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CNA PROMETRIC COMPACT STUDY GUIDE
Typology: Exams
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A patient has been in wrist restraints for 2 hrs and you are assigned to remove the restraints to reposition the patient. Where should the restraints be secured after repositioning? - ANSWER>>To a non-moving part of the bed( bed frame) Elderly persons often do not experience thirst and are at risk of? - ANSWER>>Dehydration A patient that needs no nursing interventions ( such as injections, IV, therapy, wound care, tube feedings or intensive symptom monitoring) but is unable to care for himself in his own home would probably be found in a? - ANSWER>>Assisted Living Facility A patient is recently diagnosed with end stage renal disease. The nurse has educated the patient on diet modifications. Later, he says that he can't remember what the nurse said and asks you if he should have pretzels or a candy bar. What is the best response? - ANSWER>>"The nurse is the best to ANSWER that question. Let me get her for you." Which of the following settings provides short term care and stabilization for patients with acute ( sudden, immediate and severe) health conditions? - ANSWER>>a hospital When working with patients that DO NOT have dementia, what is an appropriate communication method to encourage conversation and support the patient's emotional well-being? - ANSWER>>Asking open ended questions and avoiding yes/no questions Mrs. Hopkins was admitted to the nursing home last week after being told that she can no longer live alone. She has been seen frequently crying and
stated that, "It just doesn't feel like home. I hate that people come in and out of my room all the time without notice. This is my bedroom. I miss my privacy." What is a measure you can take to help her adjust? - ANSWER>>Make sure her privacy is respected and knock before entering When wearing gloves to perform a personal care skill that will expose the CNA to body fluids, when should the gloves be put on? - ANSWER>>after preparing supplies but immediately before beginning the skill on the patient When should you enter a patient's room, he throws a telephone at you and yells at you to get out. He is pacing, appears agitated and is mumbling to himself. As you retreat toward the door, he lunges at you, trying to grab your arm. What should the CNA do? - ANSWER>>Leave the room immediately and get the nurse's attention quickly. CNAs should promote safety in patient environments by removing? - ANSWER>>Throw rugs A nurse asks you to perform a task that you haven't been trained for that task, she gets mad and says, "it's not that hard, just figure it out!". What is an appropriate action? - ANSWER>>Refuse to perform the task for patient safety Performing foot care regularly gives the CNA an opportunity to: - ANSWER>>Notice any red areas, wounds, sores, rashes or other abnormalities To properly perform the Heimlich Maneuver, you would? - ANSWER>>Thrust firmly on the abdomen upward and inward from behind with a cupped fist Which of the following is a normal sign of aging? - ANSWER>>Muscles weaken and lose muscle tone
You are sitting at the nurse's station, charting lunch intake, next to a nurse on the phone when a family member approaches. You continue to work and do not look up or make eye contact. After a few moments of silence, the family member says, "Excuse me...." What is an appropriate action? - ANSWER>>Make eye contact, smile, apologize for the delay and ask how you can help Patients that are immobile or on bedrest are at risk of muscle tissue decreasing in size or strength due to lack of use. This is called? - ANSWER>>Atrophy Depression among the elderly: - ANSWER>>Is often overlooked or unrecognized A resident complains that something is wrong with his hearing aid and that it is not working as he hands it to you. What should you do? - ANSWER>>Inspect the hearing aid for cracks and make sure it is turned on According to Maslow's Hierarchy of needs, which needs are the most vital and must be met before any other needs can be achieved? - ANSWER>>Physical needs : Oxygen, water, food, elimination and rest Which of the following is NOT considered a sign of a potential infection in a patient? - ANSWER>>A temperature reading of 98.7 degrees Fahrenheit A patient you are caring for is getting stronger and feels able to transfer himself from bed to chair without your assistance. Which of the following statement is correct? - ANSWER>>The CNA should notify the nurse of the changes in the patients level of ability You are assigned to evacuate bedbound patients from your unit after a fire alarm is triggered. The fire doors have closed at the end of your hall. Which of the following is true? - ANSWER>>The doors can be opened manually to remove patients, visitors and staff
