CNA Exam 2

To help the resident feel expected and welcome you should

Prepare the room before the resident arrives

When a resident arrives at the facility

Be friendly and smile

When setting up a residents room

Handle personal items care and respect

Baseline signs are

Initial values that can then be compared to future measurements

Height can be measured by using

A tape measure and making two pencil marks on the sheet that is underneath the resident

To measure the distance between the resident’s head and feet you should

Make a mark at the top of the resident’s head and one at the feet

When transferring a resident the NA should

Help residents pack their personal items before transferring

When a resident is discharging the NA can help by

Being positive and reassuring

NA’s can remind a discharging resident that the doctor

Believe they are ready to leave

It is important for NA’s to always place the (blank) within reach of resident stronger hand

Call lights

NA’s should answer (blank) immediately

Call lights

When a person is sleep-deprived or suffers from (blank) or other sleep disorders, problems result

Insomnia

Insomnia and other sleep disorders cause problems like

Decreased mental function, reduced reaction time and irritability

Linens should always be changed after personal care procedures like

Bed baths or any time bedding is damp, soiled, or in a need for straightening

If dirty linen touches your uniform, your uniform becomes

Contaminated

When removing linen fold or roll linen so that the

Dirtiest area is inside

When putting the dirtiest surface of the linen inward it helps lessen

Contamination

An important part of a NA’s job is to help the residents be as

Independent as possible

All residents have routines for

Personal care and ADLs

Residents have preference on how the (blank) should be done

ADLs

(Blank) reduces the almost of blood that circulates to the skin

Immobility

Residents who have restricted mobility are at an increased risk of skin deterioration at

Pressure points

Pressure injuries can lead to

Life threatening infections

When observing, report if you see a residents skin

Pale, white, reddened, gray or purple

For residents basic skin care reposition immobile residents often at least

2 hours

When residents complete baths are not given or taken everyday, you should

Check skin daily

When documenting basic skin care you should use terms like (blank or blank) in reference to the residents body

Left or right

(Blank or blank) are used to keep the bed covers from resting in the residents legs and feet

Bed cradles or foot cradles

Older skin produces less

Perspiration and oil

Elderly people with dry and fragile skin should bathe only

Once or twice a week

Nursing assistants should not cut/trim a residents

Fingernails or toenails

For some residents, poor circulation can lead to (blank) if skin is accidentally cut while caring for nails

Infection

For a resident who has compromised circulation due to a disease such as diabetes, an infection can lead to

Severe wounds or even amputation

Nursing assistants should only trim or cut nails if they are

Allowed and directed to do so

When shaving a resident a NA lower the risk of exposure to blood by wearing

Gloves

Residents may have one side of the body that is weaker than the other due to stroke or injury called

Affected or involved side

Oral care or care of the mouth, teeth and gums is performed at least

2 to 3 times a day

After breakfast, last meal or snack of day

Oral care should be given

Turning unconscious residents on their sides before giving oral care can also help

Prevent aspiration

To clean the mouth only use

Swabs soaked in tiny amounts of fluid

Place dentures in a clean, labeled denture cup with

Solution or moderate/cool water

Dentures should be completely covered with

Solution

Make sure the residents dentures cup is labeled with the

Residents name and room number

Mouth (oral) temperature is

97.6F - 99.6F

Normal pulse rate

60-100 beats per minute

Normal respiratory rate

12-20 respirations per minute

Normal blood pressure (systolic)

90-119 mmHg

Normal blood pressure (diastolic)

60-79 mmHg

A tympanic thermometer is used to measure the temperature reading in the

Ear

Most accurate temperature

Rectal

Least accurate temperature

Axillary (armpit)

Don’t measure oral temperature if resident is

Confused / disoriented

Most common site for monitoring pulse is

Radial pulse

A stethoscope is an instrument designed to

Listen to the sounds within the body

The apical pulse is located on

Left side of chest below the nipple

Immediately record the

Pulse rate, date, time, and method used (apical). Note any irregularities in rhythm

After taking the pulse rate, count the (blank) directly after to prevent people from breathing quicker

Respiratory rate

Hypertension is

When people have high blood pressure with elevated systolic and/or diastolic blood pressure

Pain is a

Personal experience

Pain is not a

Norwalk part of aging

Nursing assistants should never

Insert or remove IV lines

Nursing assistants only responsibility for IV care is to

Report and document any changes or problems with the IV line

An oxygen concentrator is

A device that changes the air in the room into air with more oxygen

A healthy diet promotes

The healing of wounds

Water is the most

Essential nutrient

Water is needed by

Every cell in the body

Low-fat milk or yogurt is a source of

Calcium without the added saturated fat

This diet helps with problems such as constipation and bowel disorders

High-residue (high-fiber) diet

Residents with a shallowing problem may need to consume

Thickened liquids and modified texture foods

Residents have the right to refuse to wear

A clothing protector

Residents wishes should be

Respected

When feeding a residents make sure to

Raise the bed to a 90 degree angle in a upright position

Watering of the eyes when eating or drinking is a sign of

Shallowing problems

The maintaining equal input and output, or taking in and eliminating equal amounts of fluid is

Fluid balance

The general recommendation for daily fluid intake for a healthy person is

64 oz (eight - 8oz glasses)

1 oz is

30 mL

8 oz is

240 mL

Water is an

Essential nutrient for life

NPO stands for

Nothing by mouth

To prevent dehydration

Encourage residents to drink every time you see them

Nursing assistants should encourage but not

Force

Offering fresh fluids often helps

Prevent dehydration and promote health

Urine is normally

Light, pale yellow, or amber

Normal urine should be

Clear or transparent

When urine is freshly voided it should have a

Faint smell

A lack of privacy, new environment, stress, anxiety, and depression can

All affect urination

it is used for residents who cannot assist with raising their hips onto a regular bedpan

Fracture pan

A standard bedpan should be positioned

With the wider end aligned with the residents buttocks

The fracture pan should be positioned

With the handle toward the foot of the bed

The inability to control the bladder, which leads to an involuntary loss of urine

Urinary incontinence

Urinary incontinence can occur in residents who are

Confined to bed, ill, elderly, paralyzed, or who have circulatory or nervous system disease or injuries

To prevent infection after elimination wipe

Front to back

Nursing assistants do not insert, irrigate or remove

Urinary catheters

Does not include the first and last urine voided in the sample, reducing contamination of the specimen is a

Clean-catch specimen

Red food coloring, beets and tomato juice can

make stool red

Irritability is a sign of

Constipation

Brat diet is

Bananas, rice, applesauce, toast

Residents should not lie down until at least

2-3 hours after eating

Something that is hidden or difficult to see of observe is

Occult

When the resident is ready to move his bowels

Ask him not to urinate at the same time and not to put toilet paper in with the sample