Practice Test 3

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*Directions: Check the box to what you think is the correct answer. All questions must be answered

1) What is the normal rectal temperature*

A. 96.6 - 97 degrees F

B. 97.6-98.2 degrees F

C. 98.6-100.6 degrees F

D. 100.8 101 degrees F

2) When assigned to a client who uses an air or water mattress, the nurse aide SHOULD:*

A. Add more water or air daily

B. Use safety pins to secure the sheets

C. Use several layers of incontinent pads

D. Keep all sharp objects away from the mattress

3) The comatose client is turned to the side when mouth care is given to:*

A. Prevent aspiration.: ·

B. Make it .easier for the nurse aid

C. Make the client more comfortable

D. keep the client close to a raised side-rail

4) The primary reason for using a bed cradle is to:*

A.position the lower extremities

B. promote correct body alignment

C. keep the weight of the linen off the client

D. restore the client to maximum movement

5) Turning, coughing and deep breathing exercises will help the client with*

A. Urinary tract infection

B. stomach discomfort·

C. respiratory. complications

D. arthritic pain

6) Failure to answer a client's call signal is:*

A. Not following the care plan

B. Considered a violation of their privacy

C. All right if the client is assigned to another nurse aide

D. Against the client's rights

7) An important role of the nurse aide in the prevention of fecal impaction*

A. Provide bulk in clients' diets

B. Record clients' intake and output

C. Check clients for impaction

D, Observe and. record clients' bowel movements

8) Which of the following is performed by the nurse aide?*

A. Plan menu for client

B. Give client tube feeding

C. Assist client with activities

D. Repair medical equipment

9) When providing mouth care for unconscious client, the nurse aide should.*

A. Use fingers to hold the client's mouth open

B. Position the client on the client's back

C. Explain the procedure while giving care

D. Suction th client's mouth

10) A client tells the nurse aide that he/she is tired of living. The nurse should:*

A. Tell the client not to talk that way

B. Get the client involved in an activity he or she would enjoy

C. Listen to the client and give advice

D. Listen to the client and report to the nurse in charge

11. A nurse notices a visitor looking into client rooms, what should the nurse do?*

A. Warn other nurses of the suspicious activity

B. Warn clients of the suspicious activity

C. Report the suspicious activity to the charge nurse

D. Close all client doors

12) When caring for a client who is getting oxygen by nasal cannula, which situation should the nurse aide report immediately?*

A. The cannula tubing is dragging on the floor

B. The client is suddenly very restless and mentally confused

C. The client is requesting a laxative

D. The client is complaining of dryness in the nose

13) The final stage of the grieving process is:*

A. Anger

B. Denial

C. Bargaining

D. acceptance

14) The diagram shown represents breakfast served to the client. The client ate all of the meals except the cereal. What percentage of intake would the nurse record?*

A. 60%

B. 70%

C. 80%

D. 90%

15) When communicating with another nurse -Aide about the client's change in condition. The nurse aide should:*

A. Give facts and be specific

B. Give an opinion

C. Explain using only medical terminology

D. Explain what the last nurse aide observed

16) If a client complains of pain, what is the MOST effective way to measure intensity?*

A. Use a pain scale

B. Take the vital signs

C. Report the pain

D. Total oral intake

17) A blind client has just been admitted to the facility. To help the new client feel safe and comfortable, the nurse aide SHOULD:

A. Orient the client to the room

B. Encourage the client to stay in bed

C Keep the room light on at all times

D. Leave the door partly open

18) When positioning a client in a chair, the back of the client's knees and calves should be slightly away from the edge of the seat. Why is this important?*

A. To allow air to circulate around the legs

B. To prevent pressure and decreased circulation

C. To make it easier to get the client out of the chair

D. To give the client a good base of support

19) The client has an indwelling urinary catheter, the nurse knows that*

A. Coughing and deep breathing are important

B. The drainage bag must be below the level of the bladder

C. The collection bag.must rest on the floor

D. The client wil I be incontinent of stool

20) Pronation refers to:*

A. Twisting head to the side

B. Rotating palm downward.

C. Bending foot upward to head

D. Flexing knee joint outward.

21) A restraint must be released at LEAST every:*

A. 15 minutes

B. 1/2 hour

C. 2 hours

D. 3 hours

22) A religious service is scheduled to take place in the facility, the nurse aide should:*

A. Take only those clients who are members of the religion

B. Find out which clients wish to attend

C. Encourage all clients to attend

D. Take ambulatory clients only

23) When a visitor asks about a client's medical condition how should the nurse aide respond?*

A. Tell the visitor as much as possible

B. Allow the visitor to read the client's chart

C. Tell the visitor to call the clients doctor

D. Refer the visitor to the nurse in charge

24) When collecting a 24-hour urine specimen the nurse aide SHOULD:*

A. Add first voiding to specimen container

B. Save each voiding to a separate container

C. Keep specimen container on ice

D. Strain the specimen first

25) When the nurse aide does not understand a healthcare term, the best action to take is:*

