CNA information
thermometer
-RED=rectal -BLUE=oral or axillary **do NOT leave resident alone with a thermometer
respiration
1 inhale and 1 exhale (can't have half numbers when reporting)
normal respiration
12-20 per minute
normal blood pressure
120/80
1cc
1mL
The nursing assistant knows that residents on bedrest must be turned every
2 hours
enema must be inserted
2-4 inches
1kg
2.2lb
have...minutes to answer a flashing emergency light
3
1 oz
30 mL
Which of the following is an example of a pulse rate that should be reported to the nurse?
45 (anything not between 60-100 should be reported immediately)
A client eats a bagel and one large glass of orange juice. What is the correct way to record the amount of juice?
480 ml (DONT use cc)
have ...minutes to answer a call light
5
medicare
A federal program of health insurance for persons 65 years of age and older
Which of the following is a key part of care when administering a bath to a resident?
Allowing the resident to participate in care will raise their self esteem and allow autonomy.
Which of the following types of grief is considered a normal and healthy part of grieving?
Anticipatory grief occurs before the loss actually happens and is a normal part of grieving.
It is the duty of the nursing assistant to report any red pressure spots on the resident to the nurse.
Do Not perform pericare before the face and talcum powder is Not recommended
long term care (LTC)
For people who need 24 hour skilled care
What does HIPAA stand for?
Health insurance portability and accountability Act (HIPAA)
A resident is ordered to be in High Fowler position for each meal. Which of the following descriptions is the most accurate depiction of High Fowler position?
High Fowlers is a description of the patient sitting straight up in bed, meaning the bed itself has to be at a 90 degree angle to support them
The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first?
It is important to first assess whether or not the resident is choking. If they are able to answer, air is still moving through the trachea. If they nod yes, but are unable to speak, it is time to begin the Heimlich maneuver. The Heimlich should not be performed on anyone who is able to cough or speak.
Before shaving a resident, the nursing assistant checks for which of the following items in the resident's care plan?
It is necessary to check the shaving instructions in the resident's plan of care to be aware of any problems clotting and the necessity of using an electric razor as opposed to a traditional one.
A nursing assistant takes the blood pressure of a client and finds it to be 82/43. The client reports feeling dizzy. The nursing assistant should
It is very important to report a symptomatic low blood pressure to the nurse for further investigation.
Which of the following would be a primary indication of hepatitis?
Jaundice, also known as yellowing of the skin, occurs frequently in cases of hepatitis (liver disease).
The nursing assistant walks into a patient's room and discovers him masturbating. Which of the following actions is correct?
Masturbation is a normal expression of sexual health. Attempt to exit quietly without disturbing the client in order to preserve his privacy and decency.
What does OBRA stand for?
Omnibus budget reconciliation act
The nursing assistant prepares to give a patient a bed bath. Before turning the patient to rub their back, the nursing assistant notices that he has a Foley catheter in place. Where should the nursing assistant secure the catheter to ensure it is not pulled during the bath?
Securing the catheter to the lateral aspect of the patient's thigh ensures it cannot be painfully pulled during the bath.
The nursing assistant knows that signs of hypoglycemia include which of the following?
Sweating, as well as confusion and tremors, are signs of hypoglycemia.
Which of the following items is necessary in order to place a patient in restraints?
The physician needs to order restraints before they can be legally applied.
One of the patients on the unit is on airborne precautions due to suspected tuberculosis. To rule out the disease, the doctor has ordered sputum specimens to be collected. What is the best daily time for the nursing assistant to collect the specimens?
The sputum produced upon awakening is the most concentrated sputum and will yield the most accurate result.
Fecal impaction may present with which of the following symptoms?
The watery leakage of stool around a blockage is the most specific sign of fecal impaction, also known as a bowel obstruction.
The nursing assistant takes the temperature of an elderly client and finds it to be 100.6 degrees F. The client reports having just taken a sip of hot tea. Which of the following actions is appropriate?
