CNA EXAM 1 (week 1-9)

If a resident becomes combative, the best response by the NA would be to...

 

a. Threaten the resident by withholding something he likes

b. Startle the resident into stopping the behavior

c. Stay a safe distance from the resident

d. Let the resident know what he did was wrong

c

Which of the following is a common cause of confusion?

a. Diabetes

b. Anger

c. Urinary Tract Infection

d. Anxiety

c

A resident refuses to believe her diagnosis of a terminal illness.  This is an example of which defense mechanism? 

a. Denial

b. Repression

c. Projection

d. Displacement

a

The medical term for difficulty breathing is...

a. Combative

b. Dyspnea

c. Mechanism

d. Ventilation

b

Which of the following is true of anxiety?

 

a. Speaking loudly and quickly is helpful for a person who is anxious

b. Anxiety produces only mental and emotional symptoms; it does not cause physical symptoms

c. Anxiety and fear are the same type of mental illness

d. A person may not always know why she feels anxious

d

Which of the following statements best describes anger?

 

a. NA's do not need to report angry behavior by residents

b. Anger is a natural emotion with many causes

c. Anger is the first sign of anxiety

d. Anger is only experienced by people who are mentally ill.

b

Major depressive disorder is also known as...

 

a. Clinical depression

b. Minor aggression

c. Mood therapy

d. Anxiety disorder

a

What should a person be able to identify when she is oriented?

a. Who she is, correct year, facility she lives in

b. Medication she takes, doctor's name, correct time

c. Favorite food, city she resides, mother's maiden name

d. Her diagnosis, the names of her family members, and the date

a

If a resident exhibits inappropriate sexual behavior, what would be the best response by the NA?

 

a. The NA should let the resident know that he is embarrassing himself.

b. The NA should tell other NA's what the resident is doing so that they can avoid him.

c. The NA should tell the resident that he is being inappropriate

d. The NA should try to distract the resident

d

A resident starts sleeping with a doll she had when she was a little girl.  This is an example of which defense mechanism?

a. Displacement

b. Regression

c. Rationalization

d. Repression

b

What is one reason a NA should not accept money or gifts from a resident?

a. The NA will be unable to ask for an advance on her salary if she receives additional income from residents.

b. Receiving money or gifts is unprofessional and can lead to conflict

c. Receiving money or gifts is unfair because not all residents can afford to tip staff or give gifts.

d. The NA will start to depend on the extra income and will not be able to live within her budget without it.

b

In long-term care, an individual who is assigned to promote the needs and interests of the residents is known as a(n):

a. Dietician

b. Nursing Assistant

c. Chaplain

d. Ombudsman

d

Residents have the right to be told of changes in their medical condition. To which Residents' Rights does this relate?

a. Right to privacy and confidentiality

b. Right to complain

c. Right to participate in their own care.

d. Rights during transfers and discharges

c

What is the name of the resident assessment system that is part of OBRA's requirements?

a. Reporting and Recording Intake (RRI)

b. Resident Information Protocols (RIP)

c. Minimum Data Set (MDS)

d. Evaluation Implementation Form (EIF)

c

Emotional abuse of a resident by his wife would be considered...

a. Sexual Abuse

b. Substance Abuse

c. Physical Abuse

d. Domestic Abuse

d

A NA takes money from a resident's purse, planning to pay it back later.  Which type of abuse is this considered?

a. Physical Abuse

b. Financial Abuse

c. Psychological Abuse

d. Substance Abuse

b

Residents have a legal right not to be abused or mistreated.  To which Residents' Rights does this relate?

a. Right to security of possessions

b. Right to visits

c. Right with regard to social services

d. Right to dignity, respect and freedom

d

When a physician issues a DNR order, it means that

a. The resident’s attorney must be contacted before resuscitation is done

b. A resident should not be resuscitated

c. The resident’s family must be asked if they want the resident to be resuscitated

d. A doctor must be called before resuscitation is performed

b

Which of the following sentences is true of spiritual beliefs?

