Washington CNA Written Exam

What is one important reason why the bed should remain wrinkle-free?

to help keep the skin healthy and prevent pressure injuries

what is the term for a device that replaces a missing body part?

prosthesis

Exercises that put each joint through its full arc of motion are called:

range of motion

which of the following is the correct way to remove a gown?

unfasten the gown at the neck and the waist and roll the dirty side in while holding the gown away from the body

how many times can disposable gloves be worn before being discarded?

once

To best communicate with a visually impaired resident, the NA should

identify herself when she enters the room

The best way for an NA to provide foot care for a diabetic resident is to

observe the feet regularly for signs of sores or infection

If a resident starts to fall, the best thing an NA can do is to:

widen her stance and bring the residents body close to her

an NA should use friction for at least ____ seconds when washing her hands

20

which of the following is a term for a legal document that designates what kind of care a person wants if he is unable to make that decision himself?

advance directive

Which temperature site is generally considered to be the most accurate?

rectal

which of the following tasks is outside the scope of practice for an NA?

prescribing a new medication

How should the NA respond if a resident tries to give him a gift?

the NA should refuse the gift but say thank you

what does the term empathy mean?

Empathy means being able to identify with the feelings of others

To monitor a resident's pulse rate, the NA will most commonly check the ________ pulse.

radial

Slapping, shoving, and rough handling are all considered to be a type of

physical abuse

with which of the following people may an NA share a resident's medical information?

residents doctor

which of the following sentences is an example of a fact?

Mr. Gomez ate half of his scrambled egg

which is/are the most essential nutrient(s) for life?

water

objective information is

information collected using the senses

which of the following statements is true of documentation

NAs should document care right after it is done

standard precautions should be practiced

On every single person in the NA's care

which of the following statements is true of handwashing?

an NA should wash her hands before and after touching a resident

using proper body mechanics includes

Standing with the legs shoulder-width apart

what is one of the first signs that a pressure injury is forming?

discoloration of the skin

which of the following is an example of a physical need?

food

which of the following remarks is a cliche?

It will all work out in the end.

In which type of environment do microorganisms grow best?

dark

An axillary temperature is measured

in the armpit

if a resident has just had a glass of iced tea, how long should the NA wait before measuring the resident's temperature via the oral method?

10-20 mins

which of the following abbreviations means nothing by mouth?

NPO

which of the following canes has four rubber tipped feet?

quad cane

in which of the following situations must a NA always wear gloves?

while shaving a resident

which type of toileting equipment is used for elimination for residents who cannot assist with raising their hips onto a regular bedpan?

fracture pan

hypertension is the medical term for

high blood pressure

how often should an ostomy bag be emptied?

whenever stool is eliminated

how should an NA work when helping a resident with range of motion exercises?

begin at the shoulders and work down the body

A(n) _______________ is the permanent and painful shortening of a muscle or tendon

contracture

which of the following is generally used when documenting the amount of fluid a resident drinks?

milliliters (mL)

How should a fracture pan be positioned?

with the handle toward the foot of the bed

in order to communicate with a resident who has a hearing impairment, the NA should

face the resident directly when speaking

which of the following is an example of physical abuse?

pinching a resident

joking with a residents roommate about the resident's incontinence is what type of abuse?

psychological abuse

which of the following statements is true of mental health disorders?

a mental health disorder is a disorder that produces signs and symptoms like any physical disorder

an appropriate resource for an NA to turn to if he is experiencing stress is

his supervisor

In order for an object to be called clean in a healthcare setting, it must be

free of pathogens

which of the following is an example of a whole grain food

whole wheat bread

the serious condition that occurs when a person does not have enough fluid in the body is called

dehydration

which of the following is an example of a plant-based protein?

refried beans

According to the USDA's MyPlate, most fruit choices should be

whole fruit

which of the following statements is true of trying to prevent aspiration during eating?

the NA should place food in the stronger side of the mouth

which of the following is true of transmission-based precautions

they are practiced in addition to standard precautions

an example of a physical restraint is

Raised side rails on a bed

what does the abbreviation ADLs stand for?

activities of daily living

which kind of care helps residents restore or improve function after an illness or injury?

rehabilitation

the medical term for chest pain, pressure or discomfort is

angina pectoris

an NA can demonstrate ethical behavior by

protecting a residents privacy

which of the following shows the correct conversion of 4:00pm to military time?

1600 hours

barriers to communication include which of the following

NA uses medical terminology with the resident

which of the following is an example of nonverbal communication

a resident points to a glass

which of the following occurrences is considered an incident and requires a report to be completed?

a resident falls

an employer must offer an NA a free vaccine for __________

Hep B

draw sheets are used to

reposition residents without causing shearing

when assisting a resident with a standard bedpan, where should the wider end of the bedpan be placed?

toward the foot of the bed

blood pressure is measured using a

sphygmomanometer

One safety device that helps transfer residents is called a

transfer belt

generally speaking, how many ounces of water or other fluids should residents be encouraged to drink each day?

64 oz

the medical term for skin that is blue or gray is

cyanotic

which of the following shows the correct conversion of midnight (12:00am) to military time?

2400 hours

the Omnibus Budget Reconciliation Act (OBRA) requires that nursing assistants complete at least ____ hours of training before being able to work as nursing assistants

75

how many ounces are equal to 90 milliliters?

3 ounces

Regular inspections performed in facilities to make sure they are following state and federal regulations are called

surveys

how can an NA keep a residents health information confidential?

by storing, filing or shredding documents according to facility policy

what are typical duties of an ombudsman

An ombudsman advocates for residents and helps settle disputes

which of the following topics is required by OBRA to be covered during NA training?

promoting residents' independence

which of the following behaviors promotes Residents' Rights

encouraging a resident to participate in care planning

which of the following terms means harming a person physically, mentally, or emotionally by failing to provide needed care

neglect

which of the following terms means to steal,take advantage of, or improperly use the money, property, or other assets of another person?

financial abuse

OBRA was passed as a response to

Reports of poor care and abuse in long-term care facilities

which of the following statements is true of touch

Nursing assistants can softly pat residents' shoulders to communicate caring

tuberculosis is

an airborne disease

which of the following statements is true of diabetes

people with diabetes must follow their diet instructions carefully

the most common form of diabetes is

Type 2

HIV can be transmitted by

blood

The key treatment for malignant tumors of the skin, breast, bladder, colon, rectum, stomach, and muscle is

surgery

baseline vital signs are

initial values that can be compared to future measurements

which of the following is the best way an NA can communicate with a resident who has cancer

the NA should listen to the resident if he feels like talking

which of the following is an example of physically restraining a resident

leaving both side rails up on the bed

a resident with AIDS who has an infection of the mouth may need to eat food that is

soft

to convert four ounces to milliliters, the NA should multiply four by

30

which of the following shows the correct conversion of 1900 hours to standard time

7:00pm

where is long term care offered

skilled nursing facilities

which of the following statements is true of urinary incontinence

certain nervous system diseases can cause urinary incontinence

After an amputation, a resident may experience phantom sensation. Phantom sensation is

the feeling that the amputated body part is still there

When should bed sheets be changed

When they are soiled or damp

which of the following is a type of advance directive

durable power of attorney for health care

______________ is taking in and eliminating equal amounts of fluid

fluid balance

What member of the care team might help a resident learn to use adaptive devices for eating or dressing?

occupational therapist

When encountering a fire, a nursing assistant should first

remove residents from danger

nursing assistants are not allowed to

change sterile dressings