CNA 2021
The proper temperature for a soap suds enema is
105
For most residents, the range of normal respiration is
12 to 20 inspirations per minute
According to the principles of proper body mechanics, a nurse aid who is lifting an object should place his or her feet
12-18 inches apart
to convert four ounces of liquid to milliliters the nurse aid should multiply four by
30 ml
which of the following is a correct measurement of urinary output?
30 ml
Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a 6oz. glass of juice, 4oz. of milk, and 8oz. of coffee, you document
450 ml
Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?
6 oz
the Heimlich remover is used on a client who has
A blocked airway
What is an embolism
A blood clot that moves through the bloodstream, and causes obstruction
Which of the following should be reported immediately?
A blood pressure of 90/40
Who supervises the work of a nurse aid?
A nurse
Continuing education is
All of the above (a professional standard, important for keeping abreast for new developments, necessary for recertification in many states)
To help ensure adequate circulation to prevent skin breakdown, you could
All of the above (change the patients position frequently, perform active or passive range of motion exercises, give back massages)
Which of the following are associated with smoking?
All of the above (vitamin c deficiency, pneumonia, heart attacks)
The nurse aid knows to wear which of the following when performing care for clients
All of the above, name badge with job title, clean uniform and scrubs, shoes with non skid soles
Many elderly residents lose their appetite because of
Any of the above, depression, social isolation, decrease in number of taste buds
While the nurse aid is giving care to mr t he calls the nurse aid by the name of his son who died several years ago. The nurse aid best response is to
Ask him about his favorite memories of his son
How can you give a helpless resident some independence when he or she must be fed?
Ask the resident which foods they would like to eat first
If a client has hand tremors, the nurse aid should
Assist the client with the activity of daily living as needed
To count respiration's one respiration includes
One inhalation one exhalation
Goals of arthritis care include
Preventing contracture, decreasing inflammation and preserving joints, strengthening bones and muscles
When lifting, the nurse aid should have his or her feet separated in the standing position to
Provide a wide base of support
The goal of the healthcare team is to
Provide quality care
The thinning of the fatty layer under the skin could cause the resident to
develop pressure sores
Why should heat NOT be applied to a diabetic resident's feet?
diabetics have a decreased sensitivity to heat
Who is responsible for the entire nursing staff and the activities involved in providing safe care
director of nursing
The plan that starts on the resident's admission and assists when the resident goes home is called
discharge plan
A Foley catheter is used
drain urine from bladder
Which of the following is a proper way to correct an error in charting?
draw a single line through it
What is the best way to keep a skilled nursing facility from having an unpleasant odor?
empty bedpans and change linens in a timely manner
which of the following best helps reduce pressure on the bony prominences?
flotation mattress
when operating a manual bed the nurse aid should
fold the cranks under the bed
How many tips does a quad-cane base have?
four
which of the following is the most comfortable position for a client with a respiratory problem?
fowler
the nursing care plan states transfer with mechanical lift however the client is very agitated. to transfer the client the nurse aid should
get assistance to move the client
The circulatory system consists of the
heart, arteries, veins, capillaries
When dry, hard stool fills the rectum and will not pass, it is called
impaction
A bedsore or decubitus ulcer is caused by
inadequate turning
A contracture is caused by
lack of movement of the muscle
On which side should the patient lie for an enema?
left
When transferring a client, MOST of the client's weight should be supported by the nurse aide's
legs
Normal urine color is
light yellow
A hepatitis b vaccination protects the person receiving it against a disease that affects
liver
A way to make sure a resident with dementia gets adequate nutrition is to
offer small meals and snacks that match their limited attention span
When helping a client who is recovering from a stroke to walk, the nurse aide should assist
on the client's weak side
a client is paralyzed on the right side. the nurse aide should place the signaling device
on the left side of the bed near the clients hand
Elderly residents sometimes appear stooped over and like they have lost height. This is due to
osteoporosis in the spinal column
which of the following is NOT considered a way to restrain a client?
pain management
Signs of poor circulation include
paleness, cold skin, edema
Which type of fire can be put out with water?
