CNA Exam Review Flashcards

Flashcards based on CNA lecture notes to help students review key concepts.

A resident who has not had a bowel movement in 5 days would most likely benefit from what?

An enema

What should a CNA do if a resident tries to continuously ambulate unassisted?

Ask if they need assistance to the restroom.

What color is the urine from a person who is hydrated and without infection?

Pale and clear yellow

Name one task that is NOT in the CNA's scope of practice.

Inserting an indwelling foley catheter, giving medication, accepting phone orders from a physician, or irrigating an IV line

What is the CNA's role before the nurse administers an enema?

Gather any material that may be needed to assist the nurse.

What should a CNA report to the nurse immediately when caring for a diabetic resident?

Emesis

Which system is primarily affected by diabetes?

Endocrine system

Is emphysema reversible or irreversible?

Irreversible

How can Hepatitis C be spread?

Through IV drug use

A resident with low potassium could eat foods like

Cantaloupe ,sweet potato , watermelon

CNAS should encourage Night time snacks to be milk and cookies

To increase calcium levels

Clear liquid diets

Water , chicken broth , popsicle

NPO

Not by mouth

Resident begins clenchin throat cna should

Ask” are you choking?”

Resident with diabetes’s refuses to eat cna should

Report it to charge nurse

Residents with respiratory diseases have thick and sticky secretions which are difficult to cough up cna should

Encourage plenty of fluids

Expressive aphasia

Difficulty speaking and writing

Aspirations precautions

CNA should leverage HOB to 90 degrees when eating and resident should remain up for 30 minutes

If a resident is pocketing food

CNA should suspect swallowing problem and further investigate and report to nurse

Things that could interfere with elimination

Aging , medications , being dehydrated

When is the best time to collect sputum specimen?

First thing in the morning

Examples of assisted devices

Bedside commodes and grave bars in the bathroom and an elevated toilet seat ; helps a person move more easily

What type of precautions are required for a diagnosis of AIDS?

Standard precautions

Name an example that requires airborne precautions.

Measles, tuberculosis, and chickenpox

What is the most important way to stop the spread of infection?

Frequent handwashing

What should a CNA do if they observe blood around the resident's IV site?

Report this finding to the nurse immediately.

When ambulating a resident with an indwelling foley catheter, where should the drainage bag be kept?

Below the level of the bladder

While giving oral care, what should the CNA report?

Loose or broken teeth, bleeding or swollen gums, and sores in the mouth

What need is being addressed when assisting the resident to the facility's group religious service as requested?

Spirituality

What is disclosing the contents on the state exam after testing considered?

CNA misconduct due to certification violation

If an unfamiliar person asks about the well-being of a resident, what should the CNA respond with?

"I'm sorry, but I'm afraid I cannot share that information with you"

Where should a resident's condition be discussed?

During a team meeting

When filling out a witness statement for a fall, what should you state?

Only facts without placing blame on anyone including the resident

When recording on a legal form, what color ink should be used?

Black or blue ink pen

If you begin to feel ill and have a temperature at work, what should you do?

Report to nursing supervisor to be dismissed home

If a CNA suspects abuse, what should they do?

Report it to their immediate supervisor

During an evacuation, which residents are moved first?

Residents nearest to danger

What is the most common site for taking a pulse?

The radial pulse

Cheyne-stoke respirations occur in a resident who is near what?

Death

What type of care would a terminally ill resident be a candidate for?

Hospice care

While mourning a spouse, if the resident states "How can I go on without her?", how should the CNA respond?

Acknowledge the resident is in pain and offer support by being present.

What is anticipatory grief considered?

A normal and healthy part of grieving

Attempting to make a deal with God is an example of what stage of grief?

Bargaining stage

If you see a resident beginning to have a panic attack, what should the CNA advise the resident to do?

Breathe slowly and as deeply as possible

If a resident refuses to do a prescribed treatment, what should you do?

