CNA exam questions

The resident would not be quiet during dinner, so the nurse isolated her in the closet for two hours. Which of the following options BEST identifies this action? A. Involuntary seclusion B. False imprisonment C. Invasion of privacy D. Neglect

A. Involuntary seclusion

Mr. Jones is totally disabled and needs to be transferred to a shower chair. The nursing assistant will need to use a mechanical lift and she/he should: A. Lock the bed wheels during the transfer B. Keep the resident in the prone position C. Be able to perform the transfer alone D. Assume all mechanical lifts are the same

A. Lock the bed wheels during the transfer

The nurse punched out the patient's medications and placed them in the trash without giving them to the patient. After two days of not receiving his medications, the patient was in severe pain. Which of the following options BEST identifies this action? A. Negligence B. Neglect C. Abuse D. Battery

A. Negligence

In Maslow's Hierarchy of Needs, which needs are considered the most important? A. Physical needs B. Need for self-esteem C. Safety and security needs D. Need for self-actualization

A. Physical needs

A patient in bradycardia has a A. Pulse rate of less than 60 B. Pulse rate of more than 90 C. Blood pressure of 140/90 or higher D. Temperature of at least 99.6 F

A. Pulse rate of less than 60

When giving perineal care to a male resident who is uncircumcised, the nurse aide should A. Push the foreskin back to clean B. Keep the foreskin in place over the penis C. Wipe from the base of the penis towards the tip D. Just cleanse the tip and directly over the urethra

A. Push the foreskin back to clean

The most common site to take the pulse is the A. Radial pulse B. Brachial pulse C. Carotid pulse D. Pedal pulse

A. Radial pulse

When you weigh and measure a person on the upright scale, you should: A. Remove the person's robe and slippers B. Let the person keep on any clothing he wants C. Tell the person to drink a lot of water in the morning D. Tell the person not to void before the procedure

A. Remove the person's robe and slippers

While caring for Mrs. Jones the nursing assistant discovers that she became less combative when provided with a washcloth. The best way to communicate this with other staff is to: A. Report your findings to the nurse before you leave B. Keep the information to yourself C. Remember to report it at next week's care conference D. Post a note in the shower room

A. Report your findings to the nurse before you leave

Which of the following people diagnose and treats communication and swallowing disorders such as a stroke or physical defects? A. Speech therapist B. Physical therapist C. Occupational therapist D. Registered nurse

A. Speech therapist

Mr. Spaulding's daughter requests that the nurse aide perform mouth care for Mr. Spaulding. The nurse aide should: A. Wash his/her hands, put on gloves and perform the requested care B. Put on gloves and perform the requested care C. Tell Mr. Spaulding's daughter that mouth care was done about 30 minutes ago and doesn't need to be done right now D. Perform the care as soon as possible after other tasks are done

A. Wash his/her hands, put on gloves and perform the requested care

Which of the following terms means abuse of staff by residents or other staff members? A. Workplace violence B. Substance abuse C. Financial abuse D. Involuntary seclusion

A. Workplace violence

To prevent skin tears or shearing when moving the resident, the nurse aide should A. Wear gloves to reduce friction against the skin B. Avoid pulling or sliding the resident when moved C. Tell the resident to be careful and follow directions D. Ask the resident to keep arms held over the resident's head

B. Avoid pulling or sliding the resident when moved

When counting respirations, the nurse aide should A. Wait until after the client has exercised B. Not tell the resident that he is counting breaths C. Count five respirations and then check his watch. D. Have the resident count respirations while the aide takes her pulse.

B. Not tell the resident that he is counting breaths

If a patient is incontinent of urine, to prevent accidents, the nursing assistant should A. Remind the patient to be careful B. Offer the bedpan frequently C. Withhold fluids D. Use diapers

B. Offer the bedpan frequently

What should a nurse aide do with a used disposable razor? A. Throw the razor away in a trash can B. Place the razor in a sharps container immediately C. Clean, rinse, dry and recap the razor so it can be used again D. Wrap the razor in a paper towel until it can be thrown away

B. Place the razor in a sharps container immediately

A client gives the nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide SHOULD: A. Take the money so as not to offend the client B. Politely refuse the money C. Take the money and buy something for the floor D. Ask the nurse in charge what to do

B. Politely refuse the money

The use of a physical restraint helps A. Control a resident's behavior B. Protect the resident from injury C. Make staff members' jobs easier D. Decrease how often staff need to check the resident

B. Protect the resident from injury

When you shampoo a person's hair: A. Use medicated shampoo B. Report redness of the scalp and any sores C. Massage scalp with your fingernails D. Do not rinse after using conditioner

B. Report redness of the scalp and any sores

When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide? A. Protect the toe by putting on an extra sock B. Report the observation to the charge nurse C. Apply an antibiotic ointment to prevent infection D. Soak the foot in very warm water and dry gently

B. Report the observation to the charge nurse

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station? A. Log out and sign off all computer screens before leaving a terminal B. Share passwords for computer access with colleagues who have forgotten their own passwords C. Periodically change computer access passwords D. Prevent an unidentified healthcare worker from viewing computer records

B. Share passwords for computer access with colleagues who have forgotten their own passwords

It is most important for the nurse aide to check the temperature of the water before A. Assisting the confused resident with mouth care B. Soaking the diabetic resident's feet for foot care C. Giving a male resident a bed bath D. Washing your hands

B. Soaking the diabetic resident's feet for foot care

Which of the following is NOT correct about bedmaking in a SNF or LTC setting? A. Make one side of the bed at a time B. Store many linens in the person's room so that you don't have to go back and forth to get them C. Wash your hands before handling clean linens D. Hold dirty linens away from your uniform

B. Store many linens in the person's room so that you don't have to go back and forth to get them

If the person has a paralyzed arm, clothing is removed from which side first? A. Paralyzed side B. Stronger side C. Whichever side hurts less D. Both sides, by pulling the garment over the head

B. Stronger side

The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD: A. Join in the conversation B. Suggest that this is not the place to discuss the client C. Be quiet and not say anything to the other nurse aides D. Return to the unit and tell the client what was said

B. Suggest that this is not the place to discuss the client

In preparing for a physical examination, the nursing assistant's responsibilities include: A. Setting up the equipment without gloves B. Taking the patient's vital signs, height and weight C. Leaving the patient alone on the table D. Taking the patient to the bathroom only after the exam

B. Taking the patient's vital signs, height and weight

To whom should you report to as a nursing assistant/nurse aid? A. The administrative desk person at the facility B. The registered nurse or licensed practical nurse on your service C. A licensed physician D. The professional assigning a particular task, which may be an RN, LPN, physical therapist, dietician

B. The registered nurse or licensed practical nurse on your service

A nurse aide reclines a resident in a geri-chair so the resident cannot attempt to stand. This is a violation of: A. The resident's right to care and security of personal items B. The resident's right to be free from restraints C. The nurse aide to practice safety for the resident D. The resident's right to walk

B. The resident's right to be free from restraints

Mr. Smith refused to take a bath. The nurse aide bathed him anyway. What resident right was violated: A. The right to be free from odor B. The right to refuse treatment C. The right to privacy D. The right to complain

B. The right to refuse treatment

When speaking with residents and their families, a nursing assistant should A. Use medical terms so that they will understand more easily B. Use simple, non-medical terms C. Use a different language D. Talk over their heads to other staff members

B. Use simple, non-medical terms

Proper use of a waist restraint requires that the nurse aide: A. Release the restraint every four hours B. Watch for skin irritation C. Tie restraints to the side rails D. Apply the restraint tightly so the client cannot move

B. Watch for skin irritation

The circulatory system consists of the A. heart, aorta, pulmonary vessels, and lungs B. blood, heart, blood vessels C. blood vessels, arteries, capillaries, and liver D. blood vessels, lymph nodes, and spleen

B. blood, heart, blood vessels

A nurse aide wants to get a resident involved in her own care. Which of these statements would best encourage the resident's involvement? A. "Stop feeling sorry for yourself." B. "It's time for us to eat our breakfast." C. "I want to brush your hair right now." D. "Do you want to take your bath now or after breakfast?"

D. "Do you want to take your bath now or after breakfast?"

Mrs. Hamada has an order for strict I&O. You note that she drank half of a 6 oz. glass of juice, 4 oz. of milk, and 8 oz. of coffee. Therefore, you document A. 240 cc B. 685 cc C. 920 cc D. 540 cc

D. 540 cc

Under what circumstances should a nursing aide have access to a patient's files? A. A nursing aide can access files on any patient that he/she has cared for B. A nursing aide can access files in order to correct computer information C. A nursing aide can access files in order to show information to family members D. A nursing aide can access files on patients currently under his/her care

D. A nursing aide can access files on patients currently under his/her care

Before performing any procedure a nurses' aide must: A. Identify the patient B. Wash your hands C. Explain the procedure D. All the above

D. All the above

Which of the following is the safest way to confirm a resident's identity? A. Look at the door number and compare it to your room list B. Call the resident by name and see if the person answers C. Ask the resident's roommate D. Check the ID bracelet or tag attached to the resident

D. Check the ID bracelet or tag attached to the resident

The nurse aide is to obtain a resident's weight. The nurse aide should A. Ask if the resident remembers his/her last weight B. Ask when the resident last ate food or drank fluid C. Wait until after the resident has a bowel movement D. Check what scale is usually used for this resident

D. Check what scale is usually used for this resident

A professional and safe working appearance would include which of the following? A. Carefully manicured acrylic nails B. Jewelry that reflect your fun personality C. Sandals, T-shirt, and a name tag D. Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair

D. Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair

What should you do if you make a mistake in charting patient information? A. Start another chart B. Use white-out over the error C. Have the supervising nurse write in a correction D. Draw a single line in blue or black ink through the error, label it "error," and initial the mistake

D. Draw a single line in blue or black ink through the error, label it "error," and initial the mistake

The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide SHOULD: A. Open the mail and leave it on the client's table B. Open the mail and read it to the client C. Read the mail to make sure it doesn't contain upsetting news D. Give the client the unopened mail and offer help as needed

D. Give the client the unopened mail and offer help as needed

The Patient's Bill of Rights is a document that lists the guidelines identifying the resident's treatment, level of care, and services while in the facility. Any complaints or dissatisfaction by the resident in regard to care is considered which of the following? A. Slander B. Defamation C. Irritating D. Grievance

D. Grievance

The nurse aide will be transporting the patient on Droplet Precautions to x-ray. How will the nurse aide prepare for the transport? A. Have the resident wear a N95 Respirator, and the nurse aide must wear a surgical mask B. The resident does not need to wear a mask, neither does the nurse aide C. Have the resident wear as mask, and the nurse aide must also wear as mask D. Have the resident wear a mask, but no mask is required for the nurse aide

D. Have the resident wear a mask, but no mask is required for the nurse aide

A resident is being showered while sitting in a showerchair. The resident says, "I feel weak. I think I am going to faint." The nurse aide's immediate concerns are calling for help and A. Making sure the water temperature is proper B. Getting the resident back to her room right away C. Finishing the shower quickly by washing only soiled areas D. Keeping the resident safe and comfortable

D. Keeping the resident safe and comfortable

If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD: A. Report the incident to the other nurse aides B. Tell the client to stop C. Laugh and tell the client to go in the bathroom D. Leave the client alone and provide privacy

D. Leave the client alone and provide privacy

A resident does not want to wear her dentures. She says she has a sore in her mouth. The nurse aide should A. Tell her to leave her dentures out for a few days B. Have the resident rinse her mouth with salt water C. Tell her that she will feel better if she wears the dentures D. Leave the dentures out and ask the nurse to check the resident's mouth

D. Leave the dentures out and ask the nurse to check the resident's mouth

A resident says she is 5 feet 6 inches tall. When the nurse aide measures the resident's height, the resident is 5 feet 4 inches. What should the nurse aide do? A. Record the resident's height as 5 feet 4 inches B. Record the resident's height as 5 feet 6 inches C. Explain that older people shrink with aging D. Measure the resident again

D. Measure the resident again

To count a respiration, a respiration includes: A. One inhalation B. One exhalation C. One inhalation and two exhalations D. One inhalation and one exhalation

D. One inhalation and one exhalation

A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, "I had an accident. I wet myself." What should the nurse aide do? A. Explain that the next shift will assist the resident in a short time B. Remove any wet clothing and place the resident on a dry underpad C. Ask if the resident feels very uncomfortable D. Provide incontinent care to the resident

D. Provide incontinent care to the resident

When changing soiled linens for a resident who is unable to get out of the bed, the nurse aide SHOULD A. Put the dirty sheets on the floor B. Help the client to sit in a chair while the bed is being made C. Lower both side rails before changing the sheets D. Raise side rail on unattended side

D. Raise side rail on unattended side

When shaving a man's face with a safety razor, you should do all the following EXCEPT: A. Wear gloves if you help the person shave B. Wash the person's face with a warm washcloth C. Soften his skin with shaving cream D. Recap the razor

D. Recap the razor

A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do? A. Consider if the task can be performed another way B. Provide the care and perform the task as best as possible C. Contact the ombudsman's office since resident's rights may be violated D. Refuse to perform the task and explain it is not within the nurse aide's role

D. Refuse to perform the task and explain it is not within the nurse aide's role

Your patient refuses to see certain visitors, is withdrawn, and shows signs of bruising on several parts of their body. What should you do? A. Talk to the patient about his/her fears B. Call 911 C. Try to get the patient to see the aforementioned visitors D. Report suspected abuse to the nurse or according to facility policy

D. Report suspected abuse to the nurse or according to facility policy

The nurse aide is taking routine vital signs on a resident. The resident's temperature is 101.4º Fahrenheit. The most appropriate response by the nurse aide is to A. Place a cool, wet washcloth to the resident's forehead B. Cover the resident with extra blankets C. Record and report the change at the end of the shift D. Report the temperature promptly

D. Report the temperature promptly

Of the following signs, which one is not a sign of infection? A. Fever B. Swelling C. Redness D. Shortness of breath

D. Shortness of breath

The nursing assistant is behind in administering baths. Mrs. Jones is to be in activities from 1000- 1100. The nursing assistant should: A. Make sure the baths are done before taking Mrs. Jones to the activity room B. Assign someone else to perform the baths on the remaining residents C. Tell Mrs. Jones she will have to skip the activities today D. Take Mrs. Jones to activities and return to complete the baths

D. Take Mrs. Jones to activities and return to complete the baths

When a resident is unable to stand, the resident's height is generally obtained by A. Having coworkers hold the resident upright to allow for the measurement B. Adding the length of legs, chest, and neck/head to determine the height C. Asking the resident's height and subtracting an inch for age-related shrinkage D. Taking the measurement from head to heels while the resident is flat in bed

D. Taking the measurement from head to heels while the resident is flat in bed

One of the major reasons the elderly person is incontinent of urine is: A. They are too lazy to go to the bathroom B. They can't get a nurse aide to help them to the bathroom C. The circulatory system is failing D. The muscle that keeps urine in the bladder weakens

D. The muscle that keeps urine in the bladder weakens

You have brushed a person's teeth. You will report all of the following to your supervising nurse EXCEPT: A. The person has bleeding, swelling, or excessive redness of the gums B. The person has irritations, sores, or white patches on the mouth or on the tongue C. The person's lips are dry, cracked, swollen or blistered D. The person's toothpaste is almost gone

