Which of the following actions would the nursing assistant carry out when assisting a resident to use the bedpan?
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Solution
A. Providing protection helps the resident not to feel embarrassed and increase anxiety. Raising the head of the bed and then rolling the resident to his or her side is an incorrect position of the head of the bed (B). Using a fracture pan (C) might cause anxiety for a larger resident and not hold contents. Bedpans after use are to be cleansed and stored in the bedside table (D).
Which health-care team member is responsible for locating resources to manage resident care?
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Solution
B. The social worker locates resources to meet the resident’s plan of care. The nurse plans the care and supervises (A). The nursing assistant is responsible to assist in carrying out the plan of care (C). The physician prescribes the resident’s care (D).
Which of the following actions is used by the nursing assistant when caring for a resident with a condom catheter?
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Solution
B. A condom catheter is an external device and is to be removed at least once a shift for examination of the skin underneath. Do not pull the catheter onto the penis (A); the catheter is rolled on not pulled. Too much lubrication could cause the catheter to become dislodged (C). The drainage bag should never be attached to a movable part of the bed or wheelchair (D).
The nursing assistant should use a mask when entering a resident’s room who has been placed on what type of precautions?
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Solution
B. Masks are worn for droplet or respiratory precautions. Gloves are needed for Methicillin-Resistant Staphylococcus aureus (MRSA) precautions (A), contact precautions (C), and standard precautions (D).
Which of the following should be reported to the nurse immediately when the resident is using splints for ambulation?
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Solution
D. If splints fit and are applied appropriately, the resident should not have pain with use and should be reported immediately. Sweating (A) and difficulty in applying (C) might mean the splints need readjustment or padding. If the resident refuses to use the splint (B), the nursing assistant should report and record this as soon as possible.
Which of the following statements by the nursing assistant best reflects appropriate communication?
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Solution
D. Acknowledging the concerns of the resident and an appropriate action is a demonstration of good communication. The other statements, “What can I do about your life situation?” (A), “Rest awhile and you will feel better in the morning,” (B), and “I can’t help you right now; I am busy,” (C) ignore the resident and his or her concerns.
When one of the residents is in restraints, what is the responsibility of the nursing assistant?
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Solution
D. The nursing assistant’s responsibility includes promoting comfort and assisting the resident for the use of the bathroom along with needs for food and fluid. Restraints are to be secured but must have a quick release knot to remove quickly if needed, not taped securely to remain fastened (A). Checking extremities for circulation, motion, and sensitivity over a 4-hour period (B), and documenting the reason for application of restraints in the chart (C) are the responsibility of the nurse, but the nursing assistant needs to make sure the extremity has good circulation.
Which of the following actions is false regarding the Heimlich maneuver?
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Solution
A. The nursing assistant should place his or her hands around the midsection between xiphoid process and the umbilicus, not around the waist. Correct procedure for the Heimlich maneuver include making a fist with your hands (B), placing your thumb inside your hand (C), and asking the resident, “Are you choking?” (D).
Which radial pulse should you repeat?
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Solution
B. The pulse is below normal and irregular. This pulse should be repeated before reported to the nurse. 88 bpm (A), 60 bpm (C), and 96 bpm (D) are pulses within the normal range and have regular rhythms.
Which statement about taking a rectal temperature is true?
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Solution
D. Providing privacy is a requirement for all procedures. All thermometers should be lubricated to prevent pain and injury (A). Mercury thermometers are not used any more in health-care facilities (B). The rectal temperature might be 1 degree higher (not lower) than the oral temperature (C).