CNA exam practice
What is the MAIN purpose of continuing education for the nurse aide? (A) Client safety (B) Review of skills (C) Facility compliance (D) Promotes teamwork
(A) Client safety
Which of the following is a job task performed by the nurse aide? (A) Participating in resident care planning conferences (B) Taking a telephone order from a physician (C) Giving medications to assigned residents (D) Changing sterile wound dressings
(A) Participating in resident care planning conferences
Considering the resident's activity, which of the following sets of vital signs should be reported to the charge nurse immediately? (A) Resting: 98.6°‐98‐32 (B) After eating: 97.0°‐64‐24 (C) After walking exercise: 98.2°‐98‐28 (D) While watching television: 98.8°‐72‐14
(A) Resting: 98.6°‐98‐32
The nurse aide is reviewing fire prevention measures. Which of the following, if performed by the nurse aide, would require follow-up? (A) Taking all cigarettes and matches away from clients and visitors (B) Being aware of the locations of fire extinguishers (C) Reporting all damaged wiring and/or sockets in clients' rooms (D) Participating in fire drills
(A) Taking all cigarettes and matches away from clients and visitors
When trying to communicate with a resident who speaks a different language than the nurse aide, the nurse aide should (A) use pictures and gestures. (B) face the resident and speak softly when talking. (C) repeat words often if the resident does not understand. (D) assume when the resident nods his/her head that the message is understood.
(A) use pictures and gestures.
Which of the following is true about caring for a resident who wears a hearing aid? (A) Apply hairspray after the hearing aid is in place. (B) Remove the hearing aid before showering. (C) Clean the earmold and battery case with water daily, drying completely. (D) Replace batteries weekly.
(B) Remove the hearing aid before showering.
A resident has diabetes. Which of the following is a common sign of a low blood sugar? (A) Fever (B) Shakiness (C) Thirst (D) Vomiting
(B) Shakiness
A client with Alzheimer's disease wanders from room to room while moving the belongings of other clients to different locations. Alert and oriented clients are angry that their things have been moved. The nurse aide SHOULD: (A) return the client to the client's room and close the door. (B) find the missing articles and return them. (C) walk with the client at all times to keep the client from wandering. (D) tell the other clients to be understanding of the client's condition.
(B) find the missing articles and return them.
To help prevent the spread of germs between patients, nurse aides should (A) wear gloves when touching residents. (B) hold supplies and linens away from their uniforms. (C) wash hands for at least two minutes after each resident contact. (D) warn residents that holding hands spreads germs.
(B) hold supplies and linens away from their uniforms.
For safety, when leaving a client alone in a room, the nurse aide SHOULD: (A) raise all the side rails. (B) place a signaling device within the client's reach. (C) apply a restraint to the client. (D) leave the bed elevated in the highest position.
(B) place a signaling device within the client's reach.
A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on (A) helping the resident through the stages of grief. (B) providing for the resident's comfort. (C) keeping the resident's care routine, such as for bathing. (D) giving the resident a lot of quiet time and privacy.
(B) providing for the resident's comfort.
As the nurse aide begins his/her assignment, which of the following should the nurse aide do first? (A) Collect linen supplies for the shift (B) Check all the nurse aide's assigned residents (C) Assist a resident that has called for assistance to get off the toilet (D) Start bathing a resident that has physical therapy in one hour
(C) Assist a resident that has called for assistance to get off the toilet
Which of the following is considered a normal age‐related change? (A) Dementia (B) Contractures (C) Bladder holding less urine (D) Wheezing when breathing
(C) Bladder holding less urine
What should the nurse aide do FIRST when changing an ostomy bag? (A) Put on gloves (B) Wash hands (C) Explain the procedure to the client (D) Wash the area around the stoma
(C) Explain the procedure to the client
What type of fire can be put out with water? (A) Electrical (B) Grease (C) Paper (D) Chemical
(C) Paper
A client who is confused and disoriented is asking to go home. The nurse aide's BEST action would be to: (A) tell the client, "This is your home." (B) take the client to the activity room. (C) ask the client to tell the nurse aide about the client's home. (D) tell the client, "We will take you home later."
(C) ask the client to tell the nurse aide about the client's home.
While eating dinner, a client starts to choke. The nurse aide SHOULD: (A) immediately remove the client's food tray and go to find the nurse in charge. (B) slap the client on the back until the food dislodges. (C) call for assistance and perform the Heimlich maneuver (abdominal thrust). (D) give the client a drink of water.
