Practice Exam Flashcards by Jasmine Dunlap

Which of the following duties is part of a nurse aide job description?

A) perform tasks when he/she does not understand directions

B) make decisions about client care

C) perform tasks that he/she has not been prepared to do

D) perform basic nursing tasks under the supervision of a nurse

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A client has an indwelling urinary catheter. Where would the nurse aide attach the urinary drainage bag?

A) side rail
B) bed frame
C) overbed table
D) top bed sheet

B) Bedframe

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A client who is permitted to be out of bed ad lib may get out of bed:

A) Only with help.
B) For only short intervals.
C) As desired.
D) Only at specified times.

C) As desired

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A non-verbal client may display signs of pain by:

A) grimacing
B) eating
C) laughing
D) watching a movie

A) Grimacing

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An alert client has fallen out of a wheelchair three times in the last week and again on the nurse aide’s shift. The nurse aide SHOULD:

A) tell the client to not use the wheelchair.
B) apply a restraint to keep the client from falling from the chair.
C) monitor the client closely and report any incidents.
D) remove the wheelchair from the client’s room to prevent the client from getting in the chair.

C) monitor the client closely and report any incidents

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If a small trash fire starts in a client’s room, the FIRST thing the nurse aide should do is:

A) move client to safety
B) use a fire extinguisher
C) shut all doors in the area
D) activate the fire alarm

A) move the client to safety

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The nurse aide finds a client non-responsive in the room. CPR is performed for cardiac arrest, which means the client:

A) is sweating and breathing heavily
B) has no respirations and no pulse
C) is pale and had fainted
D) has shallow breaths and weak pulse

B) has no respirations and no pulse

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When serving a blind client food, the nurse aide should tell the client the location of the food by comparing the plate to a:

A) Pie
B) Compass
C) Clock
D) Face

C) Clock

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The responsibility of the nurse aide during the admission process is to:

A) delegate another nurse aide to provide care
B) orient the client and family to the unit
C) obtain consent and signatures for treatment
D) complete the nursing assessment form

B) orient the client and family to the unit

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In caring for the client who is having a seizure, the nurse aide SHOULD:

A) pry the client’s jaws apart
B) stay with the client to prevent self-injury
C) apply a restraint to the client to prevent self-injury
D) run quickly and to try to find a nurse

B) stay with the client to prevent self-injury

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The basic parts of the cardiovascular system are the:

A) Heart and blood vessels
B) Kidneys and the bladder
C) Lungs and the bronchioles
D) Brain and the spinal cord

A) Heart and blood vessels

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What can a client with an ostomy do to help decrease odors?

A) avoid gas forming foods
B) avoid bland diets
C) change the adhesive backing every shift
D) change the pouch every shift

D) change the pouch every shift

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When shaving the cheeks and chin of a male client:

A) use downward strokes
B) leave the skin of the face loose
C) stand behind the client
D) use long strokes

A) use downward strokes

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The right to refuse care is included in the:

A) Plan of Care

B) Code of Ethics

C) Advance Directives

D) Client’s Bill of Rights

D) Clients Bill of Rights

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Which of the following foods would be counted as solid when measuring intake?

A) apple sauce

B) milk

C) jell-o

D) chicken broth

A) apple sauce

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Client information may be shared with:

A) other clients when they ask
B) anyone who asks
C) family and friends
D) other employees when in conference

D) other employees when in conference

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The nurse aide provides appropriate touch by:

A) Ignoring when the client wants to hold hands.
B) Being sensitive to the client’s comfort level.
C) Greeting a new client with a hug.
D) Giving the client a firm pat on the shoulder

B) being sensitive to the clients comfort level

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The nurse aide finds some linen in a client’s closet. The nurse aide SHOULD:

A) use the linen to make the roommate’s bed
B) ask the client if the linen is clean
C) place the linen on the linen cart
D) put the linen in the soiled linen hamper

B) ask the client if the linen is clean

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To lift a heavy load from the floor, the nurse aide SHOULD:

A) place feet together and bend knees.
B) bend at the waist.
C) separate the feet and bend at the waist.
D) separate the feet and bend the knees.

D) separate the feet and bend the knees

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When MOVING a bedridden client up in bed, the best position is:

A) supine
B) Fowler’s
C) prone
D) side-lying

A) supine

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A married couple are clients with adjoining rooms. The nurse aide frequently finds the couple in bed together. Which of the following actions would be BEST for the nurse aide to take?

A) Close the door and provide some private time alone for the couple.
B) Ask the family to speak to the couple about their behavior.
C) Tell the couple that this is not allowed.
D) Explain to the couple that each should stay in his/her own room.

A) Close the door and provide some private time alone for the couple

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

A) bruises
B) irritations
C) scratches
D) oiliness

B) irritations

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As a member of the health care team, the nurse aide reports to and assists the:

A) doctor
B) nurse
C) social worker
D) family

B) Nurse

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To meet a client’s recreational needs, the nurse aide SHOULD:

A) turn on the TV to a fitness channel
B) wait until the client asks to go to activities
C) insist the client attend activities
D) offer to take the client to activities

D) offer to take the client to activities

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What does "NPO" mean? A) Nursing Personnel Only B) No Prep for Op C) New Post-Op D) Nothing by Mouth

D) Nothing by mouth

As people age, the skin may become: A) thicker B) thinner C) smoother D) oilier

B) thinner

What would be the BEST response when a client calls the nurse aide "mama?" A) "I am the nurse aide, but I will be glad to help you." B) "Do I remind you of your mother?" C) "What do you want, honey?" D) "Please don't call me your mother."

B) Do I remind you of your mother?

A client has been instructed in the use of the signaling device. What is the BEST way for the nurse aide to check that the client can use the signaling device? A) ask the client when he should use the signaling device B) have the client demonstrate the use of the signaling device C) ask the client's roommate if the client knows how to use the signaling device D) wait a couple of days to see if the client uses the signaling device

B) have the client demonstrate the use of the signaling device

Which of the following assigned tasks should the nurse aide refuse to perform on the client? A) Applying a medicated cream B) Putting on anti-embolism stockings C) Giving a bed bath D) Assist with meals

A) applying a medicated cream

When using a mechanical lift to get a client out of bed, the hooks should be applied with the open, sharp ends: A) on top of the client B) toward the client C) underneath the client D) away from the client

D) away from the client

When a client is found lying on the floor, a nurse aide SHOULD: A) stay with the client and send someone to get the nurse B) get another nurse aide to assist with putting the client into bed C) do range of motion exercises to determine if the client has any injuries D) assist the client into bed then call the nurse

A) stay with the client and send someone to get the nurse

When helping a client remove a brace, the nurse aide notices a reddened area. The next step for the nurse aide is to: A) pad the area and try the brace again B) put the brace back on the client C) let the client know and report it to the nurse D) remove the brace from the room

C) let the client know and report it to the nurse

A nurse aide notices a client is crying following the death of the client's roommate. What should the nurse aide do? A) ask the client's relative why the client is crying B) ask the client if talking would help C) nothing D) take the client to a planned activity

B) ask the client if talking would help

A client is totally dependent and was last positioned two hours ago. Now the client is sound asleep on the right side. The nurse aide SHOULD: A) move the client up in bed and leave on the right side B) leave the client on the right side until the client wakes up C) gently wake the client and reposition on to the left side D) leave the client asleep for another two hours

C) gently wake the client and reposition on the left side

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) buttocks to abdomen C) rectal to genital area D) genital to rectal area

D) genital to rectal area

An Othadox Jewish client recently came to reside at the facility. The nurse aide cannot understand why the client has become agitated after receiving a cheeseburger and a glass of milk for lunch. Why would this client be upset? A) Orthodox Jewish clients who follow kosher laws do not consume meat and dairy in the same meal B) The client requested that all meals include chicken C) Orthodox Jewish clients should avoid drinking milk because they descend from Eastern Europeans who tend to have lactose intolerance D) The client requested tomato and lettuce on the cheeseburger, which did not arrive with the meal

A) Orthodox Jewish clients who follow kosher laws do not consume meat and dairy in the same meal

What is the proper direction for washing a client's eyes? A) eyebrow to cheekbone B) cheekbone to eyebrow C) Outer side to inner side D) Inner side to outer side

