CNA Final!!!!!!!!!

Julia enters Mrs. Smith’s room and noticed she is having difficulty speaking and was leaning to the left. Mrs. Smith had left side facial drooping, left arm weakness, and slurred speech. Julie realizes that Mrs. Smith is likely experiencing

Cerebrovascular accident (CVA)

The NA removes a confused resident from the dining hall for yelling out. He is placed in his room with the door shut and call light not in reach. This is an example of

Involuntary seclusion

The most important procedure preventing the spread of infection and disease is

washing hands

airborne precautions, droplet precautions, and contact precautions are examples of

Transmission-based precautions

If a resident is retaining fluid in the tissue, he is said to have:

edema

The Occupational Safety and Health Administration (OSHA) requires that all hazardous chemicals have

Safety Data Sheet

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Correct

The elderly are at a higher risk for malnutrition and dehydration, these conditions can result in

Low immunity and higher risk for urinary infections

A nosocomial infection, or hospital acquired infection is

An infection acquired in a healthcare facility

The government agency that ensures safety in the workplace is known as

OSHA

You are working as an aide and accidently get stuck with a needle. Your next action will be to

Follow the facility policy and report the exposure to your supervisor immediately

When we age the nervous system changes causing

slow respirations

The purpose behind the Health Insurance Portability and Accountability Act (HIPAA) is to

Protect the privacy of a person's health information

Who does the CNA report to?

Registered nurse

CMS stands for

Centers for Medicare and Medicaid Services

What is the first thing that should be done if you discover a fire in a resident's room?

Move the resident out of danger

Mrs. Jones went on a visit with her husband and when she returned the nurse aid caring for her noticed bruising and contusions on her back. The job of the nurse aid is to

Report the observations to the charge nurse and document the observation

An example of an objective statement is saying,

"You told the night nurse that your leg hurt"

When you are carrying clean or soiled linen you should remember to

Carry it away from your uniform

Ms. Smith drank 4 ounces of water and 1 ounce of milk, totaling _____ ml of fluid intake

150 ml

Common age-related changes within the urinary system include

Bladder may not empty completely

When changing a resident's adult brief and the resident is known to have Clostridium difficile (C diff) you should

Apply gloves and gown when entering the resident's room and discard in a biohazard container when existing the room

Aphasia is the loss of

Ability to speak

When a nursing assistant has to wear gown and gloves, they are following

Contact isloation

Which of the following is a common cause of falls in the home?

Throw rugs

Which of the following is a right of residents in a nursing home?

Refusing treatment ordered by the doctor

Nancy and Mark are sitting in the courtyard talking. You see Mark put his hand under Nancy's dress, Nancy screams. You separate them and take Nancy inside. You should

Tell what you saw to the nurse immediately

The ombudsman

a person required by law to investigate complaints by residents

When speaking with a resident with hearing loss, the nurse assistant should

Speak clearly, slowly, and distinctly

Hemiplegia is a term used to describe the areas of the body affected by cerebral palsy it means

Both the arm and leg on one side are affected

You are walking down the hall and you noticed a spill of body fluids on the floor. Your immediate actions are

Don gloves, follow facility policy on cleaning up spills, dispose in designated container and disinfect the spill area

The first basic need of every resident is

physical

If Entercococcus becomes resistant to vancomycin, the Entercoccus is known as

Vancomycin-resistant Entercoccus (VRE)

Changes in the integumentary system as a person ages may include

Dry skin, wrinkling, graying hair

A key strategy to prevent resident falls is to always

Place a call light within reach

Which of the following is an example of abuse?

Mimicking a resident's behavior

During report the CNA hears the charge nurse remind all staff to use standard precautions. The CNA knows this means

Treat all body fluids as is they are contaiminated

Microbes are tiny, living organisms and can be seen with the aid of a (an)

microscope

You should wash your hands while on duty

Before and after resident contact

The nursing assistant is documents resident participation in a Restorative Nursing Program that was completed at 5:10pm. What would be the correct military time?

1710

At the begining of the shift, the NA finds many of the residents on her assignment smell bad, have been incontinent, and have no fresh water. This can be a sign of

neglect

Using aseptic technique means that we

avoid contaminating the area

Factors that effect a resident's safety in a LTC facility include

Impaired mobility, decreased sensory awareness and poor decision making skills

You are alone in the dining room feeding a resident who eats slowly. She begins to choke, her hands go up to her throat, and she is unable to speak. You should

Move behind her and begin the abdominal thrust procedure

While you are performing ROM exercises, your resident complains of pain. You should

Stop exercising the painful joint

While searching a social media site, a NA sees a picture of a resident with some degrading comments made by a licensed nurse. The NA should

Report the post to the supervisor

The least common type of infection occuring in residents in facilites are

skin infections

A resident is requesting nitroglycerin. The CNA understands this medication request needs to be told to the nurse quickly because it is used to

dilate the coronary arteries

If a nursing assistant sees or knows of an instance of abuse or neglect of a resident, they must

Report it to the charge nurse

Symptoms of Hepatitis C (HCV) include

Abdominal pain, fatigue, nausea, and dark urine

Proper care for an elderly resident with dry skin includes

Applying lotions or creams after bathing

At supper, Mrs. Sparks needs feeding assistance. Her diet is low Sodium, mechanical soft. Which food selection is appropriate?

