A. When a resident suffers a stroke, it could lead to paralysis. The paralysis can involve hemiplegia or
quadriplegia. Hypertension (B) is high blood pressure and could lead to a stroke. Aphasia (C) and
flaccidity (D) can result from a stroke.

D. Slurred speech is a sign of hyperglycemia. Shallow respirations (A), cool skin (B), and irritability (C) are signs of hypoglycemia.

C. Gloves are the only protective equipment needed when emptying an emesis basin. A gown (A), a mask (B), and goggles (D) are not necessary.

B. The head of the bed is to be at 30–45° while feeding is infusing. When changing position, the nursing assistant is to ask the nurse to turn the tube feeding off and wait 15 minutes before moving the resident. Keeping the tube feeding infusing and placing the resident in supine position (A) and keeping the tube feeding infusing, and placing resident in prone position (C) are incorrect because the tube feeding is still infusing when the position is changed and could lead to aspiration of tube feeding liquid. Asking the nurse to stop the tube feeding and wait 5 minutes before changing the resident to prone position (D) is the incorrect position to change bed linen, and it does not state the correct time of 15 minutes

D. Dysuria is the term used to describe painful urination. Dysuria can be caused by infection or obstruction. Telling the nurse during the end of shift report (B) is incorrect because pain should always be reported as soon as possible. Encouraging the resident to drink more water (A) and offering the resident cranberry juice with a meal (C) are related to the care of a urinary tract infection, but that determination is made by the physician.

A. Checking the resident’s diet to verify what the resident may receive for a snack is part of the procedure when feeding a resident. The nursing assistant washes her hands, checks the identification of the resident, and verifies the proper diet is delivered. Informing the resident that snacks are not served on the night shift (B), letting the resident know the kitchen staff is not available (C), and serving the resident his or her breakfast early (D) involve not allowing resident choices, freedom, or involvement in care.

D. Chest pain can be caused by the resident having a heart attack. The nurse needs to be notified immediately to increase the resident’s chance of recovery and survival. Helping the resident to a sitting position (A) is incorrect because the resident should be placed in a position of comfort and one that enables for ease of breathing. Calling for the assistance of another nursing assistant (B) is incorrect because the nurse needs to be notified immediately. Offering the resident a medication for pain relief (C) is incorrect because it is not part of the nursing assistant’s role or responsibility.

B. A resident on oxygen should not smoke. Providing oral care more frequently (A), encouraging fluids (C), and providing careful skin care around nares (D) are all part of nursing care for a resident on oxygen.

C. When a resident is 100% deaf, the only form of communication is written communication. Speaking loudly and clearly (A) and sitting next to the resident and speaking into his or her ear (D) is effective for someone who is partially deaf or hard of hearing. Smiling and turning on the television (C) is an incorrect form of communication for the hearing and the deaf.

A. A call light is to be easy to locate and reach when needed by the resident to call for help. Keeping
an overhead light in front of the resident (B) is incorrect because the light source should be behind the resident to prevent a glare affect. Speaking loudly when addressing the resident (C) is incorrect because other senses such as hearing are heightened. When assisting residents to walk, stand in front of them and hold their hand to guide them (D) is incorrect. The nursing assistant should stand beside the resident and gently guide by the elbow.