CNA

Residents with dysphagia may have trouble:

Swallowing their food

When moving a wheelchair onto an elevator, the nurse aide should stay

behing the chair and pull it toward the aide.

Which of the following should the nursing assistant observe and record when admitting a client?

bruises.

On entering a room, an aide notices that the client is not breathing. The aide's first actio should be to

call for help.

The client's religion forbids eating pork. Bacon is being served for breakfast. The most appropriate respose is to

call the kitchen for a tray without bacon.

In caring for a confused elderly man, it is important to remember to

keep the bedrails up except when you are at the bedside.

When lifting a heavy object, the correct method would be to bent at the

knees, keeping your back straight.

A patient who has difficulty chewing or swallowing need what type of diet?

pureed.

How often should clients be repositioned during and eight-hour shift?

q2h (every 2 hours)

The most common site for counting the pulse is the

radial artery.

rectal termometers color is

red

What can you do to help meet the psychosocial needs of a resident in transmission-precaution?

Provide as much mental stimulation as possible by offering activities that the resident enjoys.

What should you do if a resident is eating in bed?

Raise the head of the bed at least 30 degrees.

End-of-life care directed at treating the resident's symptoms and emotional and spiritual support is called:

Palliative care.

A elderly resident with alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent?

Place familiar objects on the client's door.

When preparing to transfer a resident, what is your first priority?

Safety.

What are standard precautions?

Standard precautions are evidence based practices designed to prevent the transmission of infectious disease.

What should you do when a resident resident resists care?

Stop caregiving immediately!.

During handwashing, the nurse aide accidentlly touches the inside of the sink while rinsing the soap off. The next action is to

repeat the wash from the beginning.

What is your role in preventing abuse?

report any signs of abuse to the charge nurse and administrator immediately.

A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should

report it to the charge nurse.

H.S. care is care that is given

before bedtime.

What is the minimun amount of time required to wash your hands?

20 seconds.

your resident/client drinks 4 oz. of milk and eats 4 oz. of ice cream for lunch. What is the total intake in mL.?

240 mL.

The resident/client is limited to 720 mL. of liquids in 8 hours. How many glasses of water may he/she have? ( remember: 1 glass = 240 mL.)

3 glasses.

When converting measurements to the metric system, you will need to know that 1 oz. is equal to

30 mL.

The resident/client drinks 4 oz. of orange juice, 6 oz. of coffee, and 2 oz. of milk

300 mL.

your resident/client drinks two 8-oz. glassesof water. The resident/client's intake =

480 mL. or 16 oz.

The oral intake for lunch is 6 oz. of juice, 4 oz. if ice cream, and 7 oz. of coffee. what is the total number of mL for lunch?

510 mL.

Hospice is a program with a specially trained interdisciplinary team that cares for the terminally ill resident, who is expected to die within what time period?

6 months.

Urine output measurement 20 0z. How many mL. does that total?

600 mL.

For the evening meal, the resident/client is served a 6-oz. bowl of soup, a 4-oz. cup of coffeem and 8-oz. glass of cranberry juice and a 3-oz. serving of sherbet.(water ice).

630 mL.

How can you best understand each resident that you care for?

Ask the resident or his or her family or friends what a person likes or dislikes.

While making rounds at 5:30 a. m., anurse aide finds a patient lying on the floor. What should the nurse aide do first?

Assess the client pulse and respiration.

What are some things that you can do to help a resident enjoy their meal?

Assist with grooming and toileting, and encourage them to use their denture, glasses, and hearing aids.

When obtaining a "clean-catch" urine speciment, at what stage in the procedure do you clean perineum?

Before urination.

Standard precautions are used to prevent transmission of:

Bloodborne pathogens.

The purpose of surveys are to verify that residents of a long term care facilities are receiving proper care, this is done by

Both of these. (observing residents and evaluation of their condition.)

Which of the following is the correct procedure for serving a meal to a client who must be fed?

Bring the tray into the room when you are ready to feed the client.

An important aspect of care when emptying a disposable ostomy bag is:

Checking the conditionof the skin around the stoma.

When assisting a resident who is using the bedpan, ensure dignity and privacy by:

Closing the door, pulling the bedside curtain, and covering the residents legs.

Which of the following things should the nurse aide do to familiarize new clients with their surroundings?

Demonstrate the location and use of the call light.

The method of passing microorganisms by touching is called?

Direct contact.

What is the difference between disinfection and sterilization?

Disinfections kills or inhibits the growth of virtually all microorganisms on objects or surfaces, and sterilization completely eliminates all microorganisms from a surface or object.

Before placing a client in Fpwler's position< the nurse aide should

Explain the procedure to the client.

What is neglect?

Failure to do something that you should have done, such as not providing proper hygiene.

If you are putting on gloves along with a gown and mask, in what order do you put on?

Gown, mask, gloves.

What is the Elder Justice Act of 2010?

Guidelines regarding reporting requirements for any suspicion of a crime committed against an older adult.

You are about to shave a male resident's face. Which of the following statements is true about how you should do this?

Hold the skin tight an smooth by pulling the skin upward with one hand and shaving with a downward stroke with your other hand.

To collect a stool specimen, you should?

Label the specimen container promptly and accurately.

Fowler's position, which is often used for residents with breathing problems, is described as:

Lying on the back with head elevated 30 to 60 degrees.

Proper moving and positioning of the resident correctly can help to:

Make the resident comfortable. Make sure there is good blood flow to all body parts. Prevent pressure ulcers. all of these.

The chain of infection is a process in which:

Microorganisms are transmitted from one organism to another.

A resident asks, "If i need help during the night, who will be there? "The nursing assistant should respond"

"There are people here all night to help you."

All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by

OBRA '87

A resident's care plan is:

A document that lists a resident's needs and goals as well as the actions and approaches the interdisciplinary team will use for the resident to meet their goals.

Signs that may indicate a resident is in pain include:

A frown, restlessness or moaning.

What are the three types of transmition-based precautions used along with standard precautions?

Airborne, droplet and contact precautions.

A resident oftern cries while she is receiving her P. M. care. What should the nurse aide do?

Tell her that it's all right to cry, and that the aide is there for her if she wants to talk>

What should you remember when you are documenting?

That the chart is a legal document and that timely and precise reporting of a resident's condition is a priority.

Whenever you have a concern or complaint about an issue at work, to whom should you talk with first?

The charge nurse

systolic pressure

The heart is at work. Normal range systolic pressure is below 120 mm Hg.

Diastolic pressure

The heart relaxes. Normal range for diastolic pressure below 80 mm Hg.

What is incontinence?

The inability to voluntary control urination.

The main source of information about the resident is:

The resident

How does the Occupational Safety and Health Administration (OSHA), Bloodborne pathogen Standard protect workers

They require that all long term care facilities follow the CDC STANDARD precautions for bloodborne pathogens, this protects workers from all known and unknown diseases transmitted by blood.

What is right

Things a person is entitled to.

What does cuing mean?

To prompt a resident to get them started. You can do this by telling, teaching or showing them part or all of the steps to take.

Discharging a resident requires and interdisciplinary approach.

True

It is important that you always give residents time to respond to your request?

True

Learning what motivates residents helps you avoid unpleasant behavior and difficult caregiving.

True

To support regular elimination, you must respond to call signals promptly and help residents to the bathroom as soon as they are asked.

True

when tranferring a resident to another unit , wing or room keep in ling that the move can be very stressful for the resident.

True

Abuse is :

Willfully injuring a resident, unreasonably confining a resident, intimidating or punishing a resident, or causing physical harm pain or mental anguish.

When you position a resident on their back, their legs should normally be positioned:

With both legs straight and slightly apart.

You calculate the resident/client's total intake and output at the end of your eight-hour shift. The resident/client's urinary output measures 10 oz. and oral intake measures 10 oz. Is the resident/client in fluid balance?

Yes.

Why is important to know your resident's elimination pattern?

You will be able to base your care on their needs and it enables you to recognize when a problem occurs or illness changes the patterns.

The proper medical abbreviation for before meals is

a. c.

When arranging a patient's room, the nursing assistant should do all of the following EXCEPT

administering the client's medication.

When should nurse aides wash their hands?

after client care.

A patient turns on the call light when he needs to urinate. The appropriate action is to

answer the call light and get the urinal.

