Prometric Exam Sample Questions 1. A resident often carries a doll with her, treating it like her baby. ne day she is wandering around crying that she can!t find her baby. "he "he nurse aide should #A$ ask the resident where she last had the doll. #%$ ask the acti&ity department if they ha&e any other dolls. #'$ offer comfort to the resident and help her lookfor her bab y. #($ let the other staff know the resident is &ery confused and should be watched closely. ). A nurse aide is asked to change chang e a urinary drainage bag attached to an indwelling urinary catheter. "he "he nurse aide has ne&er done this before. "he best response by the nurse aide is to #A$ change the indwelling catheter at the same time. #%$ ask another nurse aide to change the urinary drainage bag. #'$ change the bag asking for help only if the nurse aide has problems. #($ ask a nurse to watch the nurse aide change the bag since it is the first time. *. %efore feeding a resident, which of the following is the best reason to wash the resident!s hands+ #A$ "he resident may still touch hisher mouth or food. #%$ -t reduces the risk of spreading airborne diseases. #'$ -t impro&es resident morale and appetite. #($ "he resident needs to keep meal routines. . /hich of the following is a 0ob task performed by the nurse aide+ #A$ Participating in resident care planning conferences #%$ "aking "aking a telephone order from a physician ph ysician #'$ i&ing medications to assigned residents #($ 'hanging sterile wound dressings 2. /hich of the following statements is true about range of motion #34$ exercises+ #A$ (one 0ust once a day #%$ 5elp pre&ent strokes and paralysis #'$ 3e6uire at least ten repetitions of each exercise #($ Are Are often performed during A(7s such as bathingor dressing 8. /hile the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. "he nurse aide should #A$ put the hairbrush away and out of sight. #%$ gi&e the resident the hairbrush to hold. #'$ try to dress the resident more 6uickly. #($ restrain the resident!s hand. 9. A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide!s next action should be to #A$ ask the resident to take deep breaths. #%$ takethe resident!s &ital signs.
#'$ raise the head of the bed. #($ ele&ate the resident!s feet. :. A resident who has cancer is expected to die within the next couple of days. ;ursing care for this resident should focus on #A$ helping the resident through the stages of grief. #%$ pro&iding for the resident!s comfort. #'$ keeping the resident!s care routine, such as for bathing. #($ gi&ing the resident a lot of 6uiet time and pri&acy. <. /hile gi&ing a bedbath, the nurse aide hears thealarm from a nearby door suddenly go off. "he nurse aide should #A$ wait a few minutes to see if the alarm stops. #%$ report the alarm to the charge nurse immediately. #'$ make the resident being bathed safe and go check the door right away. #($ stop the bedbath and go check on the location of all assigned residents. 1=. lo&es should be worn for which of the following procedures+ #A$ Emptying a urinary drainage bag #%$ %rushing a resident!s hair #'$ Ambulating a resident #($ >eeding a resident 11. /hen walking a resident, a gait or transfer belt is often #A$ worn around the nurse aide!s waist for back support. #%$ used to keep the resident positioned properly in the wheelchair. #'$ used to help stand the resident, and then remo&ed before walking. #($ put around the resident!s waist to pro&ide a way to hold onto the resident. 1). /hich of the following statements is true aboutresidents who are restrained+ #A$ "hey are at greater risk for de&eloping pressure sores. #%$ "hey are at lower risk of de&eloping pneumonia. #'$ "heir posture and alignment are impro&ed. #($ "hey are not at risk for falling. 1*. A resident has diabetes. /hich of the followingis a common sign of a low blood sugar+ #A$ >e&er #%$ Shakiness #'$ "hirst #($ ?omiting 1. /hen pro&iding foot care to a resident it is important for the nurse aide to #A$ remo&e calluses and corns. #%$ check the feet for skin breakdown. #'$ keep the water cool to pre&ent burns. #($ apply lotion, including between the toes.
12. /hen feeding a resident, fre6uent coughing can be a sign the resident is #A$ choking. #%$ getting full. #'$ needs to drink more fluids. #($ ha&ing difficulty swallowing. 18. /hen a person is admitted to the nursing home, the nurse aide should expect that the resident will #A$ ha&e problems related to incontinence. #%$ re6uire a lot of assistance with personal care. #'$ experience a sense of loss related to the life change. #($ ad0ust more 6uickly if admitted directly from the hospital. 19. A resident gets dressed and comes out of his room wearing shoes that are from two different pairs. "he nurse aide should #A$ tease the resident by complimenting the resident!s sense of style. #%$ ask if the resident reali@es that the shoes do n ot match. #'$ remind the resident that the nurse aide can dress the resident. #($ ask if the resident lost some of his shoes. 1:. A resident!s wife recently died. "he resident is now staying in his room all the time and eating &ery little. "he best response by the nurse aide is to #A$ remind the resident to be thankful for the years he shared with his wife. #%$ tell the resident that he needs to get out of his room at least once a day. #'$ understand the resident is grie&ing and gi&e him chances to talk. #($ a&oid mentioning his wife when caring for him. 1<. /hen a resident refuses a bedbath, the nurse aide should #A$ offer the resident a bribe. #%$ wait awhile and then ask the resident again. #'$ remind the resident that people who smell don!tha&e friends. #($ tell the resident that nursing home policy re6uires daily bathing. )=. /hen a resident is combati&e and trying to hit the nurse aide, it is important for the nurse aide to #A$ show the resident that the nurse aide is in control. #%$ call for help to make sure there are witnesses. #'$ explain that if the resident is not calm a restraint may be applied. #($ step back to protect self from harm while speaking in a calm manner. )1. (uring lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. "he best response by the nurse aide is to #A$ remain calm and ask what is upsetting the resident.