D) Inner side to outer side

Clients with urinary tract infections often require: A) Physical therapy B) Increased fluid intake C) Increased fiber in the diet D) Decreased activity

B) increased fluid intake

The nurse aid forgets to lock the wheelchair wheels which results in a client's fall. The nurse aide can now be liable for: A) physical abuse B) negligence C) assault D) battery

B) negligence

What is the proper procedure for using a fire extinguisher? A) Aim hose at the base of the fire B) Shake extinguisher before using C) Aim hose at the top of fire D) Spray all flammable objects in the area

A) aim hose at the base of the fire

The nurse in charge tells a nurse aide to transfer a client to another room. When attempting to move the client, he starts to cry and says that he does not want to move. How SHOULD the nurse aide respond? A) "I will go talk to the nurse in charge about your concerns." B) "I'm sorry, but i have to move you." C) "Stop crying. You'll like the other room." D) "Please be quiet. I'm having a bad day."

A) "I will go talk to the nurse in charge about your concerns."

When an object is free of disease-causing organisms, it is said to be: A) aseptic B) contagious C) contaminated D) infected

A) aseptic

When giving care to a client who is confused and disoriented, the nurse aide SHOULD: A) give care quickly and leave the client alone B) remember that the client is like a small child C) avoid talking to the client D) call the client by name and talk to the client

D) call the client by name and talk to the client

A client with heart failure may be on a special diet that includes: A) increased fluid. B) minimal sugar. C) clear liquids. D) decreased sodium.

D) decreased sodium

To help prevent skin breakdown when making a bed, the nurse aide SHOULD: A) Make the bed wrinkle free. B) Sprinkle powder on linens. C) Limit use of lift sheet. D) Use fitted sheets only

A) make the bed wrinkle free

The tightness of wrist restraints can be tested by placing: A) a hand between skin and restraint B) the index finger between skin and restraint C) 4 fingers between skin and restraint D) 2 fingers between skin and restraint

D) 2 fingers between skin and restraint

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) leave the door partly open D) keep the room light on at all times

A) orient the client to the room

To create the best dining experience for a client with dementia, the nurse aide should provide: A) adaptive equipment according to the client's care plan B) at least three different foods on the client's plate C) placemats and plates with colorful patterns D) low lighting to calm the client

A) adaptive equipment according to the clients care plan

Which of the following is an example of an emotional need? A) Rest B) Oxygen C) Food D) Self-esteem

D) self-esteem

Cream of pea soup should be excluded from what type of diet? A) clear liquid diet B) soft diet C) full liquid diet D) regular diet

A) clear liquid diet

After anti-embolism stockings are applied, the stockings SHOULD: A) be left on for 24 hours B) be free of creases C) fit snugly over the arm D) fit loosely for comfort

B) be free of creases

What is the term that describes the failure to give care that results in harm to the client? A) abuse B) neglect C) assault D) slander

B) neglect

To take the radial pulse, the nurse aide places his/her fingers: A) On the thumb side of the client's wrist between tendon and bone. B) On the little finger side of the client's wrist between tendon and bone. C) On the client's thumb. D) Anywhere on the client's wrist.

A) on the thumb side of the clients wrist between tendon and bone

In caring for a client with AIDS, the nurse aide SHOULD: A) keep the door to the client's room closed at all times B) have the client sit at a separate table for meals C) not discuss the client's condition with others D) not touch the client under any circumstances

C) not discuss the clients condition with others

Which is the CORRECT position for an indwelling urinary catheter drainage bag? A) at the level of the bladder B) touching the floor C) below the level of the bladder D) above the level of the bladder

C) below the level of the bladder

The term aphasia means the client is unable to: A) Hear B) See C) Swallow D) Speak

D) speak

When providing care for the deceased client, the nurse aide SHOULD: A) cleanse body of any mucus, urine or feces B) disregard client's cultural and religious beliefs C) place body with head of the bed elevated D) wait two to four hours before performing care

A) cleanse the body of any mucus, urine, or fecee

A client is unconscious and cannot do active exercises. The nurse aide should perform: A) aerobic exercises B) isometric exercises C) active range of motion D) passive range of motion

