CNA Final Exam: Multiple Choice Questions and Answers, Exams of Nursing

Download CNA Final Exam: Multiple Choice Questions and Answers and more Exams Nursing in PDF only on Docsity! (Ver rsion A-B) Actual & Pract | (Latest Update 024205 500+ Questions and Correct Answers  CNA FINAL EXAM VERSION A You are ambulating Joe in the hallway with his walker and a gait belt. A coworker is following behind with Joe's wheelchair. Joe becomes shaky and weak. The BEST thing to do is to: a) walk him back to his room and lay him down. b) lower him to the floor using the gait belt. c) immediately sit him in his wheelchair. d) call out to the nurse or coworker for assistance. - ...ANSWER...c) immediately sit him in his wheelchair. A set of attitudes and traditions that are shared by a group of people is referred to as the group's a) culture. b) national background. c) ethnicity. d) origins. - ...ANSWER...a) culture. You are caring for a resident who wears a hearing aid in his left ear and is deaf in his right ear. When caring for him, you should: a) raise your voice when you speak into his right ear. b) turn the volume on the hearing aid all the way up. caregivers, and rarely makes eye contact. This is an example of a(n): a)neurological disorder. b) emotional deficit. c) expressive aphasia. d) speech impairment. - ...ANSWER...b) emotional deficit. Residents must be repositioned while in bed at least every a) 1 hour. b) 2 hours. c) 3 hours. d) 4 hours. - ...ANSWER...b) 2 hours. To relieve pressure while in the supine position, pillows should be placed under the head and a) under the lower legs. b) between the legs. c) under the hips. d) behind the back. - ...ANSWER...a) under the lower legs. To prevent pressure injuries from developing while a resident is sitting in a wheelchair, you should make sure that the resident has a) her buttocks all the way back in the chair. b) her feet touching the floor. c) her feet elevated on the wheelchair foot rests. d) both A and B. - ...ANSWER...d) both A and B. The best position for a resident who needs an enema is a) prone. b) supine. c) Sims's. d) semi-Fowler's. - ...ANSWER...c) Sims's. When repositioning the resident from a supine to a sidelying position, a) raise the side rail on the opposite side of the bed you are working on. b) raise the head of the bed before moving the resident. c) place a pillow behind the head and under the heels. d) leave the side rail up when finished for safety. - ...ANSWER...a) raise the side rail on the opposite side of the bed you are working on. When repositioning a resident in bed, have him place his hands a) above his head. b) along his sides. c) across his stomach or chest. d) on his hips or thighs. - ...ANSWER...c) across his stomach or chest. You care for a resident who needs oxygen because of a respiratory infection. The BEST position for the resident while she is in bed is a) Fowler's. b) side-lying. c) prone. d) tripod. - ...ANSWER...a) Fowler's. 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. You have assisted your resident from a lying to a sitting position on the bed. While letting him dangle at the side of the bed, you should a) get a gait belt from the supply area. b) stand in front of the resident. c) pick out clothes from the closet. d) sit with the resident until he is ready to stand. - ...ANSWER...b) stand in front of the resident. When transferring a resident with a one assist and gait belt, you should c) who are medically stable but require 24/7 nursing care. d) during business hours only. - ...ANSWER...c) who are medically stable but require 24/7 nursing care. The first step in refusing a delegated task is to: a) document the reason for your refusal. b) inform the director of nurses of your refusal. c) determine if you have been trained to perform the task. d) tell your immediate supervisor that you are not able to complete the task. - ...ANSWER...c) determine if you have been trained to perform the task. Chain of command is: a) working within your scope of practice. b) a hierarchical form of communication. c) used in the military but not in healthcare. d) an approach that increases the risk of medical errors. - ...ANSWER...b) a hierarchical form of communication. It is outside the scope of practice for a nursing assistant to: a) provide dementia care. b) insert tubes into a resident's body. c) offer emotional support to the resident's family. d) help a resident eat dinner. - ...ANSWER...b) insert tubes into a resident's body. Respite care facilities are regulated by: a) state governments. b) the federal government. c) the Joint Commission. d) both the state and federal government. - ...ANSWER...a) state governments. In the state of California, a nurse aide training course must include: a) 60 hours of theory and 100 hours of clinical. b) 60 hours of theory and 60 hours of clinical. c) 75 hours of theory and 100 hours of clinical. d) 100 hours of theory and 60 hours of clinical. - ...ANSWER...a) 60 hours of theory and 100 hours of clinical OSHA regulations help protect the: a) healthcare worker. b) long-term care resident. c) resident's individual health information. d) healthcare facility. - ...ANSWER...a) healthcare worker. Professionalism in healthcare includes: a) arriving to work before the start of your shift. b) providing care with compassion. c) a strong work ethic. d) all of the above. - ...ANSWER...d) all of the above. One of your residents received a very upsetting diagnosis from his doctor this morning. His daughter comes in to visit and asks you why her father seems sad today. The best response is to: a) tell the daughter what happened since she is family. b) suggest that the daughter discuss it with the resident. c) not answer in order to protect the resident's privacy. d) inform the daughter to call the resident's doctor about his diagnosis. - ...ANSWER...b) suggest that the daughter discuss it with the resident. You discover some chocolate candies in your resident's room. You know that she is on a diabetic diet and should not be eating the candies. You should: a) take the candy out of the room. b) tell the resident that she is not allowed to have chocolate. c) leave the candy in the room and report it to the nurse. d) replace the candy with sugar-free chocolate. - ...ANSWER...c) leave the candy in the room and report it to the nurse. The client is referred to as a resident when they are admitted to: a) a skilled nursing facility. Stella is a 10-year-old girl with complete hearing loss due to an infection she had as an infant. This is an example of: a) an emotional deficit. b) an acquired communication disorder. c) expressive aphasia. d) a congenital communication disorder. - ...ANSWER...b) an acquired communication disorder. Receptive aphasia is the inability to: a) understand spoken language. b) understand written messages. c) hear the spoken word. d) speak clearly to others. - ...ANSWER...a) understand spoken language. Listening is a form of communication a) True b) False - ...ANSWER...a) True The nursing assistant should avoid shouting when speaking to a resident who is hearing impaired a) True b) False - ...ANSWER...a) True Your facility has lost electrical power due to a severe thunderstorm. The facility should: a) evacuate the residents to a different location. b) have the nursing assistants use flashlights. c) use the backup generator. d) wait to see when the power returns. - ...ANSWER...c) use the backup generator. One of your residents is unable to press her call light button because of pain in her hands. You should: a) offer her pain medication. b) tell her to remain at the nurse's desk. c) locate a press pad light to place in her room. d) ask her to come to the nurse's desk if she needs assistance. - ...ANSWER...c) locate a press pad light to place in her room. A resident's closet in a long-term care facility must a) have shelves accessible to the resident. b) be shared with the resident's roommate. c) be at least 20 square feet in size. d) have easy-access handles. - ...ANSWER...a) have shelves accessible to the resident. Dependent residents should be toileted or have their incontinence garments changed: a) every 4 hours and as needed. b) only when requested by the resident. c) only when the incontinence garment is soiled. d) every 2 hours and as needed. - ...ANSWER...d) every 2 hours and as needed. You notice that one of the residents has spilled her water onto the dining room floor. You are still clearing dishes from the room and documenting the residents' oral intake. You should: a) clean up the spill and then finish clearing the tables. b) leave a towel on the floor to soak up the water. c) mop up the floor after you have finished clearing tables. d) ask housekeeping to take care of the spill. - ...ANSWER...a) clean up the spill and then finish clearing the tables. 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. You have noticed that one of your coworkers seems teary and upset the last few weeks. She has not told you what is wrong, but you are worried about her. The BEST action to take would be to: a) tell the nurse that your coworker needs help. b) contact the facility supervisor. a) outside ventilation. b) smoking areas. c) a pest-control program. d) a sprinkler system. - ...ANSWER...b) smoking areas. Allergic contact dermatitis after contact with latex usually is seen within: a) 15-30 minutes. b) 2-4 hours. c) 6-48 hours. d) 48-72 hours. - ...ANSWER...c) 6-48 hours. The red electrical outlets are used when a power outage takes place at a facility and the generator is in use a) True b) False - ...ANSWER...a) True Strategies to prevent falls can include: a) all of the above b) encourage visits from family members c) make sure alarms are in place d) keep call light within reach - ...ANSWER...a) all of the above An alarm placed in a wheelchair is: a) considered a restraint b) necessary for all residents in wheelchairs c) required for residents in healthcare facilities d) necessary for staff safety - ...ANSWER...a) considered a restraint If a resident falls, update the nurse: a) immediately b) only if the resident is hurt c) at the end of your shift d) after you put the resident back to bed - ...ANSWER...a) immediately Fall prevention is the responsibility of a) the entire staff b) nursing assistants c) housekeeping staff d) nurses - ...ANSWER...a) the entire staff Anti-rollback brakes on wheelchairs a) reduces the risk of injury from falls b) allow the resident to go faster c) are a state requirement d) should always be locked - ...ANSWER...a) reduces the risk of injury from falls The goal of restraining a resident is to a) keep them safe b) reduce agitation c) keep resident from falling d) stop the resident from hitting others - ...ANSWER...a) keep them safe Thomas has a wrist restraint to prevent him from pulling out his IV. He complains to you that his hand is tingling. You should a) report his complaint to the nurse immediately b) do range of motion exercises c) loosen the restraint and check him in 15 minutes d) massage the hand to reduce discomfort - ...ANSWER...a) report his complaint to the nurse immediately Serious injuries can occur if the patient climbs over the side rails a) True b) False - ...ANSWER...a) True When an elderly person has a very tiny bleed inside their head, it can take up to six weeks before the patient shows symptoms a) True b) False - ...ANSWER...a) True When doing abdominal thrusts, pressing on the patient's ribs with your forearms could cause serious injury to Arthritis causes pain and stiffness at the joints a) True b) False - ...ANSWER...a) True What is