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Best Practices for Nursing Assistants in Long-Term Care, Exams of Nursing

Arizona Western CollegeNursing

Guidelines for nursing assistants working in long-term care facilities, covering topics such as communication, personal protective equipment, infection prevention, care for residents with special needs, and end-of-life care. It also addresses ethical issues like accepting gifts and reporting abuse.

Typology: Exams

2023/2024

Available from 05/19/2024

franktutor
franktutor 🇺🇸

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CAN Practice Questions And Answers.
1. A resident who is confined to bed requires special care. Which of the following is a
task performed by a nursing assistant? -
\Helping with the use of a bedpan
2. It is a nursing assistant's first day at her new job and she wants to make a positive
first impression. Which of the following is an example of proper grooming? -
\Keep your hair neatly tied back and away from your face
3. A nursing assistant is given the task of measuring vital signs each day for a large
number of residents, while her coworker is assigned the task of weighing all the
residents each day. Which of the following methods of nursing care is this? -
\Functional Nursing
4. While getting supplies from the supply closet, a nursing assistant (NA) sees another
nursing assistant handle a resident roughly during a transfer. Which of the following
actions is the nursing assistant legally required to take? -
\The nursing assistant should report the abuse immediately to the nurse.
5. Which of the following would be recorded in a nursing assistant's record in her state's
nursing assistant registry? -
\An investigation showed that abuse occurred while she worked with residents.
6. A resident has not been informed about how much a medical procedure will cost and
what her options are. Which of the following Residents' Rights is being violated? -
\The right to be fully informed about rights and services
7. A resident has bite marks and scratches that continue to appear and that she cannot
explain. This could be a sign of -
\Physical abuse
8. A nursing assistant notices that a resident seems depressed. While giving her a bed
bath, the resident confides that another nursing assistant told her how "gross" the stump
looks. This is an example of -
\Psychological abuse
9. A nursing assistant learns that a coworker has offered to provide special care for a
resident in exchange for payment. This is an example of -
\Financial abuse
10. A nursing assistant who works periodically when full-time staff members are on
vacation helps care for residents who have Alzheimer's disease. On different occasions
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Download Best Practices for Nursing Assistants in Long-Term Care and more Exams Nursing in PDF only on Docsity!

CAN Practice Questions And Answers.

  1. A resident who is confined to bed requires special care. Which of the following is a task performed by a nursing assistant? - \Helping with the use of a bedpan
  2. It is a nursing assistant's first day at her new job and she wants to make a positive first impression. Which of the following is an example of proper grooming? - \Keep your hair neatly tied back and away from your face
  3. A nursing assistant is given the task of measuring vital signs each day for a large number of residents, while her coworker is assigned the task of weighing all the residents each day. Which of the following methods of nursing care is this? - \Functional Nursing
  4. While getting supplies from the supply closet, a nursing assistant (NA) sees another nursing assistant handle a resident roughly during a transfer. Which of the following actions is the nursing assistant legally required to take? - \The nursing assistant should report the abuse immediately to the nurse.
  5. Which of the following would be recorded in a nursing assistant's record in her state's nursing assistant registry? - \An investigation showed that abuse occurred while she worked with residents.
  6. A resident has not been informed about how much a medical procedure will cost and what her options are. Which of the following Residents' Rights is being violated? - \The right to be fully informed about rights and services
  7. A resident has bite marks and scratches that continue to appear and that she cannot explain. This could be a sign of - \Physical abuse
  8. A nursing assistant notices that a resident seems depressed. While giving her a bed bath, the resident confides that another nursing assistant told her how "gross" the stump looks. This is an example of - \Psychological abuse
  9. A nursing assistant learns that a coworker has offered to provide special care for a resident in exchange for payment. This is an example of - \Financial abuse
  10. A nursing assistant who works periodically when full-time staff members are on vacation helps care for residents who have Alzheimer's disease. On different occasions

she noticed that a resident's bed smells of urine and that her hair is dirty and matted. This could be a sign of - \Neglect

