CNA written questions

How many tips does a quad-cane base have? A.) 4 B.) 2 C.) 3 D.) 1

A.) 4

Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that? A.) 6 oz. B.) 5 oz. C.) 4 oz. D.) 7 oz.

A.) 6 oz.

MRSA is an example of which of the following? A.) A resistant strain of bacteria that is difficult to treat with antibiotics B.) A bacterial strain that is easy to treat with antibiotics C.) A mnemonic to remember how to act if there is a fire in the facility D.) A set of activity guidelines designed to keep residents safe

A.) A resistant strain of bacteria that is difficult to treat with antibiotics

Which of the following statements about blindness are false? A.) Most legally blind or visually impaired people have no sight at all. B.) Always identify yourself before touching a blind person. C.) Diabetes is an important cause of blindness. D.) Ask if a blind person needs help before you give assistance.

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

A client is to be assisted out of bed to sit in a wheelchair. How can this procedure be made safe? A.) Place the bed in the lowest position. B.) Place a pillow on the wheelchair seat. C.) Lower both footrest pedals. D.) Release the wheel brakes.

A.) Place the bed in the lowest position.

What is the term for a device used to take the place of a missing body part? A.) Prosthesis B.) Pronation C.) External rotation D.) Abduction

A.) Prosthesis

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? A.) Report it STAT to the nurse. B.) Turn up the O2 to 4 liters/min. C.) Ask Mr. Brown to take breaths more frequently. D.) Switch the nasal cannula to a mask.

A.) Report it STAT to the nurse.

Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects? A.) Speech therapist B.) Registered nurse C.) Physical therapist D.) Occupational therapist

A.) Speech therapist

When caring for a resident with an indwelling Foley catheter, you should A.) check the bag and tubing frequently for adequate urinary flow. B.) withhold fluids if the bag is too full. C.) pin the tubing to the resident's gown. D.) tuck the tubing under the resident's leg to keep it off the floor.

A.) check the bag and tubing frequently for adequate urinary flow.

When caring for a client who uses a protective device (restraint), the nurse aide SHOULD A.) check the client's body alignment. B.) release the protective device once per shift. C.) assess the client once every hour. D.) ensure the protective device is tight.

A.) check the client's body alignment.

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 A.) comfort the client while moving the person to a safe place. B.) lock the client's wheelchair and check the surrounding area for smoke. C.) push the wheelchair out of the hallway and carry the client out of the facility. D.) leave the client to search for help.

A.) comfort the client while moving the person to a safe place.

The nursing care plan states, "Transfer with mechanical lift." However, the client is very agitated. To transfer the client, the nurse aide SHOULD A.) get assistance to move the client. B.) place the client in the lift. C.) lift the client without the mechanical device. D.) keep the wheels unlocked so the lift can move with the client.

A.) get assistance to move the client.

A resident with an ileostomy evacuates feces through the A.) ileum. B.) jejunum. C.) anus. D.) colon.

A.) ileum.

When transferring a client, MOST of the client's weight should be supported by the nurse aide's A.) legs. B.) back. C.)wrists. D.) shoulders.

A.) legs.

A client is paralyzed on the right side. The nurse aide should place the signaling device A.) on the left side of the bed near the client's hand. B.) on the right side of the bed near the client's hand. C.) under the pillow. D.) at the foot of the bed.

A.) on the left side of the bed near the client's hand.

For safety, when leaving a client alone in a room, the nurse aide SHOULD A.) place the signaling device within the client's reach. B.) leave the bed elevated in the highest position. C.) keep the door tightly closed. D.) apply a restraint to the client.

A.) place the signaling device within the client's reach.

To take an oral temperature, the nurse aide should A.) place the thermometer under the tongue. B.) place the thermometer under the arm. C.) place the thermometer in the rectum. D.) put lubricant on the thermometer.

A.) place the thermometer under the tongue.

The purpose of padding side rails on the client's bed is to A.) protect the client from injury. B.) use them as a restraint. C.) have a place to connect the call signal. D.) keep the client warm.

A.) protect the client from injury.

Which temperature site is generally considered to be the most accurate? A.) rectal B.) oral C.) axillary D.) temporal artery

A.) rectal

If the nurse aide discovers fire in a client's room, the FIRST thing to do is A.) remove the client. B.) call the nurse in charge. C.) open a window. D.) try to put out the fire.

A.) remove the client.

When a. Resident is lying flat on his back, he is in the ______________ position A.) supine B.) prone C.) lateral D.) fowlers

A.) supine

In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should A.) take away the water pitcher at midnight. B.) ask the patient if he or she is having any pain. C.) note all water that the patient drinks and all output. D.) offer frequent snacks.

A.) take away the water pitcher at midnight.

Vital signs include the following: A.) temperature, pulse, respirations, blood pressure, pain level B.) temperature, bathing, blood pressure, pain level, discharge C.) temperature, back rub, pulse, blood pressure, IV care D.) temperature, catheter care, blood pressure, toileting, pain level

A.) temperature, pulse, respirations, blood pressure, pain level

A nurse assistant notices red marks on a resident's back and buttocks. The aide acts in the knowledge that A.) the skin can break down if nothing is done. B.) it takes a doctor's order to rub skin with lotion. C.) patients can only be turned every two hours. D.) red marks are not a problem.

A.) the skin can break down if nothing is done.

A patient has a diagnosis of psoriasis. Her nurse aide should A.) treat her the same way as any other patient with a non-infectious disease. B.) wear gloves for patient care. C.) wear a mask when entering the room. D.) avoid contact with the highly contagious lesions.

A.) treat her the same way as any other patient with a non-infectious disease.

When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's A.) wrist. B.) neck. C.) chest. D.) elbow.

A.) wrist.

A client needs to be repositioned but is heavy, and the nurse aide is not sure that she can move the client alone. The nurse aide should A.) have the family do it. B.) go on to another task. C.) ask another nurse aide to help. D.) try to move the client alone.

C.) ask another nurse aide to help.

How many milliliters does a 4 ounce glass of juice equal? A.) 240 mL B.) 120 mL C.) 100 mL D.) 170 mL

B.) 120 mL.

To convert four ounces (oz) of liquid to milliliters (mL), the nurse aide should multiply 4 by A.) 10 mL B.) 30 mL C.) 15 mL D.) 5 mL

B.) 30 mL

Which of the following should be reported immediately? A.) Temperature of 99.4°F B.) A blood pressure of 90/40 C.) Respirations of 12 D.) A pulse of 90

B.) A blood pressure of 90/40

The nursing assistant knows that the responsibilities of the position do NOT include: A.) Helping a resident bathe B.) Administering a medication C.) Keeping a resident's room tidy D.) Applying an ice pack as ordered

B.) Administering a medication.

Which of the following measurements that you obtained from Mrs. Shumway should be reported immediately to the charge nurse? A.) Temperature 99°F B.) B/P 190/114 C.) Pulse 74 D.) Respiration 20

B.) B/P 190/114

Mrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include which of the following? A.) Encouraging oral fluids B.) Daily am weight measurement C.) Placement of TED hose after ambulation D.) Daily jog around the facility for one hour

B.) Daily am weight measurement

Which of the following best helps reduce pressure on the bony prominences? A.) Repositioning every shift B.) Flotation mattress C.) Several pillows D.) Sheepskin

B.) Flotation mattress

Which of the following is the most comfortable position for a client with a respiratory problem? A.) Supine B.) Fowler's C.) Prone D.) Lateral

B.) Fowler's

Which of the following is NOT considered a way to restrain a client? A.) Lap buddy/tray B.) Pain management C.) A sedative D.) A hand mitt

B.) Pain management

The Heimlich maneuver (abdominal thrusts) is used on a client who has A.) fallen out of bed. B.) a blocked airway. C.) a bloody nose. D.) impaired eyesight.

B.) a blocked airway.

Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation. Her condition is considered A.) obstetric. B.) acute. C.) chronic. D.) tonic.

B.) acute.

A patient appears paler than usual. The nurse aide should A.) note it on the chart. B.) ask the patient how he feels and take his vital signs immediately. C.) get the patient a snack. D.) offer the patient a glass of water.

