1.Easy
Which of these is an objective observation?
- AThe skin on the resident's left heel is red
- BThe resident says his stomach hurts
- CThe resident says she feels dizzy
- DThe resident reports feeling sad today
2.Easy
What does the abbreviation SOB mean in a resident's chart?
- ASitting on bed
- BStart of bath
- CShortness of breath
- DSide of bed
3.Easy
What is syncope?
- AA sudden muscle cramp
- BRinging in the ears
- CFainting, a brief loss of consciousness
- DA fast, irregular heartbeat with chest pain
4.Medium
When feeding a resident, where should the nursing assistant sit?
- AStanding over the resident to reach the tray easily
- BBeside the bed, facing the television
- CAt the resident's eye level, facing the resident
- DBehind the resident so the resident is not distracted
5.Medium
In which position is a resident usually placed to receive an enema?
- AProne (on the stomach)
- BRight side-lying with the legs straight
- CLeft Sims' (left side-lying) position
- DHigh Fowler's position
6.Medium
What is "sundowning" in a resident with dementia?
- ASleeping most of the day and staying awake all night by choice
- BA skin reaction after time spent outside in the sun
- CA drop in blood pressure that happens only at night
- DMore confusion and agitation late in the day
7.Hard
A resident with dementia becomes upset when asked to choose from all the clothes in her closet. Which approach best supports her?
- APut her in a hospital gown for the day
- BOffer a choice between two outfits
- CTell her she must decide quickly
- DChoose all her clothes for her without asking
8.Hard
Before helping a resident from a wheelchair to bed, the nursing assistant finds that one wheelchair brake does not hold. What should the nursing assistant do?
- AUse a different wheelchair and report the broken brake
- BHold the wheelchair still with one foot during the transfer
- CAsk the resident to hold the bed rail and pull
- DDo the transfer quickly before the wheelchair moves
Answer key
- 1. A · The skin on the resident's left heel is red
- 2. C · Shortness of breath
- 3. C · Fainting, a brief loss of consciousness
- 4. C · At the resident's eye level, facing the resident
- 5. C · Left Sims' (left side-lying) position
- 6. D · More confusion and agitation late in the day
- 7. B · Offer a choice between two outfits
- 8. A · Use a different wheelchair and report the broken brake
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