When getting ready to make a bed, the nurse aide SHOULD place the clean linens on:
a - a chair or table beside the bed
b - a clean surface in the bathroom
c - the roommate’s bed
A
Articles contaminated with blood or body fluids SHOULD be disposed of in the:
A - soiled linen basket
B - soiled utility room
C - biohazard container
D - client's room trash container
C
Which of the following is the BEST personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray?
A - shoe covers
B - a mask
C - goggles
D - a face shield
D
The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do NEXT?
A - instruct the client to lie still
B - quickly go to get the supplies
C - lower the bed, and place the call light within reach
D - ask the alert roommate to watch the client while the nurse aide gets the supplies
A client requests that the nurse aide call the client's spiritual advisor. The nurse aide SHOULD:
A - call the spiritual advisor for the client
B - ask the client why the client wants the nurse aide to call the client's spiritual advisor
C - tell the client that this is not part of the nurse aide's job
D - tell the client that the nurse aide will inform the nurse of the client's request
Frequent turning and positioning of the client helps prevent:
A - cyanosis
B - indigestion
C - coronary disease
D - pressure injuries
The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD:
A - be quiet and not say anything to the other nurse aides
B - join in the conversation
C - return to the unit and tell the client what was said
D - suggest that this is not the place to discuss the client
While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's child, who died several years ago. The nurse aide's BEST response would be to:
A - quickly finish providing care and leave the client alone
B - pretend to be 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
When providing care for a client receiving oxygen therapy, the nurse aide SHOULD:
A - change the flow rate if the client is short of breath
B - let the nurse know that the nurse aide cannot care for the client
C - check ears for pressure points
D - tape cracks in oxygen tubing
The client has been sad and depressed after being admitted to the facility yesterday.
What would be the BEST thing for the nurse aide to do for the client?
A - arrange for the client's spiritual advisor to visit the client
B - introduce the client to other clients and staff members
C - force the client to take part in facility activities
D - turn on the television in the client's room and leave the client alone
B
When a client is weak and unable to move without assistance is positioned in a chair, the nurse aide SHOULD:
A - check on the client every 5 minutes
B - protect the client with a seat belt
C - place the signaling device within the client's reach
D - make sure the client's water pitcher is full
Which of the following methods is the correct way to remove a dirty isolation gown?
A - pull the gown over the head
B - let the gown drop to the floor and then step out of it
C - roll the gown dirty side in and away from the body
D - pull the gown off by the sleeve and shake the gown out
The nurse aide MUST wear gloves when:
A - dressing a client
B - providing mouth care
C - transferring a client
D - weighing a client
What does the abbreviation ADL mean?
A - As Doctor Likes
B - Ad Lib
C - After Daylight
D - Activities of Daily Living
Which of the following actions SHOULD the nurse aide take to communicate with a client who has hearing loss?
A - face the client when speaking
B - repeat statements twice every time
C - shout so that the client can hear you
D - use a high-pitched voice
Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide SHOULD wait:
A - 20 minutes
B - 25-30 minutes
C - 45-55 minutes
D - 1 hour at least
To prevent dehydration of the client, the nurse aide SHOULD:
A - wake the client during the night to offer fluids
B - feed the client salty foods to increase thirst
C - offer fluids frequently while the client is awake
D - give the client frequent baths
When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse aide to take?
A - determine if enough fluids have been ordered
B - check that the client's name is displayed on the tray card
C - keep all foods covered until eaten
D - make sure the client's favorite foods are present
A client with arthritis reports difficulty when cutting the food. What SHOULD the nurse aide do to encourage the client's independence in eating?
A - cut the food and feed the client
B - ask the dietary department to puree the client's food
C - assist the client in cutting the food and encourage the client to use the special
eating utensils
D - Insist that the client eat the meal without help
The nurse aide is using an electric razor to shave a client when it begins to spark and smoke. Which of the following actions SHOULD the nurse aide take?
