Thẻ ghi nhớ: WA STATE CNA WRITTEN EXAM QUESTIONS | Quizlet
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A CNA falsely reports that one of his colleagues accepted an expensive gift from the family of a resident. This is an example of:
A.
Defamation
B.
Insubordination
C.
Negligence
D.
Malpractice
A
What does the diastolic blood pressure number, or bottom number, refer to?
A.
Diastolic blood pressure is the patient's blood pressure when it is too high.
B.
Diastolic blood pressure is the pressure in the arteries when the heart contracts.
C.
Diastolic blood pressure is the pressure in the arteries when the heart rests.
D.
Diastolic blood pressure is the patient's blood pressure when it is too low.
C
Which intervention will NOT help a patient with edema?
A.
Raising the patient's extremity above the heart
B.
Massaging the extremity with lotion to stimulate blood flow
C.
Using an ice pack or cold pack to reduce swelling
D.
Encouraging the patient to complete range of motion (ROM) exercises
C
Which of the following should a CNA do when shaving a resident?
A.
Use shaving cream to soften the hair and prevent nicks and cuts.
B.
Shave the resident's hair in the opposite direction of the hair's growth.
C.
Wash the resident's face completely and make sure it is dry before shaving.
D.
All of the above
A
A person lying on his abdomen with his head turned to one side is in the ________ position.
A.
Sims'
B.
Fowler's
C.
Prone
D.
Supine
C
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
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
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
A widowed client asks if you could assist her in scheduling some "alone time" with another client in the facility. You should:
A.
Inform the nurse of her request.
B.
Offer to help arrange some private time for this resident when her roommate is not present.
C.
Ask her who she would like to spend this "alone time" with so that you can help her schedule this time.
D.
Offer to have her speak to the facility's pastor to help her "guide her future plans" regarding intimacy in the facility.
B
One of a CNA's responsibilities is to record and total residents' intake and output. How often should this be done?
A.
Five times a day
B.
Once during each shift
C.
Every 12 hours
D.
Every 24 hours
B
A common sign of a panic disorder is:
A.
Joint pain
B.
Intense fear
C.
Chest pain
D.
Loss of hearing
C
A resident has decided that he does not want any lifesaving measures to be taken in the event that he stops breathing. What should be noted in his medical record to reflect this desire?
A.
WBC
B.
ADL
C.
DNR
D.
PMC
C
How much sleep do older adults typically require?
A.
8 to 9 hours
B.
12 to 14 hours
C.
5 to 7 hours
D.
10 to 12 hours
C
Which of the following is the most important step a CNA can take to prevent a resident from falling out of bed?
A.
Keeping the bed low to the floor
B.
Regular monitoring
C.
Padded briefs
D.
Mats on the floor
B
Ms. Miller has fragile skin and has experienced skin tears in the past. The CNA is getting ready to transfer her from her bed to a chair. What should the CNA do?
A.
Find another person to help with the transfer.
B.
Put plenty of lotion on Ms. Miller's arms.
C.
Put plenty of petroleum jelly on the CNA's hands before starting the transfer.
D.
Grip Ms. Miller firmly during the transfer so the CNA's hands do not move and cause friction.
A
The RN has assigned you the task of emptying urinary drainage bags for a group of patients. You should take which of the following actions?
A.
Complete this task and report its completion to the nurse.
B.
Tell the RN that CNAs are NOT permitted to do this.
C.
Kink the tubing before emptying the drainage bags.
D.
Disconnect the catheter tubing from the drainage bags.
A
The Resident's Bill of Rights is posted near the front entrance to the facility. What does this document contain?
A.
The ethical principles of healthcare
B.
Key financial information about billing for Medicare and Medicaid
C.
The moral imperatives of healthcare providers
D.
An outline of the legal rights of residents
D
Contractures are:
A.
A normal part of the aging process
B.
The result of too much physical activity
C.
An unfortunate and untreatable condition
D.
The result of too little physical activity
D
Many healthcare facilities are moving toward the goal of a restraint-free setting. Which of the following is the best way to achieve this goal?
A.
Use equipment such as non-skid socks during the day and bed rails at night to help prevent falls.
B.
Ban the use of restraints in the healthcare setting.
C.
Limit restraints to situations where falls cannot be otherwise prevented.
D.
All of the above.
C
Which of the following is true about the ombudsman?
A.
The ombudsman is at the facility to catch healthcare providers engaging in negligent or abusive behaviors.
B.
The ombudsman protects the health, safety, rights, and welfare of residents.
C.
The ombudsman is an employee of the facility.
D.
All of the above
B
You have a patient who has a history of falls. Which of the following safety measures will help keep him from falling out of his bed?
A.
A low bed
B.
Padded briefs
C.
A gym mat on the floor
D.
Monitoring the patient
D
Which of the following is a mistake of commission?
A.
A nursing assistant transfers the wrong resident to radiology for an x-ray.
B.
A nursing assistant does not report a resident's rectal bleeding.
C.
A nursing assistant forgets to take a resident's vital signs.
D.
All of the above
A
What should a CNA do if he or she sees a small fire in an unoccupied patient room?
A.
Extinguish the fire.
B.
Rescue residents in the rooms next door.
C.
Activate the fire alarm.
D.
Close all fire doors.
C
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?
A.
I think everything is normal, which is great!
B.
Let me find the nurse to talk to you about the results.
C.
Oh, he had a blood test? That is news to me.
D.
I cannot comment on patient treatment. Sorry.
B
A CNA should NOT:
A.
Delegate a task to another CNA
B.
Help other CNAs with their residents
C.
Understand delegation guidelines completely before performing a task
D.
Communicate with other members of the healthcare team
A
Which of the following is true about older residents?
A.
Older residents sleep less deeply
B.
Older residents have slower reaction times
C.
Older residents have reduced sensitivity to touch and to pain
D.
All of the above
D
While a nursing assistant is caring for a resident, the CNA notices a foul smell coming from the resident's wound. What should the CNA do?
A.
Clean the wound immediately.
B.
Give the resident an antibiotic because the wound may be getting infected.
C.
Inform the nurse.
D.
Nothing, wound care is not part of the role of the CNA.
C
Which of the following is not part of the admissions process?
A.
Making the resident feel comfortable and welcome in the facility.
B.
Preparing the resident's room.
C.
Signing admitting papers and consent for treatment.
D.
The resident goes home.
D
If a patient's chart notes that he be placed in a lateral position, he should lie:
A.
On the back with the bed at a 45-degree angle.
B.
On the side with a pillow under the head, a second pillow under the top arm, and a pillow under the top leg.
C.
On the stomach with the head to one side and pillows under the belly and feet.
D.
Flat on the back with a pillow under the lower back.
B
Who is the most important member of the care plan meeting?
A.
The patient
B.
The CNA
C.
The nurse
D.
The doctor
A
A CNA is making an unoccupied bed and accidently drops a clean sheet on the floor. What should the CNA do?
A.
Place the linen in the hamper because it is now soiled.
B.
Refold the linen and put it back in the clean linens pile.
C.
Brush any dirt off of the linen and make the bed.
D.
Pick the linen up and make the bed.
A
Which is the proper safety technique for a CNA to use when cleaning a resident's dentures?
A.
Place dentures on a shelf next to the sink to dry.
B.
Place a paper towel in the sink while cleaning the dentures.
C.
After cleaning, place the dentures in a glass next to the sink.
D.
Place a cloth towel in the sink while cleaning the dentures.
D
When a resident complains of chest pains, what should a CNA do?
A.
Call for help immediately.
B.
Help the resident perform breathing exercises to increase her oxygen levels.
C.
Massage the area where the resident is in pain.
D.
Offer a pain reliever to help make the resident more comfortable.
