CNA Written Exam Practice 2023

It would be inappropriate to utilize an alcohol-based hand sanitizer in which of the following situations? A The nursing assistant's hands are visibly soiled. B The nursing assistant has just left the patient's room. C The nursing assistant is about to enter the patient's room. D The nursing assistant helps a patient to the bathroom while wearing gloves.

A The nursing assistant's hands are visibly soiled.

The following information is recorded on an intake and output record: milk 180 ml; orange juice, 60 ml; 1 serving scrambled eggs; 1 slice toast; 1 can Ensure oral nutritional supplement, 240 ml; 50 ml water after twice daily medications. Medications as given by the nurse at 9:00 AM and 9:00 PM. What is the client's total intake for the 7:00 AM to 3:00 PM shift? A. 530 ml B. 550 ml C. 580 ml D. 590 ml

A. 530 ml

When recording data on a legal form, it is considered correct to write with which of the following? A A black or a blue pen. B A blue pen. C A black pen. D A red pen.

A. A black or a blue pen. Legal documentation must be composed with a black or a blue pen in order to be valid.

The nursing assistant assigned to obtain vital signs for a group of residents omits taking the vital signs of one of the residents. When the nurse inquires as to the resident's missing vital signs, the nursing assistant admits to forgetting the resident. This is an example of which of the following? A. Accountability B. Flexibility C. Dependability D. Respectability

A. Accountability

As you assist a Hispanic client during her meal time, which food selections do you expect to be incorporated into a diet that would represent culturally sensitive care? A. Beans and tortillas. B. Cheese and olive oils. C. Vegetables and rice. D. Red meat and potatoes.

A. Beans and tortillas.

The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported? A Emesis. B Refusal to eat dessert. C A cough. D A bowel movement.

A. Emesis. Emesis (vomiting) in the diabetic client can indicate a potential for blood sugar imbalance. This should be reported to the nurse for further assessment.

Which of the following is an example of nonverbal communication? A Hand gestures. B A whisper. C Mouthing words. D Minimizing facial expression.

A. Hand gestures. Hand gestures are an example of nonverbal communication

The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways? A IV drug use. B Dirty toilet seat. C Dirty eating utensils. D Going barefoot.

A. IV drug use. IV drug use is one of the many ways that it is possible to contract the hepatitis C virus.

Justine (CNA) was instructed by the staff nurse to elevate the client's casted left limb to prevent swelling. Justine is elevating the casted extremity correctly when she does which of the following? A. Places the casted limb above the level of the heart. B. Places the casted limb close to the body. C. Places the casted limb below the level of the heart. D. Places the casted limb at the level of the heart.

A. Places the casted limb above the level of the heart.

During a bath, the three most important things for the resident are: A Safety, security, and privacy. B Safety, warmth, and cleanliness. C Comfort, rest, and security. D Privacy, rest, and warmth.

A. Safety, security, and privacy. Safety, security, and privacy are most important to the resident during a bed bath.

Which of the following is not included in the care of clients with a pacemaker? A. The client is not allowed to be around electrical appliances. B. The client can operate a microwave. C. The client should avoid magnetic wands in airports. D. Cellular phone use should be monitored closely.

A. The client is not allowed to be around electrical appliances.

During a nursing assistant's orientation to the home facility, the nurse supervisor emphasizes that health team members communicate with each other to give coordinated and effective care to their clients. To communicate, the nursing assistant should do all of the following except: A. Use terms with many meanings. B. Be brief and concise. C. Present information logically and in sequence. D. Give facts and be specific.

A. Use terms with many meanings.

Which of the following techniques would you use when interviewing a 94-year-old patient? A. Using a low-pitched voice. B. Enunciating each word slowly. C. Varying voice intonations. D. Reinforcing the words with pictures.

A. Using a low-pitched voice.

A client has a deep vein thrombosis (DVT) and has orders by the doctor to apply elastic stockings. The nursing assistant is correct in performing this when she: A. applies the stockings while the client is on bed. B. applies the stockings while the client is sitting on the chair. C. applies the stockings while the client is sitting on the bed and dangles her feet. D. applies the stockings while the client is standing.

A. applies the stockings while the client is on bed.

A patient is undergoing bowel training. The nursing assistant knows that bowel training: A is used for people with colostomies to ensure a regular pattern. B is a normal part of a healthy digestive tract. C is a technique for going to the bathroom without pushing. D is not used anymore.

A. is used for people with colostomies to ensure a regular pattern. Bowel training is used with ostomy patients to ensure a regular elimination pattern.

The nursing assistant is aware that the purpose of the elastic stockings is to: A. prevent blood clots. B. hold dressings in place. C. reduce swelling after injury. D. prevent pressure sores.

A. prevent blood clots.

When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT: A Assist the resident to put on a robe and nonskid slippers. B Encourage the resident to pivot themselves with minimal assistance. C Place the chair on the resident's strong side. D Place the bed in the lowest position and lock the wheels.

B Encourage the resident to pivot themselves with minimal assistance.

A typical blood pressure around the upper arm should NOT be taken when the patient: A complains that "this is the fifth time today." B has IV catheters in both the left and right arms. C has heart failure. D has had lymph nodes removed around the axilla of the left arm.

B has IV catheters in both the left and right arms.

The nursing assistant is helping a male patient to use the urinal. She pulls the curtain around the bed for privacy before saying: A "If you do not fill it completely, I will empty it later." B "If you need any more assistance, please ring the bell." C "Please ring me when you are finished and I will empty it for you." D "Please let me know later how many mL."

C "Please ring me when you are finished and I will empty it for you."

Which of the following best describes the concept of empathy? A A nursing assistant asks a patient whether they would like to take a walk or watch a movie. B A nursing assistant speaks with a dietician about alterations to the patient's meal tray. C A nursing assistant speaks with a patient about their recent diagnosis of cancer. D A nursing assistant asks the nurse when she may take a meal break.

C A nursing assistant speaks with a patient about their recent diagnosis of cancer.

When caring for a patient, the nursing assistant notices that the patient is bleeding around an IV site. Which of the following is the most appropriate action to take? A Clamp the IV catheter and tell the nurse. B Tell the nurse when she happens to see her. C Report it to the patient's nurse immediately. D Report it to the nursing supervisor.

C Report it to the patient's nurse immediately.

The nursing assistant cares for a client who is depressed. One day, the client states "I can't go on any longer. I have made a plan to kill myself. I don't know if I would follow through with it, but it seems much better than living this life any longer." Which of the following is the correct action? A Report the situation to the physician. B Ask the patient, "Can you tell me more about your feelings?" C Report the situation to the nurse in charge. D Reassure the patient by saying, "It's not that bad. You'll feel better tomorrow."

C Report the situation to the nurse in charge.

The nursing assistant takes the blood pressure of a patient known for "running low." To her surprise, the reading is 155 over 85. Which of the following factors might be directly responsible? A The patient denies skipping any medication. B The patient is stressed. C The blood pressure cuff is too tight. D The patient is lying in bed.

C The blood pressure cuff is too tight.

Which of the following is an example of a nursing assistant's desired characteristic of reliability? A The nursing assistant lets the nurse know when a patient states he is in pain. B The nursing assistant monitors a patient's vital signs. C The nursing assistant completes a task designated by the nurse in a timely manner. D The nursing assistant clocks in fifteen minutes after her shift began.

C The nursing assistant completes a task designated by the nurse in a timely manner.

A 69-year-old client has been diagnosed with colon cancer. Upon the request of her daughters, the Powers of Attorneys, the information was withheld from her. When her daughters leave, the client asks you a question about her diagnosis. What will be your response to this situation? A. "I'm sorry, I don't know." B. "I'm sure it's nothing to worry about. You look fine to me." C. "I don't have any information as of the moment, but I'll find out for you." D. "You need to ask your doctor about that, not me."

C. "I don't have any information as of the moment, but I'll find out for you."

A client in the long term facility tells the nursing assistant "I am too depressed to talk to you. Leave me alone." Which of the following response by the nursing assistant is most therapeutic? A. "I'll be back in an hour." B. "Why are you so depressed?" C. "I'll sit with you for a moment." D. "Call me when you feel like talking to me."

