Deck 6: The Patients or Residents Environment

Question 1

The nursing assistant helps a resident to the bathroom and observes that the toilet seat is loose and dirty, and the floor around the toilet is wet. What is the best action for the nursing assistant to take?

A) Clean up the bathroom and try to tighten the seat and then use it.
B) Take the resident to another bathroom and report the bathroom for repairs and cleaning.
C) Throw a towel on the floor under the sink, flush the toilet, and have the resident use the grab bar.
D) Have the resident use a bedpan on a chair in the resident's room while having the bathroom cleaned and repaired.

Answer 1

Take the resident to another bathroom and report the bathroom for repairs and cleaning.

Question 2

Which regulation states that a resident's unit in a long-term care facility must be clean, safe, orderly, and free of obstacles in the pathway?

A) Occupational Safety and Health Administration (OSHA) regulations
B) Omnibus Budget Reconciliation Act (OBRA) regulations
C) Medicare regulations
D) Medicaid regulations

Answer 2

Omnibus Budget Reconciliation Act (OBRA) regulations

Question 3

The nursing assistant observes that the trash can is overflowing in the resident's room, and the resident reports nearly having fallen because of it. What best action should the nursing assistant take?

A) Don gloves before gathering the trash and removing it from the room.
B) Leave the resident to ask the housekeeper to remove the trash.
C) Explain to the resident to call when the trash starts getting full.
D) Remove the pieces of trash off the floor and get housekeeping.

Answer 3

Don gloves before gathering the trash and removing it from the room.

Question 4

The nursing assistant prepares to gather clothing and dress the resident as part of morning care. What action does the nursing assistant take?

A) Move the resident's puzzle off the nearby table to make room for grooming supplies.
B) Remove items that are cluttering the furniture and store the items in the closet or in the drawers.
C) Gather the soiled clothing items with the linens and send the items to the facility for laundering.
D) Ask which items the resident wants and get permission before opening a wardrobe or drawers for clothing items.

Question 5

The nursing assistant enters a resident's room and detects an offensive odor. What is the best action for the nursing assistant to take?

A) Ask the resident if the resident smells an offensive odor in the room.
B) Check the environment for the cause of the offensive odor and remove it.
C) Spray air freshener around the room and open a window to air out the room.
D) Close the door to the resident's room to keep from the odor going into the hall.

Question 6

The nursing assistant is caring for a client and the Kardex states to place the client in reverse Trendelenburg. The nursing assistant enters the client's room and observes that the head of the mattress is lower than the foot of the bed. What is the correct action for the nursing assistant to take?

A) Take no further action because the client is in correct position.
B) Move the client's head of the mattress to be higher than the foot of the bed.
C) Raise the head of the bed so the client sits fully upright and feet are flat.
D) Increase the head of the bed up and foot of the bed down at the same time.

Question 7

The nursing assistant is caring for a resident and moves the head of the bed to a comfortable position. What is the next action the nursing assistant should take?

A) Place the call light in reach.
B) Fold the bed crank under the bed.
C) Make sure items are in reach.
D) Ask if the resident wants a blanket.

Question 8

The nursing assistant is helping to safely transfer a resident from their bed to a specialty bed. Upon which observation should the nursing assistant tell the health care team to stop? The nursing assistant observes:

A) that the wheels on the specialty bed are unlocked.
B) both beds are at the same height and are flat.
C) there is a transfer board under the resident.
D) the side rails are down on both beds.

Question 9

The nursing assistant observes the following on the overbed table: water pitcher and disposable cup, box of tissues, open package of damp crackers and a full urinal with urine spilled on the table. What action(s) should the nursing assistant take? Select all that apply.

A) Store the open crackers with other snacks in the overbed table.
B) Empty and clean the urinal and set it on the bed rail.
C) Clean the overbed table and place a clean pitcher and cup.
D) Place the box of tissues on the nearby nightstand out of the way.
E) Remind the client to put the urinal on the bed rail after use.

Question 10

The nursing assistant saw a resident from room 1101 who is confused enter their assigned resident's room 1102 and appear to take an object out of the room. Which best action should the nursing assistant take?

A) Go into room 1102 because the resident is not there and look around the closet and drawers for something missing.
B) Ask the resident from 1102 to return to the room and check if there is anything missing.
C) Have the nursing assistant caring for the resident in 1101 search the room for a new object.
D) Observe the resident who appeared to have taken an object to see if the resident pulls out an item.

Question 11

The nursing assistant moves the client from the bed to the chair by the left side of the bed. What is the best location for the nursing assistant to leave the call light?

A) The right side of the bed.
B) The left side of the bed.
C) The bedside table.
D) The windowsill.

Question 12

The nursing assistant is caring for a client in a private room who is loud, confused, and at times kicks off their blanket, sheets, and clothing. What action should the nursing assistant take?

A) Draw the privacy curtain.
B) Check for comfort needs.
C) Ask the client to stay covered.
D) Close the door to the room.

Question 13

The nursing assistant observes that the resident's note cards and letters are falling onto the floor. What is the first action the nursing assistant should take?

A) Pick up the note cards and letters off the floor and explain that the items need to be contained because they are a tripping hazard.
B) Ask the resident where the resident would like to place the items so they can be easily accessed.
C) Help the resident to properly organize and secure the items from falling onto the floor.
D) Provide suggestions to attractively display the items because the items mean a lot to the resident.

Question 14

Residents are permitted to furnish and decorate their rooms with their own belongings as long as the belongings:

A) fit in with the decorating scheme.
B) do not weigh more than 50 lb.
C) are within the established safety standards.
D) are approved by the person's roommate.

Question 15

The nursing assistant collects a urine specimen and prepares it according to the institution's policy and procedure. What is the best location for the nursing assistant to place the specimen?

A) Soiled utility room
B) Clean utility room
C) Nursing station
D) Medication room

Question 16

The main reason why a nursing assistant must be familiar with the equipment used in the facility is to:

A) save time when performing care tasks.
B) never put the residents at risk for an injury.
C) prevent the equipment from being damaged.
D) show that the facility has modern equipment.

Question 17

The main reason a nursing assistant shows respect for a resident's belongings is to:

A) keep them from being damaged in any way.
B) show the resident they are truly valued.
C) act in a professional manner.
D) follow facility rules.

Question 18

The nursing assistant should employ which principles to provide proper use of side rails? Select all that apply.

A) Raise the rails when transporting a client in their bed.
B) Use the care plan and Kardex to guide the use of side rails.
C) Provide a raised side rail for the client to position self in their bed.
D) Keep all side rails up when a client is confused and trying to get out of bed.
E) Follow what the family wants instead of the facility regarding side rails.

Question 19

What is the main reason the nursing assistant maintains the residents' environment in the health care facility?

A) It affects the mood and comfort level of the residents.
B) It meets resident and family expectations for a safe and pleasant environment.
C) The Omnibus Budget Reconciliation Act (OBRA) monitors environments.
D) Staff members work better when their surroundings are pleasant and safe.

Question 20

A resident tells the nursing assistant that their roommate is always playing the TV much too loud. In order to prevent conflict among the residents, the nursing assistant should explore which possible solution(s) to this problem? Select all that apply.

A) Have the reporting resident take their hearing aid out while the TV is on.
B) Ask the roommate to listen to their TV program in the lounge when the resident is trying to get some rest in the afternoon.
C) Ensure privacy and noise control by closing the resident's door when the resident is resting or relaxing in the room.
D) Report this to the nurse so that the nurse can be the mediator and the assistant is not caught in the middle of it.
E) Do nothing and see if the roommates can work it out without any intervention from staff.