INACE Patient Care and Safety 3

Question 1

When measuring a resident's blood pressure, the cuff should be placed:

Accepted Answer

About 1 inch above the antecubital space

Answer

The lower edge of the blood pressure cuff should sit approximately 1 inch (2–3 cm) above the antecubital fossa for accurate readings.

Question 2

A nursing assistant is caring for a resident with a urinary catheter. Which action increases the risk of a catheter-associated urinary tract infection (CAUTI)?

Accepted Answer

Allowing the drainage bag to rest on the floor

Answer

Placing the drainage bag on the floor allows bacteria to travel up the tubing into the bladder, significantly increasing CAUTI risk.

Question 3

A confused resident tries to climb out of bed at night. The most appropriate nursing assistant action is to:

Accepted Answer

Lower the bed to its lowest position and place the call light within reach

Answer

Lowering the bed and ensuring call-light access are safe, non-restraint interventions that reduce fall injury risk.

Question 4

Which vital sign finding should the nursing assistant report to the nurse immediately?

Accepted Answer

Respiratory rate of 26 breaths per minute

Answer

A respiratory rate of 26 breaths per minute is above the normal adult range of 12–20 and indicates potential respiratory distress.

Question 5

A resident's advance directive states 'Do Not Resuscitate' (DNR). The nursing assistant finds the resident unresponsive and not breathing. The correct action is to:

Accepted Answer

Call for the nurse immediately without beginning CPR

Answer

A valid DNR order means CPR should not be initiated; the nursing assistant must notify the nurse immediately and follow the documented care plan.

(INACE) Illinois Nurse Assistant Competency Exam Practice Test

(INACE) Illinois Nurse Assistant Competency Exam Practice Test

INACE Patient Care and Safety 3