Nursing Assistant Knowledge Assessment, Exams of Nursing

Download Nursing Assistant Knowledge Assessment and more Exams Nursing in PDF only on Docsity! CNA FINAL EXAM, WRITTEN TEST AND PRACTICE EXAM NEWEST 2024 ACTUAL EXAM COMPLETE 400 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A+ CNA FINAL EXAM VERSION A 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 a) grasp the gait belt with one hand just above the resident's stomach. b) stand in front of the resident and bend at the waist. c) grasp the gait belt with both hands and bend at the knees. d) hold the gait belt with one hand while lifting under the arms. - ...ANSWER...c) grasp the gait belt with both hands and bend at the knees. Stanley is a 70-year-old man who recently had surgery in a local hospital. His condition is stable, but he requires 24-hour nursing care. He is most likely to be: a) readmitted to the medical-surgical floor of the hospital. b) released to his home with his spouse. c) admitted to a long-term care facility. d) admitted to an assisted-living center for rehabilitation and therapy - ...ANSWER...c) admitted to a long-term care facility. 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. c) use a picture board for communication. d) ensure that his hearing aid is in and speak into his left ear. - ...ANSWER...d) ensure that his hearing aid is in and speak into his left ear. Personal computers that translate a typed phrase into "speech" would BEST help a resident with: a) receptive aphasia. b) autism. c) hearing loss. d) expressive aphasia. - ...ANSWER...d) expressive aphasia. You are caring for Bernice, a resident with severe hearing loss. Tonight, she seems to be having a more difficult time understanding you. The FIRST action to take is to: a) report this change to the doctor. b) find a picture book for Bernice. c) make sure Bernice has her hearing aids in. d) change the batteries in the hearing aid. - ...ANSWER...c) make sure Bernice has her hearing aids in. When caring for a resident with autism, it is important to: a) maintain a consistent daily routine. b) engage the resident in conversation and activities. c) use nonverbal gestures to communicate with the resident. d) sit down next to the resident and maintain eye contact. - ...ANSWER...a) maintain a consistent daily routine. You knock and enter Faith's room to assist her to supper. You discover Faith and her daughter arguing about finances and the sale of Faith's house. The argument becomes louder and Faith begins to cry. The first action you should take is to: a) assist Faith to a safe area. b) ensure that it is safe to enter. c) alert housekeeping. d) ask the daughter to leave the room. - ...ANSWER...b) ensure that it is safe to enter. A whiteboard and dry-erase marker are tools that would help a resident with a) autism. b) post-traumatic stress. c) expressive aphasia. d) impaired vision. - ...ANSWER...c) expressive aphasia. Mark is a 40-year-old resident who suffers from post- traumatic stress disorder. He experiences nightmares, doesn't engage in conversation with his 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. 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. b) an acute care facility. c) a community-based residential facility (CBRF). d) both A and C. - ...ANSWER...d) both A and C. A hospital is an example of an acute care facility. a) True b) False - ...ANSWER...a) True Nursing assistants take orders from doctors a) True b) False - ...ANSWER...b) False Individuals who receive care in their homes are called patients: a) True b) False - ...ANSWER...b) False As a nursing assistant, your personal hygiene, grooming, and dress: a) should reflect pride in yourself and your work b) must be fashionable and stylish c) is not important if the care you provide is good d) should reflect your personal taste in clothes and jewelry - ...ANSWER...a) should reflect pride in yourself and your work Hard of hearing - ...ANSWER...HOH Do not resucitate - ...ANSWER...DNR Head of bead - ...ANSWER...HOB immediately - ...ANSWER...stat as needed - ...ANSWER...PRN You can better understand the resident's feelings by: a) using easily understood yes/no questions. b) expressing your sympathy. c) being aware of nonverbal communication. d) focusing on "you" statements. - ...ANSWER...c) being aware of nonverbal communication 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. c) refer her to the employee assistance plan (EAP). d) do nothing; it is a private issue. - ...ANSWER...c) refer her to the employee assistance plan (EAP). An EAP is a service that provides free counseling services for: a) the unemployed. b) employers during the hiring process. c) residents with complaints or concerns. d) employees with stressful situation such as drug and alcohol abuse. - ...ANSWER...d) employees with stressful situation such as drug and alcohol abuse. You discover one of your residents with dementia drinking from a bottle of floor cleaner. The FIRST action to take is to: a) alert