CNA Exam
Normal respiratory rate
12-20 breaths per minute
To convert 4 ounces of liquid to milliliters (ml), the nurse aide should multiply 4 by
30 ml
Normal temperature range
96.8*-100.4* F
To lift an object using good body mechanics, the nurse aide should
bend the knees and keep the back straight
Opposition
brings the thumb and little finger together
The brain is part of the
nervous system
NPO means
nothing by mouth
When helping a client who is recovering from a stroke to walk, the nurse aide should assist...
on the client's weak side
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
Lateral rotation
rotating movement away from the midline
Physical restraints are used MOST often....
to prevent client injury
Pronation
turning the palm downward
Which of the following is a correct measurement of urinary output?
300 cc
How many tips does a quad-cane base have?
4
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
Normal pulse range
60-100 bpm
What is an embolism?
A blood clot that moves through the bloodstream and causes obstruction
Which of the following should be reported immediately?
A blood pressure of 90/40
The nurse aide knows to wear which of the following to perform resident care?
A name tag, non-skid shoes, and comfortable/clean uniform
Who supervises the work of a nurse aide?
A nurse
What does the abbreviation ADL mean?
Activities of daily living
Which of the following items is used in the prevention and treatment of bedsores or pressure sores?
Air mattress
When caring for a dying client, the nursing assistant should:
Allow client to express his feelings
Plantarflexion
Ankle movement pointing the foot downward
After giving a client a back rub, the nursing assistant should always note:
Any change in the client's skin
To count respirations, one respiration includes
One inhalation and one exhalation
Elderly residents sometimes appear stooped over and seem to have lost height. This is due to
Osteoporosis in the spinal column
Which of the following is NOT considered a way to restrain a client?
Pain management
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 on the left side of the body
A client is to be assisted out of bed to sit in a wheelchair. How can this procedure be made safe?
Place the bed in the lowest position
What is the term for a device used to take the place of a missing body part?
Prosthesis
Clean bed linen placed in a client's room but NOT used should be
Put in the dirty linen container
The Heimlich maneuver (abdominal thrusts) is used on a client who has
a blocked airway
Who can order a warm or cold application?
a doctor
The thinning of the fatty layer under the skin could cause a resident to
develop pressure sores
Various factors will change pulse rate. An increased pulse rate can be caused by
exercise
How should the nursing assistant communicate with a client who has a hearing loss?
face the client when speaking
When operating a manual bed, the nurse aide should remember to...
fold the cranks under the bed
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
To help ensure adequate circulation to prevent patient skin breakdown, you should
give back massages, perform active or passive range-of-motion exercises, and change the patient's position frequently
A patient who was given insulin in the morning is pale and sweaty and appears confused 2 hours later. It would be helpful to find out whether the patient
had breakfast
The circulatory system consists of the
heart, arteries, veins, and capillaries
To take a rectal temperature, the nurse aide should insert the thermometer and
hold on to the thermometer until it can be removed
A health care agency or program for patients who are dying is
hospice
A resident with an ileostomy evacuates feces through
ileum
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 makes a resident more prone to develop
infections
When transferring a client, most of the client's weight should be supported by the nurse aide's
legs
normal blood pressure
less than 120/80
The best way for a nurse aide to gather information about the safety and well-being of a resident is
observation
A client is paralyzed on the right side. The nurse aide should place the signaling device...
on the left side of the bed near the client's hand
Signs of poor circulation include
paleness; cold skin; and edema
There are two kinds of restraints
physical and chemical
For safety, when leaving a client alone in a room, the nurse aide should...
place the signaling device within the client's reach
To take an oral temperature, the nurse aide should
place the thermometer under the tongue
The purpose of padding side rails on the client's bed is to...
protect the client from injury
When lifting, the nurse aide should have their feet separated in the standing position to
provide a wide base of support
The goal of the healthcare team is to
provide quality care
Extension
refers to a movement that increases the angle between 2 body parts
Dorsiflexion
refers to flexion at the ankle so that the foot points more superiorly
Retraction
refers to posteromedial movement of the scapula on the thoracic wall, which causes the shoulder region to move posteriorly
If the nurse aide discovers fire in a client's room, the FIRST things to do is...
remove the client
A resident is NPO for tests. The nurse aide should
remove the water pitcher and glass from the room
The nurse aide notices on the flow sheet that a resident has not had a bowel movement for 5 days. The nurse aide should
report this to the charge nurse
Medial rotation
rotational movement towards the midline
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
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
see if any changes can be made so that the radio can be plugged in safely
Constipation and indigestion can result from
slowed peristalsis
The term atrophy refers to an organ or tissue becoming
smaller because of underuse
Headaches, nausea, and pain are considered
symptoms
The nurse aide is responsible for the following fire prevention measures except...
taking cigarettes and matches away from all clients and visitors
A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should
tell the resident that the nurse aide cannot do it but will report it to the charge nurse
A hospice specializes in the care of people who are
terminally ill
What is a pulse oximeter used to measure?
the amount of O2 in the blood
Insulin, a hormone, regulates
the amount of sugar in the blood
Strokes are seen in the elderly. A stroke occurs when
the brain is deprived of oxygen
The plan that starts on the resident's admission and assists when the resident goes home is called
the discharge plan
A Hepatitis B vaccination protects the person receiving it against a disease that affects
the liver
Eversion
the movement of the sole away from the median plane
Inversion
the movement of the sole towards the median plane
Postpartum refers to
the period of time after the delivery of a baby
Normal urine color is
yellow
Before performing any procedure, a nurse aide must
Identify the patient, explain the procedure, and wash their hands
On which side should the patient lie for an enema?
Left
Which of the following is the recommended position for giving an enema?
Left Sims
Which of the following statements about blindness are false?
