1.Easy
Who directs and supervises the work of a nursing assistant in a care facility?
- AA licensed nurse
- BThe facility's activities coordinator
- CA more experienced nursing assistant on the same shift
- DThe resident's closest family member
2.Easy
Which stance gives a nursing assistant the most stable base of support?
- AStanding on the toes
- BFeet about shoulder-width apart
- CFeet close together
- DStanding on one foot while reaching
3.Easy
Where should the drainage bag of a urinary catheter be kept?
- AOn the bed next to the resident's hip
- BBelow the level of the bladder, off the floor
- COn the floor under the bed, where it is out of the way
- DHooked over the raised side rail
4.Medium
Which environment is most likely to calm a resident with dementia?
- AA new room each week so the resident does not get bored
- BA changing schedule so each day is a surprise
- CA busy room with music, television and many visitors
- DA quiet, familiar setting with a regular daily routine
5.Medium
While brushing a resident's teeth, the nursing assistant notices bleeding gums and a white sore on the tongue. What should be done?
- AStop all mouth care until the sore heals
- BBrush harder to remove the white sore
- CReport the observations to the nurse
- DUse a mouthwash and say nothing
6.Medium
For which residents is reality orientation most useful?
- AResidents with mild confusion who can benefit from reminders of time and place
- BResidents who are unconscious
- CResidents who are fully alert and oriented
- DResidents with advanced dementia who become very upset whenever they are corrected
7.Hard
A nursing assistant tells a resident who will not eat, "If you don't eat, I'll tie your hands down and feed you myself." What is this?
- ALibel, because it damages the resident's reputation
- BBattery, because the resident was actually touched
- CAcceptable, because it is a harmless way to encourage the resident to eat
- DAssault, because it is a threat that makes the resident fear harm
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?
- AReport the weight gain and the swelling to the nurse promptly
- BLimit his drinks for the rest of the day without telling anyone
- CWeigh him again next week to see whether the trend continues
- DRaise his legs and leave it out of the report
Answer key
- 1. A · A licensed nurse
- 2. B · Feet about shoulder-width apart
- 3. B · Below the level of the bladder, off the floor
- 4. D · A quiet, familiar setting with a regular daily routine
- 5. C · Report the observations to the nurse
- 6. A · Residents with mild confusion who can benefit from reminders of time and place
- 7. D · Assault, because it is a threat that makes the resident fear harm
- 8. A · Report the weight gain and the swelling to the nurse promptly
Full step-by-step solutions: practise this topic on examproblems.com.