CNA practice exam

Catheter bag

Licking

A client becomes upset whenever it is time for a bath. The client begs the nurse aide NOT to give the bath. What is the nurse aide's BEST response? a. " you don't have to take your bath now. When would you like to take it?" b. " a bath is good for you, and I know best." c. " you have to take your bath, and there is no way out of it." d. Everybody else takes a bath. Why shouldn't you?"

a. " you don't have to take your bath now. When would you like to take it?"

The adult children of a chronically ill client are arguing about the cost of nursing care. It is Obvious that the discussion if upsetting to the client. What SHOULD the nurse aide say? a. "stop arguing in front of the client. That kind of talk is not necessary" b. "I understand what you are saying. Let's go talk with the nurse in charge" c. "Why don't you talk to the physician about the costs of the care?" d. "Yes, it's very expensive here. A lot of other people are complaining"

b. "I understand what you are saying. Let's go talk with the nurse in charge"

When walking past a client's room, a nurse aide is stopped by a client who asks to use the bathroom. What SHOULD the nurse aide say? a. "I will get your nurse." b. "I will assist you to the bathroom." c. "You just went to the bathroom." d. "You have on an incontinent pad, go ahead and go"

b. "I will assist you to the bathroom."

How many minutes SHOULD a glass thermometer be left in the rectum? a. 1-2 b. 3-5 c. 6-8 d. 9-10

b. 3-5

A client has an absentee ballot for the next election. The nurse aide's responsibility is to: a. Fill out the ballot for the client b. Assure the client privacy for filling out the ballot c. Take the ballot away front the client d. Tell the client for whom to vote

b. Assure the client privacy for filling out the ballot

The reason the perineum is cleaned before obtaining a midstream or clean-catch urine specimen is to: a. Help the client to urinate b. Decrease the number of germs from the area c. Decrease the chance the client will have a bowel movement d. Make the client more comfortable

b. Decrease the number of germs from the area

Oral care q.i.d means that the nurse aide SHOULD clean the client's: a. Mouth and teeth twice a day b. Mouth and teeth four times a day c. Hands and fingernails twice a day d. Hands and fingernails four times a day

b. Mouth and teeth four times a day

Where is the radial pulse found? a. At the bend of the elbow b. On the thumb side of the wrist c. On the little finger side of the arm d. To the left of the breastbone

b. On the thumb side of the wrist

A decubitus ulcer is a a. Stomach ulcer b. Pressure ulcer c. Mouth ulcer d. Draining wound

b. Pressure ulcer

When caring for a client who is getting oxygen by nasal cannula, which situations SHOULD the nurse aide report immediately? a. The cannula tubing is dragging on the floor b. The client is suddenly very restless and mentally confused c. The client is requesting a laxative d. The client is complaining of dryness in the nose

b. The client is suddenly very restless and mentally confused

When assisting a client to transfer from bed to wheelchair, the nurse aide SHOULD: a. Left the client under the arms b. Use a transfer belt c. Keep the wheelchair brakes unlocked d. Use the client's shirt

b. Use a transfer belt

The nurse aide is overheard yelling at a client because the soiled the bed and her clothing. The yelling is: a. Physical abuse b. Verbal abuse c. Neglect d. Malpractice

b. Verbal abuse

When feeding a client, the nurse aid should offer: a. All the hot foods first b. All the solid foods first c. Food in the order preferred by the client d. All liquid foods first

c. Food in the order preferred by the client

The nurse aid notices that the client's radio cord is draped across a chair in order to reach the nearest outlet. The FIRST thing the nurse aid should do is: a. Tell the client the radio is a safety hazard and take it away b. Unplug the radio and ask the client not to use it c. See if any changes can be made so that the radio can be plugged in safely d. Take the radio to the activities room and tell the client to listen to it there

c. See if any changes can be made so that the radio can be plugged in safely

After working with a client for several months, the nurse aide notices today that the client has begun to cry and wring her hands. The nurse aide SHOULD: a. Leave the room and close the door b. Tell the client's family during their next visit c. Sit with the client and let her share her feelings d. Quietly continue working

c. Sit with the client and let her share her feelings

When performing passive range of motion exercises, the nurse aide SHOULD: a. Uncover the client's entire body b. Force the joints through full range of motion c. Support the body part being exercised d. Move each joint as rapidly as possible

c. Support the body part being exercised

A client has Alzheimer's disease cannot find his way to the sitting room. The nurse aide SHOULD: a. Point in the direction of the sitting room b. Give the client detailed directions to the setting room c. Take the client to the sitting room and seat him d. Keep the client in his room

c. Take the client to the sitting room and seat him

What SHOULD the nurse aide do to prevent a female client urinary catheter from being pulled out by accident? a. Tell the client not to move her legs unless the nurse aide is holding the catheter tube b. Tape the tube at several different spots on the client's legs c. Tape the external part of the tube to the inner thigh d. Attach the tubing with a pin to the client's clothes

c. Tape the external part of the tube to the inner thigh

A client suddenly appears upset and asks to use the phone to call his son. The nurse aide SHOULD: a. Assure the client that there is nothing to be upset about b. Tell the client that he cannot use the telephone c. Tell the nurse in charge and help the client with the call d. Ignore the client's request and leave the room

c. Tell the nurse in charge and help the client with the call

A client tells the nurse aide that he plans to kill himself. The nurse aide SHOULD: a. Keep the information confidential b. Tell the other nurse aides who care for the client c. Tell the nurse supervisor d. Tell the client to tell his family about his plans

c. Tell the nurse supervisor

An axillary temperature is taken at what part of the body? a. Groin b. Mouth c. Rectum d. Armpit

d. Armpit

A nurse aide is assigned to take a client to exercise class, but the client is sitting in a wheelchair and yelling. The nurse aide should FIRST: a. Quickly take the client to the exercise class b. Tell the client to be quiet c. Tell the supervisor the client dowse not want to go to class d. Ask the client if something is wrong

d. Ask the client if something is wrong

vision impaired

Greet them first

A blind client has just been admitted to the facility. To help the new client feel safe and comfortable, the nurse aide SHOULD: a. Describe the room and help the client locate the call bell b. Encourage the client to stay in bed and rest for a while c. Keep the room light on at all times for the first several days d. Make sure the client is placed with a roommate with good eyesight

a. Describe the room and help the client locate the call bell

Gloves worn while caring for a client should be: a. Disposed of in the waste container in the client' a room b. Saved to use while caring for client later c. Worn while care for the next client d. Disinfected and used again

a. Disposed of in the waste container in the client' a room

When a client offers the nurse aide money for care given, the nurse aide SHOULD: a. Explain that taking money is against policy b. Tell the client how the money will be spent c. Accept the money for peraonal use d. Accept the money and put it in a safe place

a. Explain that taking money is against policy

Which of the following items would be found in the CLEAN utility room? a. Grooming supplies b. Nurse aide's lunch c. Shower chair d. Linen hamper

a. Grooming supplies

After removing a bedpan and clearing the client, the nurse aide should FIRST: a. Observe the contents of the bedpan b. Sterilize the bedpan c. Empty and clean the bedpan d. Replace with a clean bedpan

a. Observe the contents of the bedpan

When a client is visited by his minister, rabbi, or priest, the nurse aide SHOULD: a. Provide privacy for the client and his visitor b. Stay in the room in case of a medical emergency c. Make sure the family is aware of the visit d. Check with the nurse in charge to make sure this is allowed

a. Provide privacy for the client and his visitor

A confused client will most likely respond BEST to: a. Simple directions b. Extra stimulation c. Constant correction d. Changes in routine

a. Simple directions

A new client is depressed and does not want to come out of the room. The nurse aide should respond FIRST by: a. Sitting and talking with client b. Telling the client to cheer up c. Insisting that the client attend the next scheduled activity d. Leaving the client alone until her gets over it

a. Sitting and talking with client

A nursing assistant is overheard telling a resident that the nurse caring for her is not a good nurse. The nursing assistant could be charged with which of the following? a. Slander b. Malpractice c. Negligence d. Assault

a. Slander

The nurse aid is responsible for all of the following fire prevention measures EXCEPT: a. Taking cigarettes and matches away from the clients and visitors b. Being aware of the locations of fire extinguishers c. Reporting all damaged wiring and or sockets in clients rooms d. Participating in fire drills

a. Taking cigarettes and matches away from the clients and visitors

When shampooing a client's hair, the nurse aide SHOULD take special care to keep the shampoo away from the client's: a. Ears b. Eyes c. Hands d. Cheeks

b. Eyes

In which positions SHOULD an unoccupied bed be placed while the nurse aide makes it? a. Head raised 45 degrees b. Highest horizontal position c. Both side rails raised d. Left side rail raised

b. Highest horizontal position

After soiled linens are removed from a bed, they SHOULD be placed: a. On a chair in the client's room b. Is a closed bag or covered container c. On the floor of the client's room d. On the floor of the client's bathroom

b. Is a closed bag or covered container

It is the nurse aide's responsibility to make sure that a dying client: a. Has made a will b. Is as comfortable as possible c. Is visited frequently by family d. Is properly medicated

b. Is as comfortable as possible

A client há failing kidneys but refuses dialysis treatment. In working with this client, the nurse aid SHOULD: a. Tell the client that doctors are not always right b. Listen to the client as comfortable as possible c. Tell the client that the nurse aide disagress with the decision d. Continually try to persuade the client to receive treatment

b. Listen to the client as comfortable as possible

In order for the Heimlich maneuver (abdominal thrust) to be effective, the nurse aide MUST: a. Strike the client four times between the shoulder blades b. Place the thumb side of the nurse aide's first against the client's abdomen beloved the rib cage c. Give the client a thump on the chest and then have the client cough d. Have the client take a deep breath and relax

b. Place the thumb side of the nurse aide's first against the client's abdomen beloved the rib cage

When giving a bath, the nurse aide covers the client so that only the part of the body being bathed is exposed. This is done in order to: a. Help the nurse aid remember the order of the bath b. Provide the client with privacy and dignity c. Keep the bed linen as dry as possible d. Keep the client from getting chilled

b. Provide the client with privacy and dignity

What SHOULD the nurse aide do if he/she measures a client's pulse at 45 beats per minute? a. Report the pulse to the supervisor at the end of the shift b. Report the pulse to the nurse supervisor immediately c. Ask the client if this is a normal reading for him/her d. Wait 2 to 3 hours and take the pulse again

b. Report the pulse to the nurse supervisor immediately

What should be the FIRST priority in caring for the client? a. Comfort b. Safety c. Cleanliness d. Nutrition

b. Safety

What SHOULD the nurse aide do upon finding the client on the floor? a. Assist the client to bed, then call the nurse in charge b. Stay with the client and send someone to get the nurse in charge c. Do range of motion exercises to determine if the client has any injuries d. Get another nurse aide help put the client into bed

b. Stay with the client and send someone to get the nurse in charge

Which of the following footwear is SAFEST for a client? a. High heeled shoes b. Sturdy shoes with non-skid soles c. Standard foam slippers d. Leather soles shoes

b. Sturdy shoes with non-skid soles

Which of the following is a sign that a resident is being physical or verbal abuse? a. Daughter discussing changes in care with her mother b. Withholding the resident's sleeping medication because the resident would not take a bath c. Son does not his father for several hours whenever they go out to lunch d. The wrong medication is given to a resident

b. Withholding the resident's sleeping medication because the resident would not take a bath

When feeding a client, the nurse aide SHOULD offer: a. All the hot foods first b. All the solid foods first c. Foods in the order preferred by the client d. All liquid foods first

c. Foods in the order preferred by the client

The nurse aide can make the client's physical environment more comfortable by: a. Leaving the bright light on at night to keep the client from getting confused b. Talking to a friend while helping the client to the toilet c. Placing the client's belongings where the client wants them d. Making the room temperature comfortable for the nurse aide

c. Placing the client's belongings where the client wants them

The purpose of the Care Plan is to: a. Help the licensed nurse give medicines b. Keep track of the client's valuables c. Provide information about the client's daily needs d. List the times for recreational activities during the day

c. Provide information about the client's daily needs

The nurse aide see a Co-worker who appears to be under the influence of alcohol report for duty. The nurse aide SHOULD: a. Ignore the co-worker b. Tell the other co-worker c. Report suspicions to the supervisor d. Tell the co-worker to go home

c. Report suspicions to the supervisor

What SHOULD the nurse aide do for a client who paces at night? a. Restraint the client b. Sclod the client c. Walk with the client d. Turn off the lights

c. Walk with the client

To prevent the spread of infection when providing routine client care, the nurse aide MUST: a. Wear a gown and a mask b. Sterilize all equipment before client's use c. Wash hands before and after contacts with clients d. Avoid direct contact with clients

c. Wash hands before and after contacts with clients

When a nurse aide lifts a client, which of the nurse aide's muscle groups should be doing the MOST work? a. Neck and back b. Hands and arms c. Arms and legs d. Shoulders and arms

c. arms and legs

Failure to answer a client's call signal is: a. Not following the care plan b. Against the doctor's orders c. All right if the client is assigned to another nurse aide d. Against the client rights

d. Against the client rights

When caring for a client who has a hearing loss, the nurse aide SHOULD: a. Shout into the client good ear b. Let the client use the roommate hearing aid c. Avoid talking to the client d. Face the client and speak clearly

d. Face the client and speak clearly

The nurse aide assigned to a client who frequently complains about the care he is receiving. When the client begins to complain, the nurse aide SHOULD: a. Remind the client that no one is perfect b. Suggest that the client leave with a family member c. Refuses the care for the client until the complaining stops d. Listen carefully to show concern and willingness to help

d. Listen carefully to show concern and willingness to help

A married couple requested that they not be disturbed in their room. Supper trays have just arrived. The nurse aide SHOULD: a. Quietly deliver the supper trays b. Tell the client's they must eat now c. Discard the supper trays d. Not disturb the client's as requested

d. Not disturb the client's as requested

A disoriented client is found sipping from a bottle of her roommate's cologne. The nurse aide SHOULD take the bottle away and: a. Make sure the client drinks plenty of water b. Tell the client that she may not get out of bed the rest of the day c. Make sure the client does not eat solid food for 24 hours d. Notify the nurse in charge

d. Notify the nurse in charge

A sheet falls onto the floor while the nurse aide is removing linen from the clean linen cart. The nurse aide SHOULD: a. Use the sheet to make the bed b. Return the sheet to the cart c. Use the sheet for a draw sheet d. Place the sheet in the soiled linen container

d. Place the sheet in the soiled linen container

When a client is sitting in a geriatric chair, the chair's tray SHOULD be: a. Removed unless the client is eating from a meal tray b. Locked 12 inches from the client's body c. Left unlocked d. Positioned for the safety and comfort of the client

d. Positioned for the safety and comfort of the client

During the night, a client becomes restless and confused and attempts to crawls over the side rails of the bed. What SHOULD the nurse aide do? a. Put a jacket restraint on the client b. Leave the side rails down c. Raise the level of the bed and give the call light to the client d. Reassure the client and try to determine what he or she needs

d. Reassure the client and try to determine what he or she needs

A client with Alzheimer's disease is found going through another client's belongings, how SHOULD the nurse aide respond? a. Scold the client to keep from it happening again b. Have the client apologize to the other client c. Call the nurse supervisor d. Take the client to his room and re-orient him to his surroundings

d. Take the client to his room and re-orient him to his surroundings

An incontinent client has been placed on a bladder retraining program. An important part of the program is to: a. Limit the client's water intake b. Toilet the client once a shift c. Scold the client if found wet d. Toilet the client according to the plan of care

d. Toilet the client according to the plan of care