Name: Date: 14. A new nursing assistant on the unit is trying to visit with a resident from Nigeria who does not speak any

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1 1. A resident who is confined to bed requires special care. Which of the following is a task performed by a nursing assistant? (A) Changing the IV tubes (B) Changing a sterile dressing (C) Helping with the use of a bedpan (D) Giving medication to the resident 2. It is a nursing assistant s first day at her new job and she wants to make a positive first impression. Which of the following is an example of proper grooming? (A) She should bathe or shower every three days so that her skin does not become too dry. (B) She should brush her teeth at least every other day. (C) Her nails should be clean and long. (D) Her hair should be neatly tied back away from her face. 3. A nursing assistant is given the task of measuring vital signs each day for a large number of residents, while her coworker is assigned the task of weighing all the residents each day. Which of the following methods of nursing care is this? (A) Team Nursing (B) Functional Nursing (C) Resident-Focused Care (D) Primary Nursing 4. While getting supplies from the supply closet, a nursing assistant (NA) sees another nursing assistant handle a resident roughly during a transfer. Which of the following actions is the nursing assistant legally required to take? (A) The nursing assistant should confront the other NA about the abuse after she leaves the resident s room. (B) The nursing assistant should contact the Residents Council. (C) The nursing assistant should report the abuse immediately to the nurse. (D) The nursing assistant should comfort the resident about what has happened after the other NA leaves the room. 5. Which of the following would be recorded in a nursing assistant s record in her state s nursing assistant registry? (A) An investigation showed that abuse occurred while she worked with residents. (B) She arrived late to work repeatedly, after having been warned several times. (C) She missed a required in-service training about abuse and neglect. (D) She changed jobs without giving the proper amount of notice beforehand.

2 6. A resident has not been informed about how much a medical procedure will cost and what her options are. Which of the following Residents Rights is being violated? (A) The right to have the best quality of life possible (B) The right to be fully informed about rights and services (C) The right to privacy and confidentiality (D) The right to visits 7. A resident has bite marks and scratches that continue to appear and that she cannot explain. This could be a sign of (A) Psychological abuse (B) Passive neglect (C) Active neglect (D) Physical abuse 8. A nursing assistant notices that a resident seems depressed. While giving her a bed bath, the resident confides that another nursing assistant told her how gross the stump looks. This is an example of (A) Physical abuse (B) Financial abuse (C) Sexual abuse (D) Psychological abuse 9. A nursing assistant learns that a coworker has offered to provide special care for a resident in exchange for payment. This is an example of (A) Sexual abuse (B) Financial abuse (C) Psychological abuse (D) Emotional abuse 10. A nursing assistant who works periodically when full-time staff members are on vacation helps care for residents who have Alzheimer s disease. On different occasions she noticed that a resident s bed smells of urine and that her hair is dirty and matted. This could be a sign of (A) Financial abuse (B) Sexual abuse (C) Physical abuse (D) Neglect

3 11. A resident s sister gives her favorite nursing assistant a thank you note with a gift card inside it. She tells the nursing assistant that this is a small way of letting him know how much she appreciates his work. The NA does not want to offend the family, and it happens to be a gift card to his favorite restaurant, so he decides to keep it. Which of following best describes how the nursing assistant should have responded? (A) The nursing assistant should have contacted the ombudsman for the facility to see if it was appropriate to accept the gift. (B) The nursing assistant should have reported the gift to the state board of nursing. (C) The nursing assistant should have thanked the sister for thinking of him, but politely refused the gift. (D) The nursing assistant should have offered to reimburse the sister for the cost of the gift before accepting it. 12. A nursing assistant enters a resident s room to give her a scheduled bath. The resident appears to have been crying and says she does not want a bath. Which of the following would be the best response by the nursing assistant? (A) The nursing assistant should insist that the resident take her bath, telling her that it will be the best thing to cheer her up. (B) The nursing assistant should respect resident s refusal and report it to the nurse. (C) The nursing assistant should let the resident know that if she does not take her bath, she is contributing to the spread of infection in the facility. (D) The nursing assistant should call a member of the resident s family to see what has worked in the past. 13. A nursing assistant is assigned to help a resident who is recovering from a total hip replacement and needs help with deep breathing exercises. The resident is very uncommunicative. Which of the following questions would be most helpful in encouraging the resident to communicate? (A) Why are you so quiet? (B) Do you like doing deep breathing exercises? (C) Did you have a good breakfast? (D) How have you been feeling since I saw you yesterday? 14. A new nursing assistant on the unit is trying to visit with a resident from Nigeria who does not speak any English. Which of the following would be the best response by the nursing assistant in order to communicate with the resident? (A) The nursing assistant should speak more loudly than normal so that the NA is sure that the resident hears him. (B) The nursing assistant should face the resident so that the resident can read the NA s lips. (C) The nursing assistant should ask if there is an interpreter who can help. (D) The nursing assistant should try to teach the resident to speak English.

4 15. A nursing assistant has to touch residents in order to do her job. Which of the following is an example of appropriate touch? (A) Holding the resident s leg as she bathes it (B) Having the resident sit in her lap (C) Hugging a resident who does not like to be touched (D) Kissing a resident after hearing good news 16. A nursing assistant is documenting a resident s care for the first time. Which of the following is an example of accurate documentation? (A) Writing down that she is feeding breakfast to the resident right before doing so (B) Recording the resident s pulse and respiration rate neatly in pencil (C) Writing an opinion about the resident s weight (D) Recording the resident s blood pressure in black ink 17. When a nursing assistant answers the phone at the long-term care facility, which of the following is the best example of proper telephone etiquette? (A) Good morning, this is Lynnell Brooks, nursing assistant at Lakeside Village. How may I help you? (B) Good morning, this is Lynnell Brooks, nursing assistant to Mrs. Shaneira Toy. How may I help you? (C) Lakeside Village. This is Mrs. Toy s room, and she is recovering from abdominal surgery. Can I take your number and have her call you back? (D) Lakeside. Hold, please! 18. During dinner a resident throws her plate at a nursing assistant. Which of the following would be the best response by the nursing assistant? (A) The nursing assistant should tell the resident she needs to leave and finish dinner in her room. (B) The nursing assistant should call for the nurse and stand by to help as needed. (C) The nursing assistant should let the resident know that she will not be allowed to eat any more food that night. (D) The nursing assistant should remove other items on the table that the resident could throw. 19. A resident s husband died recently. She has stopped participating in game night or going to the dining room for meals. She is eating very little and seems sad. Which of the following would be the best response by the nursing assistant? (A) The NA should tell the resident that her husband was alive longer than most men are. (B) The NA should tell her that it is for the best, and that her husband is in a better place. (C) The NA should change the subject if she mentions her husband and try to talk about happier things. (D) The NA should give the resident opportunities to talk about her feelings if she wants to.

5 20. A resident refuses to eat his food. Which of the following would be the best response by the NA? (A) The NA should tell the resident that he can have an extra dessert if he cooperates. (B) The NA should tell the resident that he will become very ill if he does not continue to eat. (C) The NA should report this refusal to the nurse immediately. (D) The NA should tell the resident that he could get into trouble for not following the rules. 21. If a resident tries to hit a nursing assistant, the nursing assistant should (A) Grab and hold the resident s hands to keep him from hitting again (B) Apply a mitt restraint (C) Step back and call the nurse (D) Find someone else who witnessed the behavior 22. Which of the following is a good guideline for the nursing assistant to follow when communicating with a resident who has a hearing impairment? (A) The nursing assistant should approach the resident from behind and walk behind her if possible. (B) The nursing assistant should stand or sit so that the resident can see the nursing assistant s face, and make sure there is proper lighting in the room. (C) The nursing assistant should speak loudly to make sure that she is understood. (D) The nursing assistant should exaggerate the pronunciation of certain words so that the resident is more likely to understand them. 23. Which of the following is a good guideline for the nursing assistant to follow when helping a visually-impaired resident? (A) The nursing assistant should look away while speaking to him. (B) The nursing assistant should speak more loudly than normal. (C) The nursing assistant should keep the lights low. (D) The nursing assistant should use the face of an imaginary clock to explain the position of objects. 24. A new resident recently fell and broke his hip, which is what prompted his move into the long-term care facility. He has become very dependent on others for the first time in his life. Even though the facility is comfortable, provides good medical care, and serves food he enjoys, he is depressed. According to Maslow s Hierarchy of Needs, which of the needs could the resident be struggling with? (A) Need for love (B) Need for rest (C) Need for self-esteem (D) Need for safety and security

