Final Exam CNA

what are the steps of a 24-hour urine specimen?

first void is discarded, store in fridge or on ice, label with name, date, and time

what is assault?

intentionally threatening to touch a person’s body without consent

what is battery?

touching a person’s body without consent

what is 7:29pm in military time?

1929

how should you address a resident?

by their title

what is the organization one gets put into when dying?

hospice

a resident refuses their morning treatment, what should you do?

allow them to refuse, tell the nurse

you refuse to perform a delegated task, why?

it's not in your job description

a residents call light is on for minutes on end, you finally answer and the resident is soaked in urine, what is this called?

neglect

a resident is in the dining, he has urinated and pooped, the nurse moves the resident to his room and tells him to stay there, what is this called?

involuntary seclusion

how often should you check a heat/cold pack?

every 5 minutes

what should you always give a resident before you leave the room?

the call light

your co-workers are talking about other staff in a group, what do you do?

walk away

a patient has a catheter, what do you do to prevent movement?

attach the catheter to the inner thigh

what is the first step to collecting a midstream urine specimen?

clean the perineal area

you are abducting an arm while doing range of motion, what are you doing?

moving the arm away from the midline of the body

a patient has a brace, what can prevent skin breakdown?

dry the skin under the brace

there is a couple holding hands, what do you do?

allow them to do so

you are ambulating a patient, what should they be wearing?

non-slip shoes or socks, and a gait belt

how do you make a resident feel safe and secure?

introduce yourself, and tell the resident what you are doing

what should you do when someone has specific culture beliefs and practices?

respect their beliefs

what position should someone be in to give effective chest compressions?

supine position

you are helping undress a resident before a shower, the resident is yelling and screaming at you, what should you do?

listen to the resident

you break someone's eyeglasses, what do you do?

fill out incident report

you are assisting a patient using the bathroom, the patient starts to fall, what do you do?

ease them to the ground, and call for help but don't leave them alone

a patient has wrist restraints, how often do you check them?

every 15 minutes

where do you put items that are contaminated with blood and body fluids?

BIOHAZARD bag

when leaving an isolation room, what do you take off first?

gown and gloves

what is dysphasia and the risks?

difficulty swallowing, at risk for coughing/choking

when do you apply tedhoes?

before they get out of bed in the morning

you have a resident with no ID bracelet, where should you check for a identification information

photo ID in care plan

a resident is the in the dining room eating steak, he starts to choke, what do you do?

abdominal thrusts

you find a bottle of liquid in the shower without a label, what do you do?

take it to the nurse

there is a fire in the patients room, what's the first thing you do?

take the patient out of the room

when transferring a patient to a wheelchair, what do you do?

lock the wheels

how do you apply a gift belt/transfer belt?

around the waist, off-centered, room for 2 fingers, make sure it's over clothing

to prevent falls in the hallway, what do you need to report if not done?

all equipment/supplies is to 1 side of the hallway

what bed position do you need a doctor's order for?

trendelenburg

which part of an isolation gown is considered contaminated?

the front and sleeves

there is blood on you hands, what do you do?

wash with soap and water

you tear a glove while completing a task, what do you do?

wash you hands and get new gloves

how often do you reposition a patient in bed?

every 2 hours

you are transferring a patient from a bed to a wheelchair, the patient is weak on the left side, which side should you put the wheelchair on?

the right side (strong side)

a patient has diarrhea, how do you prevent odors?

clean dirty linens, preform good skin care

there are 2 residents in 1 rooms, how do you provide privacy?

close curtains around the residents bed

you are giving a patient a shower and you notice a sore, what do you do?

tell the nurse

you are giving perineal care to a male resident that is no circumcised, what do you do?

pull back foreskin

a resident hasn't been shaved for days, the nurse tells you to shave the resident, which razor do you use if the resident is on anticoagulants?

use an electric shaver

what bed position is raised to 60 degrees?

fowler's

how do you turn a patient that just had spinal surgery?

logrolling, good body alignment, 2 people minimum, and is moved in 1 motion

before moving a person in bed, what should you do?

lock the bed

you want to dangle a patient with dementia, he doesn't understand what you are doing and starts to scoot back, what should you do?

calm them down, and divert their attention

what to know about mechanical lifts?

