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ProStaff SRNA -TEST - 1 of 3
1. A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying that she can’t find her baby. The nurse aide should
ask the resident where she last had the doll. ask the activity department if they have any other dolls. offer comfort to the resident and help her look for her baby. let the other staff know the resident is very confused and should be watched closely.
2. A nurse aide is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aide has never done this before. The best response by the nurse aide is to
change the indwelling catheter at the same time. ask another nurse aide to change the urinary drainage bag. change the bag asking for help only if the nurse aide has problems. ask a nurse to watch the nurse aide change the bag since it is the first time.
3. Before feeding a resident, which of the following is the best reason to wash the resident’s hands?
The resident may still touch his/her mouth or food. It reduces the risk of spreading airborne diseases. It improves resident morale and appetite. The resident needs to keep meal routines.
4. Which of the following is a job task performed by the nurse aide?
Participating in resident care planning conferences Taking a telephone order from a physician Giving medications to assigned residents Changing sterile wound dressings
5. Which of the following statements is true about range of motion (ROM) exercises?
Done just once a day Help prevent strokes and paralysis Require at least ten repetitions of each exercise Are often performed during ADLs such as bathing or dressing
6. While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should
put the hairbrush away and out of sight. give the resident the hairbrush to hold try to dress the resident more quickly. restrain the resident’s hand.
7. The Immediacte Supervisor of the nursing assistant is:
The RN The LPN or LVN The experienced nursing assistant All the above
8. Which of the following is NOT a responsibilty of the nursing assistant?
Obtaining viatl signs on the assigned patients Provding personal hygiene to the assigned patients Taking telephone orders from the physician for the assigned patients Assisting the assigned patients with meals
9. Care of the patient includes all of the following EXCEPT:
Assisting in their physical needs Assisting in their spirtual needs Assisting in their financial needs Assisting in their psychosocial needs
10. What is the most effective means of preventing the spread of grems?
Wearing gloves for all procedures Washing hands briskly with soap and water or alcohol-based agent Wearing a gown Wearing a mask
11. You are walking with a patient in the hallway. The patient suddenly becomes weak and starts to fall. What is your first action?
Catch the patient and prevent the fall Scream for help Ease the patient to the floor, preventing them from injuring themselves Hold the patient upright until a wheelchair arrives
12. Which of the following pieces of information would require the RN or LPN to be notified immediately?
Temp. of 103 F, BP 200/100, Blood Sugar of 250 Temp. of 100 F, BP 150/88, Blood Sugar of 150 Temp. of 99 F, BP 120/80, Blood Sugar of 120 Temp. of 98.6 F, BP 110/70, Blood Sugar of 90
13. You enter a patient's room and notice the he is not breathing. Which of the following should you do first?
Elevate the head of the bed Open the airway check for carotid pulse Turn the patient on their side
14. You are assisting a patient to eat. The patient suddenly becomes choked and starts to cough. Which action should you take?
Encourage the patient to continue coughing Pound the patient on the back Stand behind the patient, put your arms around the patient, make a fist with your hands and deliver three blows using a downard motion There is redness an swelling at the IV insertion site
15. A patient is receving continuous tube feedingss via a nasogastric tube. Which of the following findings requires an immediate intervention?
The patient is lying flat in bed The patient's head is on one pillow The patient is positioned on their right side the patient is in high Fowler's postion
16. You are asstisting a parkinson's patient with there bath. You SHOULD:
Complete the total bath for the patient Encourage the patient to bath as much of his body as possible Leave the patient is positioned on their right side The patient is in high Fowler's postion
17. You are providing care to a patient who is hearing impaired. The best method foor communicating with the patient is to:
Ask the patient which ear is their ''GOOD'' ear Provide paper and pencil to the patient speak in a loud and slow manner Position yourself directly in front of the patient and speak slowly and clearly in a normal tone
18. A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on
helping the resident through the stages of grief. providing for the resident’s comfort. keeping the resident’s care routine, such as for bathing. giving the resident a lot of quiet time and privacy.
19. While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should
wait a few minutes to see if the alarm stops. report the alarm to the charge nurse immediately. make the resident being bathed safe and go check the door right away. stop the bedbath and go check on the location of all assigned residents.
20. Gloves should be worn for which of the following procedures?
Emptying a urinary drainage bag Brushing a resident’s hair Ambulating a resident Feeding a resident
21. When walking a resident, a gait or transfer belt is often
worn around the nurse aide’s waist for back support. used to keep the resident positioned properly in the wheelchair. used to help stand the resident, and then removed before walking. put around the resident’s waist to provide a way to hold onto the resident.
22. Which of the following statements is true about residents who are restrained?
They are at greater risk for developing pressure sores. They are at lower risk of developing pneumonia. Their posture and alignment are improved. They are not at risk for falling.
23. A resident has diabetes. Which of the following is a common sign of a low blood sugar?
Fever Shakiness Thirst Vomiting
24. When providing foot care to a resident it is important for the nurse aide to
remove calluses and corns. check the feet for skin breakdown. keep the water cool to prevent burns. apply lotion, including between the toes.
25. When feeding a resident, frequent coughing can be a sign the resident is
choking. getting full needs to drink more fluids. having difficulty swallowing.
26. When a person is admitted to the nursing home, the nurse aide should expect that the resident will
have problems related to incontinence. require a lot of assistance with personal care experience a sense of loss related to the life change. adjust more quickly if admitted directly from the hospital.
27. A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. The nurse aide should
tease the resident by complimenting the resident’s sense of style. ask if the resident realizes that the shoes do not match. remind the resident that the nurse aide can dress the resident. ask if the resident lost some of his shoes.
28. A resident’s wife recently died. The resident is now staying in his room all the time and eating very little.The best response by the nurse aide is to
remind the resident to be thankful for the years he shared with his wife. tell the resident that he needs to get out of his room at least once a day understand the resident is grieving and give him chances to talk. avoid mentioning his wife when caring for him.
29. When a resident refuses a bedbath, the nurse aide should
offer the resident a bribe. wait awhile and then ask the resident again. remind the resident that people who smell don’t have friends. tell the resident that nursing home policy requires daily bathing.
30. When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to
show the resident that the nurse aide is in control. call for help to make sure there are witnesses. explain that if the resident is not calm a restraint may be applied. step back to protect self from harm while speaking in a calm manner.
31. During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to
remain calm and ask what is upsetting the resident. begin removing all the other residents from the dining room. scold the resident and ask the resident to leave the dining room immediately. remove the resident’s plate, fork, knife, and cup so there is nothing else to throw.
32. Which of the following questions asked to the resident is most likely to encourage conversation?
Are you feeling tired today? Do you want to wear this outfit? What are your favorite foods? Is this water warm enough?
33. When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should
use pictures and gestures. face the resident and speak softly when talking. repeat words often if the resident does not understand. assume when the resident nods his/her head that the message is understood.
34. While walking down the hall, a nurse aide looks into a resident’s room and sees another nurse aide hitting a resident. The nurse aide is expected to
contact the state agency that inspects the nursing facility. enter the room immediately to provide for the resident’s safety. wait to confront the nurse aide when he/she leaves the resident’s room. check the resident for any signs of injury after the nurse aide leaves the room.
35. Before touching a resident who is crying to offer comfort, the nurse aide should consider
the resident’s recent vital signs. the resident’s cultural background. whether the resident has been sad recently. whether the resident has family that visits routinely.
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ProStaff SRNA -TEST - 1 of 3