CNA practice

A Hep B vaccine protects the person receiving against a disease that affects: a)liver b)heart c)kidneys d)skin

a) liver

The primary reason for combative behavior in a resident is: a)anger and fear b)confusion c)the resident is evil d)stubborness

a)anger and fear

The NA is making an occupied bed. Which of the following is the most restorative approach? a)ask the resident to help b)do everything for the resident c)tell the resident to get out of bed d)lower both side rails

a)ask resident to help

When communicating with a non-ambulatory resident, the NA should use all following except: a)block view so the resident will listen b)position yourself eye level with the resident c)avoid talking about the resident as if he is not present d)include the resident in conversation in the room

a)block the view so the resident will listen

Mr Joseph overhears the NA speaking to the RN about his roommate's diagnosis and demands that the NA discuss the roommate's condition with him. The NA should a)firmly but politely explain that she cannot discuss another resident's condition b)tell Mr. Joseph it is not his concern, he should worry about himself c)tell Mr. Joseph to ask the roommate's family d)tell Mr. Joseph that if his roommate wants him to know, the roommate will tell Mr. Joseph

a)firmly but politely explain she cannot discuss another residents condition

Mrs. Jones is in her wheelchair in the hallway stating she needs a pillow behind her back. The NA should: a)get Mrs. Jones' pillow from her room and place it behind her back b)get any pillow and put it behind Mrs. Jones so she will stop complaining c)tell Mrs. Jones that a pillow is not good for her back d)nothing is needed because Mrs. Jones always says her back hurts

a)get Mrs. Jones' pillow from her room and place it behind her back

The exchange of O2 and CO2 takes place: a)in the lungs b)in the heart c)around the kidneys d)in the intestines

a)in the lungs

One of the major causes of depression in the elderly is: a)inability to run their own lives b)going to nursing home activities c)living with their children d)lack of money

a)inability to run their own lives

How should the NA position a resident to apply elastic stalkings: a)lying down in bed b)sitting on the edge of the bed c)standing at the side of the bed d)sitting in a wheelchair

a)laying down

Signs of poor circulation are: a)paleness, cold skin, edema b)perspiration, red skin c)warm, dry, pink skin d)hot flashes

a)paleness, cold skin, edema

Negative body language would include: a)placing your hand on your hips b)leaning toward the resident to communicate c)shaking hands d)touching a resident's shoulder while talking

a)placing hands on hips

The NA reported bruises on Mr. Jenkins' arm last week. Today during A.M. care there were more bruises. The NA should: a)report the abuse again, this time to a different nurse or call the abuse hotline at the state office b)do nothing, Mr. Jenkins did not complain c)tell another NA to report the new bruises d) call the police because nothing has been done

a)report the abuse again, this time to a different nurse or call the abuse hotline at the state office

The NA notices on the flow sheet that a resident has not had a BM for 5 days. The NA should: a)report this to the charge nurse b)ask the other NA's if the resident had a BM and it wasn't recorded c)ask the residents roommate if she saw the resident use the bathroom d)wait to see if she uses the bathroom tomorrow

a)report this to the charge nurse

Headache, nausea and pain would be called: a)symptoms b)observations c)charting d)recording

a)symptoms

The NA documents that about 45 mins after the resident is put to bed for an afternoon nap, the resident urinates the bed. To help with bladder training, the NA should: a)take the resident to the bathroom right before going to bed b)scold the resident for always messing up the clean bed c)report to the RN that the resident will not succeed in bladder training d)take the resident to the bathroom after 30mins of being in bed for the nap

a)take the resident to the bathroom right before bed

Who supervises the work of a NA: a)the nurse b)the social worker c)the office manager d)the resident's family

a)the nurse

Each resident in a LTC facility has the right: a)to be free of chemical and physical restraints b)to have their hair done weekly at the beauty shop free of charge c)to use any supplies their roommate has d)to call long distance from the RN's station to relatives

a)to be free of chemical and physical restraints

A foley cath is used: a)to drain the bladder and remove urine b)to use a rectal tube c)for gastric feeding d)a suction stomach contents

a)to drain the bladder and remove urine

What is the purpose of using th chain of command in a long term care facility: a)to keep communication about a problem flowing smoothly b)to be sure the residents follow the rules c)to prevent residents from going behind the nursing station d)to provide more nursing jobs

