1. Which of the following statements is most important for the nurse aide to make to the resident before taking an oral temperature?
A. Have you done your mouth care today?
B. Have you had anything hot or cold to eat or drink within the last 10 minutes? Correct
C. If you have dentures, I need you to remove them before I take your temperature.
D. Here is some water and a basin. Please rinse your mouth out before I take your temperature.
Explanation
Consuming hot or cold foods/liquids within 10-15 minutes before an oral temperature reading will alter the accuracy of the measurement, potentially giving a false reading. This is the most important factor to assess before obtaining an oral temperature. Mouth care (A) and dentures (C) are relevant but not the priority. Rinsing with water (D) is not necessary and may cool the mouth.
2. Which of the following decreases the resident's risk of skin breakdown?
A. Bathing Correct
B. Friction
C. Pressure
D. Shearing
Explanation
Bathing, when done properly with mild soap and thorough drying, helps maintain skin integrity by removing irritants and keeping skin clean. Friction (B), pressure (C), and shearing (D) are all direct CAUSES of skin breakdown, not preventative measures.
3. The resident likes to talk about being in the army during World War II. Which response by the nurse aide best promotes the resident's self-esteem?
A. Pretend to listen to the resident's stories.
B. Talk about the nurse aide's uncle's military experience.
C. Ask the resident questions about what the resident did in the army. Correct
D. Encourage the resident to talk about things in the present not the past.
Explanation
Asking questions about the resident's personal experiences validates their life history, demonstrates genuine interest, and promotes self-esteem by showing that their memories and experiences are valued. Pretending to listen (A) is dismissive. Shifting focus to self (B) redirects attention away from the resident. Discouraging discussion of the past (D) devalues the resident's identity and life story.
4. (No question text visible)
A. cold and wet.
B. cool and dry.
C. hot, sunny and dry.
D. warm, dark and moist. Correct
Explanation
Based on the answer choices, this question likely asks about conditions that promote bacterial growth or skin breakdown. Microorganisms thrive in warm, dark, and moist environments, making this the correct answer for infection control or skin integrity contexts.
5. When helping a resident get dressed, the nurse aide SHOULD
A. Decide for the resident the clothing to be worn.
B. Do undressing and dressing tasks quickly.
C. Place soiled clothes on overbed table until able to take to the hamper.
D. Encourage the resident to be as independent as possible. Correct
Explanation
Promoting resident independence and autonomy is a core principle of person-centered care. Allowing residents to do as much for themselves as possible preserves dignity, maintains functional ability, and supports self-esteem. Deciding for the resident (A) removes autonomy. Rushing (B) causes anxiety and removes opportunity for independence. Soiled clothes should not be placed on overbed tables (C) due to infection control.