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When questions are asked about a client's death, the nurse aide should tell other clients that:
Detailed Rationale
Honesty plus emotional support is best practice: state the fact of death and allow expression of grief.
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For a client with dentures, which action should the aide perform during denture care?
Detailed Rationale
Mouth rinse removes debris and checks fit/comfort before re-insertion; dentures are cleaned with soft brush and kept moist.
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Before giving a bed bath, which action should the aide take FIRST?
Detailed Rationale
Care plan lists precautions, mobility limits, and preferencesΓ’β¬βreview before gathering supplies or adjusting bed.
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A client on a liquid diet is served a large piece of meat. The FIRST thing the aide should do is:
Detailed Rationale
Diet errors are a safety issue; nurse must correct order and notify kitchen.
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A relative asks in a supermarket if the client's roommate has ever been in a mental hospital. The BEST reply is:
Detailed Rationale
HIPAA and professional ethics prohibit disclosure of any information about other clients.
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How many hours of continuing education must an agency provide to nurse aides every year?
Detailed Rationale
Federal rule requires 12 clock-hours of in-service training per 12-month period.
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Which term is defined as the knowledge of right and wrong?
Detailed Rationale
Ethics is the study of moral values; laws are enforceable rules.
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A urinal is left on the bedside table. The BEST action before further care is to:
Detailed Rationale
Soap-and-water wash removes organic residue; disinfectant is used after visible soil is removed.
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A client shows the aide a large roll of money. The BEST action is:
Detailed Rationale
Valuables are facility property until secured; follow policyΓ’β¬βusually nurse places in safe.
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Adaptive devices are used to:
Detailed Rationale
Adaptive equipment (reachers, built-up utensils) promotes client self-care.
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Prompt changing of soiled incontinence briefs will help to:
Detailed Rationale
Moisture is primary risk factor for IAD and pressure injuryΓ’β¬βbrief changes protect skin.
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The main reason for keeping the drainage bag below bladder level is to:
Detailed Rationale
Gravity prevents reflux and reduces risk of CAUTI.
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The aide can promote client rights by:
Detailed Rationale
Offering choice respects autonomy and right to participate in care decisions.
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An example of courtesy is:
Detailed Rationale
Voluntary helpfulness demonstrates professional courtesy and teamwork.
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When communicating with another aide about a change in condition, you should:
Detailed Rationale
Factual, concise report ensures continuity of care and reduces error.
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When weighing a client with a bed scale, the aide should FIRST:
Detailed Rationale
Zeroing/balancing the scale prevents inaccurate readingsΓ’β¬βsafety & explanation come next.
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When dressing a client, the aide SHOULD:
Detailed Rationale
Respecting clothing choice supports dignity and autonomy.
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After using a disposable razor, dispose of the uncapped razor in:
Detailed Rationale
OSHA requires sharps in biohazard, puncture-resistant container.
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When making an occupied bed, the aide SHOULD:
Detailed Rationale
Lowered, unlocked rails allow easy reach and skin inspection while maintaining safety.
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To increase fluid intake, the aide should:
Detailed Rationale
Frequent, appealing choices increase voluntary consumption without coercion.
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A common sign of approaching death is:
Detailed Rationale
Oliguria reflects organ shutdown and is a late harbinger of death.
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During catheter care, wash the catheter tubing:
Detailed Rationale
Clean from meatus outward to move contamination away from urethral opening.
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A client says, Γ’β¬ΕI am a morning person; evening shower is better.Γ’β¬Β Appropriate response is:
Detailed Rationale
Accommodating preference is resident-centered care; involve nurse to revise plan.
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While en-route to give a bed-bath, you hear a bed-alarm. You SHOULD:
Detailed Rationale
Fall-risk alarm takes priorityΓ’β¬βprevent injury first, then resume assigned task.
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When preparing a client for discharge, the aide is responsible to:
Detailed Rationale
Packing personal items is within aide scope; summaries and notifications are nurse tasks.
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Hypoglycemia symptoms to watch for include:
Detailed Rationale
Adrenergic response to low glucose: diaphoresis, headache, tremor.
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When communicating with a clientΓ’β¬β’s family, the aide SHOULD:
Detailed Rationale
Courtesy and helpfulness build trust; clinical updates come from nurse.
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A gait-belt is used to:
Detailed Rationale
Primary purpose is safe transfer & walking assistance.
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Client reports pain during feeding. You SHOULD:
Detailed Rationale
Report symptoms; nurse assesses for aspiration, GI issues, or medication needs.
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When washing a clientΓ’β¬β’s hair, the aide SHOULD:
Detailed Rationale
Care plan specifies method, frequency, and precautionsΓ’β¬βalways the guide.
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The aide SHOULD wear gloves when:
Detailed Rationale
Oral care involves saliva contactΓ’β¬βstandard precaution.
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In case of fire, the FIRST thing the aide should do is:
Detailed Rationale
RACE protocol: Rescue persons in danger first, then Alarm, Confine, Extinguish.
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To promote urination, the BEST method is:
Detailed Rationale
Privacy and routine reduce anxiety and stimulate normal voiding reflex.
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During restorative care, the aide SHOULD:
Detailed Rationale
Rehabilitation goal is maximum self-sufficiencyΓ’β¬βprompt only as needed.
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An Alzheimer client curses at you. BEST response is:
Detailed Rationale
Redirection avoids escalation and meets underlying need (boredom, frustration).
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A non-verbal client may show pain by:
Detailed Rationale
Facial contortion is a universal pain indicator in cognitively impaired.
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Speaking to an aphasic client, the aide should:
Detailed Rationale
Binary questions reduce language demand and allow nod/shake replies.
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A wrist splint is applied to:
Detailed Rationale
Splints immobilize joints in functional position to prevent contracture.
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Reddened area on hip when turningΓ’β¬βfirst action:
Detailed Rationale
Immediate pressure relief (repositioning) is the first step in pressure-injury prevention.
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When applying client makeup, ask for advice from:
Detailed Rationale
Client preference governs personal groomingΓ’β¬βrespect autonomy.
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If nurse asks for Γ’β¬ΛsputumΓ’β¬β’ specimen, obtain:
Detailed Rationale
Sputum = lower-respiratory mucus; other specimens would invalidate test.
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After making an error in care, the aide should:
Detailed Rationale
Nurse must assess for actual or potential harm and initiate follow-up.
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To prevent spread of C. difficile, the aide SHOULD:
Detailed Rationale
Soap-and-water friction removes spores; alcohol does not kill C. diff.
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Client intake includes:
Detailed Rationale
Intake = all fluids consumed; water is the only listed intake.
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An Alzheimer client calls for a dead relative. BEST response is:
Detailed Rationale
Validation therapy allows emotional release without confrontation.
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When cleaning perineal area of incontinent client, the aide SHOULD:
Detailed Rationale
Gloves protect against body-fluid exposureΓ’β¬βstandard precaution.
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A client likely to experience hypo- or hyper-glycemia has:
Detailed Rationale
Glucose fluctuations are characteristic of diabetes mellitus.
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Confused client forgets side-rails and falls. Aide may be charged with:
Detailed Rationale
Failure to follow safety measures constitutes neglect.
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While tidying room, the aide SHOULD:
Detailed Rationale
Functional equipment is a safety and care necessityΓ’β¬βreport issues promptly.
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Disease from microbial invasion is called:
Detailed Rationale
Infection = pathogen multiplication in host tissue.
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