(C) call for assistance and perform the Heimlich maneuver (abdominal thrust).
A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first (A) ask the resident to try urinating. (B) offer the resident fluid to drink. (C) check for kinks in the tubing. (D) obtain a new urinary drainage bag.
(C) check for kinks in the tubing.
When caring for a client who uses a protective device (restraint), the nurse aide SHOULD: (A) assess the client once during every hour. (B) assure that the protective device is tight. (C) check the client's body alignment. (D) release the protective device once during every shift.
(C) check the client's body alignment.
When operating a manual bed, the nurse aide SHOULD remember to: (A) elevate the client's head at all times. (B) lock the wheels only when the cranks are folded. (C) fold the cranks under the bed. (D) raise all the side rails.
(C) fold the cranks under the bed.
When using personal protective equipment (PPE) the nurse aide correctly follows Standard Precautions when wearing (A) double gloves when providing perineal care to a resident. (B) a mask and gown while feeding a resident that coughs. (C) gloves to remove a resident's bedpan. (D) gloves while ambulating a resident.
(C) gloves to remove a resident's bedpan.
A resident who has stress incontinence (A) will have an indwelling urinary catheter. (B) should wear an incontinent brief at night. (C) may leak urine when laughing or coughing. (D) needs toileting every 1‐2 hours throughout the day.
(C) may leak urine when laughing or coughing.
A resident who is incontinent of urine has an increased risk of developing (A) dementia. (B) urinary tract infections. (C) pressure sores. (D) dehydration.
(C) pressure sores.
The nurse aide is caring for a client who has dentures. Which of the following actions SHOULD the nurse aide take when caring for the client's dentures? (A) Store the dentures in the client's bathroom on the sink (B) Clean the dentures with regular toothpaste (C) Use hot water to disinfect the dentures (D) Line the bathroom sink with a towel before cleaning the dentures
(D) Line the bathroom sink with a towel before cleaning the dentures
Residents with Parkinson's disease often require assistance with walking because they (A) become confused and forget how to take steps without help. (B) have poor attention skills and do not notice safety problems. (C) have visual problems that require special glasses. (D) have a shuffling walk and tremors.
(D) have a shuffling walk and tremors.
Which of the following is the most important measure the nurse assistant should take when caring for a resident with a nasogastric tube? A. Provide frequent oral hygiene. B. Secure the NG tube to the resident's bed. C. Move the tube if the resident c/o discomfort. D. Encourage intake of fluids to prevent dryness or dehydration.
A. Provide frequent oral hygiene.
When transporting a person by stretcher, which statement is CORRECT? A. The stretcher is moved feet first. B. You can transport the person by yourself. C. The side rails don't need to be raised if the person is strapped down. D. As long as you are present the stretcher wheels don't need to be locked.
A. The stretcher is moved feet first.
Taking the height and weight of patients, residents, and clients are important because: A. medications are calculated using them. B. they help determine the patient's roommate assignment. C. they help determine how quickly the patients, residents and clients might go home. D. all of the above.
A. medications are calculated using them.
When answering the telephone in a patient's home, the nurse assistant should: A. simply answer with "hello". B. identify yourself by name and title. C. give the patient's name and your name. D. give your name and the name of the agency you work for.
A. simply answer with "hello".
You have assembled the equipment necessary for collecting a routine urine specimen. The next step is to: A. wash your hands. B. pull the curtain for privacy. C. report to your immediate supervisor. D. tell the resident a specimen is needed.
A. wash your hands.
Mrs. Burns has AD. She experiences sundowning everyday. Her care plan includes the following. Which is NOT RIGHT? A. Provide adequate lighting. B. Ask Mrs. Burns what is bothering her. C. Meet food, fluid and elimination needs. D. Complete treatments and activities early in the day.
B. Ask Mrs. Burns what is bothering her.
17. In providing mouth care to a resident who is unconscious, the nursing assistant should do which of the following? A. Use a stiff toothbrush to clean the resident's teeth. B. Place the resident on the side before starting mouth care. C. Place the resident on the back with a pillow under the head. D. Use the thumb and index finger to keep the resident's mouth open.
B. Place the resident on the side before starting mouth care.
When applying an ankle foot orthosis (AFO) on a resident, the nurse aide first positions the AFO: A. around the resident's calf. B. inside the resident's shoe. C. on the bottom of the resident's shoe. D. on the weak side of the resident's ankle.
B. inside the resident's shoe.
When weighing a person, what is the best way to assure an accurate reading before having the patient stand on the scale? A. Have the patient urinate. B. Have the patient stand very straight. C. Have the patient remove all of their clothes. D. Have the small and large scale balance on zero and make sure the balance pointer is in the middle.
D. Have the small and large scale balance on zero and make sure the balance pointer is in the middle.
During bathing, you observed one of your residents to have a reddened area on the heel and diaper full of BM. Which observation should you report immediately? A. BM, because it controls their B/P. B. BM, because it tells how they are eating. C. Reddened area on heel, because it is a stage two bedsore. D. Reddened area on heel, because it is a stage one decubitus.
D. Reddened area on heel, because it is a stage one decubitus.
Mr. Smith develops an infection after being admitted to Rocky Crest Nursing Center. He has: A. immunity. B. normal flora. C. a contagious disease. D. a nosocomial infection.
D. a nosocomial infection.
When moving a resident up in bed, ask the resident to help by: A. pushing the pillow up. B. pulling on the side rails. C. straightening the legs and pushing with the feet. D. bending the knees, placing feet flat on the bed, and pushing.
D. bending the knees, placing feet flat on the bed, and pushing.
You are caring for a bedridden patient who is in the supine position, which pressure points should be protected from decubitus ulcer formation? A. toes, knees and ears B. ankles, hips and ears C. hips, feet and elbows D. heels, elbows and sacrum
D. heels, elbows and sacrum
A resident requiring total care has elastic stockings on both legs. The nurse assistant knows the purpose of the elastic stockings is to: A. prevent bed sores. B. keep the legs warm. C. prevent contractures. D. prevent blood clot formation.
D. prevent blood clot formation.
When a resident shivers and complains of being cold during a moist cold application treatment, you should: A. stop treatment, then report this to your nurse. B. continue treatment, but report this to your nurse. C. continue the treatment, as this is a typical reaction. D. stop treatment, cover the resident with a blanket, then report this to your nurse.
D. stop treatment, cover the resident with a blanket, then report this to your nurse.
Your resident can not swallow. How would you protect your resident from choking or breathing fluids into their lungs during oral care? A. Place them in a lateral position and use a small amount of fluid. B. Place them in a sitting position and spray a small amount of fluid. C. Place them in a semi-fowlers position and use a small amount of fluid. D. Place them in a sitting position and spray a small amount of fluid into their mouth.
C. Place them in a semi-fowlers position and use a small amount of fluid.
When giving a complete bed bath, when are you expected to change the water? A. If you have only one towel. B. When the water begins to smell. C. When the water gets cool, soapy and dirty. D. The same water can be used for the entire bath.
C. When the water gets cool, soapy and dirty.
When collecting a specimen to be transferred to the laboratory, the nurse assistant should label the container A. before collecting the specimen. B. by printing the information using a pencil. C. immediately after placing the specimen in the container. D. by writing directly on the specimen container lid using a ballpoint pen.
C. immediately after placing the specimen in the container.
You are assisting a resident with a left-sided weakness transfer from the bed to a wheelchair using a standing-pivot transfer. The best place for you to stand is: A. directly behind the resident. B. directly in front of the resident. C. in front on the left side of the resident. D. in front on the right side of the resident.
