1.Easy
Why are older adults at higher risk of dehydration?
- AThey sweat much more than younger adults
- BThey need no fluids at night
- CTheir kidneys stop making urine
- DTheir sense of thirst often decreases
2.Easy
In what order is personal protective equipment (PPE) usually put on?
- AGown, mask, goggles, gloves
- BGoggles, gloves, gown, mask
- CGloves, goggles, mask, gown
- DMask, gloves, gown, goggles
3.Easy
How should a nursing assistant turn off a hand-operated faucet after washing and drying the hands?
- AWith the clean bare hands
- BBy leaving the water running for the next person
- CWith the wet hands before drying them
- DWith a clean, dry paper towel
4.Medium
Which environment is most likely to calm a resident with dementia?
- AA changing schedule so each day is a surprise
- BA quiet, familiar setting with a regular daily routine
- CA busy room with music, television and many visitors
- DA new room each week so the resident does not get bored
5.Medium
When is log rolling used to turn a resident?
- AWhen the resident is about to walk to the bathroom
- BWhen the spine must stay straight, such as after spinal surgery
- CWhen the resident is strong enough to turn alone without any help
- DWhen the resident is sitting in a wheelchair
6.Medium
A resident has swollen feet and ankles. Which measure is usually helpful, if the care plan allows?
- AWrapping the ankles tightly with tape
- BHanging the legs down from the bed all day
- CRaising the legs on pillows or a footstool
- DRubbing the swollen areas firmly
7.Hard
At the start of a shift, a nursing assistant finds a resident lying in linen soaked with old urine, and the call light is out of reach. What should the nursing assistant do?
- AAsk the resident not to tell anyone
- BGive care right away and report the finding to the nurse
- CClean the resident and say nothing to protect the last shift
- DLeave the resident until the scheduled check
8.Hard
A resident's weight this morning is 3 lb (about 1.4 kg) more than yesterday, and his ankles look swollen. What should the nursing assistant do?
- ARaise his legs and leave it out of the report
- BReport the weight gain and the swelling to the nurse promptly
- CLimit his drinks for the rest of the day without telling anyone
- DWeigh him again next week to see whether the trend continues
Answer key
- 1. D · Their sense of thirst often decreases
- 2. A · Gown, mask, goggles, gloves
- 3. D · With a clean, dry paper towel
- 4. B · A quiet, familiar setting with a regular daily routine
- 5. B · When the spine must stay straight, such as after spinal surgery
- 6. C · Raising the legs on pillows or a footstool
- 7. B · Give care right away and report the finding to the nurse
- 8. B · Report the weight gain and the swelling to the nurse promptly
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