1.Easy
What is the supine position?
- ALying flat on the back
- BLying on the stomach
- CSitting upright in bed
- DLying on the left side
2.Easy
What is edema?
- ARedness caused by pressure on the skin
- BA bruise caused by bleeding under the skin after a fall
- CA rash caused by an allergy
- DSwelling caused by extra fluid in the body tissues
3.Easy
What is constipation?
- ABeing unable to control the bladder when coughing or laughing
- BPassing frequent, loose and watery stools several times a day
- CHaving stool that is black or contains blood
- DHard, dry stools that are hard to pass or passed less often
4.Medium
A dying resident's mouth is dry. Which comfort measure is appropriate?
- ALarge glasses of water every hour
- BCleaning the mouth only once a day
- CFrequent mouth care and moistening the lips
- DLeaving the mouth alone to avoid disturbing her
5.Medium
A resident speaks only Spanish, and the nursing assistant speaks only English. What is the best way to communicate important information?
- AAsk the nurse to arrange a trained interpreter
- BSpeak English louder and more slowly
- CAsk the resident's 9-year-old grandchild to translate
- DAvoid talking to the resident as much as possible
6.Medium
Why should the bottom sheets of a bed be kept tight and free of wrinkles?
- ATight sheets keep the mattress from moving
- BWrinkles rub and press on skin, causing pressure injuries
- CWrinkled sheets make the resident feel colder
- DWrinkles make the bed look untidy to visitors and inspectors
7.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?
- AServe both trays at once and let the two residents choose
- BGive the tray to whichever of the two residents looks most ready to eat
- CAsk another resident at the table which of the two is which
- DCheck identity by facility policy and compare it with the diet card
8.Hard
An older resident who has been in bed for a week develops a cough, a fever and fast breathing. What should the nursing assistant do?
- ARecord the signs and wait for them to go away
- BEncourage her to stay in bed for another week
- CReport the signs promptly, because they can point to pneumonia
- DKeep her lying flat in bed and give her extra fluids lying down
Answer key
- 1. A · Lying flat on the back
- 2. D · Swelling caused by extra fluid in the body tissues
- 3. D · Hard, dry stools that are hard to pass or passed less often
- 4. C · Frequent mouth care and moistening the lips
- 5. A · Ask the nurse to arrange a trained interpreter
- 6. B · Wrinkles rub and press on skin, causing pressure injuries
- 7. D · Check identity by facility policy and compare it with the diet card
- 8. C · Report the signs promptly, because they can point to pneumonia
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