A
How should a CNA conduct oneself regarding a resident's religious beliefs?
A.
Leave it to the family to support the resident's religious beliefs.
B.
Provide support and allow the resident to practice his religious beliefs.
C.
Ignore the resident's religious beliefs.
D.
Try to convert the resident to the CNA's religious beliefs.
B
A new resident is having difficulty getting dressed. The CNA helps the resident. Which document should the CNA use to record this information?
A.
Progress notes
B.
Minimum data set
C.
Admission sheet
D.
Flow sheet
D
If a CNA makes a mistake recording a patient's temperature, what should he do to correct this notation?
A.
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.
B.
Erase the incorrect notation and write the new notation in pencil.
C.
Cross out the mistake and write the correct number next to the mistake.
D.
Use liquid paper to cover the mistake and then write the correct notation over the mistake.
A
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?
A.
Malpractice
B.
Battery
C.
Negligence
D.
Assault
C
How should a CNA speak to a patient who is in an agitated state?
A.
In a calm and clear manner, while attempting to determine why the patient is agitated.
B.
Through the patient's roommate who may be able to calm or comfort the patient.
C.
The CNA should report this behavior to the RN on duty, who will then manage the patient.
D.
The CNA should not communicate with the patient, as he or she does not want to communicate.
A
What is one way to emotionally connect with your residents without crossing boundaries?
A.
Doing favors for residents, such as calling banks to get financial information and making online purchases.
B.
Taking time to listen to the resident.
C.
Meeting with residents' families in the community to develop closer relationships.
D.
Receiving gifts from residents' families.
B
Which of the following best describes standard precautions?
A.
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.
B.
Healthcare providers wash hands and skin if they become soiled with blood or bodily fluids and at certain times during the day.
C.
The use of personal protective equipment (PPE) by healthcare providers when there is a risk of coming into contact with patients' bodily fluid.
D.
All of the above are standard precautions.
D
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
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
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
A nursing assistant catches a resident with type 2 diabetes eating a candy bar and drinking a sugary soda. What should the nursing assistant do?
A.
Speak to the resident about her choices, encourage her not to eat and drink these items, and tell the nurse.
B.
Nothing. It is the resident's life, and she can do whatever she wishes.
C.
Yell at the resident and tell her that she is stupid for eating and drinking these high-sugar items.
D.
Immediately take the candy bar and soda from the resident, as these items are dangerous for a diabetic.
A
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
You are about to bathe Mr. Potter, but he begins screaming and refuses to take his evening bath. What should you do?
A.
Tell him that he is disturbing others and threaten to restrain him.
B.
Call for another CNA to help you get Mr. Potter to bathe.
C.
Stop trying to get Mr. Potter to bathe and wait until he calms down.
D.
Be firm and insist that he bathe.
C
Angina is:
A.
A heart attack
B.
Chest pain caused by low blood flow to the heart
C.
Lack of oxygen in the blood
D.
A deep breathing exercise
B
If a resident asks the CNA for time alone with his wife, what should the CNA do?
A.
Check with the nurse about the resident's health before making a decision.
B.
Remind the resident that the CNA has important work to finish, and keep working in the resident's room.
C.
Remind the resident that there is to be absolutely no "hanky panky" and then leave the room with the door open.
D.
Leave the resident's room and close the door.
D
Which is an example of neglect?
A.
Not giving a patient solid food when she is on a liquid diet.
B.
Letting a patient sit in soiled briefs for an entire shift.
C.
Using restraints under doctor's orders.
D.
All of the above
B
To prevent the spread of infection, contaminated surfaces should be cleaned at the following times, except:
A.
After spilling urine
B.
After taking off gloves
C.
When blood has dripped
D.
After completing a task
B
Providing restorative care includes:
A.
Making long-term goals with the resident
B.
Enabling the resident's dependence on assistive devices
C.
Reminding the resident of his limitations
D.
Doing everything for the resident
A
Which of the following is the right terminology when referring to residents with developmental disabilities?
A.
Mental retardation
B.
Mentally retarded
C.
Slow
D.
Intellectually disabled
D
You are caring for Ms. Hernandez, a resident who has trouble talking as a result of a stroke she experienced several months ago. Which of the following health team members would be assigned to provide treatment for this difficulty?
A.
Respiratory therapist
B.
Occupational therapist
C.
Physical therapist
D.
Speech therapist
D
Which of the following is true about a patient's medical record?
A.
It is not important for healthcare providers to protect patient confidentiality regarding the patient's medical record.
B.
A patient has the right to see her medical record.
C.
The medical record is only important for the patient in the first three months of residential nursing care.
D.
All of the above
B
Which of the following tasks can a nursing assistant legally perform?
A.
Inserting a urinary catheter
B.
Wound care
C.
Giving a patient medication
D.
Taking a patient's blood pressure
D
Which of the following is a best practice when helping a patient perform ROM exercises?
A.
Getting clear information from the nurse and the care plan as to the kinds of ROM exercises ordered and the frequency of the exercises.
B.
Pushing joints past the point of pain to help increase the range of motion.
C.
Only performing active ROM exercises to ensure the full range of motion.
D.
All of the above
A
A nurse requests that you take a resident's pulse at the apical site. What should you do?
A.
Place a stethoscope over the resident's heart, count the number of beats in a minute, and record the result.
B.
Place two fingers under the resident's chin on the left side, count the number of beats in a minute, and record the result.
C.
Hold the resident's wrist, count the number of beats in a minute, and record the result.
D.
None of the above
A
When shaving a male resident's neck, in which direction should you move the razor?
A.
Any direction is fine
B.
Downward strokes
C.
Upward strokes
D.
Side-to-side
C
Which of the following is a risk factor for falls?
A.
Care equipment, such as IV poles and tubes
B.
Poor judgment
C.
Urinary or fecal incontinence
D.
All of the above
D
You are caring for an 85-year-old man who has stiffness and pain in his joints, and he does not like to move because of this pain. What kind of treatment might be most appropriate for his condition?
A.
Bed rest
B.
ROM exercises
C.
Extra sleep
D.
All of the above
B
The best way for nursing assistants to manage the effects of poor or inappropriate behavior in a healthcare setting is to:
A.
Restrain the patients
B.
Prevent the behavior
C.
Medicate the patients
D.
Control the patients
B
Before entering a patient's room, a CNA should:
A.
Knock on the resident's door before entering.
B.
Check the resident's care plan.
C.
Make sure that the supplies are stocked for the unit.
D.
All of the above.
A
What needs are found on the lowest level of Maslow's hierarchy of needs?
A.
Love and belonging
B.
Self-esteem
C.
Safety and security
D.
Physical
D
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?
A.
Tell the patient to go home because he knows what is best for his care.
B.
Explain the risks of dehydration, respect his decision, and inform the nurse about his condition.
C.
Request an IV for the patient so that the patient can get fluids without drinking anything.
D.
Force him to drink water immediately, because dehydration is dangerous.
B
If a patient refuses treatment and the CNA performs this care on the patient anyway, what could happen to the CNA?
A.
Nothing. CNAs should always perform care on patients regardless of patient wishes.
B.
The CNA could be given an award for performing care under challenging conditions.
C.
The CNA could be promoted as leader on the floor because he can get things done.
D.
The CNA could be charged with assault or battery.
D
Which is NOT a reason why a CNA should refuse an assignment?
A.
The CNA is upset because of a personal conflict with the patient's family.
B.
The CNA believes the task is unethical.
C.
The task is outside of the CNA's standard of care.
D.
Performing the task could be harmful to the CNA.
A
Which should the CNA NOT do as a healthcare professional?
A.
Arrive to work on time, or even 5-10 minutes early.
B.
Work single-handedly to take care of patients.