the correct term for artificial limb a) prosthesis b) restoration c) orthopedic d) assistive devices - ...ANSWER...a) prosthesis When transferring a dependent patient a) use a gait belt unless contraindicated b) lift using your strong back muscles c) keep your knees and elbows locked d) elevate the bed to a moderate height - ...ANSWER...a) use a gait belt unless contraindicated Assistive devices, such as a walker are used to a) compensate for problems the patient has with walking b) help the staff with ambulating the resident c) keep the patient from walking to fast d) prevent back injuries in the healthcare workers - ...ANSWER...a) compensate for problems the patient has with walking Risk factors for acquiring MRSA include a) advanced age. b) working in a healthcare facility. c) having allergies. d) both A and B. - ...ANSWER...d) both A and B. The recommended precaution used when caring for a resident with VRE is a) contact. b) airborne. c) droplet. d) standard. - ...ANSWER...a) contact. The nursing assistant must wash her hands rather than use hand sanitizer a) before leaving the facility. b) after taking off gloves. c) after using the restroom. d) when caring for a resident with MRSA. - ...ANSWER...c) after using the restroom. During hand washing, the nursing assistant should lather her hands for at least a) 10 seconds. b) 60 seconds. c) 15 seconds. d) 20 seconds. - ...ANSWER...d) 20 seconds. To be effective, the level of alcohol in hand sanitizers must be at least a) 20%. b) 35%. c) 45%. d) 60%. - ...ANSWER...d) 60%. Most staph infections occur a) on the skin. b) in the digestive tract. c) in the nose and respiratory tract. d) in the eyes. - ...ANSWER...a) on the skin. Standard precautions should be practiced on a) only people who look sick. b) only people who request it. c) every person you care for. d) only people who have a blood borne illness. - ...ANSWER...c) every person you care for. The specialty precaution required to care for a resident with Clostridium difficile is a) airborne precautions with hand washing only. the condition of the immune system affects how a person reacts to microorganisms in the environment a) True b) False - ...ANSWER...a) True microorganisms that cause disease are called a) pathogens b) flora c) bacilli d) fungus - ...ANSWER...a) pathogens 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 Spores a) can live in the environment for a long time b) are easily eliminated with alcohol hand cleaner c) are not common concerns in health care d) cannot live outside the human body - ...ANSWER...a) can live in the environment for a long time gloves must be worn a) for contact with blood or body fluids b) for all patient care c) only when caring for patients on isolation d) when transferring a patient from bed to wheelchair - ...ANSWER...a) for contact with blood or body fluids An example of indirect contact with a pathogen is a) hand contact with a contaminated object b) person to person contact c) body fluids or sexual contact d) contact with an insect that transmits a disease - ...ANSWER...a) hand contact with a contaminated object HIV is transmitted by a) blood and body fluids b) airborne method c) indirect contact d) vectors and vehicles - ...ANSWER...a) blood and body fluids Residents with communication disabilities are at risk of abuse because they a) don't recognize abuse when it happens. b) strike out at others. c) may be unable to report the abuse. d) have little control over their actions. - ...ANSWER...c) may be unable to report the abuse. One of your coworkers assists Mrs. Baker into a recliner and puts her feet up so she doesn't get out of the chair without assistance. Mrs. Baker is unable to use her call light because of dementia. This is an example of abandonment. physical abuse. defamation. Correct! false imprisonment. - ...ANSWER... An example of battery might be not repositioning a resident according to the care plan. telling a resident that if she refuses her meal, you will call her daughter. Correct! giving a resident a shower after she states she doesn't want one. leaving the facility before your relief arrives. - ...ANSWER... 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... c) giving and receiving love d) self-respect and approval - ...ANSWER...a) oxygen and nutrition physical restraints are a) methods that restrict movement and access to the body b) applied immediately if patient is confused, restless and upset c) never appropriate in the acute care setting d) used for safety in all confused residents - ...ANSWER...a) methods that restrict movement and access to the body The best definition of seclusion is a) separating a patient from others against their will b) using force to restrain a hostile resident c) taking steps to provide a patient with privacy during procedures d) restricting patient's normal access to his or her own body - ...ANSWER...a) separating a patient from others against their will Patients have the right to be free from restraints a) True b) False - ...ANSWER...a) True Facilities are required to translate the patient's Bill of Rights into common languages in the community a) True b) False - ...ANSWER...a) True Residents have the right to unopened mail a) True b) False - ...ANSWER...a) True c w/ line on top - ...ANSWER...with s w/ line on top - ...ANSWER...without Angela is a new resident being admitted today. The nurse asks you to obtain her weight. You notice from her medical chart that her most recent weight was 407 pounds. The best option for getting Angela's weight is to use a a) standing scale. b) mechanical lift. c) bariatric lift. d) wheelchair scale. - ...ANSWER...c) bariatric lift. One of your residents' weight this morning is 83 pounds. The nurse asks you how many kilograms the resident weighs. The correct reply is a) 37.7 kilograms. b) 182.6 kilograms. c) 166 kilograms. d) 41.5 kilograms. - ...ANSWER...a) 37.7 kilograms. Charles is on a fluid restriction and must have all his fluid intake measured. This evening he had a 4-ounce glass of apple juice, an 8-ounce carton of milk, and a 8ounce cup of coffee. The total amount you should document is a) 360 mL. b) 600 mL. c) 12 ounces. d) 16 ounces. - ...ANSWER...b) 600 mL. The best device for weighing a resident who is on strict bed rest is a a) wheelchair scale. b) mechanical lift scale. c) stadiometer. d) bariatric lift scale. - ...ANSWER...b) mechanical lift scale. When measuring urine output, the graduate or urinal should be a) placed on the overbed table. b) placed on the bathroom counter with a barrier. c) raised to eye level. d) emptied into a bedpan. - ...ANSWER...b) placed on the bathroom counter with a barrier. the required movements on the resident's care plan is abduction. This means a) increasing the joint angle. b) moving away from the midline of the body. c) moving toward the midline of the body. - ...ANSWER...b) moving away from the midline of the body. Juanita just had knee surgery a week ago, she will require help with learning how to ambulate with her new walker. Who is the person responsible for her therapy? a) the physical therapist. b) the occupational therapist. c) the speech therapist. d) none of the above. - ...ANSWER...a) the physical therapist. The first step in a resident's physical therapy is a) an evaluation by the nurse. b) the therapist determines the resident's goals. c) an evaluation by the physical therapist. d) the therapist designs a plan of care. - ...ANSWER...c) an evaluation by the physical therapist. The physical therapist works mostly on a) swallowing difficulties. b) restorative efforts. c) fine motor skills. d) gross motor skills. - ...ANSWER...d) gross motor skills. The person responsible for maintaining a resident's level of ability through range-of-motion exercises is the a) occupational therapist. b) nursing assistant. c) licensed practical nurse. d) respiratory therapist. - ...ANSWER...b) nursing assistant. You notice that one of your residents is having difficulties at mealtime. She has trouble swallowing her fluids and coughs with each bite. The person who could BEST help her would be the a) occupational therapist. b) restorative aide. c) speech language pathologist. d) physical therapist. - ...ANSWER...c) speech language pathologist. Gayle is an older resident who uses a wheelchair to move about the facility. You encourage her to ambulate with you, but she often refuses. You should a) encourage her to walk in her room. b) inform the nurse that Gayle no longer walks. c) tell Gayle that she needs to ambulate at least twice a day. d) refer her to the physical therapist. - ...ANSWER...a) encourage her to walk in her room. Assisting a resident with ambulation can decrease the resident's risk of a) constipation. b) arthritis. c) diarrhea. d) nausea. - ...ANSWER...a) constipation. An intervention often used to relieve the pain and swelling associated with acute injuries is a) an ice pack. b) a topical ointment. c) ambulation. d) exercise - ...ANSWER...a) an ice pack. Properly sized crutches should have a space between the resident's underarms and the crutch that measure. a) 0 inches. b) 1 inch. c) 2 inches. d) 3 inches. - ...ANSWER...c) 2 inches. The nursing assistant should lock the resident's wheelchair when she is a) ambulating the resident down the hallway. b) assisting the resident with a quad cane. The goal of debridement is to a) remove healthy tissue. b) remove necrotic tissue. c) strengthen the tissue. d) decrease edema. - ...ANSWER...b) remove necrotic tissue. The best way to prevent rashes in a resident who has skin folds is to a) keep the area clean and dry. b) use rinseless products only. c) apply lotion to the area daily. d) only wash once per day. - ...ANSWER...a) keep the area clean and dry. The major risk factor for development of pressure injuries is a) immobility. b) poor nutrition. c) incontinence. d) advanced age. - ...ANSWER...a) immobility. Friction and shearing injuries often occur while the resident is a) sitting in the wheelchair. b) lying on his side. c) in bed with the head of the bed elevated.(resident slides down the bed) d) in a supine position. - ...ANSWER...c) in bed with the head of the bed elevated. (resident slides down the bed) Stage-two and stage-three pressure injuries can be very a) painful. b) blistered. c) swollen. d) hidden. - ...ANSWER...a) painful. One of the main functions of our skin is to a) carry nutrients. b) clump melanocytes. c) protect against infection. d) transport oxygen. - ...ANSWER...c) protect against infection. Stage-two pressure injuries involve damage to a) the dermis. b) the epidermis. c) the subcutaneous tissue. d) both A and B. - ...ANSWER...d) both A and B. The BEST method for ensuring proper water temperature when assisting a resident with a shower is a) asking the resident if the water is a comfortable temperature. b) using a bath thermometer to check the water temperature before allowing the resident into the shower. c) allowing the water to run at least 10 minutes before the resident enters the shower. d) testing the water with your hand. - ...ANSWER...a) asking the resident if the water is a comfortable temperature. While shampooing the resident's hair in the shower, you should ask her to a) tip her head forward. b) tip her head to the side. c) hold a washcloth over her eyes. d) close her eyes and breathe through her nose. - ...ANSWER...c) hold a washcloth over her eyes. David is an older resident with dementia. You need to bathe him this morning, but he refuses. You should a) ask him why he doesn't want to bathe, and then attempt later. b) tell him that he needs to get into the tub, as that is the schedule. c) take him to the tub room and start undressing him. d) ask the nurse to bathe him. - ...ANSWER...a) ask him why he doesn't want to bathe, and then attempt later. d) use a pre-moistened oral swab to provide oral care. - ...ANSWER...d) use a pre-moistened oral swab to provide oral care. 