INACE Basic Nursing Skills 3 — Questions and Answers
Question 1: A resident has a vest restraint applied. How often should the nursing assistant check on the resident and perform range-of-motion exercises?
- Every 4 hours
- Every 2 hours (Correct answer)
- Once per shift
- Only when the resident calls
Correct answer: Every 2 hours
Restrained residents must be checked and repositioned with ROM exercises at least every 2 hours to prevent complications.
Question 2: When applying a cold pack to reduce swelling, the nursing assistant should:
- Apply it directly to the skin for maximum effect
- Cover it with a cloth or towel before applying (Correct answer)
- Leave it in place until the swelling subsides
- Apply it for 60 minutes continuously
Correct answer: Cover it with a cloth or towel before applying
A cloth barrier must be placed between the cold pack and skin to prevent frostbite or tissue damage.
Question 3: Which is the correct technique for using a gait belt when assisting a resident to walk?
- Place it around the resident's chest under the arms
- Place it around the resident's waist over clothing (Correct answer)
- Place it around the resident's hips below the waist
- Place it around one wrist for control
Correct answer: Place it around the resident's waist over clothing
A gait belt is secured snugly around the resident's waist over clothing to provide a safe grip during ambulation assistance.
Question 4: A resident who is non-weight-bearing on the right leg needs to use a cane. On which side should the cane be held?
- Right (affected) side
- Left (unaffected) side (Correct answer)
- Either side is acceptable
- No cane is needed if using a walker
Correct answer: Left (unaffected) side
A cane is held on the stronger (unaffected) side to shift weight away from the weaker leg and improve stability.
Question 5: When making an occupied bed, the nursing assistant should raise the bed to:
- The lowest position throughout
- A comfortable working height, then lower it when finished (Correct answer)
- The highest position and leave it raised
- Knee height only
Correct answer: A comfortable working height, then lower it when finished
Raising the bed to working height prevents back injury; it must be lowered to the lowest position after care is complete for resident safety.
Question 6: While assisting a resident with oral care, the nursing assistant notices the resident's gums are red and bleeding. The appropriate action is to:
- Continue brushing more gently and say nothing
- Stop, document, and report findings to the nurse (Correct answer)
- Apply more toothpaste to soothe the gums
- Rinse with mouthwash only going forward
Correct answer: Stop, document, and report findings to the nurse
Changes in oral tissue such as redness or bleeding are abnormal observations that must be reported to the nurse.
Question 7: Which action correctly describes the purpose of performing passive range-of-motion (ROM) exercises?
- To strengthen weakened muscles through resistance
- To maintain joint flexibility and prevent contractures (Correct answer)
- To improve cardiovascular endurance
- To help the resident regain independent movement
Correct answer: To maintain joint flexibility and prevent contractures
Passive ROM exercises are performed by the nursing assistant to maintain joint mobility and prevent contractures in residents who cannot move independently.
INACE Basic Nursing Skills 3
A resident has a vest restraint applied.
How often should the nursing assistant check on the resident and perform range-of-motion exercises?