the nurse STAT. b) contact the poison control center. c) look up the chemical in the SDS. d) try to get the resident to vomit. - ...ANSWER...a) alert the nurse STAT. While cleaning Angela's room, you come across one of her used insulin needles and accidentally poke yourself in the hand. Your FIRST response is to: a) fill out an incident report. b) wash your hands with soap and water. c) report the incident to your supervisor. d) go to the emergency room for an evaluation. - ...ANSWER...b) wash your hands with soap and water. You are assisting with a resident's shower when you slip on the wet floor. Luckily, you were able to catch yourself and don't think you have been hurt. You should: a) fill out an incident report. b) report the incident if you start feeling pain. c) ask to go home and rest. d) do nothing since you weren't hurt. - ...ANSWER...a) fill out an incident report. Employers try to control exposure to blood borne pathogens by: a) offering free hepatitis B vaccines to employees. b) providing only latex gloves for employees. c) offering free chicken pox vaccines. d) keeping chemicals in a locked room. - ...ANSWER...a) offering free hepatitis B vaccines to employees. A healthcare facility is required to have all of the following EXCEPT: 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 the internal structures, including the liver a) True b) False - ...ANSWER...a) True a seizure can be caused by a) all of the above b) an infection c) a brain tumor d) epilepsy - ...ANSWER...a) all of the above strategies to prevent falls can include a) all of the above b) call light within reach c) bed in low position d) non-skid socks - ...ANSWER...a) all of the above What is the acronym you need to use during a FIRE - ...ANSWER...RACE (rescue alarm contain extinguish) What is the acronym for using a fire extinguisher - ...ANSWER...PASS (pull aim squeeze sweep) Restraints are okay with consent of responsible party a) True b) False - ...ANSWER...a) True When using a draw sheet to move a patient up in bed, roll the edges of the draw sheet close to the patient's sides a) True b) False - ...ANSWER...a) True When transferring a resident with right sided weakness, lead with left side a) True b) False - ...ANSWER...a) True If you must transfer a confused patient with an unsteady gait and who weighs more than you do, ask for help a) True b) False - ...ANSWER...a) True When two nursing assistants are moving a resident, they should designate a leader who responsible for commands a) True b) False - ...ANSWER...a) True 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 b) contact precautions with either hand washing or hand sanitizer. c) contact precautions with hand washing only. d) droplet precautions with hand washing or hand sanitizer. - ...ANSWER...c) contact precautions with hand washing only Older adults are at a higher risk of infection because a) blood circulation increases as a person ages. b) people's immune systems grow weaker as they age. c) they watch more television. d) they don't wash their hands as often. - ...ANSWER...b) people's immune systems grow weaker as they age. The MAIN reason a nursing assistant should not wear artificial nails to work is that a) they hurt the resident. b) residents may not like them. c) they may be damaged by frequent hand washing. d) they harbor bacteria. - ...ANSWER...d) they harbor bacteria. The nurse informs you that one of your residents has influenza. Before assisting the resident with her shower, you should put on a(n) a) surgical mask before entering the room. b) particulate respirator before entering the room. c) isolation gown and gloves immediately after entering the room. d) N95 mask after entering the room. - ...ANSWER...a) surgical mask before entering the room Donning personal protective equipment should be done in the following order: a) mask, goggles, gown, gloves. b) gown, gloves, goggles, mask. c) gown, mask, goggles, gloves. d) gloves, gown, mask, goggles. - ...ANSWER...c) gown, mask, goggles, gloves. Nonspecific defense mechanisms that keep a person healthy include all of the following EXCEPT a) intact skin. b) mucus in the nose. c) antibodies. d) cilia in the lungs. - ...ANSWER...c) antibodies. 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 have been busy this afternoon and have not been able to check and change her garment as indicated on the care plan. Ruth now has an open area on her bottom from being exposed to the urine. This is an example of a) abuse. b) negligence. c) abandonment. d) assault. - ...ANSWER...b) negligence. Negligence occurs when a caregiver a) does not follow the standards of her job. b) limits the resident's ability to move throughout the facility. c) does not provide care and the resident then suffers harm. d) physically touches the resident without permission. - ...ANSWER...a) does not follow the standards of her job. You work as a nursing assistant at a local nursing home and are assigned to care for Cara. This evening, Cara