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

Which pulse sites are commonly involved in taking blood pressure A.) carotid and radial B.) brachial and radial C.) pedal and radial D.) apical and femoral

B.) brachial and radial

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 A.) call housekeeping. B.) clean up the spill. C.) call the nurse. D.) leave the spill.

B.) clean up the spill.

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 A.) has diabetes. B.) had breakfast. C.) had visitors that day. D.) ate too much sugar.

B.) had breakfast.

The brain is part of the A.) endocrine system. B.) nervous system. C.) locomotor system. D.) exocrine system.

B.) nervous system.

When a resident is lying on his stomach, he is in the ________________ position A.) supine B.) prone C.) sims D.) fowlers

B.) prone

Clean bed linen placed in a client's room but NOT used should be A.) returned to the linen closet. B.) put in the dirty linen container. C.) used for a client in the next room. D.) taken to the nurse in charge.

B.) put in the dirty linen container.

The nurse aide notices that the client's radio cord is draped across a chair to reach the nearest outlet. The FIRST thing the nurse aide should do is A.) take the radio to the activities room and tell the client to listen to it there. B.) see if any changes can be made so that the radio can be plugged in safely. C.) tell the client the radio is a safety hazard and take it away. D.) unplug the radio and ask the client not to use it.

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

When a resident is lying on his left side with one leg drawn up, he is in the _____________ position A.) supine B.) sims C.) lateral D.) fowlers

B.) sims

Insulin, a hormone, regulates A.) the amount of salt retained in the blood. B.) the amount of sugar in the blood. C.) the rhythm of the heart. D.) the strength of the skeletal muscles.

B.) the amount of sugar in the blood.

The opening of the colostomy to the outside of the body is called A.) the rectum. B.) the stoma. C.) the insertion site. D.) none of the above.

B.) the stoma.

The equipment you need for oral care of an unconscious client includes A.) toothbrush. B.) toothette/mouth swab. C.) toothpaste. D.) all of the above.

B.) toothette/mouth swab.

To avoid pulling on the catheter while you're turning a male client, the catheter tube must be taped to his A.) bedsheet. B.) upper thigh. C.) hip. D.) bed frame.

B.) upper thigh.

Which of the following is the recommended position for giving an enema? A.) Prone B.)Left Sims C.) Semi-Fowler's D.) Supine

B.)Left Sims

To lift an object using good body mechanics, the nurse aide SHOULD A.) keep both feet close together. B.) hold the object away from the body. C.) bend the knees and keep the back straight. D.) lift with the abdominal muscles.

C.) bend the knees and keep the back straight.

While eating dinner, a client starts to choke and turn blue. The nurse aide SHOULD A.) give the client a drink of water. B.) slap the client on the back until the food dislodges. C.) call for assistance and perform the Heimlich maneuver (abdominal thrusts). D.) immediately remove the client's food tray and go find the nurse in charge.

C.) call for assistance and perform the Heimlich maneuver (abdominal thrusts).

Most of our calories should come from A.) protein. B.) vitamins. C.) carbohydrates. D.) fats.

C.) carbohydrates.

Who can order a warm or cold application? A.) You as a CNA (if you think it is necessary) B.) The director of nursing C.) A doctor D.) A nurse

C.) A doctor

A professional and safe working appearance would include which of the following? A.) Jewelry that reflects your fun personality B.) Sandals, T-shirt, and a name tag C.) Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair D.) Carefully manicured acrylic nails

C.) Clean, wrinkle-free uniform; short fingernails; and off-the-shoulder hair

On which side should the patient lie for an enema? A.) Whichever side is more comfortable B.) The side closer to the restroom C.) Left D.) Right

C.) Left

Which type of fire can be put out with water? A.) Grease B.) Chemical C.) Paper D.) Electrical

C.) Paper

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? A.) Nothing B.) Socks or stockings only C.) Rubber-soled slippers or shoes D.) Cloth-soled slippers

C.) Rubber-soled slippers or shoes

Postpartum refers to A.) The period of time just before death B.) The period of time right after death C.) The period of time after the delivery of a baby D.) The period of time right before the delivery of a baby

C.) The period of time after the delivery of a baby

Meal trays have arrived. Before serving each tray, the nurse aide should A.) ask about dietary restrictions. B.) check the temperature of the food. C.) check each armband, even on familiar patients. D.) ask patients if they are hungry.

