CNA Test 3

11. When counting a resident's pulse, the nurse aide should? ✔ A. Notice if the rhythm of the heart-beat is regular. B. Ask if the resident takes any heart medication. C. Consider the time of day when the pulse is taken. D. Multiply the rate by four if counted for 30 seconds.

A

13. When a person is receiving end-of-life care, the resident's care plan is likely to include? ✔ A. Ways to best provide for the comfort of the resident. B. Exercises to help improve the resident's strength. C. Frequent observation to help prevent confusion. D. Instructions for providing post-mortem care.

A

24. A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to? ✔ A. Guide the resident from the chair to the floor. B. Remove the other resident's away from the table. C. Try to open the resident's mouth to check for food. D. Keep the resident in the chair by holding around the resident's waist.

A

30. Why is it important to check the feet of a resident with diabetes at least once a day? ✔ A. To look for sores on the feet the resident may not feel B. To check if vision problems have resulted in foot injuries. C. To trim the toenails so they do not become long or jagged. D. To make sure the resident does not get a foot fungus.

A

49. A resident wears a hand splint. Which observation should the nurse aide report to the nurse immediately? ✔ A. The resident's fingers are cold and blue in color. B. The splint was removed as scheduled in the care plan. C. The resident asks to have the splint removed for a few minutes. D. The resident asks the nurse aide to reposition the arm with the splint.

A

54. If you see a resident with dementia going out into a parking lot, what should the nurse aide observe? ✔ A. It's a safety hazard. B. Its the residents right. C. The nurse aide should stop the resident. D. The nurse aide should tell the resident to come back inside.

A

55. A resident states that "it feels like an elephant is sitting on my chest", what should the nurse aide suspect? ✔ A. Heart attack B. Stroke C. Gas D. Upper respiration infection

A

18. 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.

B

19. A nurse aide is giving a resident a bed bath. Which of the following should the nurse aide do during the bed bath? ✔ A. Keep the bed in the lowest position throughout bathing. B. Keep the resident's body covered during the bath. C. Open the window for fresh air during the bath. D. Add a lot of soap to the water in the basin.

B

28. Which of the following describes an important requirement when providing colostomy care? ✔ A. Use sterile technique when providing care. B. Wear gloves for Standard Precautions. C. Avoid cleansing skin near the stoma. D. Position the resident on the side.

B

34. A nurse aide who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex. What should the nurse aide do? ✔ A. Check on the residents every few minutes. B. Report the residents' behavior to the charge nurse. C. Ask the nurse if the residents should be medicated. D. Tell the residents that sex is not allowed in the nursing home.

B

37. Residents are most likely to feel the urge to have a bowel movement? ✔ A. After taking a nap. B. After eating a meal. C. Just before bedtime. D. During the shift change.

B

43. When moving a resident in bed, a lift or turning sheet may be used to help prevent? ✔ A. Atrophy. B. Shearing. C. Infections. D. Contractures.

B

47. Which of the following is generally experienced by a resident with low blood sugar? ✔ A. Fever B. Weakness C. Sour breath D. Frequent urination

B

50. When nurse aides receive resident assignments from the charge nurse at the beginning of their shifts, it is most important that the nurse aides remember? ✔ A. Be friends with their assigned residents. B. That care provided must follow the care plan. C. To perform any task requested by the charge nurse. D. That help from other nurse aides is arranged when the shift.

B

53. If a resident is normally alert but all of a sudden appears to be confused, what should the nurse aide do? ✖ A. Alert a nurse. B. Orientate the resident. C. Ask the resident if there's anything wrong. - Given D. Instruct another nurse aide to watch over the resident.

B

6. How much assistance does a resident receiving ROM need from the nurse aide? ✔ A. Partial assistance with range of motion exercises. B. Full assistance with the nurse aide taking the joints through exercises. C. Minimal assistance to just remind the resident when it is time to exercise. D. Minimal assistance to provide extremity support while the resident moves joints.

B

1. A resident is restrained. What observation should the nurse aide report to the nurse immediately? ✔ A. The resident states, "I do not like this thing. B. The resident's position needs to be adjusted. C. The resident has suddenly become very agitated. D. The restraint was removed according to the care plan schedule.

C

12. A resident has a contracture of the right arm. When putting on the resident's button-front shirt, the nurse aide should? ✔ A. Put the shirt sleeve on the left arm first, then the right arm. B. Ask which arm the resident prefers the sleeve to go on first. C. Put the shirt sleeve on the right arm first, then the left arm. D. Raise resident's arms up to slide both sleeves on at the same time

C

15. Which action is most helpful to help decrease a resident's incontinence? ✖ A. Leaving the bedpan in place for extra time. B. Putting an incontinent brief on the resident. C. Answering the resident's call light quickly. D. Controlling fluid intake throughout the day.

C

16. When preparing to shower a resident, what should the nurse aide do next after checking the water temperature? ✔ A. Give the resident a washcloth to hold. B. Suggest the resident wash his or her face. C. Ask the resident to check the water temperature. D. Check if the resident wants a partial or full shower.

C

17. To help soften the beard before shaving with a disposable razor, the nurse aide should? ✔ A. Massage the beard area of the face gently. B. Rub the beard in the direction of the hair growth. C. Hold a warm, wet wash cloth against the face first. D. Lather the face with soap instead of shaving cream.

C

20. 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

21. A resident whose husband died a few years ago, says, "I have got to get dinner started. My husband will be home from work soon." What is the best way for the nurse aide to respond? ✔ A. Offer to walk with the resident to the activity department's kitchen. B. Remind the resident that the nursing home prepares her meals. C. Ask the resident about her husband's favorite dinners. D. Explain gently that the resident's husband is dead.

C

23. 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. White

C

26. A resident likes to eat breakfast in the dining room with other residents. The resident is slow when getting dressed each morning so the resident's friends are often leaving when the resident gets to the dining room. The nurse aide should? ✔ A. Set out clothing that the resident can dress in more quickly. B. Dress the resident to make sure the resident gets to breakfast earlier. C. Ask if there is any help the resident would like in the morning. D. Remind the resident that the friends will also be at activities later.

C

29. A nurse aide hears the charge nurse scream at a resident. The nurse aide goes to the resident to provide immediate protection of the resident. The nurse aide should also? ✔ A. Call the police immediately. B. Ask if the nurse is feeling stressed about something. C. Report the situation to the charge nurse's supervisor. D. Ask if any other staff have ever observed this behavior.

C

36. When a resident wears a restraint, the nurse aide must make sure the? ✔ A. Resident is wearing an incontinent brief. B. Resident is checked once every two hours. C. Restraint is applied following the manufacturer's instructions. D. Restraint is applied tightly and placed under the resident's clothing.

C

38. A resident must have assistance to walk. When leaving the resident in the resident's room, what must the nurse aide do before leaving the room? ✔ A. Turn on the resident's television. B. Make sure the resident's bedpan is within reach. C. Place the call light where the resident can reach it. D. Say to the resident, "Remember that you need help to walk.

C

39. 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

4. Which of the following statements is true about how people experience pain? ✔ A. Pain is usually worse in the morning. B. Residents with dementia do not feel pain. C. A person's culture can affect response to pain. D. Younger people handle pain better than older adults.

C

40. Which of the following is a right of nursing home residents? ✔ A. To select the staff that will provide their care. B. To have designated smoking areas in the facility. C. To make decisions about their care and treatment. D. To have activities offered throughout the day and evening shift.

C

41. A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to? ✔ A. Explain that the shower is required to keep clean and healthy. B. Try to motivate the resident by collecting clothing and supplies. C. Ask if the resident has another preference for bathing today. D. Remind the resident, "You do have the right to refuse care.

C

5. 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

52. If a resident were bedridden, how would the nurse aide weigh the resident? ✔ A.Place the resident into a chair. B. Have another nurse aide help move the resident to a scale. C. Use a bed scale. D. Guess the resident weight.