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
paralysis on the left side of the body
Mr Johnson has just returned from surgery. Which of the following things do you do?
perform turn, cough and deep breathe, leg exercises
There are two kinds of restraints
physical and chemical
a client is to be assisted out of bed to sit in a wheelchair. how can this procedure be made safe?
place the bed in the lowest position
For safety, when leaving a client alone in a room, the nurse aide SHOULD
place the signaling device within the clients reach
To take an oral temperature, the nurse aide should
place the thermometer under the tongue
What is the term for a device used to take the place of a missing body part?
prosthesis
what is the term for a device used to take the place of a missing body part?
prosthesis
the purpose of padding side rails on the clients bed is to
protect the client from injury
After Mr. Hall's stroke, his right arm is weak, he should be taught to
put his right arm into his shirt first
Clean bed linen placed in a client's room but NOT used should be
put in the dirty linen container
Exercises that move each muscle and joint are called
range of motion
What is the process of restoring a disabled client to the highest level of functioning possible?
rehabilitation
if the nurse aid discovers fire in a clients room the first thing to do is
remove the client
A resident is NPO for tests. The nurse aid should
remove the water pitcher and glass from the room
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 a min. What do you do?
report it STAT to your nurse
While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD
report the broken side rail immediately
The primary goal of restorative care is
return the resident to a normal life at home
the nurse aid is going to help the client walk from the bed to a chair. what should the nurse aid put on the clients feet?
rubber soled slippers or shoes
The nurse aid notices that the client's radio cord is draped across a chair to reach the nearest outlet. The FIRST thing the nurse aid should do is
see if any changes can be made so that the radio can be plugged in safely
Which of the following is true regarding the use of side rails on a bed?
side rails should not be raised unless stated in the care plan
Constipation and indigestion can result from
slowed peristalsis
The term atrophy refers to an organ or tissue becoming
smaller because of underuse
which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects?
speech therapist
the nurse aid is responsible for the following fire prevention measures EXCEPT
taking cigarettes and matches away from all clients and visitors
Hospice specializes in the care of persons who are:
terminally ill
The RN assigns you a task that is in your job description. Which statement is FALSE?
the RN should delegate every non-RN task to you
What is a pulse oximeter used to measure
the amount of O2 in the blood
Insulin, a hormone, regulates
the amount of sugar in the blood
Which of the following is a major reason for urinary incontinence in the elderly
the muscle that keeps urine in the bladder weakens
When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's
wrist
A resident with a ileostomy evacuates feces through the
Ileum
Diabetes millitus makes a resident more prone to develop
Infections
Which of the following is the recommended position for giving an enema?
Left sims
Which of the following statements about blindness is false?
Most legally blind or visually impaired people have no sight at all
When lifting a heavy object, which muscle groups do you use?
Muscles of the legs
What can the nurse aid give the resident who has an order for npo
No food or liquids
The best way for a nurse aid to gather information about the safety and well-being of a resident is
Observation
A resident is standing in the hallway holding a bag, and asks the nurse aide when the train is due. The aide should tell her
where she is, in a matter-of-fact tone of voice
Pressure sores can often be prevented if the client is
turned or repositioned every two hours.
A patient is leaving the hospital. The family has been told to give her medications bid. The wife asks what that means. The nurse aide tells her to give the medication
twice a day
The electric shaver that the nurse aid is using to shave a client begins to spark and smoke. What should the nurse aid do first?
unplug the shaver
to avoid pulling on the catheter while you're turning a male patient the catheter tube must be taped to his
upper thigh
As dementia progresses, incontinence can become an issue. How can the nurse aide assist?
watch for signs of discomfort so you can take the resident to the bathroom
If a nurse aid needs to wear a gown to care for a patient in isolation the nurse aid shoudl
Take the gown off before leaving the patients room
That nurse aid documents that about 45 minutes after the resident was put to bed for an afternoon nap, the person urinated in the bed. To help with bladder training, what should the nurse aid do?
Take the resident to the bathroom right before they go to bed
A diabetic resident asks the nurse aide to cut her toenails. The nurse aid should
Tell the resident that the nurse aid cannot do it but will report it to the charge nurse
After assisting with evening care the nurse aid notices the client has bilateral hearing aids. The nurse aid understands that if a hearing aid is not in use
The battery should be disengaged.
Objective data is any information that is fact. This means that the information is unbiased and multiple people should be able to interpret the information in the same way. Which of the following is not an example of objective data?
The patients pain level is 3 out of 10
A nurse aid is assigned to a stroke patient with a diagnosis of aphasia. The nurse aid knows that
The resident cannot talk
When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?
ask the family to get several identical outfits
A patient appears paler than usual. The nurse aide should
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
at the same time of day
Wasting or a decrease in the size of a muscle is called
atrophy
The most basic rule of body mechanics is to
bend from the knees and hips
To lift an object using good body mechanics, the nurse aide SHOULD
bend the knees and keep the back straight
Strokes are seen in the elderly. A stroke occurs when
brain is deprived of oxygen
While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD...
call for assistance and perform the Heimlich remover
what is the FIRST thing a nurse aid should do when finding an unresponsive client?
call for help
Most of our calories should come from
carbohydrates
Meal trays have arrived. Before serving each tray the nurse aide should
check each armband, even on familiar patients
Which of the following is the safest way to confirm a residents identity?
check the ID bracelet or tag attached to the resident
when caring for a client who uses a protective device the nurse aid should
check the clients body alignment
the nurse aid sees a client spill water on the floor in the hall. the nurse aid should
clean up the spill
A professional and safe working appearance would include which of the following?
clean, wrinkle free uniform, short fingernails, off-the-shoulder hair
the nurse aid 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 aid should
comfort the client while moving the person to a safe place
Equipment used to help the resident maintain correct body alignment includes all of the following except
cones
ROM exercises will help prevent
contractures
If a resident exhibits paranoid behavior, what should the nurse aide know?
delusions are a normal part of the progression of the dementia process
A healthcare agency or program for patients who are dying is
Hospice
Which of the following measurements that you obtained from mrs shumway should be reported immediately to the charge nurse?
