MODULE X – THREADS OF CARE
COMPLETE BED BATH
1. A bed bath is given to:
a. Increase comfort level of patient
b. Promote good hygiene
c. All of the above
2. When giving a bath, begin with:
a. Hair care
b. Eyes and face
c. Mouth care
3. If the nurse aide leaves the patient soiled, the NA could be charged with________________.
4. The NA needs to roll the patient to wash their back. What safety precaution should be taken 1 st?
a. Raise the side rail on the side to which the patient will be turned
b. Call for assistance
c. Use a turn sheet
5. When bathing the patient, the bed is raised to working height. What safety precaution must be taken
when the bath is complete?
a. Pour out the bath water
b. Dispose of linen
c. Lower the bed
d. Document bath given
6. When bathing, dignity is provided by ________________________.
7. Bathing helps stimulate ______________________.
DRESSING AND UNDRESSING
8. What would you do 1st if your patient says “NO” when asked if he wants a bath?
a. Tell the patient they don’t have a choice
b. Tell the patient’s nurse
c. Change your approach when asking about a bath
9. Clothing must be changed when ____________________________.
10. If you use one resident’s clothing for another, it is called _______________ of the resident’s property.
11. With dressing and undressing, privacy is provided by:
a. Pulling the curtain 360 degrees
b. Limiting patient exposure
c. Closing the door to the room
d. All of the above
12. How can the patient’s right of choice be observed with dressing and undressing?
___________________________________________________
13. When a patient has a weak right arm, how do you assist the patient with dressing and undressing?
a. TOSS
b. POWS
c. Put your hand through the shirt to support the hand/arm that is weak
d. All of the above
14. What must you do if the patient complains of pain during dressing and undressing?
______________________
15. POWS means:
a. Push out window soon
b. Put on weak side
c. Put on wet shirt
16. TOSS means:
a. Take out side silly
b. Tear no slick surface
c. Take off strong side
PERICARE
17. What must always be used with pericare?
_________________
18. When turning the resident during pericare, what is important for safety?
______________________________
19. Prior to performing pericare, the water temperature should be:
a. 105 degrees
b. Warm
c. The temperature the resident desires which is determined by having the resident check the water
temp
20. When providing pericare, dignity can be observed by
__________________________________________________________________________
21. When providing pericare, why would the NA begin with the genital area and move to the rectal area?
__________________________________________________
22. What is the importance of raising the bed to working height to provide patient care?
a. Good body mechanics
b. Decrease potential injury to NA and patient
c. All of the above
23. When providing pericare , it is important to:
a. Move quickly to avoid embarrassment of the patient
b. Clean with a different area of the washcloth with each stroke
c. Wash only the genital area
MAKING AN OCCUPIED BED
24. You are going to bathe a resident in the next room. Can unused linen from the room you are currently
in be used next door? YES NO explain your answer
25. Linens must be changed when _______________________.
26. To change a soiled bed, the NA would:
a. Wear gloves
b. Roll dirty linen so the dirty side is out
c. Carry soiled linen next to your uniform
27. Dirty linen can be placed on the floor? YES NO explain your answer
28. When making a bed, linens should always be wrinkle free to ____________________________.
FOOT CARE
29. What would you do if you notice your patient’s toenails need trimming?
_______________________________________
30. Why is it important to dry between toes? ____________________________
31. Your patient has an injury to his foot. This would be a_____________________ for infection.
32. The diabetic often has decreased circulation and sensation (called peripheral neuropathy) that
increases their risk for _______________.
33. Residents have the right to _______ foot care, but they also have the right to _____ feet.
34. Nails _____________________ with age, but can be softened by _____________________.
35. You are providing foot care. What abnormalities should you report?
a. Warm, pink feet
b. Reddened heels
c. Breaks in the skin
d. B and C
FINGERNAIL CARE
36. It is important to keep fingernails clean because they can _____________________________.
37. Never cut nails of the _________ patient.
38. It is important to check nails for breakage, as jagged nails may cause __________.
39. There is a _______________ in feeling or sensation in fingertips as part of the aging process.
40. Nails are cleaned after soaking by using an ____________________.
MOUTH CARE
41. When assisting a resident with oral care, the NA must wear:
a. Gown
b. Gloves
c. Mask
42. When providing oral care for the unconscious resident, the patient should be placed in which position?
a. Supine
b. Sims
c. Lateral
d. Prone
43. Water temperature for denture care is:
a. 105 degrees
b. Cold
c. Tepid
44. When providing denture care, a safety precaution to follow would be to:
a. Line the sink with a washcloth and have the water running prior to holding dentures over sink
b. Insist patient do their own denture care
c. Only soak the dentures to decrease the time the NA is holding the dentures
HANDWASHING
45. What is the single most important thing you can do to prevent the spread of infection?
___________________________________
46. _____________ helps rub off germs.
