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New Hampshire LNA study materials
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New Hampshire LNA practice questions

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Question 1Personal Care and Basic Nursing Skills

An LNA is about to begin morning care for a resident. Which action should the LNA take first?

  1. Put on a pair of clean gloves before touching the resident
  2. Apply lotion to the hands to protect the skin
  3. Ask the resident to wash their own hands first
  4. Perform hand hygiene with soap and water or hand rub Correct answer.

Explanation

Hand hygiene is the single most important step before any resident contact and is performed before gloves are put on. Gloves reduce but do not eliminate the transfer of organisms from the LNA's hands. Cleansing the LNA's hands protects both the resident and the next person the LNA touches.

Question 2Personal Care and Basic Nursing Skills

A resident wears dentures. When cleaning them, the LNA should:

  1. Clean them with hot water and household cleanser
  2. Wrap them in a tissue and set them on the bedside table
  3. Fill the sink or line it with a washcloth before cleaning Correct answer.
  4. Store them dry in an open drawer overnight

Explanation

Dentures are slippery when wet and break easily, so the sink is padded or partly filled with water to cushion a drop. Hot water can warp denture material and household cleansers are too abrasive. When not in the mouth, dentures belong in a labeled container.

Question 3Personal Care and Basic Nursing Skills

When giving a complete bed bath, which area does the LNA wash first?

  1. The feet
  2. The back
  3. The eyes and face Correct answer.
  4. The perineal area

Explanation

Bathing proceeds from the cleanest area to the dirtiest, so the eyes and face are washed first using plain warm water and a separate corner of the cloth. The perineal area is cared for last to avoid carrying organisms to other body areas. The back and feet fall in the middle of the sequence.

Question 4Personal Care and Basic Nursing Skills

When providing perineal care for a female resident, the LNA should wash:

  1. Back and forth across the area with one cloth
  2. From the rectal area toward the urinary opening
  3. From the urinary opening toward the rectum Correct answer.
  4. Only the outer labia, using the same cloth throughout

Explanation

Washing front to back keeps fecal material away from the urethra and reduces the risk of urinary tract infection. A clean portion of the washcloth is used for each stroke. Rinsing and drying thoroughly afterward helps prevent skin breakdown.

Question 5Personal Care and Basic Nursing Skills

After completing care, the LNA removes personal protective equipment. Which item is removed last?

  1. Mask Correct answer.
  2. Goggles
  3. Gloves
  4. Gown

Explanation

Gloves are removed first because they are the most contaminated, followed by eye protection and then the gown. The mask is removed last by handling only the ties or straps. Hand hygiene follows removal of all equipment.

Question 6Personal Care and Basic Nursing Skills

Which site does the LNA most commonly use to measure a resident's pulse?

  1. Radial artery Correct answer.
  2. Popliteal artery
  3. Brachial artery
  4. Carotid artery

Explanation

The radial pulse at the thumb side of the wrist is the standard site because it is easy to reach, safe to press, and requires no exposure of the body. It is measured with two fingertips, never the thumb. The carotid and brachial sites are used in specific situations such as emergencies or blood pressure measurement.

Question 7Personal Care and Basic Nursing Skills

Which of these items is counted as fluid intake?

  1. Soup, gelatin, and ice chips Correct answer.
  2. Only liquids drunk from a glass
  3. Only fluids that are given through an IV
  4. Foods eaten at mealtime

Explanation

Anything that is liquid at room temperature counts as intake, including soup, gelatin, ice cream, custard, and melted ice chips. Fluids taken with medications also count. Water used for hygiene or left in a cup at the end of a meal does not count.

Question 8Personal Care and Basic Nursing Skills

Before leaving a resident's room after providing care, the LNA should:

  1. Place the call light within the resident's reach Correct answer.
  2. Close the door to give the resident privacy and quiet
  3. Raise all four side rails on the bed
  4. Turn off the overhead light and close the curtains

Explanation

Leaving the call light and personal items within easy reach is a basic fall- and injury-prevention measure. Side rails are used only as specified in the care plan, since improper use can cause entrapment. Closing the door or turning off lights may also conflict with the resident's plan of care.

Question 9Personal Care and Basic Nursing Skills

A resident has just finished a cup of hot coffee. When should the LNA take an oral temperature?