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. If a male resident is not circumcised, you should a) not wash this area; it is out of your scope of practice. b) pull the foreskin back and wash. c) ask the resident to pull back the foreskin while you wash. d) not wash this area; it is not required. - ...ANSWER...b) pull the foreskin back and wash. Providing fingernail and hand care for a resident helps to a) prevent nails from cracking. b) maintain self-esteem. c) prevent the resident from scratching herself. d) do all of the above. - ...ANSWER...d) do all of the above. You are caring for a male resident who needs to be shaved. He has a razor with multiple heads. You should shave him by moving the razor a) in a circular pattern over the face only. b) downward over the face and upward on the neck. c) downward over the cheeks and upper lip, upward on the chin and neck. d) in a circular pattern over the face and neck. - ...ANSWER...d) in a circular pattern over the face and neck. When providing oral care for a resident with natural teeth, you should a) hold the toothbrush at a 90-degree angle to the gums. b) hold the toothbrush at a 45-degree angle to the gums. c) brush the chewing surfaces of the teeth first. d) brush the resident's tongue first. - ...ANSWER...b) hold the toothbrush at a 45-degree angle to the gums You see a red, rashy area with white exudate under a resident's breast. You should a) cleanse the area with soap and water, and then change gloves and hand sanitize after washing the area. b) report your findings to the nurse. c) use a new set of washcloths and towels for the rest of the bath. d) do all of the above. - ...ANSWER...d) do all of the above. Bathing offers the nursing assistant a unique opportunity to check the resident's a) hair. b) fingernails. c) skin. d) toenails. - ...ANSWER...c) skin. The nursing assistant should trim a resident's fingernails a) straight across to avoid hangnails. b) only on the resident's bath day. c) along the finger's natural curve. d) after applying lotion to the resident's hand. - ...ANSWER...c) along the finger's natural curve. When assisting a resident with foot care, allow the feet to soak a) 2-5 minutes. b) 8-10 minutes. c) 15-20 minutes. d) 20-30 minutes. - ...ANSWER...a) 2-5 minutes. The nursing assistant can clean hearing aids by using a) a toothpick. b) an alcohol wipe. c) a cotton-tipped swab. d) none of the above. - ...ANSWER...b) an alcohol wipe. only a) True b) False - ...ANSWER...b) False wearing gloves is not important when providing mouth care a) True b) False - ...ANSWER...b) False wear gloves when shaving a patient a) True b) False - ...ANSWER...a) True Before putting a resident's glasses on her, you should check a) all of the above b) skin integrity behind the ears c) that the glasses are clean d) that all parts of the glasses are intact and functioning - ...ANSWER...a) all of the above While shampooing the resident's hair in the tub, the nursing assistant should ask the resident to a) tip her head back b) tip her head forward c) close her eyes and breathe through her nose d) explain that staff must follow the bath schedule - ...ANSWER...a) tip her head back By Mouth - ...ANSWER...PO Nothing by mouth - ...ANSWER...NPO before meals - ...ANSWER...a.c. after meals - ...ANSWER...p.c. nasogastric tube - ...ANSWER...NGT 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 Your resident is on a gluten-free diet. The item that should not be on her meal tray before giving it to her is a) a bagel b) yogurt c) beans d) almonds - ...ANSWER...a) a bagel You have no soapy washcloth to wash your dependent of resident's hands with before he eats. You should a) offer an adult wipe to the resident b) not wash his hands since he cannot feed himself c) wipe his hands with a papertowel d) make sure he does not touch his tray - ...ANSWER...a) offer an adult wipe to the resident The human body is made up of mostly a) water b) muscles c) bones d) vitamins - ...ANSWER...a) water Insoluble fiber aids in digestion by a) providing regular bowel movements b) lowering cholesterol c) regulating blood sugar d) binding to fat and pushing the fat through the digestive tract - ...ANSWER...a) providing regular bowel movements Your resident drank a 4-oz glass of juice and a 6-oz glass of milk. This should be documented as a) 300 mL b) 240 mL c) 10 mL d) 4 mL - ...ANSWER...a) 300 mL a) True b) False - ...ANSWER...a) True before passing drinking water, find out which patients are allowed to have thin liquids a) True b) False - ...ANSWER...a) True as a rule, foods that come from animals are naturally lower in fat than food from plants a) True b) False - ...ANSWER...b) False patients receiving tube feedings are always NPO a) True b) False - ...ANSWER...b) False pureed foods should be watery when served a) True b) False - ...ANSWER...b) False wound drainage should be recorded as fluid output a) True b) False - ...ANSWER...a) True maintaining proper food temperature is key to preventing food-borne infection a) True b) False - ...ANSWER...a) True complains of - ...ANSWER...c/o nausea/vomiting - ...ANSWER...n/v headache - ...ANSWER...h/a symptoms - ...ANSWER...sx To reposition a resident in bed, the BEST tool the nursing assistant can use is the a) draw sheet. b) incontinence pad. c) fitted sheet. d) mattress pad. - ...ANSWER...a) draw sheet. Linens in long-term care facilities are typically changed a) every day. b) once or twice a week. c) every 