CNA Exam

Dressing a resident with a weak arm

1 pair of socks, 2 shirts, 2 pants

BEFORE taking the oral temperature of the client who has just finished a hot beverage, the CNA should wait:

10 to 20 minutes before taking the temperature

foot care

2 towels, foot basin, washcloth, soap, lotion

hand and nail care

2 towels, wash basin, orange wood stick, emery board, lotion, soap, washcloth

change of position (side -laying position)

3 pillows and one towel to cover table

partial bed bath

3 towels, 2 washcloths, wash basin, soap, lotion, clean gown

Which of the following is a correct measurement of urinary output?

300 mL

To convert four Oz of juice to milliliters (ml) the CNA should multiply

4 Oz x 30 =

Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?

6 oz

Which of the following is an important way to help a resident feel comfortable in a long-term care facility?

Provide space for personal possessions.

a resident is complaining of nausea, jaw pain, and is sweating. She is most likely experiencing?

a hear attack

A nurse aide is caring for a client who answers every question by nodding and saying "Yes." How should the nurse aide handle this behavior?

determine if the client is able to understand

When assisting a resident in and out of bed the CNA should always.

employ good body michanics

When communicating with a resident who is visually impaired, it is important to?

encourage resident to wear his glasses

How can the nurse aide BEST help a client who is not accepting a loss?

encourage the client to talk about the loss

restrains should be release at least?

every two hours

Which of the following best helps reduce pressure on the bony prominences?

flotation mattress

When operating a manual bed, the nurse aide should remember to

fold the cranks under the bed

ambulate

gait belt

transfer rom bed to wheelchaire

gait belt and wheel chair

When caring for a confused resident, what should a nursing assistant do?

give simple directions

A client with dementia has developed a fear of taking a shower. what can the nurse aid do?

give the client a bed bath and try a shower on another day/

mouth care (denture)

gloves, 2 towels, oral swab, (tooth brush allowed), toothpaste, emesin basin, cup of water, napkin, dentures, denture brush

bedpan

gloves, bed protector, bedpan, washcloth (wet/dry) toilet tissue, call bell

urinary drainage recording

gloves, graduated container paper towel alcohol pad * record drainage

mouth care (teeth)

gloves, toothbrush, toothpaste, 2 towels, (one for table, one as a bib) emesis basin, cup of water, napkin

catheter care

gloves, two towels, 2 wash cloths, 1 bed protector, wash basin, soap

perineal care (female)

gloves, two towels, 2 wash cloths, 2 bed protectors, wash basin, soap

Which sense is lost last in a dying person?

hearing

If a resident wants to wash her own underwear, you should?

help her obtain supplies

If a resident becomes confused, you should

help the resident recognize familiar items

When assisting Mr. Byrd, a blind resident, with his mean, it is NECESSARY to?

identify each item on his tray

A resident with an ileostomy evacuates feces through the

ileum

Mrs. Smith, your patient, tells you that her hearing aid is missing. What do you do?

immediately report it to the nurse

When catheterized residents, which of the following is NOT the CNAs responsibility?

insertion of the catheter

A male resident has just been admitted to the facility. The nurse aide should

introduce him to his roomate

On which side should the patient lie for an enema?

left side

Which of the following is the recommended position for giving an enema?

left sims

While transferring a resident, MOST of the residents weight should be supported by the CNA's?

legs

A resident with dementia has wandered into another unit. What should the nurse aide say to the resident after finding the person?

lets walk back together, ok?

Conflict resolution is an important part of communication. All the following are good tips EXCEPT

letting emotions determine your reactions and decisions

When you empathize with residents, you are feelings?

like you think the resident feels

If a client says, "God is punishing me," or asks, "Why me?" how should the nurse aide respond?

listen and ask questions to learn more

A resident complains that his children never visit. The aide should

listen quietly as he talks about his feelings

When communicating with the client's family, the nurse aide SHOULD

listen to their concerns and offer support

A resident with Alzheimer's disease tells the nurse aide that she smells smoke. The nurse aide should

look around for a fire.

reporting exactly what you see in a (an) ____ observation?

objective

To prevent dehydration of the resident, the CNA should?

offer fluids frequently while the resident is awake

A way to make sure a resident with dementia gets adequate nutrition is to?

offer small meals and snacks that match the residents limited attention span

A confused resident tells you there is a monster in the closet. You should

open the closet and show the resident that nothing is in there.

The order "weight resident q.o.d" means to weight resident every?

other day

Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. She has {L} sided hemiplegia. This is

paralysis on the left side of her body

Clean bed linen placed in a client's room but NOT used should be?

placed in the dirty hamper

A confused client asks a nurse aide what day it is. The nurse aide should

point to the date on the calender and say the date

After a resident has died, a CNA often?

prepares the body

When communicating with a nonverbal resident, the nurse aide should do all of the following EXCEPT

providing routine care while assuming the resident has no way to communicate.

An example of negative body language is

putting your hands on your hips

The residents elbows are dry and red, you should?

report this to the charge nurse (CN)

If a residents TPR is 98.8-80-30 the findings that should be reported immediately is

respirations

which is true regarding the use of restraints?

restrains may be applied only if ordered by a doctor to protect the resident from harm

The level of needs least often met for most people is?

seld-actualization needs

someone who is classified as old is?

someone who has had hi body system slow down

An agitated resident must be turned every two hours all night long. The first thing the CNA should do is?

speak quietly and calmly

Communication with a resident who has late-stage dementia or Alzheimer's includes

speaking in one- or two-word sentences.

