Indiana Cna written questions

Who does the CNA report to?

Charge Nurse

What is the difference between objective and subjective observation?

Objective is observed, seen, heard, smelled or felt while subjective is told to or thought happened

Examples of residents choices which can be honored by the facility to promote person-centered care?

Time to be woken up and dressed in the a.m., whether to shower or bathe in a tub, what time to go to bed

Examples of residents rights?

See survey results, voice grievances, self administer meds, be free from abuse, free to make choices.

How can resident rights be protected?

CNA report signs of abuse neglect or misappropriation immediately

types of abuse?

Sexual, mental, emotional, physical, verbal, neglect, misappropriation, involuntary seclusion

examples of neglect?

Leaving resident soiled, leaving call light and water out of reach of resident

example of misappropriation

using residents personal phone to make calls, taking residents money or personal belongings

first thing to be done if you feel a resident is being abused?

remove resident from harm and report immediately.

Links in the chain of infection?

Causitive agent, reservoir, portal of exit, mode of transmission, portal of entry, susceptible hose

Most important action to take to prevent spread of infection

WASH HANDS

5 moments of hand hygiene

Before resident contact, after resident contact, before aseptic task, after exposure to blood/body fluids, after contact with resident surroundings

Importance in personal protective equipment?

Proper usage will provide a barrier between the caregiver and the pathogen, thus preventing the spread of infection

describe direct contact which could spread infection?

touching an infected person and then proceeding to touch another person without washing hands

describe indirect contact which could cause infection

touching a contaminated object and then touching a person without washing hands

If a resident has Clostridium Difficlile, is an alcohol-based hand rub effective?

NO, you must always wash hands after coming into contact with C-diff

Universal sign for choking?

clutching the throat

what document provides first aid should a resident drink a chemical

Material Safety Data Sheets

Explain the actions of the caregiver if a resident is having a seizure?

Call for nurse, stay with resident, assist nurse with postioning resident on their side, place padding under head, move furniture away, keep things out of patients mouth and do not restrain, loosen clothing expecially around neck, note duration and areas involved.

define acronym R.A.C.E

Remove residents from area

Activate alarm

Contain the fire (close doors)

Extinguish if possible

define acronym P.A.S.S

Pull Pin

Aim nozzle

Squeeze handle

Sweep back and forth at base of flame

What to do if you catch on fire?

stop drop and roll

Normal pulse rate

60-100 beats per minute

Normal Blood pressure range

systolic ----> 100-139

-----------------------------

diastolic-----> 60-89

How to check respirations while resident sleeps

place hand on residents chest to feel the rise and fall

Define proper body alignment

residents shoulders are directly above their hips, their head and neck straight, their arms and legs in natural positions

Name four most common bed positions?

Supine, Lateral, Semi-fowlers, Fowlers

Which position raises the bed to 30-45degrees

semi-fowlers

Does semi-fowlers put more or less pressure on the coccyx than Fowlers position

Less

When transferring a resident with right sided weakness from the bed to the chair, which side should chair be placed on?

Left side (residents stronger side)

How to clean Peri area of male and female

male: pull back foreskin, wash and rinse tip of penis in a circular motion beginning with urethra, continue washing down pentis to the scrotum and inner thighs

female: separate labia, wash urethral area first, wash between and outside of labia in downward strokes, alternating from side to side and moving outward towards thighs, different part of washcloth for each stroke

What is the rationale importance of cleaning peri area correctly

Prevents spread of infection by washing pathogens away from urethra and not toward it where pathogens could enter

observations made during oral care that need reported to nurse?

Irritation, raised areas, coated or swollen tongue, sores, complaint of mouth pain, white spots, loose chipped or decayed teeth

Why should toenails of diabetic resident only be trimmed by nurse?

