1.Easy
What does a long-term care ombudsman do?
- AAdvocates for residents and helps resolve their complaints
- BHires and evaluates the nursing assistants
- CGives residents their medicines and treatments during the night
- DPlans the weekly menu for the facility kitchen
2.Easy
What is one effect of a cold application?
- AIt widens the blood vessels and increases bleeding
- BIt raises the temperature of the area
- CIt increases swelling in the area
- DIt reduces swelling and numbs pain
3.Easy
What are activities of daily living (ADLs)?
- AMedical tests that the nurse does every day
- BSocial events that the activities staff plan each week
- CExercises that a resident does with the physical therapist
- DEveryday self-care tasks such as bathing, dressing and eating
4.Medium
What is Cheyne-Stokes breathing, which may be seen near death?
- ASteady, quiet breathing at about 16 breaths per minute
- BCoughing that brings up a large amount of thick yellow sputum
- CDeep, then shallow breaths, followed by pauses with no breathing
- DBreathing in through the nose and out through pursed lips
5.Medium
A resident has swollen feet and ankles. Which measure is usually helpful, if the care plan allows?
- AWrapping the ankles tightly with tape
- BRaising the legs on pillows or a footstool
- CHanging the legs down from the bed all day
- DRubbing the swollen areas firmly
6.Medium
During catheter care, in which direction is the catheter tubing cleaned?
- AFrom about 4 inches down the tube toward the urinary opening
- BAfter disconnecting the tube from the drainage bag
- CBack and forth along the tube with the same washcloth
- DFrom the urinary opening outward, about 4 inches (10 cm)
7.Hard
A nursing assistant told the nurse that a resident seemed more short of breath, but nothing was done, and the resident is getting worse. What should the nursing assistant do?
- AWait until the next shift to see if someone else notices the change
- BGive the resident extra oxygen without telling anyone
- CReport again, then follow the chain of command if nothing is done
- DCall the resident's family and ask them to complain
8.Hard
A resident with dementia becomes upset when asked to choose from all the clothes in her closet. Which approach best supports her?
- AOffer a choice between two outfits
- BTell her she must decide quickly
- CPut her in a hospital gown for the day
- DChoose all her clothes for her without asking
Answer key
- 1. A · Advocates for residents and helps resolve their complaints
- 2. D · It reduces swelling and numbs pain
- 3. D · Everyday self-care tasks such as bathing, dressing and eating
- 4. C · Deep, then shallow breaths, followed by pauses with no breathing
- 5. B · Raising the legs on pillows or a footstool
- 6. D · From the urinary opening outward, about 4 inches (10 cm)
- 7. C · Report again, then follow the chain of command if nothing is done
- 8. A · Offer a choice between two outfits
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