CNA Written Final Exam
During the end-of-shift report, call lights, care, and routine tasks are usually done
by the staff going off duty
Falls are more likely to occur
during shift change
What is the term for the oxygen tubing that is placed in the person's nose and loops around the ears?
nasal cannula
A Kennedy terminal ulcer occurs
over a bony prominence 2-3 days before death
A symptom of gallstones is
pain radiating down one or both arms
Which of these of these is a sign of internal hemorrhage
pain, shock, vomiting blood, or coughing up blood
When a myocardial infarction occurs, it means that
part of the heart muscle dies
Constipation is
passage of hard dry stool
When measuring height with a standing scale
read the height at the moveable part of the rod
Urinary incontinence
requires good skin care
Which of the following would be on the care plan for a person with congestive heart failure
restrict fluids
Before obtaining a sputum specimen ask the person to
rinse mouth with water
A person with hepatitis will need good skin care because of
skin rash and itching
Dribbling of urine that occurs with laughing, sneezing, or coughing means the person has
stress incontinence
The CNA is caring for a person who is receiving an enteral feeding. The CNA knows nutrients will be given through
the GI tract
If a person receives anticoagulants and needs shaving
use an electric razor
Persons with Dysphagia
usually have thickened liquids
Normal blood pressure for an adult
120/80
The healthy adult produces
1500ml of urine per 24 hours
After applying a restraint, the restraint is released every
2 hours
A stroke is also called
A cerebrovascular accident (CVA)
A person feels dizzy, light headed and has fluttering in the chest. This person is most likely experiencing
A dysfhythmia
Which of the following best describes OBRA
A federal law that improves the quality of life in nursing center residents
Signs and symptoms of a urinary tract infection (UTI) include
Cloudy urine
A low sodium diet would be part of the care plan for a person with which disorder?
Congestive heart failure
When a resident is receiving oxygen, what is allowed in the room
Electrical items that are in good repair
After the person returns from the PACU, vital signs are usually measured
Every 15 minutes for the first hour
Oral hygiene is performed on the unconscious person
Every 2 hours
Cyanosis of the skin, nail beds, and mucous membranes are signs of
Hypoxia
A person with congestive heart failure complains of dyspnea, cough, and dizziness. This person has
Left side heart failure
The federal law that improves quality of life in nursing centers is
OBRA
Which of the following is not a step in the nursing process
Objective data
Older persons are at risk for foreign-body airway obstruction for the following reasons EXCEPT
Osteoperosis
Aphasia means:
Partial or total loss in the ability to use or understand language
Angina pain is usually relived by:
Resting for 3-15 minutes
When a person has angina pectoris, the chest pain occurs when
The heart needs more oxygen
Constipation is a common problem in the elderly due to
decreased peristalsis
Signs and symptoms of untreated diabetes may include
frequent urination, excessive thirst, and unexplained weight loss
When caring for persons with renal calculi the care plan will include
straining all urine
A sputum specimen is more easily collected
upon awakening
Late adulthood is from
65 years to death
A person has amyotrophic lateral sclerosis. Which measure would you expect to see on the care plan?
Dysphagia diet
A diabetic person receives a cut to the toe. This person is now at a high risk for developing
Gangrene
The CNA is caring for a person who is experiencing problems sleeping an rapid heart rate. The CNA notices the person's eyes are bulging. These are signs and symptoms of which autoimmune disorder?
Grave's disease
A diabetic person complains of thirst and frequent urination. The CNA notices the person has a flushed face a slow deep respirations. These are signs and symptoms of:
Hypoglycemia
The care plan is written by who?
RN
Semi-Fowler's position
30-45 degrees
Under OBRA, if a resident in incompetent to exercise his or her rights, who can exercise these rights for the person?
