1.Easy
Why are older adults at higher risk of dehydration?
- AThey sweat much more than younger adults
- BTheir sense of thirst often decreases
- CThey need no fluids at night
- DTheir kidneys stop making urine
2.Easy
When is a sputum specimen usually best collected?
- AEarly in the morning, after the resident wakes up
- BRight after the resident eats lunch
- CLate at night, just before sleep
- DRight after the resident uses mouthwash at bedtime
3.Easy
How should a nursing assistant carry used bed linen?
- AHeld against the chest so it does not drop
- BAfter shaking it out to remove crumbs
- COver the shoulder to keep both hands free
- DHeld away from the uniform
4.Medium
Which rule applies when giving range-of-motion exercises?
- ASupport the limb above and below the joint and move it gently
- BMove each joint quickly as far as it will go
- CExercise only the joints on the resident's strong side to avoid pain
- DPush the joint past the point of pain to stretch it
5.Medium
A resident with a swallowing problem has just finished eating. How should the resident be positioned?
- AKept sitting upright for at least 30 minutes
- BReclined with the feet raised above the head
- CLaid flat right away so the food settles
- DTurned onto the stomach to rest
6.Medium
A record shows that a resident fell at 2245. In 12-hour time, when did the fall occur?
- A12:45 a.m.
- B10:45 a.m.
- C8:45 p.m.
- D10:45 p.m.
7.Hard
A resident's family asks to say prayers at the bedside and wash the body themselves after death, as their religion requires. What should the nursing assistant do?
- ATell the family that cultural practices are not part of care
- BExplain that facility rules do not allow family members to do this
- CDo the usual postmortem care first, then allow the prayers
- DRespect the request and let the nurse know so it can be arranged
8.Hard
A resident with Parkinson's disease has a tremor and keeps dropping food while eating. What may help?
- ATell him to eat faster before the tremor gets worse
- BAsk the nurse about adaptive utensils, and allow extra time to eat
- CFeed him every meal from now on so that he does not make a mess
- DGive him only liquid meals from now on
Answer key
- 1. B · Their sense of thirst often decreases
- 2. A · Early in the morning, after the resident wakes up
- 3. D · Held away from the uniform
- 4. A · Support the limb above and below the joint and move it gently
- 5. A · Kept sitting upright for at least 30 minutes
- 6. D · 10:45 p.m.
- 7. D · Respect the request and let the nurse know so it can be arranged
- 8. B · Ask the nurse about adaptive utensils, and allow extra time to eat
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