  1. Take it right away, since the reading will not change
  2. Wait at least 4 hours before measuring
  3. Wait at least 15 to 30 minutes Correct answer.
  4. Take it rectally instead without waiting

Explanation

Hot or cold food and drink, smoking, and chewing gum change the temperature inside the mouth. Waiting 15 to 30 minutes allows the mouth to return to baseline. Waiting several hours is unnecessary and delays needed information.

Question 10Personal Care and Basic Nursing Skills

When counting a resident's respirations, the LNA should:

  1. Count for 10 seconds and multiply by three
  2. Count only the breaths that are clearly audible
  3. Count for one full minute without telling the resident Correct answer.
  4. Tell the resident to breathe normally and count for 15 seconds

Explanation

Respirations are counted for a full minute, ideally while the resident believes the pulse is still being taken, because awareness of being watched changes breathing. One rise and fall of the chest equals one respiration. The rate, rhythm, depth, and effort are all noted.

Question 11Personal Care and Basic Nursing Skills

Where should the blood pressure cuff be placed when measuring a resident's blood pressure?

  1. On the forearm, with the cuff centered over the wrist
  2. Over the elbow joint, centered on the crease
  3. On the bare upper arm, just above the elbow crease Correct answer.
  4. Over the resident's clothing on the upper arm

Explanation

The cuff goes on bare skin with its lower edge about one inch above the antecubital space, at the level of the heart. Clothing or a cuff placed over the joint distorts the reading. The arm should be supported and relaxed during measurement.

Question 12Personal Care and Basic Nursing Skills

Which nursing action best helps prevent pressure injuries in a resident who cannot move independently?

  1. Repositioning the resident at least every two hours Correct answer.
  2. Keeping the head of the bed raised at 60 degrees or higher
  3. Massaging reddened bony areas several times a day
  4. Applying powder liberally to keep the skin dry

Explanation

Regular repositioning relieves pressure on bony prominences before tissue damage occurs, and most care plans specify at least every two hours. The head of the bed is kept as low as tolerated to reduce shearing. Reddened areas are reported, not massaged, because massage can further damage tissue.

Question 13Personal Care and Basic Nursing Skills

When performing passive range of motion exercises with a resident, the LNA should:

  1. Push the joint slightly beyond its normal limit each time
  2. Complete each exercise as quickly as possible to save time
  3. Bounce the joint at the end of each movement to build flexibility
  4. Move slowly and gently, stopping if there is pain Correct answer.

Explanation

Passive range of motion is performed slowly and smoothly, supporting the limb above and below the joint and staying within the resident's normal limits. Any report of pain is a signal to stop and report. Forcing or bouncing a joint can cause injury.

Question 14Personal Care and Basic Nursing Skills

A resident is moving from the bed into a wheelchair. Where should the LNA position the wheelchair?

  1. Parallel to the bed on the stronger side, brakes locked Correct answer.
  2. At the foot of the bed, facing the head of the bed
  3. In the hallway, just outside the doorway
  4. At a sharp angle on the resident's weaker side

Explanation

Placing the chair parallel to the bed on the stronger side lets the resident use the stronger arm and leg to stand and pivot safely. The brakes must be locked and the footrests moved out of the way before the transfer begins. The chair should be close enough that the resident does not have to reach.

Question 15Personal Care and Basic Nursing Skills

When applying elastic stockings to a resident, the LNA should:

  1. Apply them in the morning before the resident gets out of bed Correct answer.
  2. Apply them at bedtime and remove them first thing in the morning
  3. Roll them down to the ankle and leave them bunched there
  4. Rub lotion on the legs before pulling the stockings on

Explanation

Elastic stockings are applied before the resident gets up, when blood has not yet pooled in the legs, and are checked for wrinkles and bunching. They are removed as often as the care plan directs for skin care and inspection. Lotion under the stocking can irritate skin and make the stocking slip.

Question 16Personal Care and Basic Nursing Skills

A clean-catch midstream urine specimen requires the LNA to:

  1. Collect the first urine of the day from the bedpan
  2. Cleanse the urinary opening, then collect urine midstream Correct answer.
  3. Take the specimen from the drainage bag of the catheter
  4. Add a small amount of water to the collection container

Explanation

In a clean-catch midstream collection, the resident cleans the urinary opening, begins to void into the toilet or bedpan, and then collects the middle portion of the stream in a sterile container. This reduces contamination from the skin and from the first flush of urine. The container is labeled and sent to the lab promptly.

Question 17Personal Care and Basic Nursing Skills

When providing catheter care, the LNA cleans the area around the urinary opening:

  1. Only on the tubing, leaving the skin around the opening alone
  2. With the same cloth used for perineal care, back and forth
  3. Away from the opening, using a clean cloth for each stroke Correct answer.
  4. Toward the opening, starting from the rectal area

Explanation

Catheter care moves outward from the urinary meatus so organisms are not carried into the opening, and a clean area of cloth is used for each stroke. The catheter is held steady and never pulled. The skin around the meatus and the first few inches of tubing are both cleaned.

Question 18Personal Care and Basic Nursing Skills

Which action lowers the risk of aspiration while the LNA is feeding a resident?

  1. Feeding quickly so the resident does not become tired
  2. Having the resident sit upright at about 90 degrees Correct answer.
  3. Giving fluids through a straw while the resident lies flat
  4. Adding food to the mouth before it is completely empty

Explanation

An upright position lets gravity help move food down and keeps the airway protected. The LNA also offers small bites, checks for food pocketed in the cheek, and paces the meal so the resident has time to chew and swallow. The resident remains upright for a period after eating.

Question 19Personal Care and Basic Nursing Skills

A resident is on contact precautions. What should the LNA do before entering the room?

  1. No special steps are needed as long as gloves are worn
  2. Perform hand hygiene, then put on a gown and gloves Correct answer.
  3. Wear a gown only and leave the door open
  4. Wear a mask and eye protection only

Explanation

Contact precautions require hand hygiene plus a gown and gloves for every entry into the room because organisms spread by direct contact with the resident or contaminated surfaces. Equipment is dedicated to that resident whenever possible. Hand hygiene is repeated on leaving the room.

Question 20Personal Care and Basic Nursing Skills

A resident removes a hearing aid before a nap. What should the LNA do with the device?

  1. Set it near a heater so any moisture dries
  2. Place it in a glass of water to soak clean
  3. Wrap it in a tissue and throw it in the trash
  4. Turn it off and store it in its labeled case Correct answer.

Explanation

Hearing aids are turned off, the battery door is opened if the care plan calls for it, and the device is stored in its labeled case away from heat, moisture, and the risk of being lost. Water and heat both damage the electronics. The LNA never puts a hearing aid in a pocket or loose in a drawer.

Question 21Personal Care and Basic Nursing Skills

A resident who usually eats well refuses food, is more confused than usual, and has a temperature of 101.2 degrees F. What should the LNA do?

  1. Document the food refusal and offer the next meal
  2. Give the resident an aspirin for the fever
  3. Report the changes to the nurse promptly Correct answer.
  4. Wait until evening to see whether the resident improves

Explanation

A new fever combined with confusion and poor appetite is a change in condition that must be reported to the nurse right away, since these signs can point to infection or another serious problem. The LNA observes and reports but does not decide on treatment. Waiting allows the condition to worsen.

Question 22Personal Care and Basic Nursing Skills

A resident has a physician-ordered wrist restraint. Which action by the LNA is correct?

  1. Leaving the restraint in place during meals and toileting
  2. Checking skin and circulation every 15 to 30 minutes Correct answer.
  3. Tying the restraint straps securely to the side rails
  4. Applying the restraint snugly so it cannot slip off the wrist

Explanation

Restraints require frequent checks of skin color, warmth, pulse, and sensation below the device, and the resident is offered fluids, toileting, and range of motion at those checks. Straps are tied to the bed frame with a quick-release knot, never to side rails. Restraints are released for meals and toileting unless the care plan states otherwise.

Question 23Personal Care and Basic Nursing Skills

A resident has a colostomy pouch that is about half full. What should the LNA do?

  1. Clean the stoma with rubbing alcohol first
  2. Empty it into a measuring container and note the amount Correct answer.
  3. Flush the stoma with tap water after emptying
  4. Wait to empty the pouch until it is completely full and tight

Explanation

The pouch is emptied when it is about one-third to one-half full so it does not pull on the skin or leak. Output is emptied into a measuring container and the amount and character are recorded. The stoma and surrounding skin are cleansed with mild soap and water, never alcohol.

Question 24Personal Care and Basic Nursing Skills

A resident is receiving oxygen through a nasal cannula. Which action by the LNA is safe?

  1. Storing the spare oxygen tank flat in a closed closet
  2. Keeping the tank upright and secured, with no smoking nearby Correct answer.
  3. Using an electric razor to shave the resident
  4. Applying a thick layer of petroleum jelly to the nostrils

Explanation

Oxygen supports combustion, so the tank is kept upright and fastened to a stand or cart and smoking, open flames, and sparking equipment are kept away. Petroleum-based products can trap heat and burn if oxygen is present. Electrical devices that may spark are avoided near oxygen.

