Nursing Home Care Practices, Exams of Nursing

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CNA KANSAS STATE EXAM NEWEST ACTUAL EXAM 2024-2025 QUESTIONS AND DETAILED CORRECT ANSWERS| A+GRADE name three devices a resident can use that will notify the facility staff that they are trying to get out of their chair Correct Answer body alarm sensor pad chair pull if you are stuck in a situation where you need a supply and your resident is not in a safe environment how would you get the supply you need Correct Answer call for help to another CNA to help you get the supply you need how do you check for temperature Correct Answer thermostat and the inside of your forearm T or F you can leave a tray at meal time with a full assist resident as long as it is pushed out of their reach Correct Answer false ----a resident to the floor if they start to fall while you are walking with them Correct Answer lower our guide faulty plugs or outlets and frayed cords are to be immediately ----- to the charge nurse Correct Answer reported tagged and removed what is the MSDS? and what does it consist of Correct Answer Material safety data sheet important facts about hazardous chemical and how to handle them what position would you put a resident vomiting in Correct Answer position head to one side with an emesis basin under the chin what is the first thing you do when you find a fire in your residents room Correct Answer RACE Assist the scene Rescue resident if possible sound alarm what is elopement Correct Answer when a resident leaves without permission who has wondering tendencies and no mental awareness what are the three ways you can help reduce the risk of elopement Correct Answer door alarms audio alarm on resident monitoring of resident who have wondering tendency the best time to prepare for a disaster is ----- it happens Correct Answer before name the three situations where attention is needed for oral hygiene Correct Answer food packed in the mouth daily care a mouth breather How many hours are required for CNA Certification? 2 parts and total Correct Answer Part 1- 40 hours, Part 2- 50 hours, Total- 90 hours After completing Part 1 of the CNA course, a student may work as a what? Correct Answer Nutrition assistant What 2 tests need to be passed to obtain a CNA Certification? Correct Answer State written and skills test What are 3 requirements to be hired as a CNA? Correct Answer TB test (2 step), background check, drug tested The government healthcare funding is called what? Correct Answer Medicare The government financial assistance program is called what? Correct Answer Medicaid An illness that develops slowly and continues for a long period of time is? Correct Answer chronic An illness that develops suddenly and is of sort duration is? Correct Answer acute Shawnee Mission Medical Center and KU Medical Center are what types of hospitals? Correct Answer acute hospitals Children's Mercy and a Psychiatric Hospital are what type of hospital? Correct Answer Specialty hospitals when giving personal cares in a room what three ways can you provide privacy? Correct Answer closing doors ,pull curtain and closing curtain around the bed what are the furniture items you will see in a residents room Correct Answer bed, overtable, bedside stand or cabinet, list four items used for personal use Correct Answer urinal, washbasin, emesis basin(vomit ) personal hygiene /grooming supplies Name three ways you can maintain a residents living space Correct Answer scan the residents room for safety issues keep the call light within residents reach eliminate odors when making a bed , what do you have to make sure of in order to decrease the risk for skin breakdown Correct Answer wrinkles list three ways you can make up a bed Correct Answer unoccupied occupied closed list the items needed to make a bed Correct Answer fitted sheet draw sheet flat sheet washable pads what is the first thing you do after you have approached a bed to make it Correct Answer adjust bed to appropriate height safety T or F vision, hearing, touch, smell, and taste all cause safety issues in the aging ? Correct Answer True list call light priority in order Correct Answer a. O2 dependent b. Bed bound patient with a fractured hip post-op 30 days continent c. A resident that uses a walker to get to the bathroom incontinent d. fall risk patient that has called 10 times that day for water refill continent what measures can you take help reduce the risk of your patient falling again Correct Answer remove hazards keep call light within reach answer call light promptly T or F when you find a resident on the floor its important to leave him and run get the charge nurse Correct Answer True ADLs stands for... Correct Answer activities of daily living A ______ is what needs to be done and a _______ is how it is done. Correct Answer policy, procedure HIPPA stands for what? Correct Answer Health Insurance Portability and Accountability Act Tasks that can be legally performed by a CNA is called their____. Correct Answer scope of practice A set of guidelines for good CNA care is called ______. These are based on laws, local standards, facility policies and nursing practice. Correct Answer standards of care Failure to provide care that a reasonable, careful CNA would use in a similar situation is called.... Correct Answer negligence Failure to provide care and services that are necessary to ensure safety and well-being of a resident is called.... Correct Answer neglect _____ is the negligence committed by a professional; physician, nurse, pharmacist ,etc. Correct Answer Malpractice The act or failure to act that intentionally or recklessly cause harm to a resident is _______. Correct Answer abuse 4 types of abuse are? Correct Answer physical, verbal, psychological, sexual The misappropriation of resident's property or taking the resident's physical or financial resources is called ______. Correct Answer exploitation Call lights should be answered within ___ to ___ minutes. Correct Answer 3 to 5 CDC stands for what? Correct Answer Center for Disease Control OSHA stands for? Correct Answer Occupational Safety and Health Administration OSHA requires that Health care companies offer what vaccination to its employees? Correct Answer Hep B vaccine The study of the elderly is called? Correct Answer Gerontology _________ is the exchange of information. Correct Answer communication List 6 interpersonal skills of CNA: Correct Answer patience, listening, empathy, curtsy, tact (tellings someone something thats not particularly good), respectful There are 2 types of communication: Correct Answer verbal and nonverbal _________ is the capacity to understand or feel what another person is experiencing. Correct Answer empathy Name 4 non-verbal resident behaviors: Correct Answer facial expression, physical distance, body position body activity The considerations when listening to a resident are... Correct Answer show interest, avoid interrupting, be patient, give feedback, don't be judgmental, don't say "don't worry" List barriers that affect effective communication. Correct Answer environment, sensory impairments, language, age difference, cognitive impairment, difficulty in expressing, poor communication skills Techniques used when communicating with visually or hearing-impaired residents are... Correct Answer come from side or front, speak slowly and clearly, be at resident's level, glasses/hearing aids on Approaches used when communicating with cognitively impaired residents... Correct Answer come from side or front, friendly approach, avoid sudden/loud actions, short words/sentences, simples choices(limit 2), don't argue PPE stands for... Correct Answer personal protective equipment PPE includes 4 items: Correct Answer gloves, mask, gown, safety glasses What is it called when a resident has a weakened immune system and needs protection? Correct Answer reverse isolation How long do you wash your hands for? Correct Answer 20 seconds (wash before and after gloves) Situations or conditions that influence safety in the elderly... Correct Answer resident confusion, impaired mobility (dizziness, tremors), sensory impairment, side effects from medication (try not to exceed 9 meds) What are 4 sensory impairments? Correct Answer vision, hearing, touch, smell The leading cause of death in a LTC are... Correct Answer falls List safety precautions to prevent falls. Correct Answer clothing not too long, shoes not slick, clear path, answer call lights promptly, make sure call light is close when you leave room, make everything within reach, no rugs, wipe up liquids, lock brakes 6 causes for seizures are... Correct Answer head injury, stroke, infection, high fever, brain disease/tumor, epilepsy What are the 2 types of seizures? Correct Answer Grand Mal (whole body) and Petit Mal (staring) Things to do for someone having a seizure Correct Answer put something under there head, don't try and stop the seizure, move things out of the way, turn on their side (so they don't aspirate), call for help, call 911 Seizures can also be called... Correct Answer convulsions Water temp that is safe for bathing... Correct Answer 100- 110 degrees Oxygen is measured by_____ Correct Answer liters (average 2-3 L) 2 ways to deliver oxygen... Correct Answer mask or nasal cannula What does RACE stand for? Correct Answer rescue (resident), activate (fire alarm), confine (fire), evacuate/extinguish What does PASS stand for? Correct Answer pull (the pin), aim (at base of fire), squeeze (handle), spray Conditions are favorable for a tornado is called a: Correct Answer tornado watch A tornado has been spotted and sirens are sounding is called a: Correct Answer tornado warning How do you protect the residents during a tornado? Correct Answer cover them up with a blanket to protect them from debris - shut blinds What is a resident elopement? Correct Answer when a resident leaves a safe area of LTC Every LTC has an MSDS book. What is it? Correct Answer Materials Safety Data Sheets Another name for the Heimlich is... Correct Answer abdominal thrust A deterioration in a condition is called a... Correct Answer functional decline To avoid fatigue and an injury/back strain use... Correct Answer good body mechanics Rules of good body mechanics: Correct Answer no twisting (pivot), don't bend to pick up (squat), have solid base (feet on floor, feet shoulder width apart), non-slip shoes, push-pull, use stronger muscles What is the meaning of weight bearing? Correct Answer able to stand on 2 feet and carry weight ______ is a side lying position Correct Answer Lateral ______ position is when a resident is lying partly side and partly prone. Correct Answer Sims _________ position is when resident's head is below level of feet, this promotes ________ and _______. Also prevents shock. Correct Answer Trendelenburg, blood flow, drainage _________ position is when resident's feet are below level of head. Correct Answer Reverse Trendelenburg An aging condition that contributes to changes in posture... Correct Answer osteoporosis, arthritis, bone spurs When getting a resident out of bed, watch for signs of ________ and _______. Allow them to sit on side of bed and dangle their feet. Correct Answer dizziness and fanting When transferring a resident from bed to stretcher or stretcher to bed, use a _________. Correct Answer turning sheet Always push a resident in which direction in a wheelchair when on a ramp or going into an elevator? Correct Answer backwards When parking a resident's wheelchair, always_________ Correct Answer lock the breaks Reposition resident in a wheelchair every ________. Correct Answer 2 hours Ambulation assistive devices: Correct Answer gait belt, crutches, cane, walkers A fracture that causes a fall is called______. Correct Answer pathological fx 5 Vital signs Correct Answer temp, pulse, respiration, BP, O2 levels The 6th vital sign could be ______. Correct Answer pain (1-10) Vital signs are done on ______ and at minimum ________. The physician may order them to be done ________ and/or __________. Correct Answer admission, monthly, weekly, daily (with certain meds- take vitals before) Height and weight are done on __________. Weight is then done at a minimum ___________ and sometimes _________ or _______. Correct Answer admission, monthly, weekly, daily (dialysis- retaining fluids?) Take vital signs when the resident is _____ or _____. Correct Answer sitting, lying down Temperature is the amount of _____________. Correct Answer heat in the body. Factors that affect the body temperature... Correct Answer age (children higher than adults), illness, exercise, time of day, medications, environment, iced water/coffee Methods of taking temperature Correct Answer orally, axillary, rectally, forehead, tympanic (ears) Normal oral temp Correct Answer 98.6 deg Normal rectal temp Correct Answer 99.6 deg normal axillary temp Correct Answer 97.6 deg Normal tympanic temp Correct Answer 98.6 deg Normal forehead temp Correct Answer 98.6 When recording temperatures, use the following abbreviations: Oral ___, Rectal ___, Axillary ___, Tympanic ___, Forehead ___ Correct Answer O, R, Ax, T, F Pulse is ________ Correct Answer rhythmic pressure of blood Pulse is measured by counting... Correct Answer bpm (moisturize), dentures (clean if resident is unable to), thin skin (skin tares), incontinent, illnesses Residents should brush their teeth at least _____. Correct Answer 2x a day What are the goals of oral hygiene? Correct Answer prevent bad breath, prevents bacteria and tooth decay, maintain moisture, increases appetite, toothette or swab for someone who is unconscious or at then end of life every hour Conditions of the mouth that need to be reported to the charge nurse: Correct Answer extreme bad breath, mouth bleed, lose/broken tooth, sores in mouth, tongue coated, pain in mouth When cleaning dentures, line the sink with a paper towel, wash cloth or hand towel to prevent ______. Correct Answer breaking At bedtime, what is the procedure for dentures? Correct Answer clean with toothbrush and soak in denture cleaners What are the benefits of bathing? Correct Answer clean skin, eliminate odor, stimulates circulation, relaxing, provides small amount of exercise, time to observe skin for bruises or wounds How many cc's in one ounce? Correct Answer 30 Most residents bathe _____a week Correct Answer 2x (only wash women's hair if it says to in care plan) A safe water temperature is _______ Correct Answer 100- 110 deg A bath or shower room must have a _____ door or _____ cabinets. Correct Answer locked, locked When bathing, start with the ______ and work down. Correct Answer eyes/face Never leave a resident ______ in the shower room. Correct Answer alone _______ shower and whirlpool after bathing residents. Correct Answer Disinfect A back rub with lotion ___________ in tissues. Correct Answer stimulates circulation Types of bathing: Correct Answer bath/whirlpool, shower, bed bath, partial bath(face and hands) Peri-Care is the _______ Correct Answer genital area Always wash from ____ to ____. Correct Answer front, back (prevents UTI) Some males have not been circumcised, so you need to clean the ______. Correct Answer foreskin When dressing residents with one-sided weaknesses (from stroke) or paralysis, begin dressing the _____ and undress the _____ first. Correct Answer weak, strong Combing and brushing hair _____ in the scalp. Correct Answer stimulates blood circulation Shave males _______. Correct Answer daily (am) Always check with the charge nurse before doing _____ care. Correct Answer nail CNA's don't cut _____ or ____. Correct Answer diabetic nails, toenails A replacement of a body part is a _____. Correct Answer prosthetic A device used to maintain function or prevent deformity is an ___________ Correct Answer orthotic device (splint, sling, leg brace) There are 4 reasons for good nutrition: Correct Answer promote physical/mental health, resist illness, provide energy, aids healing What 4 leading causes of death in the U.S. have to do nutrition? Correct Answer heart disease, obesity, cancer, What are the 2 alternatives feeding methods? Correct Answer nasogastric tube (short period of