1.Easy
Which bony area is at risk of pressure injury when a resident lies on their side?
- AThe shoulder blades
- BThe tailbone
- CThe hip
- DThe back of the head
2.Easy
What is muscle atrophy?
- ASudden tightening of a muscle
- BWasting or shrinking of a muscle from lack of use
- CGrowth of a muscle in size and strength from extra exercise
- DSwelling of a muscle after an injury
3.Easy
Unless the care plan says otherwise, how often should a resident who cannot move in bed be repositioned?
- AOnly when the resident asks
- BOnce per shift
- CAt least every 2 hours
- DOnce a day, after the bath
4.Medium
Before turning a resident onto the side, why is the resident first moved toward the nursing assistant's side of the bed?
- ASo that the resident can reach the call light more easily
- BSo that the nursing assistant does not need to use a lift sheet to turn
- CSo that the resident can see out of the window
- DSo that after turning, the resident lies near the middle of the bed
5.Medium
During perineal care for an uncircumcised male resident, what is done with the foreskin?
- AIt is never moved during perineal care
- BIt is pulled back and left in that position after care is finished
- CIt is cleaned with alcohol without pulling it back
- DIt is pulled back to clean, then returned to its normal position
6.Medium
When is an incident report usually completed?
- AOnly when a resident asks for one
- BAt the end of every shift, even if nothing unusual happened
- CWhen something unusual happens, such as a fall or injury
- DOnly when a resident dies
7.Hard
A resident wants to keep a small amount of money in her room. What should the nursing assistant do?
- ATell her that residents may not have any money
- BPut the money in her drawer and tell her family
- CTake the money to the nurses' station without asking her, to keep it safe
- DRespect her choice and tell the nurse so it is recorded and kept safe
8.Hard
During a bath, the nursing assistant notices a new, dark mole with an irregular edge on a resident's back. What should be done?
- AScrub the mole gently to see if it comes off
- BReport the observation to the nurse
- CTell the resident it is probably skin cancer
- DIgnore it because moles are common in older adults
Answer key
- 1. C · The hip
- 2. B · Wasting or shrinking of a muscle from lack of use
- 3. C · At least every 2 hours
- 4. D · So that after turning, the resident lies near the middle of the bed
- 5. D · It is pulled back to clean, then returned to its normal position
- 6. C · When something unusual happens, such as a fall or injury
- 7. D · Respect her choice and tell the nurse so it is recorded and kept safe
- 8. B · Report the observation to the nurse
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