C.
Eat well and get plenty of exercise and sleep.
D.
Arrive at work well groomed in a clean uniform.
B
While standing in the elevator, a CNA overhears his colleagues speaking about a resident's care. What is this a violation of?
A.
The patient's right to medical care.
B.
A DNR order
C.
Patient confidentiality
D.
It is not a violation of anything as professionals are discussing resident care.
C
How is residential nursing care paid for?
A.
Medicare
B.
Medicaid
C.
Private health insurance
D.
All of the above
D
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:
A.
Battery
B.
Abuse
C.
Negligence
D.
Assault
C
Which of the following is NOT a normal part of changes in all older adults?
A.
Bones become more brittle and can break more easily
B.
The person is confused all the time
C.
Night vision decreases
D.
The skin becomes more fragile
B
When speaking with a resident, the CNA should NOT:
A.
Listen to what the resident is saying
B.
Address the resident by Mr. Mrs. or Ms. and his or her last name
C.
Speak loudly and clearly so that the resident can hear the CNA
D.
Share intimate or personal details of his or her life
D
Which of the following is the first step in preventing the spread of germs?
A.
Keeping living areas clean
B.
Emptying trash cans every day
C.
Covering the resident's mouth when she sneezes
D.
Handwashing
D
In which of the following facilities do CNAs work?
A.
Hospitals
B.
Long-term residential nursing care
C.
Rehabilitative care
D.
All of the above
D
The term medical asepsis means:
A.
Practices designed to reduce the number of pathogenic microorganisms and limit their growth and transmission in the patient's environment.
B.
The injection of a killed microbe in order to stimulate the immune system, thereby preventing disease.
C.
An environment completely free from microorganisms.
D.
The process of killing microorganisms using chemicals or heat.
A
When is a cold pack used?
A.
To stop pain
B.
To stop bleeding
C.
To decrease swelling
D.
To increase circulation
C
Which of the following practices ensures adequate protection when wearing gloves?
A.
Handwashing before and after glove use.
B.
Only use gloves when touching a resident's blood.
C.
A small tear in the glove will still keep out germs.
D.
Wash hands only after removing gloves.
A
When assisting a resident with a bed bath, what should the CNA do?
A.
Scrub the resident's skin vigorously to make sure she is clean.
B.
Close the curtain to provide privacy.
C.
Make sure that the water temperature is between 85-95 degrees Fahrenheit.
D.
Start bathing the resident's feet first.
B
Where can a CNA take a resident's temperature?
A.
Oral
B.
Rectal
C.
Axilla
D.
All of the above
D
When a resident has a seizure she:
A.
Has convulsions.
B.
Has consumption.
C.
Has a heart attack.
D.
Has high blood sugar.
A
When performing oral care on an unconscious resident, a CNA must use:
A.
Mouthwash
B.
A soft toothette
C.
A toothbrush
D.
All of the above
B
If a resident can sit up, pivot, and get out of bed with little assistance but has difficulty reaching the bathroom, which device is the most appropriate to use for elimination?
A.
Portable commode
B.
Regular toilet
C.
Bedpan
D.
All of the above
A
A resident receives oxygen therapy through a face mask. When should the face mask be removed?
A.
For eating
B.
For sleeping
C.
Every 2 hours
D.
Every 8 hours
A
Which of the following is an objective sign or symptom and can be directly observed by a CNA?
A.
Nausea
B.
Chills
C.
Blood pressure measurement
D.
Pain level
C
A pulse oximeter can be effective when attached to a person's:
A.
Toe
B.
Finger
C.
Earlobe
D.
All of the above
D
When putting anti-embolism stockings on a patient, the CNA should:
A.
Pull the stockings up quickly from the resident's foot.
B.
Ensure that the stockings have no wrinkles in them.
C.
Ensure that the stockings are very tight.
D.
All of the above
B
If a patient is actively dying, how often should a CNA record his or her vital signs?
