Illinois CNA state Exam practice test (solved) The nurse asks you to ambulate a patient BID during your shift. This means you will ambulate the patient ____ times. a. Four b. Three c. Two d. One - ANSWER -C. two Sometimes the best response for a nursing assistant is to assure the resident you are listening. Which of these behaviors is the best way to exhibit good listening skills? A. Speaking about your own experiences on the topic to direct the conversation. B. Asking questions that direct the c onversation further. C. Talking to the resident while you continue to work. D. Turning in the residents direction and responding when it is appropriate. - ANSWER -
D. Turning in the residents direction and responding when it is appropriate. While emptying t he trash in a client's room, you get stuck by a needle that should have been placed in the sharps container. What is the first thing to do? a. Call your personal physician. b. Wash the site for several minutes. c. Fill out an Incident Report. d. Try to squeeze blood out. - ANSWER -b. Wash the site for several minutes. Infection control practices that prevent the transmission of disease are called a. isolation protocols. b. policies and procedures. c. standard precautions. d. hand hygiene mandates. - ANSWER -c. standard precautions. A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions? a. Report the incident to the supervising nurse. b. Walk away from the patient in an eff ort to show you won't tolerate the behavior. c. Offer support and care using a comforting and calming manner. d. Ask the resident to lower his voice in courtesy to other residents who are getting upset. - ANSWER -c. Offer support and care using a comforting and calming manner. There are certain steps to follow from start to finish when beginning a procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks? a. Enter the date in the patients medical record. b. Document what you did. c. Provide privacy in the immediate area. d. Verify the residents identification. - ANSWER -d. Verify the residents identification. As dementia progresses, incontinence can become an issue. How can the nurse aide assist? a. Avoid outings to minimize accidents and possible embarrassment. b. Remind the resident to let you know when they need to use the bathroom. c. Start to use an adult diaper to keep clothing and linens clean. d. Watch for signs of discomfort so you can take the res ident to the bathroom. - ANSWER -d. Watch for signs of discomfort so you can take the resident to the bathroom. When a patient is dying, the last of the five senses the patient loses is ____? a. Hearing b. Touch c. Taste d. Sight - ANSWER -a. Hearing If you have a resident who is completely deaf, which of these would be the most important for effective communication? a. A laptop or pen and paper. b. A loud voice that projects over noise. c. An alarm that rings louder than in non -hearing impaired rooms. d. A phone system with amplifiers. - ANSWER -a. A laptop or pen and paper. When getting dressed, a client always wants to wear her favorite outfit. What is a good solution? a. Hide the favorite outfit for a few days so she forgets. b. Tell the resident tha t the outfit is dirty and she will have to choose another. c. Ask the family to get several identical outfits. d. Explain the benefits of variety and offer several other outfits. - ANSWER -c. Ask the family to get several identical outfits. Blood -borne inf ections include a. chicken pox b. pneumonia c. hepatitis d. measles - ANSWER -c. hepatitis A resident in your care has just received news of a death in the family. What is the best way to assist them with the grieving process? a. Tell the resident about an experience you had with death and what helped you cope with it. b. Remind the resident that death is inevitable. c. Spend some time with the resident, particularly offering support if he or she wishes to talk about it. d. Suggest that the resident get his or her mind off of things by thinking of something pleasant. - ANSWER -c. Spend some time with the resident, particularly offering support if he or she wishes to talk about it. Elizabeth Kübler -Ross describes the stages of grief a person goes through w hen they lose someone close to them. She believes the first stage of the grieving process is ____. a. Acceptance b. Anger c. Depression d. Denial - ANSWER -d. Denial When you are documenting in a medical record, which of these is not part of the process? a. Author identification. b. Using correct spelling. c. Dating your entries. d. Writing in pencil so erasures can make the record clean. - ANSWER -d. Writing in pencil so erasures can make the record clean. A nurse aide finds a resident looking in the ref rigerator at the nurses' station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to ____. a. tell him that residents are not allowed in the nurses' station. b. rem ind him that he is retired from his job and in a nursing home. c. ask the resident about his job and if he is hungry. d. help the resident back to his room and into bed. - ANSWER -c. ask the resident about his job and if he is hungry. A resident who has no t been discharged insists she is going home. What should the nurse aide do? a. Notify the charge nurse immediately. b. Put her in physical restraints until she calms down. c. Tell her she cannot leave without a doctor's order. d. Advise her that she can leave if she wants to. - ANSWER -a. Notify the charge nurse immediately. When caring for a confused resident what should a nursing assistant do? a. Say nothing to avoid more confusion. b. Give simple directions. c. Allow the resident to plan daily activit ies. d. Give the resident activities. - ANSWER -b. Give simple directions. Reality orientation should include a. Calling the resident by his name. b. Using nicknames like "Granny". c. Talking about your interests. d. Telling imaginative stories to the resident. - ANSWER -a. Calling the resident by his name. As a nursing assistant, you may encounter residents who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with this anxiety is to ____. a. Open the shades to let in more light and brighten the surroundings. b. Leave the room so the resident can re -group and re -focus in private. c. Speak in a calm voice and exhibit a calm and comforting demeanor. d. Turn on the radio or television to distra ct the resident from their immediate thought. - ANSWER -c. Speak in a calm voice and exhibit a calm and comforting demeanor. Used disposable supplies and equipment should be discarded a. outside the resident's room. b. in a designated receptacle. c. in the resident's wastebasket d. in the clean utility room. - ANSWER -b. in a designated receptacle. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? a. Shake them in the air to remove any di rt. b. Carry them close to the nurse aide's body. c. Put them in the dirty linen container.