Question 25Personal Care and Basic Nursing Skills

While bathing a resident, the LNA sees a reddened area on the heel that stays red after being pressed. What should the LNA do?

  1. Ignore it, since redness is normal in older adults
  2. Massage it firmly to improve circulation to the area
  3. Report it to the nurse as a possible pressure injury Correct answer.
  4. Cover it with a tight bandage and continue the bath

Explanation

Redness that does not blanch when pressed is an early sign of pressure injury and must be reported so the care plan can be adjusted. The area is kept clean, dry, and off-loaded, and it is never massaged. Early reporting allows treatment before the skin breaks down.

Question 26Personal Care and Basic Nursing Skills

An LNA is about to provide care and sees that the hands are visibly soiled with stool. Which action should the LNA take?

  1. Put on gloves and continue the care.
  2. Wash with soap and running water. Correct answer.
  3. Wipe the hands off with a wet washcloth.
  4. Rub the hands with an alcohol-based sanitizer.

Explanation

When hands are visibly soiled or contaminated with body fluids, soap and running water are required because the mechanical action removes the material. Alcohol-based sanitizers do not work well in the presence of organic matter and do not remove visible soil.

Question 27Personal Care and Basic Nursing Skills

When the LNA washes a resident's eyes during a bed bath, in which direction should each eye be wiped?

  1. From the inner corner toward the outer corner. Correct answer.
  2. Back and forth across the closed eyelid.
  3. From the outer corner toward the inner corner.
  4. From the upper lid straight down to the cheek.

Explanation

Wiping from the inner canthus outward carries secretions away from the tear duct and reduces the chance of introducing organisms into the eye. A separate area of the washcloth is used for each eye.

Question 28Personal Care and Basic Nursing Skills

A resident removes her dentures at bedtime. How should the LNA store them?

  1. Wrap them in a tissue and put them in the bedside drawer.
  2. Place them in a labeled denture cup filled with water. Correct answer.
  3. Soak them overnight in a cup of very hot water.
  4. Leave them on the bedside table to air dry overnight.

Explanation

Dentures are kept in a labeled container covered with water so they do not dry out, warp, or get lost. The label protects against mix-ups with another resident's dentures.

Question 29Personal Care and Basic Nursing Skills

Which action best reduces a resident's risk of falling at night?

  1. Keep the room dark so the resident can sleep.
  2. Ask the resident to stay in bed until morning.
  3. Raise all four side rails on the bed.
  4. Keep the call light and water within reach. Correct answer.

Explanation

Keeping items the resident may need within easy reach reduces the urge to get up unassisted in the dark. A night light and prompt answering of the call light further lower fall risk.

Question 30Personal Care and Basic Nursing Skills

When giving perineal care to a female resident, the LNA should wash:

  1. from the urinary opening toward the rectum. Correct answer.
  2. using one washcloth without rinsing it.
  3. in a circular motion starting at the rectum.
  4. from the rectum toward the urinary opening.

Explanation

Cleansing from front to back keeps organisms from the rectal area away from the urinary opening, which helps prevent urinary tract infection. A fresh part of the washcloth is used for each stroke and the area is rinsed and dried.

Question 31Personal Care and Basic Nursing Skills

While giving a bed bath, which action best protects the resident's privacy?

  1. Closing the door and draping with a blanket. Correct answer.
  2. Keeping the room door open so staff can watch.
  3. Allowing visitors to stay in the room during care.
  4. Uncovering the whole body at the start of the bath.

Explanation

Privacy is maintained by closing the door or drawing the curtain and keeping the resident covered except for the part being washed. This also keeps the resident warm and preserves dignity.

Question 32Personal Care and Basic Nursing Skills

A resident is given an ice pack for a swollen ankle. What should the LNA do?

  1. Tape the ice pack tightly so it cannot move.
  2. Wrap the ice pack in a cloth first. Correct answer.
  3. Leave the ice pack in place for one full hour.
  4. Place the ice pack directly on the bare skin.

Explanation

A barrier such as a cloth or towel is placed between the cold source and the skin to prevent cold injury. The skin under the application is checked regularly and the pack is removed if it becomes pale, white, or numb.

Question 33Personal Care and Basic Nursing Skills

A resident can still dress herself but takes a long time. Which action by the LNA is best?

