Nokea
Which of the following is a guideline for safe foot care for a resident who has diabetes?
- A. The NA should inspect and clean the resident's feet every day.
- B. The NA should clip the resident's toenails frequently.
- C. The NA should use lotion between the toes to prevent dryness and cracking.
- D. The NA should use hot water for bathing the feet to help prevent infection.
Correct Answer: A
Rationale: The correct answer is A because inspecting and cleaning the resident's feet daily helps in early detection of any cuts, sores, or signs of infection, which is crucial for diabetics to prevent complications. Clipping toenails frequently can lead to cuts and infections. Using lotion between the toes can create a moist environment that promotes fungal growth. Using hot water for bathing can cause burns and dry out the skin, increasing the risk of cracks and infections.
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After an amputation, a resident may experience phantom sensation. Phantom sensation is
- A. Not real
- B. Sensation where the limb existed
- C. The inability to use a new body part
- D. The desire to get rid of a new body part
Correct Answer: B
Rationale: The correct answer is B. Phantom sensation is the sensation perceived in the location of the amputated limb. This occurs due to the brain still receiving signals from the nerves that originally served the amputated limb. Choices A, C, and D are incorrect. Choice A is incorrect because phantom sensation is a real phenomenon experienced by many amputees. Choice C is incorrect because it does not involve the inability to use a new body part but rather the sensation in the amputated limb's previous location. Choice D is incorrect because the desire to get rid of a new body part is not related to phantom sensation but may be a separate psychological issue.
When transferring a resident who has a weak side,
- A. The weaker side moves first
- B. The stronger side moves first
- C. The strong side and weak side move at the same time
- D. It does not matter which side moves first
Correct Answer: B
Rationale: The correct answer is B because when transferring a resident with a weak side, it is important to move the stronger side first to provide better support and stability. By moving the stronger side first, you can ensure proper weight distribution and reduce the risk of falls or injuries. This approach also helps prevent the weaker side from bearing too much weight or strain.
Choice A is incorrect because moving the weaker side first may compromise the resident's safety and stability. Choice C is incorrect as it can lead to imbalance and increase the risk of falls. Choice D is incorrect because the sequence of movement does matter to ensure a safe transfer for both the resident and the caregiver.
The circulating nurse is caring for a patient intraoperatively. Which primary role of the circulating nurse will be implemented?
- A. Suturing the surgical incision in the OR suite
- B. Managing patient care activities in the OR suite
- C. Assisting with applying sterile drapes in the OR suite
- D. Handing sterile instruments and supplies to the surgeon in the OR suite
Correct Answer: B
Rationale: The correct answer is B: Managing patient care activities in the OR suite. The circulating nurse is responsible for coordinating and managing patient care activities during surgery, ensuring patient safety, maintaining aseptic technique, communicating with the surgical team, and documenting the surgical procedure. Suturing the surgical incision (A) is the responsibility of the surgeon. Assisting with applying sterile drapes (C) is typically the responsibility of the scrub nurse. Handing sterile instruments and supplies (D) is the responsibility of the scrub nurse as well. B is the correct answer because it aligns with the primary role of the circulating nurse in ensuring overall patient care and safety during surgery.
2 What is the nursing assistant's role in care planning?
- A. The nursing assistant creates the care plan.
- B. The nursing assistant shares observations that may affect the care plan.
- C. The nursing assistant makes changes to the care plan.
- D. The nursing assistant discusses the diagnosis with the resident's friends and family.
Correct Answer: B
Rationale: The correct answer is B because the nursing assistant plays a crucial role in care planning by sharing observations that may impact the care plan. This is important as they are in direct contact with the residents and can provide valuable insights to the healthcare team. Choice A is incorrect as creating the care plan is typically done by licensed healthcare professionals. Choice C is incorrect as making changes to the care plan is also usually done by licensed professionals based on assessments. Choice D is incorrect as discussing the diagnosis with the resident's friends and family is not within the scope of the nursing assistant's role in care planning.
Which of the following statements is true?
- A. Residents' hair should be handled gently because hair can be pulled out when combing or brushing it.
- B. Residents' hair should be combed or brushed into childish hairstyles because they look cute on elderly people.
- C. Nursing assistants should cut residents' hair when it gets long and when residents request it.
- D. Pediculosis (lice) cannot spread quickly.
Correct Answer: A
Rationale: The correct answer is A because residents' hair should be handled gently to prevent hair loss. Pulling or tugging on the hair can cause damage to the hair follicles and lead to hair loss. It is important to be gentle when combing or brushing elderly residents' hair to maintain their hair health.
Choice B is incorrect because hairstyles should be chosen based on residents' preferences and comfort, not based on aesthetic appeal. Choice C is incorrect because cutting residents' hair should be done by trained professionals unless the resident requests it specifically. Choice D is incorrect because pediculosis can spread quickly through close contact or shared personal items.