2 weeks. d) only as needed. - ...ANSWER...b) once or twice a week. After completing an occupied bed change, soiled linens should be a) placed in a bag on the floor. b) carried to the laundry room with gloved hands. c) placed in the resident's bathroom and collected daily. d) placed in a bag and carried to the laundry room with ungloved hands - ...ANSWER...d) placed in a bag and carried to the laundry room with ungloved hands 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 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. You enter a resident's room with clean linens to make an occupied bed change. The best place to set the linens down is the a) resident's bed. b) roommate's bed. c) overbed table. When making a bed, you should place the top edge of the bedspread a) 12 inches below the top of the mattress. b) 6 inches above the top of the mattress. c) even with the top of the mattress. d) 6 inches below the top of the mattress. - ...ANSWER...c) even with the top of the mattress. The nurse asks you to obtain a stool specimen from one of your residents. The stool sample may be taken from a) a commode hat. b) a traditional bedpan. c) a clean, unused commode. d) all of the above. - ...ANSWER...d) all of the above. A clear-liquid diet is started after a postsurgical resident can a) ambulate. b) urinate. c) pass gas. d) defecate. - ...ANSWER...c) pass gas. Side rails that are raised during an occupied bed change a) are considered a positioning aid. b) should be lowered when you are done. c) should be left raised to prevent falls. d) both A and B. - ...ANSWER...d) both A and B. An example of an acute condition is a) an asthma attack. b) emphysema. c) osteoarthritis. d) diabetes. - ...ANSWER...a) an asthma attack. A resident's oxygen concentrator should be kept away from the wall at least a) 2 inches. b) 6 inches. c) 12 inches. d) 18 inches. - ...ANSWER...c) 12 inches. The draw sheet should be placed on the bed a) folded in half with the fold toward the foot of the bed. b) folded in half with the fold toward the head of the bed. c) unfolded with the wide hem at the head of the bed. d) with the absorbent white side facing up. - ...ANSWER...b) folded in half with the fold toward the head of the bed. Residents who have had orthopedic surgery are likely to be assigned a a) lengthy NPO status. b) weight-bearing status. c) speech therapist. d) one-on-one nursing assistant. - ...ANSWER...b) weight-bearing status. 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. You are toileting Samuel and notice that his stools are black and tarry. He says that they are always like that, but you don't remember having seen this when you took care of him before. You should a) flush the toilet, since this is normal for him. b) ask another nursing assistant if this is normal. c) alert the nurse immediately so she can assess the stool. d) obtain a stool specimen to check for occult blood. - ...ANSWER...c) alert the nurse immediately so she can assess the stool. Ambulatory surgery is designed for a) orthopedic surgeries. b) cardiac surgeries. c) minor surgeries. a) turn the oxygen back down to 2 liters per minute immediately. b) let Clio rest for a while and then change the oxygen to 2 liters per minute. c) report Clio's shortness of breath and oxygen rate to the nurse right away. d) leave the oxygen at 3 liters per minute, since Clio is alert and oriented. - ...ANSWER...c) report Clio's shortness of breath and oxygen rate to the nurse right away. Information indicated on the urine and stool sample container includes the resident's a) name, date of birth, identification number, and time collected. b) name, date of birth, and the date and time of the specimen collection. c) room number, maiden name, and Social Security number. d) name, room number, identification number, and admission date. - ...ANSWER...b) name, date of birth, and the date and time of the specimen collection. Linens should be fanfolded to one side of the bed when the resident is a) being transferred from a stretcher to the bed. b) ready to go to bed for the night. c) first admitted to the hospital. d) at risk of developing pressure injuries. - ...ANSWER...a) being transferred from a stretcher to the bed. Sarah has a skin tear on her left elbow. The wound has a small amount of drainage, and the dressing must be changed this morning. The best dressing type to use would be a a) foam dressing. b) hydrogel dressing. c) transparent dressing. d) calcium alginate dressing. - ...ANSWER...c) transparent dressing. You should collect linens in the following order: a) fitted sheet, top sheet, draw sheet, pillowcase, bath blanket. b) bedspread, blanket, top sheet, fitted sheet, bath blanket, pillowcase. c) fitted sheet, draw sheet, top sheet, blanket, bedspread, pillowcase. d) bath blanket, pillowcase, bedspread, blanket, top sheet, fitted sheet, draw sheet. - ...ANSWER...c) fitted sheet, draw sheet, top sheet, blanket, bedspread, pillowcase. Before you leave the resident's room, a urine or stool sample should be placed in a) a plastic bag. b) a clean vinyl glove. c) a biohazard bag. d) none of the above. - ...ANSWER...c) a biohazard bag. 