  1. Allow the resident to dress at her own pace. Correct answer.
  2. Choose the resident's clothes so the task goes faster.
  3. Finish dressing the resident to save time.
  4. Tell the resident to hurry so breakfast is not late.

Explanation

Residents should be encouraged to do whatever they can for themselves, because self-care preserves strength, coordination, and a sense of control. The LNA stays nearby, offers encouragement, and assists only with the parts the resident cannot manage.

Question 34Personal Care and Basic Nursing Skills

A resident who takes a blood-thinning medication needs a shave. Which action should the LNA take?

  1. Shave against the direction of hair growth.
  2. Apply a warm compress to the face before shaving.
  3. Use a disposable razor with warm water.
  4. Use an electric razor. Correct answer.

Explanation

Blood thinners raise the risk of prolonged bleeding, so an electric razor is used because it does not cut the skin. Any nick is reported and pressure is applied until bleeding stops.

Question 35Personal Care and Basic Nursing Skills

When making an occupied bed, how should the LNA position the resident?

  1. Standing beside the bed holding the mattress.
  2. On the back with the head of the bed flat.
  3. On the side with the far side rail raised. Correct answer.
  4. Sitting at the edge of the bed holding the rail.

Explanation

Rolling the resident toward the side with the rail up keeps the resident safely contained while the near linens are changed. The LNA never leaves the resident unattended and keeps a hand on the resident during the turn.

Question 36Personal Care and Basic Nursing Skills

The LNA places a resident in Sims' position. How is the resident lying?

  1. Flat on the abdomen with the face down.
  2. On the left side with the right knee bent. Correct answer.
  3. Flat on the back with the legs straight.
  4. Sitting upright with the knees bent.

Explanation

Sims' position is a side-lying position, usually on the left side, with the upper knee drawn up toward the chest and the lower arm behind the back. It is used for enemas, some examinations, and for relieving pressure.

Question 37Personal Care and Basic Nursing Skills

Where does the LNA place the gait belt when helping a resident walk?

  1. Around the waist over the clothing. Correct answer.
  2. Around the resident's thighs above the knees.
  3. Around the LNA's waist for better balance.
  4. Around the resident's chest under the arms.

Explanation

A gait belt is applied snugly around the resident's waist over clothing, where the LNA can grip it to steady the resident. It is checked for a comfortable fit that does not restrict breathing.

Question 38Personal Care and Basic Nursing Skills

Which action is correct when the LNA helps a resident use a bedpan?

  1. Warming the bedpan before placing it. Correct answer.
  2. Lowering the head of the bed flat after placing the pan.
  3. Leaving the resident alone while the pan is in place.
  4. Pulling the resident up by the arms to lift the hips.

Explanation

A cold pan against the skin is uncomfortable and causes the muscles to tighten, so the pan is warmed with warm water and dried first. The resident's hips are raised by rolling or by having the resident lift with the legs, never by pulling on the arms.

Question 39Personal Care and Basic Nursing Skills

The LNA empties a resident's urinary drainage bag. Which action is correct?

  1. Hang the bag on the side rail of the bed.
  2. Keep the spout from touching the container. Correct answer.
  3. Empty the bag only once every 24 hours.
  4. Measure the urine while it is still in the bag.

Explanation

The spout is kept from contact with the collection container so organisms are not carried back up into the bag. The bag is kept below the level of the bladder and the urine is measured in a clean graduate.

Question 40Personal Care and Basic Nursing Skills

While providing care, the LNA notices a skin tear on a resident's forearm. What should the LNA do first?

  1. Wash the area with alcohol and apply a bandage.
  2. Cover the area gently and tell the nurse. Correct answer.
  3. Pull the skin flap back into place with a gloved hand.
  4. Wait until the end of the shift to tell the nurse.

Explanation

A skin tear is covered gently without disturbing the flap, because handling it can cause further tissue loss and delay healing. The nurse is notified promptly and the wound is documented.

Question 41Personal Care and Basic Nursing Skills

Which resident should not have a rectal temperature taken?

  1. A resident who has diarrhea. Correct answer.
  2. A resident who has a mild cold.
  3. A resident who uses a walker.
  4. A resident who is hard of hearing.

Explanation

Rectal temperatures are avoided when the resident has diarrhea, rectal bleeding, recent rectal surgery, or a low platelet count, because inserting the thermometer can cause injury or spread infection. An oral, tympanic, or axillary route is used instead.

Question 42Personal Care and Basic Nursing Skills

Which of these is an objective observation the LNA can record?

