CNA Written Final Exam

During the end-of-shift report, call lights, care, and routine tasks are usually done

by the staff going off duty

Falls are more likely to occur

during shift change

What is the term for the oxygen tubing that is placed in the person's nose and loops around the ears?

nasal cannula

A Kennedy terminal ulcer occurs

over a bony prominence 2-3 days before death

A symptom of gallstones is

pain radiating down one or both arms

Which of these of these is a sign of internal hemorrhage

pain, shock, vomiting blood, or coughing up blood

When a myocardial infarction occurs, it means that

part of the heart muscle dies

Constipation is

passage of hard dry stool

When measuring height with a standing scale

read the height at the moveable part of the rod

Urinary incontinence

requires good skin care

Which of the following would be on the care plan for a person with congestive heart failure

restrict fluids

Before obtaining a sputum specimen ask the person to

rinse mouth with water

A person with hepatitis will need good skin care because of

skin rash and itching

Dribbling of urine that occurs with laughing, sneezing, or coughing means the person has

stress incontinence

The CNA is caring for a person who is receiving an enteral feeding. The CNA knows nutrients will be given through

the GI tract

If a person receives anticoagulants and needs shaving

use an electric razor

Persons with Dysphagia

usually have thickened liquids

Normal blood pressure for an adult

120/80

The healthy adult produces

1500ml of urine per 24 hours

After applying a restraint, the restraint is released every

2 hours

A stroke is also called

A cerebrovascular accident (CVA)

A person feels dizzy, light headed and has fluttering in the chest. This person is most likely experiencing

A dysfhythmia

Which of the following best describes OBRA

A federal law that improves the quality of life in nursing center residents

Signs and symptoms of a urinary tract infection (UTI) include

Cloudy urine

A low sodium diet would be part of the care plan for a person with which disorder?

Congestive heart failure

When a resident is receiving oxygen, what is allowed in the room

Electrical items that are in good repair

After the person returns from the PACU, vital signs are usually measured

Every 15 minutes for the first hour

Oral hygiene is performed on the unconscious person

Every 2 hours

Cyanosis of the skin, nail beds, and mucous membranes are signs of

Hypoxia

A person with congestive heart failure complains of dyspnea, cough, and dizziness. This person has

Left side heart failure

The federal law that improves quality of life in nursing centers is

OBRA

Which of the following is not a step in the nursing process

Objective data

Older persons are at risk for foreign-body airway obstruction for the following reasons EXCEPT

Osteoperosis

Aphasia means:

Partial or total loss in the ability to use or understand language

Angina pain is usually relived by:

Resting for 3-15 minutes

When a person has angina pectoris, the chest pain occurs when

The heart needs more oxygen

Constipation is a common problem in the elderly due to

decreased peristalsis

Signs and symptoms of untreated diabetes may include

frequent urination, excessive thirst, and unexplained weight loss

When caring for persons with renal calculi the care plan will include

straining all urine

A sputum specimen is more easily collected

upon awakening

Late adulthood is from

65 years to death

A person has amyotrophic lateral sclerosis. Which measure would you expect to see on the care plan?

Dysphagia diet

A diabetic person receives a cut to the toe. This person is now at a high risk for developing

Gangrene

The CNA is caring for a person who is experiencing problems sleeping an rapid heart rate. The CNA notices the person's eyes are bulging. These are signs and symptoms of which autoimmune disorder?

Grave's disease

A diabetic person complains of thirst and frequent urination. The CNA notices the person has a flushed face a slow deep respirations. These are signs and symptoms of:

Hypoglycemia

The care plan is written by who?

RN

Semi-Fowler's position

30-45 degrees

Under OBRA, if a resident in incompetent to exercise his or her rights, who can exercise these rights for the person?

A representative such as a spouse or child

Nursing Care Plan

A written guide about the person's care

What are the major complications of coronary artery disease

Angina, myocardial infarction, irregular heartbeat and sudden death

Signs

Another name for objective data

Symptoms

Another name for subjective data

Bleeding in the stomach and small intestines causes the stool to be

Black

Untreated hypertension can lead to

Blindness

The blood pressure cuff is placed over the

Brachial artery

A heart rate less than 60 beats per minute is

Bradycardia

"Encephalo" means

Brain

When caring for a person with paralysis, it is important to

Check bath water, heat applications and food for proper temperature

Sings and symptoms of dehydration include:

