A resident usually responds verbally to the nurse aide's greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aide's next action should be to
try to wake the resident again in a few more minutes.
speak louder to make sure the resident can hear.
wipe the resident's face with a cool washcloth.
call for the charge nurse immediately.
Correct Answer :
D. call for the charge nurse immediately.
Related Questions
When feeding a resident who is lying in bed, the head of the bed is raised to
make chewing food easier.
decrease the risk of aspiration.
improve the residents digestion.
allow for better respirations between bites.
Which of the following actions helps to prevent skin tears?
Keeping side rails raised
Using less lotion on the skin
Sliding the resident up in the bed
Dressing the resident in long sleeves
While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should
hold the resident down to reduce injury.
keep the airway open and prepare to do CPR.
call the charge nurse and remain with the resident.
place a tongue blade between the resident's teeth.
The first step the nurse aide should take when discovering a fire is to
check how quickly the fire is spreading.
remove any residents near the fire.
throw a blanket over the flames.
pull the alarm.
A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately?
The resident's fingers are cold and blue in color.
The splint was removed as scheduled in the care plan.
The resident asks to have the splint removed for a few minutes.
The resident asks the nurse aide to reposition the arm with the splint.
The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident refuses. Which of the following is the best response by the nurse aide?
Maybe you can plan to walk a little further this afternoon.
The doctor ordered your walking exercise. You really need to try.
You have the right to refuse. Do you want me to tell the nurse?
Would you prefer to walk a little later?
Which foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag?
On the floor directly next to the wheelchair, positioned well below the resident's bladder
Tucked at the resident's side on the seat of the chair to keep the drainage bag level with the resident's bladder
Hung from back of the wheelchair so that it is out of the resident's view and above the bladder
Attached to the seat of the wheelchair, positioned below the level of the resident's bladder
When helping admit a new resident, the nurse aide notices the resident's right-sided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should
ask how the resident went to the bathroom at home.
ask the resident to wait until the care plan is completed.
get instructions from the nurse about how to toilet the resident.
help the resident to the bathroom immediately, supporting the right-side.
A resident's care plan provides the nurse aide with information about
the financial arrangements made for the resident's care.
specific care required for the resident and the goals of care.
facility procedures for performing different nursing care procedures.
the nurse aide's assignments and when care is provided to each resident.
The goal when removing gloves that are soiled is to
remove quickly since there is a risk of exposure to germs.
dispose of the gloves in a biohazardsafe trash can.
avoid contact with the outside of the gloves.
keep germs in the trash can area.
A nurse aide who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex. What should the nurse aide do?
Check on the residents every few minutes.
Report the residents' behavior to the charge nurse.
Ask the nurse if the residents should be medicated.
Tell the residents that sex is not allowed in the nursing home.
A resident with a feeding tube is scheduled for a shower. The residents feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide?
Disconnect the feeding tube temporarily to give the shower.
Protect the pump with a plastic bag before bringing into the shower room.
Ask the charge nurse for assistance with the feeding pump.
Give the resident a bed bath since the resident has a feeding tube.
Which of the following is an observation often seen when a resident is impacted?
Liquid feces seeping out of the anus
Darkening of the resident's urine
Many soft, formed stools
Bad breath odor
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should
hold the gait belt tighter and ask the resident to rest for a minute.
suggest the resident lean on the nurse aide for more support.
guide the resident over to the handrail and ask to hold.
ease the resident to the floor if a chair is not available.
While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action?
Dress the resident quickly.
Check the resident's vital signs.
Stop the dressing to let the resident rest.
Go to find a nurse to check the resident.
The normal appearance of urine is
clear.
cloudy.
dark yellow.
strong smelling.
Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours?
Correct residents' posture
Improve the residents' breathing
Promote circulation at pressure points
Provide an opportunity for incontinent care
A resident usually responds verbally to the nurse aide's greetings, but this morning the resident seems to be having trouble waking up. The resident is not talking but is breathing and warm. The nurse aide's next action should be to
try to wake the resident again in a few more minutes.
speak louder to make sure the resident can hear.
wipe the resident's face with a cool washcloth.
call for the charge nurse immediately.
When caring for a resident who is comatose, the nurse aide is expected to
provide mouth care once a day.
avoid changing the resident's position.
talk to the resident while providing care.
keep the resident's room dark and quiet.
The use of a physical restraint helps
control a resident's behavior.
protect the resident from injury.
make staff members' jobs easier.
decrease how often staff need to check the resident.
A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, I fell down and I cannot move my arm. What should be the nurse aide's next action?
Help the resident to a sitting position on the floor.
Ask the resident to stay still while the nurse aide calls for help.
Ask the resident to describe the pain and how the fall happened.
Support the injured arm by placing a pillow under the arm and shoulder.
A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the residents friends are often leaving when the resident gets to the dining room. The nurse aide should
set out clothing that the resident can dress in more quickly.
dress the resident to make sure the resident gets to breakfast earlier.
ask if there is any help the resident would like in the morning.
remind the resident that the friends will also be at activities later.
A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and
ask the resident when he had his last bowel movement.
check if the resident is hungry or needs to go to the bathroom.
try to keep the resident close to observe the resident throughout the shift.
allow the resident to move around as long he does not harm other residents.
A resident is being showered while sitting in a shower chair. The resident says, I feel weak. I think I am going to faint. The nurse aide's immediate concerns are calling for help and
making sure the water temperature is proper.
getting the resident back to her room right away.
finishing the shower quickly by washing only soiled areas.
keeping the resident safe and comfortable.
When a resident is not able to stand, the resident's height is usually measured by
having coworkers hold the resident upright to allow for the measurement.
adding the length of legs, chest, and neck/head to determine the height.
asking the resident's height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
A resident with dementia says, I need to get home. My daughters school bus is coming soon. The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide?
Lets go see if Bingo has started yet. You love Bingo.
Remember you are in a nursing home. Your daughter is all grown up.
Do you mean your greatgranddaughter? Your daughter just turned 60.
What do you like to do with your daughter when she gets home from school?
When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include
limiting activity by keeping the resident on bedrest.
emptying the urinary drainage bag every two-hours.
keeping the area where the catheter enters the body clean.
toileting the resident every two hours for bladder retraining.
When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear
black.
green.
purple.
white.
The nurse aide notices that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of the following is the best action for the nurse aide to take?
Take the resident back to the resident's room.
Distract the resident by asking about the resident's family.
Invite the resident to sit down at the piano with the nurse aide.
Ask the activity director to find something for the resident to do.