Free STNA Safety and Emergency Procedures Test 1 — Questions and Answers
Question 1: 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:
- Ask the resident to take deep breaths.
- Take the resident's vital signs.
- Raise the head of the bed. (Correct answer)
- Elevate the resident's feet.
Correct answer: Raise the head of the bed.
When a resident suddenly becomes short of breath, the immediate action after calling for help is to raise the head of the bed. This position, known as Fowler's position, helps to expand the lungs and ease breathing by reducing pressure on the diaphragm. It provides immediate relief and improves oxygen intake while waiting for further medical assistance.
Question 2: While giving a bed bath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should:
- 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. (Correct answer)
- Stop the bed bath and go check on the location of all assigned residents.
Correct answer: Make the resident being bathed safe and go check the door right away.
A door alarm indicates a potential safety risk, such as a resident eloping or an unauthorized person entering. The nurse aide's primary responsibility is to ensure the safety of the resident currently in their care before responding to the alarm. Once the resident is safe, the nurse aide must immediately investigate the alarm to prevent harm or address the security breach.
Question 3: Which of the following statements is true about residents who are restrained?
- They are at a greater risk of developing pressure sores. (Correct answer)
- They are at lower risk of developing pneumonia.
- Their posture and alignment are improved.
- They are not at risk of falling.
Correct answer: They are at a greater risk of developing pressure sores.
Residents who are restrained are at a significantly higher risk of developing pressure sores. Restraints restrict movement, leading to prolonged pressure on specific body areas and impaired circulation. This lack of repositioning and reduced blood flow increases the likelihood of skin breakdown and the formation of pressure ulcers.
Question 4: When a resident is combative and tries to hit the nurse aide, it is important for the nurse aide to:
- 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 yourself from harm while speaking in a calm manner. (Correct answer)
Correct answer: Step back to protect yourself from harm while speaking in a calm manner.
When a resident is combative and attempts to hit, the nurse aide's first priority is to ensure their own safety and de-escalate the situation. Stepping back creates a safe distance, while speaking calmly can help reduce the resident's agitation. This approach prioritizes safety and attempts to calm the resident without escalating the confrontation.
Question 5: During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to:
- Remain calm and ask what is upsetting the resident. (Correct answer)
- Begin removing all the other residents from the dining room.
- Scold the resident and ask the resident to leave the dining room immediately.
- Remove the resident's plate, fork, knife, and cup so there is nothing else to throw.
Correct answer: Remain calm and ask what is upsetting the resident.
When a resident exhibits aggressive behavior like yelling and throwing objects, the most appropriate response is to remain calm and try to understand the underlying cause. Agitation often stems from unmet needs, confusion, or frustration, and asking what is upsetting them can help de-escalate the situation. This approach focuses on addressing the resident's distress rather than punishing the behavior.
Question 6: While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to:
- Contact the state agency that inspects the nursing facility.
- Enter the room immediately to provide for the resident's safety. (Correct answer)
- Wait to confront the nurse aide when he/she leaves the resident's room.
- Check the resident for any signs of injury after the nurse aide leaves the room.
Correct answer: Enter the room immediately to provide for the resident's safety.
Witnessing abuse requires immediate intervention to protect the resident from harm. The nurse aide has a legal and ethical obligation to ensure the resident's safety without delay. Entering the room immediately stops the abuse and safeguards the resident, with subsequent reporting and confrontation to follow.
Question 7: A slipknot is used when securing a restraint so that:
- The restraint cannot be removed by the resident.
- The restraint can be removed quickly when needed. (Correct answer)
- Body alignment is maintained while wearing the restraint.
- It can be easily observed whether the restraint is applied correctly.
Correct answer: The restraint can be removed quickly when needed.
A slipknot is used when securing a restraint so that it can be removed quickly and easily in an emergency. This allows for rapid release if the resident needs immediate medical attention, if the restraint is causing distress, or if there's a safety concern. The ability to quickly remove the restraint is crucial for resident safety and well-being.
Question 8: When using personal protective equipment (PPE) the nurse aide correctly follows standard precautions when wearing:
- Double gloves when providing perineal care to a resident.
- A mask and gown while feeding a resident who coughs.
- Gloves to remove a resident's bedpan. (Correct answer)
- Gloves while ambulating a resident.
Correct answer: Gloves to remove a resident's bedpan.
Standard precautions require wearing gloves whenever there is a potential for contact with body fluids, secretions, excretions, or contaminated items. Removing a resident's bedpan involves handling human waste, which necessitates the use of gloves to prevent the transmission of microorganisms and maintain proper infection control.
Question 9: To help prevent resident falls, the nurse aide should:
- Always raise side rails when any residents are in his/her bed.
- Leave residents' beds at the lowest level when care is complete. (Correct answer)
- Encourage residents to wear larger-sized, loose-fitting clothing.
- Remind residents who use call lights that they need to wait patiently for staff.
Correct answer: Leave residents' beds at the lowest level when care is complete.
Leaving residents' beds at the lowest level when care is complete is a critical fall prevention strategy. This minimizes the distance a resident would fall if they were to get out of bed unassisted, significantly reducing the risk of injury. It ensures the safest possible environment for residents when they are not actively being attended to.
Question 10: Which of the following would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse to be ineligible to work in a nursing home?
- Having been terminated from another facility for repeated tardiness.
- Missing a mandatory infection control in-service training program.
- Failing to show up for work without calling to report the absence.
- Having a finding for resident neglect. (Correct answer)
Correct answer: Having a finding for resident neglect.
A finding of resident neglect, abuse, or misappropriation of resident property on the state's nurse aide registry will result in ineligibility to work in a nursing home. These are serious offenses that directly compromise resident safety and well-being, leading to permanent disqualification. Other disciplinary issues like tardiness or absence do not typically result in such a severe consequence.
Question 11: When a sink has hand-control faucets, the nurse aide should use:
- A paper towel to turn the water on.
- A paper towel to turn the water off. (Correct answer)
- An elbow, if possible, to turn the faucet controls on and off.
- Bare hands to turn the faucet controls both on and off.
Correct answer: A paper towel to turn the water off.
When using hand-control faucets, a nurse aide should use a paper towel to turn the water off after washing hands. This prevents recontamination of clean hands from the faucet handles, which are considered dirty. This practice is essential for maintaining proper hand hygiene and preventing the spread of infection.
Free STNA Safety and Emergency Procedures Test 1
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: