CNA flashcards i need to know
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 a. report the finding to the nurse. b. take the client's pulse next. c. record the vital sign in the chart. d. instruct the client to drink more fluids.
a
Before shaving a resident, the nursing assistant checks for which of the following items in the resident's care plan? a.Shaving instructions related to problems or issues clotting. b.Presence of the resident's razor from home. c.Any previous refusal of ADLs.
a
Range-of-motion exercises are most important for which type of patient to perform? a.A patient with hemiplegia. b.A patient with depression. c.A patient who has hypertension. d.A patient with a pulled leg muscle.
a
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? a.Check the chart for physician orders regarding nail trimming. b.Report to the nurse that the client needs her toenails trimmed. c.Check the client's blood glucose before cutting her toenails. d.Retrieve a safety clipper and hand it to the client.
a
The nursing assistant knows that signs of hypoglycemia include which of the following? a.Sweating. b.Tachycardia. c.Polyuria. d.Hot and dry skin.
a
The nursing assistant knows that the term "pulse deficit" refers to: a.the difference between the apical and radial pulse. b.a strong pulse. c.the difference between the systolic and diastolic blood pressure. d.an absence of the pulse.
a
What is the difference between Sims position and left lateral position? a.In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back. b.In lateral position, the patient's head is elevated to 15 degrees on two pillows. c.In Sims position, a pillow is placed between the patient's knees to prevent them from touching. d.In lateral position, the patient's undermost arm is positioned laterally and parallel to the patient's back.
a
Which action by a nurse's aide could jeopardize the confidentiality of computerized medical records available at a nurse's station? a.Share passwords for computer access with colleagues who have forgotten their own. b.Prevent an unidentified healthcare worker from viewing computer records. c.Log out and sign off all computer screens before leaving a terminal. d.Periodically change computer access passwords.
a
Which of the following methods should be used to collect a specimen for urine culture? a.Have the client begin the stream of urine in the toilet and catch the urine in a sterile container. b.Have the client void in a clean container. c.Clean the foreskin of the penis of uncircumcised men before specimen collection. d.Have the client void into a urinal, and then pour the urine into the specimen container.
a
Which of the following pieces of assistive equipment would be most helpful in moving an immobile client from their bed to a chair? a. Mechanical lift b. Gait Belt c. Draw sheet d. Wrist restraints
a
A client says to you "I am a worthless person, I should be dead." What is the best response that you, the nursing assistant, can make? a."Don't say you are worthless, you are not a worthless person." b."What makes you feel you're worthless?" c."We are going to help you with your feelings." d."What you say is not true."
b
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 a.superficial burn. b.partial thickness burn. c.serious burn. d.total thickness burn.
b
A resident is having difficulty chewing regular meals at dinner. Which of the following diets might be suggested to order for next time? a.Hard. b.Soft. c.Pureed. d.Liquid.
b
A typical blood pressure around the upper arm should NOT be taken when the patient: a.has heart failure. b.has IV catheters in both the left and right arms. c.has had lymph nodes removed around the axilla of the left arm. Incorrect d.complains that "this is the fifth time today."
b
An eighty-five year-old resident at a long-term care facility is signing up for an afternoon activity. The resident asks the nursing assistant which choice she thinks is best. Which of the following should the nursing assistant suggest? a.Gardening. b.Tai chi and meditation. c.Watching TV. d.Basketball.
b
Before assisting the nurse to administer an enema to a bedridden client, the nursing assistant should most importantly: a.open the window. b.review the procedure and what's going to happen. c.gather all materials needed. d.reassure the client that it won't hurt much.
b
Cheyne-Stokes respirations occur in a client who a.has a history of chronic respiratory issues. b.is close to death. c.is unconscious. d.is recovering from an asthma attack.
b
During a bath, the three most important things for the resident are: a.Privacy, rest, and warmth. b.Safety, security, and privacy. c.Safety, warmth, and cleanliness. d.Comfort, rest, and security.
b
Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition. a.Protein rich foods. b.Cauliflower c.Colas and sodas d.Prunes
b
In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is a.between 80°F and 93°F b.between 95°F and 110°F c.between 105°F and 120°F d.between 65°F and 80°F
b
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? a. Last thing before the patient goes to sleep. b. First thing in the morning. c. Before a meal. d. After a meal.
b
Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose? a.Bed cradle. b.Rubber sheet. c.Flotation pads. d.Trochanter rolls
b
The nurse inserts an indwelling urinary catheter to relieve a client's urinary retention. Which of the following is an inappropriate action in caring for clients with an indwelling catheter? a.Keeping the drainage bag below bladder level. b.Attaching the drainage bag to the lowest part of the side rails near the client's feet. c.Emptying the drainage bag every 6-8 hours. d.Positioning the tubing without dependent loops.
b
The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client's condition throughout her stay at the hospital. The nursing assistant therefore reads the: a.Flow sheet. b.Kardex. c.Nursing discharge summary. d.Progress notes.
b
The nursing assistant speaks with the nursing facility's ombudsman. The role of this position is to: a.care for the patients as if they were their own family. Incorrect b.investigate residents' complaints and bring them to the attention of the correct authorities. c.make residents as happy as possible. d.assist residents to set up insurance and policy claims.
b
Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately? a.Zippered clothing. b.Velcro clothing, slip-on shoes, and rubber grippers. c.Buttoned clothing, slip-on shoes, and rubber grippers. d.Tied shoes to promote stability.
b
When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT: a.Assist the resident to put on a robe and nonskid slippers. b.Encourage the resident to pivot themselves with minimal assistant. c.Place the bed in the lowest position and lock the wheels. d.Place the chair on the resident's strong side.
b
Which of the following disorders are said to be irreversible? a.Hypertension. b.Emphysema. Correct c.Chicken pox. d.Asthma.
b
Which of the following is an example of emotional lability? a.The patient gets upset after a long day and blames it on tiredness. b.The patient gets upset after telling the nurse immediately prior how happy he is. c.The patient gets upset when he does not receive a plate in his favorite color. d.The patient get upset when he learns he has been diagnosed with cancer.
b
Your client just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia 1. have difficulty expressing or sending out thoughts.2. have trouble understanding what is said or read.3. may not know how to use a fork, toilet, cup, TV, phone, or other items.4. think one thing but say another. a.2 and 1 b.2 and 3 c.1 and 4 d.1 and 3
b
Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should. a.encourage coughing and deep breathing and limit fluid intake b.provide only passive range of motion, and decrease stimulation c.turn the client every 2 hours, and encourage coughing and deep breathing d.have the client lie as still as possible, and give adequate massage
c
Legally, clients' charts are: a.Owned by the government since it is a legal document. b.Owned by the doctor in charge and should be kept from the administrator for whatever reason. c.Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge. d.Owned by the client and should be given by the nurse to the client as requested.
c
MRSA is an example of which of the following? a.A mnemonic to remember how to act if there is a fire in the facility. b.A bacterial strain that is easy to treat with antibiotics. c.A resistant strain of bacteria that is difficult to treat with antibiotics. d.A set of activity guidelines designed to keep residents safe.
c
Of the following symptoms, which one is most likely due to an infection in a resident? a.Tented skin. b.Pale skin. c.Sudden onset confusion. d.Aphasia.
c
Rehabilitation care after any injury should begin when? a.When the doctor says so. b.One week into recovery. c.As soon as possible. d.When the patient enters a rehab program.
c
The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen: a.30 minutes after meals and at bedtime b.At bedtime c.30 minutes before meals and at bedtime d.Before breakfast
c
The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nurse's assistant admits to forgetting the resident. This is an example of which of the following? a.Flexibility b.Dependability c.Accountability d.Respectability
c
The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next? a.Wait for more proof in order to identify the abuser. b.Notify the nurse assigned to care for the patient about the bruises. c.Report the suspected situation to the nursing assistant's immediate supervisor. d.Ask the resident repeatedly to identify an abuser.
c
The nursing assistant was instructed by the staff nurse to elevate the client's casted left limb to prevent swelling. She is doing the correct manner of elevating the casted extremity when she does which of the following? a.Places the casted limb below the level of the heart. b.Places the casted limb close to the body. c.Places the casted limb above the level of the heart. d.Places the casted limb at the level of the heart.