  1. A resident's sister gives her favorite nursing assistant a thank you note with a gift card inside it. She tells the nursing assistant that this is a small way of letting him know how much she appreciates his work. The NA does not want to offend the family, and it happens to be a gift card to his favorite restaurant, so he decides to keep it. Which of following best describes how the nursing assistant should have responded? - \The nursing assistant should have thanked the sister for thinking of him, but politely refused the gift.
  2. A nursing assistant enters a resident's room to give her a scheduled bath. The resident appears to have been crying and says she does not want a bath. Which of the following would be the best response by the nursing assistant? - \The nursing assistant should respect resident's refusal and report it to the nurse.
  3. A nursing assistant is assigned to help a resident who is recovering from a total hip replacement and needs help with deep breathing exercises. The resident is very uncommunicative. Which of the following questions would be most helpful in encouraging the resident to communicate? - "Did you have a good breakfast?"
  4. A new nursing assistant on the unit is trying to visit with a resident from Nigeria who does not speak any English. Which of the following would be the best response by the nursing assistant in order to communicate with the resident? - \The nursing assistant should ask if there is an interpreter who can help.
  5. A nursing assistant has to touch residents in order to do her job. Which of the following is an example of appropriate touch? - \Holding the resident's leg as she bathes it
  6. A nursing assistant is documenting a resident's care for the first time. Which of the following is an example of accurate documentation? - \Recording the resident's blood pressure in black ink
  7. When a nursing assistant answers the phone at the long-term care facility, which of the following is the best example of proper telephone etiquette? - "Good morning, this is Lynnell Brooks, nursing assistant at Lakeside Village. How may I help you?"
  8. During dinner a resident throws her plate at a nursing assistant. Which of the following would be the best response by the nursing assistant? - \The nursing assistant should call for the nurse and stand by to help as needed.
  1. Which of the following infection prevention measures is the best way for a nursing assistant to prevent the spread of disease? - \Wash hands regularly
  2. After washing her hands, how should a nursing assistant turn off the faucet at the sink? - \Use a clean paper towel to turn the water off
  3. For which of the following procedures should gloves always be worn? - \Emptying the resident's urinary drainage bag
  4. It is bedtime, and a nursing assistant has just finished helping a resident with oral care. It is now time to work with the resident's roommate. There are no additional sets of gloves in the room. Which of the following is the best course of action for the nursing assistant to take? - \The NA should notify the nurse that no additional gloves can be found before doing anything else.
  5. One room houses both a healthy resident and a resident who has pneumonia. Which of the following is an infection prevention example for Link 3 (portal of exit) in the chain of infection? - \The sick resident should cover his nose and mouth when sneezing.
  6. A resident is restrained due to doctor's orders. Which of the following is true about a resident who is restrained? - \The resident is at a higher risk of developing pressure ulcers.
  7. A resident who has multiple sclerosis is prone to fall. Which of the following is one way that a nursing assistant can help prevent the resident from falling? - \The nursing assistant should leave the resident's bed in its lowest position when finished with care.
  8. Which of the following is a proper guideline for the nursing assistant to follow when there is a fire? - \The NA should use wet towels to block doorways to prevent smoke from entering a room.
  9. A resident suddenly starts slurring her words. What could this indicate about her condition? - \She is having a stroke.
  10. A new resident needs to be weighed once he is admitted. Which of the following should the nursing assistant do when obtaining a resident's weight? - \The nursing assistant should start with the scale balanced at zero.
  1. Which of the following statements is true of admitting new residents to a long-term care facility? - \The nursing assistant should expect that residents will be experiencing many losses and emotions due to the change.
  2. A resident is going out with other residents to see a movie. The nursing assistant is making his bed. Which type of bed should the NA make? - \Closed bed
  3. Which of the following best describes the way a gait (transfer) belt is used when helping a resident walk? - \The belt is worn around the resident's waist so that the NA has a way to hold onto him.
  4. Which of the following is the best way for a nursing assistant to help move a resident up in bed? - \The nursing assistant should ask the resident to bend her knees and to push with her hands and feet.
  5. When giving a back rub to a resident, the nursing assistant should - \Avoid massaging areas of the skin that are pale or red
  6. While providing perineal care for a resident during a bed bath, the nursing assistant should - \Use a clean area of the washcloth for each stroke.
