Exam (elaborations)
Prometric Exam -1 Questions and Answers Graded A+
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Exam of 19 pages for the course Prometric at Prometric (Prometric Exam -1)
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Prometric Exam #1While receiving persona care in bed, a resident begins to have a seizure. The nurse aid
should...
a. hold the resident down to reduce injury
b. keep the airway open and prepare to do CPR
c. call the charge nurse and remain with the resident
d. place a tongue blade between the resident's teeth - answerc
Rationale: When a resident has a seizure, the nurse aide is responsible for maintaining
the safety of the resident. Calling for help is the important first task. A nurse will be able
to assess the resident and determine if any further action is required. The nurse aide
should remove any objects in the area that could possibly harm the resident. If the
resident is sitting in a chair, guiding the resident to the floor and protecting the resident's
head is important. Clothing may need to be loosened to help with breathing. There is no
way to stop or shorten the seizure, so the nurse aide should simply observe the seizure
activity and try to time the length of the seizure. The nurse aide is not to leave the
resident at any time. When the seizure is over, the resident should be turned to the side
to reduce the risk of choking in vomit or saliva
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...
a. check if the resident was snacking before the meal
b. ask if the resident would like something else to eat
c. remind the resident that dinner is several hours away
d. check when the resident last had a bowel movement - answerb
Rationale: Nutritional status is very important to an elderly resident. Residents who are
not eating enough are at greater risk for health problems. Eating well can be challenging
for some elderly residents because of changes in their ability to smell and taste. As a
result, residents may have less interest in food. One way to improve appetite is to allow
residents to make their own food choices. In this manner, the resident exercises
independence and choice over what is eaten. This helps the resident feel a greater
sense of control, which contributes to self-esteem. It is also the resident's right to be
involved in choices affecting the resident's life and care. If the nurse aide sees that a
resident is not eating, while there are questions the nurse aide may have about why, the
most important immediate question is to ask if there is something the resident would like
to eat. In responding to the question, the nurse aide is likely to learn more about why
the resident is not eating.
The nurse aide's role in assisting with a bowel and bladder restraining program
includes...
,a. being consistent with carrying out the toileting schedule
b. notifying the family that the resident has been placed on the program
c. determining the type of program best suited for the resident
d. checking the resident every four hours for incontinence - answera
Rationale: Bowel and bladder retraining is intended to help residents who are
incontinent become continent. The retraining program requires that the resident be
toileted on a routine schedule to void or defecate. It requires consistency to be effective.
The schedule is individualized, but typically residents are toileted every two hours at
first. When a resident is involved in retraining, it is best if the person can sit on a toilet
instead of using a bedpan. The care plan for retraining may also include making sure
the resident is getting enough fluids so that the bladder receives signals when filling. For
many elderly residents, the goal of retraining is to help the body recognize the urge and
sensations associated with bowel or bladder elimination. When residents gain bladder
and/or bowel control, the risk of skin irritation and breakdown decreases. Gaining
bladder and/or bowel control also helps preserve personal dignity.
A resident, who is on a toileting schedule, asks to go to the bathroom frequently. The
nurse aide should respond to the resident's requests by...
a. telling the resident that it is not the time
b. decreasing the resident's fluid intake
c. asking the resident to follow the schedule
d. taking the resident to the bathroom as needed - answerd
Rationale: A toileting schedule may be part of a resident's care. However, should a
resident ask to be toileted at a non-scheduled time, it is the nurse aide's responsibility to
make sure that the resident is assisted. The resident may be unable to wait until the
scheduled toileting time, and must not be made to wait. The resident should be allowed
to use the bathroom as often as needed. It is important that the nurse aide treat and
respond to the resident in a manner that is respectful and dignified
The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m.
and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident
refuses. Which of the following is the best response by the nurse aide?
a. "Maybe you can plan to walk a little further this afternoon."
b. "The doctor ordered your walking exercise. You really need to try."
c. "You have the right to refuse. Do you want me to tell the nurse?"
d. "Would you prefer to walk a little later?" - answerd
Rationale: The nurse aide is responsible for carrying out the instructions and activities
indicated on the resident's care plan. If ambulation is an activity required to assist in
maintaining or increasing the resident's mobility, the nurse aide will need to attempt to
complete that activity. It is always the resident's right to make decisions about care and
to refuse any activity that the resident does not want to participate in. However, by using
effective communication techniques, the nurse aide may be able to encourage the
resident to attempt and complete an activity that was initially refused. Asking about the
, resident's preferences is often an effective way to do this, as it shows respect for the
resident's rights and allows the resident to feel a sense of control.
A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's
scope of practice. What should the nurse aide do?
a. Consider if the task can be performed another way
b. Provide the care and perform the task as best as possible
c. Contact the ombudsman's office since resident's rights may be violated
d. Refuse to perform the task and explain it is not within the nurse aide's role - answerd
Rationale: The nurse aide is permitted by state law to perform certain tasks to provide
care to residents. There are also specific tasks that the nurse aide is prohibited from
performing, and some tasks that may be allowed if the nurse aide receives additional
training. If the nurse aide is asked to perform a task that is outside the scope of a nurse
aides' practice as determined by state law, the nurse aide should refuse to perform the
task. This refusal should be communicated to the nurse by the nurse aide in a respectful
manner.
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...
a. remind the resident how much the resident enjoys parties
b. encourage the resident to go since so many other residents are attending
c. respect the resident's decision and ask what the resident would like to do
d. ask if the resident participated in any activities for the Jewish Hanukah holiday -
answerc
Rationale: Cultural sensitivity is an important part of providing quality care to residents.
Being sensitive to a resident's culture is a part of the nurse aide's responsibilities. A
resident's refusal to participate in activities due to cultural differences is the resident's
right. The nurse aide must remain respectful to the resident's choices. When providing
care to residents of different cultures, the nurse aide should use those opportunities to
learn about their cultures.
A resident with dementia tries to get out of bed without help during the night. The care
plan states the resident needs assistance to get out of bed. What should the nurse aide
to first?
a. orient the resident to person, place and time
b. review how to use the call light with the resident
c. tell the resident to never get out of bed without help
d. try to find out if there is something the resident needs - answerd
Rationale: Residents that experience confusion are sometimes more confused at night.
Oftentimes, the behaviors and actions of a confused resident are related to needs. For
example, when a confused resident is trying to get out of the bed, this behavior may be
related to the resident needing to go to the bathroom, being uncomfortable (e.g.,
incontinent) or being thirsty. It is important to try to understand if there is a need and
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