A - call the nurse in charge
B - finish shaving the client as quickly as possible
C - use the roommate's shaver to finish shaving the client
D - unplug the shaver
The nurse aide is responsible for all of the following fire prevention measures
EXCEPT:
A - reporting all damaged wiring and/or sockets in clients' rooms
B - taking cigarettes and matches away from all clients and visitors
C - being aware of the locations of fire extinguishers
D - participating in fire drills
The nurse aide SHOULD refuse to perform a task if the:
A - nurse aide has not been trained to do it
B - nurse aide can find someone else to do it
C - client is difficult to deal with
D - nurse aide is at the end of the shift
When communicating with the client's family, the nurse aide SHOULD:
A - offer advice about the client's medical treatment
B - get involved in the family's problems
C - listen to concerns and offer support
D - share the latest facility gossip
The nurse aide is making an empty bed and notices that the side rail is broken. The nurse aide SHOULD:
A - wait for the next safety check to report the broken side rail
B - tie the side rail in the raised position until it is fixed
C - report the broken side rail immediately
D - warn the client to be careful when getting back into bed
The nurse aide is caring for a client who becomes incontinent of urine right before dinner. The nurse aide SHOULD:
A - take the client to the dinner table and clean up right after dinner
B - tell the client not to eat until the client has cleaned and changed herself
C - clean the client and take to dinner as soon as possible
D - insist that the client eat dinner in her room
The nurse aide is walking with a client who is confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise.
The nurse aide SHOULD:
A - lock the client's wheelchair and check the surrounding area for smoke
B - push the wheelchair out of the hallway and carry the client out of the facility
C - leave the client and search for help
D - comfort the client while moving him to a safe place
The nurse aide understands that physical restraints may be used:
A - to prevent client injury
B - at the family's request
C - when staff is short
D - at the roommate's request
The nurse aide is preparing to take a client's oral temperature. The nurse aide
SHOULD:
A - place the thermometer under the arm
B - place the thermometer in the rectum
C - place the thermometer under the tongue
D - put lubricant on the thermometer
The nurse aide is caring for a client with hand tremors. The nurse aide SHOULD:
A - do everything for the client
B - restrain the hand that has the tremor
C - assist the client with the activity of daily living as needed
D - tell the client to stop shaking and control the tremors
When caring for a client from another country, the nurse aide SHOULD:
A - be sensitive to the client's cultural needs
B - orient the client to the cultural practices of the facility
C - promote group activity participation
D - decline to care for the client
When providing care to a client, the nurse aide SHOULD avoid unnecessary exposure of the client to protect the client's right to:
A - confidentiality
B - personal choice
C - privacy
D - control finances
A visitor enters the room while the nurse aide is changing the client. How SHOULD the nurse aide respond?
A - "Can't you knock?"
B - "Hi, come on in."
C - "Boy he was really dirty today."
D - "Would you please wait in the lobby?"
The nurse aide is caring for a client who is alert and oriented. The client touches the nurse aide inappropriately. Which of the following actions SHOULD the nurse aide take?
A - slap the client's hand
B - step back and ask the client not to do it again
C - refuse to care for the client
D - warn the client the behavior may be punished
Which of the following is a restraint alternative?
A - pain management
B - a sedative
C - lap buddy/tray
D - a hand mitt
The nurse aide can provide the client with a sense of security by:
A - leaving the room without talking
B - rushing through the care
C - talking with other nurse aides while providing care
D - explaining all routines and procedures
What is the FIRST thing a nurse aide should do when finding a client who is unresponsive?
A - start compressions
B - call for help
C - close the door
D - call the family
When operating a manual bed, the nurse aide SHOULD remember to:
A - elevate the client's head at all times
B - lock the wheels when the cranks are folded
C - fold cranks under the bed
D - keep the bed in a neutral position
Incident reports are written in order to:
A - inform the physician
B - notify family members
C - identify who is at fault
D - determine patterns and trends
The client's Bill of Rights includes:
A - freedom of choice
B - access to the medicine cart
C - access to free laundry
D - free medical care
The nurse aide is caring for a client who answers every question by nodding and saying "yes". Which of the following actions would be appropriate for the nurse aide to take?