tells you that she saw another staff member take money from her bedside table. You report this to the nurse. The nurse tells you that she isn't going to do anything regarding the money since Cara is forgetful and she likely misplaced it. The NEXT step to take is to a) tell the director of nurses. b) contact the volunteer ombudsman. c) suggest to Cara that she call the ombudsman. d) do nothing, since that is the nurse's directive. - ...ANSWER...a) tell the director of nurses. According to Maslow, needs at the highest level include a) self-actualization b) self-respect c) self-love d) self-esteem - ...ANSWER...a) self-actualization The most basic human needs include a) oxygen and nutrition b) safety and security 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. d) reweigh Charles to make sure you have an accurate weight. - ...ANSWER...d) reweigh Charles to make sure you have an accurate weight. Measure the patient's height every time you obtain weight a) True b) False - ...ANSWER...b) False It is important to weigh the patient at the same time every day a) True b) False - ...ANSWER...time every day a) True Assisting the resident with range-of-motion exercises can help a) prevent contractures. b) improve comfort. c) reduce the risk of atrophy. d) do all of the above. - ...ANSWER...d) do all of the above. You can assist the independent resident with exercise or ambulation by a) using verbal encouragement. b) being close during ambulation. c) using a gait belt during ambulation and movement. d) doing nothing; you do not need to assist an independent resident. - ...ANSWER...a) using verbal encouragement. You are performing range-of-motion exercises for a resident who has a weakened right arm and leg. One of 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. A nosey cup is used for the resident who a) cannot tilt his head back to drink. b) has a hand tremor. c) does not have good wrist flexion. d) cannot open his mouth adequately. - ...ANSWER...a) cannot tilt his head back to drink. Your resident uses a hand splint. When you take the splint off to clean it, you see a small crack in the splint where the index finger rests against it. The BEST response is to a) take the splint to the nurse for repair. b) place soft cloths between the splint and the skin. c) put a small amount of glue in the crack. d) wash the splint with mild soap and water. - ...ANSWER...a) take the splint to the nurse for repair. Tae recently had a hip replacement. His doctor told him that he cannot bend at the hip greater than 90 degrees. An adaptive tool that would help him to care for himself at home would be a) a shoehorn. b) elastic shoelaces. c) a long-handled bath sponge. d) all of the above. - ...ANSWER...d) all of the above. 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. d) face, hands, under arms and skin folds, and peri-area. - ...ANSWER...d) face, hands, under arms and skin folds, and peri-area. You are assigned to take care of Elisabeth, an older resident with dementia. She refuses to allow you to brush her teeth this morning. You should a) offer her a small amount of mouthwash instead of brushing. b) inform the nurse that you are unable to provide oral care. c) not provide oral care, since she has the right to refuse. 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. a) True b) False - ...ANSWER...b) False When brushing a patient's teeth brush the front surfaces 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 Calcium is used in the body for a) building bones b) reducing inflammation c) wound healing 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. d) resident's wheelchair. - ...ANSWER...c) overbed table. To care for the resident in acute care, you must a) have at least 120 hours of work experience. b) have taken an acute care nursing assistant course. c) have experience in an ambulatory surgery setting. d) be able to identify critical situations promptly. - ...ANSWER...d) be able to identify critical situations promptly. A catheter that is inserted into the bladder through an opening in the abdomen is called a(n) a) intermittent catheter. b) straight catheter. 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. d) complex surgeries. - ...ANSWER...c) minor surgeries. Leanna is a resident who is on oxygen at 4 liters per minute. When you enter her room, you notice that the humidification bottle is not bubbling. This means that a) the oxygen is not flowing properly. b) Leanna has taken the nasal cannula out of her nose. c) the oxygen is flowing at the correct rate. d) the oxygen rate needs to be turned down. - ...ANSWER...a) the oxygen is not flowing properly. A stool sample should be taken from a) any part of the stool; it does not matter. b) the middle of the stool. c) the ends of the stool. d) both B and C. - ...ANSWER...d) both B and C. The most common reason to collect a urine specimen is to test for a) infection. b) cancer. c) diabetes. d) kidney disease. - ...ANSWER...a) infection. Splinting is the intervention used to decrease pain during a) toileting immediately following surgery. 