CERTIFIED NURSING ASSISTANT (CNA) EXAMS, PRACTICE EXAMS AND STUDY GUIDE EXAMS, Exams of Nursing

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CERTIFIED NURSING ASSISTANT (CNA)

EXAMS, PRACTICE EXAMS AND STUDY

GUIDE EXAMS WITH ACTUAL CORRECT

QUESTIONS AND VERIFIED DETAILED

RATIONALES ANSWERS 2024 (NEWEST)

ALREADY GRADED A+

CERTIFIED NURSING ASSISTANT (CNA) EXAMS

The most serious problem that wrinkles in the bed clothes can cause is... a. restlessness. b. sleeplessness. c. decubitus ulcers. d. bleeding and shock.

c. decubitus ulcers.

Restorative care begins... a. as soon as possible. b. when the client is ready. c. when the client is discharged. d. when the client is diagnosed as terminally ill.

a. as soon as possible.

Before placing a client in Fowler's position, the nurse aide should... a. open the window. b. explain the procedure to the client. c. check with the client's family. d. remake the bed.

b. explain the procedure to the client.

During hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to... a. allow the water to run over the hands for two minutes. b. dry the hands and turn off the faucet with the paper towel.

c. repeat the wash from the beginning. d. repeat washing, but for half the time.

c. repeat the wash from the beginning.

How should a nurse aide dress for a job interview? a. wearing a clean t-shirt and casual slacks b. wearing a nurse aide uniform c. wearing a business suit, dress, or pants and dress shirt d. wearing formal attire

c. wearing a business suit, dress, or pants and dress shirt

An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should... a. ask if the client is hungry. b. inspect the client's skin. c. assess the client's intake and output. d. make sure the client knows how to use the call bell.

make sure the client knows how to use the call bell.

When lifting a heavy object, the correct method would be to bend at the... a. waist, keeping your legs straight. b. waist, rounding your shoulders. c. knees, keeping your back straight. d. knees and waist

c. knees, keeping your back straight.

When should nurse aides wash their hands? a. after eating b. before using the bathroom c. after client care d. before cleaning a bedpan

c. after client care

When assisting a client with eating, one of the first things the nurse aide should do is... a. cut the food into bite-size pieces. b. wash his own hands and the client's hands. c. butter the client's bread. d. provide the client with privacy.

b. wash his own hands and the client's hands.

A patient has a new cast on her right arm. While caring for her, it is important to first observe for... a. pulse above the cast. b. color and hardness of the cast. c. warmth and color of fingers. d. signs of crumbling at the cast end.

c. warmth and color of fingers.

Encouraging a client to take part in activities of daily living, ADLs, such as bathing, combing hair, and feeding is... a. done only when time permits. b. the family's responsibility. c. necessary for rehabilitation. d. a violation of client rights.

c. necessary for rehabilitation.

In caring for a confused elderly man, it is important to remember to... a. keep the bed rails up except when you are at the bedside. b. close the door to the room so that he does not disturb other patients. c: keep the room dark and quiet at all times to keep the patient from becoming upset. d. remind him each morning to shower and shave independently.

a. keep the bed rails up except when you are at the bedside.

Before assisting a client into a wheelchair, the first action would be to check if the... a. client is adequately covered. b. floor is slippery. c. door to the room is closed. d. wheels of the chair are locked.

d. wheels of the chair are locked.

A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand... a. on the right side. b. in front of the client. c. on the left side. d. behind the client.

c. on the left side.

While making rounds at 5:30 A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first? a. Call 911. b. Perform CPR. c. Call for help. d. Assess the client's pulse and respiration.

d. Assess the client's pulse and respiration.

When moving a wheelchair onto an elevator, the nurse aide should stay... a. behind the chair and pull it toward the aide. b. behind the chair and push it away from the aide.

c. in front of the client to observe the client'scondition. d. at the side of the wheelchair while openingthe door.

a. behind the chair and pull it toward the aide.

The Foley bag must be kept lower than the client's bladder so that... a. urine will not leak out, soiling the bed. b. urine will not return to the bladder, causing infection. c. the bag will be hidden and the client will not be embarrassed. d. the client will be more comfortable in bed.

b. urine will not return to the bladder, causing infection.

As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first... a. substitute diet soda for the ice cream. b. hold the afternoon snack and report to the charge nurse. c. call the kitchen and report the error. d. allow the client to have half of the ice cream.

b. hold the afternoon snack and report to the charge nurse.

When assisting a client who is using the commode, it is important to... a. leave the call light within reach. b. lock the door to promote privacy. c. stand next to the client until the client is finished. d. restrain the client to prevent a fall.

a. leave the call light within reach.

Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT... a. positioning the patient every four hours. b. using mechanical aids. c. giving backrubs. d. performing active or passive ROM exercises.

a. positioning the patient every four hours.

The purpose of cold applications is usually to... a. speed the flow of blood to the area. b. prevent heat exhaustion. c. prevent or reduce swelling. d. prevent the formation of scar tissue.

c. prevent or reduce swelling.

The hot water bottle is an example of a... a. local dry heat application. b. generalized dry heat application. c. local moist heat application. d. generalized moist heat application.

a. local dry heat application.

Clients receiving an enema are usually placed... a. on the right side. b. on the left side. c. flat on the back. d. in a semisitting position.

b. on the left side.

