Prometric CAN Exam 2022. Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar? A. Shakiness or trembling B. Thirst and dry mouth C. Sweet bre... ath odor D. Increased urine Residents are most likely to feel the urge to have a bowel movement A. after taking a nap. B. after eating a meal. C. just before bedtime. D. during the shift change. Before helping a resident to stand who has been lying in bed, the nurse aide needs to A. find out what the resident plans to do for the day. B. make sure a walker is available for support in case it is needed. C. ask if the resident has taken any medication recently. D. allow time for the resident to adjust to sitting at the edge of the bed. While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action? A. Dress the resident quickly. B. Check the resident's vital signs. C. Stop the dressing to let the resident rest. D. Go to find a nurse to check the resident. The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to A. decide break times with other nurse aides. B. review assignments with others to check if residents are divided evenly. C. check all assigned residents to see if anyone has immediate needs. D. check what the activity department has scheduled for residents during the shift. 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?" Which of the following is generally experienced by a resident with low blood sugar? A. Fever B. Weakness C. Sour breath D. Frequent urination An alert resident has requested to be left alone with her husband who is visiting. The resident closes the door to her room. What should the nurse aide do? A. Allow the resident to be alone with her spouse. B. Suggest that the husband take the resident home for a visit. C. Explain that the facility's policies do not allow for this type of visiting. D. Remind the resident that this is a nursing home and not a hotel. When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear A. black. B. green. C. purple. D. white. When a resident is light-skinned, an early sign of a skin breakdown will appear as a reddened area, but when an individual has darker skin, the change may appear more purple. What is most important is that the nurse aide observe for changes in skin color, and report changes promptly. Which foods are found on a high protein diet? A. Pasta and rice B. Meat and eggs C. Fruits and vegetables D. Whole grains and milk products A resident says she is 5 feet 6 inches tall. When the nurse aide measures the resident's height, the resident is 5 feet 4 inches. What should the nurse aide do? A. Record the resident's height as 5 feet 4 inches. B. Record the resident's height as 5 feet 6 inches. C. Explain that older people shrink with aging. D. Measure the resident again. The use of a physical restraint helps A. control a resident's behavior. B. protect the resident from injury. C. make staff members' jobs easier. D. decrease how often staff need to check the resident. A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first? A. Speak loudly and directly into the hearing aid. B. Check that the hearing aid is in the correct ear. C. Ask when the hearing aid battery was replaced. D. Make sure the hearing aid is turned on. A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept? A. At the nurses' station. B. On the isolation cart outside the resident's room. C. In the dirty utility room. D. In the resident's room. What is the best reason for giving frequent perineal care to residents? A. It increases comfort. B. It decreases sexual responses. C. It helps prevent skin breakdown. D. It prevents incontinence. The first step the nurse aide should take when discovering a fire is to A. check how quickly the fire is spreading. B. remove any residents near the fire. C. throw a blanket over the flames. D. pull the alarm. To help prevent burns to residents during meals, the nurse aide should A. place a clothing protector on the resident. B. wait to serve the food until hot food is cold. C. add ice to any hot liquids, such as coffee or soup. D. let residents know which foods and beverages are hot. A resident tells the nurse aide about being bored. The resident says, "My days seem to last forever." What should the nurse aide do? A. Tell the resident, "I know what you mean. My days seem long too." B. Ask the charge nurse if the resident can have some medication. C. Ask about activities the resident has enjoyed in the past. D. Tell the resident to check the activity schedule. Why is it important to check the feet of a resident with diabetes at least once a day? A. To look for sores on the feet the resident may not feel B. To check if vision problems have resulted in foot injuries C. To trim the toenails so they do not become long or jagged D. To make sure the resident does not get a foot fungus A resident's hands shake when trying to drink liquids, causing the liquids to spill. What is the best response by the nurse aide? A. Thicken the liquid so it will not spill. B. Place a clothing protector on the resident. C. Seat the resident with other residents who also spill. D. Suggest that the resident might do well with a cup with a lid. A resident