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NNAAP AK Nurse Aides Practice Tests & Test Prep by Exam Edge - Topics


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Understanding the exact breakdown of the NNAAP Alaska Nurse Aides test will help you know what to expect and how to most effectively prepare. The NNAAP Alaska Nurse Aides has 70 multiple-choice questions The exam will be broken down into the sections below:

NNAAP Alaska Nurse Aides Exam Blueprint
Domain Name % Number of
Questions
Physical Care Skills - Activities of Daily Living 14% 10
Physical Care Skills - Basic Nursing Skills 39% 27
Physical Care Skills - Restorative Skills 7% 5
Psychosocial Care Skills - Emotional and Mental Health Needs 11% 8
Psychosocial Care Skills - Spiritual and Cultural Needs 2% 1
Role of the NA - Communication 8% 6
Role of the NA - Client Rights 7% 5
Role of the NA - Legal and Ethical Behavior 3% 2
Role of the NA - Member of the Health Care Team 9% 6


NNAAP Alaska Nurse Aides - Exam Topics Sample Questions

The nurse aide is preparing a patient's skin for surgery. Which of the following should not be done?





Correct Answer:
shave the skin using a razor, a sponge filled with soap, a basin, a drape and a towel. shave against the direction of hair growth.
when preparing a patient’s skin for surgery, it is crucial to follow specific protocols to minimize the risk of postoperative infections and ensure optimal surgical conditions. one common task involved in this preparation is the removal of hair from the surgical site. however, there are recommended methods and common mistakes that need to be avoided.

the correct approach for hair removal should prioritize methods that reduce the risk of causing skin abrasions or infections. shaving the skin using a razor is a commonly debated method due to the potential risks it carries. the primary concern with using a razor is that it can cause micro-cuts or abrasions in the skin, which can serve as entry points for bacteria, thereby increasing the risk of surgical site infections (ssis). furthermore, shaving against the direction of hair growth increases the likelihood of irritation and cuts, as the razor tugs and pulls at the hair, making the skin more susceptible to injury.

instead of shaving against the hair growth, it is safer to either shave in the direction of hair growth or, better yet, use alternative hair removal methods. shaving in the direction of hair growth reduces the skin trauma because the razor aligns with the hair, thus causing less irritation. however, even with cautious shaving, the risk of micro-abrasions can remain.

current best practices often favor the use of electric clippers as they are designed to trim hair close to the surface of the skin without actually creating direct contact with the skin itself. this significantly reduces the risk of cuts or infections. if hair removal is necessary, using clippers is generally considered safer and is recommended by guidelines from organizations such as the centers for disease control and prevention (cdc) and the association of perioperative registered nurses (aorn).

in addition to hair removal techniques, the cleansing of the operative area is equally important. the use of an anti-microbial soap or solution to cleanse the skin before surgery helps to reduce the bacterial load and further decreases the risk of ssis. proper skin antisepsis can eliminate most of the bacteria that are resistant to dry environment and have the potential to cause complications.

lastly, any incidents such as nicks, scratches, or cuts made during hair removal must be reported to the nursing staff or the surgeon. this is critical because even minor skin injuries can alter the local immune defense mechanisms and increase infection risks. reporting these incidents ensures that additional preventive measures can be taken—such as applying an appropriate antiseptic to the affected area—to mitigate any potential negative outcomes.

in summary, when preparing a patient's skin for surgery, it is advisable to avoid shaving against the direction of hair growth and to consider safer alternatives like electric clippers. thorough cleansing with anti-microbial agents and vigilant reporting of any skin injuries during the preparation process are essential steps to prevent complications and promote healing.

When a patient has full-thickness loss (the skin is gone and fat may be exposed) and possible shedding of tissue, which stage of pressure ulcer would this be considered to be?





Correct Answer:
stage 3


the correct answer to the question regarding the stage of a pressure ulcer characterized by full-thickness skin loss with exposure of fat is stage 3. pressure ulcers, also known as bedsores or decubitus ulcers, are injuries to the skin and underlying tissue resulting from prolonged pressure on the skin. these ulcers often develop on skin that covers bony areas of the body, such as the heels, ankles, hips, and tailbone.

in stage 3 of a pressure ulcer, there is full-thickness skin loss that extends into the subcutaneous tissue layer but not through the underlying fascia. this stage is more severe than stages 1 and 2 because it involves the loss of skin presenting as a deep crater with or without tunneling. the exposure of fat at this stage is a key indicator, and there may also be slough or eschar present, which can be yellow, tan, gray, green, or brown in color. however, muscle, tendon, and bone are not exposed at this stage.

in contrast, stage 4 pressure ulcers involve full-thickness tissue loss with exposed or palpable muscle, tendon, or bone. these ulcers are more severe and can extend into deeper tissue layers, causing extensive damage. slough or eschar may also be present on some parts of the wound bed, and there is often significant undermining and tunneling.

identifying the correct stage of a pressure ulcer is crucial for proper management and treatment. stage 3 ulcers require significant medical care, including possible surgical intervention, advanced wound care, and measures to relieve pressure and prevent infection. treatment strategies may include the use of appropriate support surfaces, nutritional support, and meticulous wound care management. in comparison, stage 4 ulcers often require more complex interventions, possibly including surgery to remove dead tissue or reconstruct damaged areas.