Dark urine, weakness, coated tongue

The most common mental illness in the elderly is

Depression

Painful or difficult urination is

Dysuria

As Alzheimer's disease progresses to stage 2, the person

Forgets names of familiar objects

Which is a semi-sitting position

Fowler's

The study of the aging process is

Gerentology

Objective data

Information that is seen, heard, felt, or smelt

A Foley catheter is

Left in the bladder allowing urine to drain constantly into a drainage bag

Parenteral Nutrition:

Requires and IV

Liquid feces seeps from the anus, this may mean the person has:

a fecal impaction

Autonomic hyperreflexia is usually triggered by

a full bladder

A 24 hour urine specimen collection is started

after the person voids and the urine is discarded

The 3 types of transmission based precautions are

airborne, droplet, and contact

The CNA needs to know if the resident uses a hearing aid, he should:

check the Kardex

Signs and symptoms of dehydration include

dry skin and mucous membranes, dark urine, and dizziness

Older persons usually need a complete bath or shower only twice a week because

dry skin often occurs with aging

When preparing to take an oral temperature, ask the person not to:

eat, drink, smoke, or chew gum for at least 15-20 minutes

The diabetic diet involves

eating at regular times

A person who is restrained, must be observed:

every 15 minutes

The classic sign of Alzheimer's disease is

gradual loss of short term memory

For a person with Alzheimer's disease, too much stimuli from being asked too many questions may overwhelm the person and cause

hallucinations

Injuries to the feet of persons with poor circulation are serious because

healing time is prolonged

Urine is usually

light amber with a faint odor

When cleaning the skin around the stoma use:

soap and water and other cleaning agents as directed by the care plan

The elderly person's eyes can become easily irritated because

tear production is decreased

A developmental disability

-occurs before age 22 -may occur because of difficulties during the birthing process

Fracture pans are used for urinary elimination in persons

-who have had hip surgery -who are in traction

When obtaining a midstream specimen

cleanse the peri are first

When caring for a person with GERD, the person may be

- given small meals - instructed not to lay down for 3 hours after eating - instructed to sleep with the head of the bed raised 6-8 inches

Bedrest places the person at risk for the following

-contractures -muscle atrophy -blood clots

The normal temperature range for the rectal site is

98.6-100.6

A thrombus is

A blood clot

A resident volunteers to take care of houseplants at the center. This is an acceptable part of the following EXCEPT:

A requirement to receive care or care items

Which is the least accurate method for measuring temperature?

Axillary site

Dangling a person is not performed for a person with a:

Code 3 dependence level

What is a sign of shock

Cold, moist, and pale skin

The nurse has asked the CNA to obtain an occult blood test. This test is done to screen for

Colon cancer

The following are possible signs and symptoms of a UTI

Confusion, hematuria, dysuria

When measuring temperature, always use the axillary site because it is the most accurate measurement

FALSE

If a person complains of numbness or pain in the back, neck, jaw, or stomach, you know the person may be

Having a myocardial infarction

The safety data sheets for hazardous materials is found

In a place on the nursing unit

Medicare:

Is a federal health insurance program for persons 65 years and older

If vomitus looks like coffee grounds, you should report at once to the nurse because

It indicates bleeding

Injuries and disorders of the musculoskeletal system that are caused or made worse by the work environment are called

MSDs

When keeping I&O records, measure all of these as intake EXCEPT:

Mashed potatoes and creamed veggies

The abbreviation NPO means

Nothing By Mouth

If you do something beyond the legal limits of your role, you could be:

Practicing without a license

The role of the CNA in delegation is

Protecting the person from harm

Palliative care involves

Relieving the uncomfortable symptoms without producing a cure

When a person has a pulse rate of 120 beats per minute the CNA should

Report that the person has tachycardia

Some person receiving oxygen may not use a humidifier bottle in the oxygen setup

True

The abbreviation PRN means

When necessary

Autonomic hyperreflexia occurs in a person who has paralysis

above the mid-thoracic level

A major task of late adulthood is

adjusting to physical changes

Mouth care is given to an unconscious person

at least every two hours

Formula for a tube feeding is given

at room temperature

Postmortem care should be done

2-4 hours after death before rigor-mortis set in

A pressure ulcer can develop within

2-6 hours

for normal fluid balance, an adult requires how much fluid per day?

2000-2500ml

Blood glucose levels are usually monitored

3-4 times a day

The preferred position for preventing pressure ulcers is

30 degree lateral

The nurse has given a person medication for pain relief. When should you schedule care?

30 minutes after the medication is given

Fowler's position

45-60 degrees

A healthy 70 year old person needs about

7-8 hours of sleep per day

OBRA requires the nursing centers maintain a temperature range of

71-81 degrees

Pulse oximetry measures the oxygen concentration in arterial blood. The normal range is

95-100%

In long term care, what form is used to record the resident's ability to feed and dress herself?

