CNA STATE TEST

Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should?

Turn the client every 2 hours, and encourage coughing and deep breathing.

Justine (CNA) was instructed by the staff nurse to elevate the client's casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she does which of the following?

Places the casted limb above the level of the heart

A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant?

Restraint straps that are safely secured to the side rails.

The nurse inserts a Foley catheter to relieve a client's urinary retention. Which of the following is an inappropriate action in caring for clients with an indwelling catheter?

Attaching the drainage bag to the lowest part of the siderails near the clients feet.

Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition?

Cauliflower

In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The idea water temperature is?

Between 95F-110F

The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen:

30 minutes before means and at bed time

The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation?

In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.

Which is correct about ostomy care?

Able clients can perform this procedure by themselves once they have been taught by a nurse

A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she:

Applies the stockings while the client is on bed

The nursing assistant is aware that the purpose of the elastic stockings is to?

Prevent blood clots

A COPD client recently admitted to the floor needs constant oxygen therapy. When assistant this patient, the nursing assistant can:

Keep the connecting tubing secure and free of kinks

After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg:

Every hour

Which of the following statements is correct pertaining to binders application?

The double T-binder is specifically used for male clients.

Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose?

Rubber sheet

Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include:

Restlessness, dizziness, and disorientation

An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can be done by:

Sitting up and leaning over a table with a pillow

Which action is incorrect when flossing the client's teeth?

Use a new piece of floss for each tooth

To obtain a 24-hour urine specimen, the nursing assistant should:

Discard the first voided specimen and then collect the total volume of each voiding in 24 hours

A client was fitted with a hearing aid. She understands the proper use and wear of this device correctly when she says that the device is turned on and adjusted to a:

Audible level

One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia:

Are not able to express themselves meaningfully through speech.

The nursing assistant is aware that the responsibility for keeping an accurate I%O record is part of her duties. If the client is incontinent, how should she document the output?

Record on the output side of the I&O sheet each time the bed is wet.

Which of the following are examples of fluid output that need to be recorded on the I&O sheet?

Urine, emesis, blood loss, and excessive perspiration

A client is receiving therapy via face mask. Which of the following is contraindicated for this client?

Shaving using an electric razor

Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately?

Velcro clothing, slip-on shoes, and rubber grippers

Which of the following is not included in the care of clients with a pacemaker?

The client is not allowed to be around electrical appliances.

Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action?

Ask the nurse to observe the stool.

Which is NOT a rule for collecting specimens?

Collect the specimen when you have time.

The nursing assistant knows that the responsibilities of the position do NOT include?

Administering a medication.

Which of the following would be considered an example of battery toward a patient?

The nursing assistant bathes the resident without his or her permission.

The nursing assitant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next?

Report the suspected situation to the nursing assistant's immediate supervisor.

MRSA is an example of which of the following?

A resistant strain of bacteria that is difficult to treat with antibiotics.

Which is the best way for a nursing assistant to prevent infection?

Frequent hand washing

Which of the following is a key part of care when administering a bath to a resident?

Allow participation in care to promote a sense of independence

A nursing assistant care for a resident. Which of the following skin care measures are correct?

The nursing assistant notes an unblanchable red area on the resident's sacrum and reports it to the nurse.

Before shaving a resident, the nursing assistant checks for which of the following items in the resident's care plan?

Shaving instructions related to problems or issues clotting.

Fecal impaction may present with which of the following symptoms?

Small, watery leakage of stool.

Dyspnea is a term that refers to difficulty with which of the following?

Breathing

Which of the following statements is true about Alzheimer's residents?

It is important to maintain a routine to avoid confusion and overstimulation.

Which of the following is a correct aspect of making an occupied bed?

Lower the bed to the lowest level when the procedure is complete.

Which of the following is an example of a pulse rate that should be reported to the nurse?

45 Any pulse outside the range of 60-100 should be reported immediately to the nurse for resident's safety

The nursing assistant knows that signs of hypoglycemia include which of the following?

Sweating

Which of the following guidelines regarding residents who are hard of hearing would be considered correct?

Speak clearly and slowly as you face the resident.

A resident is ordered to be in High Fowler position for each meal. Which of the following descriptions is the most accurate depiction of High Fowler position?

The patient's bed is at a 90 degree angle and the patient is positioned sitting up.

Of the following symptoms, which one is most likely due to an infection in a resident?

Sudden onset confusion.

The nursing assistant knows that the term "NPO" means

Nothing by mouth

The nursing assistant should tell the nurse if the client with diabetes:

Does not touch their lunch tray.

The nursing assistant knows that residents on bedrest must be turned every:

2 hours

Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs?

Radial.

The nursing assistant is helping residents to eat in the dining room when, suddenly a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first?

Ask the resident if they are choking?