C. "I'll sit with you for a moment."

A client says to you "I am worthless person; I should be dead." What is the best response that you, the nursing assistant, can make? A. "Don't say you are worthless, you are not a worthless person." B. "We are going to help you with your feelings." C. "What makes you feel you're worthless?" D. "What you say is not true."

C. "What makes you feel you're worthless?"

The nurse has delegated the following order to you: obtain a urinary specimen to test for sugar and ketones in a client with a medical history of diabetes mellitus. You are aware that you will obtain the specimen: A. At bedtime B. 30 minutes after meals and at bedtime C. 30 minutes before meals and at bedtime D. Before breakfast

C. 30 minutes before meals and at bedtime

Choose the observation that should be reported to the nurse STAT. A Temperature of 98.9 degrees F. B A pulse of 72. C 32 respirations per minute. D Blood pressure of 102 over 75.

C. 32 respirations per minute. The number of respirations is slightly too fast to be considered normal and could be considered a respiratory problem.

Range-of-motion exercises are most important for which type of patient to perform? A A patient with a pulled leg muscle. B A patient who has hypertension. C A patient with hemiplegia. D A patient with depression.

C. A patient with hemiplegia. he patient with hemiplegia should participate in range-of-motion exercises in order to maintain joint function and avoid blood clots. Hemiplegia is a form of paralysis that affects one side of the body, often just one arm and one leg, but at times extending partially to the torso.

Which is correct about ostomy care? A. It is done under sterile technique. B. It needs doctor's order for changing of ostomy pouches. C. Able clients can perform this procedure by themselves once they have been taught by the nurse. D. The client can still defecate normally.

C. Able clients can perform this procedure by themselves once they have been taught by the nurse.

When caring for a dying client, the nurse aide should perform which of the following activities? A. Encourage the client to reach optimal death. B. Assist the client to perform activities of daily living. C. Assist client towards a peaceful death. D. Motivate client to gain independence.

C. Assist client towards a peaceful death.

When a terminally ill client assumes artificial cheerfulness and refuses to believe that loss is happening, what stage of grieving is he in? A. Bargaining B. Acceptance C. Denial D. Depression

C. Denial

Which of the following disorders are said to be irreversible? A Chicken pox. B Asthma. C Emphysema. D Hypertension.

C. Emphysema Emphysema is the only truly irreversible disease listed. Asthma may be "outgrown" after childhood, and chicken pox is an acute, short-lived illness. Hypertension may be "cured" with diet, exercise, and medication.

Diabetes is a disease of which primary body system? A Respiratory. B Musculoskeletal. C Endocrine. D Cardiac.

C. Endocrine. Diabetes is a disease process that occurs due to a disease of the endocrine system and subsequently affects all other systems.

A client who has Alzheimer's disease is told by the nurse assistant to brush his teeth. He shouts angrily, "Tomato soup!" Which of the following actions by the nurse assistant would be correct? A. Focusing on the emotional reaction. B. Clarifying the meaning of his statement. C. Giving him step-by-step directions. D. Doing the procedure for him.

C. Giving him step-by-step directions.

Legally, clients' charts are: A. Owned by the government since it is a legal document. B. Owned by the doctor in charge and should be kept from the administrator for whatever reason. C. Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge. D. Owned by the client and should be given by the nurse to the client as requested.

C. Owned by the hospital and should not be given to anyone who requests it other than the doctor in charge.

The nursing assistant would suspect that one of her patients is having a problem with swallowing if she notices which of the following? A Completing a meal over the course of fifteen minutes. B Chewing very slowly. C Pocketing of food. D Uneven chewing.

C. Pocketing of food A patient who pockets food may be having a difficult time swallowing.

The nursing assistant is aware that the responsibility for keeping an accurate I&O record is part of her duties. If the client is incontinent, how should she document the output? A. Inform the nurse that the client has voided or defecated. B. Do not document at all since it cannot be measured. C. Record on the output side of the I&O sheet each time the bed is wet. D. Review the client's intake and record the same amount on the output side of the I&O sheet.

C. Record on the output side of the I&O sheet each time the bed is wet.

A client is receiving oxygen therapy via face mask. Which of the following is contraindicated for this client? A. Eating his lunch. B. Use of cotton bedclothes. C. Shaving using an electric razor. D. Talking with visitors.

C. Shaving using an electric razor.

Which of the following statements is correct pertaining to binders application? A. A breast binder can be applied for breastfeeding mothers to relieve discomfort. B. Straight abdominal binders are applied when the client is sitting on a chair. C. The double T-binder is specifically used for male clients. D. When securing a straight abdominal binder, help the client in a side-lying position to close it at the back using safety pins.

C. The double T-binder is specifically used for male clients.

Use of which of the following articles or types of clothing would help a client with osteoarthritis perform activities of daily living adequately? A. Zippered clothing. B. Tied shoes to promote stability. C. Velcro clothing, slip-on shoes, and rubber grippers. D. Buttoned clothing, slip-on shoes, and rubber grippers.

C. Velcro clothing, slip-on shoes, and rubber grippers.

One of your clients just had a stroke and is manifesting receptive aphasia. Clients with receptive aphasia: A. are unable to speak. B. have no difficulty in understanding spoken or written language. C. are not able to express themselves meaningfully through speech. D. speak very loudly at all times.

C. are not able to express themselves meaningfully through speech.

When the nursing assistant identifies a client who has attempted to commit suicide, the nursing assistant should: A. call a priest. B. counsel the client. C. report immediately to the nurse. D. refer the matter to the police.

C. report immediately to the nurse.

A registered nurse is orienting a newly certified nursing assistant to the unit. The nurse mentions that sometimes culturally diverse clients who speak a different language are admitted to their unit. In communicating with these clients, the nursing assistant should: A. speak loudly and slowly. B. stand close to the client and speak slowly. C. use an interpreter to speak to the client. D. speak to the client and family together to increase the chances that the topic will be understood.

C. use an interpreter to speak to the client.

What is the difference between Sims position and left lateral position? A In Sims position, a pillow is placed between the patient's knees to prevent them from touching. B In lateral position, the patient's head is elevated to 15 degrees on two pillows. C In lateral position, the patient's undermost arm is positioned laterally and parallel to the patient's back. D In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.

D In Sims position, the patient's undermost arm is positioned laterally and parallel to the patient's back.

The nursing assistant speaks with the nursing facility's ombudsman. The role of this position is to: A care for patients as if they were their own family. B make residents as happy as possible. C assist residents to set up insurance and policy claims. D investigate residents' complaints and bring them to the attention of the correct authorities.

D investigate residents' complaints and bring them to the attention of the correct authorities.

Which of the following bedtime snacks should a patient choose in order to increase their intake of vitamin D? A Some pretzels. B A cookie. C An apple. D A warm glass of milk.

D. A warm glass of milk. Milk and other dairy products are usually fortified with vitamin D. This is the best snack to increase intake.

The nursing assistant knows that urine is normally: A Dark in color and foul-smelling. B Dark yellow. C Clear, dark yellow. D Clear, pale yellow.

D. Clear, pale yellow. Clear, pale yellow urine indicates a well-hydrated patient.

Which is NOT a rule for collecting specimens? A. Follow the rules of medical asepsis. B. Use the correct container. C. Label the container accurately. D. Collect the specimen when you have time.

D. Collect the specimen when you have time.

All of the following factors may interfere with elimination EXCEPT: A Infection. B Aging. C Medications. D Family stress.

D. Family stress. Family stress does not typically interfere with elimination. Aging, medications, and infection do have a direct effect on elimination

Which of the following methods should be used to collect a specimen for urine culture? A. Have the client void in a clean container. B. Clean the foreskin of the penis of uncircumcised men before specimen collection. C. Have the client void into a urinal, and then pour the urine into the specimen container. D. Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.

D. Have the client begin the stream of urine in the toilet and catch the urine in a sterile container midstream.

The nurse aide was asked by the licensed nurse to change the nonsterile dressing of a client. Which of the following statements is best when pertaining to this situation? A. Tactfully refuse the delegated task because you are limited in changing dressings on your own. B. After the wound has been cleansed, apply clean dressings and tape completely around the edges of the bandage. C. In cleansing the wound, start from the surrounding skin towards the wound in longitudinal strokes. D. In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.

D. In changing a dressing, always note the color, odor, amount, and consistency of the drainage on the old dressing.

A nursing assistant must obtain the blood pressure of a client in airborne isolation. Which of the following methods is best to prevent transmission of infection to other clients by the equipment? A. Dispose of the equipment after each use. B. Wear gloves while handling the equipment. C. Use only the equipment with other clients in airborne isolation. D. Leave the equipment in the room for use only with that client.

D. Leave the equipment in the room for use only with that client.

The term grievance refers to which aspect included in the Patient Bill of Rights? A There is no lifetime monetary limit on essential care. B Patients are not allowed to call doctors at home. C Patients have access to their health information at all times. D Patients have the right to file a complaint without fear or penalty.

D. Patients have the right to file a complaint without fear or penalty.

It's a busy day in the ward and the nurse on duty is now preparing the medicines of her patients on the medication tray. She hands you a tube of Teramycin ointment and gives you instructions to apply it to a patient's eyes. How would you respond to this? A. Ask the nurse to demonstrate it to you for a clearer and better understanding of the procedure. B. As assistant to the nurse, follow the nurse's request and apply the ointment to the patient's eyes. C. Ask the nurse to be with you during the application of the ointment. D. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

D. Politely refuse the nurse's request and explain your job limitations as a nursing assistant.

A patient who is immobile may experience which of the following feelings? A Confusion. B Laziness. C Happiness. D Sadness

D. Sadness. This patient may feel sad due to the limitation of their illness.

A client is placed on suicide precautions. During the care planning conference, the care plan for this client was discussed by the nursing staff. Which of the following tasks would you anticipate the licensed nurse will delegate to you in ensuring the client's safety? A. Don't allow him to leave his room. B. Remove all sharp and cutting objects. C. Give him the opportunity to ventilate his feelings. D. Stay with him at all times.

D. Stay with him at all times.

A nursing assistant happens to witness a patient fall and is asked to document what happened. Which of the following statements is written correctly for legal documentation? A "The patient tripped over bedsheets because housekeeping left them on the floor all day." B. "The patient slipped and slid down the side of the bed to the floor, landing on their sacrum." C. "The patient fell because they ignored me when I told them to stay in bed." D "The patient fell because the nurse forgot to lock the wheels of the bed again."

B. "The patient slipped and slid down the side of the bed to the floor, landing on their sacrum."

On nursing rounds, a client is found lying on the floor. Which statement would be most appropriate for the nurse aide to record in the client's medical record? A. "It is most likely that the client attempted to climb over the side rails and fell." B. "Upon entering the room, the client was found lying on the floor." C. "The client had been restless all evening and was trying to get out of bed." D. "The presence of a bed alarm could have prevented the fall."

B. "Upon entering the room, the client was found lying on the floor."

The abbreviation Rx indicates: A A type of wound. B A treatment. C An acute illness. D A disease.

B. A treatment. The abbreviation Rx stands for 'treatment' or 'prescription.'

To prevent circulatory impairment in an arm when applying an elastic bandage, which of the following methods is best? A. Wrap the bandage around the arm loosely. B. Apply the bandage while stretching it slightly. C. Apply heavy pressure with each turn of the bandage. D. Start applying the bandage at the upper arm and work toward the lower arm.

B. Apply the bandage while stretching it slightly.

Your client has had a bowel movement. The stool is black in color and has a tarry consistency. What is your next action? A. Ask the client what her previous meal contained. B. Ask the nurse to observe the stool. C. Dispose of the stool and report the color to the nurse. D. Ask a co-worker if this is normal for this client.

B. Ask the nurse to observe the stool.

The nurse inserts a Foley catheter to relieve a client's urinary retention. Which of the following is an inappropriate action in caring for clients with an indwelling catheter? A. Emptying the drainage bag every 6-8 hours. B. Attaching the drainage bag to the lowest part of the siderails near the client's feet. C. Keeping the drainage bag below bladder level. D. Positioning the tubing without dependent loops.

B. Attaching the drainage bag to the lowest part of the siderails near the client's feet.

In preparing a client for a hot Sitz bath, the nurse assistant should check the temperature of the water. The ideal water temperature is: A. Between 105°F and 120°F B. Between 95°F and 110°F C. Between 80°F and 93°F D. Between 65°F and 80°F

B. Between 95°F and 110°F

Elderly patients are prone to stomach-aches and bloating. Which of the following foods are avoided since they are gas-forming and contribute to the said condition? A. Prunes B. Cauliflower C. Colas and sodas D. Protein-rich foods

B. Cauliflower

When applying a jacket restraint to a patient, it is most important to: A Check that the patient is not able to hit any other patients nearby. B Check that the patient can fully expand their chest for breathing. C Use a half-bow knot to secure each tie around the bed frame. D Use a square knot to fasten the vest ties together behind the chair.

B. Check that the patient can fully expand their chest for breathing.

A nursing assistant will be changing the soiled bed linens of a client with a draining pressure ulcer. Which of the following protective equipment should the nursing assistant wear? A. Mask B. Clean gloves C. Sterile gloves D. Shoe protectors

B. Clean gloves

A nursing assistant is in the process of giving a client a bed bath. In the middle of the procedure, the unit secretary calls on the intercom to relay that there is an emergency phone call. The appropriate action is to: A. Immediately walk out of the client's room and answer the phone call. B. Cover the client, place the call light within reach, and answer the phone call. C. Finish the bed bath before answering the phone call. D. Leave the client's door open so the client can be monitored and the nurse aide can answer the phone call.

B. Cover the client, place the call light within reach, and answer the phone call.

To obtain a 24-hour urine specimen, the nurse assistant should: A. Collect each voiding in separate containers for the next 24 hours. B. Discard the first voided specimen and then collect the total volume of each voiding in 24 hours. C. For the next 24 hours, retain a 30ml specimen of each voiding after recording the amount voided. D. Keep a record of the time and amount of each voiding for 24 hours.

B. Discard the first voided specimen and then collect the total volume of each voiding in 24 hours.

Which of the following actions is correct when giving a client a bath? A. Clean the perineal area by gently wiping with the washcloth from back to front. B. Ensure any areas not being currently washed are covered by a sheet or towel. C. Make the client give themselves their own bath, even if they perform it poorly. D. Lotion the client's feet after bathing and be sure to get in between the toes.

B. Ensure any areas not being currently washed are covered by a sheet or towel.

Which of the following is the leading cause of accidental death in those 85 years of age and older? A Poisoning. B Falls. C Car accidents. D Drowning.

B. Falls. Falls are the number one cause of accidental death in this age group. Work hard to prevent them!

A client with a hearing impairment is admitted to a busy hospital unit. Which intervention is most appropriate to meet the client's needs while preventing sensory overload? A. Allow all the client's family members to stay with the client. B. Have conversation at the bedside directed to the client. C. Keep the television or radio on for the client continuously. D. Keep the overhead light on at all times.

B. Have conversation at the bedside directed to the client.

The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients? A Help residents write wills and choose power of attorneys. B Help residents reach their highest level of psychological and mental functioning. C Help residents perform ADLs and avoid neglect. D Help residents to transfer to other nursing homes if they want.

B. Help residents reach their highest level of psychological and mental functioning. OBRA requires facilities to help their residents achieve their highest points of physical, psychological, and mental functioning, as well as make choices about their lives.

Which of the following procedures cannot be performed by a nursing assistant? A. Reporting a soiled dressing to the nurse. B. Inserting a Foley catheter. C. Performing oral care on an unconscious patient. D. Assisting the client to the bathroom.

B. Inserting a Foley catheter. Inserting an indwelling urinary catheter requires sterile technique, which is not a component of nursing assistant skills.

The nursing assistant assigned to the medical ward receives a new client for the shift. She wants to know about the case of the client and the kind of nursing care and therapeutic management already done to help the client's condition throughout her stay at the hospital. The nursing assistant therefore reads the: A. Flow sheet B. Kardex C. Progress notes D. Nursing discharge summary

B. Kardex

Which of the following diseases does not require airborne precautions? A Measles. B MRSA. C Tuberculosis. D Chickenpox.

B. MRSA. MRSA is a disease transmitted by skin-to-skin contact. It does not require airborne or droplet precautions.

A divorced 33-year-old former drug addict, is paralyzed from the waist down. During hospitalization, no family ties are evident; however, he reportedly has two teenage sons. How might you assist him in meeting his needs as they related to roles and relationships? A. Have get-well cards sent anonymously. B. Provide paper and pen for letter writing to his sons. C. Spend time with him after work hours. D. Leave him alone to allow for meditation.

B. Provide paper and pen for letter writing to his sons.

A nursing assistant arrives at work. Three hours into the shift, she feels chilled and takes her temperature. The read-out is 101.0 degrees F. The correct action is to: A Continue working, but wear a mask. B Report herself to the nursing supervisor and be dismissed home. C Continue working, but wash hands every fifteen minutes. D Leave immediately for home.

B. Report herself to the nursing supervisor and be dismissed home.

A client has an indwelling urinary catheter, and urine is leaking from a hole in the collection bag. Which of the following actions would be most appropriate? A. Cover the hole with tape. B. Report to the nurse immediately. C. Disconnect the drainage bag from the catheter and replace it with a new bag. D. Place a towel under the bag to prevent spillage of urine on the floor, which could cause the client to slip and fall.

B. Report to the nurse immediately.

Clients requiring oxygen therapy should be monitored for hypoxia. Early signs for hypoxia include: A. Breathing comfortably only when sitting. B. Restlessness, dizziness, and disorientation. C. Cyanosis and increased pulse rate. D. Increased temperature and decreased respiratory rate.

B. Restlessness, dizziness, and disorientation.

A nurse obtains an order from a physician to restrain a client by using a jacket restraint and delegates a nursing assistant to assist in the restraining of the client. Which of the following observations indicates inappropriate application of the restraint by the nursing assistant? A. A safety knot in the restraint straps. B. Restraint straps that are safely secured to the side rails. C. Jacket restraint straps that do not tighten when force is applied against them. D. Jacket restraint secured so that two fingers can slide easily between the restraint and the client's skin.

B. Restraint straps that are safely secured to the side rails.

Protective devices are often used to prevent and treat pressure ulcers and skin breakdown. Which of the following devices is least likely used for this particular purpose? A. Trochanter rolls B. Rubber sheet C. Bed cradle D. Flotation pads

B. Rubber sheet

Another term that is similar to the word convulsion is: A Tremors. B Seizure. C Fever. D Hypertension.

B. Seizure. Convulsions are also sometimes known as seizures.

Which action by a nurse aide could jeopardize the confidentiality of computerized medical records available at a nurse's station? A. Log out and sign off all computer screens before leaving a terminal. B. Share passwords for computer access with colleagues who have forgotten their own passwords. C. Periodically change computer access passwords. D. Prevent an unidentified healthcare worker from viewing computer records.

B. Share passwords for computer access with colleagues who have forgotten their own passwords.

While putting an elderly client with an indwelling urinary catheter in bed, a nursing assistant notices the tubing hanging below the bed. She places the tubing in a loop on the bed with the client and makes sure the client won't lie on the tubing. Which of the following rationales explains the nursing assistant's action? A. To inhibit drainage. B. To allow drainage to occur. C. To allow the urine to collect in the tubing. D. To have the client check the tubing for urine.

B. To allow drainage to occur.

Monique stopped working as a nursing assistant when she gave birth to her daughter. After 2 years of being a full-time wife and mother, she now decides to go back to work to help pay bills. What are the requirements that Monique has to comply with before going back to work again? A. Enroll in a refresher course. B. Undergo a retraining and a new competency evaluation. C. Competency evaluation only. D. No other requirements are required. Just present letter of intent to the Board to go back to work.

