1.Easy
When a resident lies on their back, which areas are at the greatest risk of pressure injury?
- AThe knees and the fronts of the thighs
- BThe tailbone (sacrum) and the heels
- CThe palms of the hands
- DThe abdomen and the chest
2.Easy
During handwashing at a sink, in which direction should the fingertips point?
- AAny direction, as long as soap is used
- BDownward, lower than the wrists
- CToward the nursing assistant's face
- DUpward, higher than the elbows
3.Easy
Which food is a good source of fiber that helps prevent constipation?
- ABran cereal
- BCheese
- CWhite bread
- DIce cream
4.Medium
In which position is a resident usually placed to receive an enema?
- ALeft Sims' (left side-lying) position
- BHigh Fowler's position
- CProne (on the stomach)
- DRight side-lying with the legs straight
5.Medium
Before giving care in bed, such as a bed bath, how high should the nursing assistant raise the bed?
- ALeave it in the lowest position for safety
- BTo a comfortable working height, about waist level
- CRaise only the head of the bed to about 45 degrees
- DTo the highest position the bed can reach
6.Medium
Which practice helps prevent skin tears in an older resident?
- AUsing a lift sheet instead of pulling on the arms or legs
- BHolding the resident firmly by the wrists during transfers
- CSecuring dressings and tubing with strong adhesive tape on the skin
- DRubbing the skin briskly with a towel after bathing
7.Hard
A resident on airborne precautions for tuberculosis must be taken to another department for an X-ray. Which precaution is usual?
- AThe resident goes without a mask so breathing is easier
- BThe resident is told never to leave the room for any test
- CThe resident's door is left open during the trip
- DThe resident wears a surgical mask while out of the room
8.Hard
At lunch, a nursing assistant is not sure which of two residents with similar names is sitting at the table. What should the nursing assistant do before serving the tray?
- AGive the tray to whichever of the two residents looks most ready to eat
- BServe both trays at once and let the two residents choose
- CAsk another resident at the table which of the two is which
- DCheck identity by facility policy and compare it with the diet card
Answer key
- 1. B · The tailbone (sacrum) and the heels
- 2. B · Downward, lower than the wrists
- 3. A · Bran cereal
- 4. A · Left Sims' (left side-lying) position
- 5. B · To a comfortable working height, about waist level
- 6. A · Using a lift sheet instead of pulling on the arms or legs
- 7. D · The resident wears a surgical mask while out of the room
- 8. D · Check identity by facility policy and compare it with the diet card
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