47. When using soap and water, hands must be washed for a minimum of ___________________.
48. Hand rubs can be used if hands are not visibly soiled. T F
49. Areas most often missed with hand washing include:
a. Fingertips
b. Between fingers
c. Palms
d. Thumbs
e. All of the above
50. Only facility approved lotions can be used at work after handwashing. T F
51. Why is good handwashing important when working with the elderly?
a. They are at higher risk of infection
b. Often the elderly have weakened immune systems
c. A & B
PERSONAL PROTECTIVE EQUIPMENT (PPE)
52. When you put on PPE, it protects you and the patient by breaking the ____________ link in the chain
of infection.
53. Can gloves be worn more than once? YES NO
54. When should gloves and gown be removed when care is complete?
a. Before leaving the room at the doorway
b. Once outside of the patient room
c. When at the nurses’ station
55. Your patient is on respiratory precautions and you are wearing a mask, in addition to gloves and gown.
When is the mask removed?
a. First, then gloves and gown
b. After removal of gloves
c. Last as you leave the patient room, just inside the doorway
56. You are providing care and your glove becomes torn. You should immediately:
_________________________________________________
57. You are providing care to a resident on contact precautions. The gown protects you because it is made
of _______________________________.
58. You are providing care to a resident on contact precautions. You need extra linen which is right outside
the door. What should you do?
a. Dash out to get the linen and hope no one sees you
b. Remove gown and gloves prior to leaving the room and re-gown and glove before re-entering the
room
c. Hang the gown on the door knob and re-use it after getting the linen
59. Standard precautions means? _____________________________________________
MEASURING AND RECORDING VITAL SIGNS
60. The nurse aide is taking vital signs, but is unsure of the BP reading. The appropriate action for the NA
would be to:
a. Guess the BP
b. Write down values similar to previous readings
c. Re-take the BP and report to the nurse if there is continued difficulty
61. Vital signs are used to _________________________________________of a patient’s organs.
62. What is the fifth vital sign? ______________
63. The NA obtains vital signs and determines that the pulse rate is lower than the normal range. The NA
should:
a. Complete all unit vital signs, then report to the nurse
b. Report findings to the oncoming NA
c. Immediately report findings to the patient’s nurse
MEASURING AND RECORDING HEIGHT AND WEIGHT
64. When assisting the ambulatory patient to weigh, the NA should ensure patient safety by:
a. Having patient wear shoes or non-skid footwear
b. Using a gait belt
c. Ask for assistance
65. Prior to the resident stepping onto the scales, the NA must ______________ to obtain an accurate
weight.
COLLECTING ROUTINE URINE SPECIMEN
66. The nurse has asked the NA to collect a routine urine specimen. The NA would do all of the following
except:
a. Place the specimen on the over bed table
b. Wear gloves
c. Place the urine specimen in the refrigerator labeled “specimens only”
67. If the NA fails to refrigerate the urine specimen and realizes her mistake 4 hours later, what must the
NA do?
a. Say nothing
b. Report to the nurse and collect a new specimen
c. Put the urine in the refrigerator when the mistake is discovered
68. When working with a patient with an in-dwelling catheter, it is important for the NA to do all of the
following except:
a. Hang the catheter bag on the bed frame
b. Report change in color, odor or sediment
c. Place the catheter bag on the floor while the patient is in the chair
69. You are to collect a urine specimen. What are the 5 rights to specimen collection?
a. Right resident
b. Right specimen
c. Right container
d. Right date/time
e. Right storage/delivery
f. All of the above
ASSISTING WITH USE OF BATHROOM AND MEASURING AND RECORDING URINARY OUTPUT
70. When emptying elimination equipment, contents must be:
a. Emptied into the toilet
b. Emptied into the sink
c. Placed on the over bed table
71. A fracture pan is used for a resident who has:
a. Pneumonia
b. A fractured ankle
c. A fractured pelvis
d. A head injury
72. When placing the patient on the bedpan, the HOB must be:
a. Semi-fowlers position
b. Flat
c. Elevated 75-90 degrees
73. After placing the patient on the bedpan, the HOB is raised:
a. Before removing gloves
b. After removing gloves
c. After removing gloves and washing hands
74. Prior to taking the resident off the bedpan, the NA must:
a. Put on gloves
b. Lower the HOB
c. Pull the bed linen to the foot of the bed
d. A & B only
75. If a resident’s skin is wet from urine at any time, this is considered to be _____________________.
76. Incontinence is a normal part of aging? T F
77. Urination is affected by all of the following except:
a. Age
b. Fluid intake
c. Disease
d. Weather
78. When reading the amount of urine in a graduate, it is measured in increments of ____________.
79. When measuring urinary output, prior to recording, the NA must _______________________.
APPLYING ANTI-EMBOLISM (ELASTIC) STOCKINGS
80. The NA should apply the TED stockings:
a. With the patient in bed
b. When the patient is OOB
c. While in the shower room
81. Why should the resident have 2 pair of TED’s? ________________________________________
82. What is the opening of the TED stocking used for?
____________________________________________________________________________________
83. Why should stockings be wrinkle free? ___________________________________
84. The resident is to get OOB and is wearing TED stockings. What must the resident have on his feet prior
to getting OOB? _________________________________
85. How does the NA know how long the patient should wear his TED stockings and when to remove
them?
