MATC CNA Final Exam Quiz

Which of the following is a physiological need?

a. The need for water

b. The need for self-esteem

c. The need for independence

d. The need for social interaction

a. The need for water

Activities of daily living (ADL's) include

a. Brushing teeth/dentures

b. Taking part in facility activities

c. Reading

d. Attending a worship service

a. Brushing teeth/dentures

Mrs. Goldman, a resident, begins to tell her nursing assistant, Gene, about the last religious service she attended.  Geen does not believe in God.  Gene's best response is to

a. Listen quietly to Mrs. Goldman

b. Tell Mrs. Goldman that he does not believe in God & would prefer not to discuss it

c. Ask Mrs. Goldman what makes her think that there is a God

d. Tell Mrs. Goldman that her beliefs are wrong

a. Listen quietly to Mrs. Goldman

Which of the following statements is true of spiritual needs?

a. Residents will have different spiritual needs & beliefs

b. Residents will be Christians

c. Residents will believe in God

d. Residents will not believe in God or a higher power

a. Residents will have different spiritual needs & beliefs

If a nursing assistant encounters a consenting adult resident in a sexual situation, they should

a. Tell the resident that what they are doing is wrong

b. Provide privacy & leave the room

c. Discuss the event with the resident's family

d. Ask the resident to stop what they are doing

b. Provide privacy & leave the room

Which of the following remarks is a cliché?

a. "I understand your concerns.  How can I help?"

b. "It will be over before you know it."

c. "I know you are feeling worried about your upcoming doctor's visit.  I am here if you want to talk about it."

d. "What can I do to make you more comfortable?"

b. "It will be over before you know it."

In infants, physical development moves from 

a. The head down

b. The hands up

c. The spine out

d. The feet up

a. The head down

Eating disorders that adolescents may develop include

a. Trauma & Injury

b. Viral & bacterial infections

c. Anorexia & bulimia

d. Pregnancy & binge eating

c. Anorexia & bulimia

Which of the following statements is true of the normal aging process?

a. Most elderly people are entirely dependent on others

b. Most elderly people are disabled & cannot walk

c. Most elderly people cannot manage their own money

d. Most elderly people are active & engaged in activities

d. Most elderly people are active & engaged in activities

Normal changes of aging include

a. Thinner, drier skin

b. Significant weight loss

c. Incontinence

d. Depression

a. Thinner, drier skin

What is one way a nursing assistant can promote a resident's independence?

a. Finishing a resident's task if they take a long time to complete it

b. Allowing a resident to do a task by themselves no matter how long it takes them

c. Deciding what a resident should wear for the day

d. Deciding where a resident should sit in the dining room

b. Allowing a resident to do a task by themselves no matter how long it takes them

Which of the following statements is true of autism spectrum disorder (ASD)?

a. Children normally outgrow it

b. Boys are more often affected than girls

c. Surgery is the first course of treatment for autism

d. When it is detected early, the chances of curing it are greater

b. Boys are more often affected than girls

Which of the following is a guideline to use when communicating with residents who have cerebral palsy?

a. Allow the resident to move slowly

b. If the residents cannot speak, avoid talking to them

c. Encourage the residents to be as dependent as possible to conserve energy

d. Avoid using touch as a form of communication

a. Allow the resident to move slowly

A well-balanced diet

a. Does not provide any health benefit

b. Is very difficult to achieve

c. Contains many servings of fats & sugars

d. Can help promote healing

d. Can help promote healing

To help prevent aspiration, residents should be in the ________ position when eating

a. Prone

b. Upright

c. Lying down

d. Lateral

b. Upright

A nursing assistant's duties regarding tube feedings include

a. Inserting tubes

b. Cleaning the tubes

c. Observing the feeding & reporting problems

d. Doing feedings

c. Observing the feeding & reporting problems

Which of the following is the most essential nutrient for life?

a. Protein

b. Vegetables

c. Water

d. Grains

c. Water

Which of the following is a good source of protein

a. Grape jelly

b. An orange

c. Fish

d. Corn oil

c. Fish

Which of the following is an example of a plant-based protein

a. Steak

b. Bacon

c. Tofu

d. Salmon

c. Tofu

_____ is taking in & eliminating equal amounts of fluid

a. Fluid balance

b. Dehydration

c. Restrict fluids

d. Input

a. Fluid balance

Eight ounces (8 oz) is equal to _________ mL

a. 210

b. 180

c. 120

d. 240

d. 240

To convert ounces to milliliters, the NA should multiply by

a. 60

b. 15

c. 30

d. 20

c. 30

What does the abbreviation *NPO* mean?

Note preferences only

Nothing pureed only

Not prepared on-site

Nothing by mouth

Nothing by mouth

If a resident refuses to wear a clothing protector, the nursing assistant should 

a. Point out to the resident that she is making her work more difficult

b. Refuse to serve the resident until she puts it on

c. Respect the resident's refusal

d. Insist that the resident wear it

c. Respect the resident's refusal

Which of the following is a reason why a resident might be placed on a special diet?

a. Because the NA thinks the resident is too heavy

b. Because the dietary department is testing out new recipes

c. Because the resident has food allergies

d. Because the resident does not care for eggs

c. Because the resident has food allergies

What is the first item to be restricted in a low sodium diet?

a. Milk

b. Foods high in fat

c. Salt

d. Poultry

c. Salt

Which statement best describes a pureed diet?

a. This diet consists of lean cuts of meat & nonfat dairy products

b, This diet consists of clear juices, broth, gelatin & popsicles

c. This diet restricts protein for people who have kidney disease

d. This diet consists of food that is blended into a thick past for easier swallowing

d. This diet consists of food that is blended into a thick past for easier swallowing

Which of the following is a common reason why a resident may be on a fluid restricted diet

a. The resident has heart disease

b. The resident has constipation

c. The resident has pressure injuries

d. The resident has urinary incontinence

a. The resident has heart disease

Which type of residents may have an order for thickened liquids?

a. Residents who have certain religious beliefs

b. Residents who refuse to drink water

c. Residents who have swallowing problems

d. Residents who do not eat meat

c. Residents who have swallowing problems

When assisting residents who have had a stroke, the nursing assistant should

a. Offer another bite of food before the resident has swallowed the last bite

b. Watch for signs of choking

c. Place food in the weaker side of the resident's mouth

d. Encourage the resident to take large bites.

b. Watch for signs of choking

What color should urine normally be?

a. Rust colored

b. Dark

c. Pale yellow

d. Pale red

c. Pale yellow

Which of the following statements is true of urination?

a. The bladder holds more urine as people age, causing them to urinate less frequently

b. Alcohol & caffeine decrease urine output

c. A lack of privacy & stress can affect urination

d. Indwelling catheters do not affect muscle tone

c. A lack of privacy & stress can affect urination

The best position for women to have normal urination is

a. Standing

b. Sitting

c. Crouching

d. Lying

b. Sitting

When providing perineal care for a female resident, the nursing assistant should 

a. Wipe from back to front

b. Wipe from front to back

c. Wipe the anal area first

d. Use the same area of the washcloth/disposable wipe for each stroke

b. Wipe from front to back

The best position for men to urinate is 

a. Standing

b. Crouching

c. Sitting

d. Lying

a. Standing

A healthy person needs to take in at least ______ ounces of fluid each day

a. 36

b. 110

c. 48

d. 64

d. 64

Which is true of nursing assistants & urinary catheters?

a. NA's irrigate catheters only when the nurse tells them to do so

d. NA's observe & report regarding catheters

c. NA's remove but do not insert catheters

d. NA's insert but do not remove catheters

d. NA's observe & report regarding catheters

Guidelines for proper catheter care by nursing assistant include the following:

a. Keeping the genital area clean to prevent infection

b. Resting the drainage bag on the floor

c. Disconnecting the catheter when positioning or transferring the resident

d. Making sure the drainage bag hangs higher than the level of the hips or bladder

a. Keeping the genital area clean to prevent infection

How should stool normally appear?

a. Red & formed

b. Brown & loose

c. Brown & soft

d. Black & hard

c. Brown & soft

Foods high in _______ improve bowel elimination

a. Dairy products

b. Fiber

c. Refined sugar

d. Animal fats

b. Fiber

A disorder that causes frequent, liquid feces & is generally treated with a change of diet is

a. Peptic ulcers

b. Diarrhea

c. Hepatitis

d. Constipation

b. Diarrhea

What is the most common symptom of gastroesophageal reflux disease (GERD)

a. Heartburn

b. Constipation

c. Diarrhea

d. Lactose intolerance

a. Heartburn

The best position for bowel elimination is 

a. Lying on the stomach

b. Sitting with the back straight & feet flat on the floor

c. Squatting & leaning forward

d. Lying flat on the bed

c. Squatting & leaning forward

During an enema, a resident will be placed into the ________ position

a. Sims'

b. Fowler's

c. Supine

d. Lateral

a. Sims'

*Occult* blood means that the blood is

a. Added to a stool sample after it is collected

b. Visible

c. Cancerous

d. Hidden

d. Hidden

The opening into the abdomen in a resident with an ostomy is called a(n)

a. Bag

b. Stoma

c. Stool

d. Appliance

b. Stoma

Which of the following should a nursing assistant do if a resident is confused?

a. Leave the resident alone until they are back to normal

b. Not mention the date or the location, as it will further confuse the resident

c. Stay calm & provide a quiet environment

d. Avoid explaining care, as it will only agitate the resident

c. Stay calm & provide a quiet environment

Confusion may be caused by

a. Exercise

b. Urinary tract infections

c. An unpleasant roommate

d. Too much television viewing

b. Urinary tract infections

The ability to think logically & quickly is called 

a. Cognition

b. Awareness

c. Dysphagia

d. Dementia

a. Cognition

When a resident with AD is frightened, the NA should 

a. Check their body language to make sure they are not tense or hurried

b. Speak in a room where the television is on

c. Use longer sentences

d. Not tell the resident what she is going to do

a. Check their body language to make sure they are not tense or hurried

When a resident with AD shows memory loss, the NA should 

a. Give the resident a long list of instructions to review

b. Repeat themselves using the same words

c. Tell the resident that they already answered that question

d. Remind the resident every time she forgets something

b. Repeat themselves using the same words

If a resident with AD is incontinent, the NA should 

a. Dim the bathroom lights

b. Mark the bathroom with a sign or picture

c. Check the resident every four hours to help determine a "bathroom time"

d. Withhold fluids

b. Mark the bathroom with a sign or picture

A NA can respond to Sundowning by

a. Scheduling activities during this time

b. Adding more caffeine to the resident's diet

c. Restricting exercise during the day

d. Setting a bedtime routine & keeping it

d. Setting a bedtime routine & keeping it

When a resident with AD perseverates, the NA should 

a. Answer questions each time they are asked

b. Try to silence the resident by letting them know they just asked that question

c. Ignore the resident until they stop

d. Use a thesaurus to find new ways to say things

a. Answer questions each time they are asked

If a resident with AD shows violent behavior, the NA should

a. Leave the resident alone until they calm down

b. Hit back

c. Yell at the resident to distract them

d. Remove triggers

d. Remove triggers

When a resident with AD cannot understand basic instructions, it is a good idea to use

a. A notepad to write out instructions

d. Short words, pictures & gestures

c. Longer words to catch the resident's interest

d. A very loud voice

d. Short words, pictures & gestures

Which of the following statements is true of using validation therapy

a. A NA tells the resident he is having delusions

b. A NA makes no attempt to reorient the resident to actual circumstances

c. A NA reminds the resident that he is not living in the past

d. A NA reminds the resident about what is real & what is not real

b. A NA makes no attempt to reorient the resident to actual circumstances

Which of the following is a type of therapy that involves having residents with Alzheimer's disease remember & talk about the past?

a. Activity therapy

b. Reality orientation

c. Validation therapy

d. Reminiscence therapy

d. Reminiscence therapy

A person who is mentally healthy

a. Is unlikely to have relationships with others

b. Can control & fulfill impulses appropriately

c. Cannot deal with stress well

d. Does not take responsibility for decisions

b. Can control & fulfill impulses appropriately

Mental health disorders can be made worse by

a. Substance abuse

b. Taking prescribed medications

c. Eating a diet heavy in red meat & other animal based proteins

d. A strong sense of self-respect

a. Substance abuse

One guideline for communicating with residents who have a mental health disorder is to

a. Stand really close to residents

b. Argue with residents if what they are saying is not true

c. Maintain eye contact & listen closely

d. Talk to adults like they are children if they do not understand what is being said

c. Maintain eye contact & listen closely

Which of the following is true of defense mechanisms?

