CNA midterm practice

1. When ambulating a client who has had a CVA, the nurse aide should walk:
A. to the weak side and slightly behind the client ✅
B. backwards and guide the client
C. to the strong side and slightly behind the client
D. directly behind the client

2. Which of the following is a core value associated with culture change?
A. Doing everything for residents
B. Promoting self-determination and personal choice ✅
C. Treating all residents the same way
D. Making sure all residents participate in the same activities

3. When a nursing assistant is performing a procedure on a resident, he should:
A. Talk to the resident's roommate so the resident does not become self-conscious
B. Try to distract the resident so she will not know what the NA is doing
C. Explain the procedure fully before performing it ✅
D. Wait until the resident is sleeping before the NA starts the procedure

4. What is the term for the person assigned by law to be the legal advocate for residents?
A. Activities director
B. Administrator
C. Medical social worker
D. Ombudsman ✅

5. Which of the following is a typical task that a nursing assistant (NA) performs?
A. Prescribing treatments and billing health insurance company
B. Changing a sterile dressing on an open wound
C. Helping residents with ADLs ✅
D. Administering medication and performing treatments

6. One reason that the Health Insurance Portability and Accountability Act (HIPAA) was created is to:
A. Prevent abuse and neglect of residents
B. Protect privacy of health information ✅
C. Give nursing assistants health insurance coverage
D. Help ombudsmen monitor care in facilities

7. Which of the following care team members are licensed professionals who assign jobs to nursing assistants?
A. Nursing assistants, nurses
B. Dietitian, resident's family
C. Nurses, physical therapists ✅
D. Nursing assistants, physicians

8. Which member of the care team diagnoses disease and prescribes treatment?
A. Medical social worker (MSW)
B. Nursing assistant (NA)
C. Dietitian (RDT)
D. Physician (MD) ✅

9. The nurse aide is caring for a client who is receiving oxygen. What gift given by a visitor of this client would cause some concern?
A. A Candle ✅
B. Silk Flowers
C. Box of Candy
D. Fruit Basket

10. Due to poor care and abuse, The Omnibus Budget Reconciliation Act (OBRA) was passed in 1987 to protect residents in LTCs. All of these are part of OBRA EXCEPT:
A. The right to be treated with dignity and respect
B. A minimum standard for nurse aide training
C. MD's ability to change the plan of care without informing the resident/family ✅
D. The right to quality care and privacy

11. What is one reason why reporting a resident's changes and problems to the nurse is a very important role of the nursing assistant?
A. The NA can decide what medication to prescribe for the resident's condition.
B. Depending on the resident's changes, the NA can decide if she wants to work that day or not.
C. Reporting changes is not a task that the NA performs.
D. The care plan must be updated as the resident's condition changes. ✅

12. When cleaning the urinary meatus during catheter care, the nursing assistant should:
A. Use an incontinent brief to pad the area during care
B. Move toward the meatus, making circular motions
C. Make sure catheter has only a maximum of two kinks in the tubing
D. Move in one direction, away from the urinary meatus ✅

13. What is one function of the chain of command?
A. It describes the line of authority and helps make sure residents get proper health care. ✅
B. It determines which residents go in which rooms.
C. It describes the care plan for each resident.
D. It determines which shift an NA works.

14. Threatening to harm a resident if he tells another caregiver about a problem is an example of which type of abuse?
A. Physical abuse
B. Financial abuse
C. Psychological abuse ✅
D. Substance abuse

15. When should documentation be recorded?
A. Whenever there is time
B. Immediately after care is given ✅
C. At the end of the shift
D. Before the care is given

16. What is one way that bloodborne pathogens can be transmitted?
A. By touching something an infected person has touched
B. By standing too close to an infected person when he coughs
C. By hugging an infected person
D. By contact with blood or body fluids ✅

17. To serve hot liquids to residents, a nursing assistant should:
A. Take lids off of hot drinks
B. Pour hot drinks away from residents ✅
C. Place hot drinks on the edges of tables
D. Make sure residents are standing up before serving

18. The first two steps to take when approaching an emergency are:
A. Perform first aid and assess the situation
B. Assess the situation and assess the victim ✅
C. Call the victim’s family and activate emergency response
D. Get assistance and perform CPR

19. What is a proper way for a nursing assistant to respond if a resident does not hear or understand her?
A. Speak more quickly
B. Speak slowly and clearly ✅
C. Shout so the resident can understand
D. Whisper softly

20. What is the best way to control the spread of Clostridium difficile?
A. Limiting contact of the infected person with others
B. Using more powerful antibiotics
C. Giving more enemas
D. Proper hand washing and handling of contaminated wastes ✅

21. Devices such as a long-handled hairbrush or spoon with a curved handle are known as:
A. Unique Tools
B. Adaptive Equipment ✅
C. Special Helpers
D. Disability Implements

22. RACE is an acronym for a safety rule, and means:
A. Remove residents, Activate alarm or call 911, Contain fire, Extinguish ✅
B. Run to A Close Exit
C. Remove window, Access outside, Call for help, Elderly residents first
D. Restore power, Activate alarm or call 911, Collect residents, Exit

23. The single most important thing the NA can do to prevent the spread of disease is to:
A. Wash hands ✅
B. Carry dirty linen close to uniform
C. Remove gloves before cleaning spills
D. Wash and reuse disposable gloves

