Which of the following is a description of a stage one decubitus ulcer?
Redness that does not turn white when pressed
Open area with redness
Black area
Open area with visible bone
Correct Answer :
A. Redness that does not turn white when pressed
Related Questions
The definition of the center of rehabilitative care is:
To improve the residents capabilities
To restore function to as near normal as possible
To return the resident to better than normal functioning
To prevent harm and injury
When a resident refuses a bath, the nursing assistant should perform which of the following actions?
Inform the resident that everyone must take a bath when it is scheduled.
The charge nurse does not need to be informed that resident did not take a bath.
Go ahead and bathe the resident.
Respect the residents wishes.
What product is applied to a residents skin before shaving?
Shaving cream
Alcohol
Cold water
Lotion
The nursing assistant is walking a resident around the unit, and the resident starts to fall. The first action of the nursing assistant should be which of the following?
Leave the resident and quickly grab the nearest chair.
Get behind the resident and ease the patient to ground slowly.
Get to the nearest phone and call for assistance.
Grab the resident by the arms and lift him or her up.
What is the first action of the CNA when he or she notices a reddened area on the right hip when turning the resident in bed?
Gently massage the area.
Tell the nurse.
Apply lotion to the skin.
Turn the resident more often.
When a resident falls, what is the most frequent injury that occurs?
Broken wrist
Fractured ankle
Strained ligament
Fractured hip
What should a nursing assistant do when he or she recognizes that a resident is not eating enough?
Offer dietary supplements as prescribed.
Administer vitamins to the resident.
Provide an additional tray.
Tell the nurse.
Why is an indwelling catheter taped or secured to the residents leg?
To ensure the catheter does not fall out
To prevent trauma to the resident
To allow the resident to use the bathroom if needed
To prevent leaking around the catheter
Select all that apply to the goals of restorative care.
Decrease falls and injuries.
Promote activity & mobility.
Increase muscle strength.
All of the above.
What is the correct procedure when using a gait belt?
Use a rocking and pulling motion when using the belt to get up from a sitting position.
Stand on the residents strong side.
Two or more caregivers are needed when using a gait belt.
Proper body mechanics are not needed with use of a gait belt.
Which of the following are behaviors commonly related to a resident with mild cognitive impairment (dementia)?
Memory problems
Inability to dress
Inability to feed self
Unable to ambulate
The nursing assistant should use a mask when entering the room of a resident who has been placed on what type of precautions?
MRSA precautions
Droplet precautions
Contact precautions
Standard precautions
The resident consumed 3 ounces of juice. How many milliliters should the nursing assistant document on the flow sheet?
120mL
60mL
45mL
90mL
The resident is to be placed in Fowlers position. Select the correct description of this position.
Head of bed 45 to 60 degrees with legs either bent or straight
Head of bed flat
Bed flat with feet higher than the head
Head of bed 15 degrees with legs either bent or straight
When the CNA washes a patient's hair, the best way to keep it from tangling and matting is to
Trim the hair.
Wash and condition hair daily.
Brush or comb hair daily.
Place hats on the patient's head in between washes.
If linen drops on the floor while making a residents bed, the CNAs next action would be to:
Pick up the linen, shake it out, and use it.
Place the linen on the bedside chair to use at a later time.
Leave the linen on the floor for housekeeping to pick up.
Place the linen in the hamper because it is soiled.
Which of the following actions regarding the CPR procedure for one rescuer is false?
Wait to start CPR until help arrives.
Call for help and activate the emergency response system.
Get the AED.
Look for breathing.
The number one way to prevent contamination from resident to resident is for the CNA to
Close the residents door.
Wash his or her hands.
Bathe the resident every day.
Clean the residents bathroom after use by visitors.
Select the appropriate location for a thermometer when taking an axillary temperature.
Place the probe of the thermometer 1 inch under the arm.
Place the probe in the posterior 1/3 of the axillia.
Place the probe of the thermometer in the center of the axilla.
Place the probe in the anterior 1/3 of the axillia.
5A precaution against what type of danger requires the nursing assistant to wear a mask.
Blood borne
Standard
Contact
Droplet
The following statements are correct regarding the residents phone rights, except
Telephones are provided to each resident.
Access to phones and privacy is provided to each resident.
Telephones can be used under supervision.
Resident access is provided during daytime hours only.
Which statement by the nursing assistant best reflects appropriate communication?
What can I do about your life situation?
Rest awhile and you will feel better in the morning.
I cant help you right now; I am busy.
I can see this bothers you. I will convey your concerns to the nurse.
A Jewish resident asks the CAN if he is getting kosher meals. The CNA realizes that kosher meals are
Meals that are specially prepared when requested by Jewish residents who adhere to the Jewish culture
Religious meals made for special days in the Jewish culture
Prepared in the same way as regular meals.
Prepared by rabbis and delivered by family members
The nursing assistant is cleaning a residents dentures. What is the correct safety precaution?
The nursing assistant places a towel in the sink while cleaning the dentures.
The nursing assistant keeps the dentures in a glass on the sink to soak.
The nursing assistant places the dentures on the bedside table for easy access.
The nursing assistant places the dentures on tissues in the sink while cleaning the dentures.
When is an ostomy pouch emptied?
When the pouch is full
Every two hours
Every day with a.m. care
Every shift
If a residents family becomes angry at the nursing assistant, what action should the nursing assistant take?
Tell the family member it is not your fault.
Quickly walk away.
Tell them you do not have to stand for this behavior.
Stay calm and inform the nurse caring for the resident.
Which of the following is the correct method of washing the perineum of a resident who has an indwelling catheter?
Wash from the rectum to the meatus.
Wash the meatus with peroxide.
Wash away from the meatus.
Provide traction to the catheter while washing the meatus.
The first action of a nursing assistant who discovers a fire is to do what?
Rescue the patient
Pull the fire alarm
Extinguish the fire
Follow the evacuation plan
What is the first step a nursing assistant should take when performing a procedure?
Informing the nurse that you are going to the residents room to perform the procedure
Checking the residents identification
Providing privacy
Documenting the procedure
Which type of device would the physician order to help a resident with ambulation?
Orthodontic
Feeding
Transfer
Assistive