CNA Practice

A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient a. had breakfast. b ate too much sugar. c. has diabetes. d. had visitors that day.

a. had breakfast.

Which of the following is NOT considered to be a way to restrain a client? a. lap buddy/tray b. a sedative c. pain management d. a hand mitt

a. lap buddy/tray

Intake and Output deals with a. liquids b. solid foods c. mashed or pureed foods d. all of the above

a. liquids

You notice that a patient has passed a black tarry stool. This is called a. melena b. fecal Impaction c. colon cancer d. constipation

a. melena

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is a. notify the IV nurse that the infusion appears to have infiltrated. b. notify the medication nurse that the patient is complaining of pain. c. reassure the patient that needles always hurt. d. put ice onto the hand.

a. notify the IV nurse that the infusion appears to have infiltrated.

Three liquid ounces equals how many milliliters? a. 120 b. 30 c. 90 d. 60

c. 90

Type 2 diabetes is a. controllable b. often associated with obesity and sedentary c. common d. all of the above

d. all of the above

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD a. call the nurse b. leave the spill c. call housekeeping d. clean up the spill

d. clean up the spill

Mrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include a. daily jog around the facility for 1 hour b. placement of TED hose after ambulation c. encourage oral fluids d. daily am weight measurement

d. daily am weight measurement

Who orders a warm or cold application? a you as a CNA can if you think it is necessary b. nurse c. director of nursing d. doctor

d. doctor

Mrs. Harvey complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of a. bowel incontinence b. constipation c. diarrhea d. fecal impaction

d. fecal impaction

When operating a manual bed, the nurse aide should remember to a. keep the bed in the neutral position b. lock the wheels when the cranks are folded c. elevate the client's head at all times d. fold cranks under bed

d. fold cranks under bed

The most comfortable position for a resident with a respiratory problem is a. supine b. prone c. lateral d. fowler's

d. fowler's

A nurse assistant notices red marks on a resident's back and buttocks. The aide acts in the knowledge that a. it takes a doctor's order to rub skin with lotion. b. red marks are not a problem. c. patients can only be turned every two hours. d. the skin can break down if nothing is done.

d. the skin can break down if nothing is done.

Which of the following should be reported immediately? a. a blood pressure of 90/40 b. respirations of 12 c. a pulse of 90 d. temperature of 99.4

a blood pressure of 90/40

Mrs. Andrews has an indwelling urinary catheter. Which is INCORRECT? a. attach the drainage bag to the bed rail. b. she should not lie on the catheter tubing. c. provide perineal care daily and after bowel movements. d. keep the drainage bag below the bladder.

a. attach the drainage bag to the bed rail.

Which of the following best helps reduce pressure on the bony prominences? a. flotation mattress b. repositioning every shift c. several pillows d. sheepskin

a. flotation mattress

Which of the following is true regarding the use of side rails on a bed? a. side rails should not be raised unless stated in the care plan. b. side rails should be raised on both sides when making an occupied bed. c. side rails on one side of a bed should be raised at all times. d. side rails should be raised at night.

a. side rails should not be raised unless stated in the care plan.

The definition of scope of practice is? a. skills which the health care worker is legally able to perform b. skills the CNA has seen and feels competent to perform c. any skills that the charge nurse requests you to perform d. all skills learned on the job or described by the nurse

a. skills which the health care worker is legally able to perform

The equipment you need to gather to do unconscious oral care would include a. toothette/mouth swab b. toothpaste c. toothbrush d. all of the above

a. toothette/mouth swab

When caring for a resident with an indwelling Foley catheter it is important to a. tuck the tubing under the patient's leg to keep it off the floor b. check the bag and tubing frequently for adequate urinary flow c. withhold fluids if the bag is too full d. pin the tubing to the resident gown

b. check the bag and tubing frequently for adequate urinary flow

A type of service that long term care facilities can provide include a. emergency care b. home care c. diagnostic care d. psychiatric care

b. home care

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 a. L arm contracture b. paralysis on the left side of the body c. L arm and leg itching d. rash to the L arm

b. paralysis on the left side of the body

What basic need is most essential? a. self actualization b. safety and security c. self-esteem d. love and Belonging

b. safety and security

Which vegetable is not allowed on a low sodium diet? a. broccoli b. sauerkraut c. lettuce d. carrots

b. sauerkraut

A nursing aide has four patients to assist. Who should she address first? a. the patient who needs their drainage bag emptied b. the patient who lies uncomfortably in bed c. the patient who needs to be taken to the bathroom d. the patient who asks for their glasses from the table to read

c. The patient who needs to be taken to the bathroom

Mrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation. Her condition is a. chronic b. obstetric c. acute d. tonic

c. acute

Breathing liquids or solids into the airway or lungs is called a. inspiration b. auscultation c. aspiration d. expiration

c. aspiration

When caring for a client who uses a protective device (restraint), the nurse aide SHOULD a. assure the protective device is tight b. assess the client once every hour c. check the client;s body alignment d. release the protective device once a shift

c. check the client;s body alignment

A resident with an ileostomy evacuates feces through the a. jejunum b. colon c. ileum d. anus

c. ileum

On what side should the patient lie for an enema? a. right. b. whichever side is more comfortable. c. left. d. the side closer to the restroom.

c. left.

Elderly residents sometimes appear stooped over and like they have lost height. This is due to a. decreased cardiac output b. the resident's increased difficulty in breathing c. osteoporosis in the spinal column d. the deterioration of muscle tissue

c. osteoporosis in the spinal column

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

c. physical and chemical

The opening of the colostomy to the outside of the body is called the a. insertion site. b. rectum c. stoma d. none of the above

c. stoma

When taking a blood pressure, you should do all of the following EXCEPT a. locate the brachial artery. b. apply the cuff to a bare upper arm. c. take the blood pressure in the arm with an IV. d. turn off the television and radio.

c. take the blood pressure in the arm with an IV.

The nurse aide is responsible for all of the following fire prevention measures EXCEPT a. report all damaged wiring and/or sockets in clients' rooms b. being aware of the locations of the fire extinguishers c. taking cigarettes and matches away from all clients and visitors d. participating in fire drills

c. taking cigarettes and matches away from all clients and visitors

If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do a. brush the resident's teeth first b. take a rectal temperature c. tell the next shift to take the temperature d. wait 15 minutes to take the temperature

c. tell the next shift to take the temperature

The RN assigns you a task that is in your job description. Which statement is FALSE? a. the RN should check that you have the necessary education and training. b. the RN should give you clear directions before you perform the task. c. the RN should delegate every non-RN task to you. d. the RN can delegate the task to you if it's suitable for the patient.

c. the RN should delegate every non-RN task to you.

Who is responsible for the entire nursing staff and the activities involved in providing safe care. a. the supervisor b. a registered nurse c. the director of nursing d. the case manager

c. the director of nursing

Normal urine color is a. red b. brown c. yellow d. colorless

c. yellow

Which of the following is a correct measurement of urinary output? a. 1 quart b. 2 cups c. 40 oz d. 300 cc

d. 300 cc

To convert four ounces of juice to milliliters (ml), the nurse aide should multiply a. 4 x 10 ml b. 4 x 15 ml c. 4 x 5 ml d. 4 x 30 m

d. 4 x 30 m

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 a. 685cc b. 240cc c. 920cc d. 450 cc

d. 450 cc

Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that? a. 4 oz b. 5 oz c. 7 oz d. 6 oz

d. 6 oz