CNA Exam 3

Hypertension (high blood pressure) would be a reading of

140/90

A tub bath should not last longer than

20 minutes

If you take a rectal temperature, the normal range of the temperature would be

98.6F to 100.6F (37.0C to 38.1 C)

when you are giving a complete bed bath, the bed is made

After the bath is completed

All of these will provide privacy when the person is voiding except

Always stay in the room to give assistance

A complete bed bath is given to person who

Are weak from illness or surgery

Which of these would be good time management when giving a tub bath or shower?

Ask a co-worker to make the person's bed while you give the bath.

_________________ is a slow heart rate; the rate is less than 60 beats per minute

Bradycardia

If hair is curly, coarse, and dry, which of these would not be done?

Braid or cut the hair.

The urine may be bright yellow if the person eats

Carrots or sweet potatoes

If dentures are not worn after cleaning, store them in

Cool water

To provide warmth and privacy when changing clothes, you

Cover the person with a bath blanket

If a person has dry skin, which of these will help keep it soft?

Creams, lotions, and oils

When caring for the fingernails or toenails, which of these is wrong?

Cut the nails with small scissors.

Which of these would not be a sign of hypoxia?

Decrease in pulse rate and respirations

Ulcers of the feet and legs are caused by

Decreased blood flow through the arteries and veins

When giving oral hygiene to an unconscious person who wears dentures, you should

Dentures are not worn when the person is unconscious

________________ is the pressure in the arteries when the heart is at rest.

Diastolic pressure

When using safety razors (blade razors)

Discard the disposable razor or razor blade in the sharps container.

Offering the bedpan, urinal, commode, or bathroom is

Done before the bath begins

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

Dry skin often occurs with aging

When helping a bariatric person with hygiene, it is important to

Dry under skin folds to prevent skin breakdown

Applying lotion will help to prevent skin breakdown or skin tears because it may prevent

Dryness of the skin by keeping the skin moisturized

If you are preparing to take an oral temperature, ask the person not to

Eat, drink, smoke, or chew gum for a least 15 to 20 mins.

If a person needs help with personal hygiene, you can find out what needs they have by

Following the nurse's directions and the care plan

If the person cannot remove the dentures, you can use ______________ to get a good grip on the slippery dentures.

Gauze squares

You follow Standard Precautions and the Bloodborne Pathogen Standard when giving oral hygiene because

Gums may bleed during mouth care

Risk factors for pressure ulcers are all of the following except

Helping the person to drink plenty of liquids

___________________ is when the blood pressure measurements remain above a systolic pressure of 140mm Hg or a diastolic pressure of 90mm Hg.

Hypertension

When the systolic blood pressure is below 90mm Hg and the diastolic pressure is below 60mm Hg it is called

Hypotension

Restlessness is one of the early signs of

Hypoxia

The nursing assistant can cut or trim toenails

If agency policy allows them to trim toenails

Unless otherwise ordered, take vital signs when the person

Is lying or sitting

A padded tongue blade is used when giving oral hygiene to an unconscious person to

Keep the mouth open

If you see any signs of lice, you should report it to the nurse because

Lice are easily spread to other persons through clothing, furniture, bed linens, and sexual contact.

When you place a commode over the toilet

Lock the wheels

Hair care, shaving, and nail and foot care are important to many people because these measures affect

Love, belonging, and self-esteem needs.

If a person complains of pain or numbness in the back, neck, jaw, or stomach, you should tell the nurse at once because the person

May be having a myocardial infarction

The water temperature for a complete bed bath is usually between 110 degrees F and 115 degrees F (43.3 degrees C to 46.1 degrees C) for adults. or older persons, the temperature

May need to be lower

Body temperature is lower in the

Morning

Respiratory depression or arrest can occur when

Narcotic drugs are taken in large doses

When a person has dementia, what measures may help keep the person clean and dry?

Observe for signs that the person may need to void, such as pulling at the clothing.

The blood pressure may not be taken

On an arm that has a dialysis access site

If a person receives oxygen through a nasal cannula, it is important to look for irritation

On the nose, ears, and cheekbones

When taking the blood pressure, you place the stethoscope diaphragm

Over the brachial artery at the inner aspect of the elbow

During the bed bath, the bath blanket is placed

Over the person before top linens are removed

If good oral hygiene is not done regularly, the person may develop tartar, which will lead to

Periodontal disease

Sponge swabs are used for

Persons with sore, tender mouths and for unconscious persons

How do you avoid exposing the person when washing the chest?

Place a towel over the chest cross-wise.

If a man is unable to stand and place a urinal to void, you should

Place and hold the urinal for him.

When providing mouth care for an unconscious person, position the person on 1 side with the head turned well to the side to

Prevent or reduce the risk of aspiration

When giving personal hygiene, you need to remember

Privacy and personal choice

When choosing skin care products for bathing, you should use

Products the person prefers whenever possible

Which pulse is most commonly used?

Radial

When you are undressing a person, you use good body mechanics when you

Raise the bed to a good working level

The first sign of a pressure ulcer in an area may be

Reddened skin over a bony prominence

When giving perineal care to a male, you

Retract the foreskin if he is uncircumcised

Before obtaining a sputum specimen, ask the person to

Rinse the mouth with clear water

If the person has difficulty starting the urine stream, it may help to

Run water in a nearby sink

Breathing is easier for a person with pneumonia when the person is positioned in

Semi-Fowler's position

If a person is receiving oxygen, you may

Set up the system

Mrs. Greene keeps sliding down in bed. The nurse tells you to raise the head of the bed no more than 30 degrees. This position will prevent tissue damage caused by

Shearing

If a person is weak or unsteady, a _________________________________________________ should be used when the person showers.