who has dementia is usually able to get dressed with some prompting. This morning the resident is more confused and needs more help with all activities of daily living. What should the nurse aide do? A. Tell the resident not to feel bad about needing more help today. B. Provide extra help as needed to avoid the resident becoming frustrated. C. Ask if the resident would prefer to stay in night clothes for the day. D. Check if the resident will get dressed for another nurse aide. A resident, who is on bed rest, asks for a bedpan. The resident is not able to lift own hips to help with the placement of the bedpan. The best action by the nurse aide is to A. ask the nurse if the resident should have a urinary catheter. B. turn the resident onto one side to place the bedpan under the resident's hips. C. place an underpad on incontinent brief under the resident to collect the urine. D. have another nurse aide assist to lift the resident onto the bedpan. A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first? A. Try to get the resident to take a few sips of water through a straw. B. Reach around from behind the resident to provide abdominal thrusts. C. Pat the resident's back and then reach in his mouth to remove the blockage. D. Ask the resident to take a deep breath and cough. A resident is admitted to the nursing home for rehabilitation after a stroke. The plan is for the resident to stay only a short time, before returning home. Which of the following shows the best support of the resident's needs? A. Provide total care for the resident. B. Set high standards for the resident's achievements. C. Help the resident focus on even small accomplishments. D. Remind the resident that she will be happier when she is home. A resident, who is usually alert and oriented, is having difficulty remembering where he is today. What should the nurse aide do first? A. Increase the resident's fluids since dehydration causes confusion. B. Consider that some memory loss is a normal part of aging. C. Ask where the resident believes he is. D. Report the change to the charge nurse. A resident falls from her chair when she has a seizure. Before the nurse arrives, the seizure is finished and the nurse aide observes the resident is breathing. What should the nurse aide do next? A. Get the emergency cart B. Turn the resident onto her side C. Check if the resident is able to talk D. Help the resident back into the chair A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed? A. Hang the urinary drainage bag higher than the level of the resident's bladder. B. Use the measurements on the drainage bag to measure urine output. C. Raise the bed to the highest position for better urine drainage. D. Wear gloves when emptying the urinary drainage bag A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately? A. The resident's fingers are cold and blue in color. B. The splint was removed as scheduled in the care plan. C. The resident asks to have the splint removed for a few minutes. D. The resident asks the nurse aide to reposition the arm with the splint. Which statement is true about the effects of aging? A. The aging process can be reversed with good health care. B. Bladder incontinence is a normal part of aging. C. Joints tend to be less flexible as a person ages. D. Sensitivity to pain increases with age. A resident is restrained. What observation should the nurse aide report to the nurse immediately? A. The resident states, "I do not like this thing." B. The resident's position needs to be adjusted. C. The resident has suddenly become very agitated. D. The restraint was removed according to the care plan schedule. While feeding a resident, the nurse aide notices that the resident is coughing a lot after each drink of fluid. What is the appropriate response by the nurse aide? A. Allow the resident more time to swallow. B. Use a straw when giving the resident fluids. C. Add a thickening product to the resident's fluids. D. Stop feeding and ask a nurse to check the resident. When checking the resident's urinary drainage bag, the nurse aide observes that the resident has had about 50 ccs (mls) of urine output in the last six hours. What should the nurse aide do first? A. Begin offering the resident fluids to drink every 15 minutes. B. Report the observation to the charge nurse immediately. C. Ask if the resident is having any pain when urinating. D. Check to see if the tubing is kinked or bent. When caring for a resident who is comatose, the nurse aide is expected to A. provide mouth care once a day. B. avoid changing the resident's position. C. talk to the resident while providing care. D. keep the resident's room dark and quiet. When a resident is not able to stand, the resident's height is usually measured by A. having coworkers hold the resident upright to allow for the measurement. B. adding the length of legs, chest, and neck/head to determine the height. C. asking the resident's height and subtracting an inch for age-related shrinkage. D. taking the measurement from head to heels while the resident is flat in bed. A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to