#%$ begin remo&ing all the other residents from thedining room. #'$ scold the resident and ask the resident to lea &e the dining room immediately. #($ remo&e the resident!s plate, fork, knife, and cup so there is nothing else to throw. )). /hich of the following 6uestions asked to the resident is most likely to encourage con&ersation+ #A$ Are you feeling tired today+ #%$ (o you want to wear this outfit+ #'$ /hat are your fa&orite foods+ #($ -s this water warm enough+ )*. /hen trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should #A$ use pictures and gestures. #%$ face the resident and speak softly when talking. #'$ repeat words often if the resident does not understand. #($ assume when the resident nods hisher head thatthe message is understood. ). /hile walking down the hall, a nurse aide looksinto a resident!s room and sees another nurse aide hitting a resident. "he nurse aide is expected to #A$ contact the state agency that inspects the nursing facility. #%$ enter the room immediately to pro&ide for the resident!s safety. #'$ wait to confront the nurse aide when heshe lea&es the resident!s room. #($ check the resident for any signs of in0ury after the nurse aide lea&es the room. )2. %efore touching a resident who is crying to offer comfort, the nurse aide should consider #A$ the resident!s recent &ital signs. #%$ the resident!s cultural background. #'$ whether the resident has been sad recently. #($ whether the resident has family that &isits routinely. )8. /hen a resident is expressing anger, the nurse aide should #A$ correct the resident!s misperceptions. #%$ ask the resident to speak in a kinder tone. #'$listen closely to the resident!s concerns. #($ remind the resident that e&eryone gets angry. )9. /hen gi&ing a backrub, the nurse aide should #A$ apply lotion to the back directly from the bottle. #%$ keep the resident co&ered as much as possible. #'$ lea&e extra lotion on the skin when completing the procedure. #($ expect the resident to lie on hisher stomach. ):. A nurse aide finds a resident looking in the refrigerator at the nurses! station at 2 a.m. "he resident, who is confused, explains he needs breakfast beforehe lea&es for work. "he best response by the nurse aide is to
#A$ help the resident back to his room and into bed. #%$ ask the resident about his 0ob and if he is hungry. #'$ tell him that residents are not allowed in the nurses! station. #($ remind him that he is retired from his 0ob and in a nursing home. )<. /hich of the following is true about caring fora resident who wears a hearing aid+ #A$ Apply hairspray after the hearing aid is in place. #%$ 3emo&e the hearing aid before showering. #'$ 'lean the earmold and battery case with water daily, drying completely. #($ 3eplace batteries weekly. *=. 3esidents with Parkinson!s disease often re6uire assistance with walking because they #A$ become confused and forget how to take steps without help. #%$ ha&e poor attention skills and do not notice safety problems. #'$ ha&e &isual problems that re6uire special glasses. #($ ha&e a shuffling walk and tremors. *1. A resident who is inacti&e is at risk of constipation. -n addition to increased acti&ity and exercise, which of the following actions helps to pre&ent constipation+ #A$ Ade6uate fluid intake #%$ 3egular mealtimes #'$ 5igh protein diet #($ 7owfiber diet *). A resident has an indwelling urinary catheter. /hile making rounds, the nurse aide notices that there is no urine in the drainage bag. "he nurse aide should first #A$ ask the resident to try urinating. #%$ offer the resident fluid to drink. #'$ check for kinks in the tubing. #($ obtain a new urinary drainage bag. **. A resident who is incontinent of urine has an increased risk of de&eloping #A$ dementia. #%$ urinary tract infections. #'$ pressure sores. #($ dehydration. *. /hen cleansing the genital area during p erineal care, the nurse aide should #A$ cleanse the penis with a circular motion starting from the base and mo&ing toward the tip. #%$ replace the foreskin when pushed back to cleanse an uncircumcised penis. #'$ cleanse the rectal area first, before cleansingthe genital area. #($ use the same area on the washcloth for each washing and rinsing stroke for a female resident. *2. /hich of the following is considered a normal age‐ related change+