The Global Deterioration Scale (GDS) helps caregivers understand how people with dementia decline over time. Which of the following stages has no signs of dementia?

stage 2

When reporting an indecent to the CN, a CNA should

state the facts clearly

if a resident is coughing and able to breath you should?

stay with the resident and let them continue

A resident is standing in the hallway holding a bag. She asks the nurse aide when the train is due. The aide should tell her

where she is, in a matter-of-fact tone of voice

The ombudsmans job is to?

work with the nursing home to protect residents rights

A visitor enters the room while the nurse aide is changing the client. How SHOULD the nurse aide respond?

would you please wait in the lobby?

To BEST communicate with a client who is totally deaf, the nurse aide should

write down information for the client to read

The nurse aide finds a resident sobbing. What is the best thing for the nurse aide to say to the person?

you seem sad. Can you tell me about it?

Active listening is important because

It prevents misunderstandings

A resident who has not been discharged insists she is going home. What should the nurse aide do?

Notify the charge nurse immediately.

How should you communicate with a client who only speaks and understands a foreign language?

use picture boards and gestures

measure and record residents radial pulse

watch with a moving second hand * record pulse and respirations

A resident has difficulty remembering what day it is and where the person is. How can you best help the resident?

Tell the resident often what day it is and where the resident is.

After you've had to complete several assignments that a co-worker didn't do, what is the best approach?

ask the co-worker if there was a reason

When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?

ask the family to get several identical outfits.

If you are not sure how to use a piece of equipment , you should

ask the nurse for instructions

If you are unsure of the steps of a task that the nurse told you to do, you should

ask the nurse to clarify the instructions

Which of the following is an acceptable way for the CNA to cope with feelings of anger and frustration?

ask your supervisor for time to talk about your feelings

A CNA finds a conscious resident laying on the floor. The first thing he/she should do is?

call for assistance from the CN

upon entering a room, you notice that the resident is not breathing. Your FIRST action should be to?

call for help

For a resident, reality orientation should include

calling the resident by his or her name

A female resident calls the nurse aide and says, "Someone spilled water on my bed." The nurse aide observes a wet area on the pad, directly underneath the resident. The nurse aide should

change the linens and make a mental note to offer a bedpan more often

If the resident is in traction, the CNA should never?

change the position of the weights

When caring for a client who uses a protective device (restraint), the nurse aide SHOULD

check the clients body alignment

If a resident's behavior becomes combative, the nurse aide should

communicate calmly while stepping out of the way

The primary cause of combative behavior in a resident with dementia is?

confusion

All of the following are signs of aggressive behavior EXCEPT

depressed mood.

If a resident exhibits paranoid behavior, what should the nurse aide know?

Delusions are a normal part of the progression of the dementia process.

Using touch as a way to communicate with a client

Depends on the client's culture

Residents with cognitive impairments often have difficulty sleeping. What can be helpful?

Establish a bedtime schedule and make sure the residents go to bed within 15 minutes of that time.

Which of the following is the most comfortable position for a client with a respiratory problem?

Fowlers

Toward the end of the day, residents with dementia commonly experience which of the following?

Sundown Syndrome

As dementia progresses, incontinence can become an issue. How can the nurse aide assist?

Watch for signs of discomfort so you can take the resident to the bathroom.

Which of the following stages of dying or grief is usually the final stage?

acceptance

a good example of providing choices to a resident would be?

allow the resident to pick out clothing to wear today

Which is the best way to talk to a resident with a visual impairment?

announce your presence when entering the room

A resident frequently acts demanding, especially when his roommate has visitors. The nurse aide understands that the resident is

anxious

While the nurse aide is giving care to Mr. T., he calls the nurse aide by the name of his son who dies several years ago. The nurse aide's best response is to.

ask Mr. T about his favorite memories with his son.

You are assigned to care for a new resident, but you don't know what to call her. You should introduce yourself and then

ask her what name she would like to be called by

When asking questions, you should

ask one question at a time

To communicate clearly with a client who has hearing loss, what should you do?

look directly at the client when you speak

practices used in healthcare facilities to prevent the spread of disease are called?

medical asepsis

When interacting with clients, the nurse aide should remember that

more than half of all communication is nonverbal

handwashing

no equipment needed

range of motion exercises (shoulder / elbow and wrist / hip and knee)

no equipment needed

the normal aging process is best defined as a time when?

normal body functions and sense decline

NPO means

nothing by mouth

A person with dementia is being admitted to your facility. Which of the following statements are correct?

the persons confusion may increase in the new surroundings, the admissions process will be completes as soon as possible, family members will be asked to leave to help the person adjust.

You may attend resident council meetings in a facility if?

the resident invites you

The nurse aide asks a resident how she feels, and she replies, "Fine." Still, the nurse aide suspects the resident is in pain because

the resident is grimacing

In the Nursing Care Plan, you note that it is written, "O2 per N/C @3L, Orthopnea pos. as needed". As a CNA, you know that this means which of the following?

the resident is on oxygen with a nasal cannula on three liters. assist so sit in flowers position.

An important rule of communication is to always use the proper "register." This means

the way we talk to different people

Which of the following is NOT true of patients with dementia?

they act uncooperative just to be spiteful

change an occupied bed

top sheet, fitted sheet, towel for table, pillowcase

feeding the resident

towel (as a bib), or bib, washcloth (wet/dry), a cup of water, food, spoon, napkin * record food intake