Question 1 of 70
You are caring for a resident with Clostridium difficile (C. diff). After removing your gloves, what is the required hand hygiene method?
Basic Nursing Skills
Question 2 of 70
A resident on airborne precautions must be transported to the radiology department. What is the most appropriate infection control measure?
Basic Nursing Skills
Question 3 of 70
Which set of vital signs indicates a potential medical emergency (hypovolemic shock) that must be reported immediately?
Basic Nursing Skills
Question 4 of 70
A resident with diabetes suddenly becomes pale, sweaty, and confused. What is the most likely cause, and what should the nurse aide do?
Basic Nursing Skills
Question 5 of 70
When assisting a resident with a meal, you notice they are clearing their throat frequently and their voice sounds 'gurgly' after swallowing. This is an indicator of:
Basic Nursing Skills
Question 6 of 70
In the chain of infection, a 'portal of exit' refers to:
Basic Nursing Skills
Question 7 of 70
A resident complains of sudden, severe pain in their calf, which is red, swollen, and warm to the touch. The nurse aide should:
Basic Nursing Skills
Question 8 of 70
When calculating an intake and output (I&O) record, which of the following is NOT counted as fluid intake?
Basic Nursing Skills
Question 9 of 70
A resident is receiving oxygen therapy via a nasal cannula. Which of the following is a safety violation?
Basic Nursing Skills
Question 10 of 70
You enter a room and find a resident unresponsive on the floor. After determining they are unresponsive, what is your immediate next step?
Basic Nursing Skills
Question 11 of 70
During a bed bath, the nurse aide observes a non-blanchable redness on the resident's sacrum. This means:
Basic Nursing Skills
Question 12 of 70
Which position is strictly contraindicated for a resident who is receiving continuous tube feedings via a PEG tube?
Basic Nursing Skills
Question 13 of 70
When putting on (donning) full Personal Protective Equipment (PPE) for a contact/droplet isolation room, what is the correct sequence?
Basic Nursing Skills
Question 14 of 70
A resident has an order for NPO after midnight for a morning surgery. At 2:00 AM, the resident requests a sip of water for dry mouth. The nurse aide should:
Basic Nursing Skills
Question 15 of 70
When measuring blood pressure, what is the 'systolic' reading representing?
Basic Nursing Skills
Question 16 of 70
A resident begins to have a tonic-clonic (grand mal) seizure while sitting in a chair. The nurse aide's priority is to:
Basic Nursing Skills
Question 17 of 70
Which type of fire extinguisher is appropriate for an electrical fire?
Basic Nursing Skills
Question 18 of 70
A resident has an indwelling (Foley) catheter. To prevent a Catheter-Associated Urinary Tract Infection (CAUTI), the nurse aide must:
Basic Nursing Skills
Question 19 of 70
A resident is exhibiting Cheyne-Stokes respirations. How would the nurse aide describe this to the nurse?
Basic Nursing Skills
Question 20 of 70
When providing care, which of the following is considered an objective symptom of pain?
Basic Nursing Skills
Question 21 of 70
A resident needs to be transferred using a mechanical (Hoyer) lift. According to standard safety guidelines, how many trained staff members are required?
Basic Nursing Skills
Question 22 of 70
What is the primary physiological purpose of applying anti-embolic (TED) hose?
Basic Nursing Skills
Question 23 of 70
When taking a tympanic temperature, the thermometer is placed:
Basic Nursing Skills
Question 24 of 70
You notice a frayed electrical cord on a resident's electric bed. The immediate action is to:
Basic Nursing Skills
Question 25 of 70
A resident requires a sputum specimen. When is the optimal time to collect this sample?
Basic Nursing Skills
Question 26 of 70
A resident is bleeding heavily from a laceration on their forearm. The nurse aide's first action should be to:
Basic Nursing Skills
Question 27 of 70
A resident with right-sided hemiplegia needs a button-down shirt removed. What is the correct sequence?
Activities of Daily Living
Question 28 of 70
A resident is on a prescribed 'pureed' diet with 'honey-thick' liquids. The tray arrives with a cup of regular gelatin (Jell-O). What should the nurse aide do?
Activities of Daily Living
Question 29 of 70
When performing perineal care for an uncircumcised male resident, the nurse aide must:
Activities of Daily Living
Question 30 of 70
A resident is highly visually impaired. How should the nurse aide assist them with eating?
Activities of Daily Living
Question 31 of 70
When assisting a female resident with a bedpan, how should the nurse aide position the standard bedpan?
Activities of Daily Living
Question 32 of 70
A resident is experiencing orthostatic hypotension when moving from lying down to standing. To prevent falls, the nurse aide should:
Restorative Skills
Question 33 of 70
Passive Range of Motion (PROM) exercises are ordered for a resident's contracted elbow. During the exercise, the resident winces in pain. The nurse aide should:
Restorative Skills
Question 34 of 70
A resident wears an artificial eye (ocular prosthesis). When removing it for cleaning, the nurse aide should:
Restorative Skills
Question 35 of 70
A resident with advanced dementia accuses the nurse aide of stealing their purse, which is actually in their closet. What is the most therapeutic response?
Emotional and Mental Health Needs
Question 36 of 70
A resident is experiencing a 'catastrophic reaction' (sudden, severe outburst of anger and crying) during a bath. The immediate action should be to:
Emotional and Mental Health Needs
Question 37 of 70
A resident with terminal cancer is angry and yells at the nurse aide, 'You do everything wrong! Leave me alone!' This behavior is likely due to:
Emotional and Mental Health Needs
Question 38 of 70
Which intervention is most appropriate for managing a resident with dementia who paces the hallways endlessly?
Emotional and Mental Health Needs
Question 39 of 70
A resident is suffering from severe depression and refuses to eat, saying, 'What is the point?' The nurse aide should:
Emotional and Mental Health Needs
Question 40 of 70
A resident with expressive aphasia becomes extremely frustrated when trying to ask for a glass of water. The nurse aide should:
Emotional and Mental Health Needs
Question 41 of 70
Validation therapy differs from Reality Orientation in that Validation therapy:
Emotional and Mental Health Needs
Question 42 of 70
A Muslim resident is fasting for Ramadan but has a diagnosis of diabetes. How should the nurse aide handle their meal tray?
Spiritual and Cultural Needs
Question 43 of 70
Following a resident's death, the family requests to be alone in the room to perform cultural bathing rituals. The nurse aide should:
Spiritual and Cultural Needs
Question 44 of 70
A nurse aide places a resident in a wheelchair in a dark room and closes the door to keep them from wandering. This is legally defined as:
Client Rights
Question 45 of 70
A resident has the right to refuse a prescribed medication. If a resident refuses, what is the nurse aide's responsibility?
Client Rights
Question 46 of 70
Which of the following is a violation of the Health Insurance Portability and Accountability Act (HIPAA)?
Client Rights
Question 47 of 70
A family member asks the nurse aide, 'What is the diagnosis of the resident in the next bed? They cough a lot.' The nurse aide should reply:
Client Rights
Question 48 of 70
The Omnibus Budget Reconciliation Act (OBRA) of 1987 established:
Client Rights
Question 49 of 70
If a resident wishes to file a grievance against the facility regarding their care, the nurse aide must:
Client Rights
Question 50 of 70
A nurse aide finds another aide forcefully feeding a resident who is crying and trying to spit the food out. The witnessing aide must:
Client Rights
Question 51 of 70
A resident complains that $50 is missing from their bedside drawer. This is a potential case of:
Client Rights
Question 52 of 70
A resident wants to participate in a facility resident council meeting. The nurse aide should:
Client Rights
Question 53 of 70
Which action demonstrates respect for a resident's right to privacy during personal care?
Client Rights
Question 54 of 70
When documenting in a resident's medical record, the nurse aide makes an error. What is the legally correct way to fix it?
Communication
Question 55 of 70
A resident with profound hearing loss is not wearing their hearing aids. What is the most effective way to communicate?
Communication
Question 56 of 70
Which of the following is an example of 'subjective' data?
Communication
Question 57 of 70
A resident is angry and shouting at the nurse aide. The best communication technique is to:
Communication
Question 58 of 70
When communicating with a resident who has a visual impairment, the nurse aide should always:
Communication
Question 59 of 70
A nurse aide is answering a resident's call light. The most appropriate initial statement is:
Communication
Question 60 of 70
If a resident asks a nurse aide a medical question about their prognosis (e.g., 'Am I going to die soon?'), the aide should:
Communication
Question 61 of 70
A registered nurse (RN) delegates a task to a nurse aide. The aide has never been trained on this task. The aide must:
Member of the Health Care Team
Question 62 of 70
Which of the following tasks is OUTSIDE the scope of practice for a standard nurse aide?
Member of the Health Care Team
Question 63 of 70
The nursing care plan is a crucial document because it:
Member of the Health Care Team
Question 64 of 70
A nurse aide accidentally spills hot coffee on a resident's arm, causing a burn. After ensuring the resident is safe and treated, what administrative action must the aide take?
Member of the Health Care Team
Question 65 of 70
When participating in a care conference, the nurse aide's most valuable contribution is:
Member of the Health Care Team
Question 66 of 70
The 'chain of command' in a nursing facility is important because it:
Member of the Health Care Team
Question 67 of 70
A nurse aide fails to lock the wheels on a wheelchair. The resident attempts to sit down, the chair rolls away, and the resident falls and fractures their hip. Legally, the aide's action is considered:
Legal and Ethical Behavior
Question 68 of 70
A resident with severe dementia repeatedly tries to pull out their feeding tube. The nurse aide ties the resident's hands to the bed rails using a sheet to stop them. There is no doctor's order. This action constitutes:
Legal and Ethical Behavior
Question 69 of 70
If a nurse aide spreads a false rumor that a resident has a sexually transmitted infection, and it damages the resident's reputation, the aide can be sued for:
Legal and Ethical Behavior
Question 70 of 70
A nurse aide witnesses a coworker slapping a resident. The aide tells themselves, 'It is none of my business,' and does not report it. What is the legal consequence for the witnessing aide?
Legal and Ethical Behavior
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