting a client with eating, one of the
first things the nurse aide should do is
a. cut the food into bite-size pieces.
b. wash his own hands and the client's hands.
c. butter the client's bread.
d. provide the client with privacy.

Back 146

.26. b. Always remember to consider infectionfter control.

Front 147

27. A patient has a new cast on her right arm.
While caring for her, it is important to first
observe for
a. pulse above the cast.
b. color and hardness of the cast.
c. warmth and color of fingers.
d. signs of crumbling at the cast end.ivacy.

Back 147

.c. A new cast may cut off circulation. Choice c reminds the nurse aide to check for circulatory impairment.

Front 148

28. Encouraging a client to take part in activities of
daily living (ADLs) such as bathing, combing
hair, and feeding is
a. done only when time permits.
b. the family's responsibility.
c. necessary for rehabilitation.
d. a violation of client rights.

Back 148

c. Rehabilitation should always be part of the care plan.

Front 149

29. In caring for a confused elderly man, it is
important to remember to
a. keep the bedrails up except when you are at
the bedside.
b. close the door to the room so that he does
not disturb other patients.
c: keep the room dark and quiet at all times to
keep the patient from becoming upset,
d. remind him each morning to shower and
shave independently.20this%20card

Back 149

.a. Make sure to follow agency policy.OJ

Front 150

30. Before assisting a client into a wheelchair, the
first action would be to check if the
a. client is adequately covered.
b. floor is slippery.
c. door to the room is closed.
d. wheels of the chair are locked.

Back 150

.d. Before assisting a patient into a wheelchair,check to see if the wheels of the chair are locked.

Front 151

31. A client has a weak left side. When transferring
the client from the bed to the wheelchair, the
nurse aide should stand
a. on the right side.
b. in front of the client.
c. on the left side.
d. behind the client.

Back 151

.c. Assist the client at the client's weak side.,

Front 152

32. While making rounds at 5:30 A.M., a nurse aide
finds a patient lying on the floor. What should
the nurse aide do first?
a. Call 911.
b. Perform CPR.
c. Call for help.
d. Assess the client's pulse and respirations.

Back 152

.d. Assess pulse and breathing first.pD

Front 153

33. When moving a wheelchair onto an elevator,
the nurse aide should stay
a. behind the chair and pull it toward the aide.
b. behind the chair and push it away from the
aide.
c. in front of the client to observe the client's
condition.
d. at the side of the wheelchair while opening
the door.

Back 153

.a. The nurse aide must stay behind the chair to, control it and move it backward to prevent the wheels from falling into the door opening.o,

Front 154

34. The Foley bag must be kept lower than the
client's bladder so that
a. urine will not leak out, soiling the bed.
b. urine will not return to the bladder, causing
infection.
c. the bag will be hidden and the client will not
be embarrassed.
d. the client will be more comfortable in bed.

Back 154

.b. Raising the bag above the bladder level can,lead to backflow of the urine, with its bacteria, into the bladder.

Front 155

35. As an afternoon snack, the kitchen sent a
diabetic client a container of chocolate ice
cream. The nursing assistant should first
a. substitute diet soda for the ice cream.
b. hold the afternoon snack and report to the
charge nurse.
c. call the kitchen and report the error.
d. allow the client to have half of the ice cream.

Back 155

.b. The nursing assistant should report this can, error to the charge nurse, who in turn will contact the kitchen and obtain the correct nourishment.l

Front 156

36. When assisting a client who is using the
commode, it is important to
a. leave the call light within reach.
b. lock the door to promote privacy.
c. stand next to the client until the client is
finished.
d. restrain the client to prevent a fall.ts.

Back 156

.a. The client should always have access to a assismeans
to get help when needed

Front 157

37. Ensuring adequate circulation to tissues is a
major factor in preventing skin breakdown.
This can be accomplished by doing all of the
following EXCEPT
a. positioning the patient every four hours.
b. using mechanical aids.
c. giving backrubs.
d. performing active or passive ROM exercises..

Back 157

.a. The patient must be positioned every two hours to prevent skin breakdown due to poor circulation.l

Front 158

38. The purpose of cold applications is usually to
a. speed the flow of blood to the area.
b. prevent heat exhaustion.
c. prevent or reduce swelling.
d. prevent the formation of scar tissue.

Back 158

.c. prevent or reduce swelling.

