1.Easy
In the usual sequence for removing PPE, which item comes off first?
- AThe gloves
- BThe gown
- CThe goggles
- DThe mask
2.Easy
How is tangled hair best combed?
- APulling the comb quickly through the whole length
- BStarting at the ends and working up toward the scalp
- CStarting at the scalp and pulling straight down to the ends
- DCutting out the tangles with scissors
3.Easy
What is muscle atrophy?
- AGrowth of a muscle in size and strength from extra exercise
- BSwelling of a muscle after an injury
- CWasting or shrinking of a muscle from lack of use
- DSudden tightening of a muscle
4.Medium
A resident with an intellectual disability is learning to make his own bed. Which approach helps most?
- AMake the bed for him because it is faster
- BExplain all the steps at once, then leave him to try it on his own
- CTeach one simple step at a time, praise success and be patient
- DCorrect every mistake in front of others
5.Medium
Which observation uses the sense of smell?
- AHearing a resident wheeze when breathing
- BNoticing a foul odor from a resident's wound dressing
- CFeeling that a resident's skin is cool and damp to the touch
- DSeeing a red area on a resident's heel
6.Medium
Which is the best way to speak with a resident who is hard of hearing?
- AFace the resident and speak clearly at a normal or lower pitch
- BSpeak quickly so the resident does not get tired of listening
- CShout each word so that the resident can hear everything clearly
- DStand behind the resident and speak into the better ear
7.Hard
A resident who uses oxygen by nasal cannula has dry, cracked lips and asks for petroleum jelly. What should the nursing assistant do?
- AApply petroleum jelly to the lips and nostrils to soothe the dryness
- BTurn off the oxygen while applying the jelly
- CTell the nurse and use a water-based lubricant if approved
- DRemove the cannula for the rest of the day
8.Hard
A resident who is choking becomes unresponsive while the nursing assistant gives abdominal thrusts. What should the nursing assistant do next?
- AKeep giving abdominal thrusts while holding the resident upright until help comes
- BProp the resident in a chair and give sips of water
- CSweep a finger blindly through the mouth to find the object
- DLower the resident to the floor, call for emergency help and start CPR
Answer key
- 1. A · The gloves
- 2. B · Starting at the ends and working up toward the scalp
- 3. C · Wasting or shrinking of a muscle from lack of use
- 4. C · Teach one simple step at a time, praise success and be patient
- 5. B · Noticing a foul odor from a resident's wound dressing
- 6. A · Face the resident and speak clearly at a normal or lower pitch
- 7. C · Tell the nurse and use a water-based lubricant if approved
- 8. D · Lower the resident to the floor, call for emergency help and start CPR
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