a. Anyone who used them is likely to have a mental health disorder at some point

b. They help a person cope with stress

c. People who have a mental health disorder do not use them

d. They are a type of mental health disorder

b. They help a person cope with stress

A coworker gets the promotion that a NA has wanted for a long time.  When a friend asks if the NA is upset, they say "No, not al all".  This is an example of

a. Displacement

b. Denial

c. Projection

d. Regression

b. Denial

Signs & symptoms of major depressive disorder include

a. Intense hunger

b. Sudden chest pain

c. Breath that smells fruity

d. Apathy

d. Apathy

A _______ is an intense, irrational fear of or anxiety about an object, place or situation

a. Phobia

b. Coping mechanism

c. Situation response

d. Fallacy

a. Phobia

Which of the following is an appropriate way for a NA to care for a resident who has a mental health disorder?

a. The NA should administer the resident's medication

b. The NA should encourage the resident to just get better

c. The NA should do everything for the resident

d. The NA should support the resident & his family/friends

d. The NA should support the resident & his family/friends

Which of the following statements about observing a resident who has a mental disorder is true?

a. Imagined physical symptoms do not need to be reported

b. A NA does not need to report a comment about suicide as long as it is a joke

c. A NA needs to report changes in mood

d. Withdrawal does not need to be reported

c. A NA needs to report changes in mood

A resident has been acting a little strangely lately.  She gets upset very easily & her eyes are always red.  She does not eat much & sometimes her NA can smell alcohol on her breath, even in the morning.  What would be the best response by the NA?

a. Tell the resident that the NA has noticed these issues & feels that the resident has a problem

b. Report the NA's observations to the nurse

c. Call a counselor & suggest the come to the facility to talk with the resident

d. Discuss what the NA has noticed with the resident's family in the hope of staging an intervention

b. Report the NA's observations to the nurse

A brain disorder that affects a person's ability to think clearly & understand reality is

a. Panic disorder

b. Schizophrenia

c. Bipolar disorder

d. Social anxiety disorder

b. Schizophrenia

The first two steps to take when approaching an emergency are

a. Assess the situation & assess the victim

b. Get assistance & perform CPR

c. Perform first aid & assess the situation

d. Call the victim's family & call 911

a. Assess the situation & assess the victim

In which of the following situations should a NA give abdominal thrusts to a resident?

a. The resident tells the the NA that she feels short of breath

b. The resident cannot speak, breathe or cough

c. The resident is breathing very rapidly

d. The resident is coughing

b. The resident cannot speak, breathe or cough

If a resident is in shock, a nursing assistant should

a. Elevate the legs unless the resident has a head or abdominal injury or breathing difficulties

b. Quickly give the resident something to eat that can be easily absorbed

c. Elevate a body part if a broken bone is suspected

d. Give the resident a type of strong liquor, like brandy

a. Elevate the legs unless the resident has a head or abdominal injury or breathing difficulties

To control bleeding, a nursing assistant should

a. Lower the wound below the heart

b. Hold a thick pad against the wound & press down hard

c. Apply light pressure with a bandage

d. Use a topical antibiotic cream on the wound

b. Hold a thick pad against the wound & press down hard

What is the medical term for difficulty breathing?

a. Syncope

b. Dyspnea

c. Cyanosis

d. Hemiplegia

b. Dyspnea

Which of the following is best to use on a burn?

a. Burn ointment

b. Aloe vera gel

c. Petroleum jelly

d. Cool water

d. Cool water

What is the medical term for fainting?

a. Cyanosis

b. Dyspnea

c. Syncope

d. Hemiplegia

c. Syncope

When a resident is suspected of having a heart attack (MI), a nursing assistant should

a. Give the resident some water

b. Loosen clothing around the neck

c. Wait & see if the episode subsides before doing anything

d. Put medication directly into the resident's mouth

b. Loosen clothing around the neck

A sign of the onset of diabetic ketoacidosis is breath that smells 

a. Sweet

b. Sour

c. Oniony

d. Garlicky

a. Sweet

Which of the following is true of resident falls?

a. If the resident can get up after the fall, the nursing assistant should not notify the nurse

b. The resident can decide if the nursing assistant needs to report the fall

c. An incident report will need to be completed for all falls

d. A fall does not need to be reported unless the resident complains of pain

c. An incident report will need to be completed for all falls

Which of the following is a reason that new residents may have trouble adjusting to life in a care facility?

a. They will have more independence in a facility

b. The other residents & staff are people they already know well

c. They have had to leave their home

d. Their health is improving

c. They have had to leave their home

Which of the following should a nursing assistant do during a resident's admission?