Front 159

39. The hot water bottle is an example of a
a. local dry heat application.
b. generalized dry heat application.
c. local moist heat application.
d. generalized moist heat application./mswo

Back 159

.a. local dry heat application.

Front 160

40. Clients receiving an enema are usually placed
a. on the right side.
b. on the left side.
c. flat on the back.
d. in a semisitting position.

Back 160

.b. on the left side.

Front 161

41. A female client's perineal area should be cleansed before which specimen is collected?
a. 24-hour urine specimen
b. midstream clean-catch urine specimen
c. pediatric routine urine specimen
d. routine urine specimen

Back 161

.b. midstream clean-catch urine specimen

Front 162

42. The most common site for counting the pulse is the
a. carotid artery.
b. femoral artery.
c. brachial artery.
d. radial artery.m

Back 162

.b. femoral artery.

Front 163

43. When counting respirations, the nurse aide should
a. wait until after the client has exercised.
b. not tell the patient what he is going to do.
c. count five respirations and then check his
watch.
d. have the client count respirations while the
aide takes her pulse.¥

Back 163

.b. not tell the patient what he is going to do.

Front 164

44. Which of the following is NOT the nurse aide's
responsibility when caring for clients who have
urinary catheters?
a. inserting the catheter
b. ensuring that the catheter drains properly
c. preventing infection
d. recording urinary output.

Back 164

.a. inserting the catheter

Front 165

45. When giving information to the charge nurse
for an incident report, the nurse aide should
a. write in the client's chart that an incident
occurred.
b. keep the report in her personal file.
c. state the facts clearly.
d. give her opinions as to the cause of the
incident.

Back 165

.c. state the facts clearly.

Front 166

46. All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements
are set by
a OBRA.
b. OSHA.
c. CDC.
d. FDA.s

Back 166

.a OBRA.

Front 167

47. A resident is blind. It is important not to
a. leave the door completely opened.
b. rearrange the furniture.
c. announce yourself before entering the room.
d. explain the location of food on the plate,
using the face of the clock to assist.all.ts.

Back 167

.b. rearrange the furniture.

Front 168

48. When family members visit a client, the visitors
should
a. stay in the day room.
b. stay a short while so as not to tire the client.
c.,be expected to help with care.
d. be allowed privacy with the client.

Back 168

.d. be allowed privacy with the client.

Front 169

49. A resident asks, "If I need help during the night, who will be there?" The nursing assistant
should respond,
a. "Don't worry, you'll be okay."
b. "Just yell; someone will hear you."
c. "Your roommate will probably ring the call
bell."
d. "There are people here all night to help you."

Back 169

.a. "Don't worry, you'll be okay."

Front 170

50. Which of the following is a client's right?
a. having personal information kept confidential
b. obtaining private duty staff if desired
c. knowing what is wrong with the client's
roommate
d. treating the staff any way he or she pleases

Back 170

.a. having personal information kept confidential

Front 171

51. A resident often cries while she is receiving her P.M. care. What should the nurse aide do?
a. Tell her to stop crying.
b. Ignore her and continue with her carq.
c. Tell her jokes to make her laugh.
d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk.

Back 171

d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk

Front 172

52. When providing denture care, the nurse aide must
a. wash them in boiling water.
b. hold them under warm running water.
c. dunk them in and out of cool water.
d. place them on a towel in the sink with cool water.

Back 172

.d. place them on a towel in the sink with cool water.

Front 173

53. Sexuality in long-term-care clients may include
all of the following EXCEPT
a. needing private time with a partner.
b. caring about one's physical appearance.
c. engaging in public fondling.
d. desiring sexual interaction.

Back 173

.c. engaging in public fondling.

Front 174

54. A client is scheduled for a partial bed bath. This
means that the nurse aide must wash the
client's
a. face, neck, ears, arms, and hands.
b. face, axillae, hands, and buttocks.
c. face, hands, axillae, and legs.
d. face, hands, axillae, genitals, and buttocks.

Back 174

.d. face, hands, axillae, genitals, and buttocks.

Front 175

55. A goal for an extended care facility (ECF) resident is that she not swear at the nurses or
aides. When she calls an aide by his name, the appropriate action is to

a. smile and give the appropriate reward.
b. continue whatever task that is being done.
c. tease the resident about not swearing.
d. tell all of the staff that she didn't swear.