Shower chair, shower trolley, or shower stall

A pressure ulcer occurs because

Skin and underlying tissue is damaged by pressure or pressure in combination with shear and/or friction

To read a glass thermometer you should hold it at the

Stem and bring it to eye level to read it.

The amount of force it takes to pump blood out of the heart into the arterial circulation

Systolic pressure

A rapid heart rate is ____________________. The heart rate is over 100 beats per minute.

Tachycardia

You are caring for an incontinence person who often wets right after you have changed the clothes and bedding. it would be correct if you

Talk to a nurse at once if you find yourself becoming impatient.

If long hair becomes matted or tangled, you should

Tell the nurse and ask for directions

Which of these is not an observation that is made when shampooing?

The amount of hair on the head.

When shampooing the person who has small braids

The braids are left intact for shampooing

A partial bath involves bathing

The face, hands, axillae (underarms), back, buttocks, and perineal area

If you are near a person receiving oxygen, which of these should you report?

The humidifier is not bubbling.

When the person is able to perform oral hygiene in bed, you arrange the items on

The over-bed table

A commode chair is used when

The person needs to be in the normal position for elimination.

You may count the radial pulse from 30 seconds and multiply by 2 if

The pulse is regular

When changing clothing, remove the clothing from

The strong or "good" side first

Older and disabled persons are at great risk for pressure ulcers because of

Thin and fragile skin

Teeth are flossed

To help prevent periodontal disease

When shaving a person with a safety razor, wear gloves

To prevent contact with blood.

When caring for a mustache and beard, all of these are done except

Trim a beard or mustache when you notice it is too long.

If a person with dementia resists bathing, you may

Try giving the bath during a time of day when the person is calmer

When oxygen is in use, you do all of these except

Turn off all electrical equipment

When taking the radial pulse, place

Two or three fingers on the thumb side of the wrist over the radial artery.

A sputum specimen is more easily collected:

Upon awakening

When taking a temperature for persons who are confused and resist care, the best choice would be

Use a tympanic or temporal artery thermometer

If a person receives anticoagulants and needs shaving

Use an electric razor

When you are brushing the person's teeth, which of these steps would be incorrect?

Use only a sponge swab to clean the teeth.

Temperature, pulse, respirations, and blood pressure are

Vital signs

you should assist a person with personal hygiene

Whenever help is needed

When using a stethoscope, you can help to prevent infection by

Wiping the ear-pieces and diaphragm with antiseptic wipes before and after use.

A person ______________ may respond well to a towel bath.

With dementia

When cleaning the perineal are

Work from the urethral area to the anal area (front to back, top to bottom)

What should you do if a person asks for their vital sign measurements?

You can tell the person the measurements if center policy allows.

If you are taking vital signs on a person with dementia, it may be better if

You take the pulse and respiration at one time, and the temperature and blood pressure at another time.

Each respiration involves

1 Inhalation and 1 exhalation

The pulse rate is the number of heartbeats or pulses felt in

1 Minute

When giving any type of bath, you should

Provide for privacy

A glass rectal thermometer has

A stubby tip color-coded in red.

When discussing incontinence products, it may lower a person's self-esteem if the products are called

Adult Diapers

Do not use soap when washing

Around the eyes

Which of these hygiene measures is not done before breakfast?

Assisting with activity by providing range-of-motion exercises.

When gathering equipment for perineal care, you will need

At least 4 washcloths

Mouth care is given to an unconscious person

At least every 2 hours

If a person has limited range of motion in the neck, he or she is not shampooed

At the sink or on a stretcher

The blood pressure may be higher in older persons because

Blood pressure increases with age

_____________ is the amount of force exerted against the walls of an artery by the blood.

Blood pressure.

If a woman's hair is done by the beautician in long term care

Have her wear a shower cap during the tub bath or shower.

When you are undressing a person, remove the clothing from

In the bed in the supine position

When a person has breathing difficulties, it is usually easier for the person to breathe

In the semi-Fowler's or Fowler's position

When counting respirations, the best way is to

Keep your fingers or stethoscope over the pulse site so the person thinks you are still counting the pulse.

If you are taking the temperature of an older person, you would expect the temperature to be

Lower than the normal range

When cleaning dentures at a sink, line the sink with a towel to

Prevent damage to the dentures if they fall in the sink

A measure to prevent venous (stasis) ulcers is

Remind the person not to sit with legs crossed

When a pulse rate is 120 beats per minute, you

Report that the person has tachycardia

Who chooses how you will brush, comb, and style a person's hair?

The person

If a person has scabies, what signs or symptoms may be present?

The person has a rash and intense itching between the fingers, around the wrists, and in other areas.

Oxygen needs increase when

The person has fewer or pain

Which of these would not place a person at risk for skin tears

The person is obese

It is important to check the feet of a diabetic every day because

The person may not feels a cut, blister, burn or other trauma to the foot

Why is an electric razor used when shaving a person with dementia

The person may not understand what you are doing and resist care or move suddenly.

Bath water is changed

When it becomes cool and soapy