INACE Patient Care and Safety 2 — Questions and Answers
Question 1: A resident begins choking on food during mealtime. The nursing assistant should first:
- Perform abdominal thrusts immediately
- Encourage the resident to cough forcefully (Correct answer)
- Call for the nurse and begin back blows
- Place the resident flat on their back
Correct answer: Encourage the resident to cough forcefully
If the resident can cough, speak, or breathe, encourage forceful coughing before escalating to abdominal thrusts.
Question 2: When repositioning a resident to prevent pressure injuries, the nursing assistant should change the resident's position at minimum every:
- 30 minutes
- 1 hour
- 2 hours (Correct answer)
- 4 hours
Correct answer: 2 hours
Standard care guidelines require repositioning immobile residents at least every 2 hours to relieve prolonged pressure on tissue.
Question 3: Which action best prevents the spread of infection when a nursing assistant moves from one resident's room to another?
- Change gloves in the hallway
- Perform hand hygiene between resident contacts (Correct answer)
- Wear a gown for every resident interaction
- Wipe hands on a clean paper towel and proceed
Correct answer: Perform hand hygiene between resident contacts
Hand hygiene between every resident contact is the single most effective measure to prevent cross-contamination.
Question 4: A nursing assistant notices a small reddened area over a resident's coccyx that does not blanch when pressed. This finding should be:
- Documented and reported to the nurse immediately (Correct answer)
- Moisturized and monitored for 24 hours before reporting
- Covered with a dressing chosen by the nursing assistant
- Noted in the resident's personal journal only
Correct answer: Documented and reported to the nurse immediately
Non-blanchable redness indicates a Stage 1 pressure injury and must be reported to the nurse right away for further assessment.
Question 5: The correct order for applying personal protective equipment (PPE) before entering an isolation room is:
- Gown, mask, goggles, gloves (Correct answer)
- Gloves, gown, mask, goggles
- Mask, goggles, gloves, gown
- Goggles, gloves, gown, mask
Correct answer: Gown, mask, goggles, gloves
CDC guidelines specify donning PPE in the order gown first, then mask/respirator, goggles, and finally gloves.
Question 6: When assisting a resident with a mechanical lift transfer, the nursing assistant must ensure:
- The sling is placed under only the resident's torso
- Two staff members are present during the lift (Correct answer)
- The resident holds the lift straps during transfer
- The lift is operated at maximum speed to minimize hang time
Correct answer: Two staff members are present during the lift
Safe mechanical lift use requires at least two staff members—one to operate the lift and one to guide and stabilize the resident.
Question 7: A resident using a walker suddenly feels dizzy and grabs the nursing assistant's arm. The safest response is to:
- Try to hold the resident upright at all costs
- Lower the resident to the floor in a controlled manner (Correct answer)
- Let go so the resident can steady themselves
- Pull the resident toward a nearby chair quickly
Correct answer: Lower the resident to the floor in a controlled manner
Controlled lowering to the floor prevents injury from an uncontrolled fall and protects both the resident and the nursing assistant.
INACE Patient Care and Safety 2
A resident begins choking on food during mealtime.
The nursing assistant should first: