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CNA FINAL EXAM REVIEW 100 QUESTIONS
What is one important reason why bed linens should remain wrinkle-free? - Answers-To help keep the skin healthy and prevent pressure ulcers What is the term for a device that replaces a missing body part? - Answers-Prosthesis Exercises that put each joint through its full arc of motion are called - Answers-Range of motion Which of the following is the correct way to remove a gown? - Answers-Unfasten gown at neck and waist and roll the dirty side in while holding gown away from the body. Slapping, shoving, and rough handling are all considered to be a type of _________ - Answers-Physical abuse With which of the following people may an NA share a resident's medical information? - Answers-Resident's doctor Which of the following sentences is an example of a fact? - Answers-Mr. Gomez ate half of his scrambled egg. Which is/are the most essential nutrient(s) for life? - Answers-Water Objective information is - Answers-Information collected using the senses Which of the following statements is true of documentation? - Answers-NAs should document care right after it has been done. Standard Precautions should be practiced - Answers-On every single person in the NA's care Which of the following statements is true of handwashing? - Answers-An NA should wash her hands before and after touching a resident. Using proper body mechanics includes - Answers-Standing with the legs shoulder-width apart What is one of the first signs that a pressure ulcer is forming? - Answers-Discoloration of the skin Which of the following is an example of a physical need? - Answers-Food Which of the following remarks is a cliché? - Answers-"It will all work out in the end." In which type of environment do microorganisms grow best? - Answers-Dark
An axillary temperature is measured - Answers-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? - Answers-10 to 20 minutes Which of the following abbreviations means nothing by mouth? - Answers-NPO How many times can disposable gloves be worn before being discarded? - Answers- One time To best communicate with a visually impaired resident, the NA should - Answers-Identify herself when she enters the room The best way for an NA to provide foot care for a diabetic resident is to - Answers- Observe the feet regularly for signs of sores or infection If a resident starts to fall, the best thing an NA can do is to - Answers-Widen her stance and bring the resident's body close to her An NA should use friction for at least _____ seconds when washing her hands. - Answers- 20 Which of the following is a term for a legal document that designates what kind of care a person wants if he is unable to make that decision himself? - Answers-Advance directive Which temperature site is generally considered to be the most accurate? - Answers- Rectum (rectal) Which of the following tasks is outside the scope of practice for an NA? - Answers- Prescribing a new medication How should the NA respond if a resident tries to give him a gift? - Answers-The NA should refuse the gift but say thank you. What does the term empathy mean? - Answers-Empathy means being able to identify with the feelings of others. To monitor a resident's pulse rate, the NA will most commonly check the ___ pulse. - Answers-Radial Which of the following canes has four rubber-tipped feet? - Answers-Quad cane In which of the following situations must a nursing assistant always wear gloves? - Answers-While shaving a resident
Which of the following statements is true of helping to prevent aspiration during eating?
- Answers-The NA should place food in the stronger side of the mouth. Which of the following is true of Transmission-Based Precautions? - Answers-They are practiced in addition to Standard Precautions. An example of a physical restraint is - Answers-Raised side rails on a bed What does the abbreviation ADLs stand for? - Answers-Activities of daily living Which kind of care helps residents restore or improve function after an illness or injury?
- Answers-Rehabilitation The medical term for chest pain, pressure, or discomfort is - Answers-Angina pectoris An example of ethical behavior by an NA is - Answers-Protecting a resident's privacy Which of the following shows the correct conversion of 4:00 p.m. to military time? - Answers-1600 hours Barriers to communication include which of the following? - Answers-NA uses medical terminology with the resident. Which of the following is an example of nonverbal communication? - Answers-A resident points to a glass. Which of the following occurrences is considered an incident and requires a report to be completed? - Answers-A resident falls. An employer must offer an NA a free vaccine for _____. - Answers-Hepatitis B Draw sheets are used to - Answers-Reposition residents without causing shearing When assisting a resident with a standard bedpan, where should the wider end of the bedpan be placed? - Answers-Response: In alignment with the resident's buttocks Blood pressure is measured using a - Answers-Response: Sphygmomanometer One safety device that helps transfer residents is called a - Answers-Response: Transfer belt How many ounces of water or other fluids should residents be encouraged to drink each day? - Answers-Response: 64 ounces The medical term for skin that is blue or gray is - Answers-Response: Cyanotic
Which of the following shows the correct conversion of midnight (12:00 a.m.) to military time? - Answers-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. - Answers-Response: 100 How many ounces are equal to 90 milliliters? - Answers-Response: 3 ounces Regular inspections performed in facilities to make sure they are following state and federal regulations are called - Answers-Response: Surveys Which of the following is the best way for a nursing assistant to keep residents' health information confidential? - Answers-Response: Store, file, or shred documents according to facility policy What are typical duties of an ombudsman? - Answers-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? - Answers-Response: Promoting residents' independence Which of the following behaviors promotes Residents' Rights? - Answers-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? - Answers-Response: Neglect Which of the following terms means to steal, take advantage of, or improperly use the money, property, or other assets of another person? - Answers-Response: Financial abuse OBRA was passed as a response to - Answers-Response: Reports of poor care and abuse in long-term care facilities Which of the following statements is true of touch? - Answers- Tuberculosis is - Answers-Response: An airborne disease Which of the following statements is true of diabetes? - Answers-Response: People with diabetes must follow their diet instructions carefully. The most common form of diabetes is - Answers-Response: Type 2 diabetes HIV can be transmitted by - Answers-Response: Blood
A resident often carries a doll with her, treating it like her baby. One day she is wandering around crying that she can't find her baby. The nurse aide should (A) ask the resident where she last had the doll. (B) ask the activity department if they have any other dolls. (C) offer comfort to the resident and help her look for her baby. (D) let the other staff know the resident is very confused and should be watched closely.