a. All residents have the same spiritual needs

b. NA's should insist that residents attend church services when residents seem lonely

c. NA's should give privacy for prayer if residents request it.

d. NA's should let residents know when they do not agree with residents' beliefs

c

Which of the following would be the best response by the nursing assistant if the resident wants to discuss concerns he has?

a. It's better for you to talk to your daughter rather than me.

b. I understand you're scared. Can you tell me more?

c. I read about a new medication that could help you.

d. "Everything works out for the best."

b

Which of the following terms describes a family made up of one parent and one child?

a. Extended family

b. Nuclear family

c. Blended family

d. Single-parent family

d

Which is an example of a physical need?

a. Affection

b. Success

c. Sleep

d. Acceptance

c

Which of the following is the best example of an extended family?

a. Father and son living together

b. Divorced mother and daughter living together

c. Mother, grandmother, and aunt living together

d. Mother, father and daughter living together

c

Which of the following is an example of a psychosocial need?

a. Food

b. Independence

c. Rest

d. Water

b

During which stage of human development may girls reach puberty?

a. Young adulthood

b. School age

c. Preschool

d. Preadolescence

d

According to Maslow, which of the following needs must be met first?

a. Need for self-esteem

b. Physical needs

c. Safety needs

d. Psychosocial needs

b

If a resident with AD has problems with dressing, the nursing assistant should...

a. Choose the resident’s clothing for the resident

b. Dress the resident in the hallway

c. Give the resident multiple steps to follow

d. Lay out clothes in the order they should be put on

d

If a resident with AD is incontinent, the nursing assistant should...

a. Dim the bathroom lights

b. Mark the bathroom with a sign or picture

c. Withhold fluids

d. Wait longer periods of time before taking the resident to the bathroom so that he will really need to go when he gets there

b

Which of the following is a care guideline for visual impairments?

a. Use the face of an imaginary clock as a guide to explain position of objects in the room.

b. Keep the room as dark as possible

c. Touch the resident before identifying yourself, so as not to startle him or her.

d. Walk behind the resident while touching his back

a

If a resident with AD has lost most of his verbal skills, the NA should...

a. Assume the resident cannot understand what is being said

b. Not involve resident in activities

c. Ask the resident questions

d. Use touch, smiles, and laughter

d

Which of the following statements is true of Alzheimer’s disease (AD)?

a. NAs should do everything for residents with AD.

b. Skills a person has used over a lifetime are usually kept longer.

c. Alzheimer’s disease is a normal part of aging

d. Residents with AD will show the same signs at the same times.

c

A nursing assistant can respond to sundowning by...

a. Scheduling activities during this time

b. Restricting exercise during the day

c. Adding more caffeine to the resident’s diet

d. Setting a bedtime routine and keeping it

d

The ability to think logically is called

a. Awareness

b. Dysphagia

c. Dementia

d. Cognition

d

If a resident with AD becomes violent, the NA should...

a. Restrain the resident

b. Yell at the resident

c. Step out of the way and remove triggers if possible

d. Ignore the resident

c

Strategies for better communication with residents who have AD include

a. Only talking about one subject at a time, using simple, short sentences

b. Telling the resident “don’t” when he does something unsafe

c. Not repeating instructions or questions because this may upset the resident

d. Knowing that nonverbal cues are usually not helpful with residents with AD

a

What documents will need to be completed after an emergency occurs?

a. Cardiopulmonary resuscitation report

b. Activities of daily living report

c. Incident report

d. Safety data set report

c

When a resident is choking, but can speak, cough or breathe, what should the NA do?

a. The NA should encourage the person to cough as forcefully as possible

b. The NA should put an oxygen mask on the resident

c. The NA should find an AED and follow its prompts

d. The NA should begin CPR

a

What color is the skin if it is cyanotic?

a. Red

b. Yellow

c. Blue

d. Pink

c

What is the medical term for vomiting?

a.Syncope

b. Emesis

c. Epistaxis

d. Hemiplegia

b

Which of the following is appropriate to apply to a minor burn?

a. Herbal ointment

b. Ice

c. Butter

d. Water

d

Which of the following is the primary route of disease transmission within the healthcare setting?

a. On the hands of healthcare workers

b. On the food trays served to residents

c. On the elimination equipment used by residents

d. On the stethoscope of the care team members

a

Which of the following precautions is used for pathogens that are carried by moisture, by air current, and by dust and remain floating for some time?