A female client's perineal area should be cleansed before which specimen is collected? a. 24-hour urine specimen b. midstream clean-catch urine specimen c. pediatric routine urine specimen d. routine urine specimens

b. midstream clean-catch urine specimen.

42. The most common site for counting the pulse is the... a. carotid artery. b. femoral artery. c. brachial artery. d. radial artery.

d. radial artery.

When counting respiration, the nurse aide should... a. wait until after the client has exercised. b. not tell the patient what he is going to do. c. count five respirations and then check his watch. d. have the client count respirations while the aide takes her pulse..

b. not tell the patient what he is going to do.

Which of the following is NOT the nurse aide's responsibility when caring for clients who have urinary catheters? a. inserting the catheter. b. ensuring that the catheter drains properly. c. preventing infection. d. recording urinary output.

a. inserting the catheter.

When giving information to the charge nurse for an incident report, the nurse aide should... a. write in the client's chart that an incident occurred. b. keep the report in her personal file. c. state the facts clearly. d. give her opinions as to the cause of the incident.

c. state the facts clearly.

All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by... a. OBRA. b. OSHA. c. CDC. d. FDA.

a. OBRA.

A resident is blind. It is important not to... a. leave the door completely opened. b. rearrange the furniture. c. announce yourself before entering the room. d. explain the location of food on the plate, using the face of the clock to assist.

b. rearrange the furniture.

When family members visit a client, the visitors should... a. stay in the day room. b. stay a short while so as not to tire the client. c. be expected to help with care. d. be allowed privacy with the client.

d. be allowed privacy with the client.

A resident asks, "If I need help during the night, who will be there?" The nursing assistant should respond,... a. "Don't worry, you'll be okay." b. "Just yell; someone will hear you." c. "Your roommate will probably ring the call bell." d. "There are people here all night to help you."

d. "There are people here all night to help you."

Which of the following is a client's right? a. having personal information kept confidential b. obtaining private duty staff if desired c. knowing what is wrong with the client's roommate d. treating the staff any way he or she pleases

a. having personal information kept confidential

A resident often cries while she is receiving herP.M. care. What should the nurse aide do?a. Tell her to stop crying.b. Ignore her and continue with her carq.c. Tell her jokes to make her laugh.d. Tell her that it's all right to cry, and that theaide is there for her if she wants to talk.

d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk.

When providing denture care, the nurse aidemusta. wash them in boiling water.b. hold them under warm running water.c. dunk them in and out of cool water.d. place them on a towel in the sink with coolwater.

d.

Sexuality in long-term-care clients may includeall of the following EXCEPTa. needing private time with a partner.b. caring about one's physical appearance.c. engaging in public fondling.d. desiring sexual interaction

c. engaging in public fondling.

A client is scheduled for a partial bed bath. Thismeans that the nurse aide must wash theclient'sa. face, neck, ears, arms, and hands.b. face, axillae, hands, and buttocks.c. face, hands, axillae, and legs.d. face, hands, axillae, genitals, and buttocks.

d. face, hands, axillae, genitals, and buttocks

An agitated resident must be turned every twohours all night long. The first action of thenurse aide when waking up this resident is toa. turn on the light.b. speak quietly and calmly.c. touch her shoulder.d. shout her name.

b. speak quietly and calmly.

If a client objects to certain food for religiousor cultural reasons, the appropriate actionwould be toa. tell him to wait for the next meal.b. offer to substitute something different forhim.c. call the dietician the next day.d. tell him he needs to eat what is on his tray.

b. offer to substitute something different for him.

The client's religion forbids eating pork. Baconis being served for breakfast. The mostappropriate response is toa. encourage the client to eat it because sheneeds protein.b. tell the client it is all right since her doctorordered the diet.c. call the kitchen for a tray without bacon.d. tell the client that restrictions are not asimportant as her health.

c. call the kitchen for a tray without bacon.

Which type of communication can often be most powerful? a. writtenb. verbalc. silentd. tactile

c. silent

A client refuses to allow the nurse aide to batheher. The nurse aide tells the client that she willnot be allowed to eat lunch or go to bingo if shedoes not have her bath. This is an example ofa. rehabilitation.b. discipline.c. verbal abuse.d. physical abuse.

c. verbal abuse.

On entering a room, an aide notices that theclient is not breathing. The aide's first actionshould be toa. call for help.b. lay the client down on his back.c. give four quick breaths.d. give 8-10 abdominal thrusts.

a. call for help.

A client's dentures are lost. The first actionshould be to... a. notify the administrator.b. look for them.c. notify the doctor.d. notify the charge nurse.

d. notify the charge nurse.

Nursing assistants are responsible fora. planning client care.b. doing tasks assigned by the charge nurse.c. performing without ever asking for help.d. comparing assignments with coworkers

b

A patient turns on the call light when he needsto urinate. The appropriate action is toa. ignore the light, since he is not the aide'sown client.b. announce on the intercom that there are twopatients ahead of him.c. answer the call light and get the urinal.d. answer the call light when the aide has thetime.

c

A client is on CMR and in the prone position.The nurse aide finds the client vomiting brightred blood. The nurse aide should firsta. clean up the vomit.b. place the client in the side-lying position.c. provide the client with an emesis basin.d. call the charge nurse.

b

When performing catheter care, the nurse aideshould wash the cathetera. toward the meatus.b. with Betadine soap.c. away from the meatus.d. with alcohol.

c

A nurse aide who applies restraints on a clientwithout directions from the charge nurse maybe accused ofa. slander.b battery.c. false imprisonment.d. negligence.

c

H.S. care is care that is givena. before meals.b. before bedtime.c. after meals.d. upon awakening.

b

The best food choices for a geriatric client withno teeth would includea. hamburger, french fries, corn, and ice cream.b. baked chicken, dressing, green beans, andcoconut macaroons.c. spare ribs, macaroni and cheese, coleslaw,and fruit cocktail.d. baked fish, whipped potatoes, spinachsouffle, and tapioca

d

A client's family wants to talk about the client'simpending death, but the client does not wantto talk about it. The family should beencouraged toa. carry on the conversation away from theclient.b. talk freely in front of the client in order tohelp the client to accept it.c. wait until the client dies to talk about it.d. force the client to talk about it with them.

a

A nurse aide notices that a water pitcher hasspilled onto the floor. The best action for theaide to perform is toa. wipe it up immediately.b. cover it with a towel.c. notify the charge nurse.d. contact housekeeping

a

Upon entering a room, the nurse aide noticesthat a patient is not breathing. The aide's firstaction is toa. call for help. •b. lay the patient down on his back.c. give four quick breaths.d. give ten abdominal thrusts

a

When should postmortem caer be performed?a. after the family views the bodyb. Immediately after doctor pronouncesc. when rigor mortis sets in.d.after boyd goes to teh morgue

b

A walker may be used if the client can A) support some weight B) use her hands well C) balance without help D) walk independently

a

A cane should be used on A cane should be used onA) the affected (weak) side of the bodyB) the unaffected (strong) side of the bodyC) the side with the strongest armD) the weak side one day, and the strong side the next day

b the unaffected strong side of the body

A nurse aide is collecting linens for a bed change and drops a sheet on the floor. What should the nurse aide do?A) ignore it and leave it on the floorB) place it back on the linen cartC) discard it in the soiled linen hamperD) use it anyway

c Discard in the soiled linen cart

When applying cold treatment to a patient When applying a cold treatment to a patient, it is important to observe the patient closely for signs ofA) rednessB) dizzinessC) faintingD) cyanosis

d

The purpose of correctly positioning the client is toA) prevent skin breakdownB) maintain function of joints and musclesC) increase comfortD) all of the above

d

A surgical bed should be left in what position?A) Fowler's positionB) lowest horizontal positionC) semi- Fowler's positionD) highest position

d

The preferred way to remove a bedpan from a client who is unable to lift her buttocks is toA) use a mechanical lifting deviceB) have another nursing assistant lift the clientC) turn the client to the side while holding the panD) slowly slide the pan from under the client

c

After shaving a patient with a safety razor, the nurse aide shouldA) cover it before discardingB) wrap it up in a paper towel and drop it into the trash canC) dispose of it in a sharps containerD) place it in the patient's drawer for reuse C

c

When a client complains that his dentures are hurting, the appropriate action is toA) encourage him to wear the dentures more oftenB) report the complaint to the charge nurseC) report the complaint to the physicianD) put the dentures on the bedside tabel

b

A female resident's husband has asked for sometime alone with his wife in her room. Whatshould the nurse aide do?(A) Let the husband visit but listen outside thedoor.(B) Let the husband visit and leave the dooropen.(C) Tell the husband not to disturb his wife.(D) Let the husband visit in private.

b

A resident needs range of motion (ROM)exercises every day. When the nurse aide tries to help her do the exercises, the resident says she will not do them. She says that they are too hard. What is the nurse aide's best response? (A) "Try harder and the exercises will be easier." (B) "I understand, but try working slowly and resting often." (C) "The doctor ordered the exercises because they are important." (D) "Think of something good during the exercises and maybe they won't be so hard."

b

Upon entering a room, the nurse aide notices that a patient is not breathing. The aide's first action is toA) call for helpB) lay the patient down on his backC) give four quick breathsD) give ten abdominal thrusts

a

A patient is on bed rest, wearing a TED hose. How often should the hose be removed?A) neverB) q2hC) at least twice a dayD) q6h

c

A nurse aide enters a room to check on a residentwho is in restraints. The nurse aide finds that theresident has gotten out of the restraint and ispartly out of the bed. What should the nurseaide do?(A) Call for help to get the resident back into bedand put the restraint back on.(B) Put the restraint back on tightly so that theresident cannot move.(C) Leave the restraint off and report theproblem to the charge nurse.(D) Put a different type of restraint on theresident.hard."

a

Decubitus ulcers can be prevented byA) changing the client's position frequentlyB) placing an egg-crate mattress on top of the mattressC) increasing the patient's vitamin CD) both a and b

d

A resident does not want to wear her dentures.She says she has a sore in her mouth. The nurseaide should(A) tell her to leave her dentures out for a fewdays.(B) have the resident rinse her mouth with saltwater.(C) tell her that she will feel better if she wearsthe dentures.(D) leave the dentures out and ask the nurse tocheck the resident's mouth.

d

After a resident has died, the nurse aide is oftenassigned to do which of the following?(A) Prepare the resident's body.(B) Call the resident's family.(C) Call the resident's doctor.(D) Call the undertaker.

a

A nurse aide notices that a water pitcher has spilled onto the floor. The best action for the aide to perform is toA) wipe it up immediatelyB) cover it with a towelC) notify the charge nurseD) contact housekeeping

a

A resident complains that he cannot fall asleep.What can the nurse aide do first to help himrelax?(A) Move him to the day room.(B) Give the resident a back rub.(C) Give the resident a sleeping pill.(D) Report the resident's complaint to the chargenurse.

b

Upon entering a room, the nurse aide notices that a patient is not breathing. The aide's first action is toA) call for helpB) lay the patient down on his backC) give four quick breathsD) give ten abdominal thrusts

a

A resident is to start range of motion (ROM)exercises. When performing ROM exercises on aresident, what does the nurse aide do to eachjoint?(A) Stretch it until it hurts.(B) Rotate it in both directions until it hurts.(C) Bend it to a 90-degree angle whilesupporting the limb.(D) Move it to its fullest range or until theresident feels discomfort.

d

A sign on the resident's door says NPO. Whatdoes this sign tell the nurse aide about theresident?(A) The resident is receiving AM care.(B) The resident is receiving oxygen therapy.(C) The resident is not to be given any solidfood.(D) The resident is not to be given anything bymouth.

d

A resident is smoking a cigarette in the smokingarea on the outside porch of the nursing home.The resident keeps dropping the cigarette in hislap. What should the nurse aide do first?(A) Stay with the

resident until he is finishedsmoking.(B) Tell the resident that he must be morecareful.(C) Check on the resident every few minutes.(D) Go and report it to the charge nurse.

a

A nurse aide is assigned to care for a residentwho asks her to stay with her because she thinksshe is dying. What should the nurse aide do?(A) Scold the resident for talking that way.(B) Ask the resident why she feels this way.(C) Tell the resident, "That isn't true."(D) Ignore the resident's behavior.

b

A resident is able to dress himself, but he is veryslow. What should the nurse aide do to assist thisresident to get to breakfast on time?(A) Dress the resident.(B) Tell the resident to hurry.(C) Start the resident dressing earlier.(D) Warn the resident he is going to missbreakfast.

c

A nurse aide is caring for a resident on bedrest.The resident is not able to turn herself. What isthe longest time that the nurse aide is allowed toleave the resident in one position?(A) 1 hour(B) 2 hours(C) 3 hours(D) 4 hours

b

A resident's care plan calls for the resident toambulate 50 feet twice a day. The resident tellsthe nurse aide that she is unable to do it now.What should the nurse aide do?(A) Ask the resident to be more helpful.(B) Ask the charge nurse to change the careplan.(C) Tell the resident that she can skip her walktoday.(D) Allow the resident to choose a better time toambulate.

d

A nurse aide notices that a resident has very dryskin on the feet. How should the nurse aide carefor the resident's feet?(A) Raise them on a pillow.(B) Wash and dry them only.(C) Keep socks on them at all times.(D) Apply lotion after washing and drying thefeet.

d

An elderly resident is normally alert, but today she is slightly confused. What should the nurse aide do? (A) Say, "It is not like you to act like this." (B) Report the confusion to the charge nurse. (C) Not worry because all old people get confused sometimes. (D) Ignore the confusion because the resident may only be trying to get extra attention.

b

A nurse aide has found a fire in a resident's wastecan. What should the nurse aide do first?(A) Pull the fire alarm.(B) Pour water on the fire.(C) Move residents out of immediate danger.(D) Use the fire extinguisher to put out the fire.

c

What is the first thing a nurse aide should do afterreceiving the resident assignments for the shift?(A) Start giving care to the first resident on theassignment.(B) Make rounds and see each resident briefly.(C) Ask another nurse aide what to do first.(D) Find out when the lunch break is

b

The first step in getting a client up to walk is toA) sit the client on the side of the bedB) put the client' slippers onC) check the activity orderD) tell the client that he will be getting up

c

A nurse aide is walking with a resident. The resident says that she is going to faint. What should the nurse aide do?(A) Open a window to give the resident air.(B) Walk the resident to her room quickly.(C) Assist the resident to sit slowly on the floor.(D) Hold the resident on her feet until she feels better.

c

A resident is upset after a family visit. Theresident tells the nurse aide not to allow thefamily to visit again. Which of the following isthe nurse aide's best response?(A) "OK, I will tell them not to visit."(B) "I will inform the receptionist immediately."(C) "Can you tell me why you are so upset?"(D) "You will feel differently about ittomorrow.

c

A nurse aide is feeding a resident a pureed diet.How should the nurse aide feed the resident?(A) By feeding all of one food at a time.(B) By giving portions from each food on thetray.(C) By mixing the food together to make feedingeasier.(D) Any way the nurse aide wishes becausepureed food has no taste.

b

A resident is on oxygen. He tells the nurse aidethat he is not getting enough oxygen through thetubing. What should the nurse aide do first?(A) Turn up the oxygen.(B) Turn off the oxygen.(C) Check the tubing.(D) Tell the patient to breathe faster to get moreoxygen.

c

Which of the following is a true statement aboutthe elderly?(A) They have no sex drive.(B) They prefer to be alone.(C) They often have problems with vision.(D) They are not concerned about privacy.

c

A resident refuses to have a bath and to shaveevery day. He has not bathed for a week. Whatshould the nurse aide do?(A) Force the resident to take a bath and shaveevery day.(B) Ask the charge nurse for assistance with theproblem.(C) Leave the resident alone as he will want abath some day.(D) Tell the resident's family that the residenthas not bathed in a week.ambulate.

b

A resident usually dresses himself for breakfast.Today the nurse aide finds him in pajamas at10:00 am. What should the nurse aide do?(A) Nothing(B) Dress the resident(C) Ask him "Is there anything wrong today?"(D) Tell him "I don't have time to dress you."

c

A nurse aide finds a male resident in bed with afemale resident who is confused. What shouldthe nurse aide do?(A) Scold the male resident.(B) Report this to the charge nurse.(C) Close the door and the privacy curtains.(D) Put a "Do Not Disturb" sign on the door.

b

A nurse aide finds clean linen lying on the floornear the linen cart. What should the nurse aidedo?(A) Discard the linen in the soiled linen hamper.(B) Place the linen on the clean linen cart andcover the cart.(C) Place the linen in a resident's room forimmediate use.(D) Leave the linen on the floor forhousekeeping staff to remove.

a

A resident cannot walk by herself. What mustthe nurse aide do before leaving her room?(A) Give her a bedpan.(B) Tell her to shout if she needs help.(C) Put the call light where she can reach it.(D) Let another nurse aide know that she is inher room.

c

A resident has trouble finding her room. Whatcould the nurse aide do to help this resident?(A) Speak sharply to her whenever she goes tothe wrong room.(B) Assign another resident to watch her.(C) Make a special sign for her door.(D) Keep her in her room

c

A resident dies during the night. At breakfast,another resident who was his friend, begins totalk to the nurse aide about the death. Whatshould the nurse aide do?(A) Distract the resident by talking about thenews of the day.(B) Tell the resident to find someone else to talkto.(C) Find out who told the resident about thedeath.(D) Allow the resident to talk about the death.

d

A resident is lying on the floor having a seizurewhen the nurse aide walks into the room. Whatshould the nurse aide do first?(A) Restrain the residents arms.(B) Put a screen around the resident for privacy.(C) Place a padded tongue blade between herteeth.(D) Move any objects which could injure theresident and support her head.

d

A resident was given a stuffed animal as a gift.The resident wants to keep the stuffed animalwith her much of the time. What should thenurse aide do?(A) Explain that adults do not hold stuffedanimals.(B) Ask her relatives to take the stuffed animalhome.(C) Let her hold the stuffed animal whenever shewants to.(D) Suggest that she keep the stuffed animal onthe windowsill.

c

A resident is dehydrated. The nurse aide'sassignment says "Force fluids." What should thenurse aide do?(A) Decrease the resident's fluid intake.(B) Increase the resident's fluid intake.(C) Give liquids with meals only.(D) Measure output.

b

A nurse aide wants to get a resident involved inher own care. Which of these statements wouldbest encourage the resident's involvement?(A) "Stop feeling sorry for yourself."(B) "It's time for us to eat our breakfast."(C) "I want to brush your hair right now."(D) "Do you want to take your bath now or afterbreakfast?"

d

A resident has an indwelling catheter. As thenurse aide cares for him, which of these should the nurse aide report to the charge nurse immediately?(A) The resident complains of pain and burning.(B) The urine in the collection bag is clear andlight yellow in color.(C) The resident tells the nurse aide that he hatesto have a catheter.(D) The urine in the collection bag is hangingbelow the level of the bladder

a

What is the best source of information about thecare a nurse aide needs to give a resident?(A) The resident's family(B) The resident's roommate(C) The resident's plan of care(D) Other nurse aides on the unit.

c

A resident tells the nurse aide that her hearing aidis not working. What should the nurse aide dofirst?(A) Turn up the volume.(B) Change the battery.(C) Tell the charge nurse.(D) Check to see that the hearing aid is turnedon.

d

While making rounds at 3:00 A.M., a nurse aidehears a resident crying softly. How should thenurse aide respond?(A) Tell the resident that everything will bebetter in the morning.(B) Tell the resident that everything is fine andto cheer up.(C) Pretend not to notice that the resident iscrying.(D) Ask the resident what is wrong.

d

A resident is being discharged from the nursinghome. He tells the nurse aide that he feelsworried about the change. What is the nurseaide's most helpful response?(A) Encourage the resident to talk about hisfeelings.(B) Tell the resident not to worry as things willwork out fine.(C) Tell the resident that he should be happy toleave the nursing home.(D) Suggest to the resident that his worries willgo away if he ignores them.

a

A nurse aide is called away from a resident'sbeside. When the nurse aide returns, the residentscreams, "I'm too old and too sick to be leftalone." How should the nurse aide respond?(A) "You're fine. Don't carry on so."(B) "I understand, but I have other things to do."(C) "Why don't you just forget it and restawhile?"(D) "I'm sorry I had to leave. Can I help younow?"

d

A nurse aide is cleaning a resident's closet. Hefinds moldy food and throws it away. Theresident shouts, "Leave my food alone." What isthe best response by the nurse aide?(A) "Why are you saving this food? Do you gethungry between meals?"(B) "You should eat all your meals, so that youare not hungry later on."(C) "Hiding food is against health laws."(D) "This moldy food smells awful.

a

A nurse aide observes that a new resident is upsetand frightened while getting ready for bed. Theresident tells the nurse aide that a dark roomfrightens her. What is the nurse aide's bestresponse?(A) "Darkness can't hurt you."(B) "As old as you are, you should not beafraid."(C) "You will soon get used to sleeping in thedark."(D) "I will leave the door open so the light cancome in."