A client at the facility receives a new roommate. While the roommate is in the bathroom, the clients lean toward the nurse and whispers, "Why is she here anyway? Is she sick? The best response by the nursing assistant is:

I'm afraid I can't share that information with you.

A client with Alzheimers wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by:

Taking the client to the bathroom

The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best?

Check the chart for physician orders regarding nail trimming.

Which of the following options is the best method to prevent insomnia?

Encourage the client to take several walks around the facility daily.

The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?

The nursing assistants waits at least fifteen minutes before retaking the temperature.

A client under the nursing assistant's care suffers from chronic "foot drop" The nursing assistant can expect to find which of the following devices in the client's room?

Positioning boots.

A nursing assistant take the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should:

Report the finding to the nurse

The range of motion term "abduction" means

Moving the extremity away from the body

Which of the following most addresses a client's needs in regard to spirituality?

Assist the client to the facility's chapel every Sunday.

Which of the following would be a primary indication of hepatitis?

Jaundice.

Which of the following aspects of care is important for a confused client?

Reorienting the client frequently with clocks, calendars, and family mementos.

Which type of client may opt to receive hospice care?

Terminally ill client.

Cheyne-Stokes respirations occur in a client who:

Is close to death.

A client in the day room is having a panic attack. The nursing assistant should:

Tell the client to breathe as slowly and deeply as possible.

Which of the following residents is demonstrating orthopneic position?

A resident sits on the side of the bed and leans forward over a bedside table.

When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the clients cane:

On the right side.

CPR (Cardiopulmonary resuscitation) should be performed when:

A client has no pulse and is not breathing.

A nursing assistant enters a client's room and finds a fire burning in a trashcan. The nursing assistant's first action is to?

Remove the patient.

"Log-rolling" is a technique best used for which of the following patient diagnoses?

Spinal cord injury (SCI)

When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication?

Incontinence.

Which of the following types of grief is considered a normal and health part of grieving?

Anticipatory.

A patient is on a clear liquid diet. Which of the following is NOT allowed on this diet?

Orange juice with pulp.

A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should:

Keep the bag below the bladder level.

Which of the following items is necessary in order to place a patient in restraints?

A physician order.

A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?

480 ml.

One of the patients on the unit is on airborne precautions due to a suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect specimens?

First thing in the morning.

The nursing assistant walks into the patient's room and discovers him masturbating. Which of the following actions is correct?

Exit the room to provide privacy for the patient.

The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tried to bite staff. The nursing assistant should:

Speak calmly in an authoritative and neutral manner to the client.

A client with a terminal illness tells the nurse that he has begun praying every night. The client states, If I pray every night, God will forgive me." This represents which stage of grief?

Bargaining.

Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?

Mechanical lift.

The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place .Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?

To the lateral aspect of the patients thigh

A patient has just received news about the death of his spouse. He states to the nursing assistant, "I can't believe this is happening to me. I don't know what to do. How can I live without my wife." The nursing assistant best responds by stating:

I understand you're in pain. I'll stay with you.

The nursing assistant helps a patient who recently had a right sided stroke to bathe. Which of the following describes the BEST method to support the patient's independence.

Allow the patient to perform as much of the bath as possible.

A resident comes out of their room saying they have burned their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a:

Partial thickness burn.

A client who has not had a bowel movement in four days would receive the most benefits from which of the following procedures?

Enema.

A nursing assistant will be changing the soiled bed linens of a client with a draining ulcer. Which of the following protective equipment should the nursing assistant wear?

Clean gloves.

A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate?

Report to the nurse immediately.

Which of the following methods should be used to collect a specimen for urine culture?

Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.

The nursing assistant is correctly providing penile hygiene to an unconscious clients if she:

Dries all areas of the penis thoroughly.

A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment?

Leave the equipment in the room for use only with that client.

To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best?

Apply the bandage while stretching it slightly.

The following information is recorded on an intake and output record: milk 180 ml, orange juice 60 ml, 1 serving scrambled eggs, 1 slice toast, 1 can ensure oral nutritional supplement 240 ml, and 50 ml water after twice daily medications. Medications as given by the nurse at 9:00am and 9:00pm. What is the client's total intake for the 7:00 am to 3:00pm shift?

530 ml 180+60+240+50=530

While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won't lie on the tubing. Which of the following rationales explains the nursing assistant's action?

To allow drainage to occur.

A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate you in ensuring the client's safety?

Stay with him at all times.

A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato soup" which of the following actions by the nurse assistant would be correct?

Giving him step by step directions.

When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should:

Report immediately to the nurse.

A divorced 33 year old former drug addict is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they to roles and relationships?

Provide paper and pen for letter writing to his sons.

Clients and families have the right to receive care that is?

Culturally acceptable to them.

When caring for a dying client, the nurse aide should perform which of the following activities?

Assist client towards a peaceful death

When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in?

Denial.