Restorative care begins

as soon as possible.

When performing catheter care, the nurse aide should wash the catheter

away from the meatus.

the best food choices for a geriatric client with no teeth would include

baked fish, whipped potatoes, spinach souffle, and tapioca.

A nurse aide who applies restraints on a client wirhout diretions from the charge nurse may be accused of

battery.

When family members visit a client, the visitors should

be allowed privacy with the client.

A client's family wants to talk about the client's impending death, but the client does not want to talk about it. The family should be encouraged to

carry on the conversation away from the client.

The best way to safely identify your patient is by

checking the name tag.

The most serious problem that wrinkles in the bedclothes can cause is

decubitus ulcers.

Nursing assistants are responsible for

doing tasks assigned by the charge nurse.

When assisting a client out of bed, the nurse aide should always

employ body mechanic techniques.

Sexuality in long-term-care clients may include all of the following EXCEPT

engaging in public fondling.

A client is scheduled for a partial bed bath. This meas that the nurse aide must wash the client's

face, hands, axillae, genitals, and buttocks.

oral termometers color ussually

green or blue

Which of the following is a client's right?

having personal information kept confidential

A client diagnosed with hypertension will most likely have a history of

high blood pressure.

Aging-related hearing changes result in older clients gradually losing their ability to hear

hight-pitched sounds.

As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream.The nursing assistant should do first

hold the afternoon snack and report to the charge nurse.

Which of the following is NOT the nurse aide's responsibility when caring for clients who have urinary catheters?

inserting the catheter.

What are some ways to respect resident's privacy?

knock on the door and for permission to enter, ask how they would like their room arranged and never move items in the room without the resident's permission.

When assisting a client who is using the commode, it is important

leave the call light within reach.

The hot water bottle is an example of a

local dry heat application.

An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should

make sure the client knows how to use the call bell.

A female client's perineal area should be cleansed before which specimen is collected?

midstream clean-catch urine specimen.

Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is

necessary for rehabilitation.

When counting respirations, the nurse aide should

not tell the patient what he is going to do

A client's dentures are lost. The first action should be to

notify the charge nurse.

If a client objects to a certain food for religious or cultural reasons, the appropriate action would be to

offer to substitude something defferent for him.

A client has a weak left side. when transferring the client from the the bed to the wheelchair, the nurse aide should stand

on the left side.

Clients receiving an enema are usually placed

on the left side.

How often should a patient's intake and output records be totaled?

once each shift.

A client is on CMR and in the prone position. The nurse aide finds the client vomiting bright red blood, the nurse aide should first

place the client in the side-lying position.

When providing denture care, the nurse aide must

place them on a towel in the sink with cool water.

Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT

positioning the patient every four hours.

The purpose of cold applications is usually to

prevent or reduce swelling.

Which tipe of communication can often be most poweful?

silent.

When assisting a client in learning how to use a cane, the nurse aide stands

slightly behing the client on the client's weak side.

A goal for an extended care facility (ECF) resident is that she not sewear at the nurses or aides. When she calls an aide by his name, the appropriate action is to

smile and give the appropriate reward.

An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to

speak quietly and calmly.

When giving information to the charge nurse for an incident report, you should

state the facts clearly.

If you have any question during the survey process, you should:

talk with your charge nurse.

When responding to a client on the intercom, the nursing assistant should way

this is {nursing assistant name and position}, can I help you?

A resident is blind. It is important not to

to rearrange the furniture.

when working with a client who has urinary retention, the nurse aide can expect that the client will

urinate frequently.

The Foley bag must be kept lower than the client's bladder so that

urine will not return to the bladder, causing infection.

A client refuses to allow the nurse aide to bathe her . The nurse aide tells the client that she will not be allowed to eat lunch or go to bingo if she does not have her bath. This is an example of

verbal abuse.

A patient has a new cast on her right arm. While caring for her, it its important to first observe for

warmth and color of fingers.

When assisting a client with eating, one of the first things the nurse aide should do is

wash his own hands and the client's hands.

How should a nurse aide dress for a job interview?

wearing a business suit, dress, or pants and dress shirt

Before assisting a client into a wheelchair, the first action would be to check if the

wheels of the chair are locked.