CNA_Practice questions with 100% correct answers latest 2023/2024

A client with a terminal illness tells that he has begun praying every night. The client states, "If I pray every night, God will forgive me." This represents which stage of grief? a) Acceptance b) Bargaining c) Denial d) Anger Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair? a) Mechanical Lift b) Draw Sheet c) Gait Belt d) Wrist restraints The nursing assistant prepares to give a partial bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath? a) To the lateral aspect of the patient's thigh. b) To the bed sheet. c) To the medial aspect of the patient's thigh. d) To the bed. A patient has just received news about the death of his spouse. He states to the nursing assistant, "I can't believe this has happened to me. I don't know what to do. How can I live without my wife?" The nursing assistant best responds by stating: a) "You will need more time to cope with this loss." b) "I understand you're in pain. I'll stay with you." c) "This kind of thing will happen to everyone eventually." d) "Do you and your wife have any children together?" The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient's independence? a) Allow the patient to perform as much of the bath as possible. b) Ask the patient what he wants to do. c) Complete the entire bath for him to conserve his energy. d) Encourage the patient to do the best he can to clean himself. A resident comes out of their room saying they have burn their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a: a) Superficial burn. b) Partial thickness burn. c) Total thickness burn. d) Serious burn. A client who has not had a bowel movement in four days would receive the most benefit from which of the following procedures? a) Endoscopy. b) Colonoscopy. c) Catheterization. d) Enema. Enema An will help the patient in expelling fecal matter before it can become impacted. The client asks the nursing assistant her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best? a) Retrieve a safety clipper and hand it to the client. b) Report to the nurse that the client needs her toenails trimmed. c) Check the client's blood glucose before cutting her toenails. d) Check the chart for physician orders regarding nail trimming. c) Encourage the client to take several walks around the facility daily. Which of the following options is the best method to prevent insomnia? a) Ensure the client eats one apple per day. b) Encourage the client to take several naps daily. c) Encourage the client to take several walks around the facility daily. d) Encourage the client to remain in bed throughout the day. The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate? a) The nursing assistants waits at least fifteen minutes before retaking the temperature. b) The nursing assistant records the temperature in the chart. c) The nursing assistant scolds the client for not letting her know beforehand. d) The nursing assistant takes an axillary temperature instead. A client under the nursing assistant's care suffers from chronic "foot drop." The nursing assistant can expect to find which of the following devices in the client's room? a) A wedge. b) A mechanical lift. c) Positioning boots. d) Two extra pillows. Airway, Breathing, Chest Compressions. "A,B, C" basic life support Positioning Boots ensure that the feet are dorsiflexed to prevent contractures and discomfort. . A nursing assistant takes the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should: a) Take the client's pulse next. b) Report the finding to the nurse. c) Record the vital sign in the chart. d) Instruct the client to drink more fluids. Normal Blood Pressure for an adult 120/80 *Systolic pressure less than 120. *Diastolic pressure less than 80. The range of motion term "abduction" means: a) Moving the extremity away from the body. b) Moving the extremity toward the body. c) Moving the extremity above the body. d) Moving the extremity below the body. Normal Pulse Ranges for 12 years and older 60 to 100 per minute. Which of the following most addresses a client's needs in regard to spirituality? a) Ask the client why he/she is of a particular faith. b) Provide the client with warm water, soap, and towels every morning. c) Assist the client to the facility's chapel every Sunday. d) Treat the religious objects in the client's room as if they were any other. Proper body mechanics when lifting clients involve which of the following? a) Keep the spine curved. b) Bending at the waist. c) Bending at the knees. d) Avoid seeking assistance. Which of the following would be a primary indication of hepatitis? a) Hypertension. b) Hyperglycemia. c) Jaundice. d) Hypotension. Which of the following aspects of care is important for a confused client? a) Checking the client's blood sugar every hour. b) Asking the client their name. c) Keeping the client contained in their room. d) Reorienting the client frequently with clocks, calendars, and family mementos. What type of client may opt to receive hospice care? a) Client with kidney disease. b) Client with cancer. c) Terminally ill client. d) Client with diabetes. What is the main difference between palliative care and hospice care? a) In hospice care, the focus of support is the family. b) In palliative care, treatment of the disease may continue. c) In palliative care, the person always remains at home. d) In hospice care, life-saving measures are taken to prolong life. Palliative Care is care that involves relieving or reducing the intensity of uncomfortable symptoms without producing a cure. Cheyne-Stokes respirations (increased respirations, labored breathing, periods of apnea) occur in a client who: a) Has a history of chronic respiratory issues. b) Is unconscious. c) Is recovering from an asthma attack. d) Is close to death. A client in the day room is having a panic attack. The nursing assistant should: a) Tell the client to breathe as slowly and deeply as possible. b) Have the client talk about the panic attack. c) Encourage the client to verbalize their feelings. d) Ask the client