Which of the following should be reported to the charge nurse immediately?
A resident's change in appetite
A resident's complaint of chest pain
A resident who refuses to take a scheduled tub bath
A resident who wanders is found napping in another resident's bed
Correct Answer :
B. A resident's complaint of chest pain
Related Questions
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
Which of the following describes an important requirement when providing colostomy care?
Use sterile technique when providing care.
Wear gloves for Standard Precautions.
Avoid cleansing skin near the stoma.
Position the resident on the side.
The nurse aide is to obtain a residents weight. The nurse aide should
ask if the resident remembers his/her last weight.
ask when the resident last ate food or drank fluid.
wait until after the resident has a bowel movement.
check what scale is usually used for this resident.
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 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.
While helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to
check the resident's ABCs.
ask if the resident can talk.
provide an abdominal thrust.
lower the resident to the floor.
Which member of the health care team counsels residents and their families and arranges for needed services?
Dietitian
Social worker
Physical therapist
Activities director
Which of the following is a right of nursing home residents?
To select the staff that will provide their care
To have designated smoking areas in the facility
To make decisions about their care and treatment
To have activities offered throughout the day and evening shift
What should a nurse aide do with a used disposable razor?
Throw the razor away in a trash can.
Place the razor in a sharps container immediately.
Clean, rinse, and dry the razor so it can be used again.
Wrap the razor in a paper towel until it can be thrown away.
Which statement is true about the effects of aging?
The aging process can be reversed with good health care.
Bladder incontinence is a normal part of aging.
Joints tend to be less flexible as a person ages.
Sensitivity to pain increases with age.
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.
A nurse aide enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do?
Leave the room and close the door to allow privacy.
Consider if this is normal behavior for this couple.
Report the observation to the charge nurse immediately.
Tell the wife that she must leave the facility for the day.
Before helping a resident to stand who has been lying in bed, the nurse aide needs to
find out what the resident plans to do for the day.
make sure a walker is available for support in case it is needed.
ask if the resident has taken any medication recently.
allow time for the resident to adjust to sitting at the edge of the bed.
While watching the residents in the dining room, a nurse aide notices that a resident is eating very little lunch. It is most important that the nurse aide
check if the resident was snacking before the meal.
ask if the resident would like something else to eat.
remind the resident that dinner is several hours away.
check when the resident last had a bowel movement.
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques?
Place a gait belt around the residents waist
Position the chair as close to the bed as possible
Signal the resident to stand by saying, 1, 2, 3, stand
Follow the transfer technique as described in the care plan
Which of the following is the best example of using reality orientation for a resident with early dementia?
Your son plans to visit today at 2:00 p.m.
You are in the nursing home. I am here to help you.
This is your daughter Anna. Do you remember her?
Look at the time. Lunch is in 30 minutes. Are you feeling hungry?
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.
Which of the following best describes the daily routine needs of residents with dementia?
It is important that the resident's day be kept full of activities.
Changing daily routine is often helpful to residents with dementia.
Providing opportunities for activity and periods for rest is important.
Following a strict schedule is required to decrease confusion.
A resident is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the resident's needs?
Provide total care for the resident.
Set high standards for the resident's achievements.
Help the resident focus on even small accomplishments.
Remind the resident that she will be happier when she is home.
When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke?
Arms and hands
Abdominal area
Face and neck
Perineal area
When a resident wears a restraint, the nurse aide must make sure the
resident is wearing an incontinent brief.
resident is checked once every two hours.
restraint is applied following the manufacturer's instructions.
restraint is applied tightly and placed under the resident's clothing.
According to Standard Precautions, the nurse aide should wear gloves for which of the following procedures?
Getting linen from a linen cart
Removing soiled linen from a bed
Performing range of motion exercises
Transferring a resident to a shower chair
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 nurse aide is bathing a resident and notices new swelling in the resident's 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 resident's legs and check again later.
Report the swelling to the charge nurse.
Avoid bathing the resident's lower legs.
A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept?
At the nurses' station.
On the isolation cart outside the resident's room.
In the dirty utility room.
In the resident's room.
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should
remind the resident how much the resident enjoys parties.
encourage the resident to go since so many other residents are attending.
respect the resident's decision and ask what the resident would like to do.
ask if the resident participated in any activities for the Jewish Hanukah holiday.
Which of the following is an example of disinfection?
Washing a resident's hands after toileting
Using a wipe to clean around a resident's stoma
Cleaning a shower chair with a chemical cleanser
Cleaning a resident's bath basin with soap after use
A resident is choking. The first response by the nurse aide should be to
go find the charge nurse.
get the suction machine.
call emergency services (911).
begin abdominal thrusts.
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.
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.