a)to keep communication about a problem flowing smoothly

To remove a hearing aid the NA should: a)turn it off with the volume set at low b)leave it on set at high c)call the nurse d)turn the hearing aid off and set on high

a)turn it off with the volume set at low

Mr.Spaulding's daughter requests that the NA perform mouth care for Mr. Spaulding. The NA should: a)wash his/her hands, put on gloves and perform the requested care b)put on gloves and preform requested care c)tell Mr, Spaulding's daughter that mouth care was done about 30 mins ago and doesn't need to be done right now d)preform the care as soon as possible after other required tasks are done

a)wash his/her hands, put on gloves and perform the requested care

When assisting a resident with a weak left side from a wheelchair, the NA should support the client's: a)weak side b)strong side c)front side d)back side

a)weak side

All of the following are clues to aggressive behavior EXCEPT: a)clenched jaw b)depressed mood c)pacing d)rocking

b) depressed mood

After Mr. Johnson's bath, the NA realizes she needs another towel to completely dry Mr. Johnson. She should: a)use what appears to be a clean towel left in the shower room by the other aid b)ask another staff member to obtain a clean towel for her from the clean linen closet c)tell Mr.Johnson you'll both go back to his room when he air dries d)Ask Mr. Johnson if he is dry enough and continue to dress him

b)ask another staff member to obtain a clean towel for her from the clean linen cart

Mr. Schwartz is concerned about his son and asks to speak to his rabbi. The NA should: a)ask the nurse if rabbis are allowed in the facility b)ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit c)tell Mr. Schwartz his son is going to be fine and not to worry d)tell Mr. Schwartz's family about his request

b)ask the nurse to contact Mr. Schwartz's rabbi and invite him for a visit

Wasting or a decrease in the size of a muscle is called: a)decubitus b)atrophy c)impaction d)edema

b)atrophy

The most basic rule of body mechanics is to: a)keep arms flexed b)bend from the knees and hips c)twist as you lift d)never use a lift belt

b)bend from the knees and hips

The Heimlich maneuver should be used if a resident is: a)confused b)choking c)vomiting d)diabetic

b)choking

Which action would help prevent skin breakdown around the stoma if the resident has a colostomy? a)clean stoma with alcohol b)clean the stoma with water and mild soap c)use Vaseline around the stoma site d)wipe the stoma site with tissues until clean

b)clean the stoma sight with water and mild soap

Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT: a)foot supports b)cones c)splints d)bed cradles

b)cones

A mentally challenged resident is having difficulty cutting and eating her roast beef. What should the NA do: a)feed the resident b)cut the meat into small pieces allowing her to feed herself c)tell her to chew the big pieces longer d)take away the roast beef

b)cut the meat into small pieces allowing her to fed herself

Why should heat NOT be applied to a diabetics feet? a)the feet have more oil glands b)diabetics have decreased sensitivity which means they cannot feel the heat and could cause a burn c)their feet are dirty d)it makes their feet wrinkle

b)diabetics have decreased sensitivity which means they cannot feel the heat and could cause a burn

Mouth care should be given to an unconscious person: a)once a day b)every 2 hrs c)every shift d)every night

b)every 2 hrs

Various factors will change pulse rate. Increased pulse rates can be caused by: a)depression b)exercise c)sleep d)coma

b)exercise

Used disposable supplies and equipment should be discarded: a)in the resident's wastebasket b)in the dirty utility room c)in the clean utility room d)in the bathroom wastebasket

b)in the dirty utility room

A resident has just been admitted to the facility. The NA should... a)ignore the new resident, he has too much to remember anyways b)introduce him to his roommate c)announce her arrival at dinner d)do whatever the charge nurse says

b)introduce him to his new roomate

A contracture is caused by: a)too much exercise b)lack of movement of the muscle c)pressure on the muscle d)old age

b)lack of movement of the muscle

The fire alarm has sounded. The NA should FIRST: a)ask the charge nurse for direction b)make sure all the residents are out of the hallway and close all doors c)take the nearest fire extinguisher to the nurses station d)call the fire department

b)make sure all residents are out of the hallway and close all doors

When lifting a heavy object, which muscle should be utilized: a)muscles of stomach b)muscles of legs c)muscles of back d)muscles of hands