A representative such as a spouse or child
Nursing Care Plan
A written guide about the person's care
What are the major complications of coronary artery disease
Angina, myocardial infarction, irregular heartbeat and sudden death
Signs
Another name for objective data
Symptoms
Another name for subjective data
Bleeding in the stomach and small intestines causes the stool to be
Black
Untreated hypertension can lead to
Blindness
The blood pressure cuff is placed over the
Brachial artery
A heart rate less than 60 beats per minute is
Bradycardia
"Encephalo" means
Brain
When caring for a person with paralysis, it is important to
Check bath water, heat applications and food for proper temperature
Sings and symptoms of dehydration include:
Dark urine, weakness, coated tongue
The most common mental illness in the elderly is
Depression
Painful or difficult urination is
Dysuria
As Alzheimer's disease progresses to stage 2, the person
Forgets names of familiar objects
Which is a semi-sitting position
Fowler's
The study of the aging process is
Gerentology
Objective data
Information that is seen, heard, felt, or smelt
A Foley catheter is
Left in the bladder allowing urine to drain constantly into a drainage bag
Parenteral Nutrition:
Requires and IV
Liquid feces seeps from the anus, this may mean the person has:
a fecal impaction
Autonomic hyperreflexia is usually triggered by
a full bladder
A 24 hour urine specimen collection is started
after the person voids and the urine is discarded
The 3 types of transmission based precautions are
airborne, droplet, and contact
The CNA needs to know if the resident uses a hearing aid, he should:
check the Kardex
Signs and symptoms of dehydration include
dry skin and mucous membranes, dark urine, and dizziness
Older persons usually need a complete bath or shower only twice a week because
dry skin often occurs with aging
When preparing to take an oral temperature, ask the person not to:
eat, drink, smoke, or chew gum for at least 15-20 minutes
The diabetic diet involves
eating at regular times
A person who is restrained, must be observed:
every 15 minutes
The classic sign of Alzheimer's disease is
gradual loss of short term memory
For a person with Alzheimer's disease, too much stimuli from being asked too many questions may overwhelm the person and cause
hallucinations
Injuries to the feet of persons with poor circulation are serious because
healing time is prolonged
Urine is usually
light amber with a faint odor
When cleaning the skin around the stoma use:
soap and water and other cleaning agents as directed by the care plan
The elderly person's eyes can become easily irritated because
tear production is decreased
A developmental disability
-occurs before age 22 -may occur because of difficulties during the birthing process
Fracture pans are used for urinary elimination in persons
-who have had hip surgery -who are in traction
When obtaining a midstream specimen
cleanse the peri are first
When caring for a person with GERD, the person may be
- given small meals - instructed not to lay down for 3 hours after eating - instructed to sleep with the head of the bed raised 6-8 inches
Bedrest places the person at risk for the following
-contractures -muscle atrophy -blood clots
The normal temperature range for the rectal site is
98.6-100.6
A thrombus is
A blood clot
A resident volunteers to take care of houseplants at the center. This is an acceptable part of the following EXCEPT:
A requirement to receive care or care items
Which is the least accurate method for measuring temperature?
Axillary site
Dangling a person is not performed for a person with a:
Code 3 dependence level
What is a sign of shock
Cold, moist, and pale skin
The nurse has asked the CNA to obtain an occult blood test. This test is done to screen for
Colon cancer
The following are possible signs and symptoms of a UTI
Confusion, hematuria, dysuria
When measuring temperature, always use the axillary site because it is the most accurate measurement
FALSE
If a person complains of numbness or pain in the back, neck, jaw, or stomach, you know the person may be
Having a myocardial infarction
The safety data sheets for hazardous materials is found
In a place on the nursing unit
Medicare:
Is a federal health insurance program for persons 65 years and older
If vomitus looks like coffee grounds, you should report at once to the nurse because
It indicates bleeding
Injuries and disorders of the musculoskeletal system that are caused or made worse by the work environment are called
MSDs
When keeping I&O records, measure all of these as intake EXCEPT:
Mashed potatoes and creamed veggies
The abbreviation NPO means
Nothing By Mouth
If you do something beyond the legal limits of your role, you could be:
Practicing without a license
The role of the CNA in delegation is
Protecting the person from harm
Palliative care involves
Relieving the uncomfortable symptoms without producing a cure
When a person has a pulse rate of 120 beats per minute the CNA should
Report that the person has tachycardia
Some person receiving oxygen may not use a humidifier bottle in the oxygen setup
True
The abbreviation PRN means
When necessary
Autonomic hyperreflexia occurs in a person who has paralysis
above the mid-thoracic level
A major task of late adulthood is
adjusting to physical changes
Mouth care is given to an unconscious person
at least every two hours
Formula for a tube feeding is given
at room temperature
Postmortem care should be done
2-4 hours after death before rigor-mortis set in
A pressure ulcer can develop within
2-6 hours
for normal fluid balance, an adult requires how much fluid per day?
2000-2500ml
Blood glucose levels are usually monitored
3-4 times a day
The preferred position for preventing pressure ulcers is
30 degree lateral
The nurse has given a person medication for pain relief. When should you schedule care?
30 minutes after the medication is given
Fowler's position
45-60 degrees
A healthy 70 year old person needs about
7-8 hours of sleep per day
OBRA requires the nursing centers maintain a temperature range of
71-81 degrees
Pulse oximetry measures the oxygen concentration in arterial blood. The normal range is
95-100%
In long term care, what form is used to record the resident's ability to feed and dress herself?
