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Before entering a patients room, a CNA should:
Check the residents care plan
Knock on the residents door before entering
Make sure that the supplies are stocked for the unit
All of the choices above
Knock on the residents door before entering
While helping a resident sip hot tea, the CNA slips and accidentally spills hot tea on the resident causing a burn. This is an example of:
Battery
Assault
Negligence
Abuse
Negligence
A patient is refusing to drink fluids, even though he is beginning to show signs of dehydration (concentrated urine, headache, sunken eyes, low energy). What should the CNA do?
Force him to drink water immediately because dehydration is dangerous.
Explain the risks of dehydration, respect his decision, and inform the nurse about his condition.
Request an IV for the patient so that the patient can get fluids without drinking anything
Tell the patient to go home because he knows what is best for his care
Explain the risks of dehydration, respect his decision, and inform the nurse about his condition
While standing in the elevator, a CNA overhear his colleagues speaking about a residence care. What is his violation of?
Patient confidentiality
The patients right to medical care
It is not a violation of anything as professionals are discussing resident care
A DNR order
Patient confidentiality
What should a CNA do if he or she sees a small fire and an unoccupied patient room?
Close all fire doors
Rescue residence in the room next door close all fire doors
Activate the alarm
Extinguish the fire
Activate the alarm
How is residential care paid for?
All of the choices listed
Medicare
Medicaid
Private health insurance
All of the choices listed
Which should the CNA NOT do as a healthcare professional?
Arrive at work well groomed in a clean uniform
Eat well and get plenty of exercise and sleep
Arrive to work on time or even 5 to 10 minutes early
Work single-handedly to take care of patients
Work single-handedly to take care of patients
What needs are found on the lowest level of Maslow’s hierarchy of needs?
Self-esteem
Safety and security
Physical
Love and belonging
Physical
A patient’s family asks the CNA caring for a loved one about the results of a recent blood test. What should the CNA say?
I think everything is normal, which is great
Let me find the nurse and talk to you about the results
Oh, he had a blood test? That is news to me.
Let me find the nurse and talk to you about the results
Which of the following is not a normal part of changes in all older adults?
Bones become more brittle and can break more easily
The skin becomes more fragile
Night vision decreases
The person is confused all the time
The person is confused all the time
A CNA also reports that one of his colleagues accepted an expensive gift from the Family of a resident. This is an example of:
Negligence
Malpractice
Defamation
Insubordination
Defamation
Which is NOT a reason why a CNA should refuse an assignment?
The CNA is upset because of a personal conflict with the patient’s family
The task is outside. The CNA is standard of care.
Performing the task could be harmful to the CNA
The CNA believes the task is unethical
The CNA is upset because of a person conflict with the patient’s family
When speaking with a resident, the CNA should NOT:
Speak loudly and clearly so that the resident can hear the CNA
Address the resident by Mr. Mrs. or Miss and his or her last name
Listen to what the resident is saying
Share intimate or personal details of his or her life
Share intimate or personal details of his or her life
If a patient refuses treatment and the CNA performs this care on the patient anyway, what could happen to the CNA?
The CNA could be charged with assault or battery
Nothing. CNA should always perform care on patients, regardless of patient wishes.
The CNA could be given an award for performing care under challenging conditions
The CNA could be promoted as later on the floor because he can get things done
The CNA could be charged with a assault or battery
A CNA should not:
Communicate with other members of the healthcare team
Help other CNA’s with their residents
Delegate a task to another CNA
Understand delegation guidelines completely before performing a task
Delegate a task to another CNA
What is the first step in preventing the spread of germs?
Keeping living areas clean
Emptying trash cans every day
Covering the residence mouth when she sneezes
Hand washing
Handwashing
Where can a CNA take a residents temperature
Rectal
Axilla
Oral
All of the above
All of the above
When a resident has a seizure, she:
Has convulsions
Has consumption
Has high blood sugar
Has a heart attack
Has convulsions
While a nursing assistant is caring for a resident, the CNA notices a foul smell coming from the residence wound. What should the CNA do?
Give the resident an antibiotic because the wound may be getting infected
Nothing, wound care is not part of the role of the CNA
Clean the wound immediately
Inform the nurse
Inform the nurse
Which of the following is true about older residents?
Older residence have reduced sensitivity to touch in pain
Older residence have slower reaction times
Older residence sleep less deeply
All of the choices listed
All of the choices listed
Which of the following practices ensures adequate protection when wearing gloves?
Wash hands only after removing gloves
A small tear in the glove will still keep out germs
Handwashing before and after glove use
Only use gloves when touching a residence blood
Washing before and after glove use
If a patient’s chart notes that he be placed in a lateral position, he should lie:
On the side with a pillow under the head, a second pillow under the arm and a pillow under the top leg
Flat on the back with a pillow under the lower back
On the back with a bed at a 45° angle
On the stomach with head to one side and pillows under the belly and feet
On the side with a pillow under the head, a second pillow under the arm and a pillow under the top leg
A CNA is making an unoccupied bed and accidentally dropped a clean sheet on the floor. What should the CNA do?
Refill the linen and put it back in the clean sheets pile
Pick the line up and make the bed
Brush any dirt off the line and make the bed
Place the linen in the hamper because it is now soiled
Place the linen in the hamper because it is now soiled
Which of the following is not part of the admissions process?
Making the residence feel comfortable and welcome
Preparing the residence room
The resident goes home
Signing admitting papers and consent for treatment
The resident goes home
What does the diastolic blood pressure number or bottom number referred to?
Diastolic blood pressure is the patient’s blood pressure when it is too low
Diastolic blood pressure is the pressure in the arteries when the heart contracts
Diastolic blood pressure is the pressure in the arteries when the heart rests
Diastolic blood pressure is the patient’s blood pressure when it is too high
The heart rests
The term medical asepsis means:
The injection of a killed microbe in order to stimulate the immune system, thereby preventing disease
An environment completely free from microorganisms
Practices designed to reduce the number of pathogenic microorganisms and limit their growth and transmission in the patients environment
The process of killing microorganisms using chemicals or heat
3
Who is the most important member of the care plan meeting?
The doctor
The nurse
The patient
The CNA
The patient
When assisting a resident with a bed bath, what should the CNA do?
Start bathing the residence fee first
Scrub the residence, skin vigorously to make sure she is clean
Make sure the water temperature is between 85 to 95°F
Close the curtain to provide for privacy
Close the curtain to provide for privacy
In which of the following facilities do CNA’s work?
rehabilitation care
Long-term residential nursing care
Hospitals
All of the choices listed
All
When is a cold pack used?
To stop bleeding
To decrease swelling
To stop pain
To increase circulation
Decrease swelling
How should a CNA conduct oneself regarding a residence religious beliefs?
Try to convert the resident to the CNA’s religious beliefs
Leave it to the family to support the residence, religious beliefs
Ignore the residence, religious beliefs
Provide support and allow the resident to practice his religious beliefs
Provide support and allow the resident to practice his religious beliefs
A new resident is having difficulty getting dressed. The CNA helps the resident. Which document should the CNA used to record this information?
Flow sheet
Progress notes
Minimum data set
Admission sheet
Flow sheet
After signing the consent forms for an upcoming invasive procedure, a patient has a few questions. What should the CNA say to the patient?
I am so sorry, but you already signed the consent form so the time for question has passed
I’ll speak to the nurse to ask the doctor to speak to you
I am sure you can ask the doctor right before the procedure begins
What are your questions? I’ll see if I can answer them.
I’ll speak to the nurse to ask the doctor to speak to you
Which of the following is an objective sign or symptom that can be directly observed by a CNA
Nausea
Chills
Blood pressure measurement
Pain level
blood pressure measurement
Which device is used to transfer a resident from a bed to a stretcher?
Hoyer lift
Trapeze
Gait belt
Slide board
Slide board
a CNA is assigned a comatose patient on a ventilator. The CNA has never provided care for a patient in the state. What should the CNA do?
Tell the nurse manager that he/she has never done this kind of care and request additional instructions and training materials
As per pointers and tips from a CNA experience with this kind of care
Request to switch patients with another CNA who has done this kind of care before
Do the best that he or she can as everyone will have a first time caring for this kind of patient
tell the nurse manager
When performing oral care on an unconscious, resident a CNA must use
A toothbrush
A soft toothette
Mouthwash
All of the choices listed
A soft toothette
Which intervention will not help a patient with edema
Encouraging the patient to complete range of motion exercises
Massaging the extremity with lotion to stimulate blood flow
Raising the patient’s extremity above the heart
Using an ice pack or a cold pack to reduce swelling
Using an ice pack or cold pack
Which of the following is the goal of hospice care?
To meet the emotional spiritual and physical needs of a dying person
To cure a patient’s illness
To restore a person’s range of motion
To provide assistance with activities for daily living
To meet the emotional, spiritual, and physical needs of a dying person
a resident receives oxygen therapy through a facemask. When should the facemask be removed?
Every two hours
For eating
For sleeping
Every eight hours
For eating
if a resident can sit up, pivot, and get out of bed with little assistance, but has difficulty reaching in the bathroom, which device is the most appropriate to use for elimination?
Regular toilet
Portable commode
Bed pan
All of the choices
Portable commode
Which of the following actions protects a residence right to privacy?
A CNA helps a resident dress behind a curtain
A CNA remains in our room while a resident has visitors
A CNA forgets to close the curtain when assisting a resident using a bed pan
While assisting a resident in the shower, a CNA leaves, the door cracked open
A CNA helps a resident dress behind a curtain
When a resident complains of chest pains, what should a CNA do?
Massage the area where the resident is in pain
Helped the resident performed breathing exercises to increase her oxygen
Offer a pain reliever to help make the patient more comfortable
Call for help immediately
Call for help immediately
Which is the proper safety technique for a CNA to use when cleaning a residence dentures?
After cleaning, placed the dentures in a glass next to the sink
Place a paper towel in the sink while cleaning the dentures
Placed dentures on a shelf next to the sink to dry
Place a cloth towel in the sink while cleaning the dentures
Place a cloth towel in the sink while cleaning the dentures
If a CNA makes a mistake, recording a patient’s temperature, what should he do to correct his notation?
Cross out the mistake and write the correct number next to the mistake
Draw a single line through the notation, write the word error beside this line and initial it. Then write the correct number next to the notation
Erase the incorrect notation and write the new notation and pencil
Use liquid paper to cover the mistake and then write the correct notation over the mistake
Draw a single line through the notation. Write the word air beside this line and initial it then write the correct number next to the notation.
When putting anti-embolism stockings on a patient, the CNA should
All of the choices
Ensure that the stockings have no wrinkles in them
Pull the stockings up quickly from the residence foot
Ensure that the stockings are very tight
Ensure that the stockings have no wrinkles in them
If a patient is actively dying, how often should a CNA record his or her vital signs?
Once every 15 minutes
Never
Once every 60 minutes
Once every 30 minutes
Never
Which of the following positions will assist a patient who has difficulty with breathing
Supine position
Lateral position
Prone position
Fowler’s position
Fowlers position
What is the expected order of the five stages of grief?
Denial, anger, bargaining, depression, acceptance
Anger, denial, bargaining, depression, acceptance
Depression, anger, bargaining, denial, acceptance
Bargaining denial, anger, depression, acceptance
Denial, anger, bargaining, depression, and acceptance
A pulse oximeter can be effective when attached to a person’s:
Earlobe
Finger
Toe
All of the above
4
What is one way to emotionally connect with your residence without crossing boundaries?
Meeting with residence, family in the community to develop closer relationships
Taking time to listen to the resident
receiving gifts from residence families
Doing favors for residence, such as common banks to get financial information and make online purchases
Taking time to listen to the resident
A person lying on his abdomen with his head turned to one side is in the _______ position
Supine
Prone
Fowlers
Sims
Prone
Which is a safety measure that a CNA should employ when helping a resident shower
All of the choices
Lock wheel of the shower chair
Make sure the resident has access to the call light
Check the temperature of the water
All choices
Which of the following can a CNA do to help reduce the spread of infection
Keep soiled sheets away from one’s uniform
Handwashing
Keep patient’s rooms clean
All of the choices above
All of the choices
Which of the following is not a sign of hypoxia?
Cyanosis
Dyspnea
An elevated temperature
A rapid pulse rate
An elevated temperature
Which is the proper protocol for droplet precautions?
A patient has an infection that be can be transmitted through touch. Healthcare providers must wear a gown, gloves and use special soap to treat the patient.
None of the above
Healthcare providers must wear special masks called high efficiency particulate arrestor (HEPA) masks, and the patient is placed in a negative pressure room
A patient is placed in a private room and healthcare providers must wear masks and wash their hands when entering the room
A patient is placed in a private room and healthcare providers must wear masks and wash their hands when entering the room
All patients have the right to:
Play music as loudly as they would like
Be treated with dignity and respect
Discuss the results of their roommates, recent medical test with their family
All of the choices
Be treated with dignity and respect
Which of the following scenarios increases a patient’s likelihood of catching an infection
All of the choices
A patient has a weakened immune system because of a long-term HIV
A patient has a cut on their hand
A patient is living in long-term residential nursing home
All of the choices
Which of the following is the definition of the term sterile?
Free from bacteria or other living microorganisms
A bacterium virus or microorganism that can cause disease
Eliminating the spread of microorganisms through facility practices
Cleaning an item to remove bacteria
Free from bacteria or other living microorganisms
Which of the following is a sign of depression in a patient?
An elevated temperature
Memory loss
Sadness and despair
Unexplained bruising
Sadness and despair
A nurse is very busy working with a disruptive resident and asks you to give Mr. Smith who is not your patient to ibuprofen because he has a headache. What should you do?
Give Mr. Smith ibuprofen because it is important to work together as a healthcare team to care for residence
Ask the CNA, who is caring for Mr. Smith to give him the ibuprofen because it’s important to keep members of the healthcare team informed of patient care
Politely remind the nurse that you cannot give Mr. Smith ibuprofen and ask if there’s anything else you can help with
Ignore the nurse-Mr. Smith is not your responsibility
Politely remind the nurse that you cannot give Mr. Smith ibuprofen and ask if there’s anything else you can help with
Which of the following is not true about the ombudsman program?
The ombudsman investigates concerns and resolve complaints
The ombudsman represents a residence interest before the local, state, and federal governments
The ombudsman certified CNA’s
The ombudsman is not a nursing center employee
The ombudsman certified CNA’s
If a CNA forgets to lock the wheels on a bed and a patient falls and gets injured as a result of this, what could the CNA be charged with?
Battery
Negligence
Assault
Malpractice
negligence
When a resident is placed in restraints, which of the following statements is true
The healthcare team should leave the resident alone because the resident is usually violent
The healthcare team must check the resident circulation at the side of the restraint at least once every 30 minutes
A nurse decided to put a resident in restraints
The resident is being punished for poor behavior
The healthcare team must check the resident circulation at the side of the restraint at least once every 30 minutes
a resident refuses to wash his hair, even though it is beginning to tangled in visibly dirty. What should the CNA do?
Wash the residence here anyway he needs it
Nothing it’s his hair
Respect the residence wishes, and informed the charge nurse of his decision
Tell the resident that he must bathe in order to stay in long-term care
Respect the residence wishes, and informed the charge nurse of his decision
Which of the following should a CNA do when shaving a resident
Shave the residence hair in the opposite direction of the hair growth
All of the choices
Use shaving cream to soften the hair and prevent mix and cuts
Wash the residence face completely, and make sure it is dry before shaving
Use shaving cream to soften the hair and prevent mix and cuts
How should a CNA speak to a patient who is in an agitated state?
The CNA should not communicate with the patient as he or she does not want to communicate
In a calm or clear manner, while attempting to determine why the patient is agitated
Through the patient’s roommate who may be able to calm or comfort the patient
The CNA should report this behavior to the RN on duty who will then manage the patient
In a calm or clear manner, while attempting to determine why the patient is agitated
Which of the following best describes standard precautions?
The use of personal protective equipment by healthcare providers when there is a risk of coming into contact with patient’s bodily fluid
Healthcare providers wash, hands and skin if they become soiled with blood or body fluids, and at certain times during the day
Needles and other sharps must be discarded properly in red biohazard containers in order to help prevent the spread of diseases such as HIV and hepatitis
All of the choices listed
All of the choices listed
A patient says that he is depressed. What should the CNA say?
I know there is a lot to feel sad about these days, but you’ll get through it
Can you tell me more about this? Would you like to speak with someone about this?
I’m so sorry that you’re feeling this way
That is tough. Maybe your family can help.
Can you tell me more about this? Would you like to speak with someone about this?
Which of the following is not a risk factor for suicide?
A prior suicide attempt
A history of alcohol or drug abuse
A stressful life event (the death of a loved one, for example)
A quiet personality
A quiet personality
Which of these procedures must you pay special attention to when helping a patient who has diabetes?
A. Getting dressed
B. Washing hair
C. Clipping toenails
D. Brushing teeth
C. Clipping toenails
Which of the following does NOT apply when a CNA gives a resident a bed bath? A. Wash from clean to dirty
B. Ensure that the water temperature is at least 120 degrees Fahrenheit
C. Decontaminate your hands and put on gloves
D. Provide for privacy
B. Ensure that the water temperature is at least 120 degrees Fahrenheit
If a CNA notices that a patient is having difficulty swallowing, the CNA should:
A. Mash up each bite of food to make it easier for the patient to swallow.
B. Give the patient smaller bites of food and something to drink after each bite.
C. Notify the nurse immediately.
D. Give the patient smaller bites of food and more time to chew.
C. Notify the nurse immediately.
Symptoms of a stage ______ pressure ulcer include partial thickness skin loss and possibly a blister or a reddish/pink shallow ulcer.
A. 2
B. 4
C. 1
D. 3
A. 2
How often should a CNA turn a patient to help prevent pressure ulcers?
A. Once every six hours
B. Once every four hours
C. Once every three hours
D. Once every two hours
D. Once every two hours
Which describes a stage 4 decubitus ulcer?
A. Open wound with redness
B. Open area with visible bone
C. Black area
D. Blanching of the skin
B. Open area with visible bone
If a resident begins to fall while walking with a CNA, what should the CNA do?
A. Get behind the resident and slowly guide them to the ground.
B. Grab a chair for the resident to fall into.
C. Grab the resident by the arm and yank them to their feet.
D. Once the resident has fallen, seek immediate help since the resident may be injured.
A. Get behind the resident and slowly guide them to the ground.
What is the most common injury that occurs when a resident falls? A. Strained ligament
B. Sprained ankle
C. Fractured hip
D. Broken wrist
C. Fractured hip
Which of the following is an acute illness?
A. Diabetes
B. Ear infection
C. Obesity
D. Arthritis
B. Ear infection
Which is NOT a treatment for gastroesophageal reflux disease (GERD)?
A. Losing weight
B. Eating spicy foods
C. Avoiding smoking and alcohol
D. Not lying down for 3 hours after meals
B. Eating spicy foods
Before measuring the patient's height and weight, what should a CNA do?
A. Wash his hands.
B. Ask the patient to remove their shoes.
C. Help the patient stand up and walk to the scale.
D. Give the patient a gown to change into before the physical exam.
A. Wash his hands.
What is the recommended position for taking a resident’s blood pressure?
A. The resident is standing up.
B. The resident is sitting with his feet elevated.
C. The resident is lying down with his feet elevated.
D. The resident is sitting with his feet on the floor.
D. The resident is sitting with his feet on the floor.
When caring for a patient who has started vomiting, a CNA should: A. Place a basin next to the patient’s chest.
B. Tilt the patient’s head up.
C. Dispose of all of the vomitus immediately.
D. Measure, report, and record the amount of vomitus
A. Place a basin next to the patient’s chest.
Which is the best method of skin care to prevent pressure ulcers?
A. Apply heat to red areas of the skin.
B. Keep the skin clean and dry.
C. Apply pressure to the affected area.
D. Massage red areas of the skin.
B. Keep the skin clean and dry
Passive range of motion exercises are helpful for patients who cannot voluntarily move their limbs because:
A. They prevent contractures.
B. They increase the strength of muscles.
C. They increase muscle flexibility.
D. All of the above
D. All of the above
What should the CNA do to create a physically and/or emotionally safe environment for a resident who is visually impaired?
A. Make sure that the resident's glasses and other visual aids are within reach.
B. Remove possible environmental hazards, like clutter on the floor. C. Ensure that the environment is well lit.
D. All of the above
D. All of the above
Which of the following is NOT one of the 5 stages of grief?
A. Bargaining
B. Self-actualization
C. Acceptance
D. Denial
B. Self-actualization
If a resident asks for a moment to pray before a CNA assists with their feeding, what should the CNA do?
A. Allow the resident a moment of privacy to pray.
B. Lead the resident in a prayer.
C. Tell the resident to pray while they are being fed.
D. Remind the resident that there are a lot of patients to see and that they can pray later.
A. Allow the resident a moment of privacy to pray
How frequently should a CNA record the fluid intake and output in a resident's chart? '
A. At the end of every 24-hour period
B. At the end of every meal
C. At the end of each shift
D. Every 3 hours
C. At the end of each shift
Which is an example of objective data?
A. The patient has a respiration rate of 15 breaths per minute.
B. The patient reports feeling ill.
C. The patient reports having a pain scale of 7.
D. All of the above are objective data.
A. The patient has a respiration rate of 15 breaths per minute
When a resident has visitors, what should the CNA do?
A. Remain outside of the resident's room to "keep an eye on things.” B. Act as a host for the visitors, serving them food and beverages. C. Stay in the room in case the resident needs anything.
D. Provide privacy so that the resident can spend time with visitors
D. Provide privacy so that the resident can spend time with visitors
A nursing assistant is recording a resident’s ability to bathe independently. Which document will the nursing assistant use to record this information?
A. The Flow Sheet
B. The Care Plan
C. The Kardex
D. Progress Notes
A. The flow sheet
When cleaning a patient's perineal area, the CNA should be sure to wipe the resident:
A. With significant force to make sure the area is clean.
B. In a circular motion from back to front.
C. From front to back.
D. From back to front
C. From front to back.
Before bringing a tray into a patient's room, a CNA should:
A. Make sure that the resident is able to swallow the food on the tray.
B. Record all of the items on the tray in the input/output log.
C. Make sure that the resident is awake and alert for meal time.
D. Make sure that the resident is being given the correct food tray labeled with his name and room number.
D. Make sure that the resident is being given the correct food tray labeled with his name and room number.
Gloves should always be worn as personal protective equipment (PPE) when:
A. Transferring a person from the bed to a wheelchair.
B. Feeding a resident who is unable to feed himself.
C. Helping a patient walk down the hall.
D. Assisting a resident with the use of a urinal.
D. Assisting a resident with the use of a urinal.
Which of the following actions should a nursing assistant always perform when helping a resident to use a bedpan?
A. Raise the bed rails so the person won’t fall out of the bed
B. Place an absorbent pad on the bed for protection
C. Place the individual in the genupectoral position
D. Use a fracture pan
B. Place an absorbent pad on the bed for protection
Which actions help control the spread of infection?
A. Covering your mouth when you cough or sneeze
B. Disinfecting doorknobs
C. Handwashing
D. All of the above
D. All of the above
When making a resident's bed, what is the final action a CNA should take? A. Handwashing
B. Reposition the bed to a low position
C. Put the call signal within easy reach of the resident
D. Smooth all wrinkles from the bed
A. Handwashing
In what order should the CNA put on personal protective equipment (PPE)? A. Gloves, gown, mask
B. Gown, mask, gloves
C. Mask, gown, gloves
D. Gloves, mask, gown
B- Gown, mask, gloves
A CNA needs to obtain a resident's oral temperature. The resident is drinking a cold cup of water. What should the CNA do?
A. Take the oral temperature immediately.
B. Wait until the next time the resident's oral temperature is ordered.
C. Wait approximately an hour before taking the resident's oral temperature. D. Wait approximately 15 minutes before taking the resident's oral temperature.
D. Wait approximately 15 minutes before taking the resident's oral temperature.