CNA Pratice Test

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For most residents, normal respiration ranges between

12/20

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

300 cc

How many tips does a quad-cane base have?

4

To convert four ounces of juice to milliliters (ml), the nurse aide should multiply

4 x 30 ml

Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a 6oz. glass of juice, 4oz. of milk, and 8oz. of coffee, you document

450 cc

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

6 oz

Many elderly residents lose their appetite due to

All of the above

The nurse aide knows to wear which of the following to perform resident care?

All of the above

Type 2 diabetes is

All of the above

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

Ask Mr. T his favorite memories with his son

Wasting or a decrease in the size of a muscle is called

Atrophy

Which of the following measurements you obtained from Mrs. Shumway should be reported immediately to the charge nurse?

B/P 190/114

Reality orientation should include

Calling the resident by his name

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

Comfort the patient while moving to a safe place

Mrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include

Daily am weight measurement

All of the following are clues to aggressive behavior EXCEPT

Depress mood

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

Encourage the client to talk about the lose

Various factors will change pulse rate. Increased pulse rates can be caused by

Exercise

A sitting or semi-sitting position with the head of the bed elevated is called

Fowlers

The most comfortable position for a resident with a respiratory problem is

Fowlers

The nursing care plan states, "Transfer with mechanical lift." however, the client is very agitated. To transfer the client, the nurse aide SHOULD

Get assistance to move the client

A client with dementia has developed a fear of taking a shower. What can a nurse aide do?

Give a bed bath and try a shower on another day

A resident with an ileostomy evacuates feces through the

Ileum

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is

Notify the IV nurse that the infusion appears to have infiltrated

Which of the following is NOT considered to be a way to restrain a client?

Pain management

A client is to be assisted out of bed to sit in a wheelchair. Which action would make this procedure safe?

Place the bed in low position

The purpose for padding side rails on the client's bed is to

Protect client from injury

If the nurse aide discovers fire in a client's room, the FIRST thing to do is

Remove the client

The nurse aide is responsible for all of the following fire prevention measures EXCEPT

Taking cigarettes and matches away from all patients and visitors

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

Tell them they seem sad if they want to talk about

Hospice specializes in the care of persons who are

Terminal ill

Insulin, a hormone, regulates

The amount of sugar in the blood

The nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows

The resident can not talk

The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST?

Unplug the shaver

To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's

Upper thigh

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

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

Normal urine color is

Yellow

The Heimlich maneuver (abdominal thrusts) is used for a client who has

a blocked airway

Which of the following should be reported immediately?

a blood pressured of 90/40

Mrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation. Her condition is

acute

Before performing any procedure a nurse aide must

all of the above

Continuing education is

all of the above

The charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first

all of the above

To help ensure adequate circulation to prevent skin breakdown, you could

all of the above

Which of the following is associated with smoking?

all of the above

For safety, when leaving a client alone in a room, the nurse aide SHOULD

always ensure that the client's call signal is within reach

The loss of the ability to express one's self is

aphasia

A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should

ask another aid nurse for help

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

ask the family to get several identical outfits

The best approach if you are not sure how to use a piece of equipment is to

ask the nurse for instructions

A patient appears more pale than usual. The nurse aide should

ask the patients how he feels and take vital signs immediately

To be sure that a client's weight is measured accurately, the client should be weighed

at the same time of the day

Drainage bags from urinary catheters should always

be kept below level of bladder

The purpose for padding side rails on the client's bed is to

bend knees and keep back straight

While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD

call for assistance and perform heimlich maneuver (abdominal thrust)

What is the FIRST thing a nurse aide should do when finding an unresponsive client?

call for help

Most of our calories should come from

carbs

The safest way to confirm a resident's identity is

check an ID or tag attached to resident

The charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first

check each armband, even on familiar patients

When caring for a resident with an indwelling Foley catheter it is important to

check the bag and tubing frequently for adequate urinary flow

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD

clean up spill

A professional and safe working appearance would include

clean, wrinkle free uniform, short finger nails, off the shoulder hair

The primary reason for combative behavior in a resident is

confusion

If a resident displays paranoid behavior, what is important for the nurse aide to know?

delusion are a normal part of the dementia process

The thinning of the fatty layer under the skin could cause the resident to

develop pressure sores

Why should heat NOT be applied to a diabetic resident's feet?

diabetics have decrease sensitivity to heat

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

dirty linen container

The plan, which begins on the resident's admission and assists when the resident goes home, is called

discharge plan

Who orders a warm or cold application?

doctor

A Foley catheter is used

drain urine from bladder

Which of the following is a proper way to correct an error in charting

draw a single line through it

What is the best way of keeping a skilled nursing facility from having an unpleasant odor?