A CNA overhears a co-worker complaining about a nurse, "She actually told me to go toilet the patient when she was just in the room and could have done it herself! She treats me like I am her slave. I'm so over it!" Which of the following statements is correct regarding this scenario? - ANSWER>>The nursing assistant doesn't truly understand her role in the healthcare system The care plan instructs the nurse aide to dress the resident in a long-sleeve button up shirt. The nurse aide knows that the resident will be participating in an outdoor event this morning and feels that the long-sleeve shirt would cause the patient to overheat, due to the high temperature outside. What is an appropriate action for this nurse aide? - ANSWER>>Talk to the nurse about her concerns prior to dressing the patient A bed alarm signals when a patient is getting out of bed, so the CNA can: - ANSWER>>Assist the patient for safety You are working the night shift in a facility and the hall lights are dimmed at 9PM to facilitate sleep. When at tge nurse's station with your co-workers, What is an important consideration? - ANSWER>>Conversations should remain hushed do that patients can sleep A patient who frequently screams, "Help me" begins screaming. You are charting vital signs at the nursing station and decide to check on her after you are done. As you complete your work, she is no longer crying for help, so you skip your hourly rounds and begin re-stocking the supply shelf instead. A half hour later, a nurse enters the patient's room and finds that the patient had fallen, becoming trapped between the bed and a chair, resulting in a sudden and unexpected death. She asks you when you last saw the patient and if you heard anything. What is an appropriate response? - ANSWER>>"I heard her call out 45mins ago. I did not see her after she called out. I was performing other tasks and delayed my hourly rounds."
The acronym for R.A.C.E applies to which type of emergency? - ANSWER>>Fire Which of the following is NOT a factor that might affect your communication with the patient? - ANSWER>>Your knowledge of their disease process and treatment options A patient asks for help getting to the bathroom. The care plan has indicated that the patient should use a bedpan. What is an appropriate action for the CNA to take? - ANSWER>>Offer a bedpan to the patient A bedbound patient in a long-term care setting complains about clutter in her room and asks the CNA to straighten up before her family visits. What is an appropriate response? - ANSWER>>"I would be happy to clean up! Would you like your puzzle books in the drawer or your closet?" A patient in your facility requests to be left alone in the mornings, as she is not an early riser and does not generally eat breakfast. One of the night shift CNAs insists on getting this patient up at 5am, despite the patient's protests. The patient complains during the day. What is an appropriate action? - ANSWER>>Notify the nurse of the patient's wishes Which of the following is a task the CNA should be prepared to perform? - ANSWER>>Reporting any changes in the patient to the nurse Older patients often have very thin and fragile____ and extra caution must be taken to avoid the injury , tears and shearing. (Fill in the blank) - ANSWER>>Skin What is an important step to prevent pain or injury when combing hair that is long or tangled? - ANSWER>>Work from the bottom of the hair toward the scalp, removing tangles as you move up
Which of the following principles should a CNA keep in mind when assisting a resident with dressing? - ANSWER>>Residents have the right to choose their own clothing Which of the following is a normal age-related change among the elderly? - ANSWER>>Forgetting why they came into a room Patients that have limited mobility should be repositioned at least every____ hours to prevent skin breakdown.(Fill in blank) - ANSWER>> hours Elderly persons often need special care and caution, requiring gentle handling, because of this age-related change: - ANSWER>>thinner, dryer skin Which of the following is NOT an example of an Activity of Daily Living (ADL)? - ANSWER>>Changing the care plan to reflect the patient's changes in health and ability When caring for a patient who is incontinent of urine , how often should you expect to do peri- care(unless different in the care plan)? - ANSWER>>Every 2hrs around the clock When should you offer a drink while feeding? - ANSWER>>Before meals and every 2-3 bites A patient you are caring for keeps getting out of bed. You decide to restrain the patient for their own safety. This is an example of? - ANSWER>>Battery An alert and oriented patient has been admitted to a rehabilitation hospital after a knee replacement with complications. When you enter his room a few days later, you notice an extension cord running across the floor, across his walkway to the bathroom, to plug in his phone charger. What is
