Nursing Assistant Written Competency Exam Review Questions/Answers.
Nursing Assistant Written Competency Exam Review Questions Susan Wilson is a newly admitted resident. How should the nursing assistant determine what to call her? A. Ask the family how to address the resident. B. Ask the resident how she would like to be addressed. C. Call her Susan until she tells you differently. D. Wait until you hear what others call her. When orienting a new resident to their room, which of the following is most important? A. How to change the room temperature B. How to use the call light system C. What the roomate's name is D. How to work the TV When helping Mrs. Jones to ambulate with the aid of a walker, the nursing assistant should encourage her to: A. hold on to the chair arms and push herself up. B. grab on to the walker and pull herself up. C. grab around the nursing assistant's neck to pull up. D. hold the nursing assistant's hands. The nursing assistant finds a terminally ill resident crying in bed. What is the nursing assistant's best response to this situation? A. Leave the room to provide privacy. B. Assure the resident it will be okay. C. Offer to stay with the resident. D. Encourage the resident to stop crying. Mr. Jones has an irregular heart beat. When checking his pulse, the nursing assistant should count for: A. 10 seconds. B. 15 seconds. C. 30 seconds. D. 1 minute. John, who is a nursing assistant working the night shift at a long-term care facility, notices that the light over Mr. Pasho's door does not work when the call button is pushed. John should: A. ignore the problem since Mr. Pasho never uses the call button. B. wait for the nurse to observe and address the problem. C. ask Mr. Pasho to report the problem to the next shift. D. report the situation and ask for an alternative call method. When a resident is displaying signs of disorientation, the nursing assistant should: A. provide the resident with simple instructions. B. speak loudly and firmly. C. clap loudly.D. shake the resident to get his/her attention. The nursing assistant notes that the resident consumed 6 oz of ice cream, 4 oz of coffee, 3 oz of chicken, 120 ml orange juice, 7 1/2 oz of water and 4 oz of tea. What was the resident's total fluid intake? A. 585 ml B. 675 ml C. 765 ml D. 855 ml The nursing assistant has been instructed to provide active range of motion exercises to a resident. Which of the following represent pronation and supination of the arm? A. B. C. D. When checking a resident's diet, the nursing assistant sees the abbreviation NPO. The resident would be allowed: A. only fluids. B. nuts, prunes and oranges. C. nothing by mouth. D. pureed foods. What is the best action to take when a spill occurs? A. Clean it up immediately B. Call for housekeeping because it's not in your job description C. Ignore it and deal with it later Which of these is a symptom of orthostatic hypotension? A. Dizziness B. Shock C. Fever The normal blood pressure range for the elderly is A. 84/40 B. 142/84 C. 220/300 How do you transfer a patient needing help to use a bedside com mode? A. Put the commode across the room B. Help the resident put on socks C. Assist the resident with a gait belt In order to reduce the risk of pressure ulcers, you shouldA. Reposition the person whenever you feel the need to B. Make sure the area is clean and dry C. Massage bony areas How do you determine if a new resident needs help with AOL's? A. Watch them when independently performing ADL activities B. Quiz the resident by asking basic ADL quest ions C. Call family members to determine the degree of help needed In order to properly use a gait belt, you would need to A. Secure the belt directly on the skin B. Have the resident put on his/her house shoes C. Lock bed, wheelchair, stretcher, or other assist wheels How can you help a new, vision- impaired resident become comfortable in the new setting? A. Show him/her how to use the signal/call light B. Give them a tour around the nursing home C. Take him/her to each resident's room and do an introduction The best action to take when you smell smoke is to A. Locate the source of the smoke B. Immediately pull the fire alarm C. Report to the nurse What is the water temperature for a therapeutic bath? A. 150 B. 105 C. 97.6 What do you do when a visiting doctor gives you a verbal order? A. Immediately perform the task B. Take the order and explain the procedure to the patient C. Direct the order to the supervisor D. Wait until the doctor leaves, then inform the supervisor (nurse) To properly put an elastic stocking, also called a TED hose, on a patient, you will need to A. Position the person in Fowler's