empty bedpans and change linens in a time management

The nurse aide is going to take Mr. Heath's vital signs. What should the nurse aide do to get Mr. Heath to cooperate and reduce his anxiety?

explain the procedure to Mr. Heath

The nurse aide notices that the client's radio cord is draped across a chair in order to reach the nearest outlet. The FIRST thing the nurse aide should do is

find a place for the radio where the cord to be safely plugged in, so the client can continue to enjoy listening

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

flotation mattress

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

fold cranks under bed

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

give simple directions

A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient

had breakfast

The circulatory system consists of the

heart, arteries, veins, capillaries

While taking a rectal temperature the nurse aide should insert the thermometer and

hold on to the thermometer until it can be removed

When dry, hard stool fills the rectum and will not pass, it is called

impaction

The exchange of oxygen and carbon dioxide takes place

in the lungs

A bedsore or decubitus ulcer is caused by

inadequate turning

Diabetes mellitus make a resident more prone to develop

infections

On what side should the patient lie for an enema?

left

The recommended position for giving an enema is

left sims

When transferring a client, MOST of the client's weight should be supported by the nurse aide's

legs

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

listen quietly as he talks about his feelings

A Hepatitis B vaccination protects the person receiving it against a disease that affects

liver

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

look around for fire

In order to communicate clearly with a client who has hearing loss, the nurse aide should

look directly at the client when speaking

Signs and symptoms of shock may include

low blood pressure, tachycardia, clammy, pale skin

When taking an oral temperature, it is important to

make sure the client has not had anything hot or cold to eat or drink for 15 minutes

Which of the following is not true of blindness?

most legally blind or visually impaired people have no sight at all

When lifting a heavy object, which muscle groups should be utilized

muscle of legs

The brain is part of the

nervous system

What can the nurse aide give the resident who has an order for NPO?

no food or liquids

NPO means

nothing by mouth

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

notify charge nurse

A nurse aide notices blood in a patient's IV tubing. The aide should

notify the IV nurse

Who supervises the work of a nurse aide

nurse

The most important way for the nurse aide to gather information about the safety and well being of the resident is

observations

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

offer small meals and snacks that match their limited attention span

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

on the patients weak side

To count a respiration, a respiration includes

one inhalation and one exhalation

A confused resident tells you there is a monster in the closet. The nurse aide should

open the closet and tell the resident there's nothing their

Elderly residents sometimes appear stooped over and like they have lost height. This is due to

osteoporosis in the spinal column

Signs of poor circulation are

paleness, cold skin, edema

What type of fire can be put out with water?

paper

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

paralysis from left side

Which of the following is NOT true of dementia?

people with dementia act uncooperative to be spiteful

There are two kinds of restraints

physical and chemical

The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client's feet?

prosthesis

When lifting, the nurse aide should have his feet separated in the standing position to

provide a wise base of support

What is an important way to help the resident feel comfortable in a long-term facility?

provide space for personal possessions

A resident is NPO for tests. The nurse aid should

remove the water pitcher and glass from the room

You are caring for Mr. Brown who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?

report it stat to your nurse

The loss of the ability to express one's self is

report it to charge nurse

While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD

report the broken side rail immediately

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

resident has oxygen with a nasal cannula on 3 liters, assist to sit in fowlers

The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client's feet?

rubber soled slippers or shoes

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

set a bed time schedule and make sure the resident goes to bed 15 minutes earlier

Constipation and indigestion can result from

slow peristalsis

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

speaking one or two word sentences

Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects?

speech therapist

The opening of the colostomy to the outside of the body is called the

stoma

The end of the day can bring a common behavior for residents with dementia, called

sundown syndrome

Headaches, nausea and pain would be called

symptoms

In report the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should

take water pitcher at night

A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should

tell charge nurse

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

tell the resident often what day it is and where the resident is

When lifting, the nurse aide should have his feet separated in the standing position to

the muscle that keeps urine in the bladder weakness

Post-partum refers to

the period of time after a delivery of baby

A nurse assistant notices red marks on a resident's back and buttocks. The aide acts in the knowledge that

the skin can break down if nothing is done

What is the purpose of using the chain-of-command in a long-term care facility

to keep communication about a problem flowing smoothly

Physical restraints are used MOST often

to prevent client injury

The equipment you need to gather to do unconscious oral care would include

toothette or mouth swab

A patient has a diagnosis of psoriasis. Her nurse aide should

treat her the same as any other patient with a non infectious disease

If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do

wait 15 minutes to take the residents temperature

Strokes are seen in the elderly. Strokes are best described as

when the brain is deprived of oxygen

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

where she is, matter of fact tone of voice

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

would you please wait in the lobby

When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's

wrist

A client is paralyzed on the right side. The nurse aide should place the signaling device

you can encourage the client to use the unaffected side by placing the signaling device where the client can reach it to call for assistance


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