An alcohol-based hand-cleanser should not be considered in which of the following situations?
-
Solution
C. Hands that are visibly soiled should be washed with soap and water because the hand cleanser is less effective when organic material is present. The use of alcohol-based cleansers should be used after each and every contact with a resident (A). The alcohol-based cleanser is appropriate to use when soap and water are not readily available (B). After assisting a resident to the shower (D) is incorrect because the nursing assistant has been in contact with a resident and will need to use the alcohol-based cleanser or wash his or her hands
If a nursing assistant restrained a resident without a physician’s order, he or she might be charged with which of the following?
-
Solution
A. Restraining a person without an order by a physician could be considered battery and even false imprisonment. Assault is threatening to do bodily harm (B). Malpractice (C) and negligence (D) involve harm to the patient as a result of the action, but are not related directly to restraint of the resident.
Which of the following describes sensory impairment?
-
Solution
C. Sensory includes hearing, seeing, touching, and speaking. The inability to read (A), ride a bike (B), or write (D) are forms of communication or mobility, not sensory.
Which of the following is not an example of the Patient’s Bill of Rights?
-
Solution
D. The right to mistreat staff and fellow residents is the only choice that is not a right of the patient. The right to privacy and dignity (A), the right of confidentially (B), and the right to accept or refuse treatment (C) are listed in the Patient’s Bill of Rights, which is a guideline for the resident’s treatment, service, and expectations.
Which type of device would the physician order to help a resident with ambulation?
-
Solution
D. An assistive device is ordered by the physician to help with ambulation. An orthodontic device is one that is used for the teeth (A), a feeding device (B) is used for feeding, and a transfer device (C) is used for transferring the patient from a bed to a chair or elsewhere.
What is the normal range of a resident’s pulse at rest?
-
Solution
B. A resident’s heart rate is considered within normal limits if the rate is between 60 and 100 beats per minute. A rate below 60 beats per minute is bradycardia and greater than 100 beats per minute is tachycardia, so the ranges in answers A (55–105 bpm), C (45–65 bpm), and D (70–120 bpm) are incorrect.
Which of the following creates an environment for effective communication with a resident who is visually impaired?
-
Solution
C. Visual aids need to be within reach of the resident in order for the resident to be able to use them when needed. Making sure the light in the room is not too bright (A) is wrong because the light might need to be brighter for someone who is visually impaired. Placing rugs on the floor so the resident will not be too shocked by the cold floor (B) is wrong because the resident can easily trip and fall on loose rugs when they are visually impaired. Turning up the volume on the television so the resident can hear because he has trouble seeing (D) is wrong because the other senses might heighten not lessen.
What is the normal range of a resident’s pulse at rest?
-
Solution
A. To demonstrate caring, the nursing assistant should sit beside the resident and actively listen to what is said. Ignoring the resident and continue working (B), laughing at what the resident is saying (C), or asking the resident not to talk nonsense (D) shows a lack of respect for the resident.
When the nursing assistant is helping a resident to shave, which of the following should the nursing assistant remember to do?
-
Solution
A. Shaving cream is used to soften the beard and make it easier to shave. Thoroughly drying the skin before shaving increases irritation (B). Shaving should be done following the direction of the hair not the opposite (C). Alcohol on freshly shaved skin causes pain and drying of the skin (D).
Which of the following conditions is expected in an older resident?
-
Solution
A. As a part of aging, our response time decreases. The inability to make decisions (B), increased agitation (C), and loss of long-term memory (D) can occur because of disease but not frequently caused from normal aging.