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Term 1 of 255
The nursing assistant leaves a patient's room for a 20-minute break, does
not tell her colleagues, and leaves the bed rails down on the resident's
bed. The care plan states that the bed rails should be raised for this
resident. Five minutes later, the patient falls out of bed and breaks his hip.
Who is responsible for this?
A. The nursing home is responsible.
B. The nursing assistant is personally responsible.
C. The nurse is responsible.
D. The patient is responsible.
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B. Work single-handedly to take care of patients.
A professional CNA is well groomed, arrives on time, and takes care of himself or
herself
outside of work. A CNA must be part of the healthcare team and not do the job alone.
, A. Handwashing
A CNA must wash her hands as the final step in making a resident's bed. The CNA must
remove wrinkles from the bed, reposition the bed, and place the call signal within easy
reach of the resident, but all of these occur before handwashing.
B. Urinary incontinence and poor vision
Both urinary incontinence and poor vision contribute to the resident's risk for falling.
The resident will have to get up and walk to the bathroom often because of the
incontinence, and her poor vision may make it difficult for her to see items in her path.
B. The nursing assistant is personally responsible.
The nursing assistant is personally responsible because she did not follow the
care plan and jeopardized the patient with her negligent care.
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Term 2 of 255
Which of the following is NOT a cause of dehydration?
A. Diarrhea
B. Vomiting
C. Constipation
D. Not drinking enough fluids
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B. Ear infection
An acute illness like an ear infection can be treated or cured, and sometimes it just
,needs to run its course, such as with a cold. Cancer, obesity, and arthritis are examples
of chronic conditions that are ongoing and cannot be cured.
C. To meet the emotional, spiritual, and physical needs of a dying person
Hospice care is for terminally ill patients who often have less than 6 months to live. The
goal is to allow dying patients to live out their remaining days with dignity and peace.
No curative or restorative measures are taken.
C. Constipation
Dehydration can be a dangerous condition for residents. It may be caused by
diarrhea, vomiting, or poor fluid intake. Constipation does not cause dehydration.
It is important to monitor a resident's fluid intake, condition, urination, and bowel
movements to help prevent dehydration.
B. Donating
The five stages of grief are: Denial, Anger, Bargaining, Depression, and Acceptance.
Not all patients go through every stage. Some patients cycle through one or more
stages or remain in one stage for a period of time. Many patients who are dying may
go through
one, multiple, or all of the five stages of grief.
Although some patients may donate, or give away, their possessions, this is not one of
the five stages of grief.
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,Term 3 of 255
Which of the following is NOT considered appropriate handling of
linens?
A. Folding the soiled portion inward
B. Carrying the linens away from your body
C. Depositing the soiled linens on the floor
D. Changing linens promptly when soiled
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C. To meet the emotional, spiritual, and physical needs of a dying person
Hospice care is for terminally ill patients who often have less than 6 months to live. The
goal is to allow dying patients to live out their remaining days with dignity and peace.
No curative or restorative measures are taken.
A. Hand-washing before and after glove use.
You must wash your hands before and after using gloves to ensure adequate
protection. Washing your hands only after glove use or using gloves with a small tear in
them will not ensure adequate protection. You should use gloves any time you suspect
that you
may come into contact with a resident's body fluids, including: blood, mucus, urine,
feces, semen, or vaginal discharge.
C. Depositing the soiled linens on the floor
Depositing soiled linens on the floor contaminates the floor and makes it a
hazard. When linens are soiled, they are promptly removed, the contaminated
side is folded inward, and they are carried away from the body to avoid
contaminating the CNA's uniform.
B. The ombudsman certifies CNAs.
The ombudsman does not certify CNAs—that is the state's responsibility. The
, ombudsman is someone who helps protect the health, safety, and welfare of nursing
home residents. Ombudsmen can be volunteers or are employed by a state agency.
They are not employees of nursing home centers.
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Term 4 of 255
Which of the following is NOT an example of objective information?
A. Vomiting
B. A patient reporting a pain rating of 8 out of 10
C. A patient sweating profusely
D. Blood pressure
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B. Progressive short-term memory loss
Some of the signs or symptoms of depression can be contradictory (depending on the
person). Some people sleep too much or too little. Some people may eat too much or
too little. Some have chronic pain, or may feel anxious, irritable, or indifferent. Many
depressed people have persistent feelings of sadness, hopelessness, or worthlessness.
Progressive short-term memory loss may be a sign of dementia. It is not a sign of
depression.
D. Intellectually disabled
The Omnibus Budget Reconciliation Act of 1987, or OBRA, protects people with
developmental disabilities and requires staff to receive special training in order to meet
their care needs. You should avoid using the terms "mental retardation" or "mentally
retarded," and instead use the terms "intellectual disabilities" or "intellectually disabled"
to refer to these residents.
, D. All of the above
All of these choices are examples of triggers. There are several kinds of triggers:
environmental, emotional, and physical. Excessive noise is an environmental trigger. An
unpleasant visit is an emotional trigger. Pain is a physical trigger. A CNA should learn to
identify a patient's triggers so that they can prevent or remove the trigger.
B. A patient reporting a pain rating of 8 out of 10
Objective data is information that the healthcare provider can observe (vital
signs, resident behavior, a resident's condition, etc.). Subjective data is
information that the patient reports (pain, nausea, hallucinations, etc.).
Both objective and subjective data are important information for healthcare
providers.
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Term 5 of 255
When taking a resident's blood pressure, the first sound you hear is at 136.
The last sound you hear is at 82. How should you document this reading?
A. 82/136
B. High
C. Low
D. 136/82
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A. Facing him
When transferring a resident using a gait belt, you should stand facing him. This allows
you to use good body mechanics using your body weight to transfer the resident, not
your back to perform the procedure. After you attach the gait belt around his waist,
position your knees on the opposite sides of the patient's weak leg, place the patient's
feet between yours, and use the gait belt to lift him up.
, C. Upward strokes
When shaving a male resident's face, it is important to shave in the same direction as
the growth of the hair to reduce skin irritation and the risk of nicks and cuts. When
shaving the resident's neck, be gentle and shave in upward strokes in the direction of
the hair
growth. When shaving the resident's face, hold the skin taut and use downward strokes
that follow the direction of the hair growth.
D. 136/82
The first number in a blood pressure measurement is the systolic pressure, which
is the force of the blood moving through the arteries when the heart beats. This is
the top number in a blood pressure reading. The second number is the force of
blood moving through the arteries when the heart is at rest. This is the diastolic
pressure. It is the bottom number in a blood pressure reading.
Although this blood pressure reading is high (a normal BP for an adult is less than
120/80), you should record the actual blood pressure reading, not a
generalization.
B. Replace the foreskin after it has been pushed back to clean the head of the penis.
The nursing assistant should replace the foreskin after it has been pushed back to
clean the head of the penis. It is important to clean under the foreskin of the penis to
remove smegma, which collects under the foreskin.
Also, when bathing a resident (or providing perineal care), it is important to remember
the principle of "clean to dirty." Start with "clean" areas (the head of the penis) and
move to "dirty" areas (the base of the penis). Never use the same cloth to wash the
rectal/anal area and then tend to the penis.
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Term 6 of 255