1.Easy
What does the abbreviation SOB mean in a resident's chart?
- AStart of bath
- BShortness of breath
- CSitting on bed
- DSide of bed
2.Easy
What does a long-term care ombudsman do?
- APlans the weekly menu for the facility kitchen
- BAdvocates for residents and helps resolve their complaints
- CGives residents their medicines and treatments during the night
- DHires and evaluates the nursing assistants
3.Easy
Which signs are typical of shock?
- ANormal skin color and a steady pulse
- BPale, cool, clammy skin and a rapid, weak pulse
- CWarm skin and a very high blood pressure
- DRed, hot, dry skin and a slow, strong pulse
4.Medium
How can a stool specimen be kept from being contaminated?
- ALeave the specimen uncovered in the bathroom until the end of the shift
- BMix the stool with water before putting it in the container
- CHave the resident urinate first and keep toilet paper out of it
- DCollect the specimen from the toilet water after flushing
5.Medium
How should a resident's bedpan be stored?
- AOn the floor under the bed without cleaning
- BCleaned and kept in its proper place, never on the overbed table
- COn the overbed table so that the resident can easily reach it
- DIn the bedside drawer with the resident's clothes
6.Medium
Why does a resident sit on the edge of the bed for a short time (dangle) before standing?
- ATo give the bed time to lower itself
- BTo let the blood pressure adjust and prevent dizziness
- CTo warm the feet before putting on shoes
- DTo stretch the muscles of the lower back before standing up
7.Hard
A resident with an ileostomy has red, sore skin around the stoma. Why is the skin around an ileostomy at special risk?
- AThe pouch is changed too often and pulls off the skin
- BThe resident's skin is allergic to the stoma itself
- CThe output is hard and dry and scrapes the skin as it passes
- DIts liquid output contains enzymes that irritate the skin
8.Hard
A resident on a fluid restriction asks the nursing assistant for another large glass of water. What should the nursing assistant do?
- AIgnore the request and change the subject
- BGive the water, because residents always have the right to make their own choices
- CExplain the plan kindly, offer mouth care and tell the nurse about the request
- DGive the water but leave it off the intake record
Answer key
- 1. B · Shortness of breath
- 2. B · Advocates for residents and helps resolve their complaints
- 3. B · Pale, cool, clammy skin and a rapid, weak pulse
- 4. C · Have the resident urinate first and keep toilet paper out of it
- 5. B · Cleaned and kept in its proper place, never on the overbed table
- 6. B · To let the blood pressure adjust and prevent dizziness
- 7. D · Its liquid output contains enzymes that irritate the skin
- 8. C · Explain the plan kindly, offer mouth care and tell the nurse about the request
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