A certified nurse aide has had a change of address , what should the certified nurse aide do? - ANSWER>>Notify human resources department and nurse registry A resident spills a cup of coffee in the hallway, Which of the following is the best response by the nurse aide? - ANSWER>>Clean up the spill A resident is found crawling over the side rails trying to get out of bed. After helping the resident into a safe position , what is the next action? - ANSWER>>Ask questions to the resident to see what he needs While giving a resident a bed bath, the nurse aide observes the resident's heels are red. The nurse aide frequently cares for this resident and knows the resident needs. - ANSWER>>Show the residents heels to the charge nurse before applying shoes A resident who recently had a stroke is bathing herself at the bathroom sink. She is taking a long time. What action should the nurse aide take? - ANSWER>>Offer to take over the bathing the resident A resident complaints of chest pain, what should the nurse aide tell the resident? - ANSWER>>I will call the nurse now The nurse aide sees a newly admitted resident sitting alone in his room, the nurse aide should? - ANSWER>>Ask the resident if he would like to join the activity in the next room Which of the following is the most important action when taking residents routine vital signs? - ANSWER>>Take the routine vital signs in the beginning of the shift A common difficulty from a stroke is aphasia. This means the resident may have difficulty? - ANSWER>>Communicating clear
A resident asked the nurse aide for for a bed pan. Before placing the bed pan under the resident the nurse aide must first? - ANSWER>>Provide for the residents privacy While trying to get to the bathroom quickly, a resident has fallen several times lately. Which of the following actions is most appropriate? - ANSWER>>Keep the resident in bed with the side rails raised and offer a bed pan every hour When counting respirations it is important to? - ANSWER>>Avoid telling the resident that their breathing is being counted A resident is unable to stand, the nurse aide is asked to obtain the resident height. Which is the best approach? - ANSWER>>Lay the resident down in the bed, mark sheet at the top and the bottom of the feet. Measure the distance from both marks A resident is dying. The resident's family has arrived to spend time with the resident for his final moments. Which of the following actions by the nurse aide best supports the family at this time? - ANSWER>>Make sure the resident and room are neat When providing Range Of Motion(ROM) exercises to the resident left upper extremity, which of the following actions the nurse aide take? - ANSWER>>Ask the resident to report any discomfort immediately One resident is trying to strike another resident with the cane. What should the nurse aide do? - ANSWER>>Remove the resident from the room Bacteria grows best on places that are? - ANSWER>>warm, dark, and moist What should the nurse aide do to prevent a resident from getting burned who likes to drink coffee? - ANSWER>>Put a little cool of water to cool it down
A resident recently had surgery and has a large bandage on his abdomen. The resident tells the nurse that his wound smells bad. What should the nurse aide do? - ANSWER>>Report the residents concern to the charge nurse A nursing assistant is instructed to take the oral temperature of a patient who just had a cold drink. The temperature should be taken? - ANSWER>>15 minutes after the drink was finished Which is the biggest organ in the human body? - ANSWER>>The skin The nurse aide notices that a resident looks worried. The best response by the nurse aide is to? - ANSWER>>Ask if something is bothering the resident Which of the following behaviors is a common sign of pain? - ANSWER>>Restlessness The most important factor in prioritizing resident care is? - ANSWER>>Remain flexible to residents needs Routinely weighing residents is an important way to determine if residents are? - ANSWER>>Getting enough nourishmemt When operating a manual bed, the nurse aide should remember to? - ANSWER>>Fold the cranks under the bed Which of the following is NOT considered a way to restrain a client? - ANSWER>>Pain management The equipment you need for oral care of an unconscious resident includes?
What is the term for a device used to take the place of a missing body part?
