CNA Final Exam with complete solution Graded A + (fall 2022/2023)

A catheter that is inserted into the bladder through an opening in the abdomen is called a(n) a) intermittent catheter. b) straight catheter. c) suprapubic catheter. d) urostomy. - ANSWER c) suprapubic catheter. A clear-liquid diet is started after a postsurgical resident can a) ambulate. b) urinate. c) pass gas. d) defecate. - ANSWER c) pass gas. A common sign of a CVA a) weakness on one-side b) red swollen joints c) increased cough d) flat affect - ANSWER a) weakness on one-side A complication is something that makes the original condition more serious. a) True b) False - ANSWER a) True A copy of a resident's discharge notice is sent to the resident or to a) the resident's doctor. b) one of the resident's family members. c) the resident's power of attorney. d) the ombudsman. - ANSWER c) the resident's power of attorney. A distal body part is farthest away from the point of attachment. True False - ANSWER a) True A DNR order means that CPR should not be started in the event of a cardiac arrest the patient will be donating his organs for transplant the patient should not be given food or fluids you should not disturb the patient for any reason - ANSWER CPR should not be started in the event of a cardiac arrest A dying patient confides to the nursing assistant that she "just can't face another day." The best response would be, a) "would you like to tell me about it"? b) "what would you like for breakfast"? c) "you said that yesterday, and you're still here" d) "cheer up; the sun is out today" - ANSWER a) "would you like to tell me about it"? A dying patient tells you that he does not believe in God and that there is no heaven. You disagree. You should a) respect the patient's beliefs and avoid stating your opinion b) try and make the patient understand why he is wrong c) ask the hospital chaplain to visit with the patient d) ask family to visit more often - ANSWER a) respect the patient's beliefs and avoid stating your opinion A healthcare facility is required to have all of the following EXCEPT: a) outside ventilation. b) smoking areas. c) a pest-control program. d) a sprinkler system. - ANSWER b) smoking areas. A hospital is an example of an acute care facility. a) True b) False - ANSWER a) True A hospital resident is typically given a shower a) on an as-needed basis. b) never. c) once per day. d) upon request only. - ANSWER a) on an as-needed basis. A long-term care facility must have handrails located: a) in the dining room. b) on both sides of the corridors. c) in the shower room. d) on one side of the corridor. - ANSWER b) on both sides of the corridors. A nasal cannula should be inserted into the nares a) with the prongs curved away from the resident. b) with the prongs curved toward the resident. c) before turning the oxygen on and checking the flow rate. d) after bringing the sliding connector up toward the chin. - ANSWER b) with the prongs curved toward the resident. A nosey cup is used for the resident who a) cannot tilt his head back to drink. b) has a hand tremor. c) does not have good wrist flexion. d) cannot open his mouth adequately. - ANSWER a) cannot tilt his head back to drink. A nursing assistant who works for an assisted-living facility can expect to: a) have different resident assignments daily. b) take frequent vital signs. c) spend most of the shift giving one-on-one care. d) help with basic needs such as bathing, cooking, and cleaning. - ANSWER d) help with basic needs such as bathing, cooking, and cleaning. A nursing home resident unable to pay for services can be discharged a) after a 90-day notice is given. b) only if he is admitted to another nursing home. c) only if he can return home safely. d) after a 30-day notice is given. - ANSWER d) after a 30-day notice is given. A partial bed bath consists of washing a resident's a) face, hands, arms, and underarms. b) hands, underarms, under breasts, and back. c) face, hands, arms, and peri-area. d) face, hands, under arms and skin folds, and peri-area. - ANSWER d) face, hands, under arms and skin folds, and peri-area. A patient is told by her doctor that she has a terminal illness and has six months to live. When she gets home, her daughter asks what the doctor said. The patient replies that she got a "clean bill of health." This patient is in the ________ stage of the grieving process. a) denial b) depression c) bargaining d) anger - ANSWER a) denial a patient who had chicken pox as a child may develop which disease later in life a) Shingles b) Herpes c) MRSA d) TB - ANSWER a) Shingles A patient who is working hard to complete unfinished business is in which stage of the grieving process? (example: paying funeral expenses, giving away the family heirlooms) acceptance denial shock bargaining - ANSWER acceptance A resident in a wheelchair should have her urinary collection bag a) hung on the back of the wheelchair. b) hung from the bars under the wheelchair seat. c) disconnected from the catheter. d) fastened to the resident's leg. - ANSWER b) hung from the bars under the wheelchair seat. A resident living in a nursing home typically has his weight taken a) once a week b) once a month c) each day d) twice a month - ANSWER a) once a week A resident may need a pureed diet if he a) can no longer wear his dentures b) Chokes easily on his coffee and juice c) has difficult time chewing and swallowing meat d) has the use of only his right hand - ANSWER a) can no longer wear his dentures A resident offers to pay you for shampooing and curling her hair. You politely tell her that you enjoy caring for her and cannot accept the money. She becomes upset, insisting that she doesn't "feel right" about having you style her hair without being compensated. The appropriate action to take is to accept the money and put it in her room when she goes to activities. accept gifts. accept the money and then give it to her family. Correct! accept the money and then give it to the DON ornurse. - ANSWER A resident who has an unwitnessed fall will usually have vital signs taken a) immediately b) every hour c) every shift d) every 15 minutes - ANSWER a) immediately A resident who has not had a bowel movement for four days is typically given a) milk of magnesia. b) a suppository. c) a Fleet enema. d) a soap suds enema. - ANSWER b) a suppository. A resident who is no longer able to speak, perform any ADLs, or control body movements is exhibiting signs of a) Severe stages of Alzheimer's b) Early stages of Alzheimer's c) Sundowning d) Mild stages of Alzheimer's - ANSWER a) Severe stages of Alzheimer's A resident who is taking blood thinners should be shaved a) by the doctor only. b) using a disposable straight razor. c) using an electric razor. d) only if the family requests it. - ANSWER c) using an electric razor. A resident who is unable to bear weight needs to be transferred with a a) mechanical lift and two nursing assistants. b) sit-to-stand device and two nursing assistants. c) mechanical lift and one nursing assistant. d) gait belt and pivot disc. - ANSWER a) mechanical lift and two nursing assistants. A resident with a chronic condition is likely to have her oxygen at a) 6-8 liters per minute. b) 1-6 liters per minute. c) 8-10 liters per minute. d) 10-14 liters per minute. - ANSWER b) 1-6 liters per minute. A resident's closet in a long-term care facility must a) have shelves accessible to the resident. b) be shared with the resi