CNA 2021

The proper temperature for a soap suds enema is

105

For most residents, the range of normal respiration is

12 to 20 inspirations per minute

According to the principles of proper body mechanics, a nurse aid who is lifting an object should place his or her feet

12-18 inches apart

to convert four ounces of liquid to milliliters the nurse aid should multiply four by

30 ml

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

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 ml

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

6 oz

the Heimlich remover is used on a client who has

A blocked airway

What is an embolism

A blood clot that moves through the bloodstream, and causes obstruction

Which of the following should be reported immediately?

A blood pressure of 90/40

Who supervises the work of a nurse aid?

A nurse

Continuing education is

All of the above (a professional standard, important for keeping abreast for new developments, necessary for recertification in many states)

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

All of the above (change the patients position frequently, perform active or passive range of motion exercises, give back massages)

Which of the following are associated with smoking?

All of the above (vitamin c deficiency, pneumonia, heart attacks)

The nurse aid knows to wear which of the following when performing care for clients

All of the above, name badge with job title, clean uniform and scrubs, shoes with non skid soles

Many elderly residents lose their appetite because of

Any of the above, depression, social isolation, decrease in number of taste buds

While the nurse aid is giving care to mr t he calls the nurse aid by the name of his son who died several years ago. The nurse aid best response is to

Ask him about his favorite memories of his son

How can you give a helpless resident some independence when he or she must be fed?

Ask the resident which foods they would like to eat first

If a client has hand tremors, the nurse aid should

Assist the client with the activity of daily living as needed

To count respiration's one respiration includes

One inhalation one exhalation

Goals of arthritis care include

Preventing contracture, decreasing inflammation and preserving joints, strengthening bones and muscles

When lifting, the nurse aid should have his or her feet separated in the standing position to

Provide a wide base of support

The goal of the healthcare team is to

Provide quality care

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 a decreased sensitivity to heat

Who is responsible for the entire nursing staff and the activities involved in providing safe care

director of nursing

The plan that starts on the resident's admission and assists when the resident goes home is called

discharge plan

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 to keep a skilled nursing facility from having an unpleasant odor?

empty bedpans and change linens in a timely manner

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

flotation mattress

when operating a manual bed the nurse aid should

fold the cranks under the bed

How many tips does a quad-cane base have?

four

which of the following is the most comfortable position for a client with a respiratory problem?

fowler

the nursing care plan states transfer with mechanical lift however the client is very agitated. to transfer the client the nurse aid should

get assistance to move the client

The circulatory system consists of the

heart, arteries, veins, capillaries

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

impaction

A bedsore or decubitus ulcer is caused by

inadequate turning

A contracture is caused by

lack of movement of the muscle

On which side should the patient lie for an enema?

left

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

legs

Normal urine color is

light yellow

A hepatitis b vaccination protects the person receiving it against a disease that affects

liver

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 client's weak side

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

on the left side of the bed near the clients hand

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

osteoporosis in the spinal column

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

pain management

Signs of poor circulation include

paleness, cold skin, edema

Which 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 on the left side of the body

Mr Johnson has just returned from surgery. Which of the following things do you do?

perform turn, cough and deep breathe, leg exercises

There are two kinds of restraints

physical and chemical

a client is to be assisted out of bed to sit in a wheelchair. how can this procedure be made safe?

place the bed in the lowest position

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

place the signaling device within the clients reach

To take an oral temperature, the nurse aide should

place the thermometer under the tongue

What is the term for a device used to take the place of a missing body part?

prosthesis

what is the term for a device used to take the place of a missing body part?

prosthesis

the purpose of padding side rails on the clients bed is to

protect the client from injury

After Mr. Hall's stroke, his right arm is weak, he should be taught to

put his right arm into his shirt first

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

put in the dirty linen container

Exercises that move each muscle and joint are called

range of motion

What is the process of restoring a disabled client to the highest level of functioning possible?

rehabilitation

if the nurse aid discovers fire in a clients room the first thing to do is

remove the client

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 a min. What do you do?

