1.Easy
In what order is personal protective equipment (PPE) usually put on?
- AGoggles, gloves, gown, mask
- BMask, gloves, gown, goggles
- CGloves, goggles, mask, gown
- DGown, mask, goggles, gloves
2.Easy
What is stress incontinence?
- ALeaking urine when coughing, sneezing, laughing or lifting
- BLeaking urine because of a sudden, strong urge to urinate
- CLeaking urine because the bladder never empties fully
- DWetting oneself because of worry and anxiety
3.Easy
In a resident with darker skin, which change may be an early sign of a pressure injury?
- ASkin that looks the same as the surrounding skin and feels normal
- BA darker or purplish area, or one warmer or firmer than nearby skin
- CA freckle that the resident has had for many years
- DA small amount of dry skin on the elbows
4.Medium
A resident with an intellectual disability is learning to make his own bed. Which approach helps most?
- AMake the bed for him because it is faster
- BTeach one simple step at a time, praise success and be patient
- CCorrect every mistake in front of others
- DExplain all the steps at once, then leave him to try it on his own
5.Medium
When a resident is positioned on the side, where are pillows usually placed?
- AUnder the hips only
- BUnder the neck only
- CBetween the knees and behind the back
- DBetween the arm and the chest only, with none for the legs
6.Medium
A resident wears a nasal cannula. Where should the nursing assistant check for skin irritation?
- ABehind the ears and around the nostrils
- BOn the back of the hands
- CUnder the arms and around the neck
- DOn the soles of the feet and the heels
7.Hard
After a stroke, a resident ignores the food on the left side of her tray. Which approach can help, if it is in the care plan?
- AAssume she is not hungry and take the tray away after a few minutes
- BRemove the food from the left side of the tray
- CTell her where the food is and prompt her to look to the left
- DFeed her everything without letting her try
8.Hard
A resident is pale, sweaty and confused, with a fast, weak pulse and low blood pressure. What should the nursing assistant do?
- AGive the resident a hot drink and leave
- BSit the resident in a chair and check the vital signs again in an hour
- CHelp the resident walk to improve circulation
- DCall the nurse immediately and keep the resident lying down and warm
Answer key
- 1. D · Gown, mask, goggles, gloves
- 2. A · Leaking urine when coughing, sneezing, laughing or lifting
- 3. B · A darker or purplish area, or one warmer or firmer than nearby skin
- 4. B · Teach one simple step at a time, praise success and be patient
- 5. C · Between the knees and behind the back
- 6. A · Behind the ears and around the nostrils
- 7. C · Tell her where the food is and prompt her to look to the left
- 8. D · Call the nurse immediately and keep the resident lying down and warm
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