A.
Never
B.
Once every 15 minutes
C.
Once every 30 minutes
D.
Once every 60 minutes
A
Which device is used to transfer a resident from a bed to a stretcher?
A.
Trapeze
B.
Slide board
C.
Hoyer lift
D.
Gait belt
B
Which of the following positions will assist a patient who has difficulty with deep breathing?
A.
Lateral position
B.
Prone position
C.
Supine position
D.
Fowler's position
D
What is the expected order of the five stages of grief?
A.
Bargaining, denial, anger, depression, acceptance
B.
Denial, anger, bargaining, depression, acceptance
C.
Depression, anger, bargaining, denial, acceptance
D.
Anger, denial, bargaining, depression, acceptance
B
Which of the following is the goal of hospice care?
A.
To restore a person's range of motion
B.
To provide assistance with activities for daily living
C.
To meet the emotional, spiritual, and physical needs of a dying person
D.
To cure a person's illness
C
Which of the following actions protects a resident's right to privacy?
A.
While assisting a resident in the shower, a CNA leaves the door cracked open.
B.
A CNA helps a resident dress behind a curtain.
C.
A CNA forgets to close the curtain when assisting a resident using a bedpan.
D.
A CNA remains in the room while a resident has visitors.
B
After signing the consent forms for an upcoming invasive procedure, a patient has a few questions. What should the CNA say to the patient?
A.
I am so sorry, but you already signed the consent forms so the time for questions has passed.
B.
I am sure you can ask the doctor right before the procedure begins.
C.
I'll speak to the nurse to ask the doctor to speak with you.
D.
What are your questions? I'll see if I can answer them.
C
A CNA is assigned a comatose patient on a ventilator. The CNA has never provided care for a patient in this state. What should the CNA do?
A.
Do the best that he or she can, as everyone will have a first time caring for this kind of patient.
B.
Request to switch patients with another CNA who has done this kind of care before.
C.
Tell the nurse manager that he/she has never done this kind of care and request additional instructions and training materials.
D.
Ask for pointers and tips from a CNA experienced with this kind of care.
C
A patient says that he is depressed. What should the CNA say?
A.
"Can you tell me more about this? Would you like to speak with someone about this?"
B.
"I am so sorry that you are feeling this way."
C.
"I know there is a lot to feel sad about these days, but you'll get through it."
D.
"That is tough. Maybe your family can help."
A
Which is a safety measure that a CNA should employ when helping a resident shower?
A.
Make sure the resident has access to the call light.
B.
Check the temperature of the water.
C.
Lock the wheels of the shower chair.
D.
All of the above
D
When a resident is placed in restraints, which of the following statements is true:
A.
The resident is being punished for poor behavior.
B.
A nurse decided to put the resident in restraints.
C.
The healthcare team should leave the resident alone because the resident is usually violent.
D.
The healthcare team must check the resident's circulation at the site of restraint at least once every thirty minutes.
D
A resident refuses to wash his hair even though it is beginning to become tangled and visibly dirty. What should the CNA do?
A.
Nothing—it is his hair.
B.
Tell the resident that he must bathe in order to stay in long-term care.
C.
Respect the resident's wishes and inform the charge nurse of his decision.
D.
Wash the resident's hair anyway—he needs it.
C
Which is the proper protocol for droplet precautions?
A.
Healthcare providers must wear special masks called High Efficiency Particulate Arrestance (HEPA) masks, and the patient is placed in a negative pressure room.
B.
A patient is placed in a private room, and healthcare providers must wear masks and wash their hands when entering the room.
C.
A patient has an infection that can be transmitted through touch. Healthcare providers must wear a gown, gloves, and use special soap to treat the patient.
D.
None of the above is the proper protocol for droplet precautions.
B
Which of the following is a sign of depression in a patient?
A.
An elevated temperature
B.
Memory loss
C.
Sadness and despair
D.
Unexplained bruising
C