D) passive range of motion

When can the nurse aide refuse to do what a nurse or doctor orders? A) When the nurse aide is not trained in the procedure B) Never, because the nurse aide always follow orders C) When it is unpleasant for the nurse aide and/or client D) When the nurse aide is very busy

A) when the nurse aide is not trained in the procedure

Where in the client's room should an oxygen tank be placed? A next to the space heater B near the fireplace C near the candle in the room D next to the client in a clear area

D) next to the client in a clear area

Which of the following statements is true about back rubs given during morning or evening care? A Back rubs should be given only when ordered by a physician B Alcohol should be applied to the nurse aide's hands C Lotion should be applied directly to the client's back and the back should be rubbed with an up-and-down motion D Lotion should be applied to the nurse aide's hands and the client's back should be rubbed in a circular motion

D) lotion should be applied to the nurse aides hands and clients back should be rubbed in a circular motion

When stripping a soiled bed, where is the BEST place for the nurse aide to put the dirty linen? A on the chair B in a pillow case C in a moisture proof bag D on the floor

C) in a moisture bag

When cleaning the penis of an uncircumcised male client, the nurse aide SHOULD: A leave the foreskin in place and wash B gently retract the foreskin to clean, and return to normal position C clean the penis from the base to the tip D clean the penis with soap and water, and apply powder

B) gently retract the foreskin to clean and return to normal position

A gait belt is used on a client to: A hold up client's pants B assist with ambulation C support an abdominal dressing D support binder

B) assist with ambulation

To prevent a client from choking while being fed in bed, the nurse aide SHOULD: A Offer all fluid's first. B Place the client in a lateral position. C Raise the head of the bed. D Tilt the client's head back.

C) raise the head of the bed

After a client's dentures have been cleaned at bedtime they should be: A put on a tissue on the overbed table B placed on a paper towel on the sink C stored in a denture cup filled with liquid D wrapped in tissue and stored in the bedside stand

C) stored in a denture cup filled with liquid

What is another name for a pressure sore? A incontinence B frequency C decubitus ulcer D abrasion

C) decubitus ulcer

Eggs 35% Toast 10% Juice 10% Milk 25% Cereal 20% The diagram shown represents the breakfast served to the client. The client ate all of the meal except the cereal. What percentage of intake would the nurse aide record? A) 90% B) 80% C) 70% D)60%

B) 80%

When the nurse aide is caring for clients from different cultures, the nurse aide SHOULD: A challenge the client's beliefs B explain personal beliefs C take what the client says personally D develop an understanding of differences

D) develop an understanding of differences

According to the Omnibus Reconciliation Act (OBRA) bed rails can be used in which situation? A Client self-repositioning B Frequent use of call light C Risk of falling from bed D Wandering behavior of client

C) Risk of falling from bed

When collecting a 24-hour urine sample for a client, the NA SHOULD request that the client: A) take a bath or shower before starting the urine collection B) select food items that do not contain red meat C) drink 2 L of water D) discard the first voided urine

D) discard the first voided urine

Which of the following is the BEST personal protective equipment item for the NA to wear when handling infectious waste that could splash or spray? A) shoe covers B) a mask C) goggles D) a faceshield

D) faceshield

Which of the following is the BEST personal protective equipment item for the NA to wear when handling infectious waste that could splash or spray? A) shoe covers B) a mask C) goggles D) a faceshield

D) a faceshield

Which of the following is the BEST personal protective equipment item for the NA to wear when handling infectious waste that could splash or spray? A) shoe covers B) a mask C) goggles D) a faceshield

D) a faceshield

A client wakes up during the night and asks for something to eat. The NA SHOULD: A) check the client's diet before offering nourishment B) tell the client nothing is available at night C) explain that breakfast is coming in 3 hours D) tell the client that eating is not allowed during the night

A) check the clients diet before offering nourishment

When making a bed that is occupies by a client, the NA SHOULD: A) leave the bed in the lowest position B) make the toe pleat C) leave the bottom sheet untucked D) place soiled linens on the floor

