CNA Minnesota Exam

What should a CNA do if he or she sees a small fire in an unoccupied patient room?

Activate the fire alarm

- When encountering a fire use the acronym RACE (Rescue, Activate the alarm, Confine the fire, Extinguish the fire). Since no residents are in immediate danger, the CNA should activate the alarm.

Before entering a patient's room, a CNA should:

Knock on the resident's door before entering.

- It is important to remember that the residents live in the facility. This is their home. Thus, it is important to knock on the door of a resident's room before walking in. Understanding the care plan is very important, but the CNA may not need to read this document before entering a resident's room on each and every occasion during a shift. Restocking the resident's room is also important, but the CNA may not need to do this each and every time that they walk into a resident's room.

What needs are found on the lowest level of Maslow's hierarchy of needs?

Physical

All humans must meet their basic physical needs for survival first (which means food, water, shelter, etc.). Once those are met, people need safety and security, followed by love and belonging, self-esteem, and finally, self-actualization.

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?

Let me find the nurse to talk to you about the results.

- The CNA should not comment on medical procedures or diagnostic information. The patient has a right to privacy. When a family member asks about a patient's care or health, help the family and ask the nurse on duty to speak with them about a procedure of this kind.

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?

Explain the risks of dehydration, respect his decision, and inform the nurse about his condition.

- A patient has the right to refuse treatment even if this is not in his best interest. In this situation, the CNA should explain that being hydrated is very important for a person's health, and then let the nurse know that the patient is refusing treatment. Forcing a patient to drink water is abuse. A CNA should NEVER hook up an IV and the CNA has no authority to discharge a patient

If a patient refuses treatment and the CNA performs this care on the patient anyway, what could happen to the CNA?

The CNA could be charged with assault or battery.

- A CNA can be charged with assault for threatening to perform care or battery for touching a patient (providing care) without the patient's consent. A patient must give consent for treatment. Treating a patient without the patient's consent violates the patient's rights. A CNA could be fired or arrested for this kind of behavior.

Which is NOT a reason why a CNA should refuse an assignment?

The CNA is upset because of a personal conflict with the patient's family.

Which should the CNA NOT do as a healthcare professional?

Work single-handedly to take care of patients.

While standing in the elevator, a CNA overhears his colleagues speaking about a resident's care. What is this a violation of?

Patient confidentiality

How is residential nursing care paid for?

All of the above

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

Negligence

A CNA falsely reports that one of his colleagues accepted an expensive gift from the family of a resident. This is an example of:

Defamation

- Lying about a colleague's behavior is considered defamation of character. Negligence and malpractice are legal terms relating to health care providers' work with residents (not co-workers), and insubordination is a term used to describe someone who does not follow orders.

Which of the following is NOT a normal part of changes in all older adults?

The person is confused all the time

- Not all older adults are confused or suffer from dementia. Older adults have more brittle and weaker bones than younger adults. The skin of older adults is more fragile than the skin of younger adults. Older adults will not see as well as night as younger adults.

When speaking with a resident, the CNA should NOT:

Share intimate or personal details of his or her life

- A CNA should not share intimate personal details of his or her private life. This is a violation of professional boundaries. A CNA should address a resident using Mr., Mrs. or Ms. and the resident's last name. A CNA should speak loudly and clearly enough so that the resident can hear the CNA. The CNA should listen closely to what the resident says.

A CNA should NOT:

Delegate a task to another CNA

Which of the following is the first step in preventing the spread of germs?

Handwashing

In which of the following facilities do CNAs work?

All of the above

The term medical asepsis means:

practices designed to reduce the number of pathogenic microorganisms and limit their growth and transmission in the patient's environment.

When is a cold pack used?

To decrease swelling

Which of the following practices ensures adequate protection when wearing gloves?

Handwashing before and after glove use

Which of the following is true about older residents?

All of the above

When assisting a resident with a bed bath, what should the CNA do?

Close the curtain to provide privacy.

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?

Inform the nurse.

Which of the following is not part of the admissions process?

The resident goes home

If a patient's chart notes that he be placed in a lateral position, he should lie:

On the side with a pillow under the head, a second pillow under the top arm, and a pillow under the top leg.

What does the diastolic blood pressure number, or bottom number, refer to?

Diastolic blood pressure is the pressure in the arteries when the heart rests

Who is the most important member of the care plan meeting?

The patient

Where can a CNA take a resident's temperature?

All of the above

A CNA is making an unoccupied bed and accidently drops a clean sheet on the floor. What should the CNA do?

Place the linen in the hamper because it is now soiled

When a resident has a seizure she:

convulsions

When performing oral care on an unconscious resident, a CNA must use:

A soft toothette

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?