Mashed potatoes, hamburger patty

A resident is unsteady. When assisting the person with ambulation, you need to apply a

gait belt

When assisting a blind resident to walk it is important to

allow the resident to hold your arm

When positioning a resident who has recently had a hip pinning, the nursing assistant knows to keep the leg on the affected side

abducted at all times

A hospice is

a health care agency or program for persons who are dying

All of these devices can be used to help a person to use regular toileting facilities with more ease EXCEPT

eggcrate mattress

The care plan identifies that Mrs. Jones should be ambulated bid each day. This means that Mrs. Jones should be ambulated

two times a day

The term abduction means

moving a body part away from the body midline

The position when a resident is side lying with the resident's shoulders and pelvis are maintained in proper aliment. This position is called the _____ position

lateral

When ambulating a person, you stand:

to the side and slightly behind the person

A resident is not feeling well. The person will spend most of the day in bed. What kind of bed should you make after the person's bath?

open bed

The charge nurse asks you to place the resident in a semi-Fowlers position. You understand you will position the resident

In a sitting position with a pillow under the knees

Strategies to prevent pressure injury for an immobile reside include

re-positioning every 1 to 2 hours to prevent friction/shearing

One way to check circulation in the lower extremities is to check the pulse on the top of the foot, this is called the

pedal pulse

A resident is unsteady. When assisting the person with ambulation, you need to apply a:

gait belt

A resident has a communicable disease. The nurse tells you that droplet precautions are needed. You know that droplets are produced by:

coughing, sneezing, or talking

When positioning a resident in a supine position to prevent pressure ulcers you should place a positioning device under the

back of the head and under the sacrum area

The resident should be in the ________ position while recieving tube feedings

Semi-fowlers

When giving visually impaired residents their food plates you should

Orient them to food location by referencing a clock

When shaving with a razor blade

Be sure to wear gloves

The first signs of skin breakdown is

a pale, white or reddened discolora

Skin tears are caused by which of the following?

Direct pressure on the skin

Before transferring a resident from her bed to a wheelchair you should

lock the wheelchair brakes

Normal bathing temperature of bath water for the elderly should be which of the following?

Warm to the touch

A person has a wound. You are concerned about the persons basic needs. Which is correct?

A wound is a source of pain and discomfort

A resident has a lower denture. To clean the denture, you need to:

line the sink with a towel

Which of the following temperatures would you report immediately?

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A rectal temperature of 102.8 F

Skin tears are caused by which of the following?

Direct pressure on the skin

A resident cannot control his bladder. To prevent odors, you need to:

check on him often

When washing a resident's face, use a mitted washcloth to wipe

from the inner to the outer aspect of the eye

What can you do to allow a helpless resident some independence when he must be fed?

ask which foods the resident would like to eat first

List the order in which these body parts are washed during bathing

Eyes, face, ears, neck, arms, chest

Activites of daily living refer to:

self-care

To avoid injury, you should

use proper body mechanics

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avoid reaching

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let the resident know what you are doing

A contracture is:

the lack of joint mobility caused by abnormal shortening of a muscle

If linens are fanfolded to the side of the bed, the bed is called a/an

open bed

A person has diabetes. All food served is not eaten. What should you do?

Tell the nurse

A person has the right to be free from involuntary seclusion. An example of involuntary seclusiong would be

forcing the person to remain in his/her room during breakfast

Mrs. Smith has a twenty-four hour urine sample ordered. You should

Have her void, flush the urine down the toliet, and begin the urine collection the next time she voids

Older persons are at risk for dehydration because:

the amount of body water decreases with age

Mobility is defined as

the ability to move

Before transferring a resident from her bed to a wheelchair you should

lock the wheelchair brakes

The CNA is repositionin a weak resident to her right side. The resident is currently lying on the right side of the bed. The CNA will first

Use the three section method to move the resident to the left side of the bed

Fingernail care can be accomplished more readily is you

soak the resident's hands in warm water

Hair care would NOT be performed

before the resident takes a nap

When transferring a resident be sure to

provide safety at all times

Which will prevent complications from bed rest?

Range of motion exercises

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Following the rules of good body mechanics, the NA would assist with the transfer of a resident by

Using the large muscles of the legs while placing the feet apart

To prevent aspiration while performing oral care for an unconscious resident

position the resident on their side

Mr. Heath does not like his served pasta meal. You should

offer him an alternate main dish