Indiana CNA State Exam 2025

Whom does the CNA report to? - -charge nurse What is the difference between objective and subjective observation? - -objective is observed, seen, heard, smelled or felt while subjective is told to or thought happened Examples of residents choices which can be honored by the facility to promote person centered care? - -time to be woken up and dressed in the a.m., whether to shower or bathe in a tub, what time to go to bed Examples of residents rights? - -see survey results, voice grievances, self administer meds, be free from abuse, free to make choices. How can resident rights be protected? - -cna report signs of abuse neglect or misappropriation immediately Types of abuse? - -sexual, mental, emotional, physical, verbal, neglect, misappropriation, involuntary seclusion Examples of neglect? - -leaving resident soiled, leaving call light and water out of reach of resident Example of misappropriation - -using residents personal phone to make calls, taking residents money or personal belongings First thing to be done if you feel a resident is being abused? - -remove resident from harm and report immediately. Links in the chain of infection? - -causative agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible hose Most important action to take to prevent spread of infection - -wash hands 5 moments of hand hygiene - -before resident contact, after resident contact, before aseptic task, after exposure to blood/body fluids, after contact with resident surroundings Importance in personal protective equipment? - -proper usage will provide a barrier between the caregiver and the pathogen, thus preventing the spread of infection Describe direct contact, which could spread infection? - -touching an infected person and then proceeding to touch another person without washing hands Indiana Indiana Describe indirect contact which could cause infection - -touching a contaminated object and then touching a person without washing hands If a resident has clostridium difficlile, is an alcohol-based hand rub effective? - -no, you must always wash hands after coming into contact with c-diff Universal sign for choking? - -clutching the throat What document provides first aid should a resident drink a chemical - -material safety data sheets Explain the actions of the caregiver if a resident is having a seizure? - -call for nurse, stay with resident, assist nurse with postioning resident on their side, place padding under head, move furniture away, keep things out of patients mouth and do not restrain, loosen clothing especially around neck, note duration and areas involved. Define acronym r.a.c.e - -remove residents from area activate alarm contain the fire (close doors)extinguish if possible Define acronym p.a.s.s - -pull pin. Aim nozzle. Squeeze handle. Sweep back and forth at base of flame What to do if you catch on fire? - -stop drop and roll Normal pulse rate - -60-100 beats per minute Normal blood pressure range - -systolic ---- 100-139--- ---diastolic----- 60-89 How to check respirations while resident sleeps - -place hand on residents chest to feel the rise and fall Define proper body alignment - -residents shoulders are directly above their hips, their head and neck straight, their arms and legs in natural positions Name four most common bed positions? - -supine, lateral, semi-fowlers, fowlers Which position raises the bed to 30-45degrees - -semi-fowlers Does semi-fowlers put more or less pressure on the coccyx than fowlers position - -less When transferring a resident with right sided weakness from the bed to the chair, which side should chair be placed on? - -left side (residents stronger side) How to clean peri area of male and female - -male: pull back foreskin, wash and rinse tip of penis in a circular motion beginning with urethra, continue washing down pentis to Indiana Indiana the scrotum and inner thighsfemale: separate labia, wash urethral area first, wash between and outside of labia in downward strokes, alternating from side to side and moving outward towards thighs, different part of washcloth for each stroke What is the rationale importance of cleaning peri area correctly - -prevents spread of infection by washing pathogens away from urethra and not toward it where pathogens could enter Observations made during oral care that need reported to nurse? - -irritation, raised areas, coated or swollen tongue, sores, complaint of mouth pain, white spots, loose chipped or decayed teeth ( scoldb) Why should toenails of diabetic resident only be trimmed by nurse? - -due to poor circulation, even a small sore on the foot can become a large wound What is the difference between a routine urine specimen and clean catch urine specimen - -clean catch requires residents to stop mid stream be cleansed then collecting the specimen Should affected limbs or non affected limbs be dressed first - -affected limbs List items that can be used to promote reality orientation - -calendar, clock, familiar pictures, any visual aides What should always be placed in reach of resident prior to leaving resident - -call light and water Name two symptoms of dehydration - -dry mouth, weight loss, foul smelling urine, dark urine, cracked lips, and sunken eyes Most essential nutrient in life - -water What are the 3 types of thickened liquids/ - -nectar, honey and pudding thickened When a resident has a feeding tube, what should be done while