a. The NA should place the resident's personal items where the NA thinks is best

b. The NA should allow the resident to introduce themselves to everyone in the facility

c. The NA should get the admission process completed as quickly as possible

d. The NA should explain how to work the call light & bed controls

d. The NA should explain how to work the call light & bed controls

When a resident is going to be discharged, a nursing assistant should 

a. Give the resident ambulation instructions from the doctor

b. Decide which dietary requirements the resident will need

c. Give the resident their last medication

d. Be positive & reassuring

d. Be positive & reassuring

Before weighing a resident, the scale should be balanced at 

a. The resident's last known weight

b. Five pounds

c. Negative two pounds to account for clothing

d. Zero

d. Zero

During a physical exam, a nursing assistant can help a resident by

a. Telling the resident funny stories

b. Avoiding a resident's question if they ask why a specific position is needed

c. Covering the resident & not exposing them more than is necessary

d. Chatting with the doctor to pass the time

c. Covering the resident & not exposing them more than is necessary

Baseline vital signs are

a. Changes in vital signs from one measurement to another

b. Normal ranges for vital signs

c. Vital signs that are out of the normal range

d. Initial values that can be compared to future measurements

d. Initial values that can be compared to future measurements

How will a nursing assistant measure the height of a resident who cannot get out of bed?

a. The NA will use a tape measure

b. The NA will not be able to measure height

c. The NA will estimate height by looking at the resident

d. The NA will use a scale

a. The NA will use a tape measure

In which position is the resident placed for examination of breasts, chest & abdomen

a. Knee-chest position

b. Trendelenburg position

c. Dorsal recumbent position

d. Lithotomy position

c. Dorsal recumbent position

Why might a resident need emotional support during a physical exam?

a. Doctors are not very sensitive to their patients' emotions

b. The resident may fear what the examiner will find

c. The resident has probably never had a physical exam before

d. Residents are always frightened of exams

b. The resident may fear what the examiner will find

Which of the following about restorative care should be observed & reported to the nurse?

a. Whether the resident uses the call light more than twice a day

b. Signs of depression

c. Whether family is visiting

d. How much television the resident watches

b. Signs of depression

Goals of rehabilitation include

a. Helping a resident adapt to a disability

b. Making all care decisions for the resident

c. Focusing only on the resident's physical needs

d. Curing a resident's disease or illness

a. Helping a resident adapt to a disability

Regular activity & exercise help improve

a. The resident's family's opinion of the facility

b. Interaction between the resident & their roommates

c. The quality & health of the skin

d. The resident's spiritual fulfillment

b. Interaction between the resident & their roommates

A _________ is the permanent & painful shortening of a muscle

a. Contracture

b. Pressure injury

c. Footboard

d. Range of motion

a. Contracture

Passive range of motion exercises are done

a. When a resident cannot move on their own

b. By the resident with some help & support from the NA

c. By a doctor or physical therapist only

d. By the resident themselves, without help

a. When a resident cannot move on their own

Abduction is

a. Turning a joint

b. Moving a body part away from the midline of the body

c. Bending a body part backward

d. Straightening a body part

b. Moving a body part away from the midline of the body

Bending a body part is called

a. Rotation

b. Flexion

c. Supination

d. Extension

b. Flexion

Which of the following terms refers to the type of ROM exercises that a resident does on his own, without any help from the NA?

a. Active assisted range of motion exercises (AAROM)

b. Passive range of motion (PROM) exercises

c. Active range of motion (AROM) exercises

d. Planned range of motion (PLROM) exercises

c. Active range of motion (AROM) exercises

Immobile residents should be repositioned every ______ hours

a. Two

b. Four

c. Three

d. Five

a. Two

Which of the following is an example of a prosthesis?

a. Handrails to keep resident's fingers from curling too tightly

b. An artificial eye to replace an eye that has been lost

c. Special shoes to help residents with flat feet

d. An adaptive device to assist residents with dressing

b. An artificial eye to replace an eye that has been lost

Deep breathing exercises help

a. Clear the bladder of urine

b. Clear the lungs of mucus

c. Clear the stomach of gas

d. Clear the kidneys of toxins

b. Clear the lungs of mucus

What is one example of emergency surgery?

a. Having a facelift

b. Coronary artery bypass surgery

c. Surgery to remove the wisdom teeth

d. Surgery to remove a ruptured appendix

d. Surgery to remove a ruptured appendix