CNA practice test

When a nurse aide is being asked by a visitor about the client what should the nurse aide say

" The client is attending an activity. I can take you there now."

The first thing to do in serving meal trays is

Check that every client has the right tray

Prior to starting a back rub what is the most important thing to do

Checked skin for any skin damage

Residence might experience what do you to decreased intestinal mobility

Constipation

Abnormal shortening of muscle tissue

Contracture

Seizures are also known as

Convulsions

A legal documentCommunicating a clients wishesAbout life-saving care or death is called

DNR

An assigned resident does not want lifesaving measures to be performed if he expires. You know the term written on the chart is which of the following?

DNR

What food group is vitamin D found in

Dairy

A client with heart failure may be on a specialized diet that includes

Decreased sodium

The nurse is providing morning care to a mail client after shaving she put on aftershave what is this do

Decreases irritation of the skin

When a nursing assistant reports to the charge nurse that another nursing assistant accepted a tip from a resident when it is not true is an example of which of the following?

Defamation (Lying about another nursing assistant's behavior is considered defamation of character)

Validation therapy would be use for a client with what

Dementia

A client that could experience hypoglycemia or hyperglycemia may have

Diabetes

How to find kg when given lb

Divide the amt of lbs by 2.205

The nursing assistant should wear a mask when entering the residence room if The resident has been placed on what type of precaution

Droplet precaution

To prevent constipation

Eat foods high in fiver

Which of the following should be included in the nurse aids resume

Education history

The nurse it can prevent Aspiration in a client receiving tube feeding by

Elevating the head of the bed

A resident your assigned has an ostomy drainage bagThat is scheduled to be changed what is your first action

Empty the collection bag

A client has been upset and confused since recently Being placed in the facility by family the nurse aide should

Encourage the client in decisions regarding care

The nurse aide has been assigned 10 clients for the day shift. One client is in a bad mood and refusing to participate in morning care. The nurse aide knows that:

Encouraging the client to do as much morning care as possible even though the client is in a bad mood is necessary

Before Performing anyAssign procedure for the client the NA should

Explain the procedure to the client

The client would not be quiet during dinner so the nurse aide isolated her in the closet for two hours what type of abuse is this

False imprisonment

To assist the client ambulate the NA should

Firmly grasp the clients gait belt

What are the following is the correct term for intestinal gas

Flatus

A nurse they should assist client to turn cough and deep breathe to prevent which of the following

Fluid in the lungs

The nurse aide can best avoid charting errors by

Following agency rules for recording

When a resident falls, what is the most frequent injury that occurs?

Fractured hip

Sterile

Free from germs

The nurse aide refuses to take the client to the activity room because the client has not finished eating what clients right is she violating

Freedom from exploitation

The nurse is going to a clients room to give a bed bath but then here's the alarm from another room what should she do

Go to the room where the alarm was ringing

The patient's bill of rights is a document That lists The guidelines identifying the residence treatment, level of care, and services well in the facility.Any complaints or dissatisfaction from the resident in regard to care is considered

Grievance

The nurse is providing care to a client what information should the client know about the brushing and combing of the clients hair

Grooming should be a part of morning afternoon care

What is the correct definition of Fowler's position

Head of bed 45 to 60° with legs either bent or straight

A possible cause of concentrated urine is

In adequate fluid intake

When the resident been transferred to the wheelchair by the nursing aide, what is a proper position for the nursing aid during transfer

In front of the wheelchair

When collecting a stool specimen the nurse aide should

Label it with the clients information

The NA has brought the clients dentures to the sink to be cleaned which should be the first step

Line the sink with a soft cloth or fill with water

A resident is receiving oxygen therapy through a nasal cannula. When should the nasal cannula be removed?

Long enough to clean the nose

What is the correct way to count respirations

Look at your watch and the residence abdomen at the same time

What is used when giving a back rub

Lotion

Which of the following is recommended position to obtain patient's blood pressure

Lying flat

The nurse aide should apply and ordered splint to a clients wrist to

Maintain proper alignment

When trimming a residence nails you accidentally cut his finger which of the following legal actions would this be

Negligence

Which of the following is safest when ambulating a client

Non skid footwear

If a nursing assistant recognizes that a resident is not eating enough he or she should do which of the following

Offer dietary supplements as prescribed

When an unsteady client tries to get out of the wheelchair without help the nurse aide should

Offer transfer assistance

In which of the following locations with the nurse aid stand when assisting A resident who has experienced a stroke to ambulate

On the affected side of the resident

Where is the radial pulse found

On the thumb side of the wrist

The nurse is assigned to provide hair care to a client,Which of the following is true regarding her care for the client

Physical health can affect the condition of the hair

The nurse aid assists the client with coughing and deep breathing exercises to prevent what complication

Pneumonia

Tightening the bottom sheets is important because wrinkled sheets can cause

Pressure ulcers

Restorative nursing

Prevent deterioration when possible

Restraint alternative

Provide frequent attention to clients basic needs

When food is served as a client does not like what should the nurse I do

Provide the client with another food choice

When using a fire extinguisher, what does the acronym PASS mean?