report it STAT to your 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

The primary goal of restorative care is

return the resident to a normal life at home

the nurse aid is going to help the client walk from the bed to a chair. what should the nurse aid put on the clients feet?

rubber soled slippers or shoes

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

see if any changes can be made so that the radio can be plugged in safely

Which of the following is true regarding the use of side rails on a bed?

side rails should not be raised unless stated in the care plan

Constipation and indigestion can result from

slowed peristalsis

The term atrophy refers to an organ or tissue becoming

smaller because of underuse

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 nurse aid is responsible for the following fire prevention measures EXCEPT

taking cigarettes and matches away from all clients and visitors

Hospice specializes in the care of persons who are:

terminally ill

The RN assigns you a task that is in your job description. Which statement is FALSE?

the RN should delegate every non-RN task to you

What is a pulse oximeter used to measure

the amount of O2 in the blood

Insulin, a hormone, regulates

the amount of sugar in the blood

Which of the following is a major reason for urinary incontinence in the elderly

the muscle that keeps urine in the bladder weakens

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

wrist

A resident with a ileostomy evacuates feces through the

Ileum

Diabetes millitus makes a resident more prone to develop

Infections

Which of the following is the recommended position for giving an enema?

Left sims

Which of the following statements about blindness is false?

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

When lifting a heavy object, which muscle groups do you use?

Muscles of the legs

What can the nurse aid give the resident who has an order for npo

No food or liquids

The best way for a nurse aid to gather information about the safety and well-being of a resident is

Observation

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, in a matter-of-fact tone of voice

Pressure sores can often be prevented if the client is

turned or repositioned every two hours.

A patient is leaving the hospital. The family has been told to give her medications bid. The wife asks what that means. The nurse aide tells her to give the medication

twice a day

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

unplug the shaver

to avoid pulling on the catheter while you're turning a male patient the catheter tube must be taped to his

upper thigh

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

watch for signs of discomfort so you can take the resident to the bathroom

If a nurse aid needs to wear a gown to care for a patient in isolation the nurse aid shoudl

Take the gown off before leaving the patients room

That nurse aid documents that about 45 minutes after the resident was put to bed for an afternoon nap, the person urinated in the bed. To help with bladder training, what should the nurse aid do?

Take the resident to the bathroom right before they go to bed

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

Tell the resident that the nurse aid cannot do it but will report it to the charge nurse

After assisting with evening care the nurse aid notices the client has bilateral hearing aids. The nurse aid understands that if a hearing aid is not in use

The battery should be disengaged.

Objective data is any information that is fact. This means that the information is unbiased and multiple people should be able to interpret the information in the same way. Which of the following is not an example of objective data?

The patients pain level is 3 out of 10

A nurse aid is assigned to a stroke patient with a diagnosis of aphasia. The nurse aid knows that

The resident cannot talk

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

A patient appears paler than usual. The nurse aide should

ask the patient how he feels and take his vital signs immediately

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

at the same time of day

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

atrophy

The most basic rule of body mechanics is to

bend from the knees and hips

To lift an object using good body mechanics, the nurse aide SHOULD

bend the knees and keep the back straight

Strokes are seen in the elderly. A stroke occurs when

brain is deprived of oxygen

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

call for assistance and perform the Heimlich remover

what is the FIRST thing a nurse aid should do when finding an unresponsive client?

call for help

Most of our calories should come from

carbohydrates

Meal trays have arrived. Before serving each tray the nurse aide should

check each armband, even on familiar patients

Which of the following is the safest way to confirm a residents identity?

check the ID bracelet or tag attached to the resident

when caring for a client who uses a protective device the nurse aid should

check the clients body alignment

the nurse aid sees a client spill water on the floor in the hall. the nurse aid should

clean up the spill

A professional and safe working appearance would include which of the following?

clean, wrinkle free uniform, short fingernails, off-the-shoulder hair

the nurse aid 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 aid should

comfort the client while moving the person to a safe place

Equipment used to help the resident maintain correct body alignment includes all of the following except

cones

ROM exercises will help prevent

contractures

If a resident exhibits paranoid behavior, what should the nurse aide know?

delusions are a normal part of the progression of the dementia process

A healthcare agency or program for patients who are dying is

Hospice

Which of the following measurements that you obtained from mrs shumway should be reported immediately to the charge nurse?

