CNA Exam 2

You are assigned to perform multiple tasks with several residents. When planning care, which has the highest priority in determining which tasks to perform first?

The safety of the residents involved

An alert and orientated resident chooses not to wear an ID bracelet in the long-term facility. Which action should the nurse assistant take to identify the resident?

follow the center’s policy and care plan

A resident is experiencing diarrhea and complaining of lightheadedness when standing. The resident is normally able to ambulate to the bathroom without assistance. What’s the first action a nursing assistant should take?

Place the call bell within reach, and instruct the resident to call for assistance before getting out of bed.

The nurse assistant finds a patient entangled in hospital bed rails. What action should the nurse assistant take first?

Try to release the patient and call for the nurse

An aide enters a patient’s room in response to the call light and sees a fire behind the television. What is the aide’s first action?

Move the patient to a safer location away from the room

You spilled a hazardous substance. Before cleaning up the spill, you should

check the safety data sheet (SDS).

A tsunami warning was issued for your area. You are at work. What should you do?

follow the agency’s disaster plan

You do if you find that a patient has fallen on the floor but does not appear to be hurt? After the nurse assesses the patient and the patient is safe, what should you do?

Fill out an incident report that correctly records what happened and file it with the facility’s risk manager

You are assisting a resident with morning care when you notice they have a yellow wristband on. Later, the resident attempts to stand up without assistance. What should your immediate concern be?

They are at risk of falling.

You hear a chair alarm going off in a resident's room while assisting another resident. What should you do next?

Respond to the alarm immediately.

You are assigned to care for four residents. Which resident would you monitor most closely for potential injury from bed rails?

A resident with mild dementia who is often restless.

You notice a resident wandering aimlessly around the facility. What is the most appropriate way to manage their behavior?

Allow the resident to wander in a safe, designated area.

A resident with an abdominal wound needs to be transferred to a wheelchair for lunch. What should you do before applying a transfer belt?

Check the care plan and consult the nurse.

A patient recovering from gastric surgery has been moved to a full liquid diet. What would you expect to find on their meal tray?

Pudding and a glass of milk.

You are observing an elderly resident who hasn't been feeling well. What might be a reason they aren't showing typical signs of infection?

Their immune system responds more slowly.

You're wearing gloves while performing a procedure and realize you need to touch a clean surface. What should you do?

Remove the gloves and decontaminate your hands.

You're caring for a resident who is in contact precautions for C. difficile. What action should you take to protect yourself and others?

Wash hands thoroughly with soap and water.

A nurse assistant is cleaning surfaces in a resident's room. What is the purpose of using a chemical disinfectant?

To provide aseptic measures.

What is the most effective and easiest way to prevent the spread of infection in a healthcare setting?

Practicing proper hand hygiene.

You are assisting a resident with their personal hygiene. How can you help control the risk of infection during this process?

Wipe from the urethra to the rectum (front to back).

You serve a resident a meal consisting of 3 ounces of fish, 2 Tablespoons of rice, 5 ounces of green beans, and 1 cup of fruit. They eat all the fish, rice, and fruit but leave the vegetables untouched. How should you record their intake?

 75%

An elderly resident complains that their room feels too cold. What should you do first?

Offer them a sweater or blanket and report the request to adjust the room temperature.

After being admitted to a healthcare facility, a resident develops an infection. This infection is classified as:

A healthcare-associated infection.

During evening rounds, you notice smoke coming from under a closed door. What should you do first?

Touch the door; if it's hot, do not open it.

You are asked to perform three tasks for a resident where contact with blood or body fluids is likely. How many pairs of gloves should you have?

At least 3 pairs

A resident is restrained for their safety. How can you promote their independence while they are restrained?

Ensure the signal light and needed items are within reach.

You are delegated tasks involving transmission-based precautions. According to CDC guidelines, what should you consider?

What personal protective equipment (PPE) to wear.

While feeding a resident dinner, you notice they are unusually sleepy and begin to cough after taking a sip of their drink. Suspecting aspiration, what should you do next?

Remove all food and drink from the resident's reach and notify the nurse.

When caring for a resident on aspiration precautions, what should you check for after they finish eating?

Pocketing of food

Before serving a meal, what should you assist the resident with?

Elimination needs

When feeding a resident, which utensil should you use to serve food?

Teaspoon

Why is protein an important nutrient for residents?

It is necessary for tissue growth and repair.

When feeding a resident with dementia, what should you consider?

Providing a limited number of food choices.

When serving a meal to a visually impaired resident, how should you describe the food?

Describe the food using clock positions to indicate the location of each item.

If a resident's meal tray is delayed and not served within 15 minutes, what should you do?

Re-check the food temperatures.

You discover that a piece of electrical equipment you need has a frayed cord. What should you do?

Mark the equipment with a "do not use" sign and report the issue.

A resident with dementia is receiving intravenous antibiotics and keeps trying to pull out the IV line. What might the nurse use to prevent this behavior?

A mitt restraint

A resident asks for help cutting the meat on their lunch tray. To prevent choking, what should you do?

Cut the meat into bite-sized pieces.

During your night shift, you notice that a resident's call light isn't working. What should you do?

Report the issue and provide an alternative way for the resident to call for help.

A resident receives a new bracelet and asks you to store it in their valuables envelope. How should you describe it?

Record it as a yellow, 7-inch long bracelet that is 1/2-inch wide with no stones.

A resident with congestive heart failure (CHF) is on a low-sodium diet, but their dinner tray includes fried chicken and fries. What should you do?

Remove the tray and notify the nurse to get a correct meal.

After a resident receives a tube feeding, how long should they remain in semi-Fowler's position?

1 to 2 hours

You are assisting a resident with ambulation using a gait belt when they begin to fall. What should you do?

Keep your feet wide apart, bend your knees, and lower the resident to the floor, letting them rest on your leg.

While working in an isolation room, how should you handle soiled linens to maintain infection control?

Place soiled linens in a plastic linen bag, seal it, and slip it into another bag held by another aide outside the room. Remove PPE, wash hands, and take the double bag to the soiled utility area

What is a key responsibility of a nursing assistant in terms of a resident's nutrition?

Ensure the resident has access to water and assist with eating if needed

A person with dementia requires isolation precautions. A mask is required. To prevent fear and

agitation, what action should the nurse assistant take?

Let the person see the nurse assistant face before putting on the mask

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 faceshield

When preparing to take a meal tray into the client’s room, what is the MOST important action for the nurse aide to take?

Check that the client’s name is displayed on the tray card