CNA Work book module 8

A complete bed bath typically begins with the resident's A) hands B) face C) chest D) peri-are

B) face

A rash found under a resident's arms may be the result of? A) shearing B) pressure C) infection D)debridement

C) infection

the water temperature of a whirlpool tub bath should be between? A) 100 f and 103 f B) 90 f and 100f C) 75 f and 85 f D) 105 and 110

A) 100 f and 104 f

you need to complete a resident s partial bed bath but only have two washcloths available. what should you do ? A) bathe the client using the two washcloths, making sure to wash from cleanest areas first, and providing peri-care last B) provide peri-care only C) use another residents clean washcloths D) use paper towels from the dispenser to dry the skin

A) bathe the client using the two washcloths, making sure to wash from cleanest areas first, and providing peri-care last

For a resident who takes a whirlpool tub bath, peri-care is completed ? A) by the action of the whirlpool tub B)while she is in the tub by stooping next to her C)in her room before the tub bath D) none of the above; peri-care is not done

A) by the action of the whirlpool tub

you are assisting a resident with toileting and need to change her incontinence garment. she normally wears a small size but your are only able to find garments label as large / what should you do? A) change the resident into the large incontinence garment, ensure comfort and adequate fit and then update the nurse B) borrow from another resident who uses similar incontinence products and then update the nurse C) have the resident remain in bed until small-sized incontinence garment can be purchased D) ask the nurse to insert a catheter until the facility can purchase more supplies

A) change the resident into the large incontinence garment, ensure adequate fit and then update the nurse

caring for the skin beneath a prosthesis includes A) cleansing with mild soap and water daily B) shaving the area everyday C) applying lotion to keep the skin moist D)soaking the residual limb in warm water for comfort

A) cleaning with mild soap and water daily

you have put your resident's hearing aids in for her, but she is still unable to hear, the FIRST thing you should do is ? A) ensure the battery compartment is closed B) ask the nurse for new batteries C)inform the nurse that the resident's hearing aids do not work D) check to ensure that the volume is turned up

A) ensure the battery compartment is closed

Female peri-care should be completed by cleansing the area from A) front to back, starting at the urethra B) front to back, starting with the groin and upper thigh C) back to front, stating at the urethra D) back to front, starting with the anus

A) front to back starting at the urethra

When using a disposable razor to shave a resident's face you should shave ? A) in the direction of hair growth B) in a circular pattern C) in the opposite direction of hair growth D) either in the direction of the hair growth or in a circular pattern

A) in the direction of hair growth

Thomas is a resident you are caring for this morning. it is his scheduled shower day but he has refused he states that he doesn't like to take showers what should you do ? A) offer an alternative such as a bed bath B)do nothing he has the right to refuse C) explain to Thomas that he needs to shower to keep his skin healthy D)ask the nurse to schedule his showers for a different day

A) offer an alternative such as a bed bath

Elmer is a resident recovering from a hip replacement. he tells you that he needs to use the bathroom to have a bowel movement. his care plan states the he is assist of two for transfers but you are unable to find a coworker to help you. you should? A) offer him a fracture pan B) offer him a traditional bedpan C)ask if he can wait until you find help D) offer to help him use a bed side commode

A) offer him a fracture pan

pine or tar products are added to a medicinal bath for a resident with? A) psoriasis B) inflammation in the peri- area C) arthritis D) a skin infection

A) psoriasis

Agnes is a resident who has left-side weakness due to stroke. when getting Agnes dressed, you should A) Put the left side into the sleeve first, while supporting the arm B) put her right arm into the selves first C) put her shirt over her head first, followed by her right arm D) put both arms into the sleeves and then pull the shirt over her head

A) put the left side into the sleeve first, while supporting the arm

you notice a reddened area on your residents right heel that was not there yesterday. what should you do first A) report the pressure injury to the nurse B) ask your coworkers if they noticed the reddened area C) place the heel on two pillows D) watch the area to make sure it does not get worse

A) report the pressure injury to the nurse

Coral is scheduled to have her shower this morning. she often gets cold during her shower, but there are no clean bath blankets available. you should? A) use a bed blanket to cover her during the shower B) wait for the laundry service to bring clean bath blankets C) ask the next shift to five coral her shoer D) explain to coral that you will finish the shower as quickly as possible

A) use a bed blanket to cover her during the shower

you are caring for a resident who needs to be reposition but there are no lift sheets available. you should ? A) use a folded top sheet as a lift sheet B) ask him to pull himself up in bed using the side rails C) repositing him by lifting underneath his arms D) tell the nurse that you are unable to reposition the resident

A) use a folded top sheet as a lift sheet

an intact area on the coccyx that is red, painfully and has edema would be a? A) stage - one pressure injury B) stage- two pressure injury C)stage three pressure injury D)stage four pressure injury