6 25. A resident has a severe form of cerebral palsy. Which of the following is a guideline for the nursing assistant to follow when providing care for this resident? (A) The nursing assistant should help teach activities of daily living (ADLs) by combining many small steps and teaching the whole task at once. (B) The nursing assistant should not talk to the resident because her cerebral palsy makes it hard for her to speak clearly. (C) The nursing assistant should help the resident to move slowly, and allow more time for adjusting her body position. (D) Because the resident s cerebral palsy affects her intelligence, the nursing assistant should to speak to her as though she is a child, using very simple words. 26. A nursing assistant is in the middle of her shift and is behind schedule. She is worried that she will not finish all of the assigned tasks, which include measuring each resident s vital signs, by the end of her shift. Which of the following is the best choice that she can make in this situation? (A) Because the NA is sure that all of the residents in her care today do not have infections or contagious diseases, she should not wash her hands before and after taking vital signs for each resident. (B) The NA should make up vital signs readings for some residents if they have had the same reading the last few times. (C) The NA should notify the nurse and explain her concerns. (D) The NA should ask residents who are able to do so to take their own readings and report them to her. 27. Which of the following is an example of a nursing assistant using personal protective equipment (PPE) properly? (A) Donning gloves before handling a urinal (B) Donning gloves before helping a resident to dress (C) Donning a face mask before assisting with feeding (D) Donning goggles before combing a resident s hair 28. Which of the following infection prevention measures is the best way for a nursing assistant to prevent the spread of disease? (A) Wash hands regularly (B) Hold all used equipment and soiled linens away from the body (C) Avoid touching residents who have known diseases (D) Wear gloves at all times

7 29. After washing her hands, how should a nursing assistant turn off the faucet at the sink? (A) Put on clean gloves before turning the water off (B) Use her bare hands to turn the water off (C) Use a clean paper towel to turn the water off (D) Use her foot to turn the water off 30. For which of the following procedures should gloves always be worn? (A) Feeding the resident (B) Emptying the resident s urinary drainage bag (C) Brushing the resident s hair (D) Helping the resident to move up in bed 31. It is bedtime, and a nursing assistant has just finished helping a resident with oral care. It is now time to work with the resident s roommate. There are no additional sets of gloves in the room. Which of the following is the best course of action for the nursing assistant to take? (A) The NA should reuse the same gloves she just used on the first resident, as long as she washes her hands first. (B) The NA should wash her gloves in hot, soapy water before assisting the next resident. (C) The NA should not wear gloves for the second resident and avoid touching that resident s mouth. (D) The NA should notify the nurse that no additional gloves can be found before doing anything else. 32. One room houses both a healthy resident and a resident who has pneumonia. Which of the following is an infection prevention example for Link 3 (portal of exit) in the chain of infection? (A) The healthy resident should get a vaccine to prevent getting pneumonia. (B) The sick resident should cover his nose and mouth when sneezing. (C) The sick resident should get a vaccine to prevent transmitting pneumonia. (D) The healthy resident should keep his bedside table and overbed table clean and dry. 33. A resident is restrained due to doctor s orders. Which of the following is true about a resident who is restrained? (A) The resident is at a lower risk of being constipated. (B) The resident is at a higher risk of developing pressure ulcers. (C) The resident s sleep will most likely be improved. (D) The resident is at a lower risk of developing muscle atrophy.

