CNA State Exam

When getting ready to make a bed, the nurse aide should place the clean linens on:

a. A chair or table beside the bed

b. the roommates bed

c. a clean surface in the bathroom

d. the floor beside the bed

A. A chair or table beside the bed

The only purpose for using a restraint is to:

a. ensure the safety of the client or others

b. make the nurse aides job easier

c. calm a client who is verbally abusive

d. help the client be quiet

A. ensure the safety of the client or others

Articles contaminated with blood or body fluids should be disposed of in the:

a. soiled linen basket

b. biohazard container

c. soiled utility room

d. clients room trash container

B. biohazard container

To avoid pulling the indwelling catheter when turning a client, the catheter tubing should be secured to the clients

a. bed sheet

b. upper thigh

c. bed frame

d. hip

B. upper thigh

When collecting a 24-hour urine sample for a client, the nurse aide should request that the client

a. take a bath or shower before started the urine collection

b. select food items that do not contain red meat

c. drink 2 L of water

d. discard the first voided urine

D. discard the first voided urine

When ambulating the client, the nurse aide should:

a. ask the nurse for help

b. be sure the client is wearing non-skid footwear

c. ask a family member for assistance

d. walk in front of the client and show the client the way

B. be sure the client is wearing non-skid footwear

Which of the following is the best personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray?

a. shoe covers

b. a mask

c. goggles

d. a face shield

D. a face shield

Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care?

a. “Why are you being so mean today?”

b. “You should not say such mean things to people“

c. “I will come back when your bad mood is over”

d. “You seem upset. Would you like to talk about it?”

D. “You seem upset. Would you like to talk about it?”

The nurse aide has raised the height of the client’s bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do next?

a. instruct the client to lie still

b. quickly go to get the supplies

c. lower the bed, the place the call light within reach

d. ask the roommate to watch the client while the nurse aide gets the supplies

C. lower the bed, the place the call light within reach

A client requests that the nurse aide call the clients spiritual advisor. The nurse aide should:

a. ask the client why the client wants the nurse aide to call the clients spiritual advisor

b. tell the client that this is not part of the nurse aides job

c. tell the client that the nurse aide will inform the nurse of the clients request

d. call the spiritual advisor for the client

C. Tell the client that the nurse aide will inform the nurse of the clients request

A client wakes up during the night and asks for something to eat. The nurse aide should:

a. check clients diet before offering nourishment

b. tell the client nothing is available at night

c. explain that breakfast is coming in 3 hours

d. tell the client that eating is not allowed during the night

A. check clients diet before offering nourishment

The nurse aide is preparing to bathe a client. What should the nurse aide do first?

a. test the temperature of the water

b. help the client undress

c. tell the client what the nurse aide is going to do

d. close the door and windows

C. tell the client what the nurse aide is going to do

When making a bed that is occupied by a client, the nurse aid should

a. leave the bed in the lowest position

b. make the toe pleat

c. leave the bottom sheet untucked

d. place soiled linens on the floor

B. make the toe pleat

Frequent turning and repositioning of the client helps prevent

a. cyanosis

b. indigestion

c. coronary disease

d. pressure injuries

D. pressure injuries

When applying elastic stockings to the client, it would be best for the nurse aide to position the client

a. lying down in bed

b. dangling the legs from the edge of the bed

c. standing at the side of the bed

d. sitting in a wheelchair

A: lying down in bed

The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide should:

a. join in the conversation

b. suggest that this is not the place to discuss the client

c. be quiet and not say anything to the other nurses aides

d. return to the unit and tell the client what was said

B. suggest that this is not the place to discuss the client

The clients signaling device should be placed:

a. on the bed

b. within the clients reach

c. on the clients right side

d. with a wheelchair

B. within the clients reach

When helping a client who is recovering from a stroke walk, the nurse aide should assist:

a. on the clients strong side

b. on the clients weak side

c. from behind the client

d. with a wheelchair

B: on the clients weak side

A client who is confused begins to cry and scream out for the client’s parent. What should the nurse aide do next?

a. place the client in a geriatric chair

b. restrain the client in his bed

c. talk to the client in a calm voice about familiar voice

d. leave the client alone in his room until he calms down

C. talk to the client in a calm voice about familiar voice

Which of the following actions would be best for the nurse aide to take to show respect to the spiritual needs of a client?

a. escorting the client to religious services

b. discussing the nurse aides religion with the client

c. assisting the client to read the clients religious materials

d. Requesting that the facilities spiritual advisor visits the client

C. assisting the client to read the clients religious materials

While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the clients child, who died several years ago. The nurse aides best response would be to

a. quickly finish providing care and leave the client alone

b. pretend to be the clients child

c. ignore the client because the client is confused

d. ask the client about the clients favorite memories of the clients child

D. ask the client about the clients favorite memories of the clients child

When providing care for a client receiving oxygen therapy, the nurse aide should

a. check ears for pressure points

b. tape cracks in the oxygen tubing

c. let the nurse know that the nurse aide cannot care for the client

d. change the flow rate if the client is short of breath

A. check ears for pressure points

A client falls and suffers a deep cut on the forehead. What should the nurse aide do next?

a. take the client to the hospital

b. help the client back to bed

c. take the client into the bathroom to wash out the cut

d. stay with the client and call for help

D. stay with the client and call for help

The client has been sad and depressed since admitted to the facility yesterday. What would be the best thing for the nurse aide to do for the client.

a. Arrange for the clients spiritual advisor to visit the client

b. Turn on the television in the clients room and leave the client alone

c. force the client to take part in facility activities

d. introduce the client to other clients and staff members

D. introduce the client to other clients and staff members

The nurse aide is asked by a client who is confused “what day is it?” The nurse aide should:

a. explain that memory loss is natural and the date is not important

b. ignore the request

c. point to the date on a calendar and say the date

d. provide the date and test the client later

C. point to the date on a calendar and say the date

Which of the following is most important for the prevention of skin breakdown in the client?

a. air-drying the clients skin

b. rubbing lotion on the clients skin

c. ambulating the client once a day

d. Repositioning the client every 2 hours

D. Repositioning the client every 2 hours

When caring for a client who is dying, the nurse aide should:

a. only allow 1 visitor in the room at a time

b. keep the room dark at all times

c. pay special attention to fluid intake and mouth care

d. wear gloves when providing personal care

C. pay special attention to fluid intake and mouth care

To best communicate with a client who has total hearing loss, the nurse aide should

a. smile frequently and speak loudly

b. smile often and talk rapidly

c. avoid eye contact

d. write out the information

D. write out the information

When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide should:

a. check on the client every 5 minutes

b. make sure the clients water pitcher is full

c. protect the client with a seat belt

d. place the signaling device within the clients reach

D. place the signaling device within the clients reach

What would be the best way for the nurse aide to promote client independence when bathing a client who had a stroke?

a. Give the client a complete bath only when the client requests it

b. encourage the client to do as much as possible and assist as needed

c. leave the client alone and assume the client will do as much as the client can

d. limit the client to washing the clients hands

B. encourage the client to do as much as possible and assist as needed

Which of the following methods is the correct way to remove a dirty isolation gown?

a. pull the gown over the head

b. let the gown drop to the floor and step out of the gown

c. roll the gown dirty side in and away from the body

d. pull the gown off by the sleeve and shake the gown out.

C. roll the gown dirty side in and away from the body

The health care team member who assist the client with the performance of activities of daily living is the:

a. Social worker

b. occupational therapist

c. speech therapist

d. case manager

B. occupational therapist

What does “ambulate with assistance” mean?

a. walk with the client twice a day

b. the client may use a wheelchair

c. have the client use a cane for walking

d. the client can walk with the nurse aide providing help

D. the client can walk with the nurse aide providing help

When transferring a client, most of the clients weight should be supported by the nurse aides

a. back

b. shoulders

c. legs

d. wrists

C. legs

When changing a soiled dressing, the nurse aide should wash the nurse aides hands

a. before the procedure

b. after the procedure

c. before and after the procedure

d. before, during, and after the procedure

D. before, during, and after the procedure

The nurse aide must wear gloves when:

a. transferring a client

b. providing mouth care

c. dressing a client

d. weighing a client

B: providing mouth care

When assisting a client who has right-sided weakness to transfer from a wheelchair, the nurse aide should support the clients:

a. left side

b. right side

c. front side

d. back side

B. right side

The nurse aide can help prevent pressure injuries in the client by:

a. repositioning the client every 4 hours

b. massaging reddened areas on the clients skin

c. keeping linens clean, dry, and wrinkle free

d. using perfumed soap to clean the clients skin

C. keeping linens clean, dry, and wrinkle free

If a nurse aide discovers a small fire in a clients room, the nurse aide should first:

a. sound the alarm

b. contain the fire

c. remove the client from any danger

d. extinguish the fire

C. remove the client from any danger

When a client has memory loss or confusion, the nurse aide should:

a. reassure the client that forgetting information is expected with age

b. speak loudly to the client

c. ignore the clients statements that are not accurate

d. give the client simple step-by-step instructions

D. give the client simple step-by-step instructions

What does the abbreviation ADL mean?

a. Ad Lib

b. As Doctor Likes

c. Activities of Daily Living

d. After Daylight

C. Activities of Daily Living

Which of the following actions should the nurse aide take to communicate with a client who has hearing loss?

a. face the client when speaking

b. repeat statements twice every time

c. shout so that the client can hear you

d. use a high pitch voice

A. face the client when speaking

What is the first area of the clients body that the nurse aide should wash when providing a bed bath?

a. legs

b. face

c. arms

d. chest

B. Face

when a nurse provides the nurse aide confidential information about a client, the nurse aide should:

a. share it with the other clients

b. keep the information private

c. discuss the information with other staff members in the break room

d. discuss the information with the clients family

B. keep the information private

Before entering a clients room, the nurse aide should first:

a. turn lights on

b. identify self

c. knock on the door

d. call the client by the clients name

C. knock on the door

Mouth care for a client who is unconscious must be done every:

a. 2 hours

b. 4 hours

c. 6 hours

d. 8 hours

A: 2 hours

The nurse aide should place the clients soiled bedsheets:

a. on the bedside table

b. on the floor of the soiled utility room

c. in a biohazard bag

d. in the soiled linen container

D. in the soiled linen container

Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide should wait

a. 20 minutes

b. 25-35 minutes

c. 45-55 minutes

d. at least 1 hour

A. 20 minutes

To prevent dehydration of the client, the nurse aide should:

a. offer fluids frequently while the client is awake

b. wake the client hourly during the night to offer fluids

c. give the client frequent baths

d. feed the client salty foods to increase thirst

A. offer fluids frequently while the client is awake

When preparing to take a meal tray into the clients room, what is the most important action for the nurse aide to take?

a. check that the clients name is displayed on the tray card

b. make sure the clients favorite foods are present

c. determine if enough fluids have been ordered

d. keep all foods covered until eaten

A. check that the clients name is displayed on the tray card

Which of the following equipment should the nurse aide have available when caring for a clients beard

a. Basin, mirror, nail file, and towel

b. Towel, gloves, razor and having cream

c. shaving cream, razor, gloves and comb

d. razor, shaving cream, towels and orange stick

B. Towel, gloves, razor and having cream

To find out what type of diet the client should be receiving, it would be best for the nurse aide to check:

a. with the kitchen staff

b. on the clients room bulletin board

c. on the clients care plan

d. with the clients family

A. with the kitchen staff

what should the nurse aide do when a client with Alzheimer’s disease seems depressed and quiet?

a. Talk when the client is silent

b. observe the client for non-verbal cues

c. change subjects until the client begins to discuss something

d. tell the client not to worry

B: observe the client for non-verbal cues

Which of the following actions by the nurse aide can best demonstrate active listening skills?

a. changing the subject frequently

b. responding when appropriate

c. correcting the clients mistake

d. directing the conversation

B. responding when appropriate

The nurse aide should understand that a back massage

a. causes muscle spasms

b. increases blood pressure

c. promotes circulation

d. increases the heart rate

C. promotes circulation

When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on first?

a. both sleeves

b. left sleeve

c. clients choice

d. right sleeve

B. left sleeve

A client with arthritis reports difficulty when cutting the food. what should the nurse aide do to encourage the clients independence in eating?

a. cut the food and feed the client

b. insist that the client eat the meal without help

c. assist the client in cutting the food and encourage the client to use the special eating utensils

d. ask the dietary department to puree the clients food

c. assist the client in cutting the food and encourage the client to use the special eating utensils

The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs should the nurse aide understand that a quad cane has?

a. 1

b. 2

c. 3

d. 4

D. 4

Once a client has been pronounced dead, the responsibility of the nurse aide is to

a. make sure the body is clean

b. call the family

c. leave the room

d. give spiritual care

A. make sure the body is clean

A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The clients total liquid intake for lunch is

a. 360 mL

b. 450 mL

c. 480 mL

d. 520 mL

B. 450 mL

What is the term for a device used to take the place of a missing body part?

a. protonation

b. abduction

c. external rotation

d. prosthesis

D. prosthesis

It is appropriate for a nurse to share the information regarding a clients status with:

a. any one the nurse aide sees fit

b. the clients family members

c. the clients roommate

d. the staff on the next shift

D. the staff on the next shift

The nurse aide is caring for a client who is agitated. The nurse aide should:

a. speak loudly so that the client can hear the instructions

b. ask to reassign the care of this client

c. talk in a slow, calm, reassuring manner

d. tell the client to be quiet

C. talk in a slow, calm, reassuring manner

The purpose for padding side rails on the clients bed is to:

a. use them as a restraint

b. have a place to connect the call signal

c. protect the client from injury

d. keep the client warm

C. protect the client from injury

Exercises that move each muscle and joint are called:

a. adduction

b. range of motion

c. abduction

d. rotation

B. range of motion

How can the nurse aide best help a client who is not accepting a loss?

a. Leave the client alone

b. Convince the client to accept the loss

c. Encourage the client to talk

d. Discourage individual activity

C. Encourage the client to talk

The Heimlich maneuver (abdominal thrust) is used for a client who has:

a. A bloody nose

b. A blocked airway

c. Fallen out of bed

d. impaired eyesight

B. A blocked airway

A nurse aide can assist clients with their spiritual needs by:

a. taking clients to the nurse aides church

b. allowing clients to talk about their beliefs

c. avoiding any religious discussions

d. talking about the nurse aides own spiritual beliefs

B. allowing clients to talk about their beliefs

A nurse aide must wear gloves when:

a. feeding a client

b. doing peri-care

c. giving a back rub

d. doing range of motion

B. doing peri-care

When getting ready to dress a client, the nurse aide should:

a. get the first clothes the nurse aide can reach in the closet

b. give the client a choice of what to wear

c. use the clothes the client wore the day before

d. choose clothes that the nurse aide personally likes

B. give the client a choice of what to wear

Which of the following stages of dying is usually the final stage?

a. Anger

b. Acceptance

c. Bargaining

d. Depression

B. Acceptance

If a client says “God is punishing me” or “Why me?”, how should the nurse aide respond?

a. Reply, “god doesn’t punish people”

b. Listen quietly

c. ignore the client

d. Make jokes

B. Listen quietly

The role of the ombudsman is to:

a. run a group of nursing homes

b. work with the nursing home to protect clients rights

c. control the nursing home budget

d. prepare classes that nurse aides take to learn about client hygeine

B. work with the nursing home to protect clients rights

A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide should:

a. help the client understand the nurse aides faith

b. tell the client that it is important for the client to join some church, even if it is not the nurses aides church

c. respect the clients beliefs and avoid starting religious discussions

d. arrange to have the nurses clergyman visit the client

C. respect the clients beliefs and avoid starting religious discussions

The nurse aide notices that a clients mail has been delivered to the clients room. The nurse aide should

a. open the mail and leave it on the clients table

b. open the mail and read it to the client

c. read the mail to make sure it doesn’t contain upsetting news

d. give the client the unopened mail and offer help as needed

D. give the client the unopened mail and offer help as needed

Which of the following is a correct measurement of urinary output?

a. 40 oz

b. 300 cc

c. 2 cups

d. 1 quart

B. 300 cc

The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide should:

a. take the money so as not to offend the client

b. politely refuse the money

c. take the money and buy something for the floor

d. ask the nurse in charge what to do

B. politely refuse the money

All of the following situations are examples of abuse or neglect except:

a. restraining a client according to a physicians order

b. leaving a client alone in a bathtub

c. threatening to withhold a clients meals

d. leaving a client in a wet and soiled bed

A. restraining a client according to a physicians order

If a client is sitting in a chair in his room masturbating, the nurse aide should:

a. report the incident to the other nurse aides

b. tell the client to stop

c. laugh and tell the clients to go in the bathroom

d. leave the client alone and provide privacy

D. leave the client alone and provide privacy

To convert four ounces of juice to milliliters (ml), the nurse aide should multiply:

a. 4 × 5 ml

b. 4 × 10 ml

c. 4 × 15 ml

d. 4 × 30 ml

D. 4 × 30 ml

In giving care according to the clients Bill of Rights, the nurse aide should:

a. provide privacy during the clients personal care

b. open the clients mail without permission

c. use the clients personal possessions for another client

d. prevent the client from complaining about care

A. provide privacy during the clients personal care

The last sense a dying client will lose is:

a. smell

b. hearing

c. taste

d. sight

B. hearing

The normal aging process is best defined as the time when:

a. people become dependent and childlike

b. Alzheimer’s disease begins

c. normal body functions and senses decline

d. people are over sixty-five years of age

C. normal body functions and senses decline

If a client is confused, the nurse aide should:

a. ignore the client until he starts to make sense

b. restrain the client so that he does not hurt himself

c. keep the client away from other clients

d. help the client to recognize familiar things and people

D. help the client to recognize familiar things and people

What is the process of restoring a disabled client to the highest level of functioning possible?

a. responsibility

b. retention

c. rehabilitation

d. reincarnation

C. rehabilitation

Clean bed linen placed in a clients room but not used should be:

a. returned to the linen closet

b. used for a client in the next room

c. taken to the nurse in charge

d. put in the dirty linen container

D. put in the dirty linen container

The nurse aide finds a conscious client lying on the bathroom floor. The first thing the nurse aide should do is:

a. help the client into a sitting position

b. call for assistance from the nurse in charge

c. offer the client a drink of water

d. check for signs of injury

B. call for assistance from the nurse in charge

If a nurse finds a client who is sad and crying, the nurse aide should:

a. ask the client if something is wrong

b. tell the client to cheer up

c. tell the client to stop crying

d. call the clients family

A. ask the client if something is wrong

Clients have the right to

a. smoke in any area of the facility

b. have access to a telephone

c. go anywhere in the facility

d. see other clients medical reports

B. have access to a telephone

proper use of a waist restraint requires that the nurse aide:

a. release the restraint every four hours

b. watch for skin irritation

c. tie restraints to the siderail

d. apply the restraint tightly so the client cannot move

B. watch for skin irritation

A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should:

a. try to move the client alone

b. have the family to do it

c. ask another nurse aide to help

d. go on to another task

C. ask another nurse aide to help

To be sure that a clients weight is measured accurately, the client should be weighed.

a. after a meal

b. by a different nurse aide

c. at the same time of day

d. after a good nights sleep

C. at the same time of day

A safety device used to assist a dependent client from a bed to a chair is called a:

a. posey vest

b. hand roll

c. transfer/gait belt

d. foot board

C. transfer/gait belt

If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST.

a. wear the same gown to care for all other assigned clients

b. leave the gown untied

c. take the gown off before leaving the clients room

d. take the gown off in the dirty utility room

C. take the gown off before leaving the clients room

When making an occupied bed, the nurse aide should

a. put the dirty sheets on the floor

b. help the client to sit in a chair while the bed is being made

c. lower both side rails before changing the sheets

d. raise side rail on unattended side

D. raise side rail on unattended side

The nurse aide enters a clients room and the client states that he has pain. What should the nurse aide do?

a. report it to the nurse in charge

b. tell the client to get out of bed for awhile

c. tell the client that the pain will go away soon

d. ignore the clients statement

A. report it to the nurse in charge

A client is upset and crying over the recent death of her husband. How should the nurse aid respond?

a. tell her not to cry because it will make her feel sad

b. close the door and leave the client alone to cry

c. take the client to an activity to help her forget her husband

d. Sit with the client and allow her to talk about her feelings

D. Sit with the client and allow her to talk about her feelings

Which temperature is considered most accurate?

a. oral

b. axillary

c. groin

d. rectal

D. rectal

What is a beginning sign of a pressure sore?

a. swelling

b. numbness

c. discoloration

d. coolness

C. discoloration

While assisting a client with denture care the nurse aide observes that the upper plate is cracked. The nurse aide should:

a. clean the dentures and return them to the clients mouth

b. call the clients family

c. call the dentist and make an appointment

d. report the damage to the nurse in charge

D. report the damage to the nurse in charge