Portable commode

Which is the proper safety technique for a CNA to use when cleaning a resident's dentures?

Place a cloth towel in the sink while cleaning the dentures.

A resident receives oxygen therapy through a face mask. When should the face mask be removed?

For eating

Which of the following is an objective sign or symptom and can be directly observed by a CNA?

Blood pressure measurement

A pulse oximeter can be effective when attached to a person's:

All of the above

When putting anti-embolism stockings on a patient, the CNA should

Ensure that the stockings have no wrinkles in them

Which intervention will NOT help a patient with edema?

Ice or cold pack

If a patient is actively dying, how often should a CNA record his or her vital signs?

Never

When a resident complains of chest pains, what should a CNA do?

Call for help immediately

Which device is used to transfer a resident from a bed to a stretcher?

Slide Board

Which of the following positions will assist a patient who has difficulty with deep breathing?

Fowler's position

What is the expected order of the five stages of grief?

Denial, anger, bargaining, depression, acceptance

Which of the following is the goal of hospice care?

To meet the emotional, spiritual, and physical needs of a dying person

15. How should a CNA conduct oneself regarding a resident's religious beliefs?

Provide support and allow the resident to practice his religious beliefs

A new resident is having difficulty getting dressed. The CNA helps the resident. Which document should the CNA use to record this information?

Flow sheet

If a CNA makes a mistake recording a patient's temperature, what should he do to correct this notation?

Cross out the mistake and write the correct number next to the mistake.

Which of the following actions protects a resident's right to privacy?

A resident has a right to privacy. Pulling the curtain closed while the resident is getting dressed provides for privacy. Remaining in the room while the resident has visitors, forgetting to pull the curtain, and not shutting the door completely during procedures does not provide for privacy

After signing the consent forms for an upcoming invasive procedure, a patient has a few questions. What should the CNA say to the patient?

I'll speak to the nurse to ask the doctor to speak with you.

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?

Tell the nurse manager that he/she has never done this kind of care and request additional instructions and training materials

The client's call light should always be placed

within the client's reach

Which of the following items is used in the prevention and treatment of bedsores or pressure sores?

air mattress

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

allow client to express his feelings

What does the abbreviation ADL mean?

activities of daily living

After giving a client a back rub, the nurse aide should always note

any change in the client skin

How should the nurse aide communicate with a client who has a hearing loss?

face the client when speaking

When a client has left-sided weakness, what part of a sweater is put on first?

Left sleeve

It is appropriate for a nurse aide to share the information regarding a client's status with:

The staff on the next shift

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

On the client's weak side

The purpose for padding side rails on the client's bed is to:

Protect the client from injury

Exercises that move each muscle and joint are called:

range of motion (ROM)

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

Encourage the client to talk

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

A blocked airway

To BEST communicate with a client who is totally deaf, the nurse aide should:

Write out information

The nurse aide is asked by a confused client what day it is. The nurse aide should:

Point to the date on a calendar and say the date

To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's:

Upper thigh

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

Allowing clients to talk about their beliefs

A nurse aide MUST wear gloves when:

Doing peri-care

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

Give the client a choice of what to wear

If the nurse aide discovers fire in a client's room, the FIRST thing to do is:

Remove the client

In order to communicate clearly with a client who has hearing loss, the nurse aide should:

Look directly at the client when speaking

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

Acceptance

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

Listen quietly

The role of the ombudsman is to:

Work with the nursing home to protect clients' rights

Ombudsman

someone who supports or promotes the needs and interests of another person

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:

Respect the client's beliefs and avoid starting religious discussions

The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide SHOULD:

Give the client the unopened mail and offer help as needed

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

300 cc

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

Restraining a client according to a physician's order

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

Leave the client alone and provide privacy

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

4 x 30 ml

In a giving care according to the client's Bill of Rights, the nurse aide SHOULD:

Provide privacy during the client's personal care

The LAST sense a dying client will lose is:

Hearing

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

Check client's diet before offering nourishment

The BEST time to prepare for a disaster is:

Before it happens

The nurse aide can BEST show that he is listening to the client by:

Responding when appropriate

A new client refuses to wear a clothing protector at lunch. The nurse aide SHOULD:

Respect the client's wishes

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

Report the damage to the nurse in charge

What is a beginning sign of a pressure sore

Discoloration

Which temperature is considered MOST accurate?

Rectal

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

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

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

Report it to the nurse in charge

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:

Suggest that this is not the place to

When making an occupied bed, the nurse aide SHOULD:

Raise side rail on unattended side

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

Take the gown off before leaving the client's room

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

Transfer/ gait belt

What would be the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke?

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?

Roll it dirty side in and away from the body

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

10 to 20 minutes

How many tips does a quad-cane base have?

4