about the cause of the panic attack. Hearing is one of the last functions lost, so it is important to: a) Ask the person questions while giving care. b) Talk in a loud voice so the person can hear you. c) Provide re-assurance and explanations about care. d) Ask the family to be quiet so they do not disturb. Because of breathing difficulties, the dying person is generally more comfortable in the? a) Supine position b) Trendelenburg's position c) Prone position d) Semi-Fowler's position Which of the following is a key part of care when administering a bath to a resident? a) Clean the perineal area of a patient before assisting them to clean their face. b) Use cool water when bathing the patient to promote better circulation. c) Allow participation in care to promote a sense of independence. d) Perform all care for the resident in order to conserve their energy. The nursing assistant knows that the term "NPO" means: a) Bedrest only. b) No oral temperatures are to be taken. c) Nothing by mouth. d) Liquid diet. The nursing assistant should tell the nurse if the client with diabetes: a) Does not touch their lunch tray. b) Reports numbness in their feet sometimes. c) Combs their hair without being prompted. d) Decides not to finalize a will. The nursing assistant knows that residents on bedrest must be turned every: a) 2 hours b) 1 hour c) 6 hours d) 8 hours Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs? a) Popliteal. b) Radial. c) Brachial. d) Femoral. The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first? a) Ask the resident if they are chocking. b) Call 9-1-1. c) Begin CPR immediately. d) Begin the Heimlich maneuver. Clutching at the throat. is the universal sign of chocking. A client at the facility receives a new roommate. While the roomate is in the bathroom, the clients lean toward the nurse and whispers, "why is she here anyway? Is she sick?" The best response by the nursing assistant is: a) "I'm not sure. Let me take a look at the chart." b) "Why don't you ask her yourself?" c) "She's her for the same thing as you!" d) "I'm afraid I can't share that information with you." A client with Alzheimer's wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is important to support normal gastrointestinal tract function by: a) Recording intake and output. b) Brushing the client's teeth. c) Taking the client to the bathroom. d) Assisting the client to call family members. Fecal impaction may present with which of the following symptoms? a) Dark urine. b) Excessive flatulence. c) Small, watery leakage of stool. d) Abdominal pain. Dyspnea means difficulty breathing. One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor had ordered sputum specimens to be collected. What is re best daily time for the nursing assistant to collect the specimens? a) Before a meal. b) After a meal. c) First thing in the morning. d) Last thing before the patient goes to sleep. The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should: a) Use restraints to ensure the client's safety. b) Speak calmly in an authoritative and neutral manner to the client. c) Use the television to distract the client. d) Provide care only when absolutely necessary. Which of the following resident is demonstrating orthopneic position? a) A resident sits in a chair with their back straight. b) A resident sits on the side of the bed and leans forward over a bedside table. c) A resident walks using a cane. d) A resident lays on their stomach with their face to the side. High Potassium Foods include: bananas, orange juice, cantaloupe, strawberries, avocados, spinach, fish and salt substitutes. "Log-rolling" is a technique best used for which of the following patient diagnoses? a) Left Tibial Fracture. b) Spinal Cord Injury (SCI). c) Cellulitis of the right arm. d) Psychosis. When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication? a) Constipation b) Incontinence c) Insomnia d) Poor appetite Which of the following types of grief is considered a normal and healthy part of grieving? a) Anticipatory b) Complicated c) Unresolved d) Inhibited Which of the following items is necessary in order to place a patient in restraints? a) The hospital administrator's approval. b) The charge nurse's approval. c) Physical restraints d) A physician's order The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next? a) Notify the nurse assigned to care for the patient about the bruises. b) Report the suspected situation to the nursing assistant's immediate supervisor. c) Ask the resident repeatedly to identify an abuser. d) Wait for more proof in order to identify the abuser. MRSA (Methicillin-Resistant Staphylococcus Aureus) is an example of which of the following? a) A resistant strain of bacteria that is difficult to treat with antibiotics. b) A bacterial strain that is easy to treat with antibiotics. c) A mnemonic to remember how to act if there is a fire in the facility. d) A set of activity guidelines designed to keep residents safe. Nursing assistants work in a lot of different places. One place that CNAs work is a skilled nursing facility. This type of facility is also called a: a) Hospital b) Rehab Center c) Hospice d) Nursing Home Who developed the Hierarchy of Needs? a) Erikson b) Piaget c) Maslow d) Nightingale You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states, "ambulate at least 10 yards qid." This patient will be assisted with ambulation at which of the following times? a) 10 am b) 10 am and 2 pm c) 10 am, 2 pm, and 6 pm d) 10 am, 2 pm, 6 pm and 10 pm QID Four times per day means . QD Once a day means . BID Twice a day means . TID Three times a day means . Which of the following lists the five senses? a) Sight, Hearing, Taste, Smell and Common Sense. b) Hearing, Taste, Smell, Common Sense and Auditory. c) Sight, Taste, Smell, Auditory and Visual. d) Hearing, Smell, Taste, Sight and Touch. Where should the wheelchair be placed when transferring a stroke patient from their bed to the chair? a) On the patient's weak side. b) At the foot of the bed. c) At the head of the bed. d) On the patient's