8 34. A resident who has multiple sclerosis is prone to fall. Which of the following is one way that a nursing assistant can help prevent the resident from falling? (A) The nursing assistant should leave the resident s bed in its lowest position when finished with care. (B) The nursing assistant should apply a restraint to keep the resident in place. (C) The nursing assistant should encourage the resident to wear long, loose-fitting clothing. (D) The nursing assistant should insist that the resident stay in bed. 35. Which of the following is a proper guideline for the nursing assistant to follow when there is a fire? (A) The NA should jump into the closest elevator to get to the exit doors. (B) If her clothing is on fire, the NA should find a hose or bucket of water to put out the fire. (C) If clothing catches fire, the NA should run as quickly as possible to help put out the flames. (D) The NA should use wet towels to block doorways to prevent smoke from entering a room. 36. A resident suddenly starts slurring her words. What could this indicate about her condition? (A) She is having a spike in blood pressure. (B) She is having an irregular heartbeat. (C) She is having an episode of incontinence. (D) She is having a stroke. 37. A new resident needs to be weighed once he is admitted. Which of the following should the nursing assistant do when obtaining a resident s weight? (A) The nursing assistant should start with the scale balanced at zero. (B) The nursing assistant should make sure the resident holds on to the scale while weight is being measured. (C) The nursing assistant should leave the room and let the resident determine his weight alone, if requested. (D) The nursing assistant should discuss the resident s diet plans for losing weight if he is overweight. 38. Which of the following statements is true of admitting new residents to a long-term care facility? (A) The nursing assistant should expect that residents will be experiencing many losses and emotions due to the change. (B) The nursing assistant should expect that residents will have insomnia. (C) The nursing assistant should expect that residents will be unable to perform their activities of daily living (ADLs) by themselves. (D) The nursing assistant should expect that residents will be confused and have dementia.

9 39. A resident is going out with other residents to see a movie. The nursing assistant is making his bed. Which type of bed should the NA make? (A) Surgical bed (B) Closed bed (C) Occupied bed (D) Open bed 40. Which of the following best describes the way a gait (transfer) belt is used when helping a resident walk? (A) The belt is worn around the resident s waist so that the NA has a way to hold onto him. (B) The belt is worn around the resident s chest in order to provide support for his upper back. (C) The belt is used to help the resident stand and is removed just before he begins to walk. (D) The belt is used to keep the resident positioned properly in his wheelchair or bed before he starts to walk. 41. Which of the following is the best way for a nursing assistant to help move a resident up in bed? (A) The nursing assistant should ask the resident to bend her knees and to push with her hands and feet. (B) The nursing assistant should stand at the foot of the bed and push the resident s feet. (C) The nursing assistant should pull the resident from the head of the bed using her arms under the resident s armpits. (D) The nursing assistant should use a slide board to slide the resident up along the middle of the bed. 42. When giving a back rub to a resident, the nursing assistant should (A) Position the resident on his stomach at all times (B) Leave extra lotion on the resident s skin to be absorbed later (C) Apply lotion directly onto the resident s skin from the bottle (D) Avoid massaging areas of the skin that are pale or red 43. While providing perineal care for a resident during a bed bath, the nursing assistant should (A) Clean the anal area before the perineal area (B) Remove gloves before beginning perineal care (C) Use a clean area of the washcloth for each stroke (D) Clean the perineal area from back to front

10 44. A nursing assistant is providing oral care to an unconscious resident. Which of the following is a guideline for the nursing assistant to follow during this procedure? (A) The nursing assistant should use her gloved fingers to hold the mouth open. (B) The nursing assistant should turn the resident s head to the side. (C) The nursing assistant should use plenty of water when giving care to keep the mouth moist. (D) The nursing assistant should not apply a lip lubricant. 45. Which of the following is the best site for measuring body temperature for an unconscious resident? (A) Mouth (B) Armpit (C) Rectum (D) Ear 46. Which of the following temperature readings should be reported to the nurse because it is outside of the normal range? (A) An oral temperature of F (B) An axillary temperature of 98.6 F (C) A rectal temperature of 99.6 F (D) An oral temperature of The nursing assistant notices that a resident coughs and clears his throat frequently during meals. This could be a sign of (A) The resident is dehydrated and needs to drink more fluids. (B) The resident has Parkinson s disease. (C) The resident is experiencing dysphagia. (D) The resident has had enough to eat and is full. 48. A resident has been gaining one to two pounds of weight per day. The nursing assistant observes that the resident seems fatigued and that her urine output has decreased. This could be a sign of (A) Dehydration (B) Fluid overload (C) Dysphagia (D) Obesity