#A$ (ementia #%$ 'ontractures #'$ %ladder holding less urine #($ /hee@ing when breathing *8. A resident is on a bladder retraining program. "he nu rse aide can expect the resident to #A$ ha&e a fluid intake restriction to pre&ent sudden urges to urinate. #%$ wear an incontinent brief in case of an accident. #'$ ha&e an indwelling urinary catheter. #($ ha&e aschedule for toileting. *9. A resident who has stress incontinence #A$ will ha&e an indwelling urinary catheter. #%$ should wear an incontinent brief at night. #'$ may leak urine when laughing or coughing. #($ needs toileting e&ery 1‐ ) hours throughout the day. *:. "he doctor has told the resident that his cancer is growing and that he is dying. /hen the resident tells the nurse aide that there is a mistake, the nurse aide should #A$ understand that denial is a normal reaction. #%$ remind the resident the doctor would not lie. #'$ suggest the resident ask for more tests. #($ ask if the resident is afraid of dying. *<. A slipknot is used when securing a restraint so that #A$ the restraint cannot be remo&ed by the resident. #%$ the restraint can be remo&ed 6uickly when needed. #'$ body alignment is maintained while wearing the restraint. #($ it can be easily obser&ed whether the restraintis applied correctly. =. /hen using personal protecti&e e6uipment #PPE$ the nurse aide correctly follows Standard Precautions when wearing #A$ double glo&es when pro&iding perineal care to aresident. #%$ a mask and gown while feeding a resident that coughs. #'$ glo&es to remo&e a resident!s bedpan. #($ glo&es while ambulating a resident. 1. "o help pre&ent resident falls, the nurse aide should #A$ always raise siderails when any resident is in hisher bed. #%$ lea&e residents! beds at the lowest le&el when care is complete. #'$ encourage residents to wear larger‐ si@ed, loose‐ fitting clothing. #($ remind residents who use call lights that they need to wait patiently for staff. ). As the nurse aide begins hisher assignment, which of the following should the nurse aide do first+ #A$ 'ollect linen supplies for the shift
#%$ 'heck all the nurse aide!s assigned residents #'$ Assist a resident that has called for assistance to get off the toilet #($ Start bathing a resident that has physical therapy in one hour *. /hich of the following would affect a nurse aide!s status on the state!s nurse aide registry and also cause the nurse aide to be ineligible to work in a nursing home+ #A$ 5a&ing been terminated from another facility for repeated tardiness #%$ 4issing a mandatory infection control inser&icetraining program #'$ >ailing to show for work without calling to report the absence #($ 5a&ing a finding for resident neglect . "o help pre&ent the spread of germs between patients, nurse aides should #A$ wear glo&es when touching residents. #%$ hold supplies and linens away from their uniforms. #'$ wash hands for at least two minutes after each resident contact. #($ warn residents that holding hands spreads germs. 2. /hen a sink has hand‐ control faucets, the nurse aide should use #A$ a paper towel to turn the water on. #%$ a paper towel to turn the water off. #'$ an elbow, if possible, to turn the faucet controls on and off. #($ bare hands to turn the faucet controls both on and off. 8. /hen mo&ing a resident up in bed who is able to mo&e with assistance, the nurse aide should #A$ position self with knees straight and bent at waist. #%$ use a gait or transfer belt to assist with the repositioning. #'$ pull the resident up holding onto one side of the drawsheet at a time. #($ bend the resident!s knees and ask the resident to push with hisher feet. 9. "he resident!s weight is obtained routinely as a way to check the resident!s #A$ growth and de&elopment. #%$ ad0ustment to the facility. #'$ nutrition and health. #($ acti&ity le&el. :. /hich of the following is a right that is included in the 3esident!s %ill of 3ights+ #A$ "o ha&e staff a&ailable that speak different languages on each shift #%$ "o ha&e payment plan options that are based on financial need #'$ "o ha&e religious ser&ices offered at the facility daily #($ "o make decisions and participate in own care <. /hich of the following, if obser&ed as a sudden change in the resident, is considered a possible warning sign of a stroke+ #A$ (ementia #%$ 'ontractures #'$ Slurred speech
#($ -rregular heartbeat 2=. 'onsidering the resident!s acti&ity, which of the following sets of &ital signs should be reported to the charge nurse immediately+ #A$ 3esting <:.8B‐<:‐*) #%$ After eating <9.=B‐8‐ ) #'$ After walking exercise <:.)B‐ <:‐ ): ($ /hile watching tele&ision <:.:B‐ 9)‐ 1 Answer key 1' )( *A A 2( 8% 9' :% <' 1= A 11 ( 1) A 1* % 1 % 12 ( 18 ' 19 % 1: ' 1< % )= ( )1 A )) ' )* A ) % )2 % )8 ' )9 % ): % )< % *= ( *1 A *) ' ** ' * % *2 '
*8 ( *9 ' *: A *< % = ' 1 % ) ' * ( % 2 % 8 ( 9 ' : ( < ' 2= A
