When a resident is unable to stand, the residents height is generally obtained 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 residents height and subtracting an inch for age-related shrinkage.
taking the measurement from head to heels while the resident is flat in bed.
Correct Answer :
D. taking the measurement from head to heels while the resident is flat in bed.
Related Questions
A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The nurse aide should respond to the residents requests by
telling the resident that it is not time.
decreasing the residents fluid intake.
asking the resident to follow the schedule.
taking the resident to the bathroom as needed.
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.
When checking the residents urinary drainage bag, the nurse aide observes that the resident has had about 50 ccs (mls) of urine output in the last six hours. What should the nurse aide do first?
Begin offering the resident fluids to drink every 15 minutes.
Report the observation to the charge nurse immediately.
Ask if the resident is having any pain when urinating.
Check to see if the tubing is kinked or bent.
Which of the following is generally experienced by a resident with low blood sugar?
Fever
Weakness
Sour breath
Frequent urination
The nurse aide is taking routine vital signs on a resident. The residents temperature is 101.4� Fahrenheit. The most appropriate response by the nurse aide is to
place a cool, wet washcloth to the residents forehead.
cover the resident with extra blankets.
record and report the change at the end of the shift.
report the temperature promptly.
Which foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
What is the main purpose of a restorative care program?
Ensure the resident can return home
Provide meaningful activities for the resident
Help the resident improve his/her level of functioning
Provide assistance with activities of daily living (ADLs)
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aides scope of practice. What should the nurse aide do?
Consider if the task can be performed another way.
Provide the care and perform the task as best as possible.
Contact the ombudsmans office since residents rights may be violated.
Refuse to perform the task and explain it is not within the nurse aides role.
A nurse aide is assigned to a table in the dining room during the residents lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to
guide the resident from the chair to the floor.
remove the other residents away from the table.
try to open the residents mouth to check for food.
keep the resident in the chair by holding around the residents waist.
If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the residents side quickly?
To get the resident into a more comfortable position
To get towels placed to protect the bed linen
To keep the vomit off the residents face
To help prevent aspiration
A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be
dependent and need total care.
confined to bed for several weeks.
going to physical therapy to increase mobility.
receiving range of motion (ROM) exercises to hip.
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.
The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to
decide break times with other nurse aides.
review assignments with others to check if residents are divided evenly.
check all assigned residents to see if anyone has immediate needs.
check what the activity department has scheduled for residents during the shift.
A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to
explain that the shower is required to keep clean and healthy.
try to motivate the resident by collecting clothing and supplies.
ask if the resident has another preference for bathing today.
remind the resident, You do have the right to refuse care.
A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide?
Ask another nurse aide to trade assignments.
Provide the care since the resident cannot be harmed.
Talk to other nurse aides about how to perform the procedure.
Discuss the nurse aides lack of experience with the nurse.
A residents leg has recently been amputated. Since the surgery the resident has not wanted to leave his room. What response by the nurse aide is most supportive?
You do realize that you will look normal when you get your prosthesis?
Do you think you will ever leave your room? It will help you feel better
There is no reason to feel embarrassed about losing your leg?
You used to enjoy activities. Whats keeping you in your room so much?
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 aides 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.
A nurse aide is assigned to a resident with Alzheimers 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.
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 is considered a normal age-related change seen in elderly residents?
Increase in appetite
Decrease in constipation
Decrease in taste sensation and smell
Increase in amount of confusion experienced daily
The nurse aide is bathing a resident and notices new swelling in the residents ankles. Which of the following is the best response by the nurse aide?
Ask if the resident has been eating salty foods lately.
Elevate the residents legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the residents lower legs.
Which action is most helpful to help decrease a residents incontinence?
Leaving the bedpan in place for extra time
Putting an incontinent brief on the resident
Answering the residents call light quickly
Controlling fluid intake throughout the day
After reporting the observation of a red area on the residents hip, the nurse aide should expect that the
resident will be placed on short-term bed rest.
area will be covered with a protective dressing.
area will need frequent massage with a moisturizing lotion.
resident should be positioned to avoid pressure on the area.
Which foods are found on a high protein diet?
Pasta and rice
Meat and eggs
Fruits and vegetables
Whole grains and milk products
An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do?
Allow the resident to be alone with her spouse.
Suggest that the husband take the resident home for a visit.
Explain that the facilitys policies do not allow for this type of visiting.
Remind the resident that this is a nursing home and not a hotel.
To help soften the beard before shaving with a disposable razor, the nurse aide should
massage the beard area of the face gently.
rub the beard in the direction of the hair growth.
hold a warm, wet wash cloth against the face first.
lather the face with soap instead of shaving cream.
What is the best reason for giving frequent perineal care to residents?
It increases comfort.
It decreases sexual responses.
It helps prevent skin breakdown.
It prevents incontinence.
While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide?
Allow the resident more time to swallow.
Use a straw when giving the resident fluids.
Add a thickening product to the residents fluids.
Stop feeding and ask a nurse to check the resident.
Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care?
In the morning and at bedtime
At the beginning and near the end of a shift
Whenever the resident is soiled with urine or stool
Every two hours when the nurse aide checks on the resident
A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next?
Get the emergency cart
Turn the resident onto her side
Check if the resident is able to talk
Help the resident back into the chair