A safety device used to move a resident from the bed to the chair is which of the following?
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Solution
A. A Hoyer lift is a device to assist the nursing assistant with transfer of a weak or immobile resident from the bed to the chair and back again. A slide board is used to transfer the resident from the bed to a stretcher and back again (B). A brace (C) or assistive device (D) is not used in the transfer of a resident.
The nursing assistant is making a resident’s bed and accidently drops the clean sheet on the floor.
Which of following is the best action for the nursing assistant to take?
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Solution
D. When an item is dropped on the floor, it has a higher probability of being contaminated and should not to be used. Picking up the linen, shaking it out, and then using it (A) or placing it on the bedside chair to use at a later time (B) might cause the resident to become sick due to the transfer of germs/bacteria. Leaving it on the floor for housekeeping to pick up (C) could cause someone to fall.
The nursing assistant notices a resident has just finished drinking a glass of iced tea and it is time to obtain an oral temperature. The nursing assistant should do which of the following?
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Solution
A. It takes approximately 15 minutes for the mouth to regain the previous temperature after drinking or smoking. Proceeding with the temperature reading anyway (B) gives a false temperature. Waiting approximately 45 minutes (C) is not necessary. Skipping the temperature now and then taking it at the next scheduled time (D) is not following written orders as directed.
The nursing assistant notices mail for a resident at the nurse’s station. The correct action of the nursing assistant is which of the following?
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Solution
C. The resident has a right to privacy, which includes forms of communication. Discarding any of the resident’s mail even if it’s junk mail (A), opening mail for the resident (B), or giving the mail to a family member (D) violates the resident’s privacy.
Which of the following is the measurement used when documenting a resident’s intake and output?
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Solution
C. Milliliters are used to measure liquid intake and output. Ounces (A) and milligrams (B) are both solid measurements and are not used. Cups (D) is a measurement of liquid and solid but is not used for charting intake and output.
When a nursing assistant reports to the charge nurse that another nursing assistant accepted a tip from a resident when it is not true is an example of which of the following?
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Solution
B. Lying about another nursing assistant’s behavior is considered defamation of character. Negligence (A) and malpractice (C) are concerned with legal responsibilities to the resident not another nursing assistant. Insubordination (D) is a term used to describe someone who has not followed orders.
If a fire was discovered by a nursing assistant, the first action is which of the following?
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Solution
A. The first action is to remove the resident if he or she is in harm’s way. Next, the nursing assistant should pull the alarm (B) if no one else has done so. Then, the nursing assistant should extinguish the fire if possible (C) or evacuate if instructed to do so (D).
Which of the following is the initial step before feeding a resident?
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Solution
C. Several actions take place before a resident receives care. The nursing assistant checks the diet order against the food tray delivered. The patient must get the right food at the appropriate times. Informing the kitchen staff what type of diet the patient wants (A) or making sure the resident eats all of his or her main meal before serving dessert (D) are not the call of the nursing assistant. Assisting the resident in washing his or her hands and face (B) can fall under the purview of the nursing assistant, but it is not the initial step before feeding a resident.
While trimming a resident’s nails, you accidently cut his finger. This is considered which of the following legal terms?
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Solution
B. Accidentally cutting a resident during grooming is considered an act of negligence because appropriate safety precautions were not taken and the resident was injured. Physical abuse (A) is the act of purposefully causing physical injury; malpractice (C) is the wrongful act of a doctor, lawyer, or other professional that causes injury to a patient or client; and assault (D) is the crime of threat of violence to another person.
A nursing assistant can help meet the resident’s spiritual needs by which of the following?
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Solution
C. Every resident has the right to his or her own religious beliefs. The nursing assistant is to respect the beliefs of the residents and not discuss or impose his or her own on the resident (A and B). The nursing assistant should not invite someone from his or her church to talk to the resident (D), unless the resident requests the visit.