Pull, Aim, Squeeze, Sweep

The nurse aide is helping and newly admitted clientTo place the clients belongings in the clients personal space. What should the nurse I do to help the client

Record all the belongings

What should the NA do first if a client is being sexually inappropriate

Redirect the client

Which of the following is a proper description for stage one decubitus ulcer

Redness

How may the nurse aid best assist a client To exercise citizenship rights

Refer the client to the appropriate person in the facility To make arrangements for voting

The nurse aid can assist a client with bladder training by

Reinforcing the understanding the control of urinating is the goal

Which of the following actions is used for the nursing assistant when caring for a resident with a condom catheter

Remove the catheter at least once daily and report any problems

Nurse aide notice a visitor looking into the clients room what should she do

Report suspicious activity to the charge nurse

A nurse aide is transferring a client from the bed to the wheelchair and the client hits his leg on a wheelchair. The client states that the leg feels ok. What should the nurse aid do?

Report the incident to the nurse and complete an incident report

Which requires a doctors order

Restraint

trochanter roll

Rolled towel support placed against the hips and upper leg to prevent external rotation of the legs.

Which of the nurse they do to prevent the clients indwelling catheterFrom being pulled out by accident

Securing it to the inner thigh

When positioning a client for deep breathing and coughing exercises what position should be taken

Semi Fowler's

Which of the following should the nursing assistant report immediately after the resident has received an enema

Severe abdominal cramping

What is not a sign of infection

Shortness of breath

The nurse that has been notified that a client needs to have a 24 hour urine specimenCollection. This means the collection:

Should be kept chilled on ice or refrigerated

What is expected of an older resident

Slowing of responses

What is the appropriate equipment for mouth Care for an unconscious client

Soft toothette

If a client is a choke on food the nurse aide should

Stay with the client during all meals

The nurse aide answer the call light to a clients room Where the client is in bed requesting a bed pan. What position is used initially for the client when placed on a standard bedpan

Supine

What task is carried out by the nurse air

Taking temp, pulse respiration

In which of the following conditions is a cold pack applied

To decrease swelling

Why is an indwelling catheter taped or secured to the resident's leg?

To ensure the catheter does not become dislodged

Why should antiembolism stockings be applied to a client

To prevent blood clot if immobile after surgery

What is a false statement regarding nail care

To return the resident to better than normal functioning

When ambulating a client the nurse aide should

Use a gait belt

The nursing has been selected to perform Morning care to a mail client who is unable to shave himself what should she do

Use short strokes in the direction of the hair

The nursing assistant notice is that a resident has just finished drinking an ice tea and it is time to take oral temp what shoukd she do?

Wait abt 15 min

What product is applied to a client skin before shaving

Warm water

It is important to Constantly give water to a client because

Waters continuingly lost through perspiration Elimination and respiration

The nurse is preparing to ambulate a client,Do you maintain the client safety what precaution should the client take

Wear footwear with non-skid soles

Which of the following procedures should be taken one weighing a client

Weigh the client at the same time every day

An alcohol-based hand-cleanser should not be considered in which of the following situations?

When hands are visibly soiled

When is it important for the nurse aide to listen to a shift report

When the nurse aide reports to work

Client care plan

Written guide for clients needs

Which one of the following mealtime events should be reported to the nurse in charge immediately?

a diabetic client who takes insulin ate only diet pudding

traction

a pull to the arm or leg muscles to bring a bone back into place when it is dislocated or fractured

The proper medical abbreviation for before meals are:

a.c

How a client reacts to illness and disability is most dependent on his

age and stage of life

A resident is confined to her bed. What might keep her from getting pressure sores?

an air mattress

When an object is free of disease - causing organisms, it is said to be:

aseptic

If a client cannot speak English, the NA should

ask the charge nurse to arrange an interpreter

Patient is on bed rest, wearing anti -embolitic stockings. How often should stockings be removed?