D. The person's toothpaste is almost gone

Which of the following options BEST describes why isolation procedures are implemented? A. To observe patients B. To provide patients with exercise C. To transfer patients D. To control infection

D. To control infection

At the SNF facility, some conditions may call for the patient to be isolated. Which one of the below conditions would necessitate for Airborne Isolation? A. Pneumonia B. Influenza A C. Pertussis D. Tuberculosis

D. Tuberculosis

Using proper body mechanics includes all of the following EXCEPT A. Bending the knees while lifting B. Standing with feet shoulder-length apart while lifting C. Keeping an object close to the body after lifting it D. Twisting at the waist when moving an object

D. Twisting at the waist when moving an object

When a resident's husband begins telling the nurse aide how to care for his wife, the nurse aide should A. Accept that the husband has always been in charge B. Explain that the nurse aide is certified and able to care for his wife C. Suggest that the husband participate in his wife's resident care conference D. Understand that the husband wants staff aware of his wife's needs

D. Understand that the husband wants staff aware of his wife's needs

Which of the following options is false in regards to feeding a patient? A. Allow the patient time to swallow before offering another bite B. Record the amount of food that the patient consumed using a percentage C. Feed the patient while they are in a sitting position D. Use a fork to feed the patient

D. Use a fork to feed the patient

When you are recording your observations of a resident, it is important that you do NOT: A. Sign your name B. Draw a single line over mistakes C. Make corrections D. Use red ink

D. Use red ink

A person is to be transferred from the bed to a chair. The person should: A. Be barefoot B. Wear socks C. Wear slippers D. Wear nonskid shoes

D. Wear nonskid shoes

The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD A. push the wheelchair out of the hallway and carry the client out of the facility B. leave the client to search for help C. lock the client's wheelchair and check the surrounding area for smoke D. comfort the client while moving the person to a safe place

D. comfort the client while moving the person to a safe place

To help ensure adequate circulation to prevent patient skin breakdown, you should A. give back massages B. perform active or passive range-of-motion exercises C. change the patient's position frequently D. do all of the above

D. do all of the above

Physical restraints are used MOST often A. at the family's request B. at the roommate's request C. when staff is short D. to prevent client injury

D. to prevent client injury

Which of the following options is NOT a sign or symptom of extreme blood sugar levels in a hypoglycemia patient? a. A sluggish mood b. Shallow respirations c. Rapid pulse d. Clammy skin

a. A sluggish mood

Symptoms of fecal impaction include: a. Abdominal pain and a diarrhea-like discharge from the anus. b. Burning on urination and an increased frequency to void. c. Passage of hard dry stool and blood in the urine. d. Excessive thirst and nausea

a. Abdominal pain and a diarrhea-like discharge from the anus.

Which of the following statements is TRUE in regards to reporting accidents or incidents? a. All accidents and incidents require an incident report to be completed b. Only accidents or incidents that result in injury require an incident report to be completed c. Only the person involved or injured is required to complete an incident report d. Only patient involved accidents or incidents require an incident report to be completed

a. All accidents and incidents require an incident report to be completed

A resident has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she: a. Applies the stockings before the client gets out of bed b. Leaves the creases and wrinkles after application c. Applies the stockings while the client is sitting in the chair d. Allows the stockings to be loosely fitted

a. Applies the stockings before the client gets out of bed

An external catheter (such as condom catheters) should be: a. Changed daily and as needed. b. Changed only when the adhesive loosens and the catheter is ready to fall off. c. Secured with double sided tape. d. Used for all incontinent men.

a. Changed daily and as needed.

A client wakes up during the night and asks for something to eat. The nurse aide SHOULD: a. Check client's diet before offering nourishment b. Tell the client nothing is available at night c. Explain that breakfast is coming in three hours d. Tell the client that eating is not allowed during the night

a. Check client's diet before offering nourishment

Some patients may exhibit some 'false beliefs' not backed up by any reality. This is known as: a. Delusion b. Deviousness c. Paranoia d. Apprehension

a. Delusion

When arranging a client's room, the nursing assistant should do all of the following EXCEPT A. Checking the placement of the call bell B. Adjusting the backrest as directed C. Administering the client's medications D. Adjusting the lighting as appropriate

C. Administering the client's medications

Which of the following options BEST defines hazardous waste? A. Waste matter that has been contaminated with blood B. Waste matter that has been contaminated with chemical agents C. All waste matter that has the potential to cause infection D. Only waste matter that is identified as hazardous material

C. All waste matter that has the potential to cause infection

A resident tells the nurse aide about being bored. The resident says, "My days seem to last forever." What should the nurse aide do? A. Tell the resident, "I know what you mean. My days seem long too." B. Ask the charge nurse if the resident can have some medication C. Ask about activities the residents has enjoyed in the past D. Tell the resident to check the activity schedule

C. Ask about activities the residents has enjoyed in the past

To be sure that a client's weight is measured accurately, the client should be weighed: A. After a meal B. By a different nurse aide C. At the same time of day D. After a good night's sleep

C. At the same time of day

Which of the following options is NOT considered verbal communication? A. Speaking clearly B. Asking open-ended questions C. Avoiding eye contact D. Clarifying what you heard

C. Avoiding eye contact

A resident weighs over 300 pounds and needs repositioned in the bed. The nurse aide should: A. Tell the resident to lose weight so she can be moved easier B. Tell the resident to wait until a strong person comes on shift C. Call the nurse to assist in repositioning the resident D. Ignore the resident, she always complains anyway

C. Call the nurse to assist in repositioning the resident

If a resident has an irregular pulse, the most accurate way to obtain their pulse is to A. Count for 30 seconds and multiply by 2 B. Count for 15 seconds and multiply by 4 C. Count for a full minute D. Use the clock in the patient's room

C. Count for a full minute

The most serious problem that wrinkles in the bed linens can cause is A. Restlessness B. Sleeplessness C. Decubitus ulcers D. Bleeding and shock

C. Decubitus ulcers

Which of the following is NOT considered personal protective equipment? A. Gloves B. Gowns or other outer clothing C. Hand washing equipment D. Masks, face shields, goggles, and glasses

C. Hand washing equipment

The purpose of a gait or transfer belt is to A. Limit physical contact with ill residents who are transferred or walked B. Protect the nurse aide's back when walking or transferring a resident C. Help steady and support a resident when transferring or walking D. Allow residents to transfer or walk independently

C. Help steady and support a resident when transferring or walking

What is the best reason for giving frequent perineal care to residents? A. It increases comfort B. It decreases sexual responses C. It helps prevent skin breakdown D. It prevents incontinence

C. It helps prevent skin breakdown

Which statement is true about the effects of aging? A. The aging process can be reversed with good health care B. Bladder incontinence is normal part of aging C. Joints tend to be less flexible as a person ages D. Sensitivity to pain increases with age

C. Joints tend to be less flexible as a person ages

While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide A. Massage the area using lotion B. Apply a dry protective dressing over the area C. Keep the resident positioned to avoid pressure on the hip D. Cleanse the hip using extra soap, then rinse and dry thoroughly

C. Keep the resident positioned to avoid pressure on the hip

An open-ended question requires ___________ answer. An open-ended question encourages a person to talk. A. A simple "yes" or "no" B. A negative C. More than a simple "yes" or "no" D. A written

C. More than a simple "yes" or "no"

When providing denture care, the nurse aide must: A. Wash them in hot water B. Hold them firmly with bare hands C. Place a towel in the sink and rinse with cool or warm running water D. Rinse the dentures in the water used to fill the sink

C. Place a towel in the sink and rinse with cool or warm running water

Why should residents who are unable to change their own positions, have their positions changed by staff at least every two hours? A. Correct residents' posture B. Improve the residents' breathing C. Promote circulation at pressure points D. Provide an opportunity for incontinent care