B. Undergo a retraining and a new competency evaluation.

Clients and families have the right to receive care that is: A. determined necessary by the health team. B. culturally acceptable to them. C. dictated as appropriate by medical research. D. technologically advanced and inexpensive.

B. culturally acceptable to them.

The nursing assistant is correctly providing penile hygiene to an unconscious client if she: A. uses warm water without soap. B. dries all areas of the penis thoroughly. C. washes from the base of the shaft to the tip. D. avoids retracting the foreskin if not circumcised.

B. dries all areas of the penis thoroughly.

After applying an elastic bandage to a client's right leg, you need to check the color and temperature of the leg: A. every 15 minutes. B. every hour. C. every 2 hours. D. every shift.

B. every hour.

An asthmatic client can be relieved from dyspnea when he is placed in orthopneic position. This can done by: A. placing the head of bed in 90° angle. B. sitting up and leaning over a table with a pillow. C. hyper-extending the neck while on high back rest. D. placing the client on a high back rest using a pillow.

B. sitting up and leaning over a table with a pillow.

Rectal temperatures are usually taken on patients who are: A combative. B unconscious. C anxious. D confused.

B. unconscious. Unconscious patients cannot close their mouths around an oral thermometer. Any of the other patient types would be resistant and/or fearful to a rectal thermometer.

A nursing assistant answers an incoming phone call only to find out that the caller was calling a different unit. How should the nursing assistant facilitate the call transfer? A. Ask the caller what telephone number he is trying to reach. B. Ask the caller to "Please hold, an operator will get to you shortly", then go back to unfinished tasks. C. Refer the call to the nurse on duty. The nurse will transfer the call herself. D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected, or the line is busy.

D. Tell the caller that you are going to transfer the call and give the phone number in case the call gets disconnected, or the line is busy.

Which of the following is an example of emotional lability? A The patient gets upset after a long day and blames it on tiredness. B The patient gets upset when he learns he has been diagnosed with cancer. C The patient gets upset when he does not receive a plate in his favorite color. D The patient gets upset after telling the nurse immediately prior how happy he is.

D. The patient gets upset after telling the nurse immediately prior how happy he is. Switching quickly from happy to sad, or mad to peaceful, is the definition of emotional lability.

Which of the following are examples of fluid output that need to be recorded on the I&O sheet? A. Urine only. B. Urine and blood loss. C. Urine, blood loss, and excessive perspiration. D. Urine, emesis, blood loss, and excessive perspiration.

D. Urine, emesis, blood loss, and excessive perspiration.

Which action is incorrect when flossing the client's teeth? A. Hold the floss between the middle fingers of each hand. B. Make sure you also floss the back side of the very last tooth on the right, left, top, and bottom of the mouth. C. Move the floss gently up and down between the teeth. D. Use a new piece of floss for each tooth.

D. Use a new piece of floss for each tooth.

A client was fitted with a hearing aid. She understands the proper use and wear of this device correctly when she says that the device is turned on and adjusted to a: A. therapeutic level. B. preset level. C. prescribed level. D. audible level.

D. audible level.

A COPD client recently admitted to the floor needs constant oxygen therapy. When assisting this patient, the nursing assistant can: A. turn the oxygen on and off. B. start the oxygen. C. decide what device to use. D. keep the connecting tubing secure and free of kinks.

D. keep the connecting tubing secure and free of kinks.

A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means: A that the client is confused. B that the client is unable to void. C that the client is unable to understand and process language. D that the client is unable to speak.

D. that the client is unable to speak.

Clients with osteoarthritis may be on bed rest for prolonged periods. The nursing assistant is aware that she should: A. encourage coughing and deep breathing and limit fluid intake. B. provide only passive range of motion, and decrease stimulation. C. have the client lie as still as possible, and give adequate massage. D. turn the client every 2 hours, and encourage coughing and deep breathing.

D. turn the client every 2 hours, and encourage coughing and deep breathing.