11 49. A nursing assistant notices that FF is written on a resident s chart. What does this mean about the resident? (A) The resident is at risk of becoming dehydrated and needs to be encouraged to drink more fluids. (B) The resident is refusing fluids and needs to be forced to drink them. (C) The resident is allowed to drink, but must be limited to the amount set by his doctor. (D) The resident is not allowed anything by mouth and must be given fluids intravenously. 50. A nursing assistant is helping a resident eat. Which of the following is a good guideline for the NA to follow? (A) The NA should offer the resident all the food on her plate first, followed by all of her beverages. (B) The NA should pick the food that is her own personal favorite and offer it to the resident first. (C) The NA should mix foods together before offering them to the resident. (D) The NA should ask the resident which foods she would like to eat first and honor her choices. 51. How can a nursing assistant help prevent constipation? (A) The nursing assistant should keep the resident from drinking too many fluids. (B) The nursing assistant should give the resident plenty of time for elimination. (C) The nursing assistant should encourage the resident to increase his consumption of fats. (D) The nursing assistant should prescribe laxatives when needed. 52. A resident has reported rectal pain, burning, and itching. This could be a sign of (A) Crohn s disease (B) Heartburn (C) Hemorrhoids (D) Diverticulosis 53. A nursing assistant is caring for a resident who has a urinary catheter. Which of the following best describes a task that the NA is responsible for? (A) The nursing assistant will need to insert the catheter. (B) The nursing assistant will need to empty the drainage bag. (C) The nursing assistant will need to irrigate the catheter. (D) The nursing assistant will need to remove the catheter when it is no longer needed. 54. When a nursing assistant notices that there is no urine in a catheter drainage bag, she should (A) Check the tubing for kinks (B) Remove the catheter tube to check for holes or tears (C) Ask the resident to try to urinate (D) Irrigate/flush the catheter tubing

12 55. Urinary incontinence puts resident at an increased risk for (A) Pressure ulcers (B) Urinary tract infections (C) Dehydration (D) Chronic renal failure 56. Which of the following statements is true of a resident who is completing a bladder retraining program? (A) The nursing assistant will withhold fluids to help prevent episodes of urinary incontinence. (B) The nursing assistant will need to be positive when there are episodes of urinary incontinence. (C) The nursing assistant will need to insert catheters when urinary incontinence occurs. (D) The nursing assistant will need to discourage fluids to prevent episodes of urinary incontinence. 57. A resident experiences urinary incontinence only when he coughs, laughs, or sneezes. Which type of incontinence does he have? (A) Overflow incontinence (B) Urge incontinence (C) Mixed incontinence (D) Stress incontinence 58. A male resident is experiencing normal changes in his reproductive system due to aging. Which of the following conditions meets this definition? (A) He has prostate cancer. (B) He has a decreased production of estrogen. (C) He has an enlarged prostate gland. (D) He has an increased number of sperm. 59. A female is experiencing normal changes in her reproductive system due to aging. Which of the following conditions meets this definition? (A) She has brittle bones resulting from lowered estrogen and progesterone levels. (B) She has benign prostatic hypertrophy resulting from an enlarged prostate gland. (C) She has endometrial cancer resulting from menopause. (D) She has thicker vaginal walls resulting from hormonal changes.

