CNA test

For most residents, the range of normal respiration is 28 to 30 inspirations per minute. 20 to 28 inspirations per minute. 12 to 20 inspirations per minute. 8 to 16 inspirations per minute.

12 to 20 inspirations per minute

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

30 mL

Which of the following is a correct measurement of urinary output? 300 mL 2 cups 40 oz 1 quart

300 mL

How many tips does a quad-cane base have? 3 1 4 2

4

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 240 mL. 450 mL. 920 mL. 685 mL.

450 mL

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

6 oz.

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

A blood pressure of 90/40

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

A doctor

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

Pain management

Which type of fire can be put out with water? Chemical Paper Grease Electrical

Paper

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 L arm and leg itching. paralysis on the left side of the body. an L arm contracture. a rash on the L arm.

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? Release the wheel brakes. Lower both footrest pedals. Place the bed in the lowest position. Place a pillow on the wheelchair seat.

Place the bed in the lowest position.

What is the term for a device used to take the place of a missing body part? Pronation Prosthesis Abduction External rotation

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

Report it STAT to the nurse.

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

place the signaling device within the client's reach.

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

place the thermometer under the tongue.

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

protect the client from injury.

When lifting, the nurse aide should have his or her feet separated in the standing position to to prevent straining the knees. provide a wide base of support. distribute body weight evenly. relieve the pressure on the toes.

provide a wide base of support.

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

put in the dirty linen container.

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

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

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

at the same time of day.

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

be kept below the level of the bladder.

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

bend the knees and keep the back straight.

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

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

Most of our calories should come from protein. vitamins. fats. carbohydrates.

carbohydrates.

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

check each armband, even on familiar patients.

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

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. assess the client once every hour. ensure the protective device is tight. release the protective device once per shift.

check the client's body alignment.

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

remove the client.

A resident is NPO for tests. The nurse aide should allow the resident to drink water only. allow the resident to eat ice chips. remove the water pitcher and glass from the room. encourage fluids for hydration.

remove the water pitcher and glass from the room.

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

report the broken side rail immediately.

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. call the nurse. leave the spill. call housekeeping.

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. lock the client's wheelchair and check the surrounding area for smoke. push the wheelchair out of the hallway and carry the client out of the facility. leave the client to search for help.

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

The thinning of the fatty layer under the skin could cause a resident to have difficulty walking. develop pressure sores. have slowed mental responses. lose his or her appetite.

develop pressure sores.

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 take the radio to the activities room and tell the client to listen to it there. unplug the radio and ask the client not to use it. see if any changes can be made so that the radio can be plugged in safely. tell the client the radio is a safety hazard and take it away.

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

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

do all of the above.

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

do all of the above.

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

do all of the above.

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

fold the cranks under the bed.

Constipation and indigestion can result from slowed peristalsis. slowed brain waves. slowed mental response. slowed respiration.

slowed peristalsis.

When dry, hard stool fills the rectum and will not pass, it is called impaction. atrophy. edema. incontinence.

impaction

The exchange of oxygen and carbon dioxide takes place around the kidneys. in the lungs. in the heart. in the intestines.

in the lungs.

A bedsore or decubitus ulcer is caused by abrasions. fatigue. inadequate turning. burns.

inadequate turning.

Diabetes mellitus makes a resident more prone to develop chills. infections. fever. cancer.

infections.

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

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

The brain is part of the endocrine system. locomotor system. exocrine system. nervous system.

nervous system.

There are two kinds of restraints physical and chemical. masks and goggles. chemical and medication. belts and wristbands.

physical and chemical.

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

take away the water pitcher at midnight.

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

taking cigarettes and matches away from all clients and visitors.

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

to prevent client injury.

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

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-infectious disease. wear a mask when entering the room. wear gloves for patient care. avoid contact with the highly contagious lesions.

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

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

upper thigh.

A sitting or semi-sitting position with the head of the bed elevated is called lateral. Fowler's. supine. prone.

Fowler's

Which of the following is the most comfortable position for a client with a respiratory problem? Prone Lateral Supine Fowler's

Fowlers

On which side should the patient lie for an enema? Right The side closer to the restroom Whichever side is more comfortable Left

Left

Which of the following is the recommended position for giving an enema? Left Sims Supine Prone Semi-Fowler's

Left Sims

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

Legs

A Hepatitis B vaccination protects the person receiving it against a disease that affects the liver. the kidneys. the skin. the heart.

Liver

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

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 Muscles of the hands Muscles of the back Muscles of the shoulders

Muscles of the legs

What can the nurse aide give a resident who has an order for NPO? Small amounts of ice Only clear liquids Unlimited fluids No food or liquids

No foods or liquids

NPO means Nothing per ostomy Only ice chips in mouth Nothing by mouth except water Nothing by mouth

Nothing by mouth

The best way for a nurse aide to gather information about the safety and well-being of a resident is to listen to other nurse aides during the break. observation. flow sheets. to listen to the nurses talk in the med room.

Observation

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

all of the above.

The loss of the ability to express oneself is known as empathy. verbal communication. speech therapy. aphasia.

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 have the family do it. go on to another task. try to move the client alone. ask another nurse aide to help.

ask another nurse aide to help.

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

Acute

The nurse aide knows to wear which of the following when performing care for clients? Shoes with non-skid soles Name badge with job title Clean uniform or scrubs All of the above

All of the above

Which of the following are associated with smoking? Vitamin C deficiency Heart attacks Pneumonia All of the above

All of the above

Wasting or a decrease in the size of a muscle is called atrophy. edema. impaction. decubitus.

