1.Easy
What is a contracture?
- AA permanent shortening of a muscle that limits joint movement
- BA sudden, painful muscle cramp that goes away quickly with rest
- CA bruise caused by a fall
- DA tear in the outer layer of the skin
2.Easy
During a bed bath, how is each eye washed?
- AFrom the outer corner to the inner corner, without soap
- BFrom the inner corner to the outer corner, without soap
- CIn small circles, with mild soap
- DFrom the outer corner to the inner corner, with soap
3.Easy
Which of these is recorded as fluid output?
- AVomit (emesis)
- BFluid given through an IV line
- CTube feeding
- DCoffee at breakfast
4.Medium
Which practice helps prevent skin tears in an older resident?
- ASecuring dressings and tubing with strong adhesive tape on the skin
- BUsing a lift sheet instead of pulling on the arms or legs
- CRubbing the skin briskly with a towel after bathing
- DHolding the resident firmly by the wrists during transfers
5.Medium
How should the nursing assistant check the water temperature before a resident gets into a tub bath?
- ATest it with the fingertips, which are the most sensitive part of the hand
- BUse the hottest water that the tap allows to keep the resident warm
- CAsk the resident to put a foot in and decide
- DUse a bath thermometer or test it on the inner wrist, then let the resident check it
6.Medium
How is a standard bedpan positioned under a resident?
- AUnder the resident's lower back
- BWith the narrow, flat end placed under the buttocks
- CPlaced sideways across the bed
- DWith the wider, rounded end under the buttocks
7.Hard
A resident with Parkinson's disease has a tremor and keeps dropping food while eating. What may help?
- AFeed him every meal from now on so that he does not make a mess
- BTell him to eat faster before the tremor gets worse
- CGive him only liquid meals from now on
- DAsk the nurse about adaptive utensils, and allow extra time to eat
8.Hard
A resident says she feels very tired, sick to her stomach and short of breath, and her jaw aches. What should the nursing assistant do?
- ATell her these are normal signs of getting older
- BGive her a snack and a drink, because she may simply be hungry
- CHelp her lie down and check on her at the end of the shift
- DGet the nurse at once, as these can be signs of a heart attack
Answer key
- 1. A · A permanent shortening of a muscle that limits joint movement
- 2. B · From the inner corner to the outer corner, without soap
- 3. A · Vomit (emesis)
- 4. B · Using a lift sheet instead of pulling on the arms or legs
- 5. D · Use a bath thermometer or test it on the inner wrist, then let the resident check it
- 6. D · With the wider, rounded end under the buttocks
- 7. D · Ask the nurse about adaptive utensils, and allow extra time to eat
- 8. D · Get the nurse at once, as these can be signs of a heart attack
Full step-by-step solutions: practise this topic on examproblems.com.