 

a. Droplet Precautions

b. Standard Precautions

c. Airborne Precautions

d. Contact Precautions

c

Which of the following is true of microorganisms?

 

a. They are on almost everything a person touches

b. They are not present in a person's home as long as it is cleaned regularly

c. They are only found on the human body

d. They are only present in healthcare facilities

a

In a a care facility, who has the responsibility for preventing infection?

 

a. Nursing Assistants

b. Doctors

c. The dietary department

d. All care team members

d

What is the first step the nursing assistant should take when cleaning a spill?

 

a. The NA should put on gloves

b. The NA should place an absorbing powder on the spill

c. The NA should apply a disinfectant to the spill area

d. The NA should scoop up the spill

a

Which link in the chain of infection refers to any body opening on an infected person that allows pathogens to leave?

 

a. Mode of transmission

b. Reservoir

c. Portal of exit

d. Susceptible host

c

Which of the following is true of disposable supplies?

 

a. They can be reused as long as they are sterilized between use

b. They should be avoided when a resident is in isolation

c. They can be reused as long as they are disinfected between use

d. They can be used once before they must be discarded

d

Under Standard Precautions, which of the following is not considered a body fluid?

 

a. Sweat

b. Vomit

c. Feces

d. Pus

a

A client was admitted to a healthcare facility for surgery and after surgery became ill with a urinary tract infection. The NA knows that this type of infection is

 

a. contagious and requires isolation

b. Healthcare associated infection... HAI

c. caused by poor kidney function

d. normal after surgery

b

Which type of infection is limited to a specific location in the body and has symptoms that are near the site of the infection?

 

a. Healthcare-associated infection

b. Localized infection

c. Cross-contamination

d. Systemic infection

b

During a fire in a healthcare facility, the nurse aide knows to use the word RACE, which stands for:

a. Reach, Appear, Cancel, Exit

b. Rescue, Alarm, Confine, Extinguish

c. Run, Alarm, Configure, Exit

d. Rescue, Absorb, Compute, Enter

b

Which of the following promotes a more stable base of support?

a. Standing with the feet shoulder-width apart

b. Standing with feet together

c. Maintaining a narrow base of support

d. Keeping knees locked

a

The most common accidents that occur in a healthcare facility are...

a. Burns

b. Falls

c. Poisonings

d. Cuts

b

The best position for a resident to be in while eating is...

a. On his stomach

b. Lying on his left side

c. Reclining with his head tilted back

d. Sitting upright

d

Which of the following is the best thing that a nursing assistant can do to help promote oxygen safety? 

a.Increasing a resident's oxygen level if he is having trouble breathing

b. Keeping lit matches at least two feet away from a resident using oxygen

c. Using vaseline on irritated skin areas around the resident's nose and ears

d. Remove flammable liquids from the resident's room

d

Which of the following is a description of the supine position?

a. Resident is lying on his abdomen

b. Resident is in a semi-sitting position (45-60 degrees) with his head and shoulders elevated

c. Resident is lying on either side

d. Resident is lying flat on his back

d

Which of the following is a safety device used to help transfer residents who are weak, unsteady, or uncoordinated?

a. Transfer belt

b. Compression sleeve

c. Back brace

d. Traction Pulley

a

Which of the following is a description of the lateral position?

a. Resident is lying flat on his back

b. Resident is lying on his abdomen

c. Resident is lying on either side

d. Resident is in a semi-sitting position (45-60 degrees) with his head and shoulders elevated

c

Where should a NA place a gait belt before helping a resident to ambulate?

a. Underneath the resident's armpits, over his shirt

b. Around the resident's waist, over his clothing

c. Underneath the resident's shirt, above his waist

d. Around the resident's weaker leg, under his clothing

b

Which of the following is a description of the Fowler's position?

a.Resident is lying flat on his back

b. Resident is in a semi sitting position (45-60 degrees) with his head and shoulders elevated

c. Resident is lying on his abdomen

d. Resident is lying on either side

b

Which of the following is another word for armpit?

