1.Easy
Why are older adults at higher risk of dehydration?
- AThey need no fluids at night
- BTheir sense of thirst often decreases
- CTheir kidneys stop making urine
- DThey sweat much more than younger adults
2.Easy
How should a nursing assistant turn off a hand-operated faucet after washing and drying the hands?
- AWith the wet hands before drying them
- BWith the clean bare hands
- CBy leaving the water running for the next person
- DWith a clean, dry paper towel
3.Easy
In a resident with darker skin, which change may be an early sign of a pressure injury?
- AA freckle that the resident has had for many years
- BA small amount of dry skin on the elbows
- CA darker or purplish area, or one warmer or firmer than nearby skin
- DSkin that looks the same as the surrounding skin and feels normal
4.Medium
A resident uses an artificial leg (prosthesis). Which is part of the nursing assistant's care?
- AAdjusting the fit of the prosthesis with tools when it feels loose
- BChecking the skin of the residual limb and reporting sores
- CLeaving the prosthesis on day and night
- DDeciding when the resident no longer needs the prosthesis
5.Medium
How does a nursing assistant protect a resident's privacy during personal care?
- AClose the door and curtain, and keep the resident covered except where care is given
- BLeave the door open so other staff can help quickly
- CTalk about the care loudly so the roommate knows what is happening
- DUncover the resident fully to save time
6.Medium
How should a nursing assistant hold a gait belt while walking with a resident?
- AWith an underhand grip, from behind and slightly to the side
- BBy tying the belt to the nursing assistant's own waist
- CWith one finger hooked through the belt from the front of the resident
- DBy holding the resident's hand instead of the belt
7.Hard
A pulse oximeter on a resident with very cold fingers reads 84%. The resident is talking comfortably. What should the nursing assistant do?
- AReport the reading to the nurse and mention the cold fingers
- BIgnore the reading because the machine must be broken by the cold
- CRemove the resident's oxygen until the hands warm up
- DTurn up the oxygen flow rate on the resident's oxygen
8.Hard
A resident says her knee hurts. Which information is most useful to report to the nurse?
- AWhere it hurts, how bad it is (0–10), what it feels like and when it began
- BThat she often complains about pain and probably wants attention
- COnly that she has pain, since the nurse will ask the details later
- DYour own opinion that the pain cannot be very severe, because she is smiling
Answer key
- 1. B · Their sense of thirst often decreases
- 2. D · With a clean, dry paper towel
- 3. C · A darker or purplish area, or one warmer or firmer than nearby skin
- 4. B · Checking the skin of the residual limb and reporting sores
- 5. A · Close the door and curtain, and keep the resident covered except where care is given
- 6. A · With an underhand grip, from behind and slightly to the side
- 7. A · Report the reading to the nurse and mention the cold fingers
- 8. A · Where it hurts, how bad it is (0–10), what it feels like and when it began
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