CNA Pratice Test
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