b)muscles of legs

Forgetting to raise the side rails as ordered causes a resident to fall and be injured. This could be called: a)an accidental fall and could not be helped b)neglect to keep the resident safe c)unreported incident d)safety standard

b)neglect to keep the resident safe

What can a NA give the resident who has an order for NPO: a)unlimited fluids b)no food of liquid c)small amounts of ice d)only clear liquid

b)no food or liquid

A resident who has not been discharged insists she is going home. What should the NA do: a)tell her that she can not leave without a doctors order b)notify the charge nurse immediately c)restrain her immediately d)tell her she can leave if she wants

b)notify the charge nurse immediately

A NA reclines a resident in a geri-chair so that the resident cannot attempt to stand. This is a violation of: a)the resident's right to cooperation b)the resident's right to be free of restraints c)the NA to practice safety for the restraints d)the resident's right to walk

b)the residence's right to be free of restraints

Mr. Smith refused to take a bath. The NA bathed him anyway. What resident right was violated: a)the right to be free from odor b)the right to refuse treatment c)the right to privacy d)the right to complain

b)the right to refuse treatment

Which is the best way to talk to a vision impaired resident? a)touch the resident before you begin talking b)verbally announce your presence before touching the resident c)use hand gestures and body movements d)talk loudly and use exaggerated lip movements

b)verbally announce your presence

Strokes are seen in the elderly. Strokes are best described as: a)when the muscle dies b)when the brain is deprived of O2 c)when the heart fails d)when the lungs fill with fluid

b)when the brain is deprived of O2

Water for the resident's bath should be: a)75 degrees F b)160 degrees F c)110 degrees F d)90 degrees F

c)110 degrees F

Proper body mechanics dictates that when lifting an object, the NA should place their feet: a)3-5 ft apart b)6-12 inches apart c)12-18 inches apart d)it doesn't matter

c)12-18 inches apart

A resident's dentures should be stored in: a)tissue paper b)an emesis basin c) a labeled cup in water d)the utility room

c)a labeled cup in water

Residents in a long term facility depend on who for their safety: a)the director of nursing b)the risk/safety manager c)all employees of the facility d)the NA

c)all employees of the facility

A NA refuses to discuss a resident's condition with a neighbor. Which one of the resident's rights is being protected? a)informed consent b)privacy c)confidentiality d)respect

c)confidentiality

The thinning of the fatty layer under the skin could cause the resident to: a)lose their appetite b)have difficulty walking c)develop pressure sores d)have slowed mental responses

c)develop pressure sores

The plan, which begins on the resident's admission that assists when the resident goes home is called: a)treatment plan b)NA flow record c)discharge plan d)nursing care plan

c)discharge plan

Which statement is TRUE concerning sexuality in the elderly: a)sex and intimacy aren't important b)elderly men and women are not interested in sex c)the elderly men and women are attracted to each other d)elderly people are only interested in their health

c)elderly men and women are attracted to each other

The NA is making a bed with an unconscious resident in it. Which of the following is most appropriate: a)be quiet and concentrate on your work b)don't explain because the resident can't hear c)explain what you are doing to the resident d)talk to your co-worker while you make the bed

c)explain what you are doing to the resident

A resident weighs over 300lbs and needs to be repositioned in bed. The NA should: a)tell resident to lose weight so she can be moved easier b)tell the resident to wait until a strong person comes on shift c)get another NA to assist in repositioning the resident d)ignore the resident, she complains anyway

c)get another NA to assist you in repositioning the resident

The most important way to prevent the spread of infection is: a)isolating sick residents b)wearing gloves c)hand washing d)wearing masks

c)hand washing

A pressure ulcer is caused by: a)burns b)abrasions c)inadequate turning d)fatigue

c)inadequate turning

Diabetes mellitus make a resident more prone to develop: a)chills b)fever c)infections d)cancer

c)infections

Elderly residents sometimes appear stooped over and like they have lose height due to: a)the residence increase difficulty breathing b)the deterioration of muscle tissue c)lose of Ca causing changes in the spinal column d)decreased cardiac tissue

c)lose of Ca causing changes in the spinal column

which of the following statements about aging is true: a)most elderly are confused b)most older people live in nursing homes c)most older people are alert and oriented d)most older people are sick and helpless

c)most older people are alert and oriented

which of the following statements about nursing home admissions is FALSE: a)most families prefer to care for elderly relatives at home b)some elderly people are unsafe at home c)most people prefer to put elderly relatives in a long term care facility d)family members may be unable to care for elderly relatives at home

c)most people prefer to put elderly relatives in a LTC facility

The most important way for the NA to gather information about safety and well being of the residents a)listen to other NA at break b)listen to the nurses talk in the med room c)observation d)flow sheets

c)observation

During a bed bath, Mrs. Smith uses a washcloth to clean her perineal area and puts the washcloth into the basin of water, but the NA needs to wash Mrs. Smith's face. The NA should: a)scold Mrs. Smith for washing her peri area first b)do nothing, continue with the bath c)obtain a clean washcloth, change the water in the basin and continue the bath d)let Mrs. Smith give her own bath the way she wants to

c)obtain a clean cloth, change the water in the basin and continue the bath

A confused resident tells you there is a monster in the closet. The nurse aid should: a)pretend to kill the monster in the closet b)tell the resident there is no such thing as monsters c)open the closet and show the resident nothing is there d)tell the resident you will take the monster home with you

c)open the closet and show the resident nothing is there

When lifting, the NA should have his feet separated in the standing position to: a)relieve the pressure on his corns b)distribute body weight evenly c)provide wide base of support d)to prevent straining his knees

c)provide wide base of support

A resident is NPO for tests. The NA should: a)encourage fluids for hydration b)allow the residents to eat ice chips c)remove the water pitcher and glass from room d)allow the resident to drink water only

c)remove the water pitcher and glass from the room

Constipation and indigestion can result from: a)slowed restorations b)slowed mental response c)slowed peristalsis d)slowed brain waves

c)slowed peristalsis

When the NA moves a joint during ROM exercises, and the residents complain of pain, the NA should: a)ask the nurse to give pain medication so the exercise can continue b)push past the point where the pain occurs to see if it hurts worse c)stop the movement at the point the pain occurs and report to the nurse d)stop giving the resident and ROM exercises

c)stop the movement at the point the pain occurs and report it to the nurse

Which of the following WILL NOT assist in bowel elimination? a)drinking a lot of water b)using a B/C c)taking a walk d)reading the newspaper

c)taking a walk

You hear another NA tell a confused resident,"if you don't eat, I'll lock you in your room" You should: a)do nothing, the resident is too confused to understand b)tell the other aides so they can watch this NA with alert residents c)tell the charge RN d)tell the NA if she does it again, you will report her

c)tell the charge RN

When transferring a heavy resident from bed to a wheelchair for the first time: a)a mechanical lift should never be used b)one person should always try to transfer the resident c)the NA should review review the care plan or check the nurse d)tell the resident they are too heavy for you to transfer

c)the NA should review the care plan or check with the nurse

The NA is assigned to a resident with a diagnoses of aphasia. The NA knows: a)the resident can not walk b)the resident can not swallow c)the resident can not talk d)none of these

c)the resident can not talk

When charging the bed linens on a soiled bed,the NA should: a)make sure there is enough linens on the linen cart b)comment to the other NAs about how many beds have to be changed in a day c)wear gloves d)let the next shift re-make the bed

c)wear gloves

The NA is going to take Mr. H's vital signs. What should the NA do to get Mr. H to cooperate and reduce his anxiety? a)wash her hands before and after the procedure b) gather all equipment before beginning c) wear disposable gloves for all procedures d)explain the procedure

d) explain the procedure

The NA knows to wear which of the following to preform resident care: a)comfortable, clean uniforms b)non-skid shoes c)loop earrings d)a and b only

d)a and b only

Respect is demonstrated by the NA for the residents by: a)correcting the residents mistakes b)keeping the resident's room free of clutter c)agreeing with the resident d)always listening to what the resident has to say

d)always listening to what the resident has to say

The loss of the ability to express one's self is: a)verbal communication b)empathy c)speech therapy d)aphasia

d)aphasia

The nurse aide is giving care to Mr. T and Mr. T calls the nurse aide by of his son who died several years ago. The nurse aide's best responds is to: a)quickly finish the care and leave Mr. T alone b)pretend to be Mr. T's son c)ignore Mr. T because he is confused d)ask Mr. T about his favorite memories of his son

d)ask Mr.T about his favorite memories of his son

What is the best response if you are not sure how to use a piece of equipment: a)do the best you can b)don't use the equipment c)find a different way to complete the task d)ask the nurse to explain