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. Assembling all the necessary supplies before you begin to collect a sample will a) ensure fast collection of the sample. b) save time during the documentation process. c) ensure that the sample is not contaminated. d) ensure the resident's right to privacy. - ...ANSWER...c) ensure that the sample is not contaminated. Another name for outpatient surgery is a) ambulatory surgery. b) convalescent surgery. c) mobile surgery. b) PLM445 c) Abuse Report Sheet d) APC975 - ...ANSWER...a) SOC341 All healthcare workers mandated reporters? a) True b) False - ...ANSWER...a) True The right to know what treatment options are available and the risks associated with those treatments so that an independent and educated choice can be made about the option, this is call ethical care. a) True b) False - ...ANSWER...b) False HIPAA stands for Health Insurance Portability and Accountability Act? a) True b) False - ...ANSWER...a) True The nurse asks you to get Emily's vital signs. You find Emily in the activity room playing bingo. You should a) after getting Emily's permission, take her to a private room and obtain the vital signs. b) get her vital signs later so you do not disturb the game. c) take the vital signs in the activity room while Emily continues to play. d) tell the nurse that you will get the vital signs after bingo is done. - ...ANSWER...a) after getting Emily's permission, take her to a private room and obtain the vital signs. An axillary temperature is taken by placing the thermometer a) under the resident's arm b) into the resident's ear canal c) on the resident's forehead d) under the resident's tongue - ...ANSWER...a) under the resident's arm The normal range for an adult's heart rate is a) 60-100 beats per minute b) 70-120 beats per minute c) 60-75 beats per minute d) 50-80 beats per minute - ...ANSWER...a) 60-100 beats per minute Which blood pressure is NOT within normal limits for an adult? a) 130/86 b) 108/72 c) 118/76 d) 100/80 - ...ANSWER...a) 130/86 You need to obtain Esther's temperature this morning. You find her eating breakfast in her room. Before taking her temperature, you should wait a) 15-20 minutes b) about 60 seconds c) 3-5 minutes d) half hour - ...ANSWER...a) 15-20 minutes A respiratory rate that is greater than 20 breaths per minutes is called a) tachypnea b) hypotension c) bradycardia d) tachycardia - ...ANSWER...a) tachypnea You have taken a resident's blood pressure with an electric arm cuff. The results are not within the normal range. The first thing you should do is a) wait a minute and then retake the blood pressure manually b) document the blood pressure in the resident's chart c) immediately retake the blood pressure d) report the blood pressure reading to the nurse - ...ANSWER...a) wait a minute and then retake the blood pressure manually You have taken a resident's vital signs this morning. Her temperature orally is 98.2 F, pulse is 56 beats per minute, respirations are 18 per minute, and blood a) True b) False - ...ANSWER...a) True you may reuse a thermometer probe cover as long as you store it in a covered container in the patients room a) True b) False - ...ANSWER...b) False It is not important to wear gloves when taking the temperature in the groin area a) True b) False - ...ANSWER...b) False Discontinue - ...ANSWER...DC rule out - ...ANSWER...R/O follow up - ...ANSWER...F/U related to - ...ANSWER...R/T Diagnosis - ...ANSWER...Dx Red blood cells carry oxygen to areas of the body a) True b) False - ...ANSWER...a) True 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 You have called the nurse to your resident's room because he is complaining of chest pain. He also appears sweaty and anxious and is holding his left arm. The resident may be experiencing a(n) a) myocardial infarction b) TIA c) asthma attack d) mini stroke - ...ANSWER...a) myocardial infarction Changes in the respiratory system due to aging include a) decreased air exchange in the lungs b) increase varicose veins c) slower response time to pain d) brittle bones - ...ANSWER...a) decreased air exchange in the lungs Janice is an older resident who has been asking to go to the bathroom nearly every hour. She has also had some incontinent episodes, which is unusual for her. She has no complaints of pain, but you notice that her urine is cloudy and smells. You suspect that Janice may have a) urinary tract infection b) diverticulitis c) atherosclerosis d) kidney stones - ...ANSWER...a) urinary tract infection 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 Gradual thinning of the bone tissue is called a) osteoporosis b) contracture c) kyphosis d) rheumatoid arthritis - ...ANSWER...a) osteoporosis Maurice is one of your residents whom you are taking care of today. When you enter his room, you notice that he is shaking and appears anxious. His skin is sweaty and cool when you touch him. He seems confused when you ask if he is feeling all right. Maurice may be experiencing a) hypogycemia b) hypertension d) ask family to visit more often - ...ANSWER...a) respect the patient's beliefs and avoid stating your opinion An advance directive should be signed when a) the patient is mentally alert b) death appears imminent c) an attorney is present d) the family is ready - ...ANSWER...a) the patient is mentally alert Changes that occur in the body prior to death are called ____________________ changes. a) moribund b) terminal c) body becomes limp d) intramuscular - ...ANSWER...a) moribund Hospice care provide a) supportive care to the patient and family b) care to the patient only c) physical care only d) spiritual care only - ...ANSWER...a) supportive care to the patient and family 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"? Which of the following statements about a POLST is correct? a) A POLST may be used immediately b) A POLST requires multiple physicians orders to use c) A POLST states the wishes of the physician d) A POLST is another term for full code - ...ANSWER...a) A POLST may be used immediately POLST = physician order for life-sustaining treatment When caring for the body after death, you should a) treat the body with respect b) not wear gloves c) remove clothes and wrap body in a sheet d) not provide privacy - ...ANSWER...a) treat the body with respect the third stage of the grieving process is bargaining shock anger depression - ...ANSWER...bargaining When a patient moves