CNA Final Review

A client asks the nurse aide, "Am I going to die?" Which of the following would be the BEST response for the nurse aide to make? (A) "You should ask your primary health care provider." (B) "Well, we all die someday." (C) "Why do you ask a question like that?" (D) "Is this something you have been thinking about?"

(D) "Is this something you have been thinking about?"

If a client expresses anger during care, which of the following would be an APPROPRIATE response for the nurse aide to make? (A) "Why are you being so mean today?" (B) "You should not say such mean things to people." (C) "I will come back when your bad mood is over." (D) "You seem upset. Would you like to talk about it?"

(D) "You seem upset. Would you like to talk about it?"

Which of the following is MOST important for the prevention of skin breakdown in the client? (A) Air-drying the client's skin (B) Rubbing lotion on the client's skin (C) Ambulating the client once a day (D) Repositioning the client every 2 hours

(D) Repositioning the client every 2 hours

When caring for a vision-impaired client, the nurse aide SHOULD: (A) ambulate the client by holding the client's hand and walk in front of the client. (B) tell the client that the food tray is in front of the client after the food tray has been delivered. (C) provide a dimly lit environment for the client. (D) announce self before touching the client.

(D) announce self before touching the client.

The nurse aide SHOULD place the client's soiled bedsheets: (A) on the bedside table. (B) on the floor of the soiled utility room. (C) in a biohazard bag. (D) in the soiled linen container

(D) in the soiled linen container

Frequent turning and repositioning of the client help prevent: (A) cyanosis. (B) indigestion. (C) coronary disease. (D) pressure ulcers

(D) pressure ulcers

When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse to take? (A) Check that the client's name is displayed on the tray card (B) Make sure the client's favorite foods are present (C) Determine if enough fluids have been ordered (D) Keep all foods covered until eaten

(A) Check that the client's name is displayed on the tray card

While the nurse aide is helping a client to shower, the client falls to the floor. What should the nurse aide do IMMEDIATELY? (A) Report the fall to the nurse (B) Insist that the client take a bath instead of a shower (C) Discuss the fall with the client's family member (D) Inform the client that the client should hold on to the grab bars while showering

(A) Report the fall to the nurse

The nurse aide is assisting a client to the bathroom. After the client uses the toilet, the nurse aide notices red streaks in the client's stool. The nurse aide SHOULD: (A) avoid flushing the toilet and report the finding to the nurse. (B) ask the Dietary department to change the client's diet. (C) tell the client to report the finding to the primary health care provider. (D) understand that this is an expected finding in the older adult client.

(A) avoid flushing the toilet and report the finding to the nurse.

When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: (A) lying down in bed. (B) dangling the legs from the edge of the bed. (C) standing at the side of the bed. (D) sitting in a wheelchair.

(A) lying down in bed.

A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: (A) 360 mL. (B) 450 mL. (C) 480 mL. (D) 520 mL.

(B) 450 mL.

What is the FIRST area of a client's body that the nurse aide should wash when providing a bed bath? (A) Legs (B) Face (C) Arms (D) Chest

(B) Face

What is the MOST important reason for using a mechanical lift to transfer clients? (A) It takes fewer staff to transfer someone (B) It is the safest method for clients and staff (C) It is faster than other methods (D) It is the method that clients like best

(B) It is the safest method for clients and staff

When ambulating the client, the nurse aide SHOULD: (A) ask the nurse for help. (B) be sure the client is wearing non-skid footwear. (C) ask a family member for assistance. (D) walk in front of the client and show the client the way.

(B) be sure the client is wearing non-skid footwear.

In order to move a client up in bed, the nurse aide SHOULD: (A) raise the head of the bed. (B) get assistance from a coworker. (C) place the bed in the lowest position possible. (D) wait until the end-of-shift report.

(B) get assistance from a coworker.

When a nurse gives the nurse aide confidential information about a client, the nurse aide SHOULD: (A) share it with other clients. (B) keep the information private. (C) discuss it with other staff members in the break room. (D) discuss it with the client's family.

(B) keep the information private.

When making an occupied bed the nurse aide SHOULD: (A) leave the bed in the lowest position. (B) make the toe pleat. (C) leave the bottom sheet untucked. (D) place soiled linens on the floor.

(B) make the toe pleat.

The health care team member who assists the client's performance of activities of daily living is the: (A) social worker. (B) occupational therapist. (C) speech therapist. (D) case manager.

(B) occupational therapist.

The nurse aide SHOULD use proper body mechanics in order to: (A) keep the nurse aide's weight down. (B) protect the nurse aide from injury. (C) keep facility equipment in working order. (D) make a good impression

(B) protect the nurse aide from injury.

The nurse aide MUST wear gloves when: (A) transferring a client. (B) providing mouth care. (C) dressing a client. (D) weighing a client.

(B) providing mouth care.

The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide has forgotten to bring the supplies needed. What should the nurse aide do NEXT? (A) Instruct the client to lie still (B) Quickly go to get the supplies (C) Lower the bed, and place the call light within reach (D) Ask the roommate to watch the client while the nurse aide gets the supplies

(C) Lower the bed, and place the call light within reach

Which of the following client observations should the nurse aide report IMMEDIATEL Y to the nurse? (A) Pink nailbeds (B) Rectal temperature, 99.6° F (37.5° C) (C) Radial pulse, 110 (D) Clear, yellow urine

(C) Radial pulse, 110

To promote independence when feeding a client, the nurse aide SHOULD: (A) inform the client to drink all the liquids before the solid food. (B) assist the client in mixing the meat and vegetables together. (C) allow self-feeding as much as possible. (D) ask family and visitors to leave the room when the client is eating.

(C) allow self-feeding as much as possible.

Pillows should be used for a client placed in a side-lying position to: (A) promote sleep. (B) decrease pain. (C) prevent skin breakdown. (D) decrease edema.

(C) prevent skin breakdown.

A client requests that the nurse aide call the client's minister. The nurse aide SHOULD: (A) ask the client why the client wants the nurse aide to call the minister. (B) tell the client that this is not part of the nurse aide's job. (C) tell the client that the nurse aide will inform the nurse of the client's request. (D) call the minister for the client.

(C) tell the client that the nurse aide will inform the nurse of the client's request.