time, through nose to stomach) or gastrostomy tube (longer time, can no longer chew or swallow, opening in intestines or stomach) stoma Correct Answer surgical opening The 2 elimination waste products from the body are _____ and _____. Correct Answer urine and feces A ________ is the discharge of feces. Also called a BM. Correct Answer bowel movement (after 3 days w/out BM- give stool softener) Ways to maintain normal elimination: Correct Answer adequate liquid intake, eating fiber, increase activity, take to bathroom every 2 hours Normal urine is: Correct Answer pale yellow (possible UTI if dark or cloudy) Normal BM is Correct Answer soft (not liquidy, not dry or hard) The passage of hard and dry feces is called _____ Correct Answer constipation Liquid feces is called Correct Answer diarrhea The loss of control of bowel and/or urination is called _____ Correct Answer incontinence Cleaning the elimination areas after incontinence is called _______ Correct Answer peri-care (front to back) Used by males for elimination of urine is called a _____ Correct Answer urinal Recording intake and elimination (output) is called_____. Correct Answer I&O 1 ml = Correct Answer 1 cc 1 oz= Correct Answer 30 ml 60 ml= Correct Answer 2 oz I&O is recorded and totaled when? Correct Answer at end of shift (nurse totals after 24 hrs) 3 types of catheters Correct Answer Foley (stays in for a long time), Straight (short amount of time- surgery), suprapubic (comes out of bladder) Where do you hang a catheters? Correct Answer below the bladder Why do we not use side rails on beds anymore? Correct Answer restraint How often do you change the bed? Correct Answer weekly or as needed (hospitals= usually every day) Unoccupied bed Correct Answer no one is in it occupied bed Correct Answer resident is in bed (use 2 CNAs) Closed bed Correct Answer making bed like you would at home (covers and comforter up all the way) Opened bed Correct Answer folded down to bottom Surgical bed (hospital) Correct Answer sheets folded to the side of bed A CNA has 3 specific responsibilities in communicating information about residents: Correct Answer awareness, accuracy, confidential A CNA uses their senses in observation of the resident. The senses that are used are... Correct Answer sight, touch, hear, smell What observations are seen? Correct Answer skin rash, skin color, facial expression, color of urine What observations are felt? Correct Answer body temp, change in pulse, bumps on body What observations are heard? Correct Answer breathing, cough, what residents tell us Visual changes in the elderly: Correct Answer less tear production, takes longer for pupils to focus, loose peripheral or central vision, loose depth perception, tolerance of glare When the lens in the eye becomes cloudy/opaque________ Correct Answer cataracts (can be removed- put new lens in) The loss of central vision is called ___________. Correct Answer macular degeneration Elevated pressure in the eye and loss of peripheral vision is called: Correct Answer glaucoma (eye drops to relieve pressure) A _________ may remove part of the vision field: Correct Answer stroke (CVA) The effects of loss of vision: Correct Answer risk for falls, interferes with communication, activities (eating, clothes) Warning signs of hearing changes: Correct Answer volume up loud, asks to repeat, asks to speak louder, when response doesn't match question, paranoid (thinks people are talking about them) Assistance for hearing impaired: Correct Answer face the resident when talking, lower tone of voice, if they have hearing aids- make sure they are in Causes of sensory changes: Correct Answer paralysis, edema, diabetes To prevent injury, avoid: Correct Answer high heat, sharp objects, check skin frequently Excessive secretion of mucus in bronchi is __________. Correct Answer Chronic bronchitis Loss of lung elasticity is ________. Correct Answer emphysema Difficulty breathing is called ______. Correct Answer dyspnea Infection of lung tissue is ______. Correct Answer pneumonia Changes in elderly due to respiratory conditions are: Correct Answer tire easily, SOB, SOA, dyspnea, elevated RR, anxious, blueish/gray skin Change due to endocrine (thyroid) malfunction: Correct Answer produce less levels of hormones When a pancreas(endocrine system) produces inadequate insulin is called: Correct Answer diabetes (give insulin) Increased thyroid secretion is called... Correct Answer hyperthyroidism (lose weight, heart palpitations) Decreased thyroid secretion is called... Correct Answer hypothyroidism (gain weight, always tired) Changes due to diabetes: Correct Answer behavior change, peripheral nerve damage, slow tissue healing, decrease sense of temperature, pain in lower legs or hands, loss of vision, decrease kidney function Genitourinary system changes in the elderly: Correct Answer bladder less elastic, decrease in kidney function (bathroom more often), vaginal walls thinner, prostate enlarged Diseases of the genitourinary system: Correct Answer UTI, STD, prolapsed uterus/bladder, prostatic hypertrophy Changes in the musculoskeletal system in the elderly: Correct Answer bones thinner/brittle, joints less flexible, muscles weaker Paralysis affecting one side of the body Correct Answer hemiplegia Speech impairment caused by a CVA is called... Correct Answer aphasia A mini stroke is called a _______. Correct Answer TIA (transient