13 60. Which of the following is a guideline that a nursing assistant should follow in order to prevent pressure ulcers? (A) The nursing assistant should use creams and lotions on broken skin to help it heal more quickly. (B) The nursing assistant should massage white, red, and purple areas of the skin to increase circulation. (C) The nursing assistant should avoid rubbing skin against linen or other surfaces during transfers. (D) The nursing assistant should avoid using positioning devices. 61. A resident suffers from chronic obstructive pulmonary disorder (COPD). Which of the following can the nursing assistant expect as a result of this? (A) The NA can expect to adjust the resident s oxygen level periodically. (B) The NA can expect that the resident will be anxious about not being able to breathe. (C) The NA can expect that with proper treatment, the resident s COPD will be reversed. (D) The NA can expect that the resident s ability to walk will decline. 62. A resident has had a total hip replacement, and the nursing assistant is helping to position the resident. Which of the following is a guideline that the NA should follow? (A) The NA should plan to gently bend the resident s hip more than 90 degrees to increase flexibility. (B) The NA should perform ROM exercises on both hips to improve healing time. (C) The NA should follow the resident s lead and encourage her if she wants to do more than is ordered on the care plan. (D) The NA should help the resident dress, starting with the affected/weaker side first. 63. A resident who has Alzheimer s disease frequently carries a stuffed toy kitten around with her and cares for it. She believes that it is her real pet cat. One day the resident is crying because she has lost her cat and fears it was hit by a car. Which of the following would be the best response by the nursing assistant? (A) The nursing assistant should provide comfort to the resident and help her look for her cat. (B) The nursing assistant should warn the resident s family that she has lost touch with reality. (C) The nursing assistant should buy the resident another stuffed kitten to replace the one she has lost. (D) The nursing assistant should try to reason with the resident by showing her that stuffed toy animals are not alive. 64. A nursing assistant is trying to help a resident with Alzheimer s disease get dressed. The resident continually tries to expose his genitals to the NA. Which of the following would be the best response by the nursing assistant? (A) Try to dress the resident more quickly (B) Try to distract the resident (C) Restrain the resident s hands (D) Contact the resident s family to see if they can help

14 65. A resident who is in the early stages of Alzheimer s disease puts a slipper on one foot and a regular shoe on the other. Which of the following would be the best response by the nursing assistant? (A) The NA should gently ask the resident if she realizes that her shoes do not match and offer to help her find a matching pair. (B) The NA should tease the resident by complimenting her on her unique sense of fashion. (C) The NA should reassure the resident that although the behavior is odd, it does not mean her Alzheimer s disease is getting worse. (D) The NA should ask the resident if she needs to be taken shopping for new shoes. 66. When a resident who has Alzheimer s disease begins to perseverate, which of the following would be the best response by the nursing assistant? (A) The nursing assistant should tell the resident to stop asking the same question. (B) The nursing assistant should respond each time, using the same words. (C) The nursing assistant should explain gently that the resident has just asked that question. (D) The nursing assistant should try to silence the resident. 67. How can Parkinson s disease affect a person s ability to walk? (A) The disease causes hearing problems that affect balance. (B) The disease causes visual disturbances. (C) The disease causes tremors and a shuffling gait. (D) The disease causes problems with depth perception. 68. Which of the following is a proper guideline to follow when caring for hearing aids? (A) The nursing assistant should soak the hearing aid in water before cleaning to soften any ear wax. (B) The nursing assistant should remove and rinse the batteries when cleaning the hearing aid. (C) The nursing assistant should rinse the earmold in warm water after cleaning with a mild soap. (D) The nursing assistant should remove the hearing aid before the resident bathes or showers. 69. A resident has diabetes. Which of the following sets of symptoms should the nursing assistant expect to be associated with this condition? (A) Low blood pressure, low body temperature, low pulse (B) Excessive thirst, excessive hunger, excessive urination (C) Slow heart rate, intolerance to cold, fatigue (D) Excessive perspiration, rapid heartbeat, bulging eyes