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. d) walk-in surgery. - ...ANSWER...a) ambulatory surgery. Joseph is a resident who just had knee replacement surgery a few hours ago and is on strict bed rest. The BEST method to prevent Joseph from developing blood clots is a) sequential stockings. b) anti-embolism stockings. c) active range-of-motion exercises. d) ambulating short distances. - ...ANSWER...a) sequential stockings. C&S - ...ANSWER...Culture and sensitivity CXR - ...ANSWER...chest x-ray SOB - ...ANSWER...shortness of breath TCDB - ...ANSWER...turn, cough, deep breathe The ombudsman is a volunteer who helps support residents rights? a) True b) False - ...ANSWER...a) True Locking a residents wheelchair breaks is considered a restraint? a) True b) False - ...ANSWER...a) True Leaving a high fall risk resident unattended in the bathroom is okay as long as you educate them on how to use the call light in the bathroom? a) True b) False - ...ANSWER...b) False 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 pressure is 112/68. The measurement outside the normal range for an adult is the a) pulse b) respirations c) blood pressure d) temperature - ...ANSWER...a) pulse A resident living in a nursing home typically has his weight taken a) once a week b) once a month c) each day d) twice a month - ...ANSWER...a) once a week A resident who has an unwitnessed fall will usually have vital signs taken a) immediately b) every hour c) every shift d) every 15 minutes - ...ANSWER...a) immediately electronic blood pressure cuff require a stethoscope a) True b) False - ...ANSWER...b) False body temperature normally varies 1 to 10 degrees during the course of the day a) True b) False - ...ANSWER...b) False pulses can be felt in locations where large veins come close to the skin a) True b) False - ...ANSWER...b) False the size of the blood pressure cuff is not a consideration for obtaining accurate values a) True b) False - ...ANSWER...b) False tachycardia is an unusually slow heart rate a) True b) False - ...ANSWER...b) False the relaxation phase of the heart cycle is diastole a) True 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 c) hallucinations d) myocardial infarction - ...ANSWER...a) hypogycemia After the patient dies, it is not unusual for the body to a) urinate or defecate b) have constricted pupils c) heat leave the body rapidly urine pools in the bladder - ...ANSWER...a) urinate or defecate Which bodily change occurs following a person's death? a) the body releases flatus b) body becomes rigid immediately c) the body becomes cold immediately d) heat leaves body rapidly - ...ANSWER...d) heat leaves body rapidly Hospice care operates on the principle that a) dying is a natural process, during which a the patient should be made comfortable b) food and fluids should be withheld due to choking hazard c) aggressive measures should be taken in order to keep the patient alive as long as possible d) death should be hastened as much as possible so the patient is not uncomfortable - ...ANSWER...a) dying is a natural process, during which a the patient should be made comfortable A patient is told by her doctor that she has a terminal illness and has six months to live. When she gets home, her daughter asks what the doctor said. The patient replies that she got a "clean bill of health." This patient is in the ________ stage of the grieving process. a) denial b) depression c) bargaining d) anger - ...ANSWER...a) denial When a patient's personal relationship with family members suddenly becomes very strained, you recognize that the patient is probably experiencing a) anger b) shock c) denial d) depression - ...ANSWER...a) anger A dying patient tells you that he does not believe in God and that there is no heaven. You disagree. You should a) respect the patient's beliefs and avoid stating your opinion b) try and make the patient understand why he is wrong c) ask the hospital chaplain to visit with the patient 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 WRITTEN TEST EXAM When getting ready to make a bed, the aide should place the clean linens on a. in the bathroom b. Chair or table beside the bed c. Roommate's bed d. The floor - ....ANSWER....B. chair or table beside the bed The only purpose for using a restraint is to a. keep the client quiet b. make nurses job easier c. calm a verbally abusive client d. ensure safety of others - ....ANSWER....d. ensure safety of others Articles contaminated with blood or body fluids should be disposed of in the a. trash b. soiled utility room c. biohazard container d. soiled linen basket - ....ANSWER....c. biohazard container To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's a. upper thigh b. bed sheet c. bed frame d. hip - ....ANSWER....a. upper thigh When collecting a 24 hour urine sample for a client, the nurse aide should request that the client a. avoid