A - inform the nurse of the client's behavior
B - ask a family member to translate for the client
C - speak to the client with multiple medical terms
D - shout at the client when assisting with morning care
The nurse aide gave the client the wrong diet. Which of the following actions
SHOULD the nurse aide take?
A - ignore the error and move to the next task
B - remove the evidence of the error
C - report the error immediately to the nurse
D - blame another nurse aide for the error
The nurse aide is caring for a client that has bilateral hearing aids. The nurse aide understands that if a hearing aid is not in use, it should:
A - be left turned on
B - have the battery removed
C - be left on the client's bedside table
D - be placed in the client's pocket
(so the batteries don’t drain)
A family member asks the nurse aide what medication the client is receiving. The nurse aide SHOULD:
A - allow the family member to read the medication list
B - tell the family member what medications are given
C - show the family member the client's chart
D - refer the family member to the nurse
The nurse aide is caring for a client whose religious beliefs do not allow the client to eat certain foods. The nurse aide SHOULD report this information to the:
A - dietician
B - other nurse aides
C - charge nurse
D - client's family
A client has not been very engaged in activities during the day. The nurse aide's
MAIN role is to:
A - encourage the client to join in activities and take the client's own self to an activity daily
B - encourage the client to join in activities by posting signs about the activities happening
C - encourage the client to attend a minimum of 3 activities daily
D - encourage the client to join in activities, and to assist the client to get to the activities room
A client with Alzheimer's disease thinks she is still a child. She tells the nurse aide she needs to leave to get on the bus so her mom will not be mad. The nurse aide's
BEST response is:
A - "You know there are no buses running on a Sunday, so you can just eat dinner here."
B - "You are an old woman. Your mom has already been dead for many years."
C - "You are not a child, you are a grown woman."
D - "You have permission to stay here with us for dinner. What is your favorite food to eat?”
If a nurse aide discovers a small fire in a client's room, the nurse aide should FIRST:
A - extinguish the fire
B - contain the fire
C - remove the client from any danger
D - sound the alarm
RACE acronym: Rescue, Alarm, Contain, Extinguish
What SHOULD the nurse aide do when a client with Alzheimer's disease seems depressed and quiet?
A - tell the client not to worry
B - talk when the client is silent
C - observe the client for non-verbal cues
D -change subjects until the client begins to discuss something
The nurse aide is caring for a client with diabetes. Which of the following would be BEST for the nurse aide to use when shaving a client?
A - a safety razor
B - an electric razor
C - a disposable razor
D - a straight edge razor
Diabetics often have thin frail skin so the electric razor is safest
The nurse aide is caring for a client who only speaks and understands a foreign language. Which of the following actions SHOULD the nurse aide take?
A - use gestures
B - speak louder
C - listen and say nothing
D - use an interpretation guide
interpretation guide = interpreter
The nurse aide's client is a seventh day adventist. The nurse aide knows the client has certain foods and drinks disallowed by the religion. The nurse aide's BEST choice is to offer the client which beverage out of the choices available today?
A - hot chocolate
B - coffee
C - iced tea
D - lemonade
seventh day adventists avoid caffeine
The nurse aide sees a client in the hallway who is agitated. The nurse aide SHOULD:
A - stop the client from walking and tell her to sit down
B - stop and talk to the client to see if she needs something
C - stop and talk to the client, telling her there is no need to worry
D - stop and tell another nurse aide to see what's wrong with the client
For safety, when leaving a client alone in his room in his lounge chair, the nurse aide
A - leave the bed in the low position
B - leave the signaling device on the bed
C - leave the bed a few inches high since he is very tall
D - leave the signaling device on so the nurse aide remembers to check on the client
When operating an electric bed, the nurse aide SHOULD remember to:
A - check that the bed is unlocked
B - check that the bed has a lock-out feature to keep the client from using the buttons
C - check that the bed remains in the position requested by the client
D - check that the bed is in the lowest position
A client has an episode of bowel incontinence during a meal and stops eating. The nurse aide SHOULD approach the client like this:
A - tell the client the nurse aide will change her briefs as soon as the meal is completed
B - tell the client the nurse aide needs to take the client to the room and change her
C - tell the client to keep eating until the client is finished
D - tell the client she could have waited a little longer
When taking a client's blood pressure, the nurse aide SHOULD:
A - lift the arm to table level
B - ask the client to lift up their arm
C - lift the arm to heart level
D - let the client stay in their original position
If a client has difficulties holding a fork to eat the meal due to tremors, the nurse aide SHOULD try this technique:
A - hand over hand technique
B - ADA enlarged fork technique
C - only eating with a spoon technique
D - telling the client "they can do it!" technique
What is the nurse aide's BEST response when finding a client who has fallen in their
A - stay with the client and lift her back into bed
B - stay with the client and call for another nurse aide to get the nurse
C - leave the room to get the nurse
D - leave the room and get the vital signs equipment
All of the following could be considered a restraint EXCEPT which one?