at least twice a day

After anti- embolism stockings are applied, the stockings should:

be free of creases

While a client is in bed, a urinary drainage bag should be secured to the:

bed rail

a nurse aide should know that a normal pulse oximetry reading is:

between 95% and 100%

The facility needs to be evacuated due to a fire. A client in one room cannot walk. Which of the following items will the nurse aide need to perform a one- rescuer carry?

blanket

When recording vital signs, what is the correct order

blood pressure,temp,pulse,then respiration

If the client is in traction, the NA should never

change the position of weights

the accepted way to identify a client is to

check the identification band

Which of the following best describes nail care?

check with the charge nurse for nail care instruction

Active range of motion (ROM) exercises are performed by the:

client alone

Before dressing an ECF resident, the NA should

close the door

The NA is instructed to give a commercial enema. What should the nurse aide do FIRST?

collect necessary equipment and supplies

When a NA cannot work due to illness the NA should

contact the supervisor ASAP

A closed wound caused by a blow to the body is called:

contusion

objective observation

A factual or measurable event such as a pulse rate or body sign

When ambulating and unsteady client the best thing to use is

A gait belt

Which of the following devices is used to prevent contractures

A hand roll

Your device used to move the resident from the bed to the chair is

A hoyer lift

Which of the following BEST defines a client at risk of injury?

decreased sensation of lower extremities

A general term that refers to a clients serious, progressive, and permanent loss of the ability to communicate, remember, think and reason is

dementia

dysphagia

difficulty swallowing

After shaving patient with safety razor, the nurse aide should

dispose of it in the sharps container

Standard (Universal) Precautions require the nurse aide to wear gloves when:

dressing a client with an open sore in the arm

How often should incontinent clients be given skin care?

each time they are incontinent

When is the best time for the nurse aide to collect a sputum specimen from a client?

early morning

The charge nurse instructs the nurse aide to clean an ECF resident's closet. The NA should

enlist help from the client

A set of principles relating to what is morally right or wrong is known as:

ethics

When the assignment sheet says that a nurse aide should change a sterile dressing, the nurse aide should:

explaiin to the nurse that a nurse aid is not qualified to change a sterile dressing

When assisting a new client on admission, what is the most important thing a nurse aide should do to promote the client's safety?

explain how to use the call light

The first step in performing any procedure is to

explain the procedure

The resident who is NPO asks for a drink of water. The nurse aide should:

explain to the resident that he is NPO and what it means

A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client's:

face, hands, axillae,genitals, and buttock

When performing passive range of motion (PROM) on a client, which of the following is the last body part the nurse aide should exercise?

feet and toes

Which medical term is often used for burping, belching and passing gas?

flatus

Which of the following could be a symptom of a urinary tract infection?

frequent voiding

The nurse aide is to measure and record fluid intake for a client. This includes foods such as:

gelatin

When communicating with another nurse aide about the clients change in condition, the nurse aide should:

give facts and be specific

When caring for a client with Alzheimer's disease, the nurse aide SHOULD:

give the client one step directions

A client is in contact isolation. What should the nurse aide wear?

gown and gloves

The method most commonly used by nurse aides to protect clients from infection is :

hand washing

When the nurse aide is providing perineal care for a client, the nurse aide should understand that perineal care:

helps to prevent skin breakdown and odor

Hypertension

high blood pressure

When taking a rectal temperature, the nurse aide should:

hold the thermometer in place

Which of the following provides identification of clients in long-term care facilities?

identification bracelet and photograph

What is the MOST common risk factor for client falls?

impaired mobility

incontinence means that the patient is

in need of medical attention.

The purpose of a bed cradle is to:

keeo the weigth of the linen off the feet

Surgical bed should be left in what position

level with the stretcher

Systolic blood pressure is determined by

listening for the first clear sound

Diastolic blood pressure is determined by

listening for the last clear sound

supine position

lying on back, facing upward

When documenting a client's vital signs, the NA makes mistake. The nurse aide should

make single line over it, write "error" and initial it

Early signs of Alzheimer's disease include:

minor forgetfullness

When assisting a client to use a walker, the nurse aide should ask the client to:

move the walker about 6-8 inches in front first

How to convert ounces to milliliters?

multiply ounces by 30

Which of the following is an early sign of dementia in an elderly client?