A)Stage one pressure injury

You should clean a resident's eyeglasses by using ? A) Dry paper towel B) A soft cloth C) Glass cleaner and paper towels D) Warm water and facial tissue

B) A soft cloth

After a resident wakes, the FIRST thing you typically assist him with is, A) getting dressed B) a partial bed bath C) oral care D) range-of- motion exercises

B) a partial bed bath

preventable skin rashes most often appear? A) across the chest and abdomen B) beneath breast, under arms. and between skin folds C) on the legs and feet D) on the face, neck, and ears

B) beneath breast, under arms and between skin folds

your male resident has asked you to help him apply his makeup. what should you do? A) tell him that it is not appropriate B) help him apply the make up C) update his family regarding the request D) suggest that he not put makeup on today

B) help him apply the make up

bathing with a rinse less system instead of soap and water? A) is more time consuming B) is gentler on the resident's skin C) means the skin is not as clean D) is not appropriate for older residents

B) is gentler on the resident's skin

Clara is a resident who is incontinent while bathing her this Moring, you notice a dime-side open area on one of her buttocks you should FIRST step should be to ? A) clean the area with adult wipes and apply barrier cream B) make sure that clara is covered and safe and then ask the nurse to look at the area C)get clara dressed and then tell the nurse about the open area D) sprinkle powder in the clean brief to absorb moisture

B) make sure that clara is covered and safe and then ask the nurse to look at the area

maceration of a resident's skin is likely to result form ? A) repositioning without using a lift sheet B) not changing an incontinence garment when soiled C) not offering snacks and fluid between meals D) placing an alternating pressure mattress on the bed

B) not changing an incontinence garment when soiled

for a resident who is unconscious you should provide oral care by using a(n)? A) soft-bristle toothbrush B) oral swab C) gauze-covered tongue depressor D)moistened piece of gauze

B) oral swab

the nursing assistant should line the sink with a barrier during denture care in order to? A) prevent germs from getting on the dentures B) prevent damage to the dentures if they are dropped C)keep the surface of the sink clean D)have a clean area to set the dentures down

B) prevent damage to the dentures if they are dropped

you notice that your coworker is not offering fluids to the residents, and you're concerned that they may become dehydrated. what should you do? A) make sure you offer extra fluid to make up for it B) report her to the supervisor immediately C) understand that this may take extra time that she doesn't have D) remind your coworker of the importance of hydration

B) report her to the supervisor immediately

a resident that you have cared for has pressure injury the nurse begins an investigation to determine how and when the pressure injury developed you have provided skin care as directed in the residents care plan when the nurse questions you what is the best response? A) explain that it was not your fault; other nursing assistants had cared for the resident too B) tell the nurse that you have followed the care plan and that your charting reflects this C) update the nurse that the resident has been eating poorly lately and that this may be the reason for the injury D) tell the nurse you think the nursing assistant on the night shift are not providing appropriate skin care

B) tell the nurse that you have followed the care plan and that your charting reflects this

Lotion should not be applied to a residents? A) feet B) back C) abdominal folds D) chest

C) abdominal folds

when emptying a colostomy bag, the nursing assistant should clean the skin around the stoma with ? A) damp paper towel B) alcohol wipes C) adult wipes D)ostomy powder

C) adult wipe

Peri-care should be completed? A) Each morning when the resident wakes B) Every evening before going to bed C)After changing a soiled incontinence garment D) All of the above

C) after changing a soiled incontinence garment

you enter a residents room to find her crying. she tells you she is upset because of hair loss caused by her cancer treatment. what should you do? A) tell her that you understand and then leave the room to provide privacy B) suggest that she purchase a wig or scarf to cover her head C) allow the resident to express her feelings and then report this to the nurse D) tell her that it is only a temporary hair loss; it will grow back soon

C) allow the resident to express her feelings and then report this to the nurse

you are assigned to care for two residents who reside in the same room. both residents are named mary. wear glasses and suffer from dementia. you are unsure whose glasses belong to whom. what should you do? A) see which pair of glasses fits each resident B) ask the residents to identify their glasses C) ask the nurse to identify the glasses D)call each residents family to describe the glasses

C) ask the nurse to identify the glasses

otto is a resident who has diabetes. today is his bath day, and he needs to have his nail care done. you should ? A) ask an experienced nursing assistant to trim his nails. B) clean, trim , and file his finger nails C) ask the nurse to trim his finger nails D) have the occupational therapist proved nail care

C) ask the nurse to trim his finger nails

a resident has requested her colostomy bag be changed before she leaves her room for the day. her roommate is having breakfast on the other side of the room. what would you do ? A) change the bag in the room as the resident request B) ask the resident to wait until her roommate is finished with breakfast C) assist the resident to a bathroom and then change the bag D) take the breakfast away from the roommate while you change the bag

