1.Easy
Where should a used disposable razor be placed?
- AIn the soiled linen hamper
- BIn a puncture-resistant sharps container
- CIn the regular trash can in the room
- DIn a plastic bag that is tied closed
2.Easy
Which is an example of verbal abuse?
- AExplaining a procedure before starting it
- BCalling a resident names or using insulting words
- CSpeaking slowly to a resident who is hard of hearing
- DAsking a resident what clothes she wants to wear
3.Easy
Why are leg exercises encouraged after surgery?
- ATo improve circulation and help prevent blood clots
- BTo make the surgical incision close and heal faster
- CTo lower the resident's appetite before meals
- DTo help the resident fall asleep
4.Medium
Why might an infection be hard to notice in an older resident?
- AOlder adults may have little fever and show confusion instead
- BInfections in older adults always cause a very high fever
- COlder adults only get infections in the lungs
- DOlder adults have stronger immune systems than younger adults
5.Medium
Unless ordered otherwise, why is the head of the bed usually kept at 30 degrees or lower for a resident at risk of pressure injury?
- AHigher angles make it much harder for the resident to see the television screen
- BHigher angles make the resident slide down, causing shearing over the tailbone
- CLower angles prevent the side rails from being used
- DLower angles help the resident digest food
6.Medium
Which is the best way to speak with a resident who is hard of hearing?
- AShout each word so that the resident can hear everything clearly
- BStand behind the resident and speak into the better ear
- CSpeak quickly so the resident does not get tired of listening
- DFace the resident and speak clearly at a normal or lower pitch
7.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?
- ATell her to drink less fluid to stop the leakage
- BGive her a laxative from the resident's supply
- CReport a possible fecal impaction to the nurse
- DRecord it as diarrhea and change the brief
8.Hard
Staff say a resident is "confused" because she does not follow instructions. She has known hearing loss. What should the nursing assistant consider first?
- AThat she has dementia and needs no further checking by anyone
- BThat she is refusing care and should be reported for behavior
- CThat she may not hear well; check her hearing aid and face her
- DThat she should be spoken to in a shout from across the room
Answer key
- 1. B · In a puncture-resistant sharps container
- 2. B · Calling a resident names or using insulting words
- 3. A · To improve circulation and help prevent blood clots
- 4. A · Older adults may have little fever and show confusion instead
- 5. B · Higher angles make the resident slide down, causing shearing over the tailbone
- 6. D · Face the resident and speak clearly at a normal or lower pitch
- 7. C · Report a possible fecal impaction to the nurse
- 8. C · That she may not hear well; check her hearing aid and face her
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