CNA Final

What should the Nurse Assistant do if asked to do a task that he or she doesn’t know how to do?

Tell the nurse that he/she is uncertain and ask for help

A CA nurse assistant is renewing his/her certification. How many in-service/continuing education hours must an individual take in two year sto renew Nurse Assistant Certification

48 Hours

HIPPA Refers to

Confidentially

A Nurse Assistant may ensure a resident’s dignity by

D, all of the above (knocking, introducing themselves, calling by proper name)

The responsible CNA arrives at work

With enough time to be ready to start work at the designated start time

A CNA may be dismissed from a job because of:

D, all of the above (falsifying documents or records, resident neglect, theft)

Informed consent means the

Resident makes decisions based on full disclosure of procedures, benefits, and risks

When an elderly person is admitted to a long-term care facility, they have the right to:

Have personal items in their room

Which statement regarding resident rights is INCORRECT

CNA does not need to be familiar with the Patient’s Bill of Rights

A resident has been home with his family all day. The CNA notices new bruises on his back when he returns. The CNA should:

Report the bruises to the charge nurse

A charge nurse uses a medical word that the CNA does not understand. The CNA should:

Ask the nurse to explain the meaning

A resident’s family asks to meet their mother’s new roommate who is sitting in the day room. The CNA will most correctly:

Take the family and resident to the day room and introduce them to the new roommate

What information must be included when giving the end-of-shift report?

Facts and specific information were observed and care was given by the CNA

Information that can be seen, heard, or smelled is called:

Objective data

When charting, it is essential to record

Safety measures performed

Mr. B is receiving oxygen therapy. Which of the following is a rule that should be followed with oxygen therapy?

Do not allow smoking when oxygen is in use

When applying postural supports (restraints) the CNA should keep in mind that:

Unauthorized use of restrains can result in accusation of “false imprisonment”

The CNA enters a resident’s room and sees the bed in the highest position. The CNA should know that

The bed should be placed in the lowest position

The CNA finds a frayed electrical cord on a fan in the resident’s room. Which of the following actions is correct?

Report the situation to the nurse

For safety reasons, the wheelchair brakes must be locked:

When transferring into or out of the wheelchair.

To use a fire extinguisher, you must first:

Remove the safety pin

During a disaster, the CNA must

Know the disaster plan for the facility

When placing a resident in the lateral position, you promote good body alignment by placing a pillow for support under the:

Head, upper arm, upper leg, and behind the back

CNAs are encouraged to use the gait belt when assisting with patient transfers. The purpose of the gait belt is to:

Assist in transferring a dependent resident and protect both the resident and the CNA

When the CNA is moving a resident toward the head of the bed, they should remove:

The pillow from under the resident’s head and placed against the headboard

When giving bedside care, the bed should be:

Level with your waist

The CNA is ambulating a resident with a gait belt. If the resident begins to fall, the CNA should:

Gently lower the resident to the floor

The process by which all microorganisms are destroyed is called:

Sterilization

Which of the following is a sign of infection:

Fever

The health worker can break the chain of infection:

At any link in the chain

Which of the following is an example of contamination

Touching the inside of the sink

The nurse hands you a used syringe with the needle attached. You should:

Place needles and syringes in a sharps container

Standard precautions require the CNA to wear gloves when caring for a resident if the Nurse Assistant has:

A cut or sore on the hand

The correct order for removing PPE before leaving an isolation room is:

Gloves, gown, mask, wash hands.

The CNA should NOT wear gloves when:

Feeding a resident

When measuring urine volume with a graduated cylinder, the CNA should do all of the following except:

Discard the urine in the sink after reading the measurement.

If a person on I&O drinks 12 ounces of milk, the CNA should mark the client’s record intake of:

360 mL

A resident is repositioned at 6:00pm. Using military time, the CNA repositions the resident at:

1800

CNA measured the height of the resident. Using the drawing below, what is the resident’s height?

5 feet 3 inches

When bathing a resident, the CNA sees swelling around the knee that is tender to the touch. The CNA should:

Report the observation to the nurse

When bathing a dependent resident, the CNA should:

Rinse of all the soap completely and dry the skin thoroughly.

When should oral hygiene be done?

After each meal and bedtime

In assisting a resident with oral hygiene:

Hold the emesis basin under the resident’s chin when they need to spit

When the resident takes their dentures out for the evening, the CNA should:

Store them in a labeled container with cool water inside the bedside table drawer.

To clean under the fingernails of a resident, the CNA should:

Use an orange stick

Before combing or brushing a resident’s hair, the CNA should

Place a towel over the resident’s shoulders

A medicinal shampoo generally requires

The nurse performs the procedure instead of the CNA

To safely shave a resident with a safety razor, the CNA should

Keep the skin taut in the area being shaved

The CNA is putting pants on a resident who cannot sit up because of weakness. The CNA should slip both feet into the legs of the pants and then:

Assist the resident to roll from side to side as the Nurse pulls the pants up to the waist

A general rule for dressing a resident who is paralyzed or injured is:

Dress the affected side first and undress it last

To accurately weigh the resident, a general rule to follow is to:

Balance the scale before the resident steps on it

A resident was admitted to the nursing unit several days after surgery. To prevent problems, the Nurse Assistant should:

Tell the resident to cough and take a deep breath every two hours

The CNA is caring for a resident who wants to shave with a safety razor. The resident should not use the razor if the resident is:

Confused and disoriented

When changing a colostomy bag, the CNA should know

The colostomy bag needs to be changed when it is leaking

The CNA is caring for a confused resident who does not like to bathe. The CNA should NOT

Force the resident into the shower or tub

The Nurse Assistant is checking the resident’s body for signs of pressure sores. Which of the following areas are more likely to be affected?

Bony areas such as the shoulder blades, elbow, heels, and knees

Which of the following foot care procedures is requires for the resident who is paralyzed from the waist down?

Wash and dry the feet carefully and thoroughly, and check for any pressure signs

When putting in dentures, it is important to:

Wet the dentures

Which of the following might the CNA do to keep a resident from being incontinent of urine?

Offer the resident the toilet, bedpan, or urinal at regular intervals

The CNA is caring for a resident who just received a new pair of glasses. The CNA should:

Put the glasses in a labeled case when not in use

A male resident is not circumcised. When giving perineal care, which is correct?

Retract the foreskin

The nurse asks you to collect a random urine specimen. Which is correct?

The perineal area is cleaned before collection of the specimen

Mucus from the respiratory system that is expelled through the mouth is called:

Sputum

The nurse asks you to collect a stool specimen from a resident. Which is INCORRECT?

Stay with the person until the person has a bowel movement

A resident is up all day. What kind of bed should you make?

Closed bed

Which is NOT a safety measure for making beds

After making an occupied bed, always raise the bed rails

A resident brough a pillow from home. Which statement is correct?

The person has the right to use the pillow

You are admitting a new resident. Which is INCORRECT?

Discuss the person’s diagnosis and medical history

The following statements are about skin tears. Which is INCORRECT?

Skin tears usually occur over the bony area

The normal oral temperature of an adult resident is

98.6 degrees F

A CNA enters Mr. S’s room to take his oral temperature and observes that he is drinking a glass of water. The CNA should

Request that the patient not eat or drink anything else for 15 min and then return to take his temp

Before using a stethoscope from the nursing unit, the CNA should

Clean the earpieces and diaphragm with an alcohol wipe

Mr. Johnson is a 75-y/o who has a cardiac condition and is experiencing bradycardia. Which pulse rate represents bradycardia

42 bpm

When taking a resident’s temperature, pulse, and respiration, the respirations should be counted after the:

Pulse has been taken, while fingers remain on the pulse site

Respiration is define as

One full inhalation and exhalation cycle

Which of the following, pulse rates and blood pressures are within the normal range for adults?

Pulse of 72, BP 130/84

When a resident experiences difficult, painful, or labored breathing, it is known as:

Dyspnea

When taking a blood pressure reading, the higher number represents the pressure in the artery at the peak of cardiac contraction. This is called

Systolic pressure

The CNA is preparing to take a resident’s blood pressure. The resident has an IV in the right arm. The CNA should

Take the BP on the left arm

When taking a resident’s vital signs, which of the following should the CNA recognize as abnormal

Pulse of 124

When caring for a resident who receives tube feedings, the CNA must always

Elevate the head while feeding is infusing

After totaling the intake and output at the end of a shift, the CNA realizes that a resident’s intake was 1200 and the output was 325 ml. What is the best action for the CNA to take?

Report info to the charge nurse

When feeding a resident who has had a stroke, the CNA will most correctly

Place food on the unaffected side of the mouth

A resident was served the food seen here. The resident ate all of the cereal, one slice of bread and butter, and all of the milk. Approximately what percentage of breakfast was eaten?

75%

Your resident is complaining that he is having pains in his chest. He is sweating and breathing heavily. The CNA who is with the resident should:

Stay with the resident and call for the nurse in charge

Mr. Jones is showing the following signs and symptoms: dizziness, headache, weakness on his right side, and aphasia. What could be the cause?

CVA (Stroke)

A resident is choking and unable to speak. Which of the following actions should the CNA take?

Perform abdominal thrusts

A resident has a fractured right hip. What position is usually not allowed

Right side-lying position

Care of a person after a stroke often includes all of the following except:

Ostomy care

A person with Parkinson’s disease needs protection from

Falls

A resident has Alzheimer’s disease. She is trying to rub her perineum through her clothes. Which statement is INCORRECT?

The behavior is s*xual

The most common cause of chronic renal failure:

Hypertension and diabetes

A resident is confused. It is time for the person’s shower. What should you do?

Explain what you are going to do and why

A complication of immobility that affects the musculoskeletal system is:

Contractures

If completing an entire task is too difficult for a resident in a restorative program:

Break the task into a series of smaller tasks

A resident is dying of a lung disease. He has recently been yelling at staff. What stage of the grief process may this be?

Anger

Usually, the first task after the resident has died and before the family comes to visit is to:

Prepare the body for viewing by family members

Which of the following is NOT a factor in elder abuse?

Whether the family lives in the city or suburbs

Which of the following is the most common type of elder abuse?

Neglect

Which of the following statements is true about reporting elder abuse to your supervisors?

You should report physical abuse onlly if you see someone hit the patient.