Report refusal to the nurse and document.

How should you speak to a resident who is frequently agitated or tries to physically abuse staff?

Speak calmly and in authoritative and neutral manner

If you find a resident masturbating in their own room, what should you do?

Exit the room and provide privacy for the resident

What is sudden onset of confusion most likely due to in an elderly resident?

Infection

What is an example of emotional liability?

A resident crying after having just been laughing at a funny TV show

What can a developmental disability result from?

A childhood injury

What does the term grievance refer to?

The resident's right to file a complaint without fear or penalty

What is an example of empathy?

The CNA speaking with the resident about the resident's feelings regarding a recent diagnosis of cancer.

If a resident comments to the CNA about plans to kill themselves, what must the CNA do?

Report to the nurse in charge.

If a resident with diabetes asks the CNA to trim their toenails, what should the CNA do first?

Check the care plan for direction or ask the nurse if not in care plan.

Before turning a resident who has an indwelling foley catheter, what should the CNA do?

Gently move the catheter to the lateral aspect of the resident's thigh.

What type of residents is the "Logrolling" technique best used for?

Residents with a diagnosis of spinal cord injury

What is it called when a resident is sitting on the side of the bed, leaning over a bedside table?

Orthopneic position

While providing care for a resident in contact precautions, what should the CNA wear?

A gown and gloves

Name an example of good body mechanics.

Bending at the knees while keeping a wide base of support, carrying objects close to the body, avoiding twisting at the waist, and using a pivoting motion while lifting or transferring.

What does bending at the waist contribute to?

Frequent back pain or injuries in healthcare workers

What are the number one cause of accidents in care facilities?

Falls

What can range of motion exercises be used for?

Residents who have diagnosis of hemiplegia

Assisting a resident to get exercise throughout the day prevents what?

Night time restlessness

What does adduction mean?

To move a straightened extremity toward the body

How do you promote independence while giving a bath to residents with weakness/paralysis?

Allow them to do as much as possible, ask where they would like help, and encourage the resident to do what they can for themselves.

When would a mechanical lift be most helpful?

In the event of moving an immobile resident from the bed to the chair

What can a foot board be used for?

A resident with a diagnosis of "foot drop"

When helping a resident transfer from bed to chair, what is necessary to do?

Put nonskid footwear on the resident, place the chair on the resident's strong side, place the bed in the safest position, and lock the wheels.

When the CNA notices a resident beginning to fall, what is the best action?

Bring the resident close to the CNA's body and slowly lower the resident to the floor.

If you know a resident had a fall recently and they are showing more confusion than normal, what should you check for?

Check resident's head for bruising or bleeding

If the CNA finds a resident on the floor, what should the CNA do first?

Assess resident for any injuries

While giving a bed bath, what should you ensure?

Ensure areas not currently being washed are kept covered to protect the resident's dignity.

A resident with a cast on their left arm has cold fingers on the left hand. What should the CNA do first?

Compare fingers on the left hand to the fingers on the right hand.

Name a non-pharmacological intervention example.

Giving a resident a cool washcloth to place on their forehead for a fever.

If a vital sign reading is within the normal range but is significantly higher than what is normal for that person, what should you do?

Report the reading to the nurse

If a temperature is elevated and the resident states they had hot coffee moments ago, what should you do?

Wait 15 minutes and retake.

What could be responsible for an abnormally high blood pressure reading?

A blood pressure cuff that is too tight

What respiration count should be reported to the nurse immediately?

A respiration count of 34 breaths per minute

If the resident has a low blood pressure and is feeling "uneasy", what should the CNA do?

Report this reading to the nurse.

When shouldn't the CNA take a blood pressure on the upper arm?

If the resident has IVs in place in both arms

When are rectal temperatures usually taken?

On a resident or patient who is unconscious

What are the two basic groups of carbohydrates?

Carbohydrates can be divided into two basic groups: complex carbohydrates and simple carbohydrates.