position B. Remove twists, creases, or wrinkles C. Use any stocking. Correct size not needed since it is one size fits all Who determines the name to call a resident? A. The family B. The nurse C. The resident What do you do with a room that is being prepared for a new resident after the old resident has been discharged? A. Disinfect B. Sterilize C. Not your problem. It is the house keepers job You notice a disinfectant bottle sitting on the bedside table in a resident's room after housekeeping has left. What is the best action to take?A. Call housekeeping to have it removed B. Remove the bottle immediately C. Remove it when you are less busy A family member asks for a resident's personal information, what do you do? A. Go ahead and give the family member the information. After all, they are family. B. Direct the family member to the nurse C. Ask the resident if it is okay to give them the information What can you do in A.M. care? A. Wash the resident's hair B. Eat dinner C. Brush the resident's hair What can you do in P.M. care? A. Assist with hygiene B. Perform ROM exercises C. Nothing the previous shift has completed the tasks To properly read a glass thermometer A. First rinse the thermometer in hot water B. Read the thermometer at eye level C. You do not need to check if it belongs to someone else What do you tell a patient that wants to know why they are in a Gerri chair? A. Explain to them that it is for their own good B. Tell them not to worry. It is the doctor's orders. C. Gently explain the reason and tell them it is to better their condition and make them comfortable. What do you do when a patient becomes combative during A.M. care? A. Become aggressive and retaliate B. Stay calm and professional C. Stand by the door and ready to escape When lifting a heavy object A. Bend at the back and lift with your arms B. It is okay to turn by twisting your waist C. Bend at the knees and use the muscle in the legs while lifting with your arms To properly empty an ostomy bag A. Remove the bag from the stoma and empty the bag B. Open the drain at the bottom of the bag and empty the bag C. Remove the bag and discard the bag When checking on a resident with a dressing A. Look for signs of red or swollen wound and drainage appearance B. Assess for pain C. Check to see if area is warm to the touch D. All of the above A resident has inflammation of a joint, the nurse tells you to perform a hot soak. What does the hot soak do? A. Allows blood vessels in that area to dilate, allowing blood flow to increaseB. Allows blood vessels in that area to constrict, preventing blood flow to the area C. It does nothing Why do you wear gloves when giving a male perineal care? A. Contact with body fluids is likely B. To make the resident more comfortable C. Because you have to What type of bed pan do you use for a patient that just had hip surgery? A. A fracture bed pan B. A standard bed pan C. No bed pan is used. Assist the resident in using a commode. What do you do when a patient is choking? A. Nothing, ask the resident to continue coughing B. Administer the Foreign Body Airway Removal maneuver C. Slap the patient on the back to force object out What time is 1:00pm in military time? A. 1000 B. 0100 C. 1300 D. 2100 A person on a bland diet is put one for what purpose? A. Doesn't like it B. Agitation of the throat C. To make them lose weight A resident suffering from diabetes should be on a A. No protein, controlled sugar and fat diet B. No sugar, controlled protein and fat diet C. High protein, no sugar or fat diet A resident that is alert and you are feeding can A. Eat the food in the order they picked B. Eat the food in the order you pick C. Eat solid foods then drinks What is the purpose of lining the tray with paper towels, or putting water in the sink when cleaning dentures A. To keep the tray from being contaminated B. To keep dentures from breaking C. To keep the tray from holding too much water When providing mouth care to an unconscious person A. Provide mouth care as you would a conscious person B. First position the person on one side with the head turned well to the side C. Use a padded tongue blade to keep the person's mouth open D. Both B and C are correct Before giving a back rub A. Check for blue areas because it indicates skin breakageB. Ask the nurse if it is ok C. You do not need to do anything. Give it to the person if they request it What do you do when discarding objects from an isolation room? A. Double bag the items after leaving the patient's room and label before leaving the room B. Double bag and label the objects and leave the items in the room for the lab to pick up C. Double bag the