24. What information does a Material Safety Data Sheet (MSDS) contain?
A. Comparisons with other chemicals and suppliers list
B. Description of chemicals used in facility ✅
C. Costs of the chemical listed from highest to lowest
D. Names of other facilities using the chemical

25. AROM stands for:
A. Active Repeat of Motion
B. Ambulate during Range of Motion
C. Active Range of Motion ✅
D. All Range of Motion

26. Tuberculosis may be transmitted:
A. By coughing ✅
B. Through a protective mask
C. By dancing
D. By wearing gloves

27. To control bleeding, a nursing assistant should:
A. Use a tourniquet over the wound in the field
B. Apply light pressure with a bandage or bandaid
C. Apply pressure with a thick pad on the wound ✅
D. Lower the wound below the heart

28. One way that a nursing assistant can help a resident who is visually impaired is to:
A. Keep the lights very low
B. Walk behind the resident, lightly pushing the resident forward
C. Use the face of an imaginary clock to explain the position of objects ✅
D. Move furniture as the resident walks

29. What is the best way a nursing assistant can respond to a combative resident?
A. Tell the resident others will refuse care
B. Remain calm and lower tone of voice ✅
C. Stand close to the resident
D. Threaten discharge

30. Under Standard Precautions, when should hand hygiene be performed?
A. Before and after resident contact ✅
B. Before starting and ending shift
C. Only when visibly soiled
D. Before entering the room

31. One way NAs can respect the rights of residents who are dying is to:
A. Promise residents they will get better
B. Keep visitors away
C. Promote privacy for residents ✅
D. Tell the family if they disagree

32. Signs and symptoms of clinical depression include:
A. Breath that smells fruity
B. Sudden chest pain
C. Intense hunger
D. Apathy ✅

33. Dorsiflexion of the foot means:
A. Bending the foot and toes upward ✅
B. Moving the foot and leg toward the body
C. Bending the foot and toes downward
D. Moving the foot away from the body

34. Indirect contact transmission occurs when:
A. A person touches an infected person
B. A person touches an infected person’s mucous membranes
C. A person touches a carrier
D. A person touches an object contaminated by an infected person ✅

35. Which best describes a NA’s responsibilities regarding critical thinking?
A. Seeking resident’s opinion
B. Immediately reporting a potential problem to the nurse ✅
C. Making changes in care plan
D. Asking doctor to change medication

36. If an NA encounters a consenting adult resident in a sexual situation, she should:
A. Provide privacy and leave the room ✅
B. Discuss the incident with family
C. Tell the resident it’s wrong
D. Ask him to stop

37. Mrs. Goldman begins to tell Gene about her religious service. Gene does not believe in God. Gene’s best response is to:
A. Listen quietly to Mrs. Goldman ✅
B. Tell her she’s wrong
C. Tell her he doesn’t believe
D. Ask what makes her think God exists

38. The nurse aide is taking vital signs when the client asks to pray. The nurse should:
A. Stand at the door and count respirations
B. Hurry and finish
C. Tell the client vitals are more important
D. Return when the client has finished praying ✅

39. To prevent orthostatic hypotension, the nurse aide should tell the client to:
A. Roll over carefully in bed
B. Rise slowly from lying to sitting to standing ✅
C. Sit quietly in a wheelchair
D. Maintain strict bedrest

40. If a nurse aide notices abuse from a family member, she should:
A. Not get involved
B. Ask the family member to explain
C. Ask permission to report it
D. Report it to the nurse immediately ✅

41. The medical term for Heart Attack is:
A. Myocardial Infarction ✅
B. CVA
C. Cardiac Arrest
D. Hypertension

42. Steps when giving a resident a bedpan EXCEPT:
A. Avoids overexposure of client
B. Toilet tissue is within reach
C. Places bedpan correctly under client’s buttocks
D. Before placing bedpan, raises head of bed ✅

43. The inability to express or understand language is called:
A. Disorientation
B. Body language
C. Paranoia
D. Aphasia ✅

44. What position should a client on aspiration precautions be placed after a meal?
A. Lying on the right side for 30 minutes
B. Lying on the left side for 15 minutes
C. Sitting up in a chair or bed for one hour ✅
D. Prone for 45 minutes

45. A client has dysphagia. This means the client has difficulty:
A. Breathing
B. Urinating
C. Speaking
D. Swallowing ✅

46. PPE for changing linens of a client with a draining wound:
A. Mask and gown
B. Gloves and hair cover
C. Mask, gloves, and shoe covers
D. Gown and gloves ✅

47. To help keep a client with dementia from getting out of bed:
A. Put restraints on the client
B. Put all four side rails up
C. Use a bed alarm ✅
D. Have someone sit with the client

48. A symptom of fluid overload is ______ of the extremities:
A. Dehydration
B. Contracture
C. Aspiration
D. Edema ✅

49. If a client had 4 oz of juice and 6 oz of coffee, how many cc would you add to the intake log?
A. 360
B. 30
C. 100
D. 300 ✅

50. Signs and symptoms of a stroke include:
A. Sudden loss of feeling and function on one side ✅
B. Swelling in the legs and feet
C. Pain and swelling in the hands
D. Loss of thirst and appetite