red meat b. drink 2 L of water c. take a bath or shower before starting the urine collection d. discard the first voided urine - ....ANSWER....d. discard the first voided urine When ambulating the client, the nurse aide should a. ask the nurse for help b. be sure the client is wearing non-skid footwear c. ask a family member for assistance walk in front of the client and show the client the way - ....ANSWER....b. be sure the client is wearing non-skid footwear Which of the following is the best personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray? a. shoe covers b. mask c. goggles d. Face shield - ....ANSWER....d. face shield Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? a. "Why are you so mean today?" b. "You should not say such mean things to people." c. "You seem upset, would you like to talk about it?" d. "I'll come back when your bad mood is over." - ....ANSWER....c. "You seem upset, would you like to talk about it?" The nurse aide has raised the height of the client's bed to provide care, but the nurse aide forgot to bring the needed supplies. What should the nurse aide do NEXT? a. instruct client to lay still b. lower the bed and place the call light within reach c. Ask roommate to watch the client & get the supplies d. quickly get the supplies - ....ANSWER....b. lower the bed and place the call light within reach A client requests that the nurse aide call the client's spiritual advisor. The nurse aide should: a. call the spiritual advisor for the client b. ask why they want the advisor called c. tell the client that this is not part of the nurse aide's job d. over the rail - ....ANSWER....b. within the client's reach When helping a client who is recovering from a stroke to walk, the nurse aide should assist: a. on the client's strong side b. on the client's weak side c. from behind the client d. with a wheelchair - ....ANSWER....b. on the client's weak side A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do next? a. place the client in a geriatric chair b. restrain the client to his bed c. talk to the client in a calm voice about familiar things d. leave the client alone in his room until he calms down - ....ANSWER....c. talk to the client in a calm voice about familiar things Which of the following actions would be best for the nurse aide to take to show respect to the spiritual needs of a client? a. escorting the client to religious services b. discussing the nurse aide's religion with the client c. assisting the client to read the client's religious materials d. requesting that the facility's spiritual advisor visits the client - ....ANSWER....c. assisting the client to read the client's religious materials While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's deceased child. The aide's best response would be to: a. quickly finish providing care and leave the client alone b. pretend to be the client's child c. ignore the client because they are confused d. ask the client about their favorite memories of their child - ....ANSWER....d. ask the client about their favorite memories of their child When providing care for a client receiving oxygen therapy, the nurse aide should: a. check ears for pressure points b. tape cracks in oxygen tubing c. let the nurse know that the aide cannot care for the client d. change the flow rate if the client is short of breath - ....ANSWER....a. check ears for pressure points A client falls and suffers a deep cut on the forehead. What should the nurse aide do next? a. take the client out to the hospital b. help the client back to the bed c. take the client into the bathroom to was out the cut d. stay with the client and call for help - ....ANSWER....d. stay with the client and call for help The client has been sad and depressed since being admitted into the facility yesterday. What would be the best thing for the nurse aide to do for the client? a. arrange for the client's spiritual advisor to visit b. turn on the TV in the client's room and leave the client alone c. introduce the client to other clients and staff members d. Force the client to take part in facility activities - ....ANSWER....c. introduce the client to other clients and staff members The nurse aide is asked by a confused client "what day is it?" The nurse aide should: a. explain that memory loss is natural and the date is not important b. point to the date on a calendar and say the date c. ignore the request d. provide the date and test the client later - ....ANSWER....b. point to the date on a calendar and say the date Which of the following is most important for the prevention of skin breakdown in the client? a. air drying the client's skin b. rubbing lotion on the client's skin c. ambulating the client once a day What does "ambulate with assistance" mean? a. walk with the client twice a day b. client may use a wheelchair c. have the client use a cane for walking d. the client can walk with the nurse aide providing help - ....ANSWER....d. the client can walk with the