1.Easy
How should the amount of urine in a measuring container (graduate) be read?
- AEstimated from the color of the urine
- BHeld at waist level while gently tilting it
- CHeld up above eye level toward a light
- DOn a flat surface, at eye level
2.Easy
Before applying lotion during a back rub, what should the nursing assistant do with it?
- AChill it in the refrigerator to soothe the skin
- BMix it with rubbing alcohol to make it spread better
- CWarm it, for example in the hands or a basin of warm water
- DPour it straight from the bottle onto the resident's back
3.Easy
What does the term dysphagia mean?
- ADifficulty seeing
- BDifficulty speaking
- CDifficulty breathing
- DDifficulty swallowing
4.Medium
A resident refuses a shower. What should the nursing assistant do?
- AGive the shower anyway, because it is on the care plan
- BAsk the family to persuade the resident to agree
- CRespect the refusal, ask about the reason, offer another option and tell the nurse
- DSkip the shower without telling anyone
5.Medium
How should the drainage tubing of a urinary catheter be arranged while the resident is in bed?
- ATucked under the resident's leg to hold it in place
- BCoiled on the bed, secured and free of kinks
- CLooped below the bag so urine collects in the loop
- DTied in a knot to keep it from moving
6.Medium
Which way of giving directions works best for a resident with dementia?
- AShort, simple sentences with one step at a time
- BAll the steps at once, so the resident can plan ahead
- CWritten instructions left on the bedside table
- DDetailed explanations of why each step is needed
7.Hard
A resident with an anxiety disorder is breathing fast and says her heart is pounding and she feels she is going to die. What should the nursing assistant do first?
- AHave her breathe into a plastic bag
- BAsk her to walk around the hallway quickly to calm herself down
- CStay with her, speak calmly and call the nurse to check her
- DTell her it is only anxiety and leave the room
8.Hard
While emptying an ostomy pouch, the nursing assistant notices that the stoma is dark purple-black. What should be done?
- AClean it with soap and water and record it
- BApply a new pouch and check again tomorrow
- CReport it to the nurse immediately
- DCover it with a gauze pad and tell the next shift
Answer key
- 1. D · On a flat surface, at eye level
- 2. C · Warm it, for example in the hands or a basin of warm water
- 3. D · Difficulty swallowing
- 4. C · Respect the refusal, ask about the reason, offer another option and tell the nurse
- 5. B · Coiled on the bed, secured and free of kinks
- 6. A · Short, simple sentences with one step at a time
- 7. C · Stay with her, speak calmly and call the nurse to check her
- 8. C · Report it to the nurse immediately
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