Due to poor circulation, even a small sore on the foot can become a large wound

What is the difference between a routine urine specimen and clean catch urine specimen

clean catch requires residents to stop mid stream be cleansed then collecting the specimen

Should affected limbs or non affected limbs be dressed first

affected limbs

list items that can be used to promote reality orientation

calendar, clock, familiar pictures, any visual aides

What should always be placed in reach of resident prior to leaving resident

Call light and water

Name two symptoms of Dehydration

dry mouth, weight loss, foul smelling urine, dark urine, cracked lips, and sunken eyes

Most essential nutrient in life

water

what are the 3 types of thickened liquids/

Nectar, Honey and Pudding thickened

When a resident has a feeding tube, what should be done while resident is in bed

Head of bed must be elevated!

true/false: Most pressure ulcers occur within a few weeks of admission

True, most have underlying damaged tissue from past

can pressure ulcers lead to life threatening infection

yes, this creates a portal of entry for the chain of infection

What should be used to turn, lift or move the resident up in bed to prevent skin damage caused by shearing

draw sheet

How often should a restrained resident be checked on?

every hour or less

how often should a resident be released from restraints to ambulate, toilet or change postion

every 2 hours or less

What is the difference between passive range of motion and active range of motion

PROM are done by caregivers moving the residents limbs and joints while AROM are done by the resident themselves.

What are contractures

permanent stiffening of a joint or muscle

A planned approach to keep the resident at a level achieved by rehabilitation following the formal rehabilitation is called

restorative

Is it ok for CNAs to adjust the level of O2?

No

Is it ok to smoke around where O2 is used or stored

NO

true/false: O2 tanks must be kept upright and handled with care

True

List potential observations of a stump which should be reported to nurse

Redness, warmth, tenderness, open areas

What do you need to make sure you do when helping a resident with eye glasses

make sure the glasses are clean

whats very important when putting elastic/compression stockings on a resident

to make sure there are no wrinkles or twists in the stockings

Possible signs of pain?

change of vitals, nausea, vomiting, tearful or frowning, sighing, moaning or groaning, breathing heavy or shortness of breath, restless or having difficulty moving, holding or rubbing body part, tightening jaw or grinding teeth

reasons for IV or PICC line

Nutrition, Meds or blood

Why would someone to deny pain?

fear of addiction, feel everyone is to busy to help them, fear pain meds will cause other problems, i.e. drowsiness, sleepiness, constipation, ect.

What is believing something that is not ture, for example, that you are the president

Delusion

What is it called if a cognitively impaired resident leaves the facility unattended and the residents whereabouts is unknown

elopement

Allowing the resident to believe what they believe to be true, without correcting it or trying to bring resident to reality is called ________

Validation Therapy

Behavioral change that occurs in the evening which may result in challenging behavior that improves or disappears during the day is ________

sundowners

When should a residents verbalization or attempt of suicide be reported?

Immediately

What to do when a resident becomes combative?

remain calm, step out of the way, remove other residents, never strike back or respond verbally, leave resident alone to calm down (if safe) and report the behaviors to the nurse immediately

Signs of hypoglycemia are...

cold/clammy skin, double or blurry vision, shaking or trembling, hunger, tingling or numbing of skin

What should be done if vomitus looks like coffee grounds

report to nurse immediately

Ways to welcome new resident?

prepare room for residents arrival, introduce self to resident and family and explain role, explain surrounding to resident, create trusting relationship, be available to family, become source of support, refer family members to nurse for information about resident

what is the list called to describe the residents belongings brought to the facility

personal inventory record

blue discoloration of skin and mucous membranes is called

cyanosis

what is the bluing and blotchy look on skin called

mottling

how to correct an error in charting

draw a single line through error, write error, write correction, initial and date

What information should be communicated to the oncoming shift during report

any resident condition that will need the attention of the oncoming shift, also the whereabouts, last time resident was toileted ect

Common signs of stress and burnout in the healthcare industry

anger towards co-workers and/or residents, arguing with supervisor or coworkers about assignments, complaining about responsibilities, feeling tired, even when well rested, difficulty focusing on residents and job duties

what is the minimum requirement of hours worked in a 24 month period to maintain CNA certifiation

8 Hours in 24 months