from one stage of the grieving process to another, you know that he a) may return to a former stage of the process b) will be in the same stage as family members c) is finally moving towards accepting the prognosis d) will accept his own mortality before he dies - ...ANSWER...a) may return to a former stage of the process CNA FINAL EXAM VERSION B What is one important reason why bed linens should remain wrinkle-free? - ...ANSWER...To help keep the skin healthy and prevent pressure ulcers What is the term for a device that replaces a missing body part? - ...ANSWER...Prosthesis Exercises that put each joint through its full arc of motion are called - ...ANSWER...Range of motion Which of the following is the correct way to remove a gown? - ...ANSWER...Unfasten gown at neck and waist and roll the dirty side in while holding gown away from the body. Which is/are the most essential nutrient(s) for life? - ...ANSWER...Water Objective information is - ...ANSWER...Information collected using the senses Which of the following statements is true of documentation? - ...ANSWER...NAs should document care right after it has been done. Standard Precautions should be practiced - ...ANSWER...On every single person in the NA's care Which of the following statements is true of handwashing? - ...ANSWER...An NA should wash her hands before and after touching a resident. Using proper body mechanics includes - ...ANSWER...Standing with the legs shoulder-width apart What is one of the first signs that a pressure ulcer is forming? - ...ANSWER...Discoloration of the skin Which of the following is an example of a physical need? - ...ANSWER...Food Which of the following remarks is a cliché? - ...ANSWER..."It will all work out in the end." In which type of environment do microorganisms grow best? - ...ANSWER...Dark An axillary temperature is measured - ...ANSWER...In the armpit If a resident has just had a glass of iced tea, how long should the NA wait before measuring the resident's temperature via the oral method? - ...ANSWER...10 to 20 minutes Which of the following abbreviations means nothing by mouth? - ...ANSWER...NPO Which of the following canes has four rubber-tipped feet? - ...ANSWER...Quad cane In which of the following situations must a nursing assistant always wear gloves? - ...ANSWER...While shaving a resident Which type of toileting equipment is used for elimination for residents who cannot assist with raising their hips onto a regular bedpan? - ...ANSWER...Fracture pan Hypertension is the medical term for - ...ANSWER...High blood pressure How often should an ostomy bag be emptied? - ...ANSWER...Whenever stool is eliminated How should an NA work when helping a resident with range of motion exercises? - ...ANSWER...egin at the shoulders and work down the body (n) _____ is the permanent and painful shortening of a muscle or tendon. - ...ANSWER...Contracture Which of the following is used when documenting the amount of fluid a resident drinks? - ...ANSWER...Milliliters How should a fracture pan be positioned? - ...ANSWER...With the handle toward the foot of the bed In order to communicate with a resident who is hearingimpaired, the nursing assistant should - ...ANSWER...Face the resident directly when speaking ...ANSWER...Protecting a resident's privacy Which of the following shows the correct conversion of 4:00 p.m. to military time? - ...ANSWER...1600 hours Barriers to communication include which of the following? - ...ANSWER...NA uses medical terminology with the resident. Which of the following is an example of nonverbal communication? - ...ANSWER...A resident points to a glass. Which of the following occurrences is considered an incident and requires a report to be completed? - ...ANSWER...A resident falls. An employer must offer an NA a free vaccine for _____. - ...ANSWER...Hepatitis B Draw sheets are used to - ...ANSWER...Reposition residents without causing shearing When assisting a resident with a standard bedpan, where should the wider end of the bedpan be placed? - ...ANSWER...Response: In alignment with the resident's buttocks Blood pressure is measured using a - ...ANSWER...Response: Sphygmomanometer One safety device that helps transfer residents is called a - ...ANSWER...Response: Transfer belt How many ounces of water or other fluids should residents be encouraged to drink each day? - ...ANSWER...Response: 64 ounces The medical term for skin that is blue or gray is - ...ANSWER...Response: Cyanotic Which of the following shows the correct conversion of midnight (12:00 a.m.) to military time? - ...ANSWER...Response: 2400 hours The Omnibus Budget Reconciliation Act (OBRA) requires that nursing assistants complete at least ___ hours of training before being able to work as nursing assistants. - ...ANSWER...Response: 100 How many ounces are equal to 90 milliliters? - ...ANSWER...Response: 3 ounces Regular inspections performed in facilities to make sure they are following state and federal regulations are called - ...ANSWER...Response: Surveys Which of the following is the best way for a nursing assistant to keep residents' health information confidential? - ...ANSWER...Response: Store, file, or shred documents according to facility policy What are typical duties of an ombudsman? - ...ANSWER...Response: An ombudsman advocates for residents and helps settle disputes. Which of the following topics is required by OBRA to be covered during nursing assistant (NA) training? - ...ANSWER...Response: Promoting residents' independence Which of the following behaviors promotes Residents' Rights? - ...ANSWER...Response: Encouraging a resident to participate in care planning Which of the following terms means harming a person physically, mentally, or emotionally by failing to provide needed care? - ...ANSWER...Response: Neglect