Most legally blind or visually impaired people have no sight at all
When lifting a heavy object, which muscle groups should you use?
Muscles of the legs
What can the nurse aide give a resident who has an order for NPO?
No food or liquids
A nurse aide notices blood in a patient's IV tubing. The aide should
notify the IV nurse
A patient complains that her had hurts where the IV is running. The nurse assistant notices that the hand is puffy. The nurse assistant should
notify the IV nurse that the infusion appears to have infiltrated
The charge nurse has asked you to take Mrs. Shumway's vital signs. Before doing so, you must
wash your hands, identify patient and introduce yourself, and gather all appropriate equipment
Type 2 diabetes is
Often associated with obesity and sedentary lifestyles, controllable, and common
Which type of fire can be put out with water?
Paper
Which of the following is true regarding the use of side rails on a bed?
Side rails should not be raised unless stated in the care plan
Which of the following people provide treatment for persons who have difficulty talking due to disorders such as stroke or physical defects?
Speech therapist
In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should...
Take away the water pitcher at midnight
The RN assigns you a task that is in your job description. Which of the following statements is false?
The RN should delegate every non-RN task to you
Who is responsible for the entire nursing staff and the activities involved in providing safe care?
The director of nursing
Which of the following is a major reason for urinary incontinence in the elderly?
The muscle that keeps urine in the bladder weakens
It is appropriate for the nursing assistant to share personal client information with
The nursing assistant on the next shift
Objective data is any information that is fact. This means that the information is unbiased and multiple people should be able to interpret the information in the same way. Which of the following is NOT an example of objective data?
The patient's pain level is 3/10
Abduction
a movement away from the midline
Fowler's position
a semi-sitting position; the head of the bed is raised between 45 and 60 degrees
The loss of the ability to express oneself is known as
aphasia
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
ask another nurse aide to help
A patient appears paler than usual. The nurse aide should
ask the patient how they fell and take their vital signs immediately
To be sure that a client's weight is measured accurately, the client should be weighed...
at the same time of day
Wasting or a decrease in the size of a muscle is called
atrophy
Drainage bags from urinary catheters should always
be kept below the level of bladder
When caring for a resident with an indwelling Foley catheter, you should
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...
check the client's body alignment
Most of our calories should come from...
carbohydrates
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 the spill
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 client while moving the person to a safe place
Circumduction
conical movement of a limb extending from the joint at which the movement is controlled
Many elderly residents lose their appetite because of
decrease in number of taste buds, depression, and social isolation
lateral position
side lying position
Which of the following measurements that you obtained from Mrs. Shumway should be reported immediately to the charge nurse?
BP 190/114
While eating dinner, a client starts to choke and turn blue. The nurse aide should...
Call for assistance and perform the Heimlich maneuver (abdominal thrusts)
What is the first thing a nurse aide should do when finding an unresponsive client?
Call for help
Meal trays have arrived. Before serving each tray, the nurse aide should...
Check each armband, even on familiar patients
Which of the following is the safest way to confirm a resident's identity?
Check the ID bracelet or tag attached to the resident
A professional and safe working appearance would include which of the following?
Cleanm, wrinkle-free uniform; short fingernails; and off the-shoulder hair
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
Why should heat not be applied to a diabetic resident's feet?
Diabetics have decreased sensitivity to heat
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 to keep a skilled nursing facility from having an unpleasant odor?
Empty bedpans and change linens in a timely manner
A nurse aide is going to take Mr. Heath's vital signs. What should the nurse aide do to reduce Mr. Heath's anxiety and get him to cooperate?
Explain the procedures to Mr. Heath
Which of the following best helps reduce pressure on the bony prominences?
Flotation mattress
A sitting or semi-sitting position with the head of the bed elevated is called
Fowler's
Which of the following is the most comfortable position for a client with a respiratory problem?
Fowler's position
Which of the following are associated with smoking?
Heart attacks, Pneumonia, and Vitamin C deficiency
Flexion
Refers to a movement that decreases the angle between 2 body parts
You are caring for Mr. Brown, who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula at 2 liters/minute. What do you do?
Report it STAT to the nurse
In the Nursing Care Plan, you note that it is written, "o2 per N/C at 3L, Orthopnea pos. as needed". As a CNA, you know that this means which of the following?
The resident is on oxygen with a nasal cannula on 3 liters. Assist to sit in Fowler's position
What is the purpose of the chain of command in a long-term care facility?
To keep communication about a problem flowing smoothly
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 on the catheter while you're turning a male client, the catheter tube must be taped to his...
Upper thigh
Which is incorrect when you're recording on a patient's chart?
Use a pencil in case you make a mistake
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 temperature
The client's call light should always be placed:
Within the clients reach
When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's
Wrist
Protraction
describes the anterolateral movement of the scapula on the thoracic wall that allows the shoulder to move anteriorly
Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation. Her condition is considered
acute
Signs and symptoms of shock may include
low blood pressure; tachycardia; and clammy, pale skin
prone position
lying face down
supine position
lying on back, facing upward
Supine position is
lying on the back
Elevation
movement in a superior direction
Depression
movement in an inferior direction
Reposition
movement that moves the thumb and the little finger away from each other
Supination
movement that turns the palm up
Adduction
movement towards the midline
Continuing education is
necessary for recertification in many states, a professional standard, and important for keeping abreast of new developments
enema
the placement of a solution into the rectum and colon to empty the lower intestine through bowel activity
A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that
the resident cannot talk
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
The opening of the colostomy to the outside of the body is called
the stoma
A Foley catheter is used
to drain urine from bladder
The equipment you need for oral care of an unconscious client includes
toothette/mouth swab
A patient has a diagnosis of psoriasis. Her nurse aide should
treat her the same way as any other patient with a non-infectiou disease