ischemic attack) The disease that has progressive destruction of the insulating covering of the nerves... Correct Answer multiple sclerosis (MS) Symptoms of MS Correct Answer loose muscle function, weak/paralysis (LE), muscle spasms, vision loss, decreased coordination Another name for ALS is Correct Answer Luke Gehrigs A disease that causes seizures... Correct Answer epilepsy Loss of blood supply to part of the brain is called... Correct Answer stroke (CVA) Cardiovascular changes in the elderly: Correct Answer heart less tolerant of activity, BP less stable, artery walls are flexible, decreased blood flow to organs, liver/kidney decrease The hardening of the arteries is ... Correct Answer arteriosclerosis Fatty deposits in arteries that decreases blood flow... Correct Answer atherosclerosis Arteriosclerosis of the extremities is ... Correct Answer peripheral vascular disease (PVD) Heart unable to pump enough blood to the body, so inadequate oxygen supply to tissue and retains fluid in the lungs... Correct Answer congestive heart failure (CHF) Battery powered device that keeps heart beat regular... Correct Answer pacemaker Another name for a heart attack Correct Answer myocardial infarction (MI) Chest pain is also called Correct Answer angina 2 treatments for cardiac issues Correct Answer cardiac bypass and angioplasty Symptoms due to cardiac conditions: Correct Answer tire easily, SOB, dizziness, edema, bruise easily, healing is slow Changes in the respiratory system associated with aging: Correct Answer lung tissue less elastic, chest is less able to expand The air passages in the lungs become obstructed is called: Correct Answer chronic obstructive pulmonary disease (COPD) Spasmodic contraction of bronchi is called______ Correct Answer asthma 2 treatments of cancer are ____ and ____. Correct Answer chemo and radiation Giving comfort measures for terminal illnesses is called _____. Correct Answer palliative care Warning signs for cancer are: Correct Answer change in bowel/bladder (color), sores don't heal, unusual bleeding (discharge), thickening of breasts, prolonged indigestion, change in wart/mole, cough that won't go away, constant pain for no specific reason Other terms for dementia: Correct Answer Alzheimer's, impaired mental function, cognitive impairment ________ is a progressive neurological disease. Correct Answer Alzheimer's Goals for residents with dementia: Correct Answer maintain highest quality of life and maintain highest level of functioning Dementia residents lose ability to: Correct Answer understand environment and danger, loss of ability to understand and follow directions, impaired memory (especially short term), loose impulse control, bad behaviors Behaviors associated with dementia: Correct Answer sensory changes, confusion, hoarding, wandering, a) they have less tissue padding and wrinkles can cause pain and restrict circulation b) they turn themselves frequently c) few activities of daily living happen in bed d) they spend most of their time in the lobby Correct Answer a) they have less tissue padding and wrinkles can cause pain and restrict circulation Reasons a CNA must increase safety may include: a) mental confusion b) diminished senses (sight, hearing, touch, taste, smell) c) decrease mobility d) all of the above Correct Answer d) all of the above Indirect contact when referring to infection control issues include: a) touching an infected resident b) touching an infected wound c) touching contaminated objects d) none of the above Correct Answer c) touching contaminated objects Posting of signs, no smoking, grounding of electrical equipment, and use of a stable holder are safety precautions in the use of... a) bug spray b) oxygen c) medicine d) disinfectants Correct Answer b) oxygen Principles of safe wheelchair use include all of the following EXCEPT: a) putting on the brakes when a resident is getting in or out of wheelchair b) speeding down the hallway of around corners c) making sure to not injure resident's elbows or toes d) putting the foot rests in an up position when transferring from the bed to the wheelchair Correct Answer b) speeding down the hallway of around corners Safety issues include: a) assuring there are no slip, trip or fall hazards b) using wet floor sign when appropriate c) bed should always be in the high position d) a and b Correct Answer d) a and b Hand washing is the #1 technique used to control infection in an institutional setting. The procedure to be followed should be... a) wash from cleanest to dirtiest b) sterilizing your hands c) using bar of soap d) turning off the water faucet using a paper towel as a germ protector Correct Answer d) turning off the water faucet using a paper towel as a germ protector The goal of oral hygiene is to... a) prevent tooth damage and gum disease b) refresh the resident's mouth c) keep mouth, teeth, gums, tongue healthy d) all of the above Correct Answer d) all of the above Remember when caring for dentures... a) use hot water to cleanse b) never rinse off the cleanser as it is a disinfectant c) line the sink with a paper towel to protect the dentures if you drop them d) none of the above Correct Answer c) line the sink with a paper towel to protect the dentures if you drop them Doing this promotes comfort during a bed bath... a) opening the window so it will be cool b) not changing the water when it becomes cool c) using