C) assist the resident to a bathroom and then change the bag

the nursing assistant must check the skin beneath a clients prosthesis ? A) once a week on bath day B) at least once every three days C) before placing and after removal of the prosthesis D) once per day in the morning

C) before placing and after removal of the prosthesis

your resident who is normally continent has had a loose, incontinent bowel movement while in bed. he is very embarrassed and upset. what should you do? A) place an incontinent garment on him to prevent more accidents B) remind him that he should call for assistance quicker next time he needs to use the bathroom C) clean him up in a caring and professional manner and place clean linens on his bed D) put him on the commode every 2 hours for the rest of your shift

C) clean him up in a caring and professional manner and place clean linens on his bed

a resident has had a large loose bowel movement in her incontinence garment while sitting in the common dinning room with other residents what should you do? A) allow her to finish eating in the dining room and then take her to her room to provide peri-care B) take her and her meal to her room and preform peri-care when she is done eating breakfast C) discreetly take her to her room , provide peri-care and then assist her back to the dinning room D)allow her to finish breakfast and then provide peri-care in the closet bathroom

C) discreetly take her to her room and provide peri-care and then assist her back to the dinning room

while changing your residents colostomy bag you become nauseated from the smell. what should you do ? A) tell the resident you are becoming ill B) refuse to change the ostomy bag next time C) do your best to finish the task in professional manner D) ask another nursing assistant to complete the task

C) do your best to finish the task in a professional manner

When assisting with a resident's shower. you should was the hair? A) first, and then proceed to the face and body B) last, so the resident does not get cold C) either first mor last, whichever the resident prefers D) none of the above; all residents have their hair done in the beauty shop

C) either first or last, whichever the resident prefers

a resident who is incontinent should be assisted to the toilet A) twice in an 8-hour shift B) once in the morning and once in the evening C) every 2 hours D) every hour while awake

C) every two hours

When using an electric razor with three rotating heads, you should shave the resident's face? A) In the direction of hair growth B) Against the direction of hair growth C) In small circles until smooth D) In large circles until smooth

C) in small, rotating circles

Ellen is an older resident who is immobile and does not have much of an appetite. because she is at risk of developing pressure injuries, it MOST important for her to eat? A) fruits B) grains C) proteins D) vegetables

C) proteins

Your resident's care plan states he should be repositioned every 2 hours. he refused to allow you to reposition him, even after many attempts. What should you do? A) respect his wishes B) reposition him as stated in his care plan C) report his refusal to the nurse D) asks his family to explain the need for repositioning

C) report his refusal to the nurse

immobile residents must be repositioned ? A) every 2 hours while in bed B) every hour when in a wheel chair C) every 2 hours while the resident tis awake D)both a and b

D ) both a and B

Javier often becoes upset and agitated when given his weekly shower. he finds it cold and painful. What should you do? A) offer a complete bed bath in place of the shower B) keep him covered with a bath blanket or towels C) provide a partial bed bath instead of a shower D) both a and b

D) Both a and b

a male residents family has brought a package of disposable razors to the facility for hi to use. the resident has aske you to help hi with shaving the morning. what should you do? A) help him shave and keep the package of razors in his room for the next time B) explain to the resident that disposable razors are not allowed in long-term care facilities C) suggest the resident call his family for an electric razor instead D) verify with the care plan that he may use disposable razors

D) Verify with the care plan that he may use disposable razors

you need to provide oral care for a unconscious resident. you can open his mouth by using? A) you gloved hangs B) a dry oral swab C) the resident's toothbrush D) a gauze-wrapped wooden tongue depressor

D) a gauze- wrapped wooden tongue depressor

a prosthesis may be used to replace a body part that is lost or removed due to? A) vascular disease B) frostbite C) a birth defect D) all of the above

D) all of the above

A partial bed bath includes all the following areas of the body EXCEPT? A) under breasts B) the peri-area C) under abdominal folds D) arms

D) arms

Healthy intact skin helps to? A) Regulate body temperature B) Protect the body from germs C)maintain moisture levels in the body D) do alll of the above

D) do all of the above

the factor that places the resident MOST at risk of developing a pressure injury is? A) dementia B)inability to sense pain C) incontinence D) immobility

D) immobility

your resident ask you to apply lotion between her toes after foot care. what should you do? A) apply lotion between her toes as requested B) explain that it is not within your scope of practice C) ask the nurse for baby powder to use instead of lotion D) report the resident request to the nurse and ask for directives

D) report the residents request to the nurse and ask for directives

you are assisting a resident to the toilet and notice that she has an open area on her coccyx. you should ? A) clean the area and apply barrier cream B) immediately report your findings to the nurse C)place a cushion in the resident's wheelchair D) apply a small amount of powder or cornstarch

Immediately report your finding to the nurse