C.) check each armband, even on familiar patients.

When a resident is lying on either side, he is. In the _______________ position A.) supine B.) prone C.) lateral D.) fowlers

C.) lateral

When working around oxygen, the nursing assistant should A.) stop the oxygen if she feels that there is a problem B.) adjust the oxygen level if the resident seems to be gasping fro air C.) remove all fire hazards from the area D.) use chapstick on irritated areas from the nasal cannula

C.) remove all fire hazards from the area

The nurse aide is responsible for the following fire prevention measures EXCEPT A.) reporting all damaged wiring or sockets in clients' rooms. B.) being aware of the locations of fire extinguishers. C.) taking cigarettes and matches away from all clients and visitors. D.) participating in fire drills.

C.) taking cigarettes and matches away from all clients and visitors.

Which of the following statement is true of bedmaking A.) the nursing assistant should carry soiled linen close to his uniform B.) the nursing assistant should remove containments from solied linen by shaking it after removing it from the bed C.) when removing linen, the nursing assistant should fold or roll linen so that the dirtiest area is inside D.) bed linens should not be changed often

C.) when removing linen, the nursing assistant should fold or roll linen so that the dirtiest area is inside

Which of the following would be considered an example of battery toward a patient? A.)The nursing assistant cleans the resident's glasses. B.)The nursing assistant asks for permission before touching the resident to assist them to the bathroom. C.)The nursing assistant bathes the resident without his or her permission. D.)The nursing assistant keeps a resident isolated from others as a form of punishment.

C.)The nursing assistant bathes the resident without his or her permission.

Which of the following is a correct measurement of urinary output? A.) 1 quart B.) 40 oz C.) 2 cups D.) 300 mL

D.) 300 mL

Mrs. Shumway has an order for I&O. You have picked up her breakfast and note that she drank half of a 6 oz. glass of juice, 4 oz. of milk, and 8 oz. of coffee. Therefore, you document A.) 240 mL. B.) 685 mL. C.) 920 mL. D.) 450 mL.

D.) 450 mL.

Which of the following are associated with smoking? A.) Heart attacks B.) Pneumonia C.) Vitamin C deficiency D.) All of the above

D.) All of the above

What is the FIRST thing a nurse aide should do when finding an unresponsive client? A.) Call the client's family. B.) Close the door. C.) Start compressions. D.) Call for help.

D.) Call for help.

Which of the following is the safest way to confirm a resident's identity? A.) Ask the resident's roommate. B.) Call the resident by name and see if the person answers. C.) Look at the door number and compare it to your room list. D.) Check the ID bracelet or tag attached to the resident.

D.) Check the ID bracelet or tag attached to the resident.

What is the best way to keep a skilled nursing facility from having an unpleasant odor? A.) Keep all the windows open. B.) There is nothing you can do. C.) Use an air freshener regularly. D.) Empty bedpans and change linens in a timely manner.

D.) Empty bedpans and change linens in a timely manner.

What is the best way for a nursing assistant to prevent infection? A.) using standard precautions when caring for a resident B.) apply an antiseptic hand rub before and after caring for the resident C.) wear gloves when in contact with body fluids D.) Frequent hand washing

D.) Frequent hand washing

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? A.) Orient the new client @ 3:00 to orthopedic unit. B.) Oral care must be performed every three hours. C.) The resident is to be ambulated every three hours. D.) The resident is on oxygen with a nasal cannula on three liters. Assist to sit in Fowler's

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

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? A.) Finish shaving the client as quickly as possible. B.) Call the nurse in charge. C.) Use the roommate's shaver to finish the shave. D.) Unplug the shaver.

D.) Unplug the shaver.

When may a restraint be applied? A.) when a nursing assistant is angry about something a resident said B.) when there are too few staff members to properly watch residents C.) when a resident has been verbally abusive to a staff member D.) when a doctor has ordered the restraint

D.) a doctor has ordered the restraint.

Continuing education is A.) important for keeping abreast of new developments. B.) a professional standard. C.) necessary for recertification in many states. D.) all of the above

D.) all of the above

To be sure that a client's weight is measured accurately, the client should be weighed A.) after a good night's sleep. B.) after a meal. C.) by a different nurse aide. D.) at the same time of day.

