1.Easy
Unless the care plan says otherwise, how should the bed be left after care?
- AIn the highest position, with the side rails raised
- BIn the lowest position, with the wheels locked
- CIn the highest position, so the next task is easier
- DIn the lowest position, with the wheels unlocked
2.Easy
What does a long-term care ombudsman do?
- AGives residents their medicines and treatments during the night
- BHires and evaluates the nursing assistants
- CPlans the weekly menu for the facility kitchen
- DAdvocates for residents and helps resolve their complaints
3.Easy
What is a catastrophic reaction in a resident with dementia?
- AA sudden, extreme overreaction to too much stress
- BA severe allergic reaction to a new food
- CA calm, quiet period after lunch
- DA sudden drop in blood pressure after standing up quickly
4.Medium
What is a trochanter roll used for?
- ATo keep the hip and leg from rolling outward when lying on the back
- BTo keep the resident's heels pressed firmly on the mattress
- CTo help the resident sit up straight in a wheelchair all day
- DTo raise the resident's head and shoulders during meals in bed
5.Medium
Unless ordered otherwise, why is the head of the bed usually kept at 30 degrees or lower for a resident at risk of pressure injury?
- ALower angles prevent the side rails from being used
- BLower angles help the resident digest food
- CHigher angles make the resident slide down, causing shearing over the tailbone
- DHigher angles make it much harder for the resident to see the television screen
6.Medium
How can a stool specimen be kept from being contaminated?
- ACollect the specimen from the toilet water after flushing
- BMix the stool with water before putting it in the container
- CLeave the specimen uncovered in the bathroom until the end of the shift
- DHave the resident urinate first and keep toilet paper out of it
7.Hard
On a very hot day, a resident is sweating heavily, feels dizzy and has a headache. What should the nursing assistant do?
- ATake her for a short walk outside in the sun so that she feels better
- BGive her a hot drink so that she sweats out the extra heat
- CMove her somewhere cooler, offer fluids if allowed and tell the nurse
- DCover her with a blanket and close the windows to stop drafts
8.Hard
A resident's respirations are 10 per minute and shallow, and he is very hard to wake. What should the nursing assistant do?
- ARecord the respirations and go on to the next room
- BCall for the nurse immediately and stay with the resident
- CLet him sleep and check again at the end of the shift
- DSit him in a chair and give him a drink of water
Answer key
- 1. B · In the lowest position, with the wheels locked
- 2. D · Advocates for residents and helps resolve their complaints
- 3. A · A sudden, extreme overreaction to too much stress
- 4. A · To keep the hip and leg from rolling outward when lying on the back
- 5. C · Higher angles make the resident slide down, causing shearing over the tailbone
- 6. D · Have the resident urinate first and keep toilet paper out of it
- 7. C · Move her somewhere cooler, offer fluids if allowed and tell the nurse
- 8. B · Call for the nurse immediately and stay with the resident
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