strong side. High Fowler's Position is at a 90 degree angle and the patient is positioned sitting up. Of the following symptoms, which one is most likely due to an infection in a resident? a) Pale skin. b) Tented skin. c) Sudden onset confusion. d) Aphasia. Which medical term is often used for "burping, belching and passing gas"? a) Flank b) Flatus c) Fascia d) Familial Making a bed, whether occupied or unoccupied, should end with: a) Adjusting the height of the bed. b) Mitering the corners. c) Moving the call light. d) Washing your hands. Which of these is least likely to contribute to skin tears? a) Length of hair. b) Equipment. c) Resident falls. d) Length of nails. Which of these treatments would be best to decrease swelling: a) Heat compression. b) Cold compression. c) Dry bandage pressure. d) Moist bandages. Which of these is least likely to signal impending death? a) Unstable Blood Pressure. b) Cooled Extremities. c) Labored Breathing. d) Increase In Appetite. Fowler's Position The patient's head is elevated with legs either bent or straight. Rose's Position The head is over the end of a table. Sim's Position The resident is lying on the side. Which of these examples demonstrates using proper body mechanics when helping to lift a resident to bed? a) Bending at the waist, knees locked, using arm muscles to lift. b) Bending at the waist, knees unlocked, using arm muscles to lift. c) Bending at the waist, knees partially flexed, leg muscles to lift. d) Bending at the waist, knees unlocked, using back muscles to lift. Which of these is incorrect in reference to wearing gloves? a) Always wear latex gloves because they are the most impermeable option. b) Wash your hands before putting on, and after removing gloves. c) Upon removal, avoid letting the outer layer of the gloves contact your skin. d) Peel the glove away from you so it comes off inside out. If you are walking with a resident and they fall, which of these is not an action you should take? a) Supply information for the nurse so proper documentation can be made. b) Inform the nurse. c) Help the resident off the floor and in to the nearest chair. d) Keep the resident from moving until you assess if they have injuries. The best source of Vitamin D is found in which of these foods? a) Apples b) Bread c) Steak d) Milk You have been assigned to administer a S.S.E. to Mr. Taylor. It has been several months since you have performed this procedure. To refresh your memory you should refer to the: a) Patient Care Plan. b) Policy and Procedure Manual. c) Disaster Plan. d) M.S.D.S. Manual. An assisting device does not help with . a) Moving around. b) Eating. c) Dressing. d) Restraining. When a resident has a rehabilitation plan of care, your role may be to . a) Do more tasks for the resident than usual. b) Assist with retraining. c) Administer pain medications. d) Give the resident shorter times to complete tasks to speed up recovery. Hypovolemic Shock. A is severe dehydration that can cause a drop in the blood volume, causing very low blood pressure, medical emergency. * Signs and Symptoms: - Pale, Lethargic and Dull Eyes. - Throws up for several days. - Unable to eat or drink. Which of these practices is not a part of good verbal communication with a resident? a) Asking open-ended questions. b) Using medical jargon. c) Speaking clearly. d) Clarifying the message that you receive. Which of these is not a primary reason for an indwelling catheter to be taped down? a) To secure and stabilize it to prevent accidental removal. b) To provide psychological security to the resident. c) To reduce inflammation of urinary tissues. d) To signal to family members or visitors that it is not intended for removal. When a resident is upset and frustrated, a nursing assistant should: a) Try to make the resident understand that it is normal to have things that make a person upset. b) Try not to reason with the resident about why his or her frustration is an overreaction. c) Offer support by listening and telling the resident you will share his or her concerns with the health care team members. d) Ask the resident to remember all of the details that led up to the frustration. Which of these is most important when a resident is being initially admitted to a care facility? a) The resident should have the opportunity to provide his or her own information. b) The family should give all of the admitting information to avoid inaccuracies or misrepresented information given by the resident. c) If the resident has strong religious beliefs it is required that a member of his or her spiritual community be present to ensure these needs will be met. d) The family members should keep the resident from being involved in the admitting process to lessen the stress of an already difficult adjustment. What is the most likely diagnosis for a resident who cannot smell smoke, increases their use of sugar or salt on foods, asks for a magnifying glass to read, and asks for the volume to be turned up while watching television? a) Sensory Impairment b) Sensory Stimulation c) Sensory Deprivation d) Sensory Overload All of these are indicators of visual impairment except: a) The resident squints or tilts his or her head to one side to focus on an object. b) The resident spills or knocks over food. c) The resident withdraws from social activities he or she once enjoyed. d) The resident has difficulty navigating on stairs. A resident with memory difficulties often needs a nursing assistant who will: a) Remind the resident of the forgotten information. b) Make jokes and laugh to lighten the resident's mood. c) Make eye contact, sit with the resident, and listen. d) Leave the resident alone to minimize his or her agitation. A resident's input and output must be documented in a person's record: a) At the end of your shift. b) By the nurse; the nursing assistant does not record this. c) Every two hours. d) In the early morning, noon, and late evening. Which of these should be reported to the charge nurse "STAT" (Immediately)? a) Urine that is cloudy. b) A respiratory rate of 