C. Promote circulation at pressure points

Which of the following team members is responsible for working with the patient's therapist and dietician to ensure that the patient is receiving the proper care? A. Nursing Assistant B. Licensed Practical Nurse C. Registered Nurse D. Unlicensed Assistive Personnel

C. Registered Nurse

The nursing assistant observes redness, drainage and notes pain in the resident's eyes when providing a.m. care. The nursing assistant should: A. Protect the resident's eyes from further injury or pain by having them wear sunglasses during the day B. Tell the resident to not wear glasses or contacts for a few days C. Report the resident's condition to the RN D. Realize that the elderly have drainage and morning pain in their eyes

C. Report the resident's condition to the RN

When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should A. Pat gently to dry and cover with a dry dressing before applying a sock B. Stop the foot care immediately and ask the resident what happened C. Report the skin opening to the charge nurse as soon as possible D. Check the resident's sock for any wound drainage

C. Report the skin opening to the charge nurse as soon as possible

A draw sheet is often used to A. Make residents more comfortable B. Help residents sleep more easily C. Reposition residents without friction on the skin D. Prevent incontinence

C. Reposition residents without friction on the skin

If a resident has a weakness of the right side, which side should be placed first while dressing the resident A. Ask for the resident's preference B. Both should be placed together C. Right side D. Left side

C. Right side

Which of the following methods is the CORRECT way to remove a dirty isolation gown? A. Pull it over the head B. Let it drop to the floor and step out of it C. Roll it dirty side in and away from the body D. Pull it off by the sleeve and shake it out

C. Roll it dirty side in and away from the body

While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action? A. Dress the resident quickly B. Check the resident's vital signs C. Stop the dressing to let the resident rest D. Go to find a nurse to check the resident

C. Stop the dressing to let the resident rest

If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST: A. Wear the same gown to care for all other assigned clients B. Leave the gown untied C. Take the gown off before leaving the client's room D. Take the gown off in the dirty utility room

C. Take the gown off before leaving the client's room

A person in your care says he doesn't understand the medical procedure he is supposed to have tomorrow. You should: A. Tell him not to worry about it B. Tell him it will be painless C. Tell your supervising nurse about his concerns D. Tell your supervising nurse that he is afraid of the procedure

C. Tell your supervising nurse about his concerns

When transferring a heavy resident from the bed to a wheelchair for the first time: A. A mechanical lift should never be used B. One person should always try to transfer the resident C. The aide should review the care plan or check with the nurse D. Tell the resident they are too heavy for you to transfer

C. The aide should review the care plan or check with the nurse

The nurse's son called and asked her to bring home a package of bandages, so the nurse grabbed a package from the facility's stockroom to take home. Which of the following options BEST identifies this action? A. Negligence B. False imprisonment C. Theft D. Aiding and abetting

C. Theft

Which of the following is true of Transmission-Based Precautions? A. A nursing assistant does not need to practice Standard Precautions if he practices Transmission-Based Precautions B. They are exactly the same as Standard Precautions C. They are practiced in addition to Standard Precautions D. None of the above

C. They are practiced in addition to Standard Precautions

A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers? A. Put hand rolls in the resident's hands B. Avoid raising the head of the resident's bed C. Turn and position the resident according to schedule D. Provide range of motion (ROM) exercises every two hours

C. Turn and position the resident according to schedule

When you provide mouth care for an unconscious person, it is important to A. Position the person in a supine position B. Use a lot of water to clean the person's mouth thoroughly C. Turn the person on his side so that he does not aspirate D. Remain silent, because the person cannot hear you talk

C. Turn the person on his side so that he does not aspirate

When giving perineal care to Mrs. Jones, the nursing assistant should: A. Use hot water B. Wash from back to front C. Wear gloves D. Let the area air-dry

C. Wear gloves

Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care? A. In the morning and at bedtime B. At the beginning and near the end of a shift C. Whenever the resident is soiled with urine or stool D. Every two hours when the nurse aide checks on the resident

C. Whenever the resident is soiled with urine or stool

Which of the following abbreviations are matched with the correct definition? A. BID: at bedtime B. TID: tomorrow C. ac: before meals D. pc: patient care

C. ac: before meals

The brain is part of the A. exocrine system B. endocrine system C. nervous system D. locomotor system

C. nervous system

What should a nursing assistant do when he or she notices warning signs that indicate the patient may be developing a bedsore? a. Immediately report the warning signs to the patient's assigned nurse b. Administer the medication that is used for healing bedsores c. Monitor the warning signs to see if they get worse d. Ignore the warning signs until a bedsore actually develops

a. Immediately report the warning signs to the patient's assigned nurse

Which of the following are signs and symptoms of respiratory distress? a. Increased restlessness and cyanosis b. Decreased pulse and respirations c. Warm, dry skin d. Complaints of extreme thirst

a. Increased restlessness and cyanosis

One of your patients is blind and it is your responsibility to assist with feeding her lunch. While feeding the patient you should do all of the following EXCEPT: a. Keep silent so the patient can enjoy her meal b. Inform the patient what she will be eating c. Conserve energy by pacing the patient's bites d. Provide liquids for the patient to sip

a. Keep silent so the patient can enjoy her meal

Which of the following is NOT a part of a bladder training program? a. Limit a person's fluid intake so that he or she will not urinate as much. b. Check elimination needs on a regular schedule. c. Offer fluids on a regular schedule. d. Answer call signal immediately.

a. Limit a person's fluid intake so that he or she will not urinate as much.

When caring for Mrs. Jones, a patient in traction, the nurse aide will care for the patient by: a. Maintaining proper body alignment b. Allowing weights to rest on the floor c. Changing weights daily increasing the weight d. Decreasing weights daily

a. Maintaining proper body alignment

Which of the following guidelines is true of working around oxygen equipment? a. Never allow open flames around oxygen. b. Nursing assistants should adjust oxygen levels. c. Electric razors are not considered a fire hazard. d. Smoking is allowed around oxygen.

a. Never allow open flames around oxygen.

The three major signs of sudden cardiac arrest are: a. No response, breathing or pulse b. Cyanosis, choking and gasping c. Irregular pulse, breathing and gasping d. Gurgling, seizure and vomiting

a. No response, breathing or pulse

You are caring for a person with a catheter. Which of the following statements is false? a. Perineal care once a day is all that is needed for the person. b. Standard Precautions must be followed. c. The collection bag must be emptied at the end of each shift and as needed. d. Complaints of pain, burning, the need to urinate or irritation must be reported immediately to your supervising nurse.

a. Perineal care once a day is all that is needed for the person.

When taking the resident's radial pulse the first time, you find that his pulse rate is 38 BPM. Which of the following actions should you take next? a. Recount the patient's pulse for 60 seconds b. Immediately notify the patient's nurse c. Record his pulse rate on his chart d. Take the patient's blood pressure

a. Recount the patient's pulse for 60 seconds

Which of the following statements is false? a. Regular bowel movements means that a person has a bowel movement every day. b. Normal stools are brown, soft, and formed. c. Diarrhea occurs when feces move through the intestine rapidly. d. Constipation results when feces move through the large intestine slowly.

a. Regular bowel movements means that a person has a bowel movement every day.

One of your patients is diagnosed with depression. While checking his vitals, he confides in you that he has thought about committing suicide. Which of the following options BEST identifies what you should do? a. Report his suicidal thoughts to his nurse b. Promise the patient you will keep his secret c. Keep the depressed patient's thoughts confidential d. Discuss with the patient why he feels he should commit suicide

a. Report his suicidal thoughts to his nurse

During a nursing assistant's orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should do all of the following except: a. Use terms with many meanings. b. Be brief and concise. c. Present information logically and in sequence. d. Give facts and be specific.

a. Use terms with many meanings.