 

a.Rectum

b. Temporal

c. Axilla

d. Tympanum

c

Blood pressure is measured using a...

 

a. Finger

b. Thermometer

c. Watch

d. Sphygmomanometer

d

The _____ blood pressure is the top number in a blood pressure reading, while the _____ is the bottom number.

 

a. Diastolic, systolic

b. Radial, apical

c. Apical, radial

d. Systolic, diastolic

d

Hypertension is...

 

a. High blood pressure

b. High pulse rate

c. High fever

d. Low blood pressure

a

The medical term for difficulty breathing is...

 

a. Tachypnea

b. Dyspnea

c. Apnea

d. Eupnea

b

Which method of taking temperature is considered to be the most accurate?

a. Rectal

b. Tympanic

c. Axillary

d. Oral

a

The normal respiration rate for adults is...

 

a. 18-30 breaths per minu

b. 15-25 breaths per minute

c. 8-10 breaths per minute

d. 12-20 breaths per minute

d

The most common site that is used for measuring pulse rate is the...

 

a. Pedal pulse

b. Radial pulse

c. Carotid pulse

d. Brachial pulse

b

The normal pulse rate for adults is...

 

a. 60 to 100 beats per minute

b. 25 to 50 beats per minute

c. 150 to 175 beats per minute

d. 100 to 150 beats per minute

a

Which of the following thermometers is used to measure temperature in the ear?

 

a. Mercury thermometer

b. Temporal artery thermometer

c. Tympanic thermometer

d. Axillary thermometer

c

When should anti-embolic stockings be applied?

a. In the morning prior to getting out of bed

b. After the resident finishes exercising

c. Mid afternoon

d. In the evening

a

A normal age-related change for the circulatory system is...

a. Blood vessels widen

b.Blood flow increases

c. The heart pumps less efficiently

d. Blood vessels become more elastic

c

The medical term for chest pain is______ and medical term for heart attack is _________.

a.Hypertension, CVA

b. Angina, Myocardial Infarction

c. CVA, Coronary Artery Disease

d. Myocardial Infarction, Angina

b

One way for a person to keep hypertension under control and prevent complications is to...

a. Avoid exercise

b. Stop smoking

c. Increase the intake of sodium

d. Take medications to increase fluid in the body

b

Residents with congestive heart failure may...

a. Be on a high-sodium diet

b. Have a force fluids medical order

c. Take medications that cause a decrease in urinary output

d. Take diuretic medication to decrease excess fluid build up in the body

d

A person with ______ TB infection does not show symptoms and cannot infect others; a person with TB ______ shows symptoms of the illness and can spread it to others.

 

a. Latent, disease

b. MDR, active

c. Active, latent

d. Latent, MDR-TB

a

Which of the following is one of the duties of a NA with regard to oxygen therapy?

 

a. Nursing assistant should prescribe a new oxygen delivery device if the current one is causing skin problems.

b. The Nursing Assistant performs skin care on the areas of the face where the oxygen device rests

c. Nursing assistant should replace oxygen tubing if it becomes clogged

d. Nursing assistant should adjust oxygen levels when they are too high or too low.

b

Which of the following is a function of the respiratory system?

 

a. Pumps blood throughout the body

b. Gives the body shape and structure

c. Supplies oxygen to body cells

d. Regulates body temperature

c

Normal age-related changes for the respiratory system include...

 

a. Lung strength decreases

b. Airways become more elastic

c. Cough becomes stronger

d. Oxygen in the blood increases

a

The _______ acts like a lid to shut off the larynx during the swallowing process.

