NICHE #1
NICHE#2
NICHE#3
NICHE#4
NICHE #5
100

Before shaving a resident, the nursing assistant checks for which of the following items in the resident’s care plan?

A.) Shaving instructions related to problems or issues clotting.

B.) History of a heart condition.

C.) Presence of the resident’s razor from home.

D.) Any previous refusal of ADLs.

A.) Shaving instructions related to problems or issues clotting.

100

The most serious problem that wrinkles in the
bedclothes can cause is
a. restlessness.
b. sleeplessness.
c. decubitus ulcers.
d. bleeding and shock.

c. decubitus ulcers.

c. decubitus ulcers

100

Which of the following is a correct aspect of making an occupied bed?

A.) Place soiled linen on the floor until the bed has been remade with clean sheets.

B.) Lower the bed to the lowest level when the procedure is complete.

C.) Avoid raising the bed rails unless absolutely necessary.

D.) Mitering the corners of the new sheet is no longer recommended.

B.) Lower the bed to the lowest level when the procedure is complete.

100

A client with Alzheimer's wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by...

A.) recording intake and output.

B.) brushing the client’s teeth.

C.) taking the client to the bathroom.

D.) assisting the client to call family members.

C.) taking the client to the bathroom.

100

What protective equipment should be worn when changing an incontinent patient?

A.) Gloves and gown.

B.) Mask and gown.

C.) N-95 mask.

D.) Gloves, gown, and a mask.

A.) Gloves and gown.

200

A patient who has difficulty chewing or
swallowing will need what type of diet?
a. clear liquid
b. low residue
c. bland
d. mechanical soft

d. mechanical soft

200

Dyspnea is a term that refers to difficulty with which of the following?

A.) Urinating.

B.) Breathing.

C.) Defecating.

D.) Swallowing.

B.) Breathing.

200

Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?

A.) Mechanical lift.

B.) Draw sheet.

C.) Gait belt.

D.) Wrist restraints.

A.) Mechanical lift.

200

A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?

A.) 480 cc.

B.) One hundred and twenty cc.

C.) 120 ml.

D.) 480 ml.

D.) 480 ml.

300

Which of the following is the correct procedure
for serving a meal to a client who must be fed?

a. Serve the tray along with all the other trays,
and then come back to feed the client.

b. Bring the tray to the client last, feed after
you have served all the other clients.

c. Bring the tray into the room when you are
ready to feed the client.

d. Have the kitchen hold the tray for one hour.

c. Bring the tray into the room when you are
ready to feed the client.

300

The nursing assistant knows that signs of hypoglycemia include which of the following?

A.) Tachycardia.

B.) Polyuria.

C.) Hot and dry skin.

D.) Sweating.

D.) Sweating

300

The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best?

A.) Retrieve a safety clipper and hand it to the client.

B.) Report to the nurse that the client needs her toenails trimmed.

C.) Check the client’s blood glucose before cutting her toenails.

D.) Check the chart for physician orders regarding nail trimming.

D.) Check the chart for physician orders regarding nail trimming.

400

Of the following symptoms, which one is most likely due to an infection in a resident?

A.) Pale skin.

B.) Tented skin.

C.) Sudden onset confusion.

D.) Aphasia.

C.) Sudden onset confusion.

500

Which of the following options is the best method to prevent insomnia?

A.) Ensure the client eats one apple per day.

B.) Encourage the client to take several naps daily.

C.) Encourage the client to take several walks around the facility daily.

D.) Encourage the client to remain in bed throughout the day.

C.) Encourage the client to take several walks around the facility daily.

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