Which of the following is appropriate for a nursing assistant working in a long-term care facility?

A. Preparing and administering tube feedings for a resident who is on aspiration precautions
B. Changing linens of an incontinent resident
C. Applying splints of a resident who has had a stroke
D. Changing the intravenous tubings of a resident receiving medications

Solution

B. The changing of linens falls within the role and responsibilities of the nursing assistant; the remaining options are the role and responsibilities of the Registered and Licensed Practical Nurse.

Which of the following residents has the greatest risk for falling?

Solution

A. Residents who have difficulty with balance fall more often. Although the residents listed in the other options might need assistance with ambulation, they are not at the greatest risk for falling.

The correct statement regarding religious beliefs of residents is which of the following?

Solution

B. Every resident is entitled to his or her own religious beliefs and should not feel forced to change or ignore his or her beliefs.

An observation of warmth and redness to the resident’s elbow is reported as which of the following?

Solution

C. Signs of inflammation are warmth, redness, and swelling. Jaundice (answer A) is a yellowing of the eyes, mucous membranes, and skin. Edema (answer B) is the collection of fluid into the subcutaneous tissue. Cyanosis (answer D) is a bluish tent to the skin from decreased oxygenation of the vessels close to the skin’s surface.

The procedure used to rescue a choking victim is called which of the following?

Solution

A. The procedure is called the Heimlich. CPR (answer B) is used for cardiac or respiratory arrest. Answer C is a home remedy and is not an effective maneuver to use on a choking victim. Abdominal thrust (answer D) is used once the victim has collapsed.

When the resident requests pain medication, but the nurse appears busy, what is the appropriate action of the nursing assistant?

A. Report the request for pain medication to the nurse immediately.
B. Report the request for pain medication to the nurse when he or she appears less busy.
C. Tell the resident to wait for the pain medication until the pain is worse.
D. Tell the resident to call the nurse herself and request the pain medication.

Solution

A. The nursing assistant is legally and ethically responsible to report pain or discomfort to the nurse as soon as possible once it is discovered. The other options represent a delay in reporting, which could lead to a change in health status or safety for the resident.

Which of the following members of the health-care team is responsible for prescribing medical care?

Solution

B. The physician or nurse practitioner is the only member of the health-care team who is licensed to prescribe medical care for the residents. The nurse is responsible for carrying out both the medical plan of care prescribed by the physician as well as the nursing care plan developed by the nursing staff (answer A). The social worker in the long-term care connects the residents and family to resources available (answer C). The nursing assistant’s role is a provider of direct personal care (answer D).

All of the following are examples of the Patients’ Bill of Rights except the right to which of the following?

The first step in preventing the spread of germs is which of the following?

Solution

B. Handwashing is the most important task a nursing assistant can perform to prevent the spread of infection. Although the other answer options help prevent the spread of germs, they are not the first step in doing so

The nursing assistant can help prevent tooth decay by assisting residents to brush their teeth how often?

Solution

C. Depending on the number of meals eaten each day, teeth are to be cleaned in the morning on
awakening and then after each meal. All of the other answer options do not state the proper frequency
of teeth cleaning.

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