- Answers-C offer comfort to the resident and help her look for her baby. A nurse aid is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aid has never done this before. The best response by the nurse aide is to - Answers-ask a nurse aid to watch the nurse aid change the bag since it is the first time Before feeding a resident, which of the following is the best reason to wash the resident's hands? (A) The resident may still touch his/her mouth or food. (B) It reduces the risk of spreading airborne diseases. (C) It improves resident morale and appetite. (D) The resident needs to keep meal routines. - Answers-A The resident may still touch his/her mouth or food. Which of the following is a job task performed by the nurse aid? A. Participating in resident care plannning conferences B. Taking a telephone order from a physician C. Giving medications to assigned residents D. Changing sterile wound dressings - Answers-A Participating in resident care plannning conferences Which of the following statements is true about range of motion excersises? A. Done just once a day B. Help prevent strokes and paralysis C. Require at least 10 reps of each excersise D. Are performed during adls such as bathing or dressing - Answers-D Are performed during adls such as bathing or dressing While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should (A) put the hairbrush away and out of sight. (B) give the resident the hairbrush to hold. (C) try to dress the resident more quickly. (D) restrain the resident's hand. - Answers-B
A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to (A) ask the resident to take deep breaths. (B) take the resident's vital signs. (C) raise the head of the bed. (D) elevate the resident's feet. - Answers-C A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on A. helping the resident through the stages of grief B. providing for the residents comfort C. keeping the residents routine, such as for bathing D. Giving the resident a lot of quiet time - Answers-B While giving a bedbath, the nurse aide hears the alarm from a nearby door suddenly go off. The nurse aide should (A) wait a few minutes to see if the alarm stops. (B) report the alarm to the charge nurse immediately. (C) make the resident being bathed safe and go check the door right away. (D) stop the bedbath and go check on the location of all assigned residents. - Answers- C Gloves should be worn for which of the following procedures? (A) Emptying a urinary drainage bag (B) Brushing a resident's hair (C) Ambulating a resident (D) Feeding a resident - Answers-A When walking a resident, a gait or transfer belt is often (A) worn around the nurse aide's waist for back support. (B) used to keep the resident positioned properly in the wheelchair. (C) used to help stand the resident, and then removed before walking. (D) put around the resident's waist to provide a way to hold onto the resident. - Answers-D Which of the following statements is true about residents who are restrained? A. They are at a greater risk for developing pressure sores B. They are at a lower risk for developing pnemonia C. Their posture and alignment are improved D. They are not at risk for falling - Answers-A
When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to (A) show the resident that the nurse aide is in control. (B) call for help to make sure there are witnesses. (C) explain that if the resident is not calm a restraint may be applied. (D) step back to protect self from harm while speaking in a calm manner. - Answers-D During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to (A) remain calm and ask what is upsetting the resident. (B) begin removing all the other residents from the dining room. (C) scold the resident and ask the resident to leave the dining room immediately. (D) remove the resident's plate, fork, knife, and cup so there is nothing else to throw. - Answers-A Which of the following questions asked to the resident is most likely to encourage conversation? A. Are you feeling tired? B. Do you want to wear this outfit C. What are your favorite foods? D. Is the water warm - Answers-C. When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should (A) use pictures and gestures. (B) face the resident and speak softly when talking. (C) repeat words often if the resident does not understand. (D) assume when the resident nods his/her head that the message is understood. - Answers-A While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to (A) contact the state agency that inspects the nursing facility. (B) enter the room immediately to provide for the resident's safety. (C) wait to confront the nurse aide when he/she leaves the resident's room. (D) check the resident for any signs of injury after the nurse aide leaves the room. - Answers-B Before touching a resident who is crying to offer comfort, the nurse aide should consider (A) the resident's recent vital signs. (B) the resident's cultural background.
(C) whether the resident has been sad recently. (D) whether the resident has family that visits routinely. - Answers-B When a resident is expressing anger, the nurse aide should:A. Correct residents misperceptions.B. Ask resident to speak in a kinder tone.C. Listen closely to resident's concerns.D. Remind resident that everyone gets angry. - Answers-C. Listen closely to resident's concerns. When giving a backrub, nurse aide should:A. Apply lotion to the back directly from the bottle.B. Keep resident covered as much as possible.C. Leave extra lotion on skin when completing the procedure.D. Expect resident to lie on his/her stomach - Answers-B. Keep resident covered as much as possible. A nurse aide finds a resident looking in the refrigerator at the nurses' station at 5 a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to:A. Help resident back into his room and back to bed.B. Ask resident about his job and if he is hungry.C. Tell him that residents are not allowed in the nurses' station.D. Remind him that he is retired from his job and in a nursing home. - Answers-B Which of the following is true about caring for a resident who wears a hearing aid?A. Apply hairspray after hearing aid is in place.B. Remove hearing aide before showering.C. Clean earmold and battery case with water daily, drying completely.D. Replace batteries weekly. - Answers-B Residents with Parkinson's disease often require assistance with walking because they:A. Become confused and forget how to take steps without help.B. Have poor attention skills and do not notice safety problems.C. Have visual problems that require special glasses.D. Have shuffling walk and tremors. - Answers-D A resident who is inactive is at risk of constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation.A. Adequate fluid intake.B. Regular mealtimes.C. High protein diet.D. Low fiber diet. - Answers-A A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first:A. Ask the resident to try urinating.B. Offer the residents fluid to drink.C. Check for kinks in the tubing.D. Obtain a new urinary drainage bag. - Answers-C A resident who is incontinent of urine has an increased risk for developing:A. Dementia.B. Urinary tract infections.C. Pressure sores.D. Dehydration. - Answers-C When cleansing the genital area during peri care, the nurse aide should: A. Cleanse penis with circular motion starting from the base and moving toward the tip.B. Replace the foreskin when pushed back to cleanse an uncircumcised penis.C.
Which of the following would affect a nurse aide's status on the state's nurse aide registry and also cause the nurse aide to be ineligible to work in a nursing home? A. Having been terminated from another facility for repeated tardiness.B. Missing a mandatory infection control inservice training program.C. Failing to show up for work without calling to report the absence.D. Having a finding for resident neglect. - Answers- D. Having a finding for resident neglect. To help prevent the spread of germs between patients, nurses aides should: A. Wear gloves when touching residents.B. Hold supplies and linens away from their uniforms.C. Wash hands for at least two minutes after each resident contact.D. Warn residents that holding hands spreads germs. - Answers-B. Hold supplies and linens away from their uniforms. When a sink has hand-control faucets, the nurse aide should use: A. A paper towel to turn the water on.B. A paper towel to turn off the water.C. An elbow, if possible to turn the faucet controls on and off.D. Bare hands to turn the faucet controls both on and off. - Answers-B When moving a resident up in bed who is able to move with assistance, the nurse aide should: A. Position self with knees staright and bent at waist.B. Use a gait or transfer belt to assist with repositioning.C. Pull the resident up holding onto one side of the drawsheet at a time.D. Bend the resident's knees and ask the resident to push with his/her feet. - Answers-D. Bend the resident's knees and ask the resident to push with his/her feet. The residents weight is obtained routinely as a way to check the resident's:A. Growth and development.B. Adjustment to facility.C. Nutrition and health.D. Activity level. - Answers-C. Nutrition and health. which of the following is a right that is included in the Resident's Bill of Rights? A. To have staff available that speak different languages on each shift.B. To have payment plans that are based on financial needs.C. To have religious servies offered at the facility daily.D. To make decisions and participate in own care. - Answers-D. To make decisions and participate in own care Which of the following, if observed as a sudden change in the resident is considered a possible warning sign of a stroke? A. Dementia.B. Contractures.C. Slurred Speech.D. Irregular Heartbeat. - Answers-C. Slurred Speech. Considering the resident's activity, which of the following sets of vital signs [temp-pulse- respiration-BP] should be reported to the charge nurse immediately? A. Resting: 98.6- 98 - 32 // 140- 90 B. After eating: 97- 64 - 24 // 120- 80 C. After walking exercise: 98.2- 98 - 28 // 125- 70
D. While watching television: 98.8- 72 - 14 // 110- 60 - Answers-A. Resting [high respirations] 98.6- 98 - 32 // 140- 90 of the following, which is most likely due to an infection in a resident? A. Pale skin B. Tented skin C. Sudden onset confusion D. Aphasia - Answers-C. Sudden onset confusion Tinted or tented skin is normal and pale skin aphasia could indicate stroke which of the following would be a primary indication of hepatitis - Answers-jaundice Cheyne-Stokes respiration occur in a client who - Answers-is close to death Accelio Present Applied Technology - Answers-something that helps you fly when helping a client with left-sided weakness due to CVA, where should you give the cane - Answers-right side, to support the weak side CPR Should be performed on a victim who is... - Answers-no pulse and not breathing "Log-rolling" is a technique best used for which of the following patient diagnoses? A. left tibial fracture B. Spinal cord injury C. Cellulitus of the right arm, D. psychosis - Answers-B Log rolling is a method of moving patients with suspected (A) head injury. (B) spinal injury. (C) bowel obstruction. (D) extremity fracture. - Answers-spine which of the following types of grief is considered a normal and healthy part of grieving A. anticipatory B. Complicated C. Unresolved D. Inhibited - Answers-A. Battery and Assault - Answers-Battery is an unprivileged, unwanted touching of another. MRSA - Answers-resistant to antibiotics fecal impaction also known as - Answers-bowel obstruction