water which is 150 degrees F d) using a bath blanket for warmth and privacy and washing one part at a time Correct Answer d) using a bath blanket for warmth and privacy and washing one part at a time Safety measures when using a Hoyer lift includes all of the following EXCEPT: a) spreader legs are locked before lifting the resident b) A CNA can use a lift alone c) wheelchair/bed brakes are locked before lifting resident d) safety straps are fastened, and 2 CNA's raise and lower resident Correct Answer b) A CNA can use a lift alone When a resident is affected by a stroke and cannot move their right arm, you... a) dress their right side first b) undress right side first c) pull the cloths over their head without telling them first c) replacing the call light where it can be easily reached by the resident d) yelling "what do you want?" from the nursing station Correct Answer d) yelling "what do you want?" from the nursing station Reality orientation is a process designed to help residents remember... a) who they are b) time, date, place c) their routine d) all of the above Correct Answer d) all of the above The charge nurse is the only one to give out information regarding... a) daily menu b) resident's medical condition and diagnosis c) activity schedule d) meal times Correct Answer b) resident's medical condition and diagnosis Good body mechanics does not... a) make best use of strength b) prevent back injuries c) decrease chance of injury to resident d) advise twisting torso during transfer of resident Correct Answer d) advise twisting torso during transfer of resident When a person is in correct body alignment, the... a) head is erect b) back is straight in line c) legs slightly bent d) all of the above Correct Answer d) all of the above The Administrator or Executive Director is responsible for... a) making sure medications are ordered promptly b) making assignments for the nursing staff c) the overall operation of the community d) none of the above Correct Answer c) the overall operation of the community Hair care includes: a) the resident should be encouraged to comb their own hair, as it encourages independence and provides ROM b) the resident feels better when their hair is clean and combed c) is shampooed at bath time, unless the resident goes to the beauty salon d) all of the above Correct Answer d) all of the above Decubitus Ulcers may form... a) on bony prominences b) where skin touches skin - fat folds on obese pt's c) on the back of the head and ears d) all of the above Correct Answer d) all of the above Prevention of a Decubitus Ulcer is... a) easier than healing one b) the responsibility of everyone that cares for the resident c) they can't be prevented in the elderly d) a and b Correct Answer d) a and b Prevention of a Decubitus Ulcers may be done by... a) turning the resident every 4 hours b) sliding the resident up in bed c) keeping the resident and linens clean and dry d) keeping the resident in bed except for meals Correct Answer c) keeping the resident and linens clean and dry Important to make resident mealtimes pleasant: a) resident's comfort b) food looks pleasant on the plate c) bad odors are removes before mealtime d) all of the above Correct Answer d) all of the above To encourage a resident with fluid intake... a) offer small amounts freq b) make the resident drink all fluids during mealtime c) let the resident have the fluids they like d) a and c Correct Answer d) a and c A choking victim... a) can speak b) may clutch their throat c) needs to drink water d) will cough up the food Correct Answer b) may clutch their throat Which pt's would you find in a Sub-acute hospital? a) pt's straight from surgery b) residents living independently in apartments c) residents with IV's, ventilators, N/G tubes Back rubs are not given to... a) refresh and relax the resident b) stimulate circulation throughout body c) awaken the resident Correct Answer c) awaken the resident I & O refers to... a) the fluids the resident takes in and releases from the body b) the % of food eaten c) checking in and out of the community d) activities the resident attends Correct Answer a) the fluids the resident takes in and releases from the body When not in use, dentures should be cleaned and stores... a) wrapped in a paper towel in resident night stand b) in a denture cup with water c) in a denture cup w/out water d) in a paper cup by the bedside Correct Answer b) in a denture cup with water When a residents pockets food, they usually put the food... a) in a napkin and take it back to their room b) put the food in their pockets c) puts the food along the side of their mouth/cheeks d) gives it to another resident at the table Correct Answer c) puts the food along the side of their mouth/cheeks When pushing a resident in a wheelchair, always push forward except: a) when going into an elevator b) going down a ramp c) pushing the resident into their room d) taking the resident to the bathroom e) a and b Correct Answer e) a and b Dirty linens should be... a) put on the floor of the resident's room until CNA is finished b) put in garbage or linen bag and taken to utility room c) rolled up and carried to utility room d) CNA's don't handle dirty laundry Correct Answer b) put in garbage or linen bag and taken to utility room A standard rule in body mechanics is to have a good base of at least ... a) 6-9 in b) 12 in to shoulder