  7. A nursing assistant is providing oral care to an unconscious resident. Which of the following is a guideline for the nursing assistant to follow during this procedure? - \The nursing assistant should turn the resident's head to the side.
  8. Which of the following is the best site for measuring body temperature for an unconscious resident? - \Rectum
  9. Which of the following temperature readings should be reported to the nurse because it is outside of the normal range? - \An oral temperature of 100.1 F
  10. The nursing assistant notices that a resident coughs and clears his throat frequently during meals. This could be a sign of - \The resident is experiencing dysphagia
  11. A resident has been gaining one to two pounds of weight per day. The nursing assistant observes that the resident seems fatigued and that her urine output has decreased. This could be a sign of - \Fluid overload
  1. Which of the following is a guideline that a nursing assistant should follow in order to prevent pressure ulcers? - \The nursing assistant should avoid rubbing skin against linen or other surfaces during transfers.
  2. A resident suffers from chronic obstructive pulmonary disorder (COPD). Which of the following can the nursing assistant expect as a result of this? - \The NA can expect that the resident will be anxious about not being able to breathe.
  3. A resident has had a total hip replacement, and the nursing assistant is helping to position the resident. Which of the following is a guideline that the NA should follow? - \The NA should help the resident dress, starting with the affected/weaker side first.
  4. A resident who has Alzheimer's disease frequently carries a stuffed toy kitten around with her and cares for it. She believes that it is her real pet cat. One day the resident is crying because she has lost her cat and fears it was hit by a car. Which of the following would be the best response by the nursing assistant? - \The nursing assistant should provide comfort to the resident and help her look for her cat.
  5. A nursing assistant is trying to help a resident with Alzheimer's disease get dressed. The resident continually tries to expose his genitals to the NA. Which of the following would be the best response by the nursing assistant? - \Try to distract the resident
  6. A resident who is in the early stages of Alzheimer's disease puts a slipper on one foot and a regular shoe on the other. Which of the following would be the best response by the nursing assistant? - \The NA should gently ask the resident if she realizes that her shoes do not match and offer to help her find a matching pair.
  7. When a resident who has Alzheimer's disease begins to perseverate, which of the following would be the best response by the nursing assistant? - \The nursing assistant should respond each time, using the same words.
  8. How can Parkinson's disease affect a person's ability to walk? - \The disease causes tremors and a shuffling gait.
  9. Which of the following is a proper guideline to follow when caring for hearing aids? - \The nursing assistant should remove the hearing aid before the resident bathes or showers.
  10. A resident has diabetes. Which of the following sets of symptoms should the nursing assistant expect to be associated with this condition? - \Excessive thirst, excessive hunger, excessive urination
  1. A nursing assistant is providing foot care to a resident who has diabetes. Which of the following is a good guideline for the NA to follow? - \The NA should always dry feet thoroughly, especially between toes.
  2. A resident who has cancer suffers from bouts of pain. Which of the following would be the best response by the nursing assistant? - \Notify the nurse
  3. Which of the following statements is true of range of motion (ROM) exercises? - \A goal of range of motion exercises is to help prevent contractures.
  4. A resident is recovering from a period of immobility and is performing range of motion (ROM) exercises on her own. Which of the following acronyms best describes this type of range of motion exercise? - \AROM (active range of motion)
  5. A resident in rehabilitation is learning how to use a cane for the first time. Which of the following would be the best guideline for a nursing assistant to follow when helping this resident? - \The NA should have the resident hold the cane on the resident's stronger side.
  6. A resident in subacute care is lying in bed and suddenly becomes short of breath. Which of the following is the best response by the nursing assistant? - \The nursing assistant should notify the nurse immediately.
  7. In which of the following ways will a nursing assistant be expected to assist a comatose resident with tube feedings? - \The nursing assistant will observe the tube site for signs of infection.
  8. A resident who is in the advanced stages of ovarian cancer is expected to die within the week. Which of the following should the resident's care focus on? - \Providing for comfort and pain relief
  9. A resident has been given a diagnosis of terminal cancer and a prognosis of one month to live. The resident tells a nursing assistant that the testing laboratory made a mistake and he needs to have his results re-tested. Which of the following would be the best response from the nursing assistant? - \The nursing assistant should understand that denial is a normal part of the grief process.
  10. A resident who is in the final stages of AIDS is receiving hospice care. Which of the following could a nursing assistant expect to see as death approaches? - \Cheyne-Stokes breathing