not knowing who she is

If a client does not eat all the food on his tray, the first thing an aide should do is

notify the charge nurse

A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand:

on the left side

The first step when weighing an ambulatory client is to have the client stand:

on the platform after balencing the scale

A condition that causes bones to become fragile and brittle is

osteporosis

The nurse aide can help prevent contractures by:

performing range of motion excercises

Clients with Alzheimer's disease have all the following characteristics EXCEPT

physical wasting away

Security for client's dentures includes

placing them in a labeled denture cup

Before transferring client from the bed to wheelchair, the nurse aide should sit her on the edge of the bed for few minutes to

prevent orthostatic hypertension

The nurse aide is caring for a client who is on bedrest. The nurse aide understands that the client is on bedrest to:

promote healing

A hearing -impaired client has the right to all of the following EXCEPT

purchase of the most expensive hearing aids

If family brings new clothes in for an Extended Care Facility resident, the nurse aide should

put them in the resident's dresser drawers

During a job interview, it is important to tell the interviewer about

qualifications

The most common site for counting the pulse is the:

radial artery

When assisting the range of motion (ROM) exercises for a client on bed rest, the nurse aide:

rasies the bed to waist height

When encountering residents with culturally or linguistically diverse backgrounds, one of the actions that can help caregivers provide effective care is to

recognize when sterotyping occurs and work to correct it

According to the chart, a clients last temperature was 99-degree F R. The "R" indicates that the temperature was:

rectal

When applying cold treatment to patients, it is important to observe the patient closely for signs of

redness

When removing soiled gown from a client who has an IV, the best action is to

remove the opposite arm from the gown first

What should be the first priority in caring for a client?

safety

If a client begins to vomit in bed, the client should be moved on to the:

side

The nurse aide is working with a client who suddenly cannot speak. The first thing the nurse aide should do is:

stay with the client and cal for the nurse immedietly

In caring for a client who is having a seizure, the nurse aide should:

stay with the client to prevent self injury

Which of the following best destroys all bacteria

sterilizing

Reporting what the client tells you is an example of

subjective observation

Walker may be used if the client can

support some weight

When a client receives a vaccination, which link in the chain of infection is broken?

susceptible host

When a nurse aide gets a vaccination, which link in the chain of infection is affected?

susceptible host

enema

the placement of a solution into the rectum and colon to empty the lower intestine through bowel activity

The nursing assistant shampoos client's hair to improve all of the following EXCEPT

the rate of the client's hair growth

Confidentiality refers to

the right of the patient to privacy and sharing information only with those involved in the client's care.

involuntary seclusion

the separation of a person from others against the person's will

Cane should be used on

the unaffected strong side of the body

What is the main goal of OBRA'87?

to make sure that healthcare providers meet the requirements nationwide by -passing competency and skill test to provide quality care

The nurse aide working in a long-term care facility should question which of the following assigned tasks?

trimming the toenails of a client with diabetes

The preferred way to remove bedpan from a client who is unable to lift her buttocks is to

turn the client to the side while holding the bedpan

pronation

turning the palm downward

False Imprisonment

unlawful restraint or restriction of a person's freedom of movement

All of the following are correct when measuring blood pressure, EXCEPT

use the biggest cuff possible to get an accurate reading

Procedure manual is a

written set of instructions on how to perform procedures

Restorative care begins:

ASAP

After handwashing the nurse aide should turn off the hand faucet

After drying the hands

The nurse aide can promote self-care in a client by

Allowing the client to perform a task

Which of the following foods could be counted as solid when recording intake

Apple sauce

The nurse aide is new to the facility and does not know all the clients yetHow does the nurse aide identify the alert client

Ask the client for name, birthdate, and check clients bracelet

Which of the following is the responsibility of the nursing assistant when caring for a resident who is receiving intravenous therapy

Assess the site for swelling redness and bruising

When a confused resident is placed in restraints by the nurse, the nursing assistant knows which of the following is true?

Assessment of the resident needs such as bathroom, repositioning, and circulation must be conducted at least every 2 hours.

What tasks are not carried out by the NA

Assigning care if clients to other nurse aide, preparing care plans, drawing blood for lab tests

The nurse aide can help prevent a UTI by

Assisting the client to clean the perennial area

How frequently should the nursing assistant record the total intake and output of the client

At the end of the shift

a nurse is caring for a client who can not verbally communicate. The nurse aid SHOULD report: A) when the client gets out of bed without difficulty B) A grimacing expression upon getting up C) that the client is participating in activities D) A happy expression on the clients face

B) A grimacing expression upon getting up

Which muscles are injured most often when a nursing assistant does not use proper body mechanics for a procedure

Back muscles

If a nursing assistant restrained a resident without a physicians order this would be seen as

Battery

A plate guard is

-a curved piece of plastic that slides onto one side of a plate to prevent slippage. -Used to help pt scoop food.