A - side rails lowered at all times
B - locked wheelchair
C - Blankets tucked in tightly at night
D - Lap tray
The nurse aide has a hispanic elderly client who has difficulty seeing the menu. What is the nurse aide's BEST option to offer for the dinner meal?
A - the nurse aide should offer the mexican burrito option
B - the nurse aide should read the menu to the client and ask the client which meal she would like
C - the nurse aide should call the family to see what the client will like
D - the nurse aide should read the menu to the client and tell her if she does not like the menu the nurse aide can have the kitchen make some tacos for the client
The nurse aide finds medications in a cup next to a client at breakfast. What action
A - tell the client she forgot to take her pills and hand her the medication cup
B - ask the client if this is her medication cup
C - take the medication cup and put the contents in the client's hand to help the client
D - take the medication cup to the nurse and report which client the cup was sitting next to
When changing a client's clothing, the new clothes SHOULD be placed:
A - on the roommates chair
B - on the roommates bed
C - on the client's bed
D - on the client's toilet seat
When caring for a client, it is fine for the nurse aide to discuss the client's care and
medications with:
A - the client's family
B - the client's power of attorney
C - the client's preacher
D - the client's son
The nurse aide is passing ice water to all clients in the south hall, using a facility ice chest. The following actions would be acceptable by the nurse aide EXCEPT:
A - the ice is scooped with a facility scoop
B - the water comes from a facility water jug
C - the ice is scooped with the client's own water pitcher
D - the water comes from the client's room faucet
When turning a client from a lateral position to a supine position, what is the MOST important action the nurse aide would take?
A - check between knees
B - make sure that the knees are not together with a pillow to prevent redness
C - always make the client help turn
D - check bony areas for skin redness
When a nurse aide communicates with a client it is important to:
A - ask the client if they can hear the nurse aide
B - face the client while stating your name
C - face the client during the nurse aide/client communication
D - speak loudly so the nurse aide can be heard
The nurse aide notices that another nurse aide has put her client in bed for the night. To ensure safety of the client, the nurse aide SHOULD:
A - move the wheelchair foot pedals from the floor
B - make sure a chair is placed beside the bathroom door
C - make sure the client has a bright light on in the bathroom
D - move the wheelchair from behind the door
(remove trip hazards)
A client tells the nurse aide that they have not had a shower in a week. The BEST nurse aide response would be to:
A - report to the charge nurse the client never gets bathed
B - report to the social worker that the client is causing trouble by saying they never get bathed
C - check the bath charting to see when the last bath was given
D - tell the client they have to take a bath immediately
Which statement about compression stockings is TRUE:
A - compression stockings can be put on any time in the morning
B - compression stockings can be folded over at the top and do not make pressure
C - compression stockings must be wrinkle-free to prevent pressure
D - compression stockings have to be pulled very tight to prevent pressure
While making an unoccupied bed, the nurse aide must leave to get an extra sheet. The procedure the nurse aide SHOULD follow is:
A - lower the bed part-way down and hurry to get the sheet from the closet
B - lower the bed to the lowest position and put the signaling device on the bed while leaving to get the sheet
C - make sure the signaling device is attached to the wall so it is not pulled out of the wall while the nurse aide gets the sheet
D - lower the bed to the lowest position and tell the client to watch the room while the nurse aide gets the sheet
Which of the following client statements SHOULD the nurse aide report to the
A - "I feel like I have never met you before."