items before leaving the patient's room and label before leaving the room You must clean the perineal area of a female resident before a A. 24-hour urine specimen B. Clean catch urine specimen C. Random urine specimen If there is a kink in the catheter tube A. Urine stops flowing in the bag B. Urine is cloudy C. Urine is allowed to leave the bag and flows back into the catheter When taking residents vitals, and he/she asks, “what is my blood pressure?” A. Ask doctor for the information B. Tell them C. Tell the family D. Tell another nursing assistant Resident with respiration at 32 suffers from A. Tachypnea B. Bradypnea C. Apnea If you need to tie safety straps for protection device A. Double knot for security B. Attach directly to the skin C. Tie the knot so that it is easily removed by staff D. Pin them to the clothes If resident is newly admitted and vision impaired A. Provide orientation as scheduled B. Tell resident to stay in room C. Stay in bed so they won't hurt themselves D. Keep lights on so everyone can see Resident suffering from Dyspnea will have trouble A. Vomiting B. Breathing C. Swallowing D. Stools Resident having trouble chewing, should have a diet of what kind of food A. Chunky B. Clear liquids C. PureedIf a resident drinks poison A. Call employer B. Make the patient vomit C. Drink water D. Call the poison control immediately To prevent swelling of foot on a resident in a wheelchair A. Leave the patient barefooted B. Put on socks and shoes C. Elevate the patient’s legs If a resident is in shock A. Sit him/her in a wheelchair and fan to cool down B. Have the patient walk around C. Have the patient drink water D. Raise the patients legs above the body to improve circulation If assisting a confused resident with commode A. Never leave the resident alone B. Never leave the resident alone for more than 5 min. C. Continue assisting the patient D. Leave the patient alone if requested If your newly admitted resident asks when is dinner, you reply A. You just missed it B. Dinner is in the dining room at 5 C. You don't need to eat dinner Where do you chart input/output for a resident? A. On the admission sheet B. On nursing progress notes C. On a flow chart When helping a resident with bladder control A. Make them go every 30 min. B. Schedule bathroom times C. Refrain them from drinking water If the resident reports someone is yelling at them A. Tell another nursing assistant B. Report verbal abuse immediately C. Ask them what they did wrong When performing CPR, how many breaths do you make in the beginning A. 2 B. 3 C. 4 D. 5 What do you tell residents to prevent the spread of cold? A. Nothing. They probably all have the cold anywaysB. Tell them to wash their hands frequently C. Tell them to stay in their room In the hand washing technique, which steps gets rid of the most germs A. Keeping your hands and forearms lower than your elbows B. Using a clean, dry paper towel to dry your hands C. Creating friction to work up a good lather What is the best way to identify a resident? A. Ask their name B. Check their ID bracelet C. Look at their medical record What is the best way to take a stool sample to the lab? A. Place the specimen in container, place it in bag and do not let the container touch the outside of the bag B. Place the specimen in a container and take to the lab immediately C. Leave it in the commode and take it to the lab Not telling the truth on a job application is considered A. Fraud B. Libel C. Slander What position is the resident in lying face down with pillows under their leg and arm? A. Prone Position B. Supine posit ion C. Fowler's position How often do you check the site of a restraint? A. Every 15 min or as assigned by nurse B. Every 30 min or as assigned by nurse C. Every 1-2 hour What is the daily amount of water a person should have? A. ml B. ml C. m l D. ml What is the dairy amount of sodium a person should have? A. 5000 mg B. 3200 mg C. 1500 mg D. 2000 mg What is the best way to prevent falls? A. Answer call lights immediately B. Checking residents every hour C. Nothing. Residents can prevent falls themselves Your supervisor gives you a task outside of your job description you shouldA. Respectfully decline the task B. Do the task anyways C. Report to the agency A resident is moving out of their room. It is your responsibility to - A. Obtain and pack the residents valuables B. Assist with packing their luggage C. Nothing, Its none of your business What should you do when you collect a 24-hr urine specimen? A. Place it in a refrigerator B. Let stand for 30 min C. Immediately put away at room temperature Where do you place new medication bottles with expiration