18. c) Loose stools. d) A radial pulse of 135. A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth? a) MN b) NOC c) NPO d) NKA R.A.C.E R= Rescue / Remove all people who can not take care of themselves. A= Alarm, if it has not already been done. *Pulling the alarm can be done at the same time as rescue. C= Confine / Contain the fire or smoke by closing doors to prevent or slow the spread. *Smoke is especially dangerous for everyone. E= Extinguish the fire if possible, using a handheld fire extinguisher. *Attempt to extinguish only small fires, as long as you can remain safe and have escape route. How is the patient positioned at the head of the bed? Patient lies between supine and prone with legs flexed in front of the patient. Afebrile Without a fiver. *Normal Temperature Why does OBRA require 12 hours of educational programs and performance reviews each year for every nursing assistant? These requirements help ensure that you have the current knowledge and skills to give safe , effective care. CNA Written test 2021 When getting ready to make a bed, the aide should place the clean linens on a. in the bathroom b. Chair or table beside the bed c. Roommate's bed d. The floor The only purpose for using a restraint is to a. keep the client quiet b. make nurses job easier c. calm a verbally abusive client d. ensure safety of others Articles contaminated with blood or body fluids should be disposed of in the a. trash b. soiled utility room c. biohazard container d. soiled linen basket To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's a. upper thigh b. bed sheet c. bed frame d. hip When collecting a 24 hour urine sample for a client, the nurse aide should request that the client a. avoid red meat b. drink 2 L of water c. take a bath or shower before starting the urine collection d. discard the first voided urine When ambulating the client, the nurse aide should a. ask the nurse for help b. be sure the client is wearing non-skid footwear c. ask a family member for assistance walk in front of the client and show the client the way Which of the following is the best personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray? a. shoe covers b. mask c. goggles d. Face shield Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? a. "Why are you so mean today?" b. "You should not say such mean things to people." c. "You seem upset, would you like to talk about it?" d. "I'll come back when your bad mood is over." The nurse aide has raised the height of the client's bed to provide care, but the nurse aide forgot to bring the needed supplies. What should the nurse aide do NEXT? a. instruct client to lay still b. lower the bed and place the call light within reach c. Ask roommate to watch the client & get the supplies d. quickly get the supplies A client requests that the nurse aide call the client's spiritual advisor. The nurse aide should: a. call the spiritual advisor for the client b. ask why they want the advisor called c. tell the client that this is not part of the nurse aide's job d. tell the client that the aide will inform the nurse of the request A client wakes up during the night and asks for something to eat. The nurse aide should: a. tell the client nothing is available at night b. tell the client eating is not allowed at night c. check clients diet before offering food d. explain that breakfast is in 3 hours The nurse aide is preparing to bathe a client. What should the nurse aide do first? a. test water temperature b. help client undress c. close door and windows d. tell client what the nurse aide is going to do When making a bed that is occupied by a client, the nurse aide should: a. leave the bed in the lowest position b. make the toe pleat c. leave the bottom sheet untucked d. place soiled linens on the floor Frequent turning and repositioning of the client helps prevent: a. cyanosis b. indigestion c. coronary disease d. pressure injuries When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: a. lying down in bed b. dangling the legs from the edge of the bed c. standing at the side of the bed d. sitting in a wheelchair The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The aide should: a. join in the convo b. suggest that this is not the place to discuss a client c. stay quiet d. return to the unit and tell the client what was said The client's signaling device should be placed: a. on the bed b. within the client's reach c. on the client's right side d. over the rail When helping a client who is recovering from a stroke to walk, the nurse aide should assist: a. on the client's strong side b. on the client's weak side c. from behind the client d. with a wheelchair A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do next? a. place the client in a geriatric chair b. restrain the client to his bed c. talk to the client in a calm voice about familiar things d. leave the client alone in his room until he calms down Which of the following actions would be best for the nurse aide to take to show respect to the spiritual needs of a client? a. escorting the client to religious services b. discussing the nurse aide's religion with the client c. assisting the client to read the client's religious materials d. requesting that the facility's spiritual advisor visits the client While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's deceased child. The aide's best response would be to: a. quickly finish providing care and leave the client alone b. pretend to be the client's child c. ignore the client because they are confused d. ask the client about their favorite memories of their child When providing care for a client receiving oxygen therapy, the nurse aide should: a. check ears for pressure points b. tape cracks in oxygen tubing c. let the nurse know that the aide cannot care for the client d. change the flow rate if the client is short of breath A client falls and suffers a deep cut on the forehead. What should the nurse aide do next? a. take the client out to the hospital b. help the client back to the bed c. take the client into the bathroom to was out