A. Ask the client if it is related to the care

B. Ask the nurse to explain the meaning

C. Ignore the term and proceed with the care of the client

D. Check with another nurse aide

26) To take a radial pulse,. the nurse;s aide places his/her fingers:

A. Any where on the client's wrist

B. On the client's thumb

C. On the little finger side of the client's wrist between tendon and bone

D. On the thumb side of the clients wrist between tendon and bone

27) A nurse aide is prone to back injuries when the nurse aide*

A. uses assistive devices such as a mechanical __ lift

B. Rushes to complete assignments

C. Allows co-workers to assist while giving care

D. Keeps objects close to the center of gravity

28) The system that helps maintain fluid balance and eliminates liquid wastes Is the:*

A. Digestive

B. Circulatory

C. Respitory

D. Urinary

29) When providing care for a deceased client the nurse aide SHOULD:*

A. cleanse body of any mucus, urine or feces

B. Place body with head of bed elevated

C. Wait 2 to 4 hours before providing care

D. Disregard client's cultural and religious beliefs

30) Glaucoma and cataracts commonly lead to:*

A. Loss of vision

B. Loss of weight

C. Confusion

D. Pressure sores

31) The client's room SHOULD be arranged*

A. For the staffers convenience

B. To meet the client's needs

C. With only a few personal items

D. Like all other clients' rooms

32) What is the nurse aide's role in working with the client's family?*

A. Encouraging participation in care planning

B. Instructing in client transfers

C. Locating a private duty nurse

D. Reviewing therapeutic diet

33) After removing a bedpan and cleaning a client, the nurse aide should first:*

A. Observe the contents of the bedpan

B. Sterilize the contents of the bedpan

C. Empty and sterilize the bedpan

C. Replace with a clean bedpan

34) Touch is an important form of communication because*

A. It can convey comfort and concern

B. All cultures can relate to it

C. Everyone understands touch

D. It goes outside professional boundaries

35) Failure to reposition an immobile client may result in:*

A. decubitus ulcers

B. Respiratory distress

C. Constipation

D. Boredom

36) A button hook and a sock assist are all part of what kind of nursing care?*

A. Restorative and rehabilitation

B. Activities of daily living

C. Disability and reactivity

D. Prosthetic mobility

37) A nurse aide sees that a client has fallen, the first thing the nurse aide should do is:*

A. Help the client get up

B. Notify the doctor

C. Call the nurse in charge

D. Alert the client's family

38) A client with dementia should have:*

A. No daily routine

B. A standard daily routine

C. A different routine each day

D. The same routine as roommate

39) Blue color to the lips due to decreased amount of oxygen in the blood

A. Cyanosis

B. Infection

C. Dehydration

D. Congestion

40) Which of the following is considered a restraint alternative?*

A. Ask the client to stay in his/her chair.

B. Provide frequent attention to the client's basic needs

C. Request that the client be given a sedative

D. Encourage the roommate to watch the client

41) An example of an activity that promotes a client's expression of sexuality is:*

A woman shaving her legs or plucking eyebrows

B. Dressing a client in a clean hospital gown

C. Distracting a masturbating client with an activity

D. Monitoring a husband/wife visit

42) The purpose of a protective device (restraint) is to:*

A. Meet the client's hydration needs

B. Promote a client's right to freedom

C. Prevent injury to client

D. Punish the client for aggressive behavior

43) When plugging in a client's electric bed, the nurse aide receives a shock. The nurse aide SHOULD:*

A. Continue to clean the bed

B. Check the plug and try again

C. Leave a note for maintenance

D. Report the incident to the nurse

44) If a client chokes on food during a meal, the nurse aide should FIRST:*

A. Find the nurse in charge

B. Start CPR immediately

C. Raise the client's arms

D. See if the client can speak

45) Which of the following foods SHOULD the nurse aide report on the fluid intake record?*

A. Chocolate brownie

B. Applesauce

C. Ice cream sundae

D. Raspberry tart

46) After hand washing, the nurse aide SHOULD turn off the hand faucet:*

A. With a clean hand

B. With a wet paper towel

C. After drying the hands

D. While hands are wet

47) When the nurse aide is caring for clients from different cultures, the nurse aide SHOULD:*

A Develop an understanding for differences

B. Explain personal beliefs

C, Challenge the clients' beliefs

D, Take what the clients say personally

48) When caring for a client on isolation precautions, it is MOST important for a nurse aide to know what type of:*

A. Disinfectant being used.

B. Antibiotic the client is taking.

C. Infection the client has contracted.

D. Personal protective equipment needed.

49) Sitting on the side of the bed for a short while is known as:*

A. Dangling

B. Ambulating

C. Transferring

D. Pivoting

50) A client with dementia calls the nurse aide "Mother" and refuses to eat breakfast. The nurse aide SHOULD:*

