1.Easy
Which tool is commonly used to clean under the fingernails during nail care?
- AA metal fork
- BA razor blade
- CA straight pin
- DAn orangewood stick
2.Easy
What does NPO mean on a resident's care plan?
- ANormal portions only
- BNo physical outings
- CNothing by mouth
- DNutrition plan optional
3.Easy
What happens in heart failure?
- AThe blood vessels of the brain become blocked
- BThe heart does not pump well enough, so fluid can build up in the body
- CThe heart stops beating completely and cannot be restarted by any means
- DThe heart beats too fast only during exercise
4.Medium
A resident with an intellectual disability is learning to make his own bed. Which approach helps most?
- AExplain all the steps at once, then leave him to try it on his own
- BTeach one simple step at a time, praise success and be patient
- CCorrect every mistake in front of others
- DMake the bed for him because it is faster
5.Medium
How is height measured for a resident who cannot stand?
- ABy asking the resident's family how tall the resident is
- BBy estimating from the resident's shoe size
- CWith a tape measure while the resident lies flat in bed
- DBy measuring the resident sitting in a wheelchair
6.Medium
Which vision change commonly occurs with aging?
- ADifficulty focusing on close objects
- BSudden loss of all vision in one eye
- CBetter night vision than when younger
- DA need for less light when reading
7.Hard
A resident who is choking can still cough forcefully and speak a few words. What should the nursing assistant do?
- AHit him hard on the back while he is upright
- BGive him a glass of water to wash the food down
- CBegin abdominal thrusts right away before the blockage gets worse
- DEncourage him to keep coughing, stay with him and call for help
8.Hard
A dying resident no longer wants to eat or drink. Her family urges the nursing assistant to make her eat. What should the nursing assistant do?
- AOffer small amounts if she wants them, never force, and tell the nurse
- BTell the family that eating no longer matters and nothing can be done
- CStop offering any food or drink
- DFeed her the whole meal even if she turns her head away from the spoon
Answer key
- 1. D · An orangewood stick
- 2. C · Nothing by mouth
- 3. B · The heart does not pump well enough, so fluid can build up in the body
- 4. B · Teach one simple step at a time, praise success and be patient
- 5. C · With a tape measure while the resident lies flat in bed
- 6. A · Difficulty focusing on close objects
- 7. D · Encourage him to keep coughing, stay with him and call for help
- 8. A · Offer small amounts if she wants them, never force, and tell the nurse
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