B - "I feel like there is something stuck when I go to the bathroom."
C - "I only like music activities."
D - "I have never shared a room with anyone before."
When putting glasses on a client, the nurse aide SHOULD:
A - be sure the glasses are plastic so they don't break
B - be sure the glasses are prescription strength
C - be sure the glasses are clean
D - be sure the glasses are put on before the hearing aids
The nurse aide looks at the care plan for a client and sees that the client has a soft diet ordered. Which of the following should NOT be served to the client?
A - homemade bread and butter
B - cheese dip over tortilla chips
C - peanut butter ice cream
D - chocolate cake
The nurse aide SHOULD know that signs of choking can be all of the following
A - a very weak cough while eating
B - tears streaming from the eyes
C - crowing sounds when breathing
D - bluish discoloration in the face
(coughing indicates airway isn’t blocked)
Part of the nurse aide's duties with a new admission is to:
A - tell the client what schedule the nurse is on
B - help the client get comfortable & settled in new surroundings and answer
C - call clergy and the social worker to alert them to the client's arrival
D - always do vital signs in sitting and standing positions
The client has a high pulse rate today. What is the nurse aide's BEST action to take?
A - Ask the client if they feel fine and report it to the nurse
B - Check the pulse again, and tell the client there is nothing to worry about
C - Check the pulse again, instruct the client to stay in bed, and report it to the
D - check the pulse again, and instruct the client to hold onto things when walking
The nurse aide is caring for a client who has had a stroke. The client has difficulty speaking and communicating her needs. Which nurse aide action would help a client after a stroke?
A - hurrying through each task so the client does not get frustrated by trying to talk
B - telling the client someone else will have to try since you cannot understand her
C - try saying the words that you think she means as she is trying to talk
D - listening patiently while she talks, and using hand gestures to communicate
When ambulating a client with an unsteady gait, the nurse aide should do all of the following EXCEPT:
A - put sturdy, non-slip shoes on the client
B - hold the gait belt with 2 hands in an upward grasp
C - watch the gait of the client as the client walks
D - look around to see what others are doing as you walk by
When serving a meal to a vision impaired client, the nurse aide SHOULD employ which technique?
A - tell the client to feel the foods on the plate before eating
B - tell the client someone who can help the vision impaired will come assist the client to eat
C - tell the client which foods are on the plate in relation to a clock face
D - tell the client which foods are on the plate
The nurse aide has a client who is having difficulty understanding what the nurse aide is asking the client to do. The BEST action the nurse aide could take is:
A - to repeat the information and use hand gestures as well
B - to repeat the information loudly
C - to repeat the information with an interpreter
D - to repeat the information at least 4 times
The nurse aide has an order to place the client in a prone position. This would mean
A - on their back
B - on their stomach
C - on their side
D - sitting up
Which of the following client observations should the nurse aide report
IMMEDIATELY to the nurse?
A - nailbeds are pink
B - urine is yellow and clear
C - blood pressure of 100/70
D - radial pulse of 110 beats per minute
The care plan includes an order to place the client in a high fowler's position. Which of the following BEST describes the position the nurse aide should place the client?
A - with the head of the bed up 25 degrees
B - with the head of the bed up 60 degrees
C - with the head of the bed up 25 degrees, and the feet up 25 degrees
D - with the head of the bed up and feet up all the way
If an 89 year old client is eating a meal and the nurse aide notices the client cough while drinking fluids, the nurse aide SHOULD:
A - tell the client to slow down when drinking
B - slap the client on the back
C - report it to the nurse
D - do nothing since this is normal for an 89 year old
Which of the following documents BEST informs the nurse aide of the client's needs?
A - Resident's Bill of Rights
B - Policy Manual
C - Care Plan
D - Notes left by the family
A client has COPD. The nurse aide responds to the call light, and the client states he feels like he cannot breathe. Which action is the BEST action for the nurse aide to take?
