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Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should:
Justine (CNA) was instructed by the staff nurse to elevate the client’s casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she does which of the following?
A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant?
The nurse inserts a Foley catheter to relieve a client’s urinary retention. Which of the following is an inappropriate action in caring for clients with an indwelling catheter?
Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition?
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is:
The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:
The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation?
Which is correct about ostomy care?
A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she
The nursing assistant is aware that the purpose of the elastic stockings is to:
A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can:
After applying an elastic bandage to a client’s right leg, you need to check the color and temperature of the leg:
Which of the following statements is correct pertaining to binders application?
Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose?
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include:
An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can done by:
Which action is incorrect when flossing the client’s teeth?
To obtain a 24-hour urine specimen, the nurse assistant should:
A client was fitted with a hearing aid. She understands the proper use and wear of this device correctly when she says that the device is turned on and adjusted to a:
One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:
The nursing assistant is aware that the responsibility for keeping an accurate I&O record is part of her duties. If the client is incontinent, how should she document the output?
Which of the following are examples of fluid output that need to be recorded on the I&O sheet?
A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client?
Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately?
Which of the following is not included in the care of clients with a pacemaker?
Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action?
Which is NOT a rule for collecting specimens?
A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. Which of the following protective equipment should the nursing assistant wear?
A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate?
Which of the following methods should be used to collect a specimen for urine culture?
The nursing assistant is correctly providing penile hygiene to an unconscious clients if she:
A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment?
To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?
The following information is recorded on an intake and output record: milk 180 ml; orange juice, 60 ml; 1 serving scrambled eggs; 1 slice toast; 1 can Ensure oral nutritional supplement, 240 ml; 50 ml water after twice daily medications. Medications as given by the nurse at 9:00 AM and 9:00 PM. What is the client’s total intake for the 7:00 AM to 3:00 PM shift?
While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won’t lie on the tubing. Which of the following rationales explains the nursing assistant’s action?
A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate to you in ensuring the client’s safety?
A client who has Alzheimer’s disease is told by the nurse assistant to brush his teeth. He shouts angrily, “Tomato soup!” Which of the following actions by the nurse assistant would be correct?
When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should:
A divorced 33-year-old former drug addict, is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they related to roles and relationships?
Clients and families have the right to receive care that is:
When caring for a dying client, the nurse aide should perform which of the following activities?
When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in?
As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care?
Which of the following techniques would you use when interviewing a 94-year-old patient?
A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation?
A client in the long term facility tells the nursing assistant “I am too depressed to talk to you. Leave me alone.” Which of the following response by the nursing assistant is most therapeutic?
A client says to you “I am worthless person, I should be dead.” What is the best response that you, the nursing assistant, can make?
A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client’s needs while preventing sensory overload?
Legally, clients’ charts are:
The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident’s missing vital signs, the nursing assistant admits to forgetting the resident. This is an example of which of the following?
Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again?
It’s a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Teramycin ointment and gives you instructions to apply it to a patient’s eyes. How would you respond to this?
During a nursing assistant’s orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should do all of the following except:
A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer?
A nursing assistant is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to:
The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client’s condition throughout her stay at the hospital. The nursing assistant therefore reads the:
On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client’s medical record?
Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse’s station?
A registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, the nursing assistant should: