CNA Practice Test 2 (Headmaster-Minnesota)

To avoid injury, you should:

a. avoid reaching

b. use proper body mechanics

c. let resident know what you are going to do

d. all of the above

d. all of the above

Be sure you know the facility's emergency procedures by:

a. understanding fire and evacuation procedures

b. knowing the location of all exits

c. knowing where the fire extinguisher and alarms are

d. all of the above

d. all of the above

When you are communicating with residents, you need to remember to:

a. look away when they make direct eye contact

b. speak rapidly and loudly

c. face the resident and make eye contact

d. finish all their sentences for them

c. face the resident and make eye contact

You can help stop the spread of infection in a facility by:

a. following infection control guidelines

b. recognizing that infection control is everyone's responsibility

c. understanding what causes infections and how they are spread

d. all of the above

d. all of the above

Wear gloves whenever:

a. your hands are dirty

b. your hands are cold

c. you may be exposed to a cold

d. you are in contact with body fluids

d. you are in contact with body fluids

Many back injuries that are common to nursing assistants can be prevented by:

a. wearing a back brace

b. proper body mechanics

c. bending from the waist

d. keeping the knees locked

b. proper body mechanics

When doing a transfer you should never pull up on the resident's arms because:

a. you could get in her space

b. you could dislocate her shoulders

c. she might be unable to see behind you

d. she might be ticklish

b. you could dislocate her shoulders

Your personal hygiene and grooming are considered:

a. not too important

b. very important

c. difficult to maintain

d. not important to residents

b. very important

When doing perineal care, you should clean:

a. from front to back

b. from back to front

c. back and forth several times

d. whichever way is easiest

a. from front to back

Before transferring a resident from her bed to a wheelchair you should:

a. position the wheelchair away from the bed

b. lower the foot rests

c. lock the wheelchair brakes

d. be sure she has a restraint in place

c. lock the wheelchair brakes

When working with a dying resident, nursing assistants should:

a. talk with the resident about the dying process

b. be there to listen and comfort the resident

c. say "I understand how you feel"

d. leave the dying resident alone

b. be there to listen and comfort the resident

The basic nutrients include all except:

a. fats

b. carbohydrates

c. chemicals

d. proteins

c. chemicals

The first thing you should do if a person has a seizure is:

a. leave the room to find help

b. hold the person's hand

c. restrain the person

d. protect the person from injury

d. protect the person from injury

All the following are kinds of blood vessels except:

a. calculi

b. arteries

c. veins

d. capillaries

a. calculi

If you feel something is wrong with one of the residents, you should:

a. call the family

b. tell your charge nurse

c. see if a co-worker noticed it

d. do nothing until you know what the problem is

b. tell your charge nurse

Mrs. Jackson is an insulin dependent diabetic. She has not eaten any of her breakfast. As a nursing assistant you should:

a. ignore it - it is OK if she was not hungry

b. force her to eat

c. report the information

d. throw the food away

c. report the information

Constipation is mostly likely caused by:

a. too much activity

b. high fiber diet

c. excessive fluid intake

d. medications

d. medications

When caring for an insulin dependent diabetic, you would report all of the listed signs and symptoms EXCEPT:

a. euphoria

b. dizziness

c. sweating

d. drowsiness

a. euphoria

Sense organs carry messages about all of the following EXCEPT:

a. incontinence

b. taste

c. pain

d. smell

a. incontinence

To be an effective care giver for residents with memory loss, you should include all EXCEPT:

a. give them many choices at once, so they will at least remember one of the choices

b. answer all questions about time, place, and recent events no matter how many times the resident has asked you

c. give simple, one step instructions

d. be calm, understanding, and always treat them with respect

a. give them many choices at once, so they will at least remember one of the choices

Which of the following is NOT a feeling that family members have about someone suffering from dementia:

a. hope

b. anger

c. frustration

d. despair

a. hope

When caring for a resident with a tracheostomy, which of the following should you report immediately:

a. resident needs suctioning

b. resident is having breathing difficulties

c. the trachea tube came out

d. all of the above

d. all of the above

The most important information you should list on your resume is:

a. your religion preference

b. the number of children you have

c. your educational background

d. your political party affiliation

c. your educational background

The person that spends more time with the resident than any other member of the healthcare team is the:

a. doctor

b. nursing assistant

c. licensed staff

d. floor administrator

b. nursing assistant

The state survey team enters your building for a survey. You should:

a. ignore them

b. do your job as you were taught

c. stay in the utility room

d. complain to them about any problems you are having with your job

b. do your job as you were taught

The most critical characteristic needed to be a good nursing assistant is:

a. to have a negative attitude

b. to have a positive attitude

c. to be lethargic

d. to feel comfortable eating with the residents

b. to have a positive attitude

As a nursing assistant, you can comfort a lonely resident by:

a. showing them that you care

b. leaving them alone most of the time

c. avoiding eye contact when you can

d. bringing them small inexpensive gifts

a. showing them that you care

When getting Mrs. Thompson up, you ask her which outfit she would like to wear. You are following her right to:

a. privacy

b. choose

c. freedom from abuse

d. confidentiality

b. choose

When collecting a stool specimen, the sample should be transferred from the bedpan to the specimen container using:

a. forceps

b. a tongue depressor

c. a specimen lid

d. a specimen spoon

b. a tongue depressor

When caring for residents with dementia, it is important to remember that:

a. they have the same needs as everyone else

b. you can ignore them because they aren't aware

c. they really don't need much love because they can't respond to it

d. you don't need to explain things because they can't understand instructions

a. they have the same needs as everyone else

Some reasons a person may wander and pace include all BUT:

a. they are looking for loved ones or security

b. this is how they handle stress

c. they want to cause more work for the staff

d. they are looking for their home

c. they want to cause more work for the staff

According to the Resident Bill of Rights, all of the following are true EXCEPT:

a. having the right to manage their own affairs

b. having the right to choose an attending physician

c. having the right to file a grievance with the proper authorities

d. having the right not to pay their bill

d. having the right not to pay their bill

The nursing assistant should wear a gown for PPE when:

a. entering or leaving a resident's room

b. touching or handling surfaces close to the resident

c. suspects that the resident has an infection or open wound

d. coming into contact with blood or body fluids is likely

d. coming into contact with blood or body fluids is likely

When transporting waste items that are contaminated by blood, body fluids, secretions, or excretion, the items should be transported in a bag labeled with:

a. a resident's name

b. a red sticker

c. the word "waste"

d. a biohazard symbol

d. a biohazard symbol

Being able to care for oneself is called:

a. orientation

b. independence

c. positioning

d. holistic care

b. independence

When washing your hands, you should:

a. wash hands for 20 seconds and turn the sink off with clean hands

b. wash hands for 15 seconds and turn sink off with clean, dry paper towel

c. wash hands for at least 15 seconds and turn sink off with clean hands

d. wash hands for at least 20 seconds and turn sink off with clean, dry paper towel

d. wash hands for at least 20 seconds and turn sink off with clean, dry paper towel

You should wipe the ear pieces and diaphragm of the stethoscope before and:

a. during your shift

b. during use with each resident

c. after use with each resident

d. after your shift

c. after use with each resident

During your resident's shower, you noticed that one of your gloves has become torn and you have been exposed to bodily fluids. Your best steps are:

a. remove gloves, dispose of gloves, perform hand hygiene, replace gloves, continue with shower

b. remove gloves, replace gloves, continue with shower

c. call for help, remove gloves, perform hand hygiene, replace gloves, continue with shower

d. call for help, perform hand hygiene, replace gloves, continue with shower

c. call for help, remove gloves, perform hand hygiene, replace gloves, continue with shower

Julia plans to reposition Mrs. Smith in bed without changing the alignment of her head, back and legs. Julia realizes this procedure is known as:

a. pivoting

b. logrolling

c. turning away from

d. trochanter roll

b. logrolling

While performing post-mortem care on Mr. Smith, he produced a sound from his mouth while being repositioned. The nurse aide realizes this is:

a. normal, he was resuscitated successfully, regaining his life

b. normal, moving Mr. Smith's body can expel air resulting in the production of sound

c. not normal, deceased persons should never be able to make noise

d. not normal, this only occurs in extreme circumstances and should be reported immediately

b. normal, moving Mr. Smith's body can expel air resulting in the production of sound

An elevated temperature may be a sign of:

a. cancer

b. diabetes

c. choking

d. an infection

d. an infection

To reduce swelling in an injured ankle, the CNA might be asked to:

a. apply a warm compress

b. hold pressure on the area

c. apply a tourniquet

d. apply a cold compress

d. apply a cold compress

When using the tympanic thermometer for obtaining a temperature, the nursing assistant should pull the ear lobe _______________________ prior to inserting probe into ear canal.

a. down and back

b. down and forward

c. up and forward

d. up and back

d. up and back

The resident should be in the _____________________________ position while receiving tube feedings.

a. left side-lying

b. supine

c. semi-fowlers

d. lateral

c. semi-fowlers

Personal protective equipment worn when body fluids might spatter onto clothing would include:

a. mask

b. gown

c. hairnet

d. shoe covers

b. gown

You are walking down the hall and you noticed a spill of body fluids on the floor. Your immediate actions are:

a. don gloves, follow facility policy on cleaning up spills, dispose in designated container and disinfect the spill area

b. guard the area, call housekeeping, follow facility policy on cleaning up spills and disinfect the spill area

c. don gloves, call housekeeping, disinfect the spill area and wash hands

d. guard area, don gloves, disinfect the spill area and dispose in designated container

a. don gloves, follow facility policy on cleaning up spills, dispose in designated container and disinfect the spill area

A mask would always be used for:

a. contact precautions

b. nosocomial precautions

c. droplet precautions

d. ventilation precautions

c. droplet precautions

A nurse aide was accused of using a resident's credit card to purchase groceries for herself. This would be reported immediately as:

a. sexual abuse

b. emotional or mental abuse

c. physical abuse

d. financial exploitation or misappropriation

d. financial exploitation or misappropriation

A task that offers an opportunity to ensure a resident's dignity is providing:

a. water or beverage

b. good grooming

c. conversation

d. repositioning

b. good grooming

Bed Rails:

a. are not considered a medical device

b. are always used for residents at risk for falling out of bed

c. place a resident at risk for strangulation

d. are used for staff convenience

c. place a resident at risk for strangulation

The ombudsman:

a. enforces the regulations for all the care provided in the nursing home

b. approves the payment source for care for the resident

c. transfers residents from one nursing home to another

d. is a person required by law to investigate complaints by residents

d. is a person required by law to investigate complaints by residents

Signs and symptoms of depression in older adults include:

a. increase in endurance and activity level

b. participation in more social activities and family events

c. feelings of hopelessness and thoughts of death

d. increase in sexual interest and participation

c. feelings of hopelessness and thoughts of death

A resident was diagnosed with an ischemic stroke. You notice she has trouble swallowing her food and is coughing and choking while she is attempting to eat. The nursing assistant recognizes this may be:

a. dysarthria

b. dysrhythmia

c. dyspnea

d. dysphagia

d. dysphagia

Providing quality care and ensuring quality of life begins with:

a. a good pre-admission screening by the interdisciplinary team

b. the resident's first contact with staff and environment

c. sticking to the resident welcome handbook and contract

d. the resident's expectations for perfection

b. the resident's first contact with staff and environment

Mr. Thomas is on restricted fluids. He can have 1200 ml per day. For breakfast she drank 120 ml of coffee, 90 ml of juice, he had an 8 oz glass of water at around 10 am. For lunch he consumed and 8 oz glass of apple juice and another cup of 120 ml coffee. The amount of fluid he has left to consume for the day is:

a. 346

b. 390

c. 810

d. 854

b. 390

Mr. Jones needs his blood pressure taken 1 1/2 hours after his medication. The nurse gave the medication at 930 am. You would take his blood pressure at:

a. 1000 am

b. 1030 am

c. 1100 am

d. 1130 am

c. 1100 am

Back massages:

a. should be performed on every resident as part of routine care

b. can be performed even if its not on the care plan and no consent is required by the resident

c. should be performed while the resident is in prone position and under the direction of the nurse/care plan

d. require lotion

c. should be performed while the resident is in prone position and under the direction of the nurse/care plan

If the confused resident is resisting care, your best approach is to:

a. provide a detailed explanation about why you need to provide care

b. point out why the resident should allow you to continue

c. avoid pushing the resident to allow the care

d. contact the family to talk to the resident

c. avoid pushing the resident to allow the care

During respirations, inhalation refers to:

a. breathing air into lungs

b. breathing air out of the lungs

c. carbon dioxide leaving the lungs

d. chest falls

a. breathing air into lungs

Strategies to prevent pressure injury for a immobile resident include:

a. keeping head up at least 30 degrees and adding linen underneath the resident

b. re-positioning every 1 to 2 hours to prevent friction/shearing

c. massage bony prominence and lightly apply powder on the sheets

d. using wedges for repositioning and remind resident to call when ready to be moved

b. re-positioning every 1 to 2 hours to prevent friction/shearing

During active range-of-motion (AROM) the resident moves:

a. no limbs with or without assistance

b. one limb with limited assistance

c. all limbs freely, with no assistance

d. limbs with assistance

c. all limbs freely, with no assistance

When feeding a visually impaired resident you should:

a. explain the position of their food items using an imaginary clock

b. provide the resident with one food item at a time

c. assist with feeding the resident only in their room

d. ask the family to come in and assist the resident with feeding

a. explain the position of their food items using an imaginary clock

The care plan is a document that:

a. the nurse uses to chart care that was given to the resident

b. the CNA uses to chart the resident's vital signs

c. lists approaches the team will use to care for the resident

d. is used to chart accident incidences

c. lists approaches the team will use to care for the resident

The most serious complication of restraints is:

a. depression

b. anger

c. agitation

d. strangulation

d. strangulation

When experiencing a conflict with your coworker, you should:

a. immediately address it with the coworker so it does not fester

b. discuss it with your supervisor in a private location to request advice

c. ask the resident to make a decision that will resolve the conflict

d. report your coworker to the board of nursing

b. discuss it with your supervisor in a private location to request advice

Demonstrating good listening skills involves:

a. repeating what you heard the resident say when she has finished speaking

b. asking the resident questions whenever they pause in conversation

c. standing in an attentive manner as close as possible to the resident

d. setting your 'internal' timer and ending the conversation when the timer goes off

a. repeating what you heard the resident say when she has finished speaking

Physical changes in aging that affect the nervous system include:

a. increased sensitivity of nerve receptors in the skin (heat, cold, pain, pressure)

b. decreased blood flow to the brain, which may result in mental confusion and memory loss

c. an increase in more relaxed sleep patterns resulting in better sleep throughout the night

d. improved balance and coordination with a significant decline in falls

b. decreased blood flow to the brain, which may result in mental confusion and memory loss

Restorative care can be defined as:

a. improving verbal communication skills

b. maintaining the highest level of function

c. preserving well being and self awareness

d. maintaining safety including fall prevention

b. maintaining the highest level of function

Changes in the integumentary system as a person ages may include:

a. dry skin, wrinkling, graying hair

b. stiff joints, brittle bones, loss of strength

c. constipation, poor absorption of nutrients

d. frequent urination, dehydration

a. dry skin, wrinkling, graying hair

The goal of restorative nursing is to:

a. prepare the resident's to transition to another facility

b. prevent further disability

c. rehab the resident enough to return home

d. postpone the resident's progress

b. prevent further disability