B) make the toe pleat

Which of the following actions would be BEST for the NA to take to show respect to the spiritual needs of a client? A) escorting the client to religious services B) discussing the NA's religion with the client C) assisting the client to read the client's religious materials D) requesting that the facility's spiritual advisor visits the client

C) assisting the client to read the clients religious materials

While the NA is providing care to the client, the client calls the NA by the name of the client's child, who died several years ago. The NA's BEST response would be to: A) quickly finish providing care and leave the client alone B) pretend to the the client's child C) ignore the client because the client is confused D) ask the client about the client's favorite memories of the client's child

D) ask the client about the client's favorite memories of the client's child

When providing care for a client receiving oxygen therapy, the NA SHOULD: A check ears for pressure points B tape cracks in the oxygen tubing C let the nurse know that the NA cannot care for the client D change the flow rate if the client is short of breath

A) check ears for pressure points

The client has been sad and depressed since being admitted to the facility yesterday. What would be the BEST thing for the NA to do for the client? A arrange for the client's spiritual advisor to visit the client B turn on the television in the client's room and leave the client alone C force the client to take part in facility activities D introduce the client to other clients and staff members

D) introduce the client to other clients and staff members

The NA is asked by a client who is confused "what day it is?" The NA SHOULD A explain that memory loss is natural and the date is not important B ignore the request C point to the date on a calendar and say the date D provide the date and then test the client later

C) point to the date on a calendar and say the date

When caring for a client who is dying, the nurse SHOULD: A only allow 1 visitor in the room at a time B keep the room dark at all times C pay special attention to fluid intake and mouth care D wear gloves when providing personal care

C) pay attention to fluid intake and mouth care

To BEST communicate with a client who has total hearing loss, the NA should: A smile frequently and speak loudly B smile often and talk rapidly C avoid eye contact D write out the information

D) write out the information

The health care team member who assists the client with the performances of activities of the daily living is the: A social worker B occupational therapist C speech therapist D case manager

B) occupational therapist

When changing a soiled dressing, the NA SHOULD wash the NA's hands: A before the procedure B after the procedure C before and after the procedure D before, during, and after the procedure

D) before, during, and after the procedure

Before taking the oral temperature of a client who has just finished a cold drink, the NA SHOULD wait: A 20 minutes B 25-35 minutes C 44-55 minutes D at least one hour

A) 20 minutes

Which of the following equipment should the NA have available when caring for a client's beard? A basin, mirror, nail file, and towel B towel, gloves, razor, and shaving cream C shaving cream, razor, comb, and gloves D razor, shaving cream, towels, and orange stick

B) towel, gloves, razor, and shaving cream

What SHOULD the NA do when a client with Alzheimer's Disease seems depressed and quiet? A talk when the client is silent B observe the client for non-verbal cues C change subjects until the client begins to discuss something D tell the client not to worry

B) observe the client for non-verbal cues

When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put FIRST? A both sleeves B left sleeve C client's choice D right sleeve

B) left sleeve

When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put FIRST? A both sleeves B left sleeve C client's choice D right sleeve

B) left sleeve

The NA is assisting a coworker in obtaining a quad cane for a client. How many legs SHOULD the NA understand that a quad cane has? A 1 B 2 C 3 D 4

D) 4

Failure to provide proper care that results in unintended injury is termed A negligence B accident C incident report D abuse

A) negligence

People legally required to report suspected or observed abuse or neglect are A all nurse aides B nurses and doctors only C client's loved ones D mandated reporters

D) mandated reporters

What does the abbreviation ad lib mean? A as desired B as needed C ambulate as preferred D after activity

A) As desired

Fluid a person coughs up from the lungs is termed A sputum B phlegm C saliva D sweat

A) sputum

A client's care plan calls for the use of a mechanical lift when transferring. The NA uses a gait belt for a transfer and the client's legs give out. The NA would be guilty of: A negligence B malpractice C libel D assault

B) malpractice

While assisting a visually impaired client with a weak side to ambulate, the NA SHOULD walk slightly: A ahead of the client on the client's weaker side B ahead of the client on the client's stronger side C behind the client on the client's weaker side D behind the client on the client's stronger side

A) ahead of the client on the clients weaker side