d)ask the nurse to explain

Many elderly residents lose their appetite due to a)a decrease in saliva b)hardening of the arteries c)decrease number of tastebuds d)both a & c

d)both a&c

Mr. Black was admitted this morning to the facility. The NA should: a)give him a list of tasks to complete before morning b)encourage other residence to welcome Mr. Black c)introduce Mr.Black to the others d)both b and c

d)both b and c

There are 2 kinds of restraints a)masks and goggles b)chemical and medication c)belts and wristbands d) chemical and physical

d)chemical and physical

If a resident has long hair, which procedure can NOT be done by the RN: a)shampooing b)daily brushing and combing c)braiding or styling the hair d)cutting the hair to remove tangles

d)cutting the hair to remove tangles

Which environment promotes the growth of bacteria a)cold,dark, moist places b)warm,dark, dry places c)warm, sunny, moist place d)dark, warm, moist places

d)dark, warm, moist places

Which of the following is a proper way to correct an error in charting: a)scribble it out with several lines b)erase it completely c)use correction fluid d)draw a single line through it

d)draw a single line through it

The NA just admitted a new resident. Which of the following is the most restorative approach: a)unpack all of his clothes and put them away for him b)encourage a family member to unpack for him c)tell him he'll need unpack for himself d)encourage the resident to participate in unpacking

d)encourage the resident to participate in unpacking

a sitting or semi-setting position with the head of the bead elevated is called: a)prone b)supine c)lateral d) fowlers

d)fowlers

When dry, hard stool fills the rectum and will not pass is called: a)edema b)incontinence c)atrophy d)impaction

d)impaction

one of the major reasons the elderly are incontinent of urine is: a)they are too lazy to go to the BR b)they can't get a nurse aid to help them to the BR c)the circulatory system is failing d)the muscle that keeps urine in the bladder weakens

d)muscle in the bladder weakens

To count respirations, a respiration includes: a)one inhalation b)one exhalation c)one inhalation and two exhalations d) one inhalation and one exhalation

d)one inhalation and one exhalation

Once a NA's name is on the abuse registry for neglect he may: a)never work as a NA again b)continue to work as a NA as long as he abuses no one else c)work only with young children d)petition the NA program to have his name removed from the abuse registry after 1 yr

d)petition the NA program to have his name removed from the abuse registry after 1 yr

The NA is caring for a diabetic resident. The NA finds the resident trying to scrape off a callous on the little toe. The NA should FIRST: a)scold the resident b)report the behavior to the nurse c)help the resident remove the callous d)put socks on the resident to keep the resident from scraping

d)put socks on the resident to keep the resident from scraping

You observe your co-worker verbally abuse a resident. What should the NA do? a)talk to her after work b)tell the resident's family c)so nothing, words won't hurt the resident d)report it to the charge RN

d)report it to the charge RN

A resident has refused to eat breakfast and lunch. The NA should: a)tell the resident's family to make him eat b)tell the resident he will die if he doesn't eat soon c)force feed the resident d)report the refusals to the nurse for further assessment

d)report the refusals to the nurse for further assessment

The primary goal of restorative care is: a)keep the resident comfortable in the nursing home b) take care of the residents personal needs c)do everything for the resident d)return the resident to a normal life at home

d)return the resident to a normal life at home

Which will NOT prevent pressure sores? a)repositioning/turning every 2 hrs b)applying lotion to dry skin c)keeping bed linens clean, dry and free of wrinkles d)scrubbing and rubbing the skin vigorously

d)scrubbing and rubbing the skin vigorously

A diabetic resident asks the NA to cut her toenails. The NA should... a)go ahead and do it,it is part of the job b)tell the resident ok, but the resident will have to soak her feet first c)tell the resident "not on your life" d)tell the resident can not do this, but will report it to the charge nurse

d)tell the resident can not do this, but will report it to the charge nurse

Hospice specializes in the care of persons who are: a)on Medicare b)chronically ill c)on Medicaid d)terminally ill

d)terminally ill

If the resident is smoking and the NA needs to take an oral temperature, what should the NA do: a)brush the residents teeth first b)take a rectal temp c)tell the next shift to take the temp d)wait 15mins to take the temp

d)wait 15mins to take the temp