dates in the medicine cabinet? A. On the bottom shelf B. In front of the old medication bottles C. Behind the old medication bottles Where do you place an air mattress on a patient's bed? A. On top of the mattress B. Under the mattress C. Between the draw sheets and the incontinence pads What should you do before assisting a resident with crutches? A. Check for rubber tips on the bottom B. Let resident adjust height C. Put on the resident’s bedroom slippers You come to work your appearance should be? A. Follow agency's dress code for jewelry B. Wear a clean uniform daily C. Do not wear nail polish D. All of the above If you walk in a resident 's room and observe a fire, what do you do first? A. Go get help B. Get residents out of the room C. Extinguish the fire D. Pull fire alarm How do you provide support to a resident and their family? A. Listen to their problems and concerns B. Tell the resident what to expect C. Tell the resident it will be okay What is B.I.D A. Three times daily B. Two times daily C. One-time daily Resident has a heart rate that increases and then slows down for 10-15 seconds. The resident is most likelyA. Sleeping B. Dying C. Just finished running Why do you let a resident sit at the end of the bed and dangle their feet before standing? A. To reduce their heart rate B. To prevent orthostatic hypotension C. To prepare them for the standing motion A patient has a serious burn, while waiting on EMS you should A. Apply a Clean, moist towel B. Apply ointment C. Apply burn gel When do you apply elastic stockings? A. While client is laying down B. When they are in a sitting position When do you do P.M. care? A. Before resident goes to bed B. When you have time C. After evening visitors leave D. While visitors are there If you notice a resident trying to lift a box from the floor and place in on a table, what instructions do you give them? A. Bend at the knees and use your legs to lift B. Bend over the box and lift with your arms What objects do you label from an isolation room? A. Items brought into the room B. Items removed from the room When recording you should do the following except A. Write Neatly B. Use correct spelling, grammar and punctuation C. To save time, chart procedure before completing It D. Record only what you did you self The basic unit of body structure is A. A cell B. Cytoplasm C. Tissue D. Mitosis Encephalo- means A. Heart B. Brain C. Vein D. Vessel Abdominal thrusts are not effective forA. Frail, Old persons B. Unconscious person C. Very obese person D. Persons in wheelchairs Bed wheels are locked A. When you are making the bed B. Whenever a patient or a resident request them to be C. Only when a bed is in the high position D. At all times except when moving the bed You need to transfer a patient using a transfer belt Which is correct A. The belt is always applied over clothing B. The belt is applied over the patient's chest C. The buck le is positioned over the person’s spine D. The excess strap is left dangling Unnecessary restraint is A. False imprisonment B. Malpractice C. Negligence D. Emotional abuse Healthcare-associated infections can be spread by the following except A. Personal care items and eating and drinking utensils B. Poor hand hygiene C. Coughing, sneezing, talking, laughing and singing D. Medical asepsis To safely position a person, you need to A. Work alone B. Keep the bed in the lowest horizontal position C. Bend from the waist D. Use pillows as directed for support alignment When giving denture care, you need to wear A. gloves B. a gown C. a mask D. a face shield Painful or difficult urination is A. Dysuria B. Nocturia C. Oliguria D. Polyuria You will help prepare persons for surgery. Your role involves A. Telling the person who will do the surgery B. Carefully explaining the surgical procedure to the person C. Explaining the care you will giveD. Answering the family questions Person at risk for pressure ulcers are repositioned at least every A. Hour B. 1 to 2 hours C. 3 to 4 hours D. Shift Before applying dry heat or cold applications you need to A. Clean the device B. Cover the device C. Show the person how to change the temperature D. Set a timer The nurse asks you to set up for oxygen administration. You can do the following Except A. Attach the flow meter B. Set the oxygen flow rate C. Fill the humidifier D. Attach the administration device and connecting tubing to the humidifier Which does not promote quality of life during rehabilitation and restorative care? A. Showing patients and understanding B. Providing a safe setting C. Providing support and reassurance D. Doing as much as possible for the person Cystitis is usually