NUR 2092 CNA Practice Written Exam Questions and Answers

NUR 2092 CNA Practice Written Exam Questions and Answers The nurse aide is responsible for all of the following fire prevention measures EXCEPT: - Correct answer-taking cigarettes and matches away from all clients and visitors. What is the term for a device used to take the place of a missing body part? -External rotation -Abduction -Pronation -Prosthesis - Correct answer-Prosthesis The Heimlich maneuver (abdominal thrusts) is used for a client who has -a bloody nose -a blocked airway -impaired eyesight -fallen out of bed - Correct answer-a blocked airway The most comfortable position for a resident with a respiratory problem is -Supine -Lateral -Prone -Fowler's - Correct answer-Fowler's The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD -call housekeeping. -call the nurse. -leave the spill. -clean up the spill. - Correct answer-clean up the spill. The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST? -Call the nurse in charge. -Finish shaving the client as quickly as possible -Unplug the shaver -Use the roommate's shaver to finish the shave - Correct answer-Unplug the shaver When transferring a client, MOST of the client's weight should be supported by the nurse aide's -shoulders -back -wrists -legs - Correct answer-legs The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client's feet? -Nothing -Rubber-soled slippers or shoes -Socks or stockings only -Cloth-soled slippers - Correct answer-Rubber-soled slippers or shoes Physical restraints are used MOST often -at the roommate's request. -when staff is short. -to prevent client injury. -at the family's request. - Correct answer-to prevent client injury. Which of the following is NOT considered to be a way to restrain a client? -Pain management -A hand mitt -Lap buddy/tray -A sedative - Correct answer-Pain management A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should -ask another nurse aide to help -have the family do it -try to move the client alone -go on to another task - Correct answer-ask another nurse aide to help Insulin, a hormone, regulates -The amount of salt retained in the blood -The rhythm of the heart -The amount of sugar in the blood -The strength of the skeletal muscles - Correct answer-The amount of sugar in the blood NPO means -Only ice chips per mouth -Nothing by mouth except water -Nothing by mouth -Nothing per ostomy - Correct answer-Nothing by mouth Clean bed linen placed in a client's room but NOT used should be -returned to the linen closet -used for a client in the next room -taken to the nurse in charge -put in the dirty linen container - Correct answer-put in the dirty linen container When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's -elbow. -wrist. -neck. -chest. - Correct answer-wrist. When taking an oral temperature, it is important to -put lubricant on the thermometer. -place the thermometer in the rectum. -place the thermometer under the tongue. -place the thermometer under the arm. - Correct answer-place the thermometer under the tongue. What is the FIRST thing a nurse aide should do when finding an unresponsive client? -Call for help -Call family -Start compressions -Close the door - Correct answer-Call for help When operating a manual bed, the nurse aide should remember to -elevate the client's head at all times. -keep the bed in the neutral position. -fold cranks under bed. -lock the wheels when the cranks are folded. - Correct answer-fold cranks under bed. Which of the following best helps reduce pressure on the bony prominences? -Several pillows -Repositioning every shift -Flotation mattress -Sheepskin - Correct answer-Flotation mattress To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's -bed frame -upper thigh -bed sheet -hip - Correct answer-upper thigh While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD -warn the client to be careful when she gets back into bed. -wait for the next safety check to report the broken side rail. -tie the side rail in the raised position until it is fixed. -report the broken side rail immediately. - Correct answer-report the broken side rail immediately. The purpose for padding side rails on the client's bed is to -use them as a restraint -protect the client from injury -keep the client warm -have a place to connect the call signal - Correct answer-protect the client from injury What type of fire can be put out with water? -Grease -Chemical -Electrical -Paper - Correct answer-Paper When helping a client who is recovering from a stroke to walk, the nurse aide should assist -on the client's strong side -on the client's weak side -from behind the client -with a wheelchair - Correct answer-on the client's weak side How many tips does a quad-cane base have? -4 -1 -2 -3 - Correct answer-4 The nursing care plan states, "Transfer with mechanical lift." however, the client is very agitated. To transfer the client, the nurse aide SHOULD -keep wheels unlocked so the lift can move with the client. -get assistance to move the client. -place the client in the lift. -lift the client without the mechanical device. - Correct answer-get assistance to move the client. To be sure that a client's weight is measured accurately, the client should be weighed -after a meal -by a different nurse aide -after a good night's sleep -at the same time of day - Correct answer-at the same time of day Which of the following is a correct measurement of urinary output? -300 cc -40 oz -2 cups -1 quart - Correct answer-300 cc A client is paralyzed on the right side. The nurse aide should place the signaling device -on the right side of the bed near the client's hand. -under the pillow. -on the left side of the bed near the client's hand. -at the foot of the bed. - Correct answer-on the left side of the bed near the client's hand. Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects? -Physical therapist -Speech therapist -Occupational therapist -Registered nurse - Correct answer-Speech therapist While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD -call for assistance and perform the Heimlich maneuver (abdominal thrusts). -slap the client on the back until the food dislodges. -immediately remove the client's food tray and go find the nurse in charge. -give the client a drink of water. - Correct answer-call for assistance and perform the Heimlich maneuver (abdominal thrusts). The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD -leave the client to search for help. -comfort the client while moving to a safe place. -lock the client's wheelchair and check the surrounding area for smoke. -push the wheelchair out of the hallway and carry the client out of the facility. - Correct answer-comfort the client while moving to a safe place. For safety, when leaving a client alone in a room, the nurse aide SHOULD -leave the bed elevated in highest position. -place signaling device within client's reach. -keep the door tightly closed. -apply a restraint to the client. - Correct answer-place signaling device within client's reach. The equipment you need to gather to do unconscious oral care would include -Toothbrush -toothette/mouth swab -Toothpaste -All of the above - Correct answer-toothette/mouth swab When caring for a client who uses a protective device (restraint), the nurse aide SHOULD -assess the client once every hour. -assure the protective device is tight. -check the client's body alignment. -release the protective device once a shift. - Correct answer-check the client's body alignment. To convert four ounces of juice to milliliters (ml), the nurse aide should multiply -4 x 30 ml -4 x 15 ml -4 x 10 ml -4 x 5 ml - Correct answer-4 x 30 ml To lift an object using good body mechanics, the nurse aide SHOULD -hold the object away from the body. -bend knees and keep back straight. -lift with abdominal muscles. -Keep both feet close together. - Correct answer-bend knees and keep back straight. The nurse aide notices that the client's radio cord is draped across a chair in order to reach the nearest outlet. The FIRST thing the nurse aide should do is -tell the client the radio is a safety hazard and take it away. -take the radio to the activities room and tell the client to listen to it there. -see if any changes can be made so that the radio can be plugged in safely. -unplug the radio and ask the client not to use it. - Correct answer-see if any changes can be made so that the radio can be plugged in safely. A client is to be assisted out of bed to sit in a wheelchair. Which action would make this procedure safe? -place the bed in the low position -release the wheel brakes -place a pillow on the wheelchair seat -lower both footrest pedals - Correct answer-place the bed in the low position If the nurse aide discovers fire in a client's room, the FIRST thing to do is -open a window -call the nurse in charge -remove the client -try to put out the fire - Correct answer-remove the client The brain is part of the -endocrine system -locomotor system -nervous system -exocrine system - Correct answer-nervous system Signs and symptoms of shock may include -Hyperventilation -Low blood pressure, tachycardia, clammy, pale skin -Absence of respirations and pulse -Increased blood pressure, bradycardia, and flushed skin - Correct answer-Low blood pressure, tachycardia, clammy, pale skin What is the best way of keeping a skilled nursing facility from having an unpleasant odor? -Use an air freshener regularly -Empty bedpans and change linens in a timely manner. -There is nothing you can do. -Keep all the windows open. - Correct answer-Empty bedpans and change linens in a timely manner. Before performing any procedure a nurse aide must -identify the patient -explain the procedure -wash your hands -all of the above. - Correct answer-all of the above. Drainage bags from urinary catheters should always -have their output measured each week. -be kept below the level of the bladder. -be fastened securely to the bed frame. -be changed every shift. - Correct answer-be kept below the level of the bladder. Post-partum refers to -The period of time right before delivery of a baby -The period of time right after death. -The period of time after a delivery of a baby -The period of time just before death. - Correct answer-The period of time after a delivery of a baby The recommended position for giving an enema is -Semi-fowlers -Left Sims -Prone -Supine - Correct answer-Left Sims On what side should the patient lie for an enema? -The side closer to the restroom. -Whichever side is more comfortable. -Left. -Right. - Correct answer-Left. Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a 6oz. glass of juice, 4oz. of milk, and 8oz. of coffee, you document -920cc -450 cc -685cc -240cc - Correct answer-450 cc Hint: 1oz = 30cc The circulatory system consists of the -heart, aorta, pulmonary vessels, lungs -heart, arteries, veins and capillaries. -blood vessels, lymph nodes, spleen -blood vessels, arteries, veins and capillaries - Correct answer-heart, arteries, veins and capillaries. Meal trays have arrived. Before serving each tray the nurse aide should -check the temperature of the food. -ask patients if they are hungry. -ask about dietary restrictions. -check each armband, even on familiar patients. - Correct answer-check each armband, even on familiar patients. Normal urine color is -Yellow -Brown -Colorless -Red - Correct answer-Yellow The charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first -Wash your hands -Identify the patient and introduce yourself -Gather appropriate equipment -All of the above - Correct answer-All of the above The opening of the colostomy to the outside of the body is called the -Rectum -Stoma -Insertion site. -None of the above - Correct answer-Stoma Continuing education is -necessary for recertification in many states. -a professional standard. -important for keeping abreast of new development. -all of the above. - Correct answer-all of the above. While taking a rectal temperature the nurse aide should insert the thermometer and -stay in the room until it is time to read the temperature. -go on his break. -hold onto the thermometer until it can be removed. -take care of other patients and return in three minutes. - Correct answer-hold onto the thermometer until it can be removed. Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. she has {L} sided hemiplegia. This is -L arm contracture -L arm and leg itching -Paralysis on the left side of the body -Rash to the L arm - Correct answer-Paralysis on the left side of the body Hint: Hemi means half A resident with an ileostomy evacuates feces through the -Jejunum -ileum -Anus -Colon - Correct answer-ileum A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is -notify the IV nurse that the infusion appears to have infiltrated. -put ice onto the hand. -reassure the patient that needles always hurt. -notify the medication nurse that the patient is complaining of pain. - Correct answer- notify the IV nurse that the infusion appears to have infiltrated. Which of the following measurements you obtained from Mrs. Shumway should be reported immediately to the charge nurse? -Respiration 20 -Temperature 99F -Pulse 74 -B/P 190/114 - Correct answer-B/P 190/114 A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient -had visitors that day. -had breakfast. -ate too much sugar. -has diabetes. - Correct answer-had breakfast. You are caring for Mr. Brown who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do? -Turn up the O2 to 4 liters/min -Report it STAT to your nurse. -Ask Mr. Brown to take breaths more frequently. -Switch the nasal cannula to a mask. - Correct answer-Report it STAT to your nurse. Mrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include -Placement of TED hose after ambulation -Daily jog around the facility for 1 hour -Encourage oral fluids -Daily am weight measurement - Correct answer-Daily am weight measurement Which of the following is associated with smoking? -vitamin C deficiency. -Pneumonia. -heart attacks. -all of the above. - Correct answer-all of the above. In report the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should -offer frequent snacks. -note all water the patient drinks and all output. -take away the water pitcher at midnight. -ask the patient if he is having any pain. - Correct answer-take away the water pitcher at midnight. A patient appears more pale than usual. The nurse aide should -note it on the chart. -offer a glass of water. -get the patient a snack. -ask the patient how he feels and take his vital signs immediately. - Correct answer-ask the patient how he feels and take his vital signs immediately. In the Nursing Care Plan you note it is written; "O2 per N/C @3L, Orthopnea pos. as needed". As a CNA you know this means -Resident is to be ambulated every 3 hours -Orient new client @ 3:00 to orthopedic unit -Resident has oxygen with a nasal cannula on three liters, assist to sit in Fowlers -Oral care every 3 hours - Correct answer-Resident has oxygen with a nasal cannula on three liters, assist to sit in Fowlers A professional and safe working appearance would include -Carefully manicured acrylic nails -Sandals, t-shirt and name-tag -Jewelry that reflects your fun personality -Clean, wrinkle free uniform, short fingernails, off-the-shoulder hair - Correct answer- Clean, wrinkle free uniform, short fingernails, off-the-shoulder hair A patient has a diagnosis of psoriasis. Her nurse aide should -avoid contact with the highly contagious lesions. -wear gloves for patient care. -wear a mask when entering the room. -treat her the same as any other patient with a non-infectious disease. - Correct answer- treat her the same as any other patient with a non-infectious disease. Most of our calories should come from -fats -protein -vitamins -carbohydrates - Correct answer-Carbohydrates To help ensure adequate circulation to prevent skin breakdown, you could -Perform active or passive range-of-motion exercises -Change the patient's position frequently -Give back massages -All of the above - Correct answer-All of the above Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that? -6 oz -4 oz -5 oz -7 oz - Correct answer-6 oz Hint: 1 oz = 30 cc Who orders a warm or cold application? -Director of nursing -Nurse -You as a CNA can if you think it is necessary -doctor - Correct answer-doctor When caring for a resident with an indwelling Foley catheter it is important to -Tuck the tubing under the patient's leg to keep it off the floor -Pin the tubing to the resident gown -Check the bag and tubing frequently for adequate urinary flow -Withhold fluids if the bag is too full - Correct answer-Check the bag and tubing frequently for adequate urinary flow A nurse assistant notices red marks on a resident's back and buttocks. The aide acts in the knowledge that -it takes a doctor's order to rub skin with lotion. -patients can only be turned every two hours. -the skin can break down if nothing is done. -red marks are not a problem. - Correct answer-the skin can break down if nothing is done. A nurse aide notices blood in a patient's IV tubing. The aide should -notify the IV nurse. -do nothing; that's normal. -stop the IV. -try to flush the tubing. - Correct answer-notify the IV nurse. Which of the following should be reported immediately? -Temperature of 99.4 -A pulse of 90 -Respirations of 12 -A blood pressure of 90/40 - Correct answer-A blood pressure of 90/40 Which of the following is not true of blindness? -Always identify yourself before touching a blind person. -Diabetes is an important cause of blindness. -Ask if a blind person needs help before giving assistance. -Most legally blind or visually-impaired people have no sight at all. - Correct answer- Most legally blind or visually-impaired people have no sight at all. Mrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation. Her condition is -Tonic -Acute -Chronic -Obstetric - Correct answer-Acute The safest way to confirm a resident's identity is -Ask the resident's room mate -Look at the door number and compare to your room list -Check an ID bracelet or tag attached to the resident -Call the person by name and see if they answer - Correct answer-Check an ID bracelet or tag attached to the resident