1.Easy
In semi-Fowler's position, the head of the bed is raised to about
- A30 to 45 degrees
- B0 degrees (flat)
- C60 to 90 degrees
- D10 degrees
2.Easy
Which signs may point to high blood sugar (hyperglycemia)?
- APale, cool and clammy skin
- BShakiness and sudden sweating
- CExtreme thirst and frequent urination
- DSudden hunger and a fast heartbeat
3.Easy
Which is an example of verbal abuse?
- ACalling a resident names or using insulting words
- BExplaining a procedure before starting it
- CSpeaking slowly to a resident who is hard of hearing
- DAsking a resident what clothes she wants to wear
4.Medium
When speaking with a resident who has dementia, which nonverbal approach helps?
- AApproaching quickly from behind so that care can start sooner
- BStanding over the resident with crossed arms
- CSpeaking while walking out of the room
- DApproaching from the front with eye contact and a calm tone
5.Medium
A resident has swollen feet and ankles. Which measure is usually helpful, if the care plan allows?
- ARubbing the swollen areas firmly
- BRaising the legs on pillows or a footstool
- CHanging the legs down from the bed all day
- DWrapping the ankles tightly with tape
6.Medium
A resident refuses a shower. What should the nursing assistant do?
- AAsk the family to persuade the resident to agree
- BRespect the refusal, ask about the reason, offer another option and tell the nurse
- CGive the shower anyway, because it is on the care plan
- DSkip the shower without telling anyone
7.Hard
Which observation should be reported to the nurse immediately, rather than at the end of the shift?
- AA resident ate 75% of lunch
- BA resident had a normal bowel movement
- CA resident suddenly cannot move one arm
- DA resident asked for an extra blanket
8.Hard
A visitor asks the nursing assistant which residents on the unit have HIV, so that she can avoid them. What should the nursing assistant do?
- APoint out the rooms of those residents without saying any of their names
- BSay that health information is private, and HIV is not spread by casual contact
- CTell her she may read the residents' charts at the nurses' station if she is careful
- DGive her the names, because she is only trying to protect her own health
Answer key
- 1. A · 30 to 45 degrees
- 2. C · Extreme thirst and frequent urination
- 3. A · Calling a resident names or using insulting words
- 4. D · Approaching from the front with eye contact and a calm tone
- 5. B · Raising the legs on pillows or a footstool
- 6. B · Respect the refusal, ask about the reason, offer another option and tell the nurse
- 7. C · A resident suddenly cannot move one arm
- 8. B · Say that health information is private, and HIV is not spread by casual contact
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