INACE Patient Care and Safety 4

Question 1

A nursing assistant observes that a resident's intravenous (IV) site is swollen and the skin feels cool. This most likely indicates:

Accepted Answer

Infiltration of IV fluid into surrounding tissue

Answer

Swelling and cool skin at an IV site are classic signs of infiltration, where fluid leaks into surrounding tissue rather than the vein.

Question 2

Which scenario correctly demonstrates safe oxygen safety practices in a patient care area?

Accepted Answer

Posting 'No Smoking/Oxygen in Use' signs outside the room

Answer

Posting 'No Smoking/Oxygen in Use' signs is a required safety measure because oxygen accelerates combustion and creates fire risk.

Question 3

A resident with dysphagia (swallowing difficulty) is ordered a nectar-thick liquid diet. The nursing assistant should:

Accepted Answer

Ensure all liquids are thickened to the ordered consistency before serving

Answer

All liquids must be thickened to the prescribed consistency to reduce aspiration risk in residents with dysphagia.

Question 4

Which statement about using side rails is accurate under current nursing home safety standards?

Accepted Answer

Side rails are classified as restraints if they prevent the resident from getting out of bed

Answer

CMS guidelines classify raised full side rails as restraints when they restrict a resident's ability to exit the bed voluntarily.

Question 5

A nursing assistant is helping a resident who uses a cane walk down a hallway. The cane should be held:

Accepted Answer

On the opposite side from the weaker leg

Answer

The cane is held on the stronger side so it can bear weight during the weak-leg step, providing lateral support and balance.

(INACE) Illinois Nurse Assistant Competency Exam Practice Test