1.Easy
In a resident with darker skin, which change may be an early sign of a pressure injury?
- ASkin that looks the same as the surrounding skin and feels normal
- BA freckle that the resident has had for many years
- CA small amount of dry skin on the elbows
- DA darker or purplish area, or one warmer or firmer than nearby skin
2.Easy
Which food is counted as fluid intake?
- AScrambled eggs
- BMashed potatoes
- CIce cream
- DA slice of bread
3.Easy
Where are a resident's dentures stored when they are not being worn?
- AIn a cup of hot water to keep them clean
- BDry in the bedside drawer
- CIn a labeled denture cup with cool water
- DWrapped in a paper napkin on the meal tray
4.Medium
A resident speaks only Spanish, and the nursing assistant speaks only English. What is the best way to communicate important information?
- AAvoid talking to the resident as much as possible
- BAsk the resident's 9-year-old grandchild to translate
- CAsk the nurse to arrange a trained interpreter
- DSpeak English louder and more slowly
5.Medium
A resident wears a nasal cannula. Where should the nursing assistant check for skin irritation?
- AOn the soles of the feet and the heels
- BUnder the arms and around the neck
- CBehind the ears and around the nostrils
- DOn the back of the hands
6.Medium
How can a stool specimen be kept from being contaminated?
- AHave the resident urinate first and keep toilet paper out of it
- BCollect the specimen from the toilet water after flushing
- CMix the stool with water before putting it in the container
- DLeave the specimen uncovered in the bathroom until the end of the shift
7.Hard
A resident whose wife died recently stays in his room, eats little and says he does not want to see anyone. What should the nursing assistant do?
- ALeave him alone, because he has said that he wants to be alone
- BSpend time with him, listen and report the changes
- CTell him he must cheer up because life goes on
- DInsist that he attend every activity today
8.Hard
While emptying a catheter bag, the nursing assistant notices that the urine is pink-red. The resident has no known reason for this. What should be done?
- AEmpty the bag and say nothing, since the color may be from food
- BReport it promptly and save the urine if policy says so
- CGive the resident extra fluids and check next week
- DDisconnect the catheter to see if the color changes
Answer key
- 1. D · A darker or purplish area, or one warmer or firmer than nearby skin
- 2. C · Ice cream
- 3. C · In a labeled denture cup with cool water
- 4. C · Ask the nurse to arrange a trained interpreter
- 5. C · Behind the ears and around the nostrils
- 6. A · Have the resident urinate first and keep toilet paper out of it
- 7. B · Spend time with him, listen and report the changes
- 8. B · Report it promptly and save the urine if policy says so
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