CNA Practice Test Questions
What is the normal range of systolic blood pressure for adults?
100-120 Systolic pressure is the top number of a blood pressure reading. It measures the pressure in the arteries after the heart takes a beat, as the blood moves.
A normal adult blