CNA Exam: Chapters 1-10

Chapter 1:

Which of the following statements is true of long-term care?

(A) People with terminal illness do not live in long-term care facilities

(B) Most conditions in long-term care facilities arr chronic

(C) People who live in long-term care facilities are never able to return home

(D) Long-termcare takes place in a person's home

(B)

Which of the following is a core value associated with culture change?

(A) Doing everything for residents

(B) Treating all residents the same way

(C) Promoting self-determination and personal choice

(D) Making all residents participate in the same activities

(C)

What is one reason why reporting a resident's changes a problems to the nurse is a very important role of the nursing assistant?

(A) The care plan must be updated as the resident's confition changes

(B) Reporting changes is not a task that the NA preforms

(C) Depending on the resident's changes, the NA can decide if she wants to work that day or not

(D) The NA can decide what medication to prescribe for the residnet's current condition

(A)

What is one function of the chain of command?

(A) It determines which residents go in which rooms

(B) It determines which shifts an NA works

(C) It describes the care plan for each resident

(D) It helps protect nursing assistants and their employers from liability

(D)

The Omnibus Budget Reconciliation Act (OBRA) set minimum standards for

(A) Facility cleanliness

(B) Resident rehabilitation

(C) Nursing assistant training

(D) Facility spending

(C)

How many hours of in-service education does OBRA require for nursing assistants every year?

(A) At least 34 hours

(B) At least 28 hours

(C) At least 18 hours

(D) At least 12 hours

(D)

If an NA makes mistakes when documenting care by hand, she should

(A) Erase it and write the correct information

(B) Draw one line through it and write the correct information

(C) Use correction fluid on the error and write the correct information

(D) Discard the chart and start a new one

(B)

What does HIPPA stand for?

Health Insurance Portability and Accountability Act

Chapter 2:

Which of the following senses is not used in making observations?

(A) Sight

(B) Touch

(C) Smell

(D) Taste

(D)

When a resident is suspected of having a heart attack, a nursing assistant should

(A) Loosen clothing around the neck

(B) Give the resident some water

(C) Put medication directly into the resident's mouth

(D) Wait and see if the episode subsides before doing anything

(A)

Insulin reaction can be caused by

(A) Too little food

(B) Physical or emotional stress

(C) Too much food

(C) A cerebrovascular accident

(A)

When should a nursing assistant identify a resident?

(A) After gibing care

(B) When collecting meal trays

(C) When shifts change

(D) Before helping with feeding

(D)

Which of the following is a way to use proper body mechanics?

(A) The NA should twist at the waist when lifting objects

(B) The NA should stand with her legs shoulder-width apart

(C) The NA should lift objects, rather than push them

(D) The NA should carry objects away from her body

(B)

RACE is an acronym for a safe rule, and means

(A) Run to A Close Exit

(B) Remove residents, Activate alarm or call 911, Contain fire, Extinguish

(C) Restore power, Activate alarm or call 911, Collect residents, Exit

(D) Remove window, Access outside, Call for help, Elderly residents first

(B)

How is MRSA most often spread?

(A) By direct physical contact

(B) By indirect contact

(C) By being in enclosed spaces

(D) Through the air

(A)

What is the best way to control the spread of MRSA?

(A) By taking medication

(B) Through proper hand washing

(C) By using masks

(D) By taking vancomycin

(B)

Which of the following is a correct response id a resident is having a seizure?

(A) Hold the resident down if he is shaking severely

(B) Give the resident a hard piece of candy to prevent choking

(C) Move furniture away to prevent injury to the resident

(D) Open the resident's mouth to move the tongue to the side to prevent choking

(C)

Development in children from 6 to 10 years old centers on cognitive development. Cognitive development means

(A) Developing touching and felling skills

(B) Learning right from wrong

(C) Developing thinking and learning skills

(D) Developing social relationship skills

(C)

Chapter 3:

What does palliative care involve?

(A) The resident's recovery

(B) Pain relief and comfort

(C) Teaching the resident to care for himself

(D) Curing the resident's illness

(B)

The last sense to leave the body is usually the sense of

(A) Hearing

(B) sight

(C) Taste

(D) Touch

(A)

Chapter 4:

A resident with AIDS who has nausea and is vomiting should eat

(A) Small, frequent meals

(B) Quickly

(C) High-fat dairy products

(D) Spicy foods

(A)

What should an NA do when providing oral care for a resident with cancer?

(A) The NA should use a commercial mouthwash for rinsing

(B) The NA should use a hard-bristled toothbrush

(C) The NA should assist the resident with brushing and flossing regular

(D) The NA should avoid giving oral care or give limited oral care

(C)

One way a nursing assistant can help with normal changes of aging related to the integumentary system is to

(A) Withhold fluids so a resident will not go to the bathroom often

(B) Clip toenails frequently

(C) Keep sheets wrinkle-free

(D) Rub lotion into red or irritated spots not he resident's skin

(C)

Which of the following is true of muscles?

(A) They provide movement of body parts

(B) Tow muscles meet at a joint

(C) They produce toxins

(D) They prevent contractors from occurring

(A)

How many bones are in the human body?

(A) 154

(B) 272

(C) 189

(D) 206

(D)

Homeostasis is

(A) Abnormal changes in the body systems

(B) The condition in which all of the body systems are working their best

(C) The building block of the body

(D) A group of cells that perform a similar task

(B)

When atrophy occurs

(A) The muscle slowly becomes stronger

(B) The muscle increases in size

(C) The muscles remains the same size

(D) The muscles decreases in size

(D)

Which of the following statements is true of how an NA should assist a resident with one-sided weakness after a stroke?

(A) The NA should lead with the weaker side

(B) The NA should stand on the weaker side

(C) The NA should use the terms bad or messed up so it is clear which side is the weaker side

(D) The NA should not use a gait belt during transfers

(B)

The eye and ear are part of

(A) The nervous system

(B) The integumentary system

(C) The respiratory system

(D) The circulatory system

(A)

Residents with chronic obstructive pulmonary disease (COPD) have trouble with

(A) Breathing

(B) Urination

(C) Losing weight

(D) Vision

(A)

Osteoporosis causes

(A) Vison impairment

(B) Bones that can break easily

(C) Weakening of the immune system

(D) Problems with breathing

(B)

Respiration consists of

(A) Intake and output

(B) inspiration and expiration

(C) Systole and diastole

(D) Dilation and contraction

(B)

What does the abbreviation PWB stand for?

(A) Previously-weakened bones

(B) Partial weight-bearing

(C) Patient's weight before

(D) Patient wants baths

(B)

Which of the following are symptoms commonly experienced by people who have diabetes?

(A) Excessive thirst, extreme hunger, frequent urination

(B)Weight gain, poor appetite, leg swelling

(C) Diarrhea, hyperactivity, dark yellow urine

(D) Infrequent urination, swollen lymph nodes, excessive energy

(A)

A normal change of aging for the female reproductive system is

(A) The continuation of menstruation

(B) An increase in moisture of the vaginal walls

(C) A weakening of the voice

(D) A loss of calcium

(D)

Which of the following is true of spinal cord injuries?

(A) Residents with spinal cord injuries will not be able to perform an self-care

(B) Rehabilitation is not helpful with spinal cord injuries

(C) The lower the injury, the greater the loss of function

(D) The higher the injury, the greater the loss of function

(D)

The yellowish fluid that carries disease-fighting cells is called

(A) Sperm

(B) Lymph

(C) Urine

(D) Blood

(B)

How should a resident with COPD be positioned?

(A) Glat on his back

(B) Sitting upright

(C) Lying on his stomach

(D) Lying on his side

(B)

How does the immune system protect the body from disease?

(A) Through nonspecific and specific immunity

(B) Through hormones

(C) Through digestion and elimination

(D) Through inspiration and expiration

(A)

What kind of shoes are best for diabetic residents to wear?

(A) Plastic shoes

(B) Leather shoes

(C) Pleather shoes

(D) Rubber shoes

(B)

Chapter 5:

Which of the following should a nursing assistant do if a resident is confused?

(A) Not mention the date or the location, as it will further confuse the resident

(B) Stay calm and provide a quiet environment

(C) Leave the resident alone until he is acting normally

(D) Avoid explaining care, as it will only agitate the resident

(B)

Confusion may be caused by

(A) Too much television viewing

(B) An unpleasant roommate

(C) Exercise

(D) Urinary tract infection

(D)

The ability to think logically and clearly is called

(A) Cognition

(B) Dementia

(C) Awareness

(D) Dysphagia

(A)

Which of the following statements is true of Alzheimer's disease (AD)?

(A) Skills a person has used over a lifetime are usually kept longer

(B) Residents with AD will show the same signs at the same times

(C) NAs should do everything for residents with AD

(D) Alzheimer's disease is a normal part of aging

(A)

When a resident with AD shows memory loss, the NA should

(A) Repeat herself using the same words

(B) Tell the resident that she already answered that question

(C) Remind the resident every time she forgets something

(D) Give the resident a long list of instruction to review

(A)

If a resident with AD is incontinent, the nursing assistant should

(A withholding fluids

(B) Dim the bathroom lights

(C) Mark the bathroom with a sign or picture

(D) Check resident every four hours to help determine a "bathroom time"

(C)

One way for a nursing assistant to help a resident with AD with eating is to

(A) Put a few types of food on the plate at the same time

(B) Use dishes without a pattern and a simple place setting

(C) Withhold food until the resident is really hungry

(D) Serve steaming hot foods and drinks

(B)

If a resident with AD has problems with dressing, the nursing assistant should

(A) Lay out clothes in the order they should put on

(B) Dress the resident in the hallway

(C) choose the resident's clothing or him

(D) Give the resident multiple steps to follow

(A)

A helpful way for a nursing assistant to respond to hallucinations is to

(A) Tell the residents that what she thinks she sees is not real

(B) Tell the resident that she can see the hallucination too

(C) Reassure a resident who is upset and worried

(D) Laugh to ease tensions and encourage the resident to laugh

(C)

Which of the following would be the best way for an NA to respond to inappropriate sexual behavior?

(A) Warn other residents that it is happening

(B) Take the resident to a private area

(C) Inform the resident's family that the resident is being inappropriate

(D) Reprimand the resident to shame him into stopping

(B)

When a resident with AD pillages and hoards, the nursing assistant should

(A) Warn the family that the resident is stealing things

(B) Try to confine the resident to his room

(C) Tell the resident that he needs to return the stolen items

(D) Provide a rummage drawer

(D)

Which of the following statements is true of using validation therapy?

(A) An NA makes no attempt to reorient the resident to actual circumstances

(B) An NA reminds the resident that he is not living in the past

(C) An NA reminds the resident about what is real and what is not real

(D) An NA tells the resident he is having delusions

(A)

Which of the following is a type of therapy that involves having residents with Alzheimer's disease remember and talk about the past?

(A) Reality orientation

(B) Validation therapy

(C) Reminiscence therapy

(D) Activity therapy

(C)

Chapter 6:

When transferring a resident from a bed into a wheelchair, where should the wheelchair be placed?

(A) On the stronger side

(B) On the weaker side

(C) ON the left side

(D) On the affected side

(A)

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

(A) Catch the resident under the arms to stop the fall

(B) Widen her stance and bring the resident's body close to her

(C) Lock her knees

(D) Move out of the way

(B)

What is a good way for a nursing assistant to promote respect, dignity, and privacy when helping a resident with care?

(A) If a resident takes too long to chose a shirt for the day, the NA should choose one for her

(B) The NA should knock on the door while a resident is in the bathroom to see if the resident can finish quickly

(C) The NA should encourage the resident to do as much as possible for her

(D) The NA should ask the resident to move faster if she is not moving quick enough

(C)

How does the king appear when it first begins to break down?

(A) Skin looks like a deep crater

(B) Skin turns pale, white, red, or purple

(C) Skin is covered with bruises

(D) Skin has raised blisters

(B)

When bathing a resident, a nursing assistant should

(A) Leave the resident alone to promote self-care

(B) Get each item needed as the resident asks for it

(C) Us bath oil to moisturize the resident's skin

(D) Make sure the room is warm enough before beginning

(D)

Which of the following statements is true of positioning?

(A) Residents will not need help getting into comfortable positions

(B) Constant pressure on an area helps prevent pressure ulcers

(C) NA's should check residents' skin each time they are repositioned

(D) Bedbound residents should be repositioned every three hours

(C)

How can a nursing assistant help promote independence and dignity while assisting with grooming?

(A) By doing things residents can do for themselves only when they NA is in a hurry

(B) By letting residents make choices once in a while

(C) By styling the resident's hair in cute, new ways

(D) By honoring the resident's preferences

(D)

Which of the following is an appropriate way for and NA to refer to a resident's weakened side when assisting with dressing?

(A) Broken side

(B) Stiff side

(C) Limp side

(D) Involved side

(D)

Oral care should be done at lease ____ time(s) a day.

(A) One

(B) Two

(C) Three

(D) Four

(B)

Ways to prevent aspiration during oral care of unconscious residents include

(A) Using a little liquid as possible when giving oral care

(B) Turning residents on their stomachs when giving oral care

(C) Not giving frequent mouth care

(D) Pouring water slowly into the resident's mouth

(A)

Dangling means

(A) Sitting up with legs over side of bed

(B) Sitting up in chair with feet on floor

(C) Lying in bed with feet over side of bed

(D) Hanging both arms over chair rests

(A)

A resident who is laying on either her left or her right side is in the ___ position.

(A) Supine

(B) Lateral

(C) Prone

(D) Fowler's

(B)

A resident who has her head and shoulders elevated and is in a semi-sitting position (45 to 60 degrees) is in the ___ position.

(A) Sims'

(B) Fowler's

(C) Prone

(D) Lateral

(B)

A Resident wo is lying on her stomach with her arms at her sides is in the ___ position.

(A) Sims'

(B) Fowler's

(C) Prone

(D) Lateral

(C)

A resident who is lying on her left side with her upper knee flexed and raised toward the chest is in the ___ position.

(A) Sims'

(B) Fowler's

(C) Prone

(D) Supine

(A)

A resident wo is lying flat on his back with his head and shoulder supported by a pillow is in the ___ position.

(A) Sims'

(B) Fowler's

(C) prone

(D) Supine

(D)

Chapter 7:

Which of the following is the normal temperature range of the oral method?

(A) 97.6 - 99.6 degrees F

(B) 96.6 - 98.6 degrees F

(C) 93.6 - 97.9 degrees F

(D) 98.6 - 100.6 degrees F

(A)

Which temperature site is considered to be the most accurate?

(A) Oral

(B) Rectal

(C) Axillary

(D) Tympanic

(B)

Which of the following should a nursing assistant do during a resident's admission?

(A) The NA should get the admission process completed as quickly as possible

(B) The NA should introduce the resident to other residents and staff members

(C) The NA should call the resident by her first name to make her feel comfortable more quickly

(D) The NA should place the resident's personal items where the NA thinks is best

(B)

The most common pulse that is used for measuring pulse rate is the

(A) Radial pulse

(B) Branchial pulse

(C) Carotid pulse

(D) Pedal pulse

(A)

The normal respiration rate for adults range from

(A) 18-30 breaths per minute

(B) 15-25 breaths per minute

(C) 12-20 breaths per minute

(D) 8-10 breaths per minute

(C)

Why should respirations be counted immediately after taking the pulse, while the fingers are still on the wrist?

(A) It is less work for the NA to count respirations right after taking the pulse

(B) People may breathe more quickly is they know they are being observed

(C) The chest will not rise and fall if the rate is not counted immediately

(D) The respiration rate will be different if the NA waits to take it

(B)

What is a nursing assistant's responsibility during an in-house transfer of a resident?

(A) The NA decided tat the resident must be transferred

(B) The NA must keep the fact that a transfer will occur a secret

(C) The NA should pack all of the residents belongings

(D) The NA should tell the resident's roommate about the transfer

(C)

Which of the following is true of non-sterile dressings?

(A) They cover open wounds

(B) They are applied to dry wounds

(C) They cover draining wounds

(D) Nursing assistants are never allowed to handle them

(B)

How far should a tympanic thermometer be inserted into the ear?

(A) 1/4 to 1/2 inch

(B) 3/4 inch

(C) 1 inch

(D) 1 1/2 to 2 inches

(A)

Which type of urine specimen does not include the first and last urine in the sample?

(A) Routine

(B) Clean-catch

(C) Stool

(D) 36-hour

(B)

Restraints can be applied

(A) As punishment from staff when a resident will not behave properly

(B) Only with a doctor's order

(C) When a staff member does not have time to watch resident closely

(D) When a nursing assistant judges a resident is a danger to himself or others

(B)

Which of the following is another word for armpit?

(A) Axilla

(B) Rectum

(C) Tympanum

(D) Temporal

(A)

Which of the following is a machine that changes air in a room into air with more oxygen?

(A) Oxygenfilter

(B) Oxygen tank

(C) Oxygen concentrator

(D) Oxygen supply valve

(C)

Which type of urinary catheter remains inside a person for a period of time?

(A) Drainage catheter

(B) Straight catheter

(C) Indwelling catheter

(D) I&O catheter

(C)

Chapter 8:

A nursing assistant's duties regarding tube feeding include

(A) Inserting tubes

(B) Doing the feedings

(C) Observing the feeding and reporting problems

(D) Cleaning the tubes

(C)

Which is the most essential nutrient for life?

(A) Vegetables

(B) Water

(C) Grains

(D) Protein

(B)

According to MyPlate, what percentage of fat in milk should be in a person's dairy choices?

(A) 1%

(B) 2%

(C) 3%

(D) 4%

(A)

Which of the following is true about food preference?

(A) Residents are old enough that their preferences will not change

(B) It is not important to honor residents' food preferences

(C) Education is never a factor in determining food preferences

(D) Religion might influence food preferences

(D)

Which of the following is a symptom of dysphagia (difficulty swallowing)?

(A) Eating everything on the tray at every meal

(B) Sweating during meals

(C) Fever during meals

(D) Watering eyes during meals

(D)

What is the first food to be restricted Ina low-sodium diet?

(A) Milk

(B) Salt

(C) Poultry

(D) Foods high in fat

(D)

Which of the following is a common reason why a resident may be on a fluid-restricted diet?

(A) The resident has heart disease

(B) The resident has urinary incontinence

(C) The resident has constipation

(D) The resident has pressure ulcers

(A)

Which type of vegetarian diet eliminates poultry, meats, fish, and eggs, but allows dairy products?

(A) Ovo-vegetarian diet

(B) Lacto-ovo vegetarian diet

(C) Lacto-vegetarian diet

(D) Vegan diet

(C)

Which types of vegetarian diet eliminates all poultry, meats, fish, eggs, and dairy products, along with all foods that are derived from animals?

(A) Lacto-ovo vegetarian diet

(B) Lacto-vegetarian diet

(C) Ovo-vegetarian diet

(D)Vegan diet

(D)

Why is it important for NAs to observe plates a meal tray when residents have finished eating?

(A) It helps the NA decide what to feed residents first

(B) Residents who are trying to lose weight will want the NA to keep a record of how they have eaten

(C) It helps the NA write a new diet order if the current one is not working

(D) It helps to identify a change in residents' food preferences

(D)

Chapter 9:

Regular activity and exercise help improve

(A) Interaction between the resident and his roommate

(B) The resident's spiritual fulfillment

(C) The resident's family's opinion of the facility

(D) The quality and health of the skin

(D)

Where should the NA be when helping a visually-impaired resident walk?

(A) The NA should be beside and sightly in front of the resident

(B) The NA should be beside and slightly behind the resident

(C) The NA should be about three feet away from the resident

(D) It does not matter where the NA stands when helping the resident

(B)

Bending a body part is called

(A) Extension

(B) Rotation

(C) Flexion

(D) Supination

(C)

How many times should each range of motion exercise be performed for each body part?

(A) At least one time

(B) At least two times

(C) At least three times

(D) At least four times

(C)

Which of the following cans has four rubber-tipped feet?

(A) Quad cane

(B) Functional grip cane

(C) C cane

(D) Crutch cane

(B)

How should a resident use a cane to aid ambulation?

(A) Place the cane about six inches in from his weaker leg

(B) Place the cane about six inches in front of his stronger leg

(C) Take the cane along in case he gets tied

(D) Allow the cane to drag about six inches behind him

(B)

What should an NA do if a resident's walker seems too short for the resident to use properly?

(A) The NA should adjust the height of the walker for the resident

(B) The NA should inform the nurse

(C) The NA should see if the resident can adjust the height of the walker

(D) The NA should suggest to the resident that she needs a new one

(B)