Illinois CNA state exam questions

How do you promote communication with a resident?

asking OPEN ENDED questions- "How are you feeling?" (ch.6)

A resident wants to use the commode, but she needs help... what do you do?

Use a gait belt

What is the temperature of a TEPID bath?

80-93 `F

What is the temperature of a SITZ bath?

Sitz- seat. The perineal and rectal areas are immersed in WARM or HOT water (93-98-106)

What is the oral temperature?

97.6-99.6

A male resident wants to use a urinal, what do you tell him to do when he is done?

use call light/call for help promptly or while waiting for help- place in side rails

A doctor comes in and give an order for a new treatment before leaving, what do you do?

Let the doctor speak to the nurse.

How should you be positioned when applying TED hose?

Wide base of support

Legs between 12-24 inches apart.

Check ever 2 hours.

Remove every 8 hours for 30 min

As a CNA, what can you do to help a resident who is being discharged?

Help in packing resident's things away.

You are in a resident's room and you see a bottle of disinfectant that housekeeping left behind, what do you do?

Remove it from the resident's room immediately.

Calculate the resident's total INTAKE for the 3-11 shift

there will be an illustration for this question

1 oz = 30 mL

How do you take a random urine specimen?

Used for routine urinalysis

No special measures are needed.

Collected any time during a 24-hour period.

Pour about 120 mL into the specimen container, place the container in a plastic bag, apply Biohazard Label.

The Midstream Specimen

*Clean-voided specimen

1). Perineal is cleaned

2). Start voiding

3). Stop voiding half way

4). Starts voiding in a sterile specimen container

How do you take a 24-hour urine specimen?

Start with an empty bladder

1). Person voids to begin the test with an empty bladder---discard it

2). Save all the voiding for the next 24-hours.

Tes is restarted if:

-a voiding was not saved

-toilet tissue was discarded into the specimen

-the specimen contains stools

You answer the phone but the person meant to call a different unit, what do you do?

Transfer the call.

(pg.56)

A resident wth dementia is getting agitated and thinks he lost his keys, what do you do?

Tell him you will help him find his keys

What do you do to a room when a resident checks out?

Disinfect the room.

A resident is in isolation.

What do you do with their food tray when they done eating?

Double bag outside the room and send it to the kitchen.

What do you do with a residents BM when you empty their colostomy bag?

Flush in the toilet

How many times do you ambulate a resident when the care plan states ambulate with BID?

BID- twice a day

TID- Three times a day

QID- Four times a day

You walk into a room and there is a trash can on fire. What is the first thing you should do?

Remove/protect the residents.

R-remove resident

A-alarm

C-confine, close doors

E-evacuate

How should a gait belt be applied?

Over clothes with buckle off center

How should an cold compress be applied?

With cloth bag = Ice pack

What do you do with person in shock?

Make the person lie down and elevate the legs

When transferring someone with a gait belt, how should your hands be positioned?

Underhand grasp

During rehab, where do you focus:

A). on patient's abilities

B). on patient's disabilities

On patient's abilities- what they can do

Where do you walk if the person has right-sided weakness?

Towards his weak side

How do you apply TED hose?

While residents is lying in bed- supine position

How to read a Fahrenheit and Centigrade thermometer?

F= 0.2 of a degree (short line)

C= 0.1 of a degree (long line)

Blue-oral and axillary thermometers- long/slender tips/pear shaped tip

Red-rectal termometers- stubby tips

Where do you throw away an ostomy?

Facility approved bag

Resident was alert and is now hard to arouse and unresponsive. What do you do?

Tell the nurse

How does a Diabetic diet work?

Give same amount of carbs, protein, fats everyday at the same time.

What is a step you can take as a CNA to prevent resident poisoning?

-Make sure patients and residents cannot reach hazardous material

-Follow agency policy for storing personal care items

-Keep harmful products in their original containers

-Leave the original label on harmful products

-Read all labels carefully before using a product.

Residents with dementia is on the commode, how long should you leave them alone?

Never

Can a urine contaminate a stool sample?

Yes

What is PPE worn for?

Contact precautions

What does rehabilitation and restorative nursing care focus on?

The whole person and what the person can do.

What is a bland diet?

To reduce gastric irrigation

Arm pain is an example of....

Subjective data- the person tells you about that you cannot observe through your senses (symptoms)

[objective- information that is seen, heard, felt, or smelled by an observer (signs)]

A patient with hip injury would use what type of bed pan?

Fracture bed pan

How would you place the call light for a quadriplegic patient?

If not able to reach, check on the person often.

After providing the urinal for a patient....

ask them to close tightly to prevent spills and call for help.

Know PROM

Passive Range of Motion

ex. Flexion

A CNA is aware that for stool collection...

Must be 1/2 cup

must not be contaminated

A resident continues to call you Sally, his daughters name, what do you tell him?

Ask him to tell you about his daughter Sally.

How do you help a resident participate with activities on time?

Make sure they have an activities schedule

be flexible as the CNA, and work the patients routine care around the activities schedule.

When do you give PM care?

After lunch

Before bed

After visitors leave in the evening

A patient that is playing bingo receives a phone call. What do you do?

Bring the phone call to them in the activities area

bring them back to their room and close the door to give privacy

You answer a phone call for a resident while she is in the dining room and it is her daughter, she asks you about her mothers condition and treatment.

What do you do?

Refer daughters questions to nurse

A patient asks you for her blood pressure readings after you check it, What do you do?

Provide her the reading

Before helping a patient stand, you raise the head of the bed and let the patients legs dangle, what does this do?

This prevents orthostatic hypotension- low blood pressure when person stands up

What do you do if a patients temperature is 101.2?

Tell the nurse

What will the nurse most likely ask you to do if a patient is in shock?

Keep the person lying down.

If not injured, raise the feet 6 to 12 inches.---elevate the feet so blood will flow back to the head.

Lower the feet if the position causes pain.

Maintain an open airway and control bleeding.

Begin CPR if cardiac arrest occurs.

What do you do to collect a female urine?

Clean the perineal area with towel.

-Spread the labia with your thumb and index finger.

-Clean down the urethral area from front to back. Use clean towel for each stroke

-Keep the labia separated to collect the urine.

Where do you put catheters?

On the bed frame, below the bladder.

Before shaving a resident, what do you check first?

If they are on blood thinners.

What other information is on their ID bracelet

Their doctors name.

If you have independent patients and you made his/her bed, how should you leave the bed?

In sitting height

When assisting in urinal disposal you should?

Use a standard/universal precautions

When patient is being combative, what should you do?

Leave the room and come back when the patient is not upset.

What items need to be marked as isolation?

When bringing it out

When resident requested for 1 side rail up only, what should you do?

Keep either 1 side rail up

How do you promote communication?

Asking open ended questions

At what point the bacteria disappears in hand washing?

During friction from rubbing

When patient is in cold compress, the CNA will report promptly if?

The skin is cyanotic- bluish discoloration

When talking to a patient with hearing disability, what should you do?

Reduce outside noise

Patients respiration is 33 per minutes

Tachypnea- fast breathing

What should you do with a stool specimen for isolation?

Double bag

How do you avoid poisoning?

Label all toxins and poisonous materials

Back massage

3-5min

Temperature:

Partial & complete bed bath

110-115 `F

Duration:

Shower/tub bath

No more than 20 min

Temperature:

Shower/tub bath

105 `F

Temperature:

Perineal care

105-109 `F

Duration:

Finger soak

5-10min

Duration:

Feet soak

15-20min

Urine production

1500 mL or 3 pints per day

Suppository takes effect (any drugs takes effect in)

30 mins later

Enema volume

750-1000 mL : given over 10-15 min

Enema takes effects in

10-20 min

Enema tubing insertion

2 to 4 inches

Ostomy pouch

Changed every 3 to 7 days when it leaks

1gm fat

1gm protein

1gm carbohydrate

fat = 9 calories

protein = 4 calories

carb = 4 calories

NGT feeding: Maintain semi fowlers/ fowlers

For 1 to 2 hours after the feeding or at all times

NGT feeding: clean nose and nostrils

For every 4 to 8 hours

Oral glass thermometer leave for

2-3 min

Rectal glass thermometer leave for

2 min

Radial pulse count for

30 seconds X 2

Apical pulse count for

1 minute, located under your left nipple

Let the person rest for how long before re measuring their BP

10 to 20 min

Amount of time pain relief drug take effect

30 mins

Hot & cold application observe every

5 min

Hot & cold compress apply no more than

15 to 20 min

Patients or restraints are observed every

15 min

Restraints are released every

2 hours : for 10 min

Patients sitting on chair or wheelchairs should shift positions every

15 min

Reposition bedfast persons at least

2 hours

Reposition chair fast persons every

1 hours

Transfer from wheelchair to car, position wheelchair at

45 degree angle

Deep breathing and coughing every

1-2 hours while awake