2 people helping, know weight limits

how do you handle bed linens in a room?

carry away from your body, considered contaminated once in the room

a patient is returning to a nursing center by ambulance, what type of bed is used?

open bed

a patient does not use bed rails, you need to make an occupied bed, for the persons safety you should?

get a co-worker to help you

what degree is a short line on a thermometer?

0.2 degrees

how and why you put on a mask, when should you take your mask off?

take off when wet/soiled, considered contaminated once worn

why do you give oral hygiene to someone with oxygen therapy?

they'll get a dry mouth

how do you give oral hygiene to an unconscious person?

every 2 hours, use padded tongue blade

patient has lower dentures, when cleaning them, what should you do?

put tool on the bottom of the sink, handle with care, wear gloves

what position should the patient be in when brushing teeth?

fowler's or sitting position

resident is done taking a tub bath, when should you assist him out of the tub?

after 20 minutes, and drain the water

when giving perineal care, what it the proper way to clean the area?

cleanest to dirtiest, top to bottom, 1 swipe per use

what type of razor is used when someone is on anticoagulants?

electric razor

patient has scalp sores, what do you do when shampooing their hair?

wear gloves

when trimming fingernails, what do you do?

let them soak and cut straight across

a doctor is worried about weak bones, what type of diet should the patient be eating?

high calcium diet

patient has an IV in, which side should the gown on first?

the weak side

a resident has a catheter, is practicing bladder training, what do you do?

clamp the catheter at certain times during bladder training

what is the normal fluid intake for adults?

2000-2500mL

bleeding form incision site, what do you do?

tell the nurse

patient has a cup of coffee (250mL), he did not drink it all, measured 75mL left, how much did he drink?

175mL

what is a normal pulse range?

60-100bpm

how to remove a soiled brief?

front to back

when taking blood pressure, how far do you inflate the cut from the last time you heard the person's pulse?

30 over

when weighing a patient what should you remember?

weigh at the same time everyday and the same scale, void first

what should you report to the nurse about urine?

color, odor, and how mcuh

dysuria

difficult/painful urination

a person's diet is carefully regulated, takes insulin, and eats within certain time frames, what is the person's diagnosis?

diabetes

a patient has a catheter, where do you place the bag?

below the bladder

you are assigned to residents with catheters, when emptying their drainage bag what do you use?

gloves, cylinder

a resident is in orthopedic position (leaning over the table), how can you increase the persons comfort?

put pillow on the table

you are taking a stool sample, what should you tell the nurse?

if it's black and tarry

a patient has an ostomy pouch, the pouch is bulging from gas, what do you do?

open the pouch

difficulty swallowing, what diet?

thickened liquids

dysphagia diet

puree diet

a patient has diabetes, all food it not eaten, what should you do?

tell the nurse

a patient is coughing and drooling while eating, what should you do?

tell the nruse

a resident is on aspiration precaution, he eats in bed, what position should the person be in?

fowler's or upright

NPO

nothing by mouth

other types of restraints include?

chair with attached table tray

to prevent regurgitation after eating, what position should they be in?

semi-fowler's from 1-2 hours

what temperature should be reported to the nurse?

anything outside of 97-99

a resident has heart and respiratory problems, what position should they be in?

fowler's position

what is pain all about?

if a person complains

passive ROM

the health team member assists

a resident is unsteady while ambulating, what should you apply?

gait belt

there are ted hose on a patient, the patient complains of pain and tingling in the right leg, what do you do?

take them off completely, tell the nurse

what do you do when there is an admission?

vitals, weight, and height