1.Easy
What is hypertension?
- AA breathing rate that is slower than normal
- BBlood pressure that is lower than normal
- CA heart rate that is faster than normal
- DBlood pressure that is higher than normal
2.Easy
How should a person with a nosebleed be positioned?
- ALying with the head lower than the feet
- BLying flat on the back
- CSitting with the head tilted far back
- DSitting up and leaning slightly forward
3.Easy
When is a sputum specimen usually best collected?
- ALate at night, just before sleep
- BEarly in the morning, after the resident wakes up
- CRight after the resident uses mouthwash at bedtime
- DRight after the resident eats lunch
4.Medium
A resident refuses a shower. What should the nursing assistant do?
- AGive the shower anyway, because it is on the care plan
- BSkip the shower without telling anyone
- CRespect the refusal, ask about the reason, offer another option and tell the nurse
- DAsk the family to persuade the resident to agree
5.Medium
A resident says, "My stomach hurts." How should this be documented?
- AAs "Resident has a stomach ulcer"
- BIn the resident's own words, in quotation marks
- CAs "Resident is complaining again"
- DIt should not be documented because it cannot be seen
6.Medium
After applying anti-embolism stockings, what should the nursing assistant check?
- AThat they are rolled down a little at the top so they stay in place
- BThat the toes are covered so they cannot be seen
- CThat they are tight enough to leave deep marks
- DThat they are smooth, and the toes are warm and normal in color
7.Hard
After a stroke, a resident's left hand is starting to curl into a fist. What is the care plan most likely to include to prevent a contracture?
- ATying the hand to the bed rail with the fingers open
- BKeeping the hand in a tight fist to rest the muscles
- CLeaving the hand alone, because nothing can be done after a stroke
- DRange-of-motion exercises and a hand splint or roll as ordered
8.Hard
A resident who receives tube feedings takes nothing by mouth. How often does she need mouth care?
- ANever, because no food or drink goes into her mouth
- BOften, because the mouth gets dry even without eating
- COnce a week, at the same time her bed linen is changed
- DOnly when her family comes to visit
Answer key
- 1. D · Blood pressure that is higher than normal
- 2. D · Sitting up and leaning slightly forward
- 3. B · Early in the morning, after the resident wakes up
- 4. C · Respect the refusal, ask about the reason, offer another option and tell the nurse
- 5. B · In the resident's own words, in quotation marks
- 6. D · That they are smooth, and the toes are warm and normal in color
- 7. D · Range-of-motion exercises and a hand splint or roll as ordered
- 8. B · Often, because the mouth gets dry even without eating
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