D. Turning in the residents direction and responding when it is appropriate. While emptying t he trash in a client's room, you get stuck by a needle that should have been placed in the sharps container. What is the first thing to do? a. Call your personal physician. b. Wash the site for several minutes. c. Fill out an Incident Report. d. Try to squeeze blood out. - ANSWER -b. Wash the site for several minutes. Infection control practices that prevent the transmission of disease are called a. isolation protocols. b. policies and procedures. c. standard precautions. d. hand hygiene mandates. - ANSWER -c. standard precautions. A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions? a. Report the incident to the supervising nurse. b. Walk away from the patient in an eff ort to show you won't tolerate the behavior. c. Offer support and care using a comforting and calming manner. d. Ask the resident to lower his voice in courtesy to other residents who are getting upset. - ANSWER -c. Offer support and care using a comforting and calming manner. There are certain steps to follow from start to finish when beginning a procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks? a. Enter the date in the patients medical record. b. Document what you did. c. Provide privacy in the immediate area. d. Verify the residents identification. - ANSWER -d. Verify the residents identification. As dementia progresses, incontinence can become an issue. How can the nurse aide assist? a. Avoid outings to minimize accidents and possible embarrassment. b. Remind the resident to let you know when they need to use the bathroom. c. Start to use an adult diaper to keep clothing and linens clean. d. Watch for signs of discomfort so you can take the res ident to the bathroom. - ANSWER -d. Watch for signs of discomfort so you can take the resident to the bathroom. When a patient is dying, the last of the five senses the patient loses is ____? a. Hearing b. Touch c. Taste d. Sight - ANSWER -a. Hearing If you have a resident who is completely deaf, which of these would be the most important for effective communication? a. A laptop or pen and paper. b. A loud voice that projects over noise. c. An alarm that rings louder than in non -hearing impaired rooms. d. A phone system with amplifiers. - ANSWER -a. A laptop or pen and paper. When getting dressed, a client always wants to wear her favorite outfit. What is a good solution? a. Hide the favorite outfit for a few days so she forgets. b. Tell the resident tha t the outfit is dirty and she will have to choose another. c. Ask the family to get several identical outfits. d. Explain the benefits of variety and offer several other outfits. - ANSWER -c. Ask the family to get several identical outfits. Blood -borne inf ections include a. chicken pox b. pneumonia c. hepatitis d. measles - ANSWER -c. hepatitis A resident in your care has just received news of a death in the family. What is the best way to assist them with the grieving process? a. Tell the resident about an experience you had with death and what helped you cope with it. b. Remind the resident that death is inevitable. c. Spend some time with the resident, particularly offering support if he or she wishes to talk about it. d. Suggest that the resident get his or her mind off of things by thinking of something pleasant. - ANSWER -c. Spend some time with the resident, particularly offering support if he or she wishes to talk about it. Elizabeth Kübler -Ross describes the stages of grief a person goes through w hen they lose someone close to them. She believes the first stage of the grieving process is ____. a. Acceptance b. Anger c. Depression d. Denial - ANSWER -d. Denial When you are documenting in a medical record, which of these is not part of the process? a. Author identification. b. Using correct spelling. c. Dating your entries. d. Writing in pencil so erasures can make the record clean. - ANSWER -d. Writing in pencil so erasures can make the record clean. A nurse aide finds a resident looking in the ref rigerator at the nurses' station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to ____. a. tell him that residents are not allowed in the nurses' station. b. rem ind him that he is retired from his job and in a nursing home. c. ask the resident about his job and if he is hungry. d. help the resident back to his room and into bed. - ANSWER -c. ask the resident about his job and if he is hungry. A resident who has no t been discharged insists she is going home. What should the nurse aide do? a. Notify the charge nurse immediately. b. Put her in physical restraints until she calms down. c. Tell her she cannot leave without a doctor's order. d. Advise her that she can leave if she wants to. - ANSWER -a. Notify the charge nurse immediately. When caring for a confused resident what should a nursing assistant do? a. Say nothing to avoid more confusion. b. Give simple directions. c. Allow the resident to plan daily activit ies. d. Give the resident activities. - ANSWER -b. Give simple directions. Reality orientation should include a. Calling the resident by his name. b. Using nicknames like "Granny". c. Talking about your interests. d. Telling imaginative stories to the resident. - ANSWER -a. Calling the resident by his name. As a nursing assistant, you may encounter residents who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with this anxiety is to ____. a. Open the shades to let in more light and brighten the surroundings. b. Leave the room so the resident can re -group and re -focus in private. c. Speak in a calm voice and exhibit a calm and comforting demeanor. d. Turn on the radio or television to distra ct the resident from their immediate thought. - ANSWER -c. Speak in a calm voice and exhibit a calm and comforting demeanor. Used disposable supplies and equipment should be discarded a. outside the resident's room. b. in a designated receptacle. c. in the resident's wastebasket d. in the clean utility room. - ANSWER -b. in a designated receptacle. To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? a. Shake them in the air to remove any di rt. b. Carry them close to the nurse aide's body. c. Put them in the dirty linen container.
