Safety & Ethics
While eating dinner, a client starts to choke and turn blue. The nurse aide SHOULD
a) call for assistance and perform the Heimlich maneuver (abdominal thrusts)
b) slap the client on the back until the food dislodges
c) offer the client a drink of water
d) immediately remove food tray and find the nurse in charge
What is a) call for assistance and perform the Heimlich maneuver (abdominal thrusts)?
Which of the following is a correct measurement of urinary output?
a) 1 quart
b) 40 oz
c) 2 cups
d) 300 mL
What is d) 300 mL?
A confused and disoriented client is begging to go home. The nurse aide’s BEST response is to
a) tell the client, "This is your home."
b) ask the client to talk about their home
c) take the client to the activity room
d) tell the client, "We will take you home later."
What is b) ask the client to talk about their home
The nursing care plan states, “Transfer with mechanical lift.” However, the client is very agitated. To transfer the client, the nurse aide SHOULD
a) get assistance to move the client
b) keep the wheels unlocked so the lift can move with the client
c) lift the client without the mechanical device
d) place the client in the lift
What is a) get assistance to move the client?
The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client’s feet?
a) cloth-soled slippers
b) rubber-soled slippers or shoes
c) nothing
d) socks or stockings only
What is b) rubber-soled slippers or shoes?
Skill to perform - Assist to Ambulate with a transfer belt
The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD
a) comfort the client while moving the person to a safe place
b) push the wheelchair out of the hallway and carry the client out of the facility
c) lock the client's wheelchair and check the surrounding area for smoke
d) leave the client to search for help
What is a) comfort the client while moving the person to a safe place?
Remember R.A.C.E. = Rescue/Remove; Alarm; Confine/Contain; Extinguish
When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s
a) neck
b) chest
c) elbow
d) wrist
What is d) wrist?
Tip: place index and middle fingers on hollow area below the thumb
The equipment you need for oral care of an unconscious client includes
a) toothette/mouth swab
b) toothbrush
c) toothpaste
d) all of the above
What is a) toothette/mouth swab?
When helping a client who is recovering from a stroke to walk, the nurse aide should assist
a) on the client's strong side
b) with a wheelchair
c) on the client's weak side
d) from behind the client
What is c) on the client's weak side?
When the nurse aide gives evening care to a client with a full set of dentures, proper procedure requires that the dentures be placed
a) in a denture cup with the client's name on it
b) on the sink in the client's bathroom
c) under the client's pillow
d) in a tissue on the client's bedside stand
What is a) in a denture cup with the client's name on it?
Skill to perform - Cleans Upper or Lower Denture
A nurse aide reported bruises on Mr. Jenkins’ arm last week. Today, during a.m. care, there were more bruises. The nurse aide should
a) call the police because nothing has been done
b) ask another nurse aide to report the new bruises
c) do nothing because Mr. Jenkins has not complained
d) report the abuse again or call te state's abuse hot line
What is d) report the abuse again or call the state's abuse hot line?
To take an oral temperature, the nurse aide SHOULD
a) put lubricant on the thermometer
b) place the thermometer under the tongue
c) place the thermometer for 10 minutes
d) place the thermometer under the arm
What is b) place the thermometer under the tongue?
Which of the following is NOT considered a way to restrain a client?
a) pain management
b) a hand mitt
c) lap buddy/tray
d) a sedative
What is a) pain management?
Clean bed linen placed in a client’s room but NOT used should be
a) returned to the linen closet
b) put in the dirty linen container
c) taken to the nurse in charge
d) used for a client in the next room
What is b) put in the dirty linen container?
A female resident calls the nurse aide and says, “Someone spilled water on my bed.” The nurse aide observes a wet area on the pad, directly underneath the resident. The nurse aide should
a) change the linens and make a mental note to offer the bedpan more often
b) tell the resident that she has obviously urinated in bed
c) remind the resident to ask for a bedpan when she needs one
d) ask the nurse to get an order for an indwelling catheter
What is a) change the linens and make a mental note to offer the bedpan more often?
Skill to perform - Assist with Bedpan
What is the FIRST thing a nurse aide should do when finding an unresponsive client?
a) call for help
b) call the client's family
c) close the door
d) start compressions
What is a) call for help?
To be sure that a client’s weight is measured accurately, the client should be weighed
a) after a good night's sleep
b) at the same time of day
c) after a meal
d) by a different nurse aide
What is b) at the same time of day?
A resident with dementia needs
a) increased activity to stay alert
b) freedom from rules and regulations
c) to be isolated from others
d) a structured environment
What is d) a structured environment?
Note: Daily routines can keep clients with dementia calm and focused. These clients require as much familiarity as possible in their environment. Try to include their favorite activities.
When communicating with a nonverbal resident, the nurse aide should do all of the following EXCEPT
a) remembering that nonverbal residents are often able to understand
b) providing routine care while assuming the resident has no way to communicate
c) asking the family if there are facial expressions or gestures that have meaning
d) reaching the resident;s eye level for better interaction
What is b) providing routine care while assuming the resident has no way to communicate?
To avoid pulling on the catheter while you're turning a client, the catheter tube must be taped to their
a) bedsheet
b) hip
c) bed frame
d) upper thigh
What is d) upper thigh?
Skill to perform - Provides Cath Care for a Female
Forgetting to raise the side rails as ordered causes a resident to fall and be injured. This could be called
a) neglect to keep the resident safe
b) an unreported incident
c) an accidental fall because it wasn't intended
d) a faulty safety standard
What is a) neglect to keep the resident safe?
Normal blood pressure is ____ but can range from ____ to ____.
What is 120/80; 90/60; 140/90?
Mrs. Lee is an alert, demanding resident who uses the call signal often. If you don’t answer it immediately, she yells, "Help! Help!" When you answer the call signal, her requests are never urgent. She also speaks sharply to you when you are in the room. Mrs. Lee is demonstrating
a) psychotic behavior
b) that she doesn't like you
c) being spoiled and pampered
d) anxiety or fear
What is d) anxiety or fear?
Which of the following is the most comfortable position for a client with a respiratory problem?
a) Prone
b) Supine
c) Fowler's
d) Lateral
What is c) Fowler's?
note: sUPine - face up; prone - face down; lateral - either side; sim's - left side
When you give a bed bath, which is the last area that you should clean?
a) feet
b) eyes
c) perineum
d) armpits
What is c) perineum?
Skill to perform - Modified Bed Bath