CNA EXAM PRACTICE TEST HEAD MASTERS

Non-verbal communication is expressed by

a. talking with other persons

b. giving oral reports and your opinion

c. telling residents what you want them to do

d. your body position and facial expressions

d. your body position and facial expressions

The charge nurse has asked you to collect a urine specimen from Mrs. White. To prevent contamination, you must always

a. wear gloves

b. wash your hands

c. put on a mask

d. wear a gown

b. wash your hands

The FIRST and FOREMOST cause of the spread of infection is

a. soiled linens

b. soiled uniforms

c. dirty hands

d. polluted air

c. dirty hands

The leading cause of injury to the elderly is

a. choking

b. burns

c. falls

d. poisoning

c. falls

A resident's wish NOT to be resuscitated may be designated on the care plan by using

a. CPR, do not resuscitate, no code

b. do not resuscitate, no code, no CPR

c. no code, no CPR, resuscitate

d. do not resuscitate, code 1, no CPR

b. do not resuscitate, no code, no CPR

When lifting or moving a heavy helpless resident in bed you should

a. lift them by yourself

b. refuse to lift a heavy resident

c. raise the head of the bed

d. use a lift/draw sheet with help

d. use a lift/draw sheet with help

Nutrients are essential to our bodies for all the following reasons EXCEPT

a. building and repairing tissues

b. performing bodily functions

c. providing energy for the work the body does

d. limiting a person's life if taken externally

d. limiting a person's life if taken externally

An approach NOT used in a restorative care program would be

a. cues

b. practicing eight times per day

c. demonstrations

d. hand-over techniques

b. practicing eight times per day

Signs or symptoms of hypertension include all BUT

a. excessive hunger

b. nose bleeds

c. complaints of headaches

d. dizziness

a. excessive hunger

Gloves need NOT be worn when

a. doing perineal care

b. emptying a catheter bag

c. taking a rectal temp

d. feeding a resident

d. feeding a resident

Principles of restorative care should include all the following except

a. treatment beginning as soon as possible

b. abilities being emphasized rather than disabilities

c. disabilities being emphasized rather than abilities

d. activity strengthening and inactivity weakening

c. disabilities being emphasized rather than abilities

All of the following are signs of approaching death EXCEPT

a. cold extremities

b. low blood pressure

c. circulation increases

d. breathing is labored

c. circulation increases

The act of eliminating urine from the bladder is known by various terms. Which term is NOT appropriate?

a. micturation

b. voiding

c. termination

d. urination

c. termination

If a resident who has been outgoing suddenly starts to show signs of withdrawal, you should

a. overlook this because it will probably go away

b. avoid spending time with the resident

c. call the family

d. report this at once

d. report this at once

Information about the residents in your care may be shared with

a. your best friend in a private session

b. your discreet neighbor if you don't mention any names

c. a close friend of the resident

d. staff in a care plan conference

d. staff in a care plan conference

Caring for persons with dementia can be very stressful. It is important to

a. get upset with them to make them aware of their problem

b. remember that being there for them is very important

c. have someone else care for them as often as possible so you can share the stress

d. make noise to keep them aware and get them to dinner on time

b. remember that being there for them is very important

When caring for confused residents you should NOT

a. rearrange furniture often to stimulate the resident

b. show the person respect and maintain their dignity

c. use rewards like smiles, touches, and frequent praise

d. use validation when appropriate

a. rearrange furniture often to stimulate the resident

The nursing assistant is taking care of a resident with a diagnosis of chronic obstructive pulmonary disease. The resident may exhibit

a. shortness of breath, cough and fatigue

b. fever, headache and sore throat

c. weight loss, night sweats and weakness

d. thirst, ankle edema and increased urination

a. shortness of breath, cough and fatigue

Retaliation is

a. revenge or punishment

b. a formal complaint by a resident

c. a state surveyor agency

d. a written policy for residents

a. revenge or punishment

If a resident has difficulty sleeping you can

a. turn out their light and leave window shades open

b. have loud conversation with co-workers outside their door

c. adjust the room temperature

d. not toilet them once they are in bed

c. adjust the room temperature

Indirect transmission of organisms occurs from an intermediate object between

a. pathogens and handwashing

b. portal of exit and portal of entry

c. viruses and microorganisms

d. kissing and sneezing

b. portal of exit and portal of entry

Loss of speech, appetite and being totally dependent is what stage of Alzheimer's disease

a. learning stage

b. anxiety stage

c. middle stage

d. late stage

d. late stage

A resident consumes 1/2 of an 8 oz cup of coffee, all of a 6 oz cup of orange juice and 1/2 of a 4 oz glass of water. The resident has consumed

a. 540 ml

b. 270 ml

c. 360 ml

d. 380 ml

c. 360 ml

The resident most likely to require a complete bed bath is a(n)

a. ambulatory resident

b. recently admitted resident

c. resident with a broken arm

d. paralyzed resident

d. paralyzed resident

When replacing a resident's dentures you notice that they won't stay in place. The nursing assistant should

a. apply more adhesive

b. report to the nurse

c. tell the family

d. leave them out

b. report to the nurse

Droplet precautions include

a. applying a mask before entering the residents room and for care

b. resident instructions that s(he) is restricted to his/her room and unable to leave

c. visits from family and friends are strongly prohibited

d. applying gown, googles and gloves before resident care

a. applying a mask before entering the residents room and for care

If a resident is having a difficult time hearing you when you speak, interventions you can use to help the resident hear you better are

a. to put your mouth as close to the resident's ear as possible and raise your voice while clearly stating each word

b. to stand to the side of the resident and speak in a louder voice while clearly stating each word

c. to stand directly in front of the resident while speak and clearly state each word

d. to use a pad and pencil to write out what you are trying to tell the resident

c. to stand directly in front of the resident while speak and clearly state each word

Intentional treatment that causes harm or injury to a person's body is considered

a. passive neglect

b. physical abuse

c. psychological abuse

d. neglect

b. physical abuse

The best defense against infection is

a. PPE

b. nutrition

c. immunization

d. hand washing

d. hand washing

Which of the following skills require gloves?

a. transferring the resident from bed to wheelchair

b. feeding your bed fast resident in bed their lunch

c. performing perineal care on an incontinent resident

d. ambulating the resident from bed to the wheelchair

c. performing perineal care on an incontinent resident

CMS stands for

a. Centers for Medicare and Medicaid Society

b. Centers for Medicare and Medicaid Services

c. Centers for Medical and Medicaid Services

d. Centers for Medicare and Medicaid Safety

b. Centers for Medicare and Medicaid Services

MRSA stands for

a. Methicillin Resistant Standard of Antibiotics

b. Most Resistant Standard Ampicillin

c. Methicillin Resistant Staphylococcus Aureus

d. Most Resistant Staphylococcus Aureus

c. Methicillin Resistant Staphylococcus Aureus

It best to take urine and sputum specimens

a. at bedtime

b. before the evening meal is served

c. first thing in the morning

d. at noon

c. first thing in the morning

A visitor of one of your resident's showed you some pornographic pictures of himself. You should

a. stay in the room and continue your morning cares

b. understand the family is under stress and this may help them

c. stand your ground as you will not be intimidated

d. immediately leave the room and notify the nurse

d. immediately leave the room and notify the nurse

In order to best protect the mattress of the bed of a resident who is incontinent of urine, the nursing assistant dresses the bed with

a. a depends

b. two cotton draw sheets

c. two cotton flat sheets

d. a bed protector

d. a bed protector

A true statement regarding denture care is that

a. dentures are easy to replace

b. dentures should be stored in a labeled container

c. dentures should be washed in hot water

d. gloves are usually not required when cleaning dentures

b. dentures should be stored in a labeled container

The correct term for cleaning of the genital area is

a. genitourinary care

b. bottom care

c. perineal care

d. buttocks care

c. perineal care

When caring for a female resident with an indwelling catheter. You should

a. attach the drainage bag to the bed rail

b. insure the resident is lying on the tubing

c. keep the drainage bag below the bladder

d. provide perineal care QOD

c. keep the drainage bag below the bladder

Hospice provides

a. spiritual care to the resident only

b. care to residents who are expected to live longer than six months

c. physical care to the resident only

d. supportive care to the resident and family

d. supportive care to the resident and family

A nursing assistant can be charged in a court of law if they

a. offer a backrub to a resident

b. take money from a resident

c. give presents to a resident

d. help the resident who is disabled

b. take money from a resident

Mrs. Smith is NPO after having a stroke. Her feeding is administered through a naso gastric tube. Position her in

a. left sims

b. semi fowlers

c. supine

d. right lateral

b. semi fowlers

A disorder that causes reoccurring seizures is

a. CVA

b. UTI

c. Epilepsy

d. Emphysema

c. Epilepsy

As you are helping your resident dress, you notice several bruises on his back. You ask how he received the bruising and he does not know, but mentions that his son visited last evening. Your responsibility is to document and

a. call family member STAT

b. tell the charge nurse STAT

c. tell the social worker STAT

d. tell the physician STAT

b. tell the charge nurse STAT

On a daily basis, the average adult normally produces

a. 200-400 ml of urine

b. 500-1000 ml of urine

c. 900-1000 ml of urine

d. 1200-1500 ml of urine

d. 1200-1500 ml of urine

Mrs. Melvin is a demanding patient who is difficult to please. Which of the following would be appropriate for you to do when caring for Mrs. Melvin?

a. ask Mrs. Melvin, before you leave the room, if you have done everything she needs

b. require Mrs. Melvin to bath and dress when you are available, not when she wishes to

c. avoid Mrs. Melvin's room once you have done her care so she won't keep asking for things

d. tell Mrs. Melvin you have other residents who need your help more than she does

a. ask Mrs. Melvin, before you leave the room, if you have done everything she needs

If a resident is vomiting in bed, position him immediately in the:

a. lateral position

b. supine position

c. Fowler's position

d. prone position

a. lateral position

ADL's are:

a. activities during life

b. all daily living

c. all done lovingly

d. activities of daily living

d. activities of daily living

Which statement best describes ADL's?

a. going to work

b. bathing, feeding, dressing, ambulation

c. watching TV, sleeping, playing games

d. driving a car, shopping, cooking meals

b. bathing, feeding, dressing, ambulation

The most common cause of accidents in the home results from:

a. burns

b. abrasions

c. falls

d. cuts

c. falls

Which of the following blood pressures would you consider abnormal?

a. 120/80

b. 110/68

c. 160/90

d. 130/80

c. 160/90

When making an occupied bed you must remember to:

a. keep side rails down at all times

b. change only once a week

c. assemble your linen and work from one side before going on to the other

d. all of the above

c. assemble your linen and work from one side before going on to the other

You are instructed to strain Mr. Peterson's urine. You know that straining urine is done to find:

a. hematuria

b. nocturia

c. urgency

d. stones

d. stones

For residents who are dehydrated and unable to drink water by themselves, nursing assistants should offer a drink:

a. every shift

b. every 3-4 hours

c. only at meal times

d. every time they are with the resident

d. every time they are with the resident

When transferring Mrs. Sparks onto the toilet:

a. use a gait belt to help her stand

b. put her right arm around your neck

c. have her put all of her weight on her right leg when moving

d. all of the above

a. use a gait belt to help her stand

If a resident is incontinent of urine, you should chart each time the resident:

a. vomits

b. wets the bed

c. drinks anything

d. does something unusual

b. wets the bed

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

a. ring the fire alarm

b. move the resident out of danger

c. hurry and get the nearest fire extinguisher

d. close all doors and windows

b. move the resident out of danger

A health insurance plan administered by the Social Security Administration providing health benefits for the elderly is:

a. Medicaid

b. Medicare

c. private insurance

d. DRG

b. Medicare

The resident has just had lunch. It included roast beef, mashed potatoes, gravy, Jell-O, green beans, juice, cake, and ice cream. What should you calculate as part of I&O?

a. Jell-O and gravy

b. Jell-O, juice and ice cream

c. juice and gravy

d. ice cream only

b. Jell-O, juice and ice cream

Mr. Smith, a 72-year-old male Alzheimer's patient, has been stopped several times today wandering from unit. He is ambulatory, confused, and combative. The C.N.A. would first:

a. notify the charge nurse

b. redirect the resident or provide alternative activity

c. call the Physician to request a soft restraint

d. place the resident in a wheel chair and use a soft waist restraint

b. redirect the resident or provide alternative activity

Reality orientation therapy should include:

a. talking about your interest

b. using nicknames like "granny"

c. calling the resident by his name

d. telling imaginative stories to the resident

c. calling the resident by his name

Insulin is an important hormone because it will:

a. stimulate the conversion of glycogen to glucose

b. breaks fat down to form glucose

c. lower blood sugar

d. raise blood sugar

c. lower blood sugar

When you empathize with residents, you are:

a. putting yourself in their place

b. feeling pity for them

c. telling them to cheer up

d. letting them stay in bed

a. putting yourself in their place

Your elderly patient speaks a different language than you do. It would help you to:

a. use very simple words and directions

b. talk louder

c. avoid any conversation

d. make the patient speak their language

a. use very simple words and directions

Sexual desire and activity in the elderly:

a. is non existent

b. should not be encouraged

c. may be a need

d. stops at age 75

c. may be a need

Inflammation of the bronchioles is

a. pharyngitis

b. bronchiolitis

c. asthma

d. bronchitis

b. bronchiolitis

A low protein diet may be prescribed for a resident with

a. heart disease

b. diabetes

c. kidney disease

d. high blood pressure

c. kidney disease

Dehydration can be prevented by

a. keeping residents indoors

b. exercising residents frequently

c. giving bathes daily

d. offering fluids between meals

d. offering fluids between meals

You have a new job and you need to resign from your present position. You should

a. report to your new job in the morning

b. ask for an immediate exit interview

c. give appropriate notice for your workplace

d. ask another co-worker to take your shifts

c. give appropriate notice for your workplace

A nursing assistant's responsibility regarding medications includes

a. allowing residents to take pills found near their chairs

b. giving residents medications left on their night stands

c. telling a resident's family to bring medicine in for the resident

d. returning any found medications to the charge nurse

d. returning any found medications to the charge nurse

A co-worker constantly shows up late and calls in sick. When she is at work she does more talking than care taking. You should first

a. ask for a private conversation and discuss the matter with her

b. discuss the matter with your supervisor

c. talk with other staff members to see if they notice her behavior

d. write an anonymous letter to management

a. ask for a private conversation and discuss the matter with her

What is the most important communication tool all residents use

a. pen and paper

b. cell phone

c. communication board

d. call light

d. call light

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

a. lay her on the floor and start CPR

b. hurry out into the hall to get help

c. find the charge nurse and report to him

d. move behind her and begin the abdominal thrust procedure

d. move behind her and begin the abdominal thrust procedure

Libel is

a. oral slander

b. written defamation

c. a criminal act

d. written slander

b. written defamation

A resident tells a nursing assistant that he plans to kill himself. The nursing assistant should

a. keep the information confidential

b. tell the other nursing assistants who care for him

c. tell the charge nurse

d. tell his family what he said

c. tell the charge nurse

Mrs. Gym and Mrs. Collins both have arthritis in their shoulder. Mrs. Gym always cries when putting on her blouse and Mrs. Collins doesn't. In reporting observations of pain you will

a. realize that Mrs. Gym may express her pain differently than Mrs. Collins

b. complain to other staff that Mrs. Gym is a hypochondriac

c. tell Mrs. Gym that she should be more like Mrs. Collins and not complain

d. ask Mrs. Gym if she would like to take some of your aspirin

a. realize that Mrs. Gym may express her pain differently than Mrs. Collins