c
The term grievance refers to which aspect included in the Patient Bill of Rights? a.There is no lifetime monetary limit on essential care. b.Patients are not allowed to call doctors at home. c.Patients have the right to file a complaint without fear or penalty. d.Patients have access to their health information at all times.
c
Which of the following pulses will be most commonly used by a nursing assistant when acquiring vital signs? a.Popliteal. b.Femoral. c.Radial. d.Brachial.
c
While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won't lie on the tubing. Which of the following rationales explains the nurse assistant's action? a.To inhibit drainage. b.To have the client check the tubing for urine. c.To allow drainage to occur. d.To allow the urine to collect in the tubing.
c
The Omnibus Budget and Reconciliation Act (OBRA) requires all facilities to do what for their clients? a.Help residents write wills and choose power of attorneys. b.Help residents to transfer to other nursing homes if they want. c.Help residents perform ADLs and avoid neglect. d.Help residents reach their highest level of psychological and mental functioning.
d
The nursing assistant is helping a male patient to use the urinal. She pulls the curtain around the bed for privacy before saying: a."If you need any more assistance, please ring the bell." b."If you do not fill it completely, I will empty it later." c."Please let me know later how many mL." d."Please ring me when you are finished and I will empty it for you."
d
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? a.The nursing assistant scolds the client for not letting her know beforehand. b.The nursing assistant takes an axillary temperature instead. c.The nursing assistant records the temperature in the chart. d.The nursing assistant waits at least fifteen minutes before retaking the temperature.
d
What protective equipment should be worn when changing an incontinent patient? a. N-95 mask b. Mask and gown c. Gloves, gown, and a mask d. Gloves and gown
d
When caring for a patient, the nursing assistant notices that the patient is bleeding around an IV side. Which of the following is the most appropriate action to take? a.Report it to the nursing supervisor. b.Clamp the IV catheter and tell the nurse. c.Tell the nurse when she happens to see her. d.Report it to the patient's nurse immediately.
d
Which of the following best describes the concept of empathy? a.A nursing assistant asks a patient whether they would like to take a walk or watch a movie. b.A nursing assistant asks the nurse when she may take a meal break. c.A nursing assistant speaks with a dietician about alterations to the patient's meal tray. d.A nursing assistant speaks with a patient about their recent diagnosis of cancer.
d
Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include: a.Cyanosis and increased pulse rate. b.Increased temperature and decreased respiratory rate. c.Breathing comfortably only when sitting. d.Restlessness, dizziness, and disorientation.
d
A nurse's assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment? a.Wear gloves while handling the equipment. b.Dispose of the equipment after each use. c.Leave the equipment in the room for use only with that client. d.Use only the equipment with other clients in airborne isolation.
c
A nursing assistant cares for a resident who has a cast on the left arm. While receiving a bed bath, the nursing assistant notices that the fingers on the client's left hand are cold. Which of the the following actions should the nursing assistant take next? a.Ask the client if it hurts. b.Tell the nurse immediately. c.Feel the client's fingers on the other hand d.Give the client gloves.
c
A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation? a."I'm sure it's nothing to worry about. You look fine to me." b."I'm sorry, I don't know." c."You need to ask your doctor about that, not me." d."I don't have any information as of the moment, but I'll find out for you."
d
A client in the long term facility tells the nurse's assistant "I am too depressed to talk to you. Leave me alone." Which of the following responses by the nurse's assistant is most therapeautic? a.Call me when you feel like talking to me. b.I'll be back in an hour. c.Why are you so depressed? d.I'll sit with you for a moment.
d
A client under the nursing assistant's care suffers form chronic "foot drop." The nursing assistant can expect to find which of the following devices in the client's room? a.A wedge. b.A mechanical lift. c.Two extra pillows. d.Positioning boots.
d
A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means: a.that the client is confused. b.that the client is unable to void. c.that the client is unable to understand and process language. Incorrect d.that the client is unable to speak.
d
A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client's needs while preventing sensory overload? a.Allow all the client's family members to stay with the client. b.Keep the overhead light on at all times. c.Keep the television or radio on for the client continuously. d.Have conversation at the bedside be directed to the client.
d