C

8. The Health Insurance Portability and Accountability Act (HIPAA) is important to the nurse aide because it? ✔ A. Allows residents to carry health care from the hospital to the nursing home. B. Provides for insurance coverage for residents and health care workers. C. Identifies protected health information that must remain confidential. D. Provides accountability for care offered across health care settings.

C

9. When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include? ✖ A. limiting activity by keeping the resident on bed rest. B. Emptying the urinary drainage bag every two- hours. C. Keeping the area where the catheter enters the body clean. D. Toileting the resident every two hours for bladder retraining.

C

10. After reporting the observation of a red area on the resident's hip, the nurse aide should expect that the? ✔ A. Resident will be placed on short-term bed rest. B. Area will be covered with a protective dressing. C. Area will need frequent massage with a moisturizing lotion. D. Resident should be positioned to avoid pressure on the area.

D

14. When weighing a resident, it is important to make sure the? ✔ A. Residents last measured weight is available. B. Scale measures both pounds and kilograms. C. Resident is wearing light weight clothing such as pajamas. D. Scale is balanced or calibrated before helping the resident onto the scale.

D

2. 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

22. A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? ✔ A. Use the resident's pitcher of water to put out the fire. B. Open the window to get the smoke out of the room. C. Yell "Fire!" along with the room number. D. Remove the resident from the room.

D

25. When cleaning which area of the body, is it important to change the spot on the washcloth for each washing and rinsing stroke? ✔ A. Arms and hands. B. Abdominal area. C. Face and neck. D. Perineal area.

D

27. When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide? ✔ A. Give the resident more time to swallow. B. Keep the amount of fluid small by using a spoon to give fluids. C. Add thickener to the fluid and see if it helps stop the coughing. D. Stop the feeding and report the coughing to the charge nurse right away.

D

3. When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should? ✔ A. Ask how long the minister plans to visit. B. Explain politely that it is time to take vital signs. C. Check if the resident is praying before interrupting. D. Wait to take the vital signs after the minister has left.

D

31. Sun downing 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

32. Before helping a resident to stand who has been lying in bed, the nurse aide needs to? ✔ A. Find out what the resident plans to do for the day. B. Make sure a walker is available for support in case it is needed. C. Ask if the resident has taken any medication recently. D. Allow time for the resident to adjust to sitting at the edge of the bed.

D

33. Which of the following is the best example of using reality orientation for a resident with early dementia? ✔ A. Your son plans to visit today at 2:00 p.m. B. You are in the nursing home. I am here to help you. C. This is your daughter Anna. Do you remember her. D. Look at the time. Lunch is in 30 minutes. Are you feeling hungry.

D

35. Which of the following is most important to closely observe when a resident wears elastic stockings, (the type that is worn to help circulation)? ✔ A. The resident's shoe-fit. B. The resident's pulse rate. C. The way the resident walks. D. The color of the resident's toes.

D

42. Area of the body where bone lies close to the skin is known as? ✔ A. A skin fold. B. A pressure ulcer. C. Skin breakdown. D. A pressure point.

D

44. When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques? ✖ A. Place a gait belt around the resident's waist. B. Position the chair as close to the bed as possible. C. Signal the resident to stand by saying, "1, 2, 3, stand. D. Follow the transfer technique as described in the care plan.

D

45. 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

46. A resident who is in isolation needs a temperature taken several times a day. Where is the appropriate place for the thermometer to be kept? ✔ A. At the nurses' station. B. On the isolation cart outside the resident's room. C. In the dirty utility room. D. In the resident's room.

D

48. Which of the following describes a resident's concern that needs to be reported to the charge nurse immediately? ✔ A. A resident's complaint of not getting to activities on time. B. A resident who states a need for a new pair of elastic stockings. C. A resident with dementia who states the need to talk to the resident's son. D. A resident who has always been oriented is suddenly scared and confused.

D

51. How long should a resident remain sitting after eating a meal? ✖ C. 25 minutes A. 10 minutes D. 30 minutes B. 15 minutes

D

7. The term vital signs refer to? ✔ A. Any important information about a resident's condition. B. The color, condition, and appearance of the skin. C. Fluid intake and output, as well as bowel movements. D. Temperature, pulse, and respirations.

D