15 70. A nursing assistant is providing foot care to a resident who has diabetes. Which of the following is a good guideline for the NA to follow? (A) The NA should use a nail clipper to remove calluses. (B) The NA should always dry feet thoroughly, especially between toes. (C) The NA should carefully trim toenails after cleaning them. (D) The NA should use strong antimicrobial soap to prevent infection. 71. A resident who has cancer suffers from bouts of pain. Which of the following would be the best response by the nursing assistant? (A) Encourage her to talk about her pain (B) Administer more pain medication (C) Notify the nurse (D) Provide her with her favorite snack to comfort her 72. Which of the following statements is true of range of motion (ROM) exercises? (A) The nursing assistant should begin at the resident s feet and work upward, finishing at the head. (B) Done properly, range of motion exercises will help prevent high blood pressure. (C) Each exercise should be performed two times before moving on to another part of the body. (D) A goal of range of motion exercises is to help prevent contractures. 73. A resident is recovering from a period of immobility and is performing range of motion (ROM) exercises on her own. Which of the following acronyms best describes this type of range of motion exercise? (A) AAROM (active assisted range of motion) (B) PROM (passive range of motion) (C) AROM (active range of motion) (D) RROM (repetitive range of motion) 74. A resident in rehabilitation is learning how to use a cane for the first time. Which of the following would be the best guideline for a nursing assistant to follow when helping this resident? (A) The NA should have the resident hold the cane on the resident s stronger side. (B) The NA should have the resident hold the cane on the resident s weaker side. (C) The NA should have the resident place the cane about 12 inches in front of her weaker side when ambulating. (D) The NA should stay on the resident s stronger side when ambulating.

16 75. A resident in subacute care is lying in bed and suddenly becomes short of breath. Which of the following is the best response by the nursing assistant? (A) The nursing assistant should place the resident in the semi-fowler s position. (B) The nursing assistant should place a pad or towel under the resident s chin. (C) The nursing assistant should begin deep breathing exercises. (D) The nursing assistant should notify the nurse immediately. 76. In which of the following ways will a nursing assistant be expected to assist a comatose resident with tube feedings? (A) The nursing assistant will clean the feeding tube after each feeding. (B) The nursing assistant will administer the resident s tube feedings. (C) The nursing assistant will observe the tube site for signs of infection. (D) The nursing assistant will insert the tube each time before feeding. 77. A resident who is in the advanced stages of ovarian cancer is expected to die within the week. Which of the following should the resident s care focus on? (A) Providing for comfort and pain relief (B) Helping the resident maintain her normal routine (C) Giving the resident plenty of time alone (D) Helping the resident find access to experimental treatment for late-stage cancer patients 78. A resident has been given a diagnosis of terminal cancer and a prognosis of one month to live. The resident tells a nursing assistant that the testing laboratory made a mistake and he needs to have his results re-tested. Which of the following would be the best response from the nursing assistant? (A) The nursing assistant should explain to the resident that healthcare professionals do not make mistakes. (B) The nursing assistant should explain alternative medicine choices to the resident. (C) The nursing assistant should understand that denial is a normal part of the grief process. (D) The nursing assistant should reassure the resident that death is nothing to fear. 79. A resident who is in the final stages of AIDS is receiving hospice care. Which of the following could a nursing assistant expect to see as death approaches? (A) Talkativeness (B) Cheyne-Stokes breathing (C) Increased flow of saliva within the mouth (D) Extreme thirst

17 80. A new nursing assistant is working his first day at his new job. He has been asked to insert a resident s feeding tube. Which of the following would be his best response? (A) The nursing assistant should do his best to perform the procedure since he wants to make a good first impression in his new job. (B) The nursing assistant should ask another nursing assistant to show him how. (C) The nursing assistant should explain that it is beyond his scope of practice and is not listed in his job description. (D) The nursing assistant should ask a coworker to do it so that he can watch and learn how to do it next time. 81. A nursing assistant is receiving her first employee evaluation from her supervisor. The supervisor covers many of the NA s strengths, but also mentions that the NA needs to improve her communication skills. What would be the nursing assistant s best response? (A) The nursing assistant should ask her supervisor for tips for better communication. (B) The nursing assistant should explain to her supervisor that communication was not fully covered in her training. (C) The nursing assistant should begin look for another job. (D) The nursing assistant should point out other NAs who need help in the same area. 82. Which of the following is a normal age-related change for the body? (A) Constipation (B) Alzheimer s disease (C) Myocardial infarction (D) COPD