 

a. Alveoli

b. Bronchi

c. Epiglottis

d. Trachea

c

If a resident drinks four ounces of water with a meal, how many milliliters (mL) has he consumed?

a. 120

b. 30

c. 80

d. 60

a

When a nursing assistant is serving meals to residents, she must always

a. Prepare a diet card for each resident

b.Prepare a diet plan for each resident

c. Prepare the meal for each resident

d. Identify the resident

d

Which is the most essential nutrient for life?

a. Water

b. Grains

c. Protein

d. Vegetables

a

One way to prevent aspiration is to...

a. Make sure the resident is sitting upright for eating and drinking

b. Feed the resident quickly

c. Not offer a drink until the meal has been eaten

d. Place food in the resident's weaker side of the mouth

a

Residents who have  ______ may require thickened liquids.

a. Dysphasia

b. Dysphagia

c. Dysuria

d. Dyspnea

b

Portable commodes are used when...

a. Nursing assistants do not have the time to assist a resident to the bathroom

b. A resident can get out of bed but has difficulty walking to the bathroom

c. A resident cannot get out of bed

d. A resident has an ostomy

b

A good way for a nursing assistant to promote normal elimination for residents is to...

a. Discourage too much physical activity

b. Encourage fluid intake and nutritious meals

c. Encourage residents to wait as long as possible to go to the bathroom

d. Decrease fiber intake

b

The muscular contractions that push food toward the stomach are called...

a. Defecation

b. Absorption

c. Mastication

d. Peristalsis

d

Hidden, or ______, blood is found inside stool with a microscope or a special chemical test.

a. Hemoccult

b. Toxic

c. Pathogenic

d. Occult

d

Which of the following is a guideline for assisting with bowel retraining?

a. NAs should encourage residents to drink plenty of fluids.

b. NAs should let residents know when they are taking too long to have a bowel movement.

c. NAs do not need to provide privacy during elimination if residents are in bed.

d. NAs do not need to wear gloves when handling body wastes.

a

After an amputation, a resident may experience phantom sensation. Phantom sensation is

 

a. A tingling/pain where the limb has been amputated

b. Not real

c. The desire to get rid of a new body part

d. The inability to use a new body part

a

The painful and permanent stiffening and shortening of a muscle is called...

 

a. Dislocation

b. Atrophy

c. Contracture

d. Dystrophy

c

Weakening, wasting away, and decrease in size of a muscle is called...

 

a. Dislocation

b. Dystrophy

c. Atrophy

d. Contracture

c

Which of the following is an example of a prosthesis?

 

a. An artificial arm to replace an arm that has been lost

b. Special shoes to help residents with flat feet

c. Handrolls to keep residents’ fingers from curling too tightly

d. An adaptive device to assist residents with dressing

a

Normal age-related changes for the musculoskeletal system include...

 

a. Joints become more flexible

b. Muscle mass increases, causing weight gain

c. Bones gain calcium

d. Muscles weaken and lose tone

d

When a resident has one weaker leg...

 

a. The cane should be held on the weaker side

b. The resident should not get out of bed

c. The cane should be held on the stronger side

d. The resident should use a wheelchair

c

Abduction is...

 

a. Another name for the hip

b. Moving a body part away from the body

c. Bending a body part backward

d. Moving a body part towards the body

b

Which of the following statements is true of a nursing assistant’s role in restorative care?

 

a. If a resident takes too long to do a task by himself, the nursing assistant should do it for him.

b. The nursing assistant should tell the family that progress is happening faster than it really is so they can feel better about the situation

c. The nursing assistant should give the resident pain medication before the rehabilitation session begins.

d. The nursing assistant should recognize that setbacks occur and be reassuring.

d

Passive range of motion exercises are done...

 

a. By a doctor or physical therapist only

b. By the resident with some help and support from the nursing assistant

c. When a resident cannot move on her own

d. By the resident herself

c

How many feet does a quad cane have?

 

a. 1

b. 2

c. 3

d. 4

d