d

A nurse aide is assisting a resident with lunch.The resident grabs his throat and cannot speak.What should the nurse aide do first?(A) Offer the resident a drink.(B) Perform the Heimlich maneuver.(C) Place the resident on the floor and elevatehis feet.(D) Keep the resident warm by putting a blanketon him.

b

A nurse aide realizes from the assignment sheet,that a resident has not has a bowel movement formore than 3 days. What should the nurse aide do?(A) Ignore the problem.(B) Give the resident an enema.(C) Report the finding to the charge nurse.(D) Sit the resident on the toilet until he has abowel movement.

c

A resident has had a stroke and has weakness onher right side. Where should the nurse aide standwhen helping the resident walk?(A) On the resident's right side(B) On the resident's left side(C) In front of the resident(D) Behind the resident

a

A resident is grieving over the recent death of herhusband. How can the nurse aide best offersupport to the resident?(A) Leave the resident alone as much aspossible.(B) Encourage the resident to express her feelings.(C) Change the subject when the resident speaksabout her husband.(D) Tell the resident about the nurse aide's ownexperiences with death.

b

A nurse aide is assigned to care for a residentwho has wandered over to another unit. What isthe nurse aide's most helpful response, when thenurse aide brings the resident back?(A) "Let me walk with you."(B) "How did you get over here?"(C) "Don't you know where you belong?"(D) "Don't you realize I have a lot to do?"

a

A resident has a cold and is using tissues for hisnose. There are used tissues on the resident'sbed, floor, and bedside stand. What should thenurse aide do to control the spread of infection?(A) Report the resident's behavior to the residentcouncil.(B) Ask the resident to throw his used tissues inthe toilet.(C) Pick up the used tissues in the resident'sroom once a day.(D) Attach a paper bag to the resident's bed and ask him to put the used tissues in it.

d

A resident tells a nurse aide he is going to killhimself. What should the nurse aide do?(A) Nothing, because people who threatensuicide usually do not kill themselves.(B) Call the resident's family and ask them tocome and sit with him.(C) Tell the resident that things are not as bad asthey seem.(D) Stay with the resident and call for help

d

A nurse aide sees the charge nurse swallowmedication that belongs to a resident. Whatshould the nurse aide do?(A) Ignore the incident because the charge nursemight get the nurse aide fired.(B) Tell the resident's family that the chargenurse is stealing medication.(C) Report the incident to the administrator or nursing supervisor.(D) Suggest the nurse get help immediately.

c

Which of the following should the nursing assistant observe and record when admitting a client? a. frecklesb. wrinklesc. short nailsd. bruises

d. Bruising may be due to accidents, abuse, medications, or illness.

When responding to a client on the intercom,the nursing assistant should saya. "Hello, who is calling, please?"b. "What is it that you want?"c. "This is [nursing assistant name andposition], can I help you?"d. "Please hold; I'll have the nurse answer yourcall."

c

When arranging a client's room, the nursingassistant should do all of the followingEXCEPTa. checking the placement of the call bell.b. adjusting the back rest as directed.c. administering the client's medications.d. adjusting the lighting as appropriate.

c. Nursing assistants are not allowed to administer medications.

When assisting a client out of bed, the nurse aide should always... a. employ body mechanic techniques. b. get another nurse aide to assist.c. raise the bed to its maximum height.d. lower all safety rails.

a. Always use proper body mechanics when moving clients

How often should clients be repositionedduring an eight-hour shift?a. qlhb. q2hc. q3hd. q4hon/x-ms

b. Clients should be turned every two hours to prevent decubitus ulcers

Which of the following is the correct procedurefor serving a meal to a client who must be fed?a. Serve the tray along with all the other trays,and then come back to feed the client.b. Bring the tray to the client last; feed afteryou have served all the other clients.c. Bring the tray into the room when you areready to feed the client.d. Have the kitchen hold the tray for one hour.

c. An aide should not bring the tray into the room until he has time to feed the client.

The most serious problem that wrinkles in thebedclothes can cause isa. restlessness.b. sleeplessness.c. decubitus ulcers.d. bleeding and shock.

c

Restorative care begins... a. as soon as possible.b. when the client is ready.c. when the client is discharged.d. when the client is diagnosed as terminally ill.

a. Restorative care begins as early as possible to prevent further disability.

Before placing a client in Fowler's position, the nurse aide should... a. open the window.b. explain the procedure to the client.c. check with the client's family.d. remake the bed

b. Caregivers should always explain procedures first.

During hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to a. allow the water to run over the hands for two minutes.b. dry the hands and turn off the faucet with the paper towel.c. repeat the wash from the beginning.d. repeat washing, but for half the time.

c. The aide has contaminated her hands and must start over.

How should a nurse aide dress for a jobinterview?a. wearing a clean t-shirt and casual slacksb. wearing a nurse aide uniformc. wearing a business suit, dress, or pants anddress shirtd. wearing formal attired

c. First impressions are critical, so nurse aides should wear business attire.

An ambulatory client is newly admitted. Beforeleaving the client alone, the nurse aide shoulda. ask if the client is hungry.b. inspect the client's skin.c. assess the client's intake and output.d. make sure the client knows how to use thecall bell

d. New clients should always know how to calls for help before being left alone.

When lifting a heavy object, the correct methodwould be to bend at thea. waist, keeping your legs straight.b. waist, rounding your shoulders.c. knees, keeping your back straight.d. knees and waist.

c. Keeping the back straight forces the body to use the strong leg muscles.