C. in front on the left side of the resident.
How should the nurse aide position the resident to apply elastic stockings: a. lying down in bed b. sitting on the edge of the bed c. standing at the side of the bed d. sitting in a wheelchair
a. lying down in bed
The nurse aide documents that about 45 minutes after the resident is put to bed for an afternoon nap, the resident urinates in bed. To help with bladder training, the nurse aide should: a. take the resident to the bathroom right before going to bed b. scold the resident for always messing up the clean bed c. report to the registered nurse that the resident will not succeed in bladder training d. take the resident to the bathroom after about 30 minutes of being in bed for the nap
a. take the resident to the bathroom right before going to bed
To remove a hearing aide the nurse aide should: a. turn it off with the volume set at low b. leave it on and set volume at high c. call the nurse d. turn the hearing aid off with volume set on high
a. turn it off with the volume set at low
Mr. Spaulding's daughter requests that the nurse aide perform mouth care for Mr. Spaulding. The nurse aide should: a. wash his/her hands, put on gloves and perform the requested care b. put on gloves and perform the requested care c. tell Mr. Spaulding's daughter that mouth care was done about 30 minutes ago and doesn't need to be done right now d. perform the care as soon as possible after other required tasks are done
a. wash his/her hands, put on gloves and perform the requested care
Water for the resident's bath should be: a. 75 degrees F b. l60 degrees F c. 110 degrees F d. 90 degrees F
c. 110 degrees F
42. A resident's dentures should be stored in a. tissue paper b. an emesis basin c. a labeled cup in water d. the utility room
c. a labeled cup in water
Many elderly residents lose their appetite due to: a. a decrease in saliva b. hardening of the arteries c. decrease in number of taste buds d. both a and c
c. decrease in number of taste buds
The plan, which begins on the resident's admission that assists when the resident goes home, is called: a. treatment plan b. nurse aide flow record c. discharge plan d. nursing care plan
c. discharge plan
Diabetes mellitus make a resident more prone to develop: a. chills b. fever c. infections d. cancer
c. infections
Elderly residents sometimes appear stooped over and like they have lost height. This is due to: a. the resident's increased difficulty in breathing b. the deterioration of muscle tissue c. loss of calcium causing changes in the spinal column d. decreased cardiac output
c. loss of calcium causing changes in the spinal column
Which environment promotes the growth of bacteria: a. cold, dark, moist places b. warm, dark, dry places c. warm, sunny, moist places d. dark, warm, moist places
d. dark, warm, moist places
Once a nurse aide's name is placed on the abuse registry for neglect he may: a. never work as a nurse aide again b. continue to work as a nurse as as long as he abuses no one else c. work only with young children d. petition the nurse aide program to have his name removed from the abuse registry after one year
d. petition the nurse aide program to have his name removed from the abuse registry after one year
The primary goal of restorative care is: a. keep the resident comfortable in the nursing home b. take care of the resident's personal business c. do everything for the resident d. return the resident to a normal life at home
d. return the resident to a normal life at home
Hospice specializes in the care of persons who are: a. on medicare b. chronically ill c. on medicaid d. terminally ill
d. terminally ill
If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do: a. brush the resident's teeth first b. take a rectal temperature c. tell the next shift to take the temperature d. wait 15 minutes to take the temperature
d. wait 15 minutes to take the temperature
Which action would help prevent skin breakdown around a stoma if the resident has a colostomy? a. clean the stoma with alcohol b. clean the stoma with water and mild soap c. use petroleum jelly (Vaseline) around the stoma site d. wipe the stoma site with tissues until clean
b. clean the stoma with water and mild soap
Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT: a. foot supports b. cones c. splints d. bed cradles
b. cones
All of the following are clues to aggressive behavior EXCEPT: a. clenched jaw b. depressed mood c. pacing d. rocking
b. depressed mood
Mouth care should be given to an unconscious person: a. once a day b. every two hours c. every shift d. every night
b. every two hours
A resident has just been admitted to the facility. The nurse aide should: a. ignore the new resident, he has too much to remember anyway b. introduce him to his roommate c. announce his arrival at dinner d. do whatever the charge nurse says
b. introduce him to his roommate
When lifting a heavy object, which muscle groups should be utilized: a. muscles of stomach b. muscles of legs c. muscles of back d. muscles of hands
b. muscles of legs
A nurse aide reclines a resident in a geri-chair so the resident cannot attempt to stand. This is a violation of: a. the resident's right to cooperation b. the resident's right to be free from restraints c. the nurse aide to practice safety for the resident d. the resident's right to walk
b. the resident's right to be free from restraints
Mrs. Smith has an indwelling catheter. Which procedure is INCORRECT? A. Attach the drainage bag to the bed rail. B. Make sure that she does not lie on the tubing. C. Keep the drainage bag below the level of the bladder. D. Provide perineal care daily and after bowel movements.
A. Attach the drainage bag to the bed rail.
It was reported to you that your resident will need assistance with HS care, which of the following statements best describes this care? A. Personal hygiene measures performed before breakfast. B. Care given at bedtime to promote comfort and relaxation. C. Thorough cleanliness and skin care given after breakfast. D. Routine hygiene that is performed after lunch and the evening meal.
B. Care given at bedtime to promote comfort and relaxation.