The opening of the colostomy to the outside of the body is called a. the stoma. b. the rectum. c. the insertion site. d. none of the above.

a. the stoma.

Mr. Velasco is dying of heart failure. You are assisting him with personal care, when Mr. Velasco lashes out at you. He tells you, "You are dumb and wasting your life! You do not deserve the many years you have left to live." Which stage is Mr. Velasco in? a. Denial b. Anger c. Bargaining d. Acceptance

b. Anger

While rounding, you find a resident with a large cut on their forearm and noticed excessive bleeding from the wound site. What should you do next? a. Remove any objects that have pierced the resident b. Apply firm pressure directly over the bleeding site c. If bleeding continues, remove initial dressing and apply more dressings and apply more pressure d. Wrap a bandage over the wound and check back in 10 minutes

b. Apply firm pressure directly over the bleeding site

Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action? a. Ask the client what her previous meal contained. b. Ask the nurse to observe the stool. c. Dispose of the stool and report the color to the nurse. d. Ask a co-worker if this is normal for this client.

b. Ask the nurse to observe the stool.

You are assigned a comatose resident that is in need of oral care every four hours. Which of the following options identifies how you should provide this patient with oral care? a. Assist the patient by cleaning his or her dentures and swabbing the patient's mouth and mucous membranes b. Be sure the patient's head is turned to its side and use the proper equipment to swab the patient's mouth and mucous membranes c. Gently open the patient's mouth and brush his or her teeth d. Ask the patient's permission prior to providing oral care with approved equipment

b. Be sure the patient's head is turned to its side and use the proper equipment to swab the patient's mouth and mucous membranes

A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. Which of the following protective equipment should the nursing assistant wear? a. Mask b. Clean gloves c. Sterile gloves d. Shoe protectors

b. Clean gloves

A nursing assistant is giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to tell him that there is an emergency phone call. The appropriate action is to: a. Immediately walk out of the client's room and answer the phone call. b. Cover the client, place the call light within reach, and answer the phone call. c. Finish the bed bath before answering the phone call. d. Leave the client's door open so the client can be monitored and the nurse aide can answer the phone call.

b. Cover the client, place the call light within reach, and answer the phone call.

To obtain a 24-hour urine specimen, the nurse assistant should: a. Collect each voiding in separate containers for the next 24 hours. b. Discard the first voided specimen and then collect the total volume of each voiding in 24 hours. c. For the next 24 hours, retain a 30ml specimen of each voiding after recording the amount voided. d. Keep a record of the time and amount of each voiding for 24 hours.

b. Discard the first voided specimen and then collect the total volume of each voiding in 24 hours.

The nurse aide is very frustrated because the nurse delegated a task of a giving a bed bath to a resident whom she knows is difficult to care for because she is incontinent. The nurse aide accepts the task but goes into the resident's room and yells at the resident. What defense mechanism is the nurse aide using? a. Projection b. Displacement c. Conversion d. Regression

b. Displacement

Which client need is the highest priority using Abraham Maslow's hierarchy of human needs? a. Security b. Elimination c. Safety d. Belonging

b. Elimination

When assisting a resident who has had a debilitating stroke, a nursing assistant should a. Do everything for the resident b. Lead with the stronger side when transferring c. Dress the stronger side first d. Place food in the affected, or weaker, side of the mouth

b. Lead with the stronger side when transferring

Which of the following statements is FALSE in regards to indwelling catheter care for a male patient? a. Cleanse the catheter area before cleaning the base of the penis b. Leave the perineal area moist after cleaning it c. Replace the patient's foreskin over the glans (if the patient is uncircumcised) d. Wipe around the meatus and glans in a circular motion

b. Leave the perineal area moist after cleaning it

If you are asked to place a patient in the Sim's position, how will you place them? a. On his or her side with both arms positioned in front of the patient b. On his or her side with the patient's undermost arm positioned at his or her back c. On his or her back with the arms at his or her sides d. Sitting up leaning over his or her overbed table

b. On his or her side with the patient's undermost arm positioned at his or her back

Which of the following options BEST describes the role of a nursing assistant? a. Assessing and modifying the patient's nursing care b. Providing the patient with direct personal care c. Administering medications to the patient d. Planning the patient's meals

b. Providing the patient with direct personal care

If the resident is on a clear liquid diet, he/she is not allowed: a. Broth. b. Pudding c. Jell-O. d. Apple juice.

b. Pudding

The acronym P.A.S.S. stands for: a. Push, Activate, Scan, Spray b. Pull, Aim, Squeeze, Sweep c. Push, Assess, Spray, Sweep d. Pause, Assess, Squeeze, Spray

b. Pull, Aim, Squeeze, Sweep

You are asked to take a urine specimen from a patient's indwelling catheter. What should you do immediately before you expel the urine sample into the sterile container? a. Clamp the catheter b. Remove the clamp c. Place the lid on the sterile container d. Label the sterile container

b. Remove the clamp

Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include: a. Breathing comfortably only when sitting. b. Restlessness, dizziness, and disorientation. c. Cyanosis and increased pulse rate. d. Increased temperature and decreased respiratory rate.

b. Restlessness, dizziness, and disorientation.

A resident has diabetes. Which of the following is a common sign of a low blood sugar? a. Fever b. Shakiness c. Thirst d. Vomiting

b. Shakiness

The nurse aide is caring for the client who is alert and oriented. The client touches the nurse aide inappropriately. Which of the following actions SHOULD the nurse aide take? a. Slap the client's hand b. Step back and ask the client not to do it again c. Refuse to care for the client d. Warn the client that the behavior may be punished

b. Step back and ask the client not to do it again

Which of the following is NOT a reason to do range-of-motion exercises with a patient? a. To protect his/her muscles from atrophy, maintain joint motion, and increase circulation b. To normalize his/her vital signs c. To lessen the likelihood of pressure ulcers d. To maintain mobility

b. To normalize his/her vital signs

During which of the following situations should you NOT use a gait belt on a resident? a. When you are moving the resident from a chair to a bed b. When you are moving the resident from the supine position to the Sim's position c. When you are moving the resident from a bed to a wheelchair d. When you are moving the resident from a bed to a stretcher

b. When you are moving the resident from the supine position to the Sim's position

Which of the following statements BEST describes abduction? a. When you move the extremity towards the body b. When you move the extremity away from the body c. When you bend the extremity d. When you extend the extremity

b. When you move the extremity away from the body

All of the following are clues to aggressive behavior EXCEPT: a. Clenched jaw b. Withdrawn c. Pacing d. Rocking

b. Withdrawn

Drainage bags from urinary catheters should always a. have their output measured each week. b. be kept below the level of the bladder. c. be changed every shift. d. be fastened securely to the side rail.

b. be kept below the level of the bladder.

A 76-year-old client has been diagnosed with colon cancer. Upon the request of her daughter, the Power of Attorney, the information was withheld from her. When her daughter leaves, the client asks you a question about her diagnosis. What will be your response to this situation? a. "I'm sorry, I don't know." b. "I'm sure it's nothing to worry about. You look fine to me." c. "I don't have any information, but I'll find someone who can discuss this with you." d. "Call me when you feel like talking to me."

c. "I don't have any information, but I'll find someone who can discuss this with you."

If residents have accomplished the developmental tasks of aging, they have: a. Given up independence and accepted that they are old. b. Decided they are useless. c. Accepted the life they have lived and accepted their future death d. Ignored the fact that they will die.

c. Accepted the life they have lived and accepted their future death

One of your assigned patients is in need of an IV in order to receive his or her nutrients. Which of the following actions are you NOT certified to do? a. Be careful not to interrupt the IV flow b. Avoid kinking the IV tubing c. Adjust the patient's IV therapy d. Evade pulling the IV catheter

c. Adjust the patient's IV therapy

A resident says, "I am not going to eat this food. It is poisoned," What is the best response by the nurse aide? a. Offer to taste all the food first to prove it is not poisoned. b. Report to the charge nurse that the resident is acting crazy. c. Ask if there is something else the resident would like to eat. d. Leave the resident alone because the resident will eat when hungry enough.

c. Ask if there is something else the resident would like to eat.