the cut d. stay with the client and call for help The client has been sad and depressed since being admitted into the facility yesterday. What would be the best thing for the nurse aide to do for the client? a. arrange for the client's spiritual advisor to visit b. turn on the TV in the client's room and leave the client alone c. introduce the client to other clients and staff members d. Force the client to take part in facility activities The nurse aide is asked by a confused client "what day is it?" The nurse aide should: a. explain that memory loss is natural and the date is not important b. point to the date on a calendar and say the date c. ignore the request d. provide the date and test the client later Which of the following is most important for the prevention of skin breakdown in the client? a. air drying the client's skin b. rubbing lotion on the client's skin c. ambulating the client once a day d. repositioning the client every 2 hours When caring for a client who is dying, the nurse aide should: a. only allow 1 visitor in the room at a time b. keep the room dark at all times c. pay special attention to fluid intake and mouth care d. wear gloves when providing personal care To best communicate with a client who has total hearing loss, the nurse aide should: a. smile frequently and speak loudly b. smile often and talk rapidly c. avoid eye contact d. write out the information When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide should a. check the client every 5 minutes b. make sure the client's water pitcher is full c. protect the client with a seat belt d. place the signaling device within the client's reach What would be the best way for the nurse aide to promote client independence when bathing a client who had a stroke? a. give the client a complete bath only when the client requests it b. encourage the client to do as much as possible and assist as needed c. Leave the client alone and assume the client will do as much as the client can d. Limit the client to washing the client's hands Which of the following methods is the correct way to remove a dirty isolation gown? (A) Pull the gown over the head (B) Let the gown drop to the floor and step out of the gown (C) Roll the gown dirty side in and away from the body (D) Pull the gown off by the sleeve and shake the gown out The health care team member who assists the client with the performance of activities of daily living is the: (A) social worker. (B) occupational therapist. (C) speech therapist. (D) case manager. What does "ambulate with assistance" mean? a. walk with the client twice a day b. client may use a wheelchair c. have the client use a cane for walking d. the client can walk with the nurse aide providing help When transferring a client, most of the client's weight should be supported by the nurse aide's: A. legs b. back c. shoulders d. wrists When changing a soiled dressing, the nurse aide should wash their hands: a. before the procedure b. before & after the procedure c. after the procedure d. before, after, & during the procedure The nurse aide must wear gloves when a. transferring a client b. dressing a client c. providing mouth care d. weighing a client When assisting a client who has right-sided weakness to transfer from a wheelchair, the aide should support the client's: a. left side b. right side c. front side d. back side The nurse aide can help prevent pressure injuries in the client by a. repositioning the client every 4 hours b. massaging reddened areas c. keeping linens clean, dry, and wrinkle-free d. using perfumed soap to clean the client's skin If an aide discovers a small fire in a client's room, the aide should first: a. remove the client from any danger b. extinguish the fire c. contain the fire d. sound the alarm When the client has memory loss or confusion, the aide should a. reassure the client that forgetting information is expected with age b. speak loudly to the client c. ignore the client's statements that are not accurate d. give the client simple step-by-step instructions What does the abbreviation ADL mean? a. Ad Lib b. As Doctor Likes c. Activities of Daily Living d. After Daylight Which of the following actions SHOULD the nurse aide take to communicate with a client who has hearing loss? (A) Face the client when speaking (B) Repeat statements twice every time (C) Shout so that the client can hear you (D) Use a high-pitched voice What is the first area of a client's body that the aide should wash when providing a bed bath? a. legs b. face c. arms d. chest When a nurse provides the aide confidential information about a client, the aide should a. share it with other clients b. keep the information private c. tell other staff d. tell the client's family Before entering a client's room, the aide should first: a. turn lights on b. identify self c. knock on the door d. call the client by the client's name Mouth care for a client who is unconscious must be done every: a. 2 hours b. 4 hours c. 6 hours d. 8 hours The nurse aide should place the client's soiled bedsheets: a. on the bedside table b. on the floor of the soiled utility room c. in a biohazard bag d. in the soiled linen container Before taking oral temperature of a client who has just finished a cold drink, the nurse should wait: a. 20 minutes b. 25-35 minutes c. 45-55 minutes d. at least 1 hour To prevent dehydration of the client, the nurse aide should: a. offer fluids frequently while the client is awake b. wake the client hourly during the night to offer fluids c. give the client salty foods to increase thirst d, feed the client salty foods to increase thirst When preparing to take a meal tray into the client's room, what is the most important action for the nurse aide to take? a. check that the client's name is displayed on the tray card b. make sure the client's favorite foods are present c. determine if enough fluids have been ordered d. keep all foods covered until eaten Which of the following equipment should the nurse aide have available when caring for a client's beard? a. basin, mirror, nail file, and