ADL "Activities of Daily Living"
Orthostatic hypotension is
An abnormally low blood pressure when the person suddenly stands
Postmortem care as performed by the CNA includes which of the following
Apply a clean gown, clean linens, and support the chin with a rolled up towel.
A resident who depends on the nursing staff for position changes needs to be re-positioned
At least every 2 hours
The most common cause or coronary artery disease is
Atherosclerosis
A person has a nasogastric tube. How often will the CNA clean the nostrils?
Every 4-8 hours
A semi sitting position with the head of the bed elevated to 45 to 60 degrees is
Fowler's position
If a man has benign prostatic hypertrophy (BPH), he will probably
Have frequent urination at night
During the dying process, which function usually lost last?
Hearing
A diabetic person feels shaky and dizzy and complains of a headache after he has missed a meal. The CNA knows these are signs and symptoms of
Hyperglycemia
A long term care ombudsman
Investigates resident complaints
6-8 hours before the surgery, the CNA should make sure the person
Is NPO
A person is bed ridden. To prevent pressure ulcers, you:
Keep the skin free of moisture, urine, stools, or perspiration
In stage 3 of Alzheimer's Disease, the person may
Lose or misplace valuable objects
Which of the following is the preferred method for repositioning in a wheelchair?
Position the person's feet on the floor; the CNA uses a transfer belt. The person pushes with his feet as the CNA moves the person.
Where would the nursing assistant find a description of the care given by the nurse?
Progress Notes
To prevent orthostatic hypotension and syncope
Raise the head of the bed to semi-Fowler's for a few minutes, then fowler's. Have the person dangle on the edge of the bed for a few minutes, then stand up
Which of the following is true about restraint use:
Restraints may be used to treat a person's medical condition
The most common site for a pressure ulcer is
Sacrum
The person receiving an enema is usually placed in:
Sim's position
Which of the following is true about sleep
Sleep needs increase with weight gain
T or F, The doctor may order candy or gum to provide comfort for the person receiving tube feedings?
TRUE
T or F, The doctor orders the Trendelenburg position
TRUE
The Nursing Process
The method RNs use to plan and deliver nursing care
When transferring the person from the bed to the wheelchair, help the person out of bed on
The person's strong side
The systolic blood pressure is
The pressure in the arteries when the heart contracts
Which of the following is true of Transmission based precautions
They are practiced in addition to standard precautions
Subjective data
Things a person tells you that cannot be observed by your senses
Implementation
To perform of carryout measures in the care plan; a step in the nursing process
The orthopneic position may be used to help a person breathe easier
True
Specimens are always collected
Using standard precautions of the Bloodborne Pathogen Standard
Observation
Using the senses of sight, hearing, touch, and smell to collect information.
After surgery the CNA must observe urinary elimination and be sure the person voids
Within 8 hours after surgery
The recommended position for preventing and treating pressure ulcers is
a 30 degree lateral position
Kardex
a quick, easy source of information about a person
In light skinned persons, the first sign of a pressure ulcer is
a reddened bony area
Stroke occurs when which of the following happens
bleeding in the brain or blood clot in the brain
Signs of pulmonary embolism include
chest pain, dyspnea, rapid pulse
When collecting a 24 hour urine specimen, the urine is kept
chilled for the entire time
When assisting a person who has a burn, the CNA should
cover the burn with a sterile or clean, cool, moist coverig
A developmental task of middle adulthood is
developing leisure time activities
Causes of pressure ulcers include
friction, incontinence, and poor hydration
As death nears, oral hygiene is
given more frequently when taking oral fluids is more difficult
If a person has stroke-like symptoms that last a few minutes, the person
has most likely experienced a transient ischemic attack (TIA)
High blood glucose levels is called
hyperglycemia
The focus of rehabilitation is to
improve abilities
Friction and shearing can lead to
infection and pressure ulcers
The CNA is taking a temperature on an older person. The CNA knows the temperature will be:
lower than the normal adult range
When a person arrives in the room, the CNA
measures vital signs
The signs of sudden cardiac arrest are
no response, no normal breathing, and no pulse
The process of growth and development
occurs from the center of the body outward
The goals of first aid are to
prevent death and prevent injuries from becoming worse
Persons with heart failure are at risk for skin breakdown because of
tissue swelling
When giving and unconscious person mouth care aspiration is prevented by
turning the person on his or her side with the had turned well to the side
When collecting a stool specimen ask the person to
urinate into the toilet and collect the stool in the specimen pan
In stage 1 of Alzheimer's disease, the person may
walk slowly with a shuffling gate