Restraints must be released: a. Every 15 minutes. b. Every hour. c. At least every 2 hours, and more often if necessary. d. Whenever a relative visits.

c. At least every 2 hours, and more often if necessary.

Which of the following measurements that you obtained from Mrs. Ching should be reported immediately to the charge nurse? a. Respiration 20 b. Temperature 99°F c. BP 190/114 d. Pulse 74

c. BP 190/114

Which of the following is considered a normal age-related change seen in elderly residents? a. Increase in appetite b. Decrease in constipation c. Decrease in taste sensation and smell d. Increase in amount of confusion experienced daily

c. Decrease in taste sensation and smell

When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in? a. Bargaining b. Acceptance c. Denial d. Depression

c. Denial

Which of the following statements about elimination is true? a. After a few months, residents will no longer feel embarrassed about needing help with elimination. b. Residents are not embarrassed by needing help with elimination because they realize it is a natural process. c. Elimination may always be an embarrassing issue for some residents. d. You can change the resident's attitude towards elimination.

c. Elimination may always be an embarrassing issue for some residents.

Which of the following can be done to keep a skilled nursing facility from having an unpleasant odor? a. There is nothing you can do. b. Keep all the windows open. c. Empty bedpans and change linens in a timely manner. d. Use an air freshener regularly.

c. Empty bedpans and change linens in a timely manner.

In order to protect the patient and yourself, you should always use proper body mechanics when you are doing all of the following EXCEPT: a. Lifting patients b. Transferring patients c. Feeding patients d. Ambulating patients

c. Feeding patients

Meal trays have arrived. Before serving meal trays, the nurse aide should NOT a. Check items on the tray with dietary card b. Uncover food just before the person eats c. Identify the person with at least 1 identifier d. Check if the person needs help with opening cartons or cutting food

c. Identify the person with at least 1 identifier

What of the following is NOT one of the purposes of utilizing cold applications? a. Reduce pain b. Decrease swelling c. Increase circulation and bleeding d. Cool the body when fever is present

c. Increase circulation and bleeding

An immobile patient is susceptible to all of the following alterations EXCEPT: a. Respiratory infections b. Blood clots c. Increased alertness d. Bedsores

c. Increased alertness

The dying person will have which of the following signs and symptoms? a. Restlessness b. Strong, regular pulse c. Increased respirations followed by decreased respirations d. Increase in the severity and amount of pain

c. Increased respirations followed by decreased respirations

Depression is a common mental disorder. Which one of the below symptoms is highly associated to it? a. Feeling upbeat b. Having extreme energy c. Increased worry and stress d. Laughing hysterically

c. Increased worry and stress

Which of the following options BEST identifies what a nursing assistant should do after feeding a resident with dysphagia and risk for aspiration? a. Give the patient a bath b. Swab out the patient's mouth and position the patient on his or her infected side c. Keep the patient upright for at least 30 minutes d. Position the patient on his or her back and check his or her injuries

c. Keep the patient upright for at least 30 minutes

A resident is seen in her bed having a seizure, the nurse assistant knows that his/her priority is to a. Restrain the resident b. Stop the seizure c. Keep the resident safe d. Open the resident's mouth and place a bite block

c. Keep the resident safe

A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first? a. Speak loudly and directly into the hearing aid b. Check that the hearing aid is in the correct ear c. Make sure their hearing aid is turned on d. Ask when the hearing aid battery was replaced

c. Make sure their hearing aid is turned on

Which of the following options is NOT acceptable when changing a patient's linens? a. Folding the contaminated side of the linen inwards b. Placing the contaminated linens inside of a plastic bag c. Placing the linens on the floor while changing them d. Changing the contaminated linens immediately

c. Placing the linens on the floor while changing them

When caring for a dying client, the nurse aide should perform which of the following activities? a. Encourage the client to reach optimal death. b. Assist the client to perform activities of daily living. c. Prevent and relieve suffering to the extent possible. d. Leave them alone to allow quiet time

c. Prevent and relieve suffering to the extent possible.

Which of the following options identify the two general goals of skin care when bathing a patient? a. Maintain appearance and promote sleep b. Remove body sweat and reduce oiliness c. Promote comfort and remove pathogens d. Improve circulation and inspect skin

c. Promote comfort and remove pathogens

Which of the following best describes the daily routine needs of residents with dementia? a. It is important that the resident's day be kept full of activities b. Changing daily routine is often helpful to residents with dementia c. Providing opportunities for activity and periods of rest is important d. Following a strict schedule is required to decrease confusion

c. Providing opportunities for activity and periods of rest is important

When a resident is dark skinned, the first signs of skin breakdown, instead of appearing pale or red, may appear a. Black b. Green c. Purple d. Pink

c. Purple

To maintain the facial structure of a person who has died: a. Brush and floss teeth during postmortem care. b. Place cotton balls between the teeth and gums during postmortem care. c. Put dentures back in the person's mouth during postmortem care. d. Place nose inserts in the person's nostrils during postmortem care.

c. Put dentures back in the person's mouth during postmortem care.

Mrs. Lee goes to the bathroom to void. When the nursing assistant empties the urine, what would be MOST important to report to the nurse? a. Light yellow color b. Large volume c. Reddened color d. Amber color

c. Reddened color

A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato soup!" Which of the following actions by the nurse assistant would be correct? a. Focusing on the emotional reaction. b. Clarifying the meaning of his statement. c. Redirecting the client by giving him step-by-step directions. d. Doing the procedure for him.

c. Redirecting the client by giving him step-by-step directions.

A fracture pan is usually used for voiding for: a. Any resident with dysuria b. Residents who have a foley catheter c. Residents with limited back motion d. Residents who have problems with incontinence

c. Residents with limited back motion

A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client? a. Eating his lunch. b. Use of cotton bedclothes. c. Shaving using an electric razor. d. Talking with visitors.

c. Shaving using an electric razor.

Which symptom, when it suddenly appears, can be a warning for stroke? a. Hallucinations b. Dizziness c. Slurred speech d. Palpitations and sweaty palms

c. Slurred speech

To provide a safe environment for a visually impaired resident, the nursing assistant may: a. Leave the closet doors open b. Restrain the resident to a chair c. Store all unused items properly d. Move furniture around regularly for the nursing assistant's convenience

c. Store all unused items properly

When it comes to communicating with patients who are hearing impaired, which of the following statements is TRUE? a. You should place yourself to the patient's side b. You should speak slowly, in a high tone c. You should speak short, clear statements d. You should increase the background noise

c. You should speak short, clear statements

When caring for a resident with an indwelling Foley catheter, you should a. pin the tubing to the resident's gown. b. withhold fluids if the bag is too full. c. check the bag and tubing frequently for adequate urinary flow. d. tuck the tubing under the resident's leg to keep it off the floor.

c. check the bag and tubing frequently for adequate urinary flow.

Which is the recommended position for the resident to lie in for an enema? a. prone b. right or Sam's position c. left side lying d. semi-fowlers

c. left side lying

A nurse assistant notices non-blanchable erythema on a resident's back and buttocks. The aide acts in the knowledge that a. patients can only be turned every two hours. b. It is okay since it is non-blanchable c. the skin can break down if nothing is done. d. it takes a doctor's order to rub skin with lotion.

c. the skin can break down if nothing is done.