When should nurse aides wash their hands?a. after eatingb. before using the bathroomc. after client cared. before cleaning a bedpan

c. Nurse aides should wash their hands after client care to prevent cross-contamination

When assisting a client with eating, one of thefirst things the nurse aide should do isa. cut the food into bite-size pieces.b. wash his own hands and the client's hands.c. butter the client's bread.d. provide the client with privacy.

b. Always remember to consider infection control.

A patient has a new cast on her right arm.While caring for her, it is important to firstobserve fora. pulse above the cast.b. color and hardness of the cast.c. warmth and color of fingers.d. signs of crumbling at the cast end

c. A new cast may cut off circulation. Choice c reminds the nurse aide to check for circulatory impairment.

Encouraging a client to take part in activities ofdaily living (ADLs) such as bathing, combinghair, and feeding isa. done only when time permits.b. the family's responsibility.c. necessary for rehabilitation.d. a violation of client rights.

c. Rehabilitation should always be part of the care plan.

In caring for a confused elderly man, it isimportant to remember toa. keep the bedrails up except when you are atthe bedside.b. close the door to the room so that he doesnot disturb other patients.c: keep the room dark and quiet at all times tokeep the patient from becoming upset,d. remind him each morning to shower andshave independently.

a. Make sure to follow agency policy.

Before assisting a client into a wheelchair, thefirst action would be to check if thea. client is adequately covered.b. floor is slippery.c. door to the room is closed.d. wheels of the chair are locked.

d

A client has a weak left side. When transferringthe client from the bed to the wheelchair, thenurse aide should standa. on the right side.b. in front of the client.c. on the left side.d. behind the client.

c. Assist the client at the client's weak side.

While making rounds at 5:30 A.M., a nurse aidefinds a patient lying on the floor. What shouldthe nurse aide do first?a. Call 911.b. Perform CPR.c. Call for help.d. Assess the client's pulse and respirations.

d. Assess pulse and breathing first.

When moving a wheelchair onto an elevator,the nurse aide should staya. behind the chair and pull it toward the aide.b. behind the chair and push it away from theaide.c. in front of the client to observe the client'scondition.d. at the side of the wheelchair while openingthe door.

a. The nurse aide must stay behind the chair to, control it and move it backward to prevent the wheels from falling into the door opening.

a. The nurse aide must stay behind the chair to, control it and move it backward to prevent the wheels from falling into the door opening.o,

b. Raising the bag above the bladder level can,lead to backflow of the urine, with its bacteria, into the bladder.

As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first...

a. substitute diet soda for the ice cream.b. hold the afternoon snack and report to the charge nurse.c. call the kitchen and report the error.d. allow the client to have half of the ice cream.

b. The nursing assistant should report this error to the charge nurse, who in turn will contact the kitchen and obtain the correct nourishment.

When assisting a client who is using the commode, it is important to... a. leave the call light within reach.b. lock the door to promote privacy.c. stand next to the client until the client isfinished.d. restrain the client to prevent a fall.

a. The client should always have access to get help when needed

Ensuring adequate circulation to tissues is amajor factor in preventing skin breakdown.This can be accomplished by doing all of thefollowing EXCEPTa. positioning the patient every four hours.b. using mechanical aids.c. giving backrubs.d. performing active or passive ROM exercises.

a. The patient must be positioned every two hours to prevent skin breakdown due to poor circulation

The purpose of cold applications is usually toa. speed the flow of blood to the area.b. prevent heat exhaustion.c. prevent or reduce swelling.d. prevent the formation of scar tissue.

c

The hot water bottle is an example of a a. local dry heat application. b. generalized dry heat application. c. local moist heat application. d. generalized moist heat application.

a

Clients receiving an enema are usually placeda. on the right side.b. on the left side.c. flat on the back.d. in a semisitting position.

b. enema=left

A female client's perineal area should be cleansed before which specimen is collected?a. 24-hour urine specimenb. midstream clean-catch urine specimenc. pediatric routine urine specimend. routine urine specimen

b

The most common site for counting the pulse is thea. carotid artery.b. femoral artery.c. brachial artery.d. radial artery

b

When counting respirations, the nurse aide shoulda. wait until after the client has exercised.b. not tell the patient what he is going to do.c. count five respirations and then check hiswatch.d. have the client count respirations while theaide takes her pulse.

b

When providing denture care, the nurse aide musta. wash them in boiling water.b. hold them under warm running water.c. dunk them in and out of cool water.d. place them on a towel in the sink with cool water.

d. place them on a towel in the sink with cool water.

A goal for an extended care facility (ECF) resident is that she not swear at the nurses oraides. When she calls an aide by his name, the appropriate action is toa. smile and give the appropriate reward.b. continue whatever task that is being done.c. tease the resident about not swearing.d. tell all of the staff that she didn't swear.

a. smile and give the appropriate reward.

A client's dentures are lost. The first actionshould be toa. notify the administrator.b. look for them.c. notify the doctor.d. notify the charge nurse.

d.

Nursing assistants are responsible fora. planning client care.b. doing tasks assigned by the charge nurse.c. performing without ever asking for help.d. comparing assignments with coworkers.

.b. doing tasks assigned by the charge nurse.