A - call the doctor and ask for an increase in oxygen
B - turn the oxygen up 1 liter so he can breathe easier
C - tell the client to calm down because he is always short of breath
D - check his oxygen tank setting and tubing
The nurse aide is sitting in the dining room assisting an elderly client to eat breakfast. Today the nurse aide notices that the client is now having difficulties grasping his coffee mug. The FIRST action of the nurse aide should be:
A - tell the kitchen to provide a better mug
B - grasp his hand and squeeze it firmly around the cup handle
C - report the new symptom to the nurse
D - report to the other nurse aides that the client wants everything done for him
Which of the following activities is within the role of the nurse aide?
A - observing clients for changes in condition
B - deciding the staging of a pressure ulcer
C - suggesting new special diets to clients
D - giving clients spiritual advice
When performing range of motion on a client, the nurse aide instructs a client to tell the nurse aide if they have pain during range of motion exercises. What is the nurse aide's responsibility during the range of motion procedure?
A - ask the client if they had pain after the first exercise and then continue two more times
B - ask the client if they had pain after the first exercise and stop the exercise if the client had pain
C - ask the client if they had pain after completing the three movements
D - ask the client if they have pain before starting the range of motion exercises
The nurse aide is assisting a client to get out of bed and sit in a lounge chair. As the nurse aide stands the client, the client states they have pain in their right hip. What is the BEST action for the nurse aide to take?
A - continue moving the client to the lounge chair, and report the pain in end of shift report
B - sit the client back on the bed and forget the transfer for now
C - sit the client back on the bed, wait 5 seconds, then try again
D - sit the client back on the bed and report to the nurse
Which of the following nurse aide duties can be performed without gloves?
A - assisting the client to eat dinner
B - assisting the client with perineal care
C - assisting the client to wash the torso
D - assisting the client to remove wet pants
A client asks the nurse aide "Am I going to die?" Which of the following would be the BEST response for the nurse aide to make?
A - "Have you asked your primary health provider?"
B - "Why do you ask a question like that?"
C - "Well I guess we all will die some day."
D - "Is this something you have been thinking about?"
A client has had an episode of urinary incontinence while in the activity room. The nurse aide's BEST response would be:
A - "I could take you back to your room if you want to."
B - "I will take you back to your room and help you get cleaned up."
C - "You should try to hold it a little longer next time."
D - "I can take you back to your room so you can clean up your pants."
In order to move a client up in bed, the nurse aide SHOULD:
A - raise the head of the bed
B - place the bed in the lowest position possible
C - grab under one shoulder to assist the client
D - get assistance from a coworker
When a client has a complaint about the way the nurse aide gives her a bath, the FIRST person to attempt to resolve the grievance would be:
A - the nurse caring for the client
B - the social worker
C - the nurse aide caring for the client
D - the director of nurses
The nurse aide is dressing a client as a part of morning ADLs Which is the BEST statement the nurse aide could say to the client?
A - "I will choose your favorite color to wear today."
B - "I know you like pants, so I will get some pants out for you to wear."
C - "Would you like me to be sure to put you in pants?"
D - "Would you like to wear pants or a dress today?"
Which of the following is NOT considered repositioning a client?
A - placing a pillow under the right arm
B - transferring the client to the wheelchair from the bed
C - rolling the client from the lateral position to the supine position
D - taking the client to the bathroom to sit on the toilet
What assistive device may be used to assist a client with poor dexterity to eat
A - a fork that has smaller mouthpiece
B - a fork with larger prongs
C - a large foam handled fork
D - a cup with a straw
When removing PPE which of the following should be removed last in a respiratory isolation room?
A - gown
B - gloves
C - mask
D - goggles
A client who is confused refuses to change from sleepwear to other clothes. The nurse aide SHOULD:
a - insist the client change clothes
b - respect the client’s refusal and ask again later
c - get another nurse aide to help change the client’s clothes
d - inform the client that the client cannot leave the room without changing clothes
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