CNA Exam 1

What type of agencies can a nursing assistant work at?

Hospitals, Rehab facilities,Long-term care facilities, Memory care units, Assisted living, Home care or Hospice

Which nursing team members works under the supervision of a nurse?

Nursing Assistants and LPN (licensed practical nurse)

Who are members of the NURSING team?

RN, LPN(licensed practical nurse) and Nursing Assistant

What is the name of the accrediting agency that ensures hospitals give quality care?

JACHO- Joint Commision on Accreditation of Healthcare Organizations

What are the possible consequences for deficiencies found during a survey? (there are 4 things altogether)

Fines, loss of License, Loss of Certification or Loss of Accredidation

What are the 13 rights?

1. Information 2. Refuse treatment 3. Privacy/confidentiality 4. Personal choice 5. Grievance 6. Work 7. Resident groups 8. Personal Items 9. Abuse, mistreatment, neglect 10. Restraints 11. Quality of life 12. Environment 13. Activities

What does the right to Personal choice involve?

They can choose their own doctor, choose their own friends and visitors, help plan their care and treatment, choose their own activites, schedule and care

What does the right to privacy involve? Where should you speak about the person’s diagnosis?

Only staff directly involved in a person’s care and treatment should be present in the room. Discuss the person’s private information in a private place not a hall or elevator etc…

What is OBRA? it sets standards for who?

Omnibus Budget Reconciliation Act of 1987. Created the certification for Nursing Assistants and established regulations for nursing homes

What are the Role Limits for a CNA?

No drugs Never take oral or phone orders Never tell a person their diagnosis or treatment plan Never supervise others including CNA’s Never ignore a request or order

Can you take a doctor’s order- what should you do if the doctor gives an order to you?

give your name and titke and ask the doctor to wait for the nurse. Promptly find a nurse

What should you do if a patient asks you about their diagnosis or treatment?

Ask the nurse to speak to the patient or family member. Doctor’s job NOT ours

What should you do if a nurse asks you to do something that is beyond your legal limits?

Politely refuse and explain why you are refusing

If you need to do if you do NOT work for how many months?

If you do not work for 24 months- you have to retake the State exam and perform a skills evaluation

How many hours of continuing education do you need to complete each year?

12 hours

What should you say to the nurse if they ask you to do something that you did not learn in class but it is in your job description?

Let the nurse know that you are unsure of what to do and ask to be shown how to do the task

What is battery?

touching a person’s body without his/her consent

What are examples of “mental abuse”

Yelling, screaming or shouting at a person, threats of punishment or harm, saying something to frighten the person

Dementia is it a normal part of aging?

No

What is the acronym for fire safety?

R (rescue) A (alarm) C (contain) E (extinguish)

What do you do first if you see a fire?

Rescue the person in danger

What is the best way to prevent the spread of infection?

Handwashing

What is a pathogen?

disease causing organisms- microbes that are harmful and can cause infection

What is medical asepsis?

Also called clean technique- it is the practice used to reduce the number of microbes and prevent their spread from one person or place to another person or place

What is a bloodborne pathogen and how are they spread?

They are pathogens that are transmitted by blood. Pathogens can be transmitted by unprotected intercourse, needle stick injuries or blood transfusions or any human body fluid

What diseases require Airborne Isolation?

Tuberculosis (Tb), Covid, measles and chicken pox

What isolation equipment is required for Airborne isolation?

Gloves, gown and N-95 mask

What PPE do you need to wear if the person has CONTACT isolation precautions?

gloves and gown

What type of items should NEVER be placed on a bedside table(stand)?

Never place a urinal, bedpan, or soiled linen on the top of the bedside table

Which patient’s will have a hard time using a call light?

Someone with limited hand movement, coma or confused patients

How is the bed positioned in the semi-fowler’s position?

Head of the bed is up 30 degrees and knee raised 15 degrees

What position would you use if the person is having difficulty breathing?

Fowlers- head of the bed up 45-60 degrees

What is edema?

Swelling of the body tissues with water

What does “ febrile” mean?

person with a fever- temp over 100 degrees Fahrenheit

What is tachycardia?

Heart rate over 100 beats per minute

What are the 3 treatments for Cancer?

Chemotherapy, radiation therapy, surgery

What virus causes shingles?

Chicken Pox (varicella zoster)

What is the medical term for a STROKE?

Cerebrovascular accident (CVA)

What is the acronym for the warning signs of a stroke?

F (face) A (arm) S (speech) T (time)

What is arthritis?

Joint inflammation

What are the risk factors for osteoporosis?

Aging, being female, diet low in calcium and vitamin

What is a fracture?

broken bone

What is it called when you feel a body part but it no longer is there?

Phantom pain

What is the medical term for high blood pressure?

Hypertension

What are the risk factors for high blood pressure (hypertension)?

overweight, stress, smoking, poor diet- high sugar, salt and fat

What is the medical term for heart attack?

Myocardial infarction

What do the initial’s CHF stand for?

Congestive Heart Failure

Which 2 forms of Hepititis are spread via blood?

Hepititis B & C

If a person is diabetic- they have difficulty processing what?

Sugar- it builds up in the blood

If your diabetic patient is lethargic (sleepy), sweaty and complaining of feeling cold- what should you do?

Call the nurse immediately

What should you do if a person is lying down and starts to vomit?

Turn their head well to the side or turn the person to their side

What is the most serious complication for a person that is vomiting?

Aspiration

When doing CPR on an adult victim, what is the ratio of compression to breathing?

30 compressions to 2 breaths