CNA MIDTERM EXAM REVIEW TEST QUESTIONS WITH WELL DETAILED SOLUTIONS
What is a nursing assistant? What do they do?
A person who has passed a nursing training and compency evaluation; they perform
delegated nursing tasks under the supervision of a licensed nurse
The people are called residents. They are not sick enough to be in a hospital but cannot
care for themselves.
Describe the persons cared for in long-term care centers
Identify the members of the nursing team
The nursing team are those who provide nursing care. They include: NPs, RNs, LPNs/LVNs,
CNAs
Identify members of the health team
The healthcare team are those whose skills and knowledge focus on the person's total
care. A nursing assistant is part of both the nursing team and the health team
What are the three things an agency must meet standards for?
Licensure, certification, accreditation
Describe the Omnibus Budget Reconciliation Act of 1987 and what does it require?
,OBRA is federal law. It requires that CNAs pass a training and competency evaluation
What are the 11 resident rights?
information; refusing treatment; privacy and confidentiality; personal choice; grievances;
work; taking part in resident groups; personal items; freedom from abuse, mistreatment,
and neglect; freedom from restraint; quality of life
What is an ombudsman and what did they do?
Someone who supports or promotes the needs and interests of another person. They act
on behalf of persons receiving care
What is the nurse practice act and what does it do?
A law that defines a nurses scope of practice, describes their education and licensing
requirements, and protects the public from people practicing without a license
Explain what nursing assistants can do and their role limits
A CNA can meet the person's personal needs, transfer persons and make observations,
measure TPR and BP, help promote person's comfort
A CNA cannot give drugs, insert things into body openings or remove them, take oral/phone
orders from doctors, perform procedures that require sterile technique, tell the person or
family diagnosis or treatment plans, diagnose and prescribe treatments or drugs, supervise
others (even other CNAs)
,Five rights of delegation
The Right Task, Circumstances, Person, Directions and Communication, Supervision.
List tasks that cannot be delegated to you
Perform assessments, develop care plans, evaluate response to care, provide education to
person or family, supervise others, take oral or phone orders from doctors, drugs, perform
procedures requiring sterile technique, insert intravenous catheters
Developmental tasks of late adulthood
Adjusting to decreased strength and loss of health, adjusting to retirement and reduced
income, coping with a partner's death, developing new friends and relationships, prepare
for one's own death
Changes in the musculoskeletal system
Muscles atrophy, muscle strength decreases, bone mass decreases, bones become weak
and brittle, vertebrae shorten, gradual loss of height
Changes in the nervous system
Brain and spinal cord lose nerve cells, nerve cells send messages at a slower rate, reflexes
slow, shorter memory, reduced sensitivity to pain and touch
Changes in the circulatory system
Heart pumps with less force, heart walls thicken, arteries narrow and become stiffer, less
blood flows through narrow arteries, number of RBC decreases
, Accident risk factors
Age, awareness of surroundings, agitated and aggressive behaviors, vision loss, hearing
loss, impaired smell and touch, impaired mobility, drugs
How do you correctly identify the person?
Compare identifying information on the assignment sheet with that on the ID bracelet. Use
at least two identifiers, call person by name when checking ID bracelet
RACE
Rescue, alarm, confine, extinguish
PASS
Pull, Aim, Squeeze, Sweep
How do you relieve choking?
Using abdominal thrusts
Explain how to protect yourself from work place violence
What is a nursing assistant? What do they do?
A person who has passed a nursing training and compency evaluation; they perform
delegated nursing tasks under the supervision of a licensed nurse
The people are called residents. They are not sick enough to be in a hospital but cannot
care for themselves.
Describe the persons cared for in long-term care centers
Identify the members of the nursing team
The nursing team are those who provide nursing care. They include: NPs, RNs, LPNs/LVNs,
CNAs
Identify members of the health team
The healthcare team are those whose skills and knowledge focus on the person's total
care. A nursing assistant is part of both the nursing team and the health team
What are the three things an agency must meet standards for?
Licensure, certification, accreditation
Describe the Omnibus Budget Reconciliation Act of 1987 and what does it require?
,OBRA is federal law. It requires that CNAs pass a training and competency evaluation
What are the 11 resident rights?
information; refusing treatment; privacy and confidentiality; personal choice; grievances;
work; taking part in resident groups; personal items; freedom from abuse, mistreatment,
and neglect; freedom from restraint; quality of life
What is an ombudsman and what did they do?
Someone who supports or promotes the needs and interests of another person. They act
on behalf of persons receiving care
What is the nurse practice act and what does it do?
A law that defines a nurses scope of practice, describes their education and licensing
requirements, and protects the public from people practicing without a license
Explain what nursing assistants can do and their role limits
A CNA can meet the person's personal needs, transfer persons and make observations,
measure TPR and BP, help promote person's comfort
A CNA cannot give drugs, insert things into body openings or remove them, take oral/phone
orders from doctors, perform procedures that require sterile technique, tell the person or
family diagnosis or treatment plans, diagnose and prescribe treatments or drugs, supervise
others (even other CNAs)
,Five rights of delegation
The Right Task, Circumstances, Person, Directions and Communication, Supervision.
List tasks that cannot be delegated to you
Perform assessments, develop care plans, evaluate response to care, provide education to
person or family, supervise others, take oral or phone orders from doctors, drugs, perform
procedures requiring sterile technique, insert intravenous catheters
Developmental tasks of late adulthood
Adjusting to decreased strength and loss of health, adjusting to retirement and reduced
income, coping with a partner's death, developing new friends and relationships, prepare
for one's own death
Changes in the musculoskeletal system
Muscles atrophy, muscle strength decreases, bone mass decreases, bones become weak
and brittle, vertebrae shorten, gradual loss of height
Changes in the nervous system
Brain and spinal cord lose nerve cells, nerve cells send messages at a slower rate, reflexes
slow, shorter memory, reduced sensitivity to pain and touch
Changes in the circulatory system
Heart pumps with less force, heart walls thicken, arteries narrow and become stiffer, less
blood flows through narrow arteries, number of RBC decreases
, Accident risk factors
Age, awareness of surroundings, agitated and aggressive behaviors, vision loss, hearing
loss, impaired smell and touch, impaired mobility, drugs
How do you correctly identify the person?
Compare identifying information on the assignment sheet with that on the ID bracelet. Use
at least two identifiers, call person by name when checking ID bracelet
RACE
Rescue, alarm, confine, extinguish
PASS
Pull, Aim, Squeeze, Sweep
How do you relieve choking?
Using abdominal thrusts
Explain how to protect yourself from work place violence