treated with A. A high sodium diet B. dialysis C. antibiotics and fluids You should empty an ileostomy bag when it is A. 1/2 full B. 1/3 full C. Completely full D. Every hour A patient requests a bed pan. Which would you use? A. The one designated to the room B. The one designated to the floor C. The one designated to the patient D. A new one from the storage closet What do you do with a specimen taken out of an isolation room? A. Leave it in the room B. Cover it and sit it on the table C. Carefully take it out of the room D. Double bag the specimenWhen helping a patient write a letter, the CNA's job is to A. Correct their spelling and grammar B. Make sure it is for a friend C. Make sure it is for a relative D. Make sure the letter is addressed properly A patient has just been admitted. What can the CNA do? A. Ask him about his medical history B. Ask him personal questions C. Take his vitals When informing a nurse about a patient through the intercom, you should A. Make sure the message is at least 90 seconds long B. Make sure everyone can hear you C. Make sure to protect the patient’s confidentiality and personal information Repositioning a patient helps promote A. Urination B. Muscle strength C. Less constipation What would be placed on a patient to keep a certain joint free from movement? A. Cast B. Splint C. Tight doth D. Brace Encouraging patients to participate in activities makes them A. Lethargic B. Depressed C. Alert Putting a patient's feet in a tub of warm water is called a A. Hot compress B. Hot pack C. Sitz bath D. Hot soak Performing ROM exercises with no help from the patient is called A. Active ROM B. Passive ROM C. Self ROM What approach would you take when communicating with a slowed, confused resident? A. Ask short questions with simple answers B. Give multiple options C. Speak to them in a loud tone of voice What should you do when a patient has a constant fever? A. Give as much fluids as possibleB. Give antibiotics C. Keep applying ice packs What would you cover an ice pack with, before applying it on a resident with a fever? A. A plastic bag B. A cloth bag C. Do not cover D. Can be both A and B The temperature in the resident’s room is 68degrees what will you do? A. leave the room as it is B. change to 78degrees C. report the temp to the nurse Where do you put an air mattress? A. under the box spring B. on top of the mattress C. between the bottom linen and the bed frame After a male resident has urinated where does he put the urinal A. on the bed side table B. on the floor C. on the headboard D. call for assistance What is the position of resident when you put on Ted hose? A. side lying B. standing C. supine What do you do to a room after one resident has left and the new one is going to come? A. Sterilize it B. Refurnish it C. Disinfect it What should be the temperature of a whirlpool/ therapeutic bath? A. A.110-115 B. B109 C. C 105 What do you do to a whirlpool after it is used? A. disinfect it B. leave it as it is C. clean with soap and water What do you if the doctor leaves verbal orders for the treatment of a patient with CNA A. Report to your supervisor after the doctor leaves B. redirect the doctor to the patient’s nurse C. Don’t mention it to anyoneWhat does the CNA do if the resident’s son finds out that the resident is going to die and is crying in the hallway A. Offer family some food and drinks B. Accompany them to a private area C. Do nothing What do you tell a resident who is trying to pick up a box from the floor? A. Bend your waist B. Use your arms C. Squat next to the box and use you leg muscles to lift the box off the floor What do you do if a resident who usually eats her meal is refusing to eat today? A. Feed them slowly B. Offer an alternative/ substitute C. Let them go without eating What does the CNA do when a patient has to be discharged? A. Help pack personal belongings B. Get discharge instructions C. Remove IV What do you do if the resident is ordered one bed rail? A. Have one bed rail up all the time B. Have the bed rail down all the time C. Lower the bed rail every 2 hours To provide comfort to a resident while giving bed bath what do you do? A. Rub the skin vigorously B. Complete dry the skin to avoid irritation C. Let the skin be moist How do you tie a knot on safety straps? A. Double knot it B. Easy knot so the staff can release it C. Tie it to the skin What is high bp for a 26 yr old ? A. 115/68 B. 90/60 C. 148/90 How do you do a reality orientation for a resident? A. Tell him the date and time B. As them to remember the place they were born C. ask them your name To make sure a resident gets to activities on time what do you do? A. Tell