___________________________________________
86. The purpose of the anti-embolism (TED) stockings is:
a. Increase blood circulation
b. Prevent blood clots
c. Promote venous return of blood to the heart
d. All of the above
PROVIDING CATHETER CARE AND EMPTYING URINARY DRAINAGE BAG
87. When providing catheter care for the female patient, the NA must:
a. Hold the catheter at the meatus
b. Report abnormal odor, color or sediment
c. Clean at least 4 inches of the catheter
d. All of the above
88. When emptying an indwelling catheter, the NA would:
a. Place a barrier on the floor under the graduate
b. Touch the inside of the graduate with the drainage tubing to reduce splashing
c. Clean the drain tubing prior to replacing it in its holder with alcohol
d. Hold the catheter above the bladder while emptying the drainage bag
e. A & C
89. Urinary tract infections are more likely to occur in the female because:
a. The urethra is shorter
b. The urethra is located in close proximity of the rectum
c. The female has more bacteria than the male
d. A & B
90. When providing catheter care to the uncircumcised male, the NA would:
a. Retract the foreskin
b. Hold the catheter at the meatus
c. Return the foreskin to its normal position after cleaning
d. All of the above
ASSISTING WITH DINING/FEEDING RESIDENT AND MEASURING AND RECORDING INTAKE
91. Residents with Alzheimers may be easily distracted and may need assistance from the NA. The NA may
find which of the following useful when working with the Alzheimer’s resident at meal time:
a. Assist the resident in a quieter part of the dining room
b. Slap the resident when they do not swallow their food
c. Stand while feeding the resident
d. Stroke the resident’s throat to stimulate swallowing
e. A & D only
92. When preparing to feed a resident, the NA must:
a. Assist resident to be upright 75-90 degrees
b. Wash residents hands prior to feeding
c. Feed with a fork
d. Place a bib on the resident prior to feeding
e. A & B only
93. Your resident can feed themselves, but has difficulty due to poor vision. To encourage independence
with feeding the NA should:
a. Make sure the resident has only finger-foods
b. Explain the location of food items using an imaginary clock
c. Tell the resident they have to be fed since they cannot see
94. Your patient is on intake and output. The following items are consumed from the meal tray: 4 oz
chicken, 6 oz tea, 8 oz tomato soup, 3 oz vanilla ice cream and 4 oz mashed potatoes. Document the
amount of fluid the patient consumed.
a. 750 ml
b. 360 ml
c. 510 ml
RANGE OF MOTION EXERCISES
95. ROM must always have a ___________________________.
96. When doing ROM, the patient is completely uncovered. T F
97. You are performing ROM per the care plan and the patient complains of pain. The NA should do all of
the following except:
a. Stop the ROM
b. Report pain to the nurse
c. Tell the patient pain is to be expected
TRANSFERRING FROM BED TO WHEELCHAIR
98. The most frequent complication in transferring a resident from bed to wheelchair is __________.
99. When transferring a patient from bed to wheelchair, the NA must make sure the following safety
precautions are followed:
a. Bed and wheelchair are locked
b. Resident has on shoes or non-skid foot-wear
c. Patient’s feet are flat on the floor prior to standing
d. All of the above
100. When transferring a patient, which leg is nearest the chair?
a. Weaker leg
b. Stronger leg
101. Activity improves muscle tone, and
a. Causes decreased peristalsis
b. Increases venous return to the heart
102. A broad base of support increases stability during transfers. T F
MOVING UP IN BED USING TURNING SHEET AND POSITIONING RESIDENT ON SIDE
103. To reduce possible abuse and neglect charges, turn and position residents per the
______________.
104.
a.
b.
c.
d.
Positioning a patient on their side is called which position?
Sims
Lateral
Supine
Prone
105.
a.
b.
c.
d.
e.
Proper body alignment and positioning helps prevent complications such as:
Contractures
Muscle atrophy
Obesity
Skin breakdown
A, B, & D
106. When moving a patient up in bed, it is important to raise the bed to working height. After care is
complete, a critical safety element for the NA is to:
a. Let the nurse know you have completed the delegated task
b. Lower the bed
c. Take a break
ASSISTING WITH AMBULATION
107.
a.
b.
c.
d.
When ambulating a resident who had a CVA and is weak on the right side, the NA would need to :
Use a gait belt per facility policy
Walk on the resident’s weak side
Walk slightly behind the resident
All of the above
108.
a.
b.
c.
During crutch walking, the patient should be instructed to:
Bear weight under the arms
Lean forward
Bear weight on hands and arms
109.
a.
b.
c.
When applying a gait belt prior to ambulation:
Place the belt with the patient supine
Place around the patient’s waist after dangling
Place belt after standing the patient
APPLYING RESTRAINTS
110. Restraints must be tied using which type of knot? ___________________________
111.
a.
b.
c.
d.
Your patient has a doctor’s order for a restraint. All of the following must be adhered to except:
Visual check every 2 hours
Restraint release for 15 minutes every 2 hours
Call signal must be in reach
Check extremity that is restrained for color
112. Long term care facilities are ________________________ environments.