While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to a. quickly move the resident to the nurses' station. b. ask the resident how badly the burned area hurts. c. wet a towel or napkin with cool water and place against the injured area. d. apply antibiotic ointment to the burned area and then cover with a bandage.

c. wet a towel or napkin with cool water and place against the injured area.

The resident is on a toileting schedule for bladder retraining. Which of the following is the best response by the nurse aide when it is time to toilet the resident? a. "Have you been able to hold it since you last went to the toilet?" b. "How much longer do you feel like you can hold it?" c. "May I please check to see if you are wet?" d. "Can I help you to the bathroom now?"

d. "Can I help you to the bathroom now?"

Mr. Chong states, "I feel constipated." The nursing assistant knows this means: a. The passage of liquid stool b. The passage of gas (flatus) through the anus c. A fecal impaction d. The passage of hard, dry stool

d. The passage of hard, dry stool

Which of the following should NOT be done when caring for a patient with an indwelling catheter? a. The tubing should be fixed firmly to the person's inner thigh b. The bag should be hung below the level of the bladder, but not touching the floor c. The urethra should be cleansed using a downward circular motion d. The patient should be positioned on his/her side

d. The patient should be positioned on his/her side

The resident has a sigmoid colostomy. Which of the following is not true about ostomy care? a. Frequent pouch changes can damage the skin b. Tight garments can prevent feces from entering the pouch c. The pouch is emptied with stools are present d. The resident can still defecate normally

d. The resident can still defecate normally

Which of the following is NOT true about Standard Precautions? a. They are used for all persons whenever care is given b. They are infection control practices that protect clients, visitors, and staff c. They include hand hygiene, respiratory hygiene, and the use of PPE d. They prevent the spread of infection from blood and body fluids except secretions and excretions

d. They prevent the spread of infection from blood and body fluids except secretions and excretions

Which of the following best describes how persons affected by Parkinson's disease typically walk? a. They tend to walk quickly b. The tend to lean back when walking c. They walk normally but with some shakiness d. They shuffle their feet while talking small steps

d. They shuffle their feet while talking small steps

If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the resident's side quickly? a. To get the resident into a more comfortable position b. To get towels placed to protect the bed linen c. To keep the vomit off the resident's face d. To help prevent aspiration

d. To help prevent aspiration

A client with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that he/she should: a. Encourage coughing and deep breathing and limit fluid intake b. Provide only passive range of motion and decrease stimulation c. Have the client lie as still as possible and give adequate massage d. Turn the client every 2 hours, and encourage coughing and deep breathing

d. Turn the client every 2 hours, and encourage coughing and deep breathing

Which action is incorrect when flossing the client's teeth? a. Hold the floss between the middle fingers of each hand. b. Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth. c. Move the floss gently up and down between the teeth. d. Use a new floss for each tooth

d. Use a new floss for each tooth

How should you record a patient's output? a. Using cubic meters and liters b. Using millimeters and centimeters c. Using grams and kilograms d. Using cubic centimeters or milliliters

d. Using cubic centimeters or milliliters

You are asked to take the patient's radial pulse, where on the patient's body would you perform this task? a. Neck b. Behind the ear c. Apex d. Wrist

d. Wrist

"Sundowning" is a term used to describe when residents a. take short naps throughout the day. b. show signs of Alzheimer's at a younger age. c. prefer to go to bed earlier in the evening. d. become restless and agitated late in the day.

d. become restless and agitated late in the day.

A resident is choking. The first response by the nurse aide should be to a. go find the charge nurse. b. get the suction machine. c. call emergency services (911). d. begin abdominal thrusts.

d. begin abdominal thrusts.

When feeding a resident, frequent coughing can be a sign the resident is a. choking. b. getting full. c. needs to drink more fluids. d. having difficulty swallowing.

d. having difficulty swallowing.

A resident with an ileostomy evacuates feces through the: a. anus. b. colon. c. jejunum. d. ileum.

d. ileum.

Insulin is a hormone that regulates a. the amount of salt retained in the blood. b. the rhythm of the heart. c. the strength of the skeletal muscles. d. the amount of sugar in the blood.

d. the amount of sugar in the blood.

A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and a. ask the resident when he had his last bowel movement. b. check if the resident is hungry or needs to go to the bathroom. c. try to keep the resident close to observe the resident throughout the shift. d. allow the resident to move around as long he does not harm other residents.

b. check if the resident is hungry or needs to go to the bathroom.

The client's Bill of Rights includes: a. free medical care. b. freedom of choice. c. access to the medicine cart. d. access to the laundry.

b. freedom of choice.

Mrs. Nakamura is an 82-year-old female resident who suffers from the residual effects of a CVA. She has left sided hemiplegia. This is a. an L arm contracture. b. paralysis on the left side of the body. c. L arm and leg itching. d. a rash on the L arm.

b. paralysis on the left side of the body.

During report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should a. ask the patient if he or she is having any pain. b. take away the water pitcher at midnight. c. offer frequent snacks. d. note all water that the patient drinks and all output.

b. take away the water pitcher at midnight.

The nurse aide is being asked to apply a hot pack to the resident who is complaining of pain to their arm. What are some important things to consider? (Select all that apply) a. Do not put very hot applications because tissue damage can occur b. Where on the arm to apply to hot pack c. Observe the skin every 10 minutes during the procedure d. Allow the resident to change the temperature of the application e. How long to leave the application in place

a. Do not put very hot applications because tissue damage can occur b. Where on the arm to apply to hot pack e. How long to leave the application in place

Which of the following options is the main cause of injury-related death in older adults? a. Falls b. Cancer c. Motor vehicle accident d. Burns

a. Falls

Which of the following should be reported immediately? A. A blood pressure of 89/40 B. A pulse of 90 C. Respirations of 12 D. Rectal temperature of 99.4

A. A blood pressure of 89/40

The breathing of fluid, food, vomitus, or an object into the lungs is called? A. Aspiration B. Auscultation C. Inspiration D. Expiration

A. Aspiration

Which of the following is an example of a duty that nursing assistants generally perform? A. Bathing residents B. Giving medication to residents C. Diagnosing residents' illnesses D. Making financial decisions for residents

A. Bathing residents

A sphygmomanometer measures A. Blood pressure B. Pulse rate C. Temperature D. Blood sugar

A. Blood pressure

A nurse aide finds a resident who has a history of falls lying on the floor in the resident's room. The resident is crying and says, "I fell again." What should the nurse aide do first? A. Call for help while keeping the resident calm B. Check for injuries while asking how the resident fell C. Place a pillow under the resident's head and cover with a blanket D. Consider if the resident is trying to get attention

A. Call for help while keeping the resident calm

Before removing dirty bed linen, you: A. Check the linen for personal items that the person may have left in the bed B. Flip open the clean linen and shake the sheet C. Sit on the bed and discuss soap operas with the person D. Gather the linen in a tight ball next to your uniform and remove it from the room

A. Check the linen for personal items that the person may have left in the bed

When you help a person sit up in bed with the head of the bed raised 30-45 degrees, that person is in a: A. Fowler's position B. Supine position C. Comfortable position D. Reclining position

A. Fowler's position

When should a nursing assistant document care? A. Immediately after the care if given B. Upon arriving at work the following day C. Just before performing the care D. While performing care

A. Immediately after the care is given

What is your first priority when a fire occurs at the facility? A. Immediately remove all residents located in the fire zone B. Immediately activate the facility's fire alarm C. Immediately extinguish the fire D. Immediately close all doors to contain the fire

A. Immediately remove all residents located in the fire zone

A patient has just finished taking a cold beverage. How long will the nurse aide wait before taking the temperature of the patient orally? A. 10-20 minutes B. 30 minutes at the least C. Up to 45 minutes D. Immediately

A. 10-20 minutes

A restrained person must be checked every: A. 15 minutes B. 2 hours C. Day D. Hour

A. 15 minutes

What document is created for each resident to help achieve certain goals and outlines the steps and tasks the care team must perform? A. Flow sheet B. Care plan C. Intake and Output form D. Incident report

B. Care plan

The nursing assistant sees a medical abbreviation she is unfamiliar with on the work assignment. What should she do? A. Check with co-workers to see what it may mean B. Check with the charge nurse to see what it means C. Ask the housekeeper what she thinks D. Ask the resident leading questions to figure it out

B. Check with the charge nurse to see what it means

Which of the following methods is the appropriate method for removing a mask or respirator? A. Untie the bottom tie first, then the top tie B. Do not untie the mask, just slip the ties over your ears C. Grasp the front of the mask and slowly lift it over your head D. Untie the top tie first, then the bottom tie

B. Do not untie the mask, just slip the ties over your ears

The nursing assistant is called to act quickly for a resident who developed sudden shortness of breath while he was lying in bed. What would she do? A. Raise the feet of the resident B. Elevate the head-side of his bed C. Ask him to take deep breaths D. Monitor his vital signs

B. Elevate the head-side of his bed

When getting ready to dress a client, the nurse aide SHOULD: A. Get the first clothes the nurse aide can reach in the closet B. Give the client a choice of what to wear C. Use the clothes the client wore the day before D. Choose clothes that the nurse aide personally likes

B. Give the client a choice of what to wear

Some patients are not comfortable taking a bed bath. What should the nurse aide do? A. Leave the patient to whatever he wants B. Give the patient time to decide and ask again later C. Tell the patient he or she already smells awful D. Tell the patient that bed baths are part of the caregiving protocol

B. Give the patient time to decide and ask again later

What is the federal law that relates to keeping a person's health information confidential and secure? A. Centers for Medicare & Medicaid Services (CMS) B. Health Insurance Portability & Accountability Act (HIPAA) C. Minimum Data Set (MDS) D. Omnibus Budget Reconciliation Act (OBRA)

B. Health Insurance Portability & Accountability Act

A client diagnosed with hypertension. This means the client has: A. Low blood pressure B. High blood pressure C. Low blood sugar D. High blood sugar

B. High blood pressure

While taking a rectal temperature the nurses' aide should insert the thermometer and: A. Go on his break B. Hold onto the thermometer until it can be removed C. Take care of other patients and return in three minutes D. Stay in the room until it is time to read the temperature

B. Hold onto the thermometer until it can be removed

If you have a patient who cannot independently perform range of motion, your job is to help them by performing passive range of motion (PROM). PROM will help the patient with all of the following EXCEPT: A. Protect his or her muscles from atrophy B. Increase his or her nutrition C. Increase his or her circulation D. Increase his or her joint motion

B. Increase his or her nutrition

While a nurse aide transfers a resident, most of his/her weight should be supported by the aide's A. Wrist B. Legs C. Shoulders D. Back

B. Legs

Mrs. Bayani has arthritis and needs to do range-of-motion exercises. When you go to her room to help her, she says that she can't do them today because she hurts too much. The best way to respond is to say: a. "You need to do them because the doctor ordered them. Let's just do them and get them over with." b. "If we do them quickly, we'll finish up faster." c. "Okay, we'll do them tomorrow." d. "It's important for you to do these exercises to keep your joints flexible. Let's try to do them very slowly, and you can let me know when you need to rest or stop."

d. "It's important for you to do these exercises to keep your joints flexible. Let's try to do them very slowly, and you can let me know when you need to rest or stop."

A client says to you "I am worthless person, I should be dead." What is the best response that you, the nursing assistant, can make? a. "Don't say you are worthless, you are not a worthless person." b. "We are going to help you with your feelings." c. "What you say is not true." d. "What makes you feel you're worthless?"

d. "What makes you feel you're worthless?"

When serving food to a person who has vision problems, describe items on the tray by location, using: a. A fork to point with. b. The words left and right. c. A diagram. d. A clock for a reference point.

d. A clock for a reference point.

When measuring urine output from a graduated cylinder, it is important to a. Place the device on a paper towel on a flat surface and measure at eye level b. Follow Standard Precautions c. Clean, rinse and disinfect the graduate after use d. All of the above

d. All of the above

How should the nurse aide respond when a resident tries to talk about the recent death of another resident? a. Explain that HIPAA laws forbid staff from discussing residents that died. b. Suggest the resident talk to other residents feeling the same loss. c. Try distracting the resident with a more cheerful subject. d. Allow the resident to talk about the resident who died.

d. Allow the resident to talk about the resident who died.

What is the FIRST thing a nurse aide should do when finding an unresponsive client? a. Call the client's family. b. Close the door. c. Start compressions. d. Call for help.

d. Call for help.

A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide? a. Ask another nurse aide to trade assignments b. Provide the care since the resident cannot be harmed c. Talk to other nurse aides about how to perform the procedure d. Discuss the nurse aide's lack of experience with the nurse

d. Discuss the nurse aide's lack of experience with the nurse

A resident with dementia appears to become aggressive towards the nurse aide. In this case, a. Leave the patient immediately and call for security b. Get the attention of family members to control the situation c. Give restraining orders to the patient d. Distance the self from physical harm and talk to the patient in a calm disposition

d. Distance the self from physical harm and talk to the patient in a calm disposition

The last sensation that is lost while dying is a. Sight b. Smell c. Taste d. Hearing

d. Hearing

When providing oral care to a resident, how should you position the patient? a. In the supine position b. In the Sim's position c. In the orthopneic position d. In the Fowler's position

d. In the Fowler's position

Which of the following locations is the appropriate location to store a patient's bedpan? a. On the patient's overbed table b. Under the patient's bed on the floor c. On top of the patient's bedside table d. In the bottom drawer of the patient's bedside table

d. In the bottom drawer of the patient's bedside table

A COPD client recently admitted to the facility needs constant oxygen therapy. When assisting this patient, the nursing assistant can: a. Turn the oxygen on and off b. Start the oxygen c. Decide what device to use d. Keep the connecting tubing secure and free of kinks

d. Keep the connecting tubing secure and free of kinks

In order to communicate clearly with a client who has hearing loss, the nurse aide should: a. Speak in a high-pitched tone of voice b. Stand behind the client when speaking c. Speak in a loud and slow manner d. Look directly at the client when speaking

d. Look directly at the client when speaking

You are caring for a DNR resident on hospice care. She notices the patient's lips, hands and feet are blue and mottled. There is no rise and fall of the patient's chest. What should the CNA's next action be? a. Start chest compressions b. Call 911 c. Shout at the patient to wake up d. Notify the nurse

d. Notify the nurse

It's a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Bacitracin ointment and gives you instructions to apply it to a patient's eyes. What do you do? a. Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure. b. As assistant to the nurse, follow the nurse's request and apply the ointment to the patient's eyes. c. Ask the nurse to be with you during the application of the ointment. d. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

d. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should a. Check the resident's arms and jaw for possibly injury or bruising b. Check the care plan to see if the resident is on heart attack precautions c. Ask if the resident might have eaten something that has upset her stomach d. Recognize the seriousness of the signs and observations and report immediately

d. Recognize the seriousness of the signs and observations and report immediately

Mrs. Tolentino tells you, "I'm afraid I'm going to die." A good way to help her would be to: a. Tell her everything will be okay. b. Change the subject to something more pleasant. c. Tell her not to worry about that. d. Sit quietly and let her express these feelings.

d. Sit quietly and let her express these feelings.

An elderly patient who has been diagnosed with Parkinson's disease may be affected by all of the following EXCEPT: a. The ability to stand b. The ability to stoop c. The ability to walk d. The ability to learn new skills

d. The ability to learn new skills