Nurse Aide Review Quiz

What does passive range of motion indicate about a resident's abilities?

• The resident can perform exercises independently.

• The resident needs verbal instructions to perform exercises.

• The resident is unable to move their own limbs to perform exercises.

• The resident requires exercise equipment to perform exercises.

Answer explanation

Passive range of motion indicates that the resident is unable to move his or her own limbs to perform the exercises. The resident will need the nurse aide to guide the resident’s limbs through the exercises, which means the resident’s role in the exercise is "passive." Since the resident is not performing the exercise, giving the resident verbal instructions or prompts about how to perform the exercises is not necessary.

What does active range of motion indicate about a resident's abilities?

• The resident can perform exercises independently.

• The resident needs verbal instructions to perform exercises.

• The resident is unable to move their own limbs to perform exercises.

• The resident requires exercise equipment to perform exercises.

The nurse aide was hired at the nursing home 2 days ago and just clocked in for her first shift. She has been paired up with an existing nurse aide for orientation. Which of the following is the most important for the nurse aide to do while on orientation?

• Get all of the residents up as quickly as possible so that the staff will be impressed.

• Meet with the Human Resources Coordinator (HR) to discuss the pay.

• Get to know the residents and their care plans

• make sure to keep the beds neatly made when the resident is not in bed.

Answer explanation

As a new nurse aide, or when caring for new residents, the nurse aide should use their time during orientation to get to know the residents and their care plans. The nurse aide can only perform care tasks according to the care plan and/or the charge nurse's instructions.

When a resident cannot find a personal item, what is the nurse aide's initial responsibility?

• To immediately search through the resident's belongings.

• To report the missing item to the supervisor.

• To assist with finding the item and report it if missing.

• To assume the item has been taken and take action.

Answer explanation

When a resident is concerned that he or she cannot find a personal item, the nurse aide's responsibilities include trying to assist with finding the item, and reporting when an item is missing. When an item cannot be found, the resident may believe it has been taken. But most people have experienced times when something seems lost, but an extra set of eyes helping to look or searching later finds the item. Before a nurse aide begins searching through the resident's belongings, it is necessary to get permission. This is respectful of the resident's rights.

What should a nurse aide do before performing care tasks for a new resident whose care plan is not yet completed?

• The care plan will not tell you anything about the resident's toileting, ambulation or transfer needs. It will only tell you the residents food preferences.

• Ask the family about how the resident managed their activities of daily living before admission.

• Interview and ask the resident how they used to do things at home.

• Ask the nurse for instructions before performing any tasks for the new resident.

Answer explanation

The care plan is the source of information about how a resident is toileted, ambulated, and transferred. However, since the resident is new and the care plan is not yet completed, the nurse aide should ask the nurse for instructions before performing any tasks for the new resident. While it will be important to learn about how the resident managed activities of daily living before coming to the nursing home, legally the nurse aide must get direction about toileting, ambulating, and/or transferring the resident from the nurse.

Which of the following demonstrates that the nurse aide understands her role as a CNA that is part of the resident care plan team?

• The nurse aide places the hair brush in Mrs. Jones' hand and guides her hand to brush her own hair.

• the nurse aide washes their hands before and after performing care tasks on a resident

• Mr. Jones ate 25% of his dinner and the nurse documents this in the resident's chart.

• Mr. Jones has a red spot on his coccyx that did not go away, the nurse aide keeps him off his coccyx with positioning devices and notifies the charge nurse of their observations

• All of these

Answer explanation

The role of the nurse aide as part of the resident care plan team is to:

1. Encourage the resident to remain as independent as possible and to observe for changes in their level of function and report those changes to the nurse.

2. Keep the resident as healthy as possible by practicing measures that prevent infection, promote safety, and ensure early detection of changes in the residents health condition

3. Observe for changes in the residents overall health, including skin changes, body system changes, such as respiratory and cardiovascular, and urinary system changes, and behavioral, mental health and mood changes, and report these changes to the nurse.

Which foods are considered excellent sources of protein?

• Pasta and rice

• Fruits and vegetables

• Eggs and meats

• Juice and milk

Answer explanation

Eggs and meats are sources of protein. Protein is also found in beans, peas, soy products, and nuts. Protein is important to the body for growing new tissue and repairing tissue. It is important when encouraging residents’ food intake that the nurse aide recognizes the importance of different nutrients. Making sure residents eat enough protein is important to the residents’ health.

Fruits and vegetables are excellent sources of fiber, while pasta and rice provide carbohydrates, which are essential for energy.

In which of the following scenarios is it the MOST important to check water temperature for resident safety?

• During the residents bed bath

• Before soaking the foot for foot care

• Before offering a resident the rinse cup after brushing their teeth.

• none of these

Answer explanation

Elderly residents have an increased risk to burns and other skin impairments. Water that is too hot can produce serious burns very quickly, particularly in the elderly. Because of circulatory and nervous system changes, when the elderly resident’s feet are placed into hot water, the resident may not know when the water is too hot and causing injury. The nurse aide is responsible for checking the safety of water temperature before the resident’s feet are placed in the water. Water temperature should not be greater than 115° Fahrenheit.

Who is a nurse aide legally required to report to if they suspect abuse of a resident?

• The resident's family members

• The police department

• The resident themselves

• The nurse aide should report the abuse to their supervisor immediately.

Answer explanation

The nurse aide is legally required to report any suspected or observed abuse of residents. It does not matter who committed the suspected abuse, the nurse aide is still obligated to report the situation. The obligation to report the abuse stands whether the abuser is a family member, visitor, an activities assistant, another nurse aide, or even a nurse. States often have provisions that suspicions can be reported to an abuse hotline or ombudsman if the nurse aide is concerned about reporting it on the job. In the situation posed in this question, the abuse is committed by a nurse. Reporting the abuse to the nurse’s supervisor then is the most appropriate of the options listed.

In which of the following scenarios is the resident most at risk for burns?

• from the wet wash cloth during a bed bath

• During denture care and oral care

• When soaking the foot during foot care

• none of these

Answer explanation

Elderly residents have an increased risk to burns and other skin impairments. Water that is too hot can produce serious burns very quickly, particularly in the elderly. Because of circulatory and nervous system changes, when the elderly resident’s feet are placed into hot water, the resident may not know when the water is too hot and causing injury. This is also why elderly residents should not have heating pads left on feet or legs for long periods.

The nurse aide is responsible for checking the safety of water temperature before the resident’s feet are placed in the water. Water temperature should not be greater than 115° Fahrenheit.

While it is important to ensure safe water temperature for a bed bath, the water is likely to have cooled in the basin and on the wash cloth before it makes it to the resident’s skin. The risk of a burn is much greater with submerging and holding the foot in the basin of water.