B/P 190/114
Drainage bags from urinary catheters should always
Be kept below the level of the bladder
For a resident, reality orientation should include
Calling the resident by his or her name
When caring for a resident with an indwelling Foley catheter you should
Check the bag and tubing frequently for adequate urinary flow
The primary cause of combative behavior in a resident with dementia is
Confusion
All of the following are signs of aggressive behavior except
Depressed mood
Before performing any procedure, a nurse aid must
Do all of the above (identify the patient, explain the procedure, wash his or her hands)
A nursing assist is helping a resident to walk. If the resident becomes faint and starts to fall, what should the nursing assistant do?
Ease the resident to the floor and call for help
The nurse aid is making an occupied bed. Which of the following is the most restorative approach?
Encourage the resident to help
The nurse aid just admitted a new male resident. Which of the following is the most restorative approach?
Encourage the resident to participate in unpacking his clothes
Residents with cognitive impairments often have difficulty sleeping. We can be helpful?
Establish a bedtime schedule make sure the residents go to bed within 15 minutes of that time
Various factors will change pulse rate. An increased pulse rate. An increased pulse rate can be caused bu
Exercise
A nurse aid is going to take me. Heaths vital signs. What should the nurse aid do to reduce mr. Heath anxiety and get him to cooperate?
Explain the procedures to mr Heath
A sitting or semi-sitting position with the head of the bed elevated is called
Fowler's
When ambulating an unsteady client it is best for the nurse aid to use
Gait belt
When caring for a confused resident, what should a nursing assistant do
Give simple directions
A client with dementia has developed a fear of taking a shower. What can a nurse aid do?
Give the client a bed bath and try a shower on another day
To take a rectal temperature, the nurse aid should insert the thermometer and
Hold on to the thermometer until it can be removed
When making an occupied bed the nurse aid shpuld
Raise the side rail on the unattended side
The nurse aid enters a clients room and the client states that he has pain. What should the nurse aid do
Report it to the nurse in charge
While providing denture care for a client the nurse aid observes that the upper plate is cracked. The nurse aid should
Report the damage to the nurse in charge
The nurse aid notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aid should
Report this to the charge nurse
A button hook and sock assist are part of what kind of nursing care?
Restorative, Rehabilitative
Communication with a resident who has late stage dementia or Alzheimer's includes
Speaking in one or two word sentences
A nurse aid moves a residents joint during range of motion exercises. If the resident complains of pain, what should the nurse aid do?
Stop the movement at the point that the pain occurs and report it to the nurse
Toward the end of the day residents with dementia commonly experience which of the following
Sundown syndrome
You are delegated to provide passive ROM to L lower and upper extremities. This means you must
Support each joint and provide extension and flexion movements on the left side of the body.
Headaches, nausea, and pain would be considered
Symptoms
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 on oxygen with a nasal cannula on three liters. Assist to sit in Fowler's position.
a cane should be used on
The strong side
What is the purpose of the chain of command in a long term care facility?
To keep communication about a problem flowing smoothly
the role of an ombudsman is to
To work with the nursing home to protect clients rights
A patient has a diagnoses of psoriasis. Her nurse aid should
Treat her the same way as any other patient with a non infectious disease.
All of the following statements about type 2 diabetes are true except
Type 2 diabetes is very rare in adults
Which is incorrect when you're recording on a patient chart
Use a pencil in case you make a mistake
If the resident is smoking and the nurse aid needs to take an oral temperature, what should the nurse aid do?
Wait 15 minutes to take the temperature
A patient has had hip surgery. Her legs should be
abducted
Mrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation. Her condition is considered
acute
The loss of the ability to express one's self is
aphasia
a client needs to be repositioned but is heavy, and the nurse aid is not sure that she can move the client alone. the nurse aid should
ask another nurse aide to help
Signs and symptoms of shock may include
low blood pressure, tachycardia, clammy, pale skin
The exchange of oxygen and carbon dioxide takes place
lungs
Supine position is
lying on the back
NPO means
nothing by mouth
physical restraint are used MOST often
to prevent client injury
the equipment you need for oral care of an unconscious client includes
toothette