ADL "Activities of Daily Living"

Orthostatic hypotension is

An abnormally low blood pressure when the person suddenly stands

Postmortem care as performed by the CNA includes which of the following

Apply a clean gown, clean linens, and support the chin with a rolled up towel.

A resident who depends on the nursing staff for position changes needs to be re-positioned

At least every 2 hours

The most common cause or coronary artery disease is

Atherosclerosis

A person has a nasogastric tube. How often will the CNA clean the nostrils?

Every 4-8 hours

A semi sitting position with the head of the bed elevated to 45 to 60 degrees is

Fowler's position

If a man has benign prostatic hypertrophy (BPH), he will probably

Have frequent urination at night

During the dying process, which function usually lost last?

Hearing

A diabetic person feels shaky and dizzy and complains of a headache after he has missed a meal. The CNA knows these are signs and symptoms of

Hyperglycemia

A long term care ombudsman

Investigates resident complaints

6-8 hours before the surgery, the CNA should make sure the person

Is NPO

A person is bed ridden. To prevent pressure ulcers, you:

Keep the skin free of moisture, urine, stools, or perspiration

In stage 3 of Alzheimer's Disease, the person may

Lose or misplace valuable objects

Which of the following is the preferred method for repositioning in a wheelchair?

Position the person's feet on the floor; the CNA uses a transfer belt. The person pushes with his feet as the CNA moves the person.

Where would the nursing assistant find a description of the care given by the nurse?

Progress Notes

To prevent orthostatic hypotension and syncope

Raise the head of the bed to semi-Fowler's for a few minutes, then fowler's. Have the person dangle on the edge of the bed for a few minutes, then stand up

Which of the following is true about restraint use:

Restraints may be used to treat a person's medical condition

The most common site for a pressure ulcer is

Sacrum

The person receiving an enema is usually placed in:

Sim's position

Which of the following is true about sleep

Sleep needs increase with weight gain

T or F, The doctor may order candy or gum to provide comfort for the person receiving tube feedings?

TRUE

T or F, The doctor orders the Trendelenburg position

TRUE

The Nursing Process

The method RNs use to plan and deliver nursing care

When transferring the person from the bed to the wheelchair, help the person out of bed on

The person's strong side

The systolic blood pressure is

The pressure in the arteries when the heart contracts

Which of the following is true of Transmission based precautions

They are practiced in addition to standard precautions

Subjective data

Things a person tells you that cannot be observed by your senses

Implementation

To perform of carryout measures in the care plan; a step in the nursing process

The orthopneic position may be used to help a person breathe easier

True

Specimens are always collected

Using standard precautions of the Bloodborne Pathogen Standard

Observation

Using the senses of sight, hearing, touch, and smell to collect information.

After surgery the CNA must observe urinary elimination and be sure the person voids

Within 8 hours after surgery

The recommended position for preventing and treating pressure ulcers is

a 30 degree lateral position

Kardex

a quick, easy source of information about a person

In light skinned persons, the first sign of a pressure ulcer is

a reddened bony area

Stroke occurs when which of the following happens

bleeding in the brain or blood clot in the brain

Signs of pulmonary embolism include

chest pain, dyspnea, rapid pulse

When collecting a 24 hour urine specimen, the urine is kept

chilled for the entire time

When assisting a person who has a burn, the CNA should

cover the burn with a sterile or clean, cool, moist coverig

A developmental task of middle adulthood is

developing leisure time activities

Causes of pressure ulcers include

friction, incontinence, and poor hydration

As death nears, oral hygiene is

given more frequently when taking oral fluids is more difficult

If a person has stroke-like symptoms that last a few minutes, the person

has most likely experienced a transient ischemic attack (TIA)

High blood glucose levels is called

hyperglycemia

The focus of rehabilitation is to

improve abilities

Friction and shearing can lead to

infection and pressure ulcers

The CNA is taking a temperature on an older person. The CNA knows the temperature will be:

lower than the normal adult range

When a person arrives in the room, the CNA

measures vital signs

The signs of sudden cardiac arrest are

no response, no normal breathing, and no pulse

The process of growth and development

occurs from the center of the body outward

The goals of first aid are to

prevent death and prevent injuries from becoming worse

Persons with heart failure are at risk for skin breakdown because of

tissue swelling

When giving and unconscious person mouth care aspiration is prevented by

turning the person on his or her side with the had turned well to the side

When collecting a stool specimen ask the person to

urinate into the toilet and collect the stool in the specimen pan

In stage 1 of Alzheimer's disease, the person may

walk slowly with a shuffling gate