When a resident is being transferred to a wheelchair by the nursing assistant, which of the following is the position for the nursing assistant during the transfer?
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Solution
C. The nursing assistant stands in front of the wheelchair as he or she pivots the resident into the wheelchair. Standing on the left side of the wheelchair (A), right side of the wheelchair (B), or behind the wheelchair (D) does not provide the support the resident needs for the transfer to the wheelchair and could cause the resident to fall.
Which of the following is performed to increase muscle strength and joint mobility of a resident who is unable to voluntarily move his or her limbs?
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Solution
D. Passive range of motion exercises are performed to increase or maintain muscle movement in residents who cannot move the muscles on their own. Resistance exercises (A), aerobic exercises (B), and active range of motion exercises (C) are examples of exercises that require the resident to be alert and actively participating.
Which of the following locations is the body temperature of a resident taken most often?
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Solution
A. Oral temperature is the route most often obtained due to access. Rectal (B), axillary (C), and tympanic (D) are routes that are used when the resident is mouth breathing or cannot hold the thermometer in his or her mouth.
The nursing assistant demonstrates correct listening skills by which of the following activities?
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Solution
B. Sitting, leaning in, and making eye contact are forms of effective communication. Speaking at the same time as the resident (A), talking to the resident while continuing to work (C), and making sure to ask the right questions to lead the direction of the conversation (D) are ways that might stop the resident from communicating with the nursing assistant.
Which of the following is the first sign of a decubitus ulcer?
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Solution
B. One of the first signs of a pressure sore is redness, then blanching, and after that skin breakdown. Bleeding (A) is a late sign that occurs after the skin is broken. Bruising (C) and swelling (D) are not signs of a pressure sore, but of trauma to the area.
When a resident is dying, which sense is lost last?
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Solution
C. Hearing is the last sense lost before dying. It is important for family members to know that the resident might not be able to communicate but he or she might still hear them talking. A resident might lose his or her senses of taste (A), smell (B), or sight (D); however, those senses are typically lost before hearing when the resident is dying.
Which of the following is an example of neglect?
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Solution
D. Applying a restraint too tight might cause injury to the resident and is considered neglect. Changing the resident as soon as you discover he or she is soiled (A), leaving the floor after reporting to your supervisor (B), and calling for assistance when needed to care for the resident (C) are appropriate care of the resident.
Gloves are to be worn when performing which of the following activities?
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Solution
C. With peri-care the nursing assistant has a greater chance of coming into contact with blood or body fluids. When changing the resident’s clothes (A), feeding the resident (B), and changing the resident’s position in the chair (D), there is less of chance of contaminations.
Which of the following is appropriate care for a resident who is agitated and talking loudly?
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Solution
B. Speaking in a calm comforting manner is appropriate communication for an agitated resident. Telling the resident to be quiet (A), asking to have your assignment changed (C), and reporting the behavior to the nurse (D) are all negative forms of communication; they will either increase agitation or avoid communication with the resident.
In which of the following locations would a nursing assistant stand when assisting a resident who has experienced a stroke to ambulate?
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Solution
A. When assisting a resident who has had a stroke to ambulate, the nursing assistant stands on the affected side to support the resident. Standing behind the resident (B), on the resident’s strong side (C), or in front of the resident (D) does not provide the support the resident requires.