D.) at the same time of day.

Drainage bags from urinary catheters should always A.) have their output measured each week. B.) be changed every shift. C.) be fastened securely to the bed frame. D.) be kept below the level of the bladder.

D.) be kept below the level of the bladder.

Before performing any procedure, a nurse aide must A.) wash his or her hands. B.) identify the patient. C.) explain the procedure. D.) do all of the above.

D.) do all of the above.

The charge nurse has asked you to take Mrs. Shumway's vital signs. Before doing so, you must A.) identify the patient and introduce yourself. B.) gather all appropriate equipment. C.) wash your hands. D.) do all of the above.

D.) do all of the above.

To help ensure adequate circulation to prevent patient skin breakdown, you should A.) change the patient's position frequently. B.) perform active or passive range-of-motion exercises. C.) give back massages. D.) do all of the above.

D.) do all of the above.

When operating a manual bed, the nurse aide should remember to A.)lock the wheels when the cranks are folded. B.) keep the bed in the neutral position. C.) keep the client's head elevated at all times. D.) fold the cranks under the bed.

D.) fold the cranks under the bed.

The circulatory system consists of the A.)blood vessels, lymph nodes, and spleen. B.) blood vessels, arteries, veins, and capillaries. C.) heart, aorta, pulmonary vessels, and lungs. D.) heart, arteries, veins, and capillaries.

D.) heart, arteries, veins, and capillaries

To take a rectal temperature, the nurse aide should insert the thermometer and A.) stay in the room until it is time to read the temperature. B.) go on a break. C.) take care of other patients, returning in three minutes. D.) hold on to the thermometer until it can be removed.

D.) hold on to the thermometer until it can be removed.

The type of catheter that stays inside the bladder for a period of time is. Called a ____________ catheter A.) straight B.) genital C.) clean-catch D.) indwelling

D.) indwelling

Signs and symptoms of shock may include A.) increased blood pressure; bradycardia; and flushed skin. B.) absence of respiration and pulse. C.) hyperventilation. D.) low blood pressure; tachycardia; and clammy, pale skin.

D.) low blood pressure; tachycardia; and clammy, pale skin.

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The nurse assistant should A.) notify the medication nurse that the patient is complaining of pain. B.) put ice on the hand. C.) reassure the patient that needles always hurt. D.) notify the IV nurse that the infusion appears to have infiltrated.

D.) notify the IV nurse that the infusion appears to have infiltrated.

A nurse aide notices blood in a patient's IV tubing. The aide should A.) stop the IV. B.) try to flush the tubing. C.) do nothing; that's normal. D.) notify the IV nurse.

D.) notify the IV nurse.

When helping a client who is recovering from a stroke to walk, the nurse aide should assist A.) on the client's strong side. B.) from behind the client. C.) with a wheelchair. D.) on the client's weak side.

D.) on the client's weak side.

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 A.) a rash on the L arm. B.) an L arm contracture. C.) L arm and leg itching. D.) paralysis on the left side of the body.

D.) paralysis on the left side of the body

While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD A.) wait for the next safety check to report the broken side rail. B.) tie the side rail in the raised position until it is fixed. C.) warn the client to be careful when he or she gets back into bed. D.) report the broken side rail immediately.

D.) report the broken side rail immediately.

Physical restraints are used MOST often A.) at the roommate's request. B.) at the family's request. C.) when staff is short. D.) to prevent client injury.

D.) to prevent client injury.

Normal urine color is A.) red. B.) brown. C.) colorless. D.) yellow.

D.) yellow.

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.) Notify the nurses assigned to care for the patient about the bruises B.) Report the suspected situation to the nursing assistant's immediate supervisor C.) Ask the resident repeatedly to identify an abuser D.) Wait for more proof in order to identify the abuser

Which of the following is a key part of care when administering a bath to a resident? A Clean the perineal area of a patient before assisting them to clean their face. B Use cool water when bathing the patient to promote better circulation. C Allow participation in care to promote a sense of independence. D Perform all care for the resident in order to conserve their energy.