B/P 190/114

Drainage bags from urinary catheters should always

Be kept below the level of the bladder

For a resident, reality orientation should include

Calling the resident by his or her name

When caring for a resident with an indwelling Foley catheter you should

Check the bag and tubing frequently for adequate urinary flow

The primary cause of combative behavior in a resident with dementia is

Confusion

All of the following are signs of aggressive behavior except

Depressed mood

Before performing any procedure, a nurse aid must

Do all of the above (identify the patient, explain the procedure, wash his or her hands)

A nursing assist is helping a resident to walk. If the resident becomes faint and starts to fall, what should the nursing assistant do?

Ease the resident to the floor and call for help

The nurse aid is making an occupied bed. Which of the following is the most restorative approach?

Encourage the resident to help

The nurse aid just admitted a new male resident. Which of the following is the most restorative approach?

Encourage the resident to participate in unpacking his clothes

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

Establish a bedtime schedule make sure the residents go to bed within 15 minutes of that time

Various factors will change pulse rate. An increased pulse rate. An increased pulse rate can be caused bu

Exercise

A nurse aid is going to take me. Heaths vital signs. What should the nurse aid do to reduce mr. Heath anxiety and get him to cooperate?

Explain the procedures to mr Heath

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

Fowler's

When ambulating an unsteady client it is best for the nurse aid to use

Gait belt

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

Give simple directions

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

Give the client a bed bath and try a shower on another day

To take a rectal temperature, the nurse aid should insert the thermometer and

Hold on to the thermometer until it can be removed

When making an occupied bed the nurse aid shpuld

Raise the side rail on the unattended side

The nurse aid enters a clients room and the client states that he has pain. What should the nurse aid do

Report it to the nurse in charge

While providing denture care for a client the nurse aid observes that the upper plate is cracked. The nurse aid should

Report the damage to the nurse in charge

The nurse aid notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aid should

Report this to the charge nurse

A button hook and sock assist are part of what kind of nursing care?

Restorative, Rehabilitative

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

Speaking in one or two word sentences

A nurse aid moves a residents joint during range of motion exercises. If the resident complains of pain, what should the nurse aid do?

Stop the movement at the point that the pain occurs and report it to the nurse

Toward the end of the day residents with dementia commonly experience which of the following

Sundown syndrome

You are delegated to provide passive ROM to L lower and upper extremities. This means you must

Support each joint and provide extension and flexion movements on the left side of the body.

Headaches, nausea, and pain would be considered

Symptoms

In the nursing care plan, you note that it is written o2 per n/c @3l orthopnea pos as needed. As a cna you know that this means which of the following?

The resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowler's position.

a cane should be used on

The strong side

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

To keep communication about a problem flowing smoothly

the role of an ombudsman is to

To work with the nursing home to protect clients rights

A patient has a diagnoses of psoriasis. Her nurse aid should

Treat her the same way as any other patient with a non infectious disease.

All of the following statements about type 2 diabetes are true except

Type 2 diabetes is very rare in adults

Which is incorrect when you're recording on a patient chart

Use a pencil in case you make a mistake

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

Wait 15 minutes to take the temperature

A patient has had hip surgery. Her legs should be

abducted

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

acute

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

aphasia

a client needs to be repositioned but is heavy, and the nurse aid is not sure that she can move the client alone. the nurse aid should

ask another nurse aide to help

Signs and symptoms of shock may include

low blood pressure, tachycardia, clammy, pale skin

The exchange of oxygen and carbon dioxide takes place

lungs

Supine position is

lying on the back

NPO means

nothing by mouth

physical restraint are used MOST often

to prevent client injury

the equipment you need for oral care of an unconscious client includes

toothette