  1. The resident seemed unhappy this morning.
  2. The resident drank 120 mL of water. Correct answer.
  3. The resident probably has a fever.
  4. The resident felt dizzy after lunch.

Explanation

Objective information is what the LNA can see, measure, or count, such as a measured amount of fluid. Judgments, guesses, and opinions belong in neither the flow sheet nor the report as facts.

Question 43Personal Care and Basic Nursing Skills

A resident needs a stool specimen collected. Which action by the LNA is correct?

  1. Place it in a covered container and label it. Correct answer.
  2. Send the bedpan with urine mixed in the stool.
  3. Use a tongue blade to move stool from the toilet bowl.
  4. Ask the resident to save the stool until the next shift.

Explanation

The specimen goes into a clean, covered container that is labeled with the resident's identifying information and sent promptly to the lab. Urine and toilet paper are kept out of the sample because they interfere with testing.

Question 44Personal Care and Basic Nursing Skills

A resident with diabetes asks the LNA to trim his toenails. What should the LNA do?

  1. Soak the feet and then cut the corners of the nails.
  2. File the nails until they are very short.
  3. Explain that a nurse or podiatrist will trim them. Correct answer.
  4. Trim the nails straight across with scissors.

Explanation

Residents with diabetes often have poor circulation and reduced sensation in the feet, so any nick or cut can become a serious wound. Toenail trimming for these residents is done by a nurse or podiatrist according to the care plan.

Question 45Personal Care and Basic Nursing Skills

The LNA weighs a resident on a standing scale. Which action gives the most accurate weight?

  1. Weigh at the same time daily in similar clothing. Correct answer.
  2. Estimate the weight if the resident cannot stand still.
  3. Let the resident lean forward on the grab bar.
  4. Weigh the resident in the afternoon after lunch.

Explanation

Consistency in time of day, clothing, and scale makes weights comparable so that small changes in fluid or nutrition can be detected. The scale is balanced at zero before the resident steps on.

Question 46Personal Care and Basic Nursing Skills

A resident uses a cane. How should the LNA help the resident walk?

  1. Use the cane on the stronger side, moving it with the weaker leg. Correct answer.
  2. Have the resident move the cane after both feet step.
  3. Ask the resident to hold the cane on the weaker side during the walk.
  4. Carry the cane while walking behind the resident.

Explanation

A cane is held on the stronger side so it can support the weaker leg, and it is moved forward at the same time as the weaker leg. The LNA walks on the weaker side and slightly behind, with a gait belt in place if needed.

Question 47Personal Care and Basic Nursing Skills

The LNA assists with a cleansing enema. In which position should the resident lie?

  1. On the back with the hips raised on pillows.
  2. Sitting upright in a chair.
  3. On the right side with the knees straight.
  4. On the left side with the knees bent. Correct answer.

Explanation

Lying on the left side with the knees bent follows the path of the descending colon, which helps the solution flow in and be retained. The resident is covered, the bed is protected, and the resident is given a call light and privacy after the enema.

Question 48Personal Care and Basic Nursing Skills

When removing PPE after leaving a resident's room, which item should the LNA remove last?

  1. Mask Correct answer.
  2. Goggles
  3. Gloves
  4. Gown

Explanation

Gloves are removed first because they are the most contaminated, then eye protection and the gown, with the mask removed last by the straps. The mask is removed last so the face and airway are not exposed while other contaminated items are being handled.

Question 49Personal Care and Basic Nursing Skills

A resident reports dizziness when standing. How should the LNA measure blood pressure to check for orthostatic changes?

  1. While the resident holds the arm above the head.
  2. Once in the arm with the highest reading.
  3. Only while the resident is standing.
  4. Lying, then sitting, then standing. Correct answer.

Explanation

Orthostatic blood pressure is measured with the resident in a lying, then sitting, then standing position, with a reading taken after each change. A drop in pressure along with dizziness or a change in pulse is reported to the nurse.

Question 50Personal Care and Basic Nursing Skills

A resident begins to have a seizure. Which action should the LNA take?

  1. Place a spoon between the teeth to keep the airway open.
  2. Hold the arms and legs still until the seizure stops.
  3. Leave the room to get help from the nurse.
  4. Lower the resident to the floor and protect the head. Correct answer.

Explanation

During a seizure the resident is eased to the floor or a safe surface, the head is protected, and nearby objects are moved away. Nothing is placed in the mouth, the limbs are not restrained, and the LNA stays with the resident while calling for help.