nurse aide providing help When transferring a client, most of the client's weight should be supported by the nurse aide's: A. legs b. back c. shoulders d. wrists - ....ANSWER....a. legs When changing a soiled dressing, the nurse aide should wash their hands: a. before the procedure b. before & after the procedure c. after the procedure d. before, after, & during the procedure - ....ANSWER....d. before, after, & during the procedure The nurse aide must wear gloves when a. transferring a client b. dressing a client c. providing mouth care d. weighing a client - ....ANSWER....c. providing mouth care When assisting a client who has right-sided weakness to transfer from a wheelchair, the aide should support the client's: a. left side b. right side c. front side d. back side - ....ANSWER....b. right side The nurse aide can help prevent pressure injuries in the client by a. repositioning the client every 4 hours b. massaging reddened areas c. keeping linens clean, dry, and wrinkle-free d. using perfumed soap to clean the client's skin - ....ANSWER....c. keeping linens clean, dry, and wrinkle-free If an aide discovers a small fire in a client's room, the aide should first: a. remove the client from any danger b. extinguish the fire c. contain the fire d. sound the alarm - ....ANSWER....a. remove the client from any danger When the client has memory loss or confusion, the aide should a. reassure the client that forgetting information is expected with age b. speak loudly to the client c. ignore the client's statements that are not accurate d. give the client simple step-by-step instructions - ....ANSWER....d. give the client simple step-by-step instructions What does the abbreviation ADL mean? a. Ad Lib b. As Doctor Likes c. Activities of Daily Living d. After Daylight - ....ANSWER....c. Activities of Daily Living Which of the following actions SHOULD the nurse aide take to communicate with a client who has hearing loss? (A) Face the client when speaking (B) Repeat statements twice every time (C) Shout so that the client can hear you (D) Use a high-pitched voice - ....ANSWER....A. face the client when speaking What is the first area of a client's body that the aide should wash when providing a bed bath? a. legs b. face c. arms d. chest - ....ANSWER....b. face c. shaving cream, razor, gloves, comb d. razor, shaving cream, towels, and orange stick - ....ANSWER....b. towel, gloves, razor, shaving cream To find out what type of diet the client should be receiving, it would be best for the nurse aide to check: a. with the kitchen staff b. on the client's room bulletin board c. in the client's care plan d. with the client's family - ....ANSWER....c. in the client's care plan What should the nurse aide do when a client with Alzheimer's disease seems depressed and quiet? a. talk when the client is silent b. observe the client for non-verbal cues c. change subjects until the client begins to discuss something d. tell the client not to worry - ....ANSWER....b. observe the client for non-verbal cues Which of the following actions by the nurse aide can best demonstrate active listening skills? a. changing the subject frequently b. responding when appropriate c. correcting the client's mistakes d. directing the conversation - ....ANSWER....b. responding when appropriate The nurse aide should understand that a back massage: a. causes muscle spasms b. increases blood pressure c. promotes circulation d. increases the heart rate - ....ANSWER....c. promotes circulation When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on first? a. both sleeves b. left sleeve c. client's choice d. right sleeve - ....ANSWER....b. left sleeve A client with arthritis reports difficulty when cutting the food. What should the nurse aide do to encourage the client's independence in eating? a. cut the food and feed the client b. insist that the client eat the meal without help c. Assist the client in cutting the food and encourage the client to use the special eating utensils d. ask the dietary department to puree the client's food - ....ANSWER....c. assist the client in cutting the food and encourage the client to use the special eating utensils The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs should the nurse aide understand that a quad cane has? a. 1 b. 2 c. 3 d. 4 - ....ANSWER....d. 4 Once a client has been pronounced dead, the responsibility of the nurse aide is to: a. make sure the body is clean b. call the family c. leave the room d. give spiritual care - ....ANSWER....a. make sure the body is clean A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: a. 360 mL b. 450 mL c. 480 mL d. 520 mL - ....ANSWER....b. 450 mL The client's call light should always be placed: a. on the bed b. within the client's reach c. on the client's right side d. over the side rail - ....ANSWER....b. within the client's reach Which of the following items is used in the prevention and treatment of bedsores or pressure sores? a. rubber sheet b. air mattress