towel b. towel, gloves, razor, shaving cream c. shaving cream, razor, gloves, comb d. razor, shaving cream, towels, and orange stick To find out what type of diet the client should be receiving, it would be best for the nurse aide to check: a. with the kitchen staff b. on the client's room bulletin board c. in the client's care plan d. with the client's family What should the nurse aide do when a client with Alzheimer's disease seems depressed and quiet? a. talk when the client is silent b. observe the client for non-verbal cues c. change subjects until the client begins to discuss something d. tell the client not to worry Which of the following actions by the nurse aide can best demonstrate active listening skills? a. changing the subject frequently b. responding when appropriate c. correcting the client's mistakes d. directing the conversation The nurse aide should understand that a back massage: a. causes muscle spasms b. increases blood pressure c. promotes circulation d. increases the heart rate When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on first? a. both sleeves b. left sleeve c. client's choice d. right sleeve A client with arthritis reports difficulty when cutting the food. What should the nurse aide do to encourage the client's independence in eating? a. cut the food and feed the client b. insist that the client eat the meal without help c. Assist the client in cutting the food and encourage the client to use the special eating utensils d. ask the dietary department to puree the client's food The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs should the nurse aide understand that a quad cane has? a. 1 b. 2 c. 3 d. 4 Once a client has been pronounced dead, the responsibility of the nurse aide is to: a. make sure the body is clean b. call the family c. leave the room d. give spiritual care A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: a. 360 mL b. 450 mL c. 480 mL d. 520 mL The client's call light should always be placed: a. on the bed b. within the client's reach c. on the client's right side d. over the side rail Which of the following items is used in the prevention and treatment of bedsores or pressure sores? a. rubber sheet b. air mattress c. emesis basin d. restraint When caring for a dying client, the nurse aide should: a. keep the client's room dark and quiet b. allow the client to express his feelings c. change the subject if client talks about death d. contact the client's minister, priest, or rabbi After giving a client a back rub the nurse aide should always note: a. the last time the client had a back rub b. any change in the client's skin c. client's weight d. amount of lotion used CNA Headmaster Practice The health care provider should wear protective gloves when toughing the residents Body fluids Select the Answer that is not a microorganism Progeny All residents have Civil rights When lifting or moving a heavy helpless resident in bed you should Use lift/ draw sheet with help You are measuring Mrs. Clark's pulse and it is 98 beats per min, which is significantly different than her normal pulse. you should Report this to the charge nurse A thermometer measures Body temperature The basic nutrients include all except Chemicals All factors listed can lead to skin breakdown EXCEPT Prolonged contact with moisture Pressure which impairs circulation * Proper hydration and nutrition immobility Which one of the following is NOT a disease associated with the respiratory tract Pneumonia Asthma *Pericarditis Bronchitis Gloves need NOT be worn when Doing perineal care Emptying a catheter bag Taking a rectal temp *Feeding a resident A resident whose family does not come to visit very often will sometimes feel Depressed Mr. Russell keeps getting up from his wheelchair. Instead of using a restraint you should ask him if He needs to go to the toilet Some reason a person may wander, and pace include all BUT They are looking for a loved one or security This is how they handle stress *They want to cause more work for the staff They are looking for their home Any instance of abuse, mistreatment, or neglect must be - Reported A resident has asked to be repositioned. you are concerned about moving the resident by yourself, so you ask a colleague to help you reposition the resident to prevent - Shearing during movement Pulse oximetry measures - Saturation of oxygen in hemoglobin You are in the resident’s room when the resident becomes angry and aggressive. the next step is to - Calmly ask the resident what has caused him to become angry Hands should be washed using friction for a minimum of - 20 sec Which of the following skills require the use of gloves - Feeding a dependent resident in bed - Making unoccupied bed - Changing an adult brief - Range of motion to the hip and knee A nursing assistant is taking care of a resident who is dying. the daughter has been at the bedside and insists on helping with the resident’s care. the NA should - Include the daughter in all the tasks she can help with List the order in which these body parts are washed during bathing - eyes, face, ears, neck, arms, chest For a dependent resident you should brush their teeth - Twice a day You have a resident being admitted to your facility. the best way to welcome the resident is to - Greet them warmly by their preferred name A resident is brought to the long term care facility today from her home and is crying and appears fearful. the NA understands that the residents needs at this time fall into Maslow's Hierarchy of needs level - one - two - three - four Intentional treatment that causes harm or injury to a person's body is considered - Physical abuse Bloodborne pathogens are found in - Body fluids, infected semen, infected vaginal secretions, wound drainage, and mucus membranes Thomas is a resident in the dementia unit. He is always wandering around and going through other residents’ drawers. this is an example of - Pillaging Three symptoms that indicate the resident needs to be tested for diabetes are - Polyuria, polydipsia, polyphagia When using oxygen you should - Always put a "no smoking -oxygen" sign on the door As a NA you are expected to know what to do in an emergency. you should - Know the emergency code for your facilities You are trying to talk to Mrs. Harris who is impaired hearing the nursing assistant should - Face her and reduce the noise in the room by turning off the tv You are caring for a resident who is wrist restraints. when you enter the room to check on the resident you notice the resident’s fingers are cyanotic. you will - Release the restraint and alert the nurse right away and document the actions in the medical record Fowlers position refers to a resident - In a semi-sitting position with the head of the bed at 40-60 degrees The cardiovascular system consist of the - Heart, blood vessels, blood The facility must provide a resident with - A call bell The use of soap and water to destroy germs on skin surfaces is called - Cleaning When lifting or moving a heavy helpless resident in bed you should - Use a lift/ draw sheet with help Reason for starting someone on a bowel and bladder program includes all the following - To avoid continence Mrs. Jackson in an insulin dependent diabetic. she has not eaten any of her breakfast. as a nursing assistant you should - Report the information Ways to prevent skin breakdown would include - Careful inspection of the skin while doing cares (chores) - Immediate removal of feces, urine, or moisture from skin - Proper nutrition and hydration - All of the above All of the following describe emphysema except Air gets trapped in the lungs People who smoke are at higher risk Death rate form emphysema has decreased Emphysema is a chronic condition Proper care for an elderly resident with dry skin includes - Applying lotions or creams after bathing Mrs. Schneider has a twenty-four hour urine sample ordered. you should - Have her void, flush the urine down the toilet, and begin the urine collection the next time she voids Which one of the following would most likely be an assigned duty for a nursing assistant - assigns duties to the NA - applies moist sterile dressing - gives bed bath - calls a resident's family When a nursing assistant complain of frequent back aches, the most likely factor contributing to their back problems would be - pushing or pulling heavy objects - bending over to tie their residents shoe laces - keeping their feet shoulder width apart - bending their knees and lifting with their legs A resident puts on his call light. the nursing assistant ignores it. the resident falls and injures himself. this is considered - Neglect When caring for a confused resident the nursing assistant should - Give the resident simple, clear directions When preparing to assist a resident to dress for the day the NA should - allow the resident to select what they want to wear for the day The nosocomial infection, or hospital acquired infection is - An infection acquired in a healthcare facility Indwelling catheter tubing should always be placed - Over the leg Resident with cardiovascular or respiratory problems are at high risk for developing pressure ulcers due to - Low oxygen and nutrients in tissues When caring for a confused resident what should a NA do - give simple directions When muscles atrophy, they become - smaller Which of the following is true about people and their sleep needs - let each person choose their own bed time Which of the following is true about dementia - it is a progressive chronic condition If a resident suddenly begins to have difficulty breathing, the NA should - position the resident with his head elevated and report to the charge nurse immediately The best position for using a bedpan is - Fowler's A principle of care for a resident in traction is - keep the resident in good body alignment When the area between the genitals and the anus is cleaned for a female resident, the area should be wiped - downward toward the anus You are assigned to give Mr. Brown a partial bath. you know that this means to wash face hands underarms back and perineum resident who are allowed to lie in bed all day are at risk for - pneumonia When the residents body is dehydrated and loses more fluid than is taken in or retains more than is put out, he has - fluid imbalance Mrs. Melvin is a demanding patient who is difficult to please. Which of the following would be appropriate for you to do when caring for Mrs. Melvin? - ask Mrs. Melvin before you leave the room if you have done everything she needs When removing soiled bed linen, the linen should be - rolled dirty side in Where is a pulse usually taken - over an artery You walk into the dining room. the conscious resident has his hands to his throat and is making no sound. the first thing you will do is - ask " Are you choking?" Which of the following measurements obtained from Mrs. Shumway should be reported immediately to the charge nurse - B/P 190/114 - pulse 74 - respiration 20 - temperature 99F Which of the following blood pressures would you consider abnormal - 120/80 - 110/68 - 200/90 - 130/80 Mr. Jackson is having a phone conversation with is son. you are accidentally pick up the line and hear the conversation. you should - hang up immediately A professional and safe working appearance would include - clean uniform short fingernails and off-the-shoulder hair A transfer belt also called a gait belt is used to - keep a resident safe, used during a transfer for unsteady resident When working with residents who have a diagnosis of Alzheimer's disease, the NA should - approach the resident from the front when you want to speak to the resident and do so in a calm manner A device or item is considered a restraint if - it controls or manages the resident behavior The areas that are most often missed during hand washing are - thumbs, knuckles, sides of hands, little fingers, and under nails Your role and responsibility in an emergency evacuation of the residents is to - remain calm and assist as needed You are working with a resident who becomes agitated and restless in the late afternoon and evening. you understand thud behavior is classified