Certified Nursing Assistant State
Exam
Reality orientation vs Validation therapy
A resident keeps calling you by his daughter's name (different approaches based on technique) -
REALITY ORIENTATION - keep reminding resident of your name and who you are
VALIDATION THERAPY -- ask him about his daughter
Shock position - Head down with feet elevated. You can elevate the feet by putting several
pillows under their legs
Normal RECTAL temperature - 98.6 - 100.6 degrees F (lubricate and hold in place for 1-2
minutes, insert 1 inch into the rectum and resident must be in SIMS position - which is left side
lying )
Shoulder ROM exercises - Flexion & extension; abduction & adduction; internal & external
rotation
Possible HIPAA violations - Taking a picture of resident or family & visitors / not closing door
during tasks / not pulling the privacy curtain, not asking visitors to leave when needing to
perform a task
Precautions for removing a meal tray or specimen from an isolation room - Must double bag
when removing tray or specimen
BID / TID / QID - BID = twice a day / TID = three times a day / QID = four times a day
,Where & how restraints secured - Secured to the movable part of the bed and are secured with
an easy release knot
When passing ice water, what is the procedure? - You may not touch the inside of the water
pitcher or glass; in between resident rooms be sure that ice scoop is place in the side pocket of
the ice chest
Cold dry ice application preparation - Cold dry ice applications must be covered with some type
of cotton cloth (i.e. pillow case
Dysphagia - Difficulty swallowing
Dysphasia - Difficulty speaking
Aphasia - Absent or difficult speech
Dyspnea - Difficulty breathing
If your resident drinks poison - You need to put on the signal light and call for the nurse
Recreation therapy - Used with residents with dementia or AD -- can help increase the
resident's alertness
Orientation therapy - Helping the resident with person (who they are & who you are) / where
they are / what day of the week and date or season etc.
, How you will identify your resident before performing a task - Use their ID band and a 2nd
identifier
Anti-Embolus hose are applied - With the resident laying in bed
Where are you standing during the application of Anti-Embolus hose? - You are standing at the
foot of the bed, in good body alignment with your feet spread apart (use shoulders are your
guideline about 12-18 inches) to improve your balance
Reason to use Anti-Embolus hose - They will increase circulation and help to prevent blood clots
AM care includes - Prepare for morning (Breakfast), assist with elimination, chance & clean
incontinent person, wash face & hands (shower), oral hygiene, dress person, brush hair and
position person for breakfast, make bed and straighten their room
PM care includes - Preparing for sleep, assist with elimination, clean & change incontinent
person, help with washing face & hands, oral hygiene, back massage, undress and help with
pajamas, straighten bed & unit
Position of mechanical lift sling - Needs to be under shoulders, butt and thighs
Doctor visiting your resident and he gives you a medical order - Explain that you will go get the
nurse for him; that you are not allowed to take medical orders
The resident or patient - Determines the water temperature of a tepid bath used to reduce
fevers
Most important step in hand washing - Friction
Exam
Reality orientation vs Validation therapy
A resident keeps calling you by his daughter's name (different approaches based on technique) -
REALITY ORIENTATION - keep reminding resident of your name and who you are
VALIDATION THERAPY -- ask him about his daughter
Shock position - Head down with feet elevated. You can elevate the feet by putting several
pillows under their legs
Normal RECTAL temperature - 98.6 - 100.6 degrees F (lubricate and hold in place for 1-2
minutes, insert 1 inch into the rectum and resident must be in SIMS position - which is left side
lying )
Shoulder ROM exercises - Flexion & extension; abduction & adduction; internal & external
rotation
Possible HIPAA violations - Taking a picture of resident or family & visitors / not closing door
during tasks / not pulling the privacy curtain, not asking visitors to leave when needing to
perform a task
Precautions for removing a meal tray or specimen from an isolation room - Must double bag
when removing tray or specimen
BID / TID / QID - BID = twice a day / TID = three times a day / QID = four times a day
,Where & how restraints secured - Secured to the movable part of the bed and are secured with
an easy release knot
When passing ice water, what is the procedure? - You may not touch the inside of the water
pitcher or glass; in between resident rooms be sure that ice scoop is place in the side pocket of
the ice chest
Cold dry ice application preparation - Cold dry ice applications must be covered with some type
of cotton cloth (i.e. pillow case
Dysphagia - Difficulty swallowing
Dysphasia - Difficulty speaking
Aphasia - Absent or difficult speech
Dyspnea - Difficulty breathing
If your resident drinks poison - You need to put on the signal light and call for the nurse
Recreation therapy - Used with residents with dementia or AD -- can help increase the
resident's alertness
Orientation therapy - Helping the resident with person (who they are & who you are) / where
they are / what day of the week and date or season etc.
, How you will identify your resident before performing a task - Use their ID band and a 2nd
identifier
Anti-Embolus hose are applied - With the resident laying in bed
Where are you standing during the application of Anti-Embolus hose? - You are standing at the
foot of the bed, in good body alignment with your feet spread apart (use shoulders are your
guideline about 12-18 inches) to improve your balance
Reason to use Anti-Embolus hose - They will increase circulation and help to prevent blood clots
AM care includes - Prepare for morning (Breakfast), assist with elimination, chance & clean
incontinent person, wash face & hands (shower), oral hygiene, dress person, brush hair and
position person for breakfast, make bed and straighten their room
PM care includes - Preparing for sleep, assist with elimination, clean & change incontinent
person, help with washing face & hands, oral hygiene, back massage, undress and help with
pajamas, straighten bed & unit
Position of mechanical lift sling - Needs to be under shoulders, butt and thighs
Doctor visiting your resident and he gives you a medical order - Explain that you will go get the
nurse for him; that you are not allowed to take medical orders
The resident or patient - Determines the water temperature of a tepid bath used to reduce
fevers
Most important step in hand washing - Friction