them activities start at 11am B. give them calendar of activities C. Tell them they are not allowed to participateHow many rescue breaths do you give an adult during CPR? A. 2 B. 3 C. 4 During postmortem care you notice that the chain of the resident is missing what do you do? A. report to the nurse/ supervisor B. report to the family C. do nothing While giving care to a dying resident what do you do? A. let the family assist in bathing on the resident’s request B. keep the privacy curtains around the bed all the time C. keep the room door closed If a resident is in shock what do you do? A. Raise the legs above the body to improve circulation B. Have the patient walk around C. give him water Puréed diet is given to A. Resident having trouble chewing B. resident having trouble breathing Where do you dispose ileostomy bag? A. The garbage B. Facility approved bag C. Soiled linen bag You smell smoke, what is the first action you take? A. Locate the source of smoke and investigate B. Remove all residents from building C. Pull fire alarm D. Ignore it What normal oral temperature? A. 96.6 B. 98.6 C. 100.6 D. 95. 4 How many breaths are given during CPR? A. 1 B. 2 C. 3 D. 4 When pulling up a resident in bed, what promotes the safety + comfort? A. Putting a pillow at the headboard B. Pulling patient by the arms C. raise the head of the bed as far as possibleWhat is used for oral care on an unconscious patient? A. Toothpaste B. Toothbrush C. Padded tongue blade + Sponge swab sticks D. Mouth Wash When a resident is admitted what can the CNA do? A. Take vitals B. read the resident their rights C. introduce them to other residents D. Lock their valuables What is generally done in A.M care? A. Washing hair B. Brushing hair C. Cleaning room When is P.M care done? A. Before bed/before resident falls asleep B. When visitors leave C. After dinner A resident asked for information about another resident, How should you respond? A. Direct them to the nurse on duty B. Tell them whatever they want to know C. Have the resident sign a release form You observe that a resident’s dentures are cracked, what should the CNA do? A. call the residents dentist B. report to supervisor at end of shift C. only tell the resident D. report to the supervisor immediately You are charting at the end of your shift, You notice a call light go on. What should you do? A. Stop charting and answer the call light B. Ignore the call light C. Ask the janitor to turn off call light D. Finish charting and then answer call light Your resident does not want to eat their lunch, What action should you take? A. Eat their lunch for them B. Force them to eat it C. Feed to them slowly D. Calmly offer something else instead and check diet plan Your resident is in a wheelchair, what will promote comfort and reduce swelling? A. Raising the pedals of the wheel chair B. Put a pillow behind their backWhen organizing new medications and supplies with expiration dates where would you put them? A. Behind the older supplies B. In front of supplies C. On another shelf A patient ingests a poisonous substance what should you do? A. Make them vomit B. Call poison control and follow steps C. Leave them alone D. Force them to drink water A resident’s care plan states than one side rail is to be used, when making the bed what are you to do with the side rails? A. Raise both B. Raise one at all times C. Push the bed against the wall and raise one side rail A resident cannot assist you with range of motion exercises. What type of ROM is this? A. Passive B. Active A resident has recently undergone hip replacement surgery and needs bed pan. What type of bed pan do you use? A. Fracture pan B. Bed Pan C. Commode D. Urinal What eliminates most germs during hand washing? A. Friction B. Warm Water C. Soap D. drying your hands More Questions What does unmedicated lotion do for a resident? Promotes moisture and comfort What is the first sign of a pressure ulcer? Redness A hazardous substance has been spilled what does the CNA do? Check Material Safety Data Sheets (MSDS) A doctor gives you an order, what should the CNA do? Politely excuse yourself and notify the nurse Where does an air mattress get placed when making a resident’s bed? On top of the mattress Why is bland diet is given? Avoid irritation to GI tract Good Luck!!!
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nursing assistant written competency exam review questions
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nursing assistant written competency exam 2023
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susan wilson is a newly admitted resident how should the nursing assistant determine what to