A. guide the resident from the chair to the floor. B. remove the other resident's away from the table. C. try to open the resident's mouth to check for food. D. keep the resident in the chair by holding around the resident's waist. A resident says, "I am not going to eat this food. It is poisoned," What is the best response by the nurse aide? A. Offer to taste all the food first to prove it is not poisoned. B. Report to the charge nurse that the resident is acting crazy. C. Ask if there is something else the resident would like to eat. D. Leave the resident alone because the resident will eat when hungry enough. Which of the following is an example of disinfection? A. Washing a resident's hands after toileting B. Using a wipe to clean around a resident's stoma C. Cleaning a shower chair with a chemical cleanser D. Cleaning a resident's bath basin with soap after use Disinfecting is a process that involves using a chemical to kill microbes, and it is used on equipment that comes in contact with body fluids or substances--generally used in the nursing home setting on equipment that is used between residents. Which of the following is a right of nursing home residents? A. To select the staff that will provide their care B. To have designated smoking areas in the facility C. To make decisions about their care and treatment D. To have activities offered throughout the day and evening shift After reporting the observation of a red area on the resident's hip, the nurse aide should expect that the A. resident will be placed on short-term bed rest. B. area will be covered with a protective dressing. C. area will need frequent massage with a moisturizing lotion. D. resident should be positioned to avoid pressure on the area. It is most important for the nurse aide to check the temperature of the water before A. assisting the resident with mouth care. B. soaking the resident's feet for foot care. C. giving the resident a bed bath. D. washing hands. A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should A. check the resident's arms and jaw for possible injury or bruising. B. check the care plan to see if the resident is on heart attack precautions. C. ask if the resident might have eaten something that has upset her stomach. D. recognize the seriousness of the signs and observations and report immediately. 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. To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may A. block exit doors. B. restrain residents. C. place large stop signs on doors. D. keep confused residents in their rooms. Which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation? A. The resident's shoe-fit B. The resident's pulse rate C. The way the resident walks D. The color of the resident's toes When a resident is wearing elastic compression stockings (e.g., TED stockings), they generally have an opening in the toe area to allow the circulation to the feet to be checked When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke? A. Arms and hands B. Abdominal area C. Face and neck D. Perineal area A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the resident's friends are often leaving when the resident gets to the dining room. The nurse aide should A. set out clothing that the resident can dress in more quickly. B. dress the resident to make sure the resident gets to breakfast earlier. C. ask if there is any help the resident would like in the morning. D. remind the resident that the friends will also be at activities later. A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A. Use the resident's pitcher of water to put out the fire. B. Open the window to get the smoke out of the room. C. Yell "Fire!" along with the room number. D. Remove the resident from the room. When fire presents an immediate danger to residents, the first response should be to remove any residents from harm. The acronym of R-A-C-E is used to remind staff of the steps to follow when responding to a fire emergency. R - removal of residents from danger A - alarm (getting emergency assistance) C- confine the fire (closing doors and windows) E - extinguish (if this can be done safely) A resident with a feeding tube is scheduled for a shower. The resident's feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide? A. Disconnect the feeding tube temporarily to give the shower. B. Protect the pump with a plastic bag before bringing into the shower room. C. Ask the charge nurse for assistance with the feeding pump. D. Give the resident a bed bath since the resident has a feeding tube. The normal appearance of urine is A. clear. B. cloudy. C. dark yellow. D. strong smelling. A nurse aide finds a resident who has a history of falls lying on the floor in the resident's room. The resident is crying and says, "I fell again." What should the nurse aide do first? A. Call for help while keeping the resident calm. B. Check for injuries while asking how the resident fell. C. Place a pillow under the resident's head and cover with a blanket. D. Consider if the resident is trying to get attention. [Show More]
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