width c) 24 in or more d) 36 in Correct Answer b) 12 in to shoulder width The financial status the elderly most commonly have is.. a) financial status increase due to retirement b) financial status increase due to social security c) a lower financial status d) excess money to give to their children Correct Answer c) a lower financial status A CNA may discuss confidential resident info with... a) other residents b) resident's family members c) charge nurse d) their own family Correct Answer c) charge nurse A responsibility of a CNA is not... a) changing wound dressings b) care of the resident's room c) feeding the resident d) documentation of the resident Correct Answer a) changing wound dressings A CNA can slow down or stop communication by... a) listening and allowing response time b) looking at the person talking c) showing body and facial expressions d) being attentive to what the person is saying Correct Answer c) showing body and facial expressions Signs and symptoms of Decubitus Ulcers includes all EXCEPT... a) warm, red areas with tenderness b) resident complains of area burning or tingling c) pink and blanchable skin d) an open wound Correct Answer c) pink and blanchable skin All of the following are symptoms of Dementia EXCEPT ... a) not knowing self or others b) waking up when a CNA enters the room c) wandering the hallways d) delusions and hallucinations Correct Answer b) waking up when a CNA enters the room b) bend at the waist while lifting c) use the largest, strongest muscles d) lift from a reaching position Correct Answer c) use the largest, strongest muscles A resident is weight bearing: a) the resident is allowed to lift hand weights b) the resident can put weight on both legs c) the resident uses a mechanical lift d) the resident needs total assistance Correct Answer b) the resident can put weight on both legs When using a mechanical lift: a) always use 2 staff b) the resident should not assist c) support the lightest parts of the body d) use on all residents Correct Answer a) always use 2 staff Positioning a resident in bed: a) reposition resident twice a shift b) slide the resident in the bed c) always roll them on their side d) change resident position every 2 hours Correct Answer d) change resident position every 2 hours Positioning devices are all except: a) pillows b) rolled towels/blankets c) lift sheets d) walker Correct Answer d) walker Abduction splint is placed: a) on resident's arm b) behind resident's back c) between legs d) on resident's chest Correct Answer c) between legs Palmar and hand rolls prevent: a) hand drop b) fractures c) contractions d) friction/shearing Correct Answer c) contractions Log-rolling a resident is used when: a) a resident has a fractured arm b) a resident has had back surgery c) a resident has a fractured ankle d) when the resident is sleeping Correct Answer b) a resident has had back surgery Lying on back with head of bed at 45 deg angle: a) supine b) Fowlers c) Sims d) lateral Correct Answer b) Fowlers Lying partly on side and partly prone: a) Fowlers b) Sims c) Trendelenburg d) prone Correct Answer b) Sims Posture changes with age due to all except: a) osteoporosis b) arthritis c) pneumonia d) bone spurs Correct Answer c) pneumonia T or F: When a resident gets up too quickly, their BP can rise. Correct Answer F When transferring a resident to a chair, do all except: a) let resident assist if able to b) resident should be bare foot c) use gait belt d) put something on seat for comfort Correct Answer b) resident should be bare foot T or F: It is okay to leave a resident alone on a stretcher/gurney if the safety belt is in place. Correct Answer F Mechanical lifts: a) moving a resident down the hall b) need 2 staff to use c) all work the same d) residents should not assist Correct Answer b) need 2 staff to use When resident uses a wheelchair: a) feet should be flat on floor b) residents should assist in pushing the wheels d) droplet e) airborne Correct Answer c) sterile instruments Communicable disease: a) spreads from a plant to a person b) spreads from a person to another person c) a disease that can't be cured d) heart disease Correct Answer b) spreads from a person to another person Body's most important natural defense... Correct Answer skin Body's natural defense for lining of body passages... Correct Answer mucus membrane Body's natural defenses that are tiny hairs in the respiratory tract... Correct Answer cilia Body's natural defense that expels pathogens... Correct Answer coughing or sneezing Body's natural defense that washes away pathogens... Correct Answer tears Body's natural defense that is a part of the GI system... Correct Answer stomach acid Body's natural defense that causes high temperature in the body... Correct Answer fever Body's natural defense that brings blood and disease fighting substance to source of infection... Correct Answer Inflammation What are the signs of infection? Correct Answer swelling, pain, tenderness, fever, fatigue, rash, drainage/pus from wound in ears, nose, and eyes, smell of drainage, N&V, loss of appetite, reddening/area warm to touch, inflammation All are sources of infection except: a) blood b) open skin area c) ear lobe d) body fluids e) mucous membranes Correct Answer c) ear lobe Another word for infection control is... Correct Answer asepsis All are aseptic techniques except: a) hand washing b) clean socks