1.Easy
What is Alzheimer's disease?
- AA worsening brain disease, the most common cause of dementia
- BA heart disease that reduces blood flow to the body
- CA normal part of growing old that affects everyone over 80
- DA short-term confusion that is caused by an infection
2.Easy
Which of these is an open-ended question?
- A"Do you want orange juice?"
- B"Did you sleep well?"
- C"Are you in pain right now?"
- D"How did you sleep last night?"
3.Easy
Which position is Sims' position?
- ALying flat on the back with the arms at the sides
- BLying on the stomach with a pillow under the shins
- CSitting upright at about 90°
- DOn the left side, upper knee bent toward the chest
4.Medium
A resident has swollen feet and ankles. Which measure is usually helpful, if the care plan allows?
- ARaising the legs on pillows or a footstool
- BHanging the legs down from the bed all day
- CRubbing the swollen areas firmly
- DWrapping the ankles tightly with tape
5.Medium
How is a clean-catch (midstream) urine specimen collected?
- ACollect the very first urine of the day straight into the sterile container
- BPour urine from the catheter drainage bag into the container
- CCollect urine from a bedpan that has toilet paper in it
- DClean the area, start urinating, then catch the middle of the stream
6.Medium
A resident is on contact precautions for MRSA. How should the blood pressure cuff and stethoscope be handled?
- AUse the hallway cuff on every resident in turn
- BUse equipment that stays in that resident's room
- CShare the cuff with the roommate without cleaning it
- DWipe the cuff with plain water and take it to the next room
7.Hard
A resident has had hip replacement surgery. Which instruction is commonly part of the care plan?
- AKeep the legs tightly together with the knees touching
- BAvoid crossing the legs and use an abduction pillow if ordered
- CLet the resident bend forward to pick things up from the floor
- DHave the resident sit in low, soft chairs so that the hip can rest
8.Hard
A resident has not had a bowel movement for 4 days. Her abdomen is swollen, and small amounts of liquid stool are leaking. What should the nursing assistant do?
- AReport a possible fecal impaction to the nurse
- BTell her to drink less fluid to stop the leakage
- CGive her a laxative from the resident's supply
- DRecord it as diarrhea and change the brief
Answer key
- 1. A · A worsening brain disease, the most common cause of dementia
- 2. D · "How did you sleep last night?"
- 3. D · On the left side, upper knee bent toward the chest
- 4. A · Raising the legs on pillows or a footstool
- 5. D · Clean the area, start urinating, then catch the middle of the stream
- 6. B · Use equipment that stays in that resident's room
- 7. B · Avoid crossing the legs and use an abduction pillow if ordered
- 8. A · Report a possible fecal impaction to the nurse
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