A resident is using a walker and falls in the hall. What is the best action for the nurse aide to do? - ANSWER>>Keep the resident still until checked by the nurse Which of the following actions by the nurse aide will best help to prevent UTI's in the resident? - ANSWER>>Wipe from front to back to clean the perineal area A family member of a resident who is terminally ill complains to the nurse aide about the care given to the resident. What should the nurse aide do first? - ANSWER>>Listen quietly to what the family member is saying A resident on Gluten free diet reverses their tray what item should you remove? - ANSWER>>a piece of wheat bread When setting up a lunch tray in a resident's room, a bowl of hot soup spills. The resident's shirt gets wet. What should the nurse aide do? - ANSWER>>Remove the wet shirt and hold a cool, damp towel against the skin When a resident is recovering from a leg amputation, the resident is most likely to? - ANSWER>>Grieve the loss of the leg When the nurse aide turns the water on in the shower, the resident starts trying to hit the nurse aide. Which is the best response by the nurse aide. - ANSWER>>Recheck the water temperature before continuing the shower What should the nurse aide do when a resident complaints of cold feet? - ANSWER>>Ask if the resident needs socks and blankets While providing care to the resident the nurse aide notices a facial expression on the resident that seems like he might be in pain. The nurse aide should? - ANSWER>>Ask the resident if he is feeling pain
A resident has a history of seizures. A nurse aide is taking the resident to her room. The resident stiffness, cries out, and begins to fall. What should the nurse aide do? - ANSWER>>Call for help The care plan identifies that the resident becomes agitated when in a loud and noisy environment. The plan also states that residents has to have daily activities. Which of the following activities is most appropriate for this resident? - ANSWER>>Having the resident stay in his room for relaxation Why does a resident with a skin tear have increased infection? - ANSWER>>The skin opening allows for bacteria to enter the body If a resident wanders aways from the facility the nurse aide should first? - ANSWER>>Go after the resident If a resident verbalizes that she feels a burning sensation when she voids, this may be an indication of? - ANSWER>>Bladder infection A resident tells a nurse aide that when her sister visits, she upsets her. What should the nurse aide do with this information? - ANSWER>>Report the resident concern to the charge nurse Which of the following decreases the resident's risk of skin breakdown? - ANSWER>>Bathing When a resident has her fists raised to strike out, what should be the first response by the nurse aide? - ANSWER>>Move away from the resident When caring for a resident who is receiving oxygen, which of the following is the nurse's aide's role? - ANSWER>>Make sure the resident has frequent mouth care A resident with diabetes has been thirsty , drinking more fluids ,and urinating a lot. The nurse aide should report this to the charge nurse because? - ANSWER>>It's a sign the residents blood sugar could be high
Which task is appropriate for a nurse aide to do if asked by a nurse? - ANSWER>>Apply a residents leg brace A resident expresses interest in seeing a movie correctly playing in theaters , the nurse aide may offer to? - ANSWER>>Discuss the request with the charge nurse and activity director Which pulse rate should be reported to the charge nurse immediately? - ANSWER>>anything that's not in the range of 60 to 100 A nurse aide is bathing a resident who is confined to the bed. The nurse aide notices a red area on the resident's hip. The care plan for the resident will most likely have the nurse aide? - ANSWER>>Place a pillow under the resident hip A resident is dying of cancer. Which of the following statements best supports the resident's need for a sense of hope. - ANSWER>>Pull the sleeve over the weaker (affected) arm first Protein is most important to healing which of the following foods is high in protein? - ANSWER>>Hard boiled eggs Which of the following residents should be observed more closely due to their increased risk of injury? - ANSWER>>The resident with dementia that wonders A resident is on completed bed rest and has soiled the linen. What should the nurse aide do? - ANSWER>>Make an occupied bed A confused resident hides things that he finds on the resident unit. Which of the following is the best way to respond to the resident? - ANSWER>>Find activities to keep the resident busy
Which of the following explanations is the most important for the nurse aide to apply lotion to his/her own hands at the time of performing care to the resident? - ANSWER>>To prevent chapping that causes skin breaks A resident has recently begun to hide food in her closet. The nurse aide asks the resident why she is doing this. She says "Oh I put the food in the closet for the little person that lives there. What should the nurse do? - ANSWER>>Tell the charge nurse about the residents behavior The nurse aide enters the residents room and discovers the resident having a seizure. The resident is sitting in a chair - ANSWER>>Lower the resident to the floor and move furniture out of the way Which of the following resident is likely to get constipated? - ANSWER>>A resident who likes to eat potatoes chips, mash potatoes and sweats A resident is dying of cancer. Which of the following statements best supports the resident's need for a sense of hope - ANSWER>>You seem stronger today, you sat up for 2hrs while visiting with your son Which of the following explanations is the most important for the nurse aide to apply lotion his/her own hands at the time of performing care to the resident? - ANSWER>>To prevent chapping that causes skin breaks A resident has recently begun to hide food in her closet. The nurse aide asks the resident why she is doing this. She says "Oh, I put the food in the closet for the little person that lives there." What should the nurse aide do?