A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of a. slander .b battery. c. false imprisonment. d. negligence.

c

The best food choices for a geriatric client withno teeth would includea. hamburger, french fries, corn, and ice cream.b. baked chicken, dressing, green beans, andcoconut macaroons.c. spare ribs, macaroni and cheese, coleslaw,and fruit cocktail.d. baked fish, whipped potatoes, spinach souffle, and tapioca.

d

.d. baked fish, whipped potatoes, spinach souffle, and tapioca.

70. A client's family wants to talk about the client'simpending death, but the client does not wantto talk about it. The family should beencouraged toa. carry on the conversation away from the client.b. talk freely in front of the client in order tohelp the client to accept it.c. wait until the client dies to talk about it.d. force the client to talk about it with them.

.a. carry on the conversation away from the client.

When assisting a client in learning how to use a cane, the nurse aide stands... a. approximately two feet directly behind the client. b. about one foot from the client's weak side. c. about one foot from the client's strong side. d. slightly behind the client on the client's weak side.

d. slightly behind the client on the client's weak side.

When working with a client who has urinary retention, the nurse aide can expect that the client will... a. urinate large volumes. b. be unable to urinate. c. urinate frequently. d. be incontinent of urine.

b. be unable to urinate.

Aging-related hearing changes result in older clients gradually losing their ability to hear... a. high-pitched sounds. b. low-pitched sounds. c. slow sounds. d. rapid sounds.

a. high-pitched sounds.

The best way to safely identify your patient is by a. asking his name. b. calling his name and waiting for his response. c. checking the bed plate. d. checking the name tag.

d. checking the name tag.

A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should... a. report it to the charge nurse. b. give the client an enema. c. offer the client prune juice. d. encourage the client to drink more fluids.

a. report it to the charge nurse.

The proper medical abbreviation for before meals is... a. p.c.b. b. i.d. c. a.c. d. t.i.d.

c. a.c.

A client diagnosed with hypertension will most likely have a history of... a. low blood pressure. b. high blood pressure. c. low blood sugar. d. high blood sugar.

b. high blood pressure.

A patient who has difficulty chewing or swallowing will need what type of diet? a. clear liquid b. low residue c. bland d. mechanical soft

d. mechanical soft

An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent? a. Tell her to stay in the room. b. Have her roommate secretly watch her. c. Place a familiar object on the client's door. d. Write the room number on a piece of paper.

c. Place a familiar object on the client's door.

How often should a patient's intake and output records be totaled? a. once each shift b. twice a day c. every four hours d. every 12 hours

a. once each shift

Which of the following should the nursing assistant observe and record when admitting a client? a. freckles b. wrinkles c. short nails d. bruises

d. bruises

When responding to a client on the intercom,the nursing assistant should say... a. "Hello, who is calling, please?" b. "What is it that you want?" c. "This is [nursing assistant name and position], can I help you?" d. "Please hold; I'll have the nurse answer your call."

c. "This is [nursing assistant name and position] Mary CNA, can I help you?"

Which of the following things should the nurse aide do to familiarize new clients with their surroundings? a. Demonstrate the location and use of the call light. b. Explain that the TV is not to be used. c. Instruct family to leave the room after the aide is finished with the admission. d. Raise the bed to the high position and raise the safety rails.

a. Demonstrate the location and use of the call light.

When arranging a client's room, the nursing assistant should do all of the following EXCEPT... a. checking the placement of the call bell. b. adjusting the back rest as directed. c. administering the client's medications. d. adjusting the lighting as appropriate.

c. administering the client's medications.

When assisting a client out of bed, the nurse aide should always... a. employ body mechanic techniques. b. get another nurse aide to assist. c. raise the bed to its maximum height. d. lower all safety rails.

a. employ body mechanic techniques.

How often should clients be re-positioned during an eight-hour shift? a. qlh b. q2h c. q3h d. q4h

b. q2h

Which of the following is the correct procedure for serving a meal to a client who must be fed? a. Serve the tray along with all the other trays,and then come back to feed the client. b. Bring the tray to the client last; feed after you have served all the other clients. c. Bring the tray into the room when you are ready to feed the client. d. Have the kitchen hold the tray for one hour.

c. Bring the tray into the room when you are ready to feed the client.

What is long-term care?

Long-term care facilities for people who need 24 hour skilled care

May offer assisted living housing, dementia care or subacute care

What is skilled care?

Medically necessary care given by a skilled nurse or therapist- available 24 hours of the day

Ordered by a doctor and involves a treatment plan

What are some examples of chronic conditions?

Conditions that last a long period of time, even a lifetime

Physical disabilities, heart disease, and dementia, Alzheimer's disease, AIDS, diabetes, COPD, cancer, and congestive heart failure

What are assisted living facilities?

For people who need some help with daily tasks, such as showering, meals and dressing

These people do not need 24 hour skilled care

What is acute care?

24 hour skilled care given in hospitals and ambulatory surgical centers for people who require short- term, immediate care for illnesses or injuries

What is subacute care?

Care given in hospitals or long-term care facilities for people who need less care than for an acute illness but more care for than a chronic illness

Treatment normally ends when the condition has stabilized or after the set time for treatment has been completed

What is outpatient care?

Given to people who have had treatments, procedures or surgeries and need short-term skilled care

What is rehabilitation?

Care given by specialists and professionals

Physical, occupational and speech therapists

What is hospice care?

Given in facilities or homes for people who have 6 months or less to live

Workers give physical and emotional care and comfort until a person dies (for both the patient and the family)

Can be at any location

What are examples of activities of daily living (ADLs)?