A. Take the client's tray from the room and ignore the statement

B. Ask questions about the client's mother while encouraging the client to eat

C. Tell the client that he is confused and that he must eat breakfast

D. Ask the roommate to feed the client breakfast

51) When cleansing the perineum of a client, the nurse aide SHOULD wash and dry from the:*

A. Side of one thigh to the side of the other thigh

B. Genital to rectal area

C. Buttocks to abdomen

D. Rectal to genital area

52) Which one of the following observations should be reported IMMEDIATELY?*

A. Decreased appetite

B. Fatigue

C. Poor hygiene

D. Talk of suicide

53) Before performing any assigned procedure on or for a client, the nurse aide SHOULD:*

A. Check for the family's written consent

B. Explain the procedure to the client

C. read about each procedure immediately before performing the task

D. Ask for assistance from another nurse aide

54) The nurse aide demonstrates good listening skills by:*

A. Continuing to perform oral care

B. Waiting for client to express thoughts

C. Interrupting client when they ask questions

D. Showing frustration toward clients during ADLs

55) When making an occupied bed, the nurse aide SHOULD position it:*

A. At level appropriate for nurse aide

B. Highest for ease of tightening linen

C. Lowest for client's safety

D. At level preferred by client

56) An example of abusive behavior is:*

A. Telling the client about the client's so clothes

B. Opening the door before knocking

C. Telling the client to be nice or else

D, Informing the client it is time for their therapy

57) The client is a diabetic. At lunch, the client takes a piece of cake from another client's tray and eats it. The nurse aide SHOULD:*

A. Immediately report this to the charge nurse

B. Tell the client not to eat the afternoon snack

C. Remove the client's lunch tray before anything else can be eaten

D. immediately bring the client a glass c orange juice

58) A lonely client is frequently ringing the signaling device. The nurse aide SHOULD*

A. Wait before answering to discourage client's behavior

B. Tell the client the nurse aide will take signaling device away if the ringing c not stop

C. Tell the client's family about the problem

D. respond and spend as much time with client as possible

59) What is the proper procedure for using a extinguisher?*

A. Aim hose at the base of the fire

B. Shake extinguisher before using

C. Spray all flammable objects in the area

D. Aim hose at top of fire

60) The nurse aide is assigned to feed a client The client is lying flat in the bed and does not want the head of the bed raised. The nurse aide SHOULD*

A. Feed the client in a supine position

B. Offer only liquids

C. Offer finger foods

D. Notify the nurse in charge

61) It is important to rinse off soap well and pat dry when washing clients in order to prevent skin:*

A. Scratches

B. Bruises

C, Irritations

D, Oiliness

62) When transferring a client from the bed to a chair, it is necessary for the nurse aide to:*

A. Know the abilities of the client

B.Decide how long to keep the client up

C. Have extra help available

D. Clear the room of all visitors

63) When using a mechanical lift to get a client out of bed, the hooks SHOULD be applied with the open, sharp ends:*

A. Away from the client

B. Toward the client

C. Underneath the client

D. On top of the client

64) A client's wife has been called to the facility because her husband is ill and may die. When she arrives, she asks the nurse aide if she can see her husband's chart. The nurse aide SHOULD:*

A. Take her to see the nurse in charge

B. Call the doctor for her

C. Get the chart for her

D. Ask the client if his wife can have the chart

65) When changing the linen in the client's room the nurse aide should avoid:*

A. Metering corners

B. Making a toe pleat.

C. Shaking the covers

D. Using a draw sheet.

66) If a client has a seizure, the nurse aide SHOULD:*

A. Hold the client down to prevent injury open the client's mouth and hold the tongue down

B. Stay with the client and call for help

C. Open the client's mouth and hold the tongue down

D. Keep the client upright and open the client's airway

67) The nurse aide is assigned to give morning care to a client who is paralyzed on One side. The nurse aide SHOULD:*

A. Perform all care for the client

B. Encourage self-care and assist as necessary

C. Insist that the client perform all of his own care

D. instruct the client's roommate to assist the client as necessary

68) The MOST common cause of chronic obstructive pulmonary disease (COPD) is:*

A. Smoking

B. Obesity

C. Hereditary

D. Pollution

69.) When counting a client's respirations, the nurse aide SHOULD:*

A. Tell the resident what is being done

B. Count for 15 seconds and multiply by four

C. Count one inspiration and one expiration as two respirations

D. Count one inspiration and one expiration as one respiration

70) The goal of a bladder training program is to:*

A. Allow the catheter to be removed

B. Gain voluntary control of urination

C. Permit use of normal body position for urination

D. Encourage ambulation to the bathroom

Mid Term Exam - 70 Questions