1.Easy
Which helps promote sleep for a resident at night?
- AWaking the resident often to chat
- BStrong coffee with the evening snack
- CA quiet, dim room and a regular bedtime routine
- DBright lights and the television turned up loud until late
2.Easy
What is aspiration?
- ACoughing up mucus from the lungs
- BBreathing food, fluid or vomit into the lungs
- CVomiting shortly after a meal
- DSwallowing air while eating quickly
3.Easy
What does NPO mean on a resident's care plan?
- ANothing by mouth
- BNutrition plan optional
- CNormal portions only
- DNo physical outings
4.Medium
Which device helps a resident with a weak grip eat independently?
- AUtensils with built-up, large handles
- BA blindfold to improve focus
- CVery thin, lightweight plastic forks
- DA drinking straw only
5.Medium
Which signs are typical of Parkinson's disease?
- AA fast heartbeat, sweating and shakiness from low blood sugar
- BHigh fever, stiff neck and a rash
- CSudden weakness on one side and slurred speech
- DTremor, stiff muscles, slow movement and a shuffling walk
6.Medium
Why should nursing assistants keep their fingernails short and avoid artificial nails?
- ALong nails make it harder to use the call light
- BLong and artificial nails hold germs and can scratch residents
- CArtificial nails are not allowed outside of work
- DShort nails help the nursing assistant write and type faster on the chart
7.Hard
A resident with diabetes is drowsy, very thirsty and urinating often, and his breath smells fruity. What should be done?
- ARecord the signs and report them to the nurse on the next day
- BLet him sleep, because drowsiness is normal after a large meal
- CReport it immediately, as these may be signs of very high blood sugar
- DGive him a glass of orange juice and a cookie to raise his energy
8.Hard
A resident with dementia picks at her food and keeps walking away from the dining table. Which approach is most helpful?
- AFeed her quickly before she can stand up
- BRestrain her in the chair until she finishes
- COffer finger foods she can eat easily, even while walking
- DTake her tray away, because she is clearly not hungry today
Answer key
- 1. C · A quiet, dim room and a regular bedtime routine
- 2. B · Breathing food, fluid or vomit into the lungs
- 3. A · Nothing by mouth
- 4. A · Utensils with built-up, large handles
- 5. D · Tremor, stiff muscles, slow movement and a shuffling walk
- 6. B · Long and artificial nails hold germs and can scratch residents
- 7. C · Report it immediately, as these may be signs of very high blood sugar
- 8. C · Offer finger foods she can eat easily, even while walking
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