1.Easy
Which helps promote sleep for a resident at night?
- ABright lights and the television turned up loud until late
- BWaking the resident often to chat
- CStrong coffee with the evening snack
- DA quiet, dim room and a regular bedtime routine
2.Easy
Which sign may point to depression in an older resident?
- ALoss of interest in activities they used to enjoy
- BEating and sleeping more regularly than before
- CWanting to join every social event
- DAsking to call family more often to share good news
3.Easy
Under the federal OBRA law, what is the minimum number of training hours for a nurse aide program?
- A75 hours
- B16 hours
- C200 hours
- D40 hours
4.Medium
How quickly should a blood pressure cuff be deflated during a manual reading?
- AIn large jumps, stopping between them
- BAbout 20 mmHg per second to save time
- CSlowly and steadily, about 2 to 4 mmHg per second
- DAll at once, by opening the valve fully and quickly
5.Medium
Where should the nursing assistant walk when helping a resident with one-sided weakness to walk?
- AIn front of the resident, pulling them gently by the hands
- BSlightly behind the resident on the weaker side, holding the gait belt
- CA few steps behind, without touching the resident
- DBeside the resident on the stronger side
6.Medium
An 88-year-old resident with dementia says she must hurry home because her baby needs feeding. What is the best response?
- AIgnore the comment and continue with the task
- BTell her firmly that her children are all grown up now and live elsewhere
- CTell her you will drive her home after lunch
- DAcknowledge her feelings, ask about her children and then redirect her
7.Hard
A resident sitting up in bed keeps sliding toward the foot of the bed. What should the nursing assistant do?
- APull her up by her arms on your own so she is not kept waiting
- BTie a sheet across her chest to keep her from sliding down again
- CMove her up with a lift sheet and a helper, and check the care plan
- DLeave her where she is so she is not disturbed
8.Hard
A resident with suspected kidney stones has an order to have all urine strained. What should be done with any particles found?
- APlace them in a labeled specimen container and give them to the nurse
- BThrow away the strainer and the particles together
- CFlush them down the toilet once the urine is measured
- DShow the particles to the resident and then discard them in the toilet
Answer key
- 1. D · A quiet, dim room and a regular bedtime routine
- 2. A · Loss of interest in activities they used to enjoy
- 3. A · 75 hours
- 4. C · Slowly and steadily, about 2 to 4 mmHg per second
- 5. B · Slightly behind the resident on the weaker side, holding the gait belt
- 6. D · Acknowledge her feelings, ask about her children and then redirect her
- 7. C · Move her up with a lift sheet and a helper, and check the care plan
- 8. A · Place them in a labeled specimen container and give them to the nurse
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