c) cover cuts and breaks in skin d) proper linen disposal Correct Answer b) clean socks Most important infection control and prevention is: Correct Answer hand washing Wash hand for: Correct Answer 20-30 secs All are infection control terms except: a) sterile b) freezing c) clean d) contaminated e) disinfection Correct Answer b) freezing The following are all types of bed-making except: a) open bed b) occupied bed c) fowler bed d) closed bed e) surgical bed Correct Answer c) fowler bed When making a bed the corners should be: a) straight b) left open c) mitered d) tucked in Correct Answer c) mitered Residents can have vision loss from all except: a) macular degeneration b) glaucoma c) cataracts d) UTI Correct Answer d) UTI A resident is at a risk for burns because: a) the lose their sense of smell b) they have diminished sense of touch c) they are forgetful Restorative care is: Correct Answer preventing a disability caused by an injury, disease, surgery, or long periods of inactivity The health care team works together on restorative care to: Correct Answer prevent skin breakdown, increase mobility, help resident regain/maintain independence Rehabilitation is to help the resident: Correct Answer regain highest possible state of functioning Rehab involves: Correct Answer PT, OT, ST Intravenous Infusion (IV) are: Correct Answer fluids, nutrients, meds administered through the vein Always take the BP on the _____ arm of the IV. Correct Answer opposite When the IV comes out of the vein and fluids go into the tissues, it is called _______. Correct Answer infiltration There are 3 types of tube-feeding... Correct Answer gastrostomy (G-tube), PEG tube, N/G tube The placement of a feeding tube into the lower stomach is called a _______. Correct Answer gastrostomy The placement of a feeding tube in the upper stomach and for long term use is called _________. Correct Answer PEG tube A tube placed through the resident's nostril to the stomach is a ________ and is for short term use. Correct Answer nasogastric tube Following tube feeding the head of bed (HOB) should be ____________ during the feeding and for 30-60 mins following the feeding. Correct Answer semi-fowlers or fowlers position These are 3 types of urinary catheters: Correct Answer Foley, straight, supra-pubic ___________ is inserted through the urethra into the bladder and held in place by a small inflated balloon. Correct Answer Foley The ______ is used to collect urinary specimens or for urinary retention. Correct Answer straight cath The _______ is inserted into the bladder through a surgical opening in the abdomen. Correct Answer Supra- pubic There are 2 types of catheter bags: Correct Answer bed/wheelchair bag and leg bag The urinary bags always need to be lower than the______. Correct Answer bladder An external catheter is called a ________ or a _________. Correct Answer Texas cath or condom cath Absence of BM that is hard and dry is called _______. Correct Answer constipation A _____________ is a serious form of constipation that blocks the normal passage of feces. Correct Answer fecal impaction A ____________ is a bullet shaped, wax-type medication inserted into the rectum to assist in having a BM. Correct Answer suppository An ______ is liquid inserted into the rectum to assist in having a BM. Correct Answer enema Semi-solid liquid or watery feces is called ________. Correct Answer diarrhea The muscle movement in the GI tract that propels food is called________. Correct Answer peristalsis An _______ is a surgical opening into the body. Correct Answer astomy An opening made into the colon (large intestine) to divert bowel contents is called a ___________. Correct Answer colostomy d) protected health information Correct Answer d) protected health information If a resident is diagnosed with CHF, what symptoms do they have? a) the breath has a fruity or sweet smell b) the abdomen is distended c) Swelling of hands and feet, SOB d) the left side has weakness Correct Answer c) Swelling of hands and feet, SOB The resident receives their meds PC. What does this mean? Correct Answer the meds are given after the meal The resident is terminally ill and on Hospice care. This mean: Correct Answer resident will probably live less than 6 months, but the care continues as usual When doing HS (bed time) care, what is the proper oral care for a resident with dentures? Correct Answer have resident remove them, clean and soak them in a container When getting the resident out of bed, they complained of dizziness as they sat on the side of the bed. This probably means: Correct Answer the resident is experiencing orthostatic hypotension Care plan conferences are held: Correct Answer quarterly, at least every 90 days Residents that are having weight loss: a) may have meal intake monitored b) may be weighed weekly c) be encouraged to eat at meal times d) all of the above Correct Answer d) all of the above If a resident is having difficulty breathing.... Correct Answer elevate the head of the bed A normal age-related change is: a) dementia b) contractures c) bladder holds less urine d) wheezing when breathing Correct Answer c) bladder holds less urine When assisting residents during meals: a) stand beside them to assist with feeding b) mix food together c) sit to the side and assist as needed d) residents need to feed themselves Correct Answer c) sit to the side and assist as needed