Atrophy

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

B/P 190/114

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

Call for help.

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

Check the ID bracelet or tag attached to the resident.

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

Clean, 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 which of the following? Daily am weight measurement Encouraging oral fluids Placement of TED hose after ambulation Daily jog around the facility for one hour

Daily am weight measurement

Why should heat NOT be applied to a diabetic resident's feet? The feet have more oil glands. It makes diabetics' feet wrinkle. Their feet might be dirty. Diabetics have decreased sensitivity to heat.

Diabetics have decreased sensitivity to heat.

Which of the following is a proper way to correct an error in charting? Scribble it out with several lines. Use correction fluid. Draw a single line through it. Erase it completely.

Draw a single line through it.

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

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. Gather all needed equipment before beginning. Wash her hands before and after the procedure. Wear disposable gloves for all procedures.

Explain the procedures to Mr. Heath.

Which of the following best helps reduce pressure on the bony prominences? Flotation mattress Sheepskin Several pillows Repositioning every shift

Flotation mattress

The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should wait to see if she uses the bathroom tomorrow. ask the other nurse aides if the resident had a bowel movement that wasn't recorded. report this to the charge nurse. ask the resident's roommate if she saw the resident use the bathroom.

Report this to the charge nurse

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? Cloth-soled slippers Rubber-soled slippers or shoes Nothing Socks or stockings only

Rubber-soled slippers or shoes

Which of the following is true regarding the use of side rails on a bed? Side rails should be raised on both sides when making an occupied bed. Side rails should be raised at night. Side rails on one side of a bed should be raised at all times. Side rails should not be raised unless stated in the care plan.

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 a stroke or physical defects? Physical therapist Speech therapist Registered nurse Occupational therapist

Speech therapists

Headaches, nausea, and pain are considered charting. assessment. symptoms. observations.

Symptoms

A hospice specializes in the care of people who are on Medicaid. on Medicare. terminally ill. chronically ill.

Terminally ill

Which of the following is a major reason for urinary incontinence in the elderly? They can't tell when they need to urinate. They are too lazy to go to the bathroom. Their circulatory system is failing. The muscle that keeps urine in the bladder weakens.

The muscle that keeps urine in the bladder weakens.

Postpartum refers to The period of time right after death The period of time after the delivery of a baby The period of time right before the delivery of a baby The period of time just before death

The period of time after the delivery of a baby

Many elderly residents lose their appetite because of depression. social isolation. decrease in number of taste buds. any of the above.

any of the above.

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

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

The opening of the colostomy to the outside of the body is called the stoma. the insertion site. the rectum. none of the above.

The stoma

What is the purpose of the chain of command in a long-term care facility? To keep communication about a problem flowing smoothly To prevent residents from going behind the nurses' station To be sure that residents follow the rules To provide more jobs in nursing

To keep communication about a problem flowing smoothly

All of the following statements about type 2 diabetes are true EXCEPT It can be controlled with diet and exercise. Type 2 diabetes is very rare in adults. It is associated with being overweight or obese. Type 2 diabetes may require medications or insulin.

Type 2 diabetes is very rare in adults.

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

Unplug the shaver.

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. Brush the resident's teeth first. Tell the next shift to take the temperature. Take a rectal temperature.

Wait 15 minutes to take the temperature.

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

Wrist

Normal urine color is yellow. colorless. red. brown.

Yellow

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

a blocked airway.

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. place the client in the lift. lift the client without the mechanical device. keep the wheels unlocked so the lift can move with the client.

get assistance to move the client.

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 ate too much sugar. had visitors that day. has diabetes. had breakfast.

had breakfast.

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

heart, arteries, veins, and capillaries.

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

hold on to the thermometer until it can be removed.

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 notify the IV nurse that the infusion appears to have infiltrated. reassure the patient that needles always hurt. put ice on the hand. notify the medication nurse that the patient is complaining of pain.

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 notify the IV nurse. do nothing; that's normal. stop the IV. try to flush the tubing.

notify the IV nurse.

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

on the client's weak side.

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

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

To count respirations, one respiration includes one inhalation and two exhalations. one inhalation and one exhalation. one exhalation. one inhalation.

one inhalation and one exhalation.

Elderly residents sometimes appear stooped over and seem to have lost height. This is due to the resident's increased difficulty breathing. osteoporosis in the spinal column. decreased cardiac output. the deterioration of muscle tissue.

osteoporosis in the spinal column.

Signs of poor circulation include warm, dry, pink skin. perspiration and red skin. paleness; cold skin; and edema. hot flashes.

paleness; cold skin; and edema.

A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should tell the resident OK, but the resident will have to soak her feet first. ask another nurse aide to help. do it because it is part of the job. tell the resident that the nurse aide cannot do it but will report it to the charge nurse.

tell the resident that the nurse aide cannot do it but will report it to the charge nurse.

Insulin, a hormone, regulates the strength of the skeletal muscles. the amount of salt retained in the blood. the amount of sugar in the blood. the rhythm of the heart.

the amount of sugar in the blood.

Strokes are seen in the elderly. A stroke occurs when the lungs fill with fluid. the brain is deprived of oxygen. the heart fails. the muscles die.

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 nursing care plan. the discharge plan. the treatment plan. the nurse aide flow record.

the discharge plan.

A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that the resident cannot walk. the resident cannot swallow. the resident cannot talk. none of the above are true.

the resident cannot talk.

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

the skin can break down if nothing is done.

A Foley catheter is used to suction stomach contents. as a rectal tube. to drain urine from the bladder. for gastric feeding.

to drain urine from the bladder.