Back 175

.a. smile and give the appropriate reward.

Front 176

56. An agitated resident must be turned every two
hours all night long. The first action of the
nurse aide when waking up this resident is to
a. turn on the light.
b. speak quietly and calmly.
c. touch her shoulder.
d. shout her name.

Back 176

.b. speak quietly and calmly

Front 177

57. If a client objects to certain food for religious
or cultural reasons, the appropriate action
would be to
a. tell him to wait for the next meal.
b. offer to substitute something different for him.
c. call the dietician the next day.
d. tell him he needs to eat what is on his tray.u."

Back 177

.b. offer to substitute something different for him.

Front 178

58. The client's religion forbids eating pork. Bacon
is being served for breakfast. The most
appropriate response is to
a. encourage the client to eat it because she
needs protein.
b. tell the client it is all right since her doctor
ordered the diet.
c. call the kitchen for a tray without bacon.
d. tell the client that restrictions are not as
important as her health.20card

Back 178

.c. call the kitchen for a tray without bacon.

Front 179

59. Which type of communication can often be
most powerful?
a. written
b. verbal
c. silent
d. tactilen/x-ms

Back 179

.c. silent

Front 180

60. A client refuses to allow the nurse aide to bathe
her. The nurse aide tells the client that she will
not be allowed to eat lunch or go to bingo if she
does not have her bath. This is an example of
a. rehabilitation.
b. discipline.
c. verbal abuse.
d. physical abuse.¥

Back 180

.c. verbal abuse.

Front 181

61. On entering a room, an aide notices that the
client is not breathing. The aide's first action
should be to
a. call for help.
b. lay the client down on his back.
c. give four quick breaths.
d. give 8-10 abdominal thrusts.

Back 181

.a. call for help.

Front 182

62. A client's dentures are lost. The first action
should be to
a. notify the administrator.
b. look for them.
c. notify the doctor.
d. notify the charge nurse.

Back 182

.d. notify the charge nurse.

Front 183

63. Nursing assistants are responsible for
a. planning client care.
b. doing tasks assigned by the charge nurse.
c. performing without ever asking for help.
d. comparing assignments with coworkers.^ªpD

Back 183

.b. doing tasks assigned by the charge nurse.

Front 184

64. A patient turns on the call light when he needs
to urinate. The appropriate action is to
a. ignore the light, since he is not the aide's
own client.
b. announce on the intercom that there are two
patients ahead of him.
c. answer the call light and get the urinal.
d. answer the call light when the aide has the
time.

Back 184

.c. answer the call light and get the urinal.

Front 185

65. A client is on CMR and in the prone position.
The nurse aide finds the client vomiting bright
red blood. The nurse aide should first
a. clean up the vomit.
b. place the client in the side-lying position.
c. provide the client with an emesis basin.
d. call the charge nurse.

Back 185

.b. place the client in the side-lying position.

Front 186

66. When performing catheter care, the nurse aide
should wash the catheter
a. toward the meatus.
b. with Betadine soap.
c. away from the meatus.
d. with alcohol.

Back 186

.c. away from the meatus.

Front 187

67. A nurse aide who applies restraints on a client
without directions from the charge nurse may
be accused of
a. slander.
bt battery.
c. false imprisonment.
d. negligence. FDA.s

Back 187

.c. false imprisonment.

Front 188

68. H.S. care is care that is given
a. before meals.
b. before bedtime.
c. after meals.
d. upon awakening.ms

Back 188

.b. before bedtime.

Front 189

69. The best food choices for a geriatric client with
no teeth would include
a. hamburger, french fries, corn, and ice cream.
b. baked chicken, dressing, green beans, and
coconut macaroons.
c. spare ribs, macaroni and cheese, coleslaw,
and fruit cocktail.
d. baked fish, whipped potatoes, spinach souffle, and tapioca.

Back 189

.d. baked fish, whipped potatoes, spinach souffle, and tapioca.

Front 190

70. A client's family wants to talk about the client's
impending death, but the client does not want
to talk about it. The family should be
encouraged to
a. carry on the conversation away from the client.
b. talk freely in front of the client in order to
help the client to accept it.
c. wait until the client dies to talk about it.
d. force the client to talk about it with them.his%20cardý

Back 190

.a. carry on the conversation away from the client.