as - sundowning Reduced blood flow to part of the heart muscle may result in - Angina If a resident is said to have and "right-sided CVA" your resident could possibly have - deficit on the left side of the body A resident receiving hemodialysis must - be weighed before and after dialysis An example of a subjective statement is - the resident said he is nauseous Ergonomics is the study of relationships between - workers physical capabilities and their job tasks The NA witnesses a nurse take a picture of a resident's pressure ulcer with her personal cell phone. the nurse states it is okay since she is sending the picture to the physician. the NA should - Report the nurse's action to the director of nursing Your resident consumed 1/2 of his 240ml's milk carton, all of his 120 ml's of juice, and 1/2 of his 1000 ml water pitcher during your shift. his intake was? - 740 ml's Conflict resolution is the process of - going to your immediate supervisor and resolving the conflict in a positive way so that everyone is satisfied When removing Mrs. Smith's wet brief the NA should place it - in the trash can You are caring for Mrs. Jones today, which ensures her resident rights are being honored - you ask Mrs. Jones what she would like to wear today Report - skin that is pink - skin that is blue - skin that is warm - skin that is intact The resident most likely to require a complete bed bath is a(n) - paralyzed resident When the resident has Clostridium Difficile (C. diff) the NA knows that - C.diff can be spread by contaminated gloves touching the overbed table You take the residents respirations and count 32 breaths per min you should - tell the charge nurse immediately Type 1 diabetes is an autoimmune disorder which - destroys insulin producing cells in the pancreas While working as a NA you have been asked to carry a heavy box to the nurses station you understand you will - bend at your legs to pick up the box When speaking to a resident you should use the following non-verbal communication - make eye contact A medicaid facility may charge a student for nursing assistant training when the - facility has not made an offer of employment You are caring for a resident who has pediculosis capitis you understand you will - ensure the linens in the room have been removed and washed Disposable gloves are to be - put on if the NA has a cut on their hand A gait belt or transfer belt is applied - around the residents wait Wandering resident may try to leave the safety of the center leaving the center without staff knowledge is an - elopement Holding linen away from your uniform is an example of - infection control A resident has asked to be re-positioned. you are concerned about moving the resident by yourself s you ask a colleague to help you reposition the resident to prevent - shearing during movement The NA is assistant a resident to ambulate with the use of a cane. the NA would instruct the resident to hold the cane - on the strong side Examples of normal forgetfulness include the following except - losing keys or glasses - forgetting where you parked the car in a parking lot - forgetting occasional appointments - forgetting events that just happened mins earlier Elder abuse includes - physical and mental abuse - sexual and verbal abuse - neglect - all of the above Casually sharing personal information about a resident with co-workers outside the work place is considered - inappropriate When admitting a resident who has brought items of value, the valuables should be - placed in a secure place by the nursing assistant Capacities that a resident with Alzheimer's disease retains include all of the following except - short term memory - long term memory - sense of humor - music The state survey team enters your building for a survey you should - do your job as you were taught The caregiver who would most likely help residents make adjustments to change in their is known as a - social worker When plaque gathers on the walls of the arteries it is called - atherosclerosis What is not one of the stages of grieving - euphoria A diet for a diabetic resident would not include - candy The first thing you should do if a person has a seizure is - protect the person from injury Authorized persons permitted in the medication room include the - nurse Before caring for a resident NA who have open cuts sores or dermatitis on their hands must - wear gloves The single most important measure in the prevention of infection is - proper hand washing Electrical equipment should never be touched if your hands are - wet Residents have the right to - have access to a telephone When a resident tells you he is in pain you should - ask the resident to tell you more about the pain and report it When you are caring for a patient with cerebral palsy. the resident refuses to allow you to apply splints on her arms. your first action is to - say "tell me about your feelings today" You are alone in the dining room feeding a resident who eats slowly. she begins to choke, her hands go up to her throat and she is unable to speak. you should - move behind her and begin the abdominal thrust procedure You need to wear gloves to - collect a urine specimen A resident put on his call light. the NA ignores it. the resident falls and injures himself. this is considered - neglect The normal temperature range for an axillary temp for an elderly adult is between - 97 degrees F and 99 degrees F Before leaving the residents room the NA should - ask if the resident needs anything A NA enters a resident’s bathroom and finds the resident lying on the floor the first action to take is - determine the resident’s level of consciousness When a resident is trying to tell you something but is having difficulty talking your best choice of action is to - allow the resident time to communicate To help a dying resident who is in pain - avoid repositioning every two hours During range of motion touching each fingertip with the thumb is called - Opposition When a resident is on contact precaution the NA should - apply gloves before entering a resident’s room