Waiting fifteen minutes ensures the temperature of the mouth will be more accurate.
Which of the following options is the best method to prevent insomnia?
Walking and physical activity during the day promotes rest and well-being at night.
CPR (Cardiopulmonary resuscitation) should be performed when
a client has no pulse and is Not breathing
Which of the following residents is demonstrating orthopneic position?
a resident sits on one side of the bed and leans over onto the bedside table (Orthopneic position is meant to assist in breathing. Leaning forward makes it easier to get air into the lungs.)
A D T
admit discharge transfer
The nursing assistant helps a patient who recently had a right-sided stroke to bathe. Which of the following describes the BEST method to support the patient's independence?
allow the patient to perform as much of the bath as possible
volume
amount of blood **important to take into consideration
A client in the day room is having a panic attack. The nursing assistant should:
ask the client to breathe as slowly and deeply as possible
MDS
assess vitals, ADLs, and REIMBURSEMENT through medicare
Which of the following most addresses a client's needs in regard to spirituality?
assist them to the chapel every sunday
A client with a terminal illness tells the nurse that he has begun praying every night. The client states, "If I pray every night, God will forgive me." This represents which stage of grief?
bargaining
B L o W
bed lowered light within reach wash hands
When should a nursing assistant identify a resident?
before helping with feeding
Proper body mechanics when lifting clients involve which of the following?
bending the knees (AVOID: bending at the waist, keeping the spine curved and not asking for assistance)
normal pulse rate
between 60 and 100
cyanotic
blue from lack of O2
diastole
bottom number
Dyspnea is a term that refers to difficulty with which of the following?
breathing
artery
bright red oxygenated blood
enemas
can be given by a CNA but facilities DON'T allow it
Which of the following items contains the most amount of potassium?
cantaloupe
The client asks the nursing assistant to assist her to cut her toenails. The nursing assistant knows this client has type two diabetes. Which of the following actions is best?
check the physicians orders regarding nail trimming
the ability to think logically and quickly is called
cognition
vein
dark red deoxygenated blood
The nursing assistant should tell the nurse if the client with diabetes
does not touch their lunch tray (Someone with diabetes should always eat regular meals to keep their blood sugar relatively stable. )
A client who has not had a bowel movement in four days would receive the most benefit from which of the following procedures?
enema
After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg
every hour
what is the best way to prevent the spread of disease?
frequent hand washing
What protective equipment should be worn when changing an incontinent patient?
gloves and gown
MRSA stands for methacillinn-resistant Staphylococcus aureus and is very resistant to most antibiotic treatments.
hard to treat
what is the last sense to leave the body?
hearing
A client at the facility receives a new roommate. While the roommate is in the bathroom, the clients leans toward the nurse and whispers, "Why is she here anyway? Is she sick?" The best response by the nursing assistant is
i can't share that information with you because of HIPPA
A patient has just received news about the death of his spouse. He states to the nursing assistant, "I can't believe this has happened to me. I don't know what to do. How can I live without my wife?" The nursing assistant best responds by stating
i understand you are in pain and i will stay with you
when should abuse in nursing facilities, or even suspicion of abuse, be reported?
immediately to the nursing assistant's supervisor.
retention
inability to get to the toilet
When a client constantly ignores the urge to void, the client is putting themselves in danger of what complication?
incontinence (Incontinence can occur if the bladder becomes too full and is unrelieved)
increases temperature
infection dehydration exercise hot water consumed brain damage approaching death
IADLs
instrumental activities of daily living 1) get from point A to point B 2) financial management 3) household management
keeping a resident away from others as a form of punishment
involuntary seclusion
medical (medicaid)
is a medical assistance program for low-income people as well as for people with disabilities
Cheyne-Stokes respirations occur in a client who
is close to death
Which of the following statements is true about Alzheimer's residents?
it is important to maintain a routine to prevent confusion and overstimulation
A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can
keep the tubing secure and free of kinks
For a nursing assistant, confidentiality means
keeping private things private
If a resident with Alzheimer's disease has problems with dressing, the nursing assistant should:
lay out clothes in the order they should be put on
When a resident has left-sided weakness, which sleeve should be put on first?
left side
Which of the following is a correct aspect of making an occupied bed?
lower the bed to the lowest position when the procedure is complete
A client with a Foley catheter is ordered to ambulate twice daily. Before ambulating the client, the nursing assistant should
make sure the bag is lower than the bladder
when letting the resident go to the bathroom on the bed
make sure to have them sitting up
temperature
measures body heat -can be internal or external -internal=1 degree warmer -external=1 degree cooler
The range of motion term "abduction" means
moving the extremity away from the body
NPO
nothing by mouth
What member of the care team might help a resident learn to use adaptive devices for eating or dressing?
occupational therapist
Standard Precautions should be practiced
on every single person in your care
Where should the nursing assistant stand when helping a resident who is recovering from a stroke to walk?
on the residents weaker side
When helping a client with left-sided weakness due to a CVA, the nursing assistant should position the client's cane
on the right side (the nursing assistant should place the cane on the side that is the strongest so that it can support the weak side)
A patient is on a clear liquid diet. Which of the following is NOT allowed on this diet?
orange juice with pulp (tea, water, and coffee is ok)
tachycardia
over 100
A resident comes out of their room saying they have burned their leg after they dropped hot soup on it. The skin looks blistered and red. The nurse assistant knows this is a
partial thickness burn (A total thickness burn appears waxy and white, while a superficial burn might be described as blotchiness of the skin with no blistering.)
A client under the nursing assistant's care suffers from chronic "foot drop". The nursing assistant can expect to find which of the following devices in the client's room?
positioning boots will ensure that the feet are dorsiflexed to prevent contractures and discomfort.
pulse
pressure of blood against arterial wall -can be regular or irregular
the purpose of elastic stockings is to
prevent blood clots
P I I E
privacy introduce identify explain
P A S S
pull the pin aim the extinguisher squeeze the handle sweep the fire
when dressing a resident
put clothes on the weaker side first
Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs?
radial pulse
A nursing assistant enters a client's room and finds a fire burning in a trashcan. The nursing assistant's first action is to
remove the patient
Which of the following aspects of care is important for a confused client?
reorienting the client with clocks, calendars, and family members
R A C E
rescue redisent alarm signal or call police contain the fire extinguish
decreases temperature
shock cold weather sponge bath medications
The nursing assistant cares for a client who is extremely agitated. She yells, screams, and frequently tries to bite staff. The nursing assistant should
speak calmly in an authoritative and neutral manner to the client.
Which of the following guidelines regarding residents who are hard of hearing would be considered correct?
speaking slowly and clearly is the key to helping hard-of-hearing clients understand what you're saying.
"Log-rolling" is a technique best used for which of the following patient diagnoses?
spinal cord injury (SCI)
Of the following symptoms, which one is most likely due to an infection in a resident?
sudden onset confusion
stoma
surgical hole in the body
when undressing a resident
take off the clothes from the stronger side first
A client with Alzheimers wakes up more confused than usual one morning. The nursing assistant knows that, after breakfast, it is most important to support normal gastrointestinal tract function by
taking the client to the bathroom
vitals
temperature pulse respiration blood pressure
What type of client may opt to receive hospice care?
terminally ill clients may receive hospice care, which is designed to relieve pain rather than to cure disease.
where should you never put soiled linen
the floor
Transmission-Based Precautions
they are practiced in addition to Standard Precautions
insulin reactions can be caused by
too little food
systole
top number
battery
touching someone without their permission
Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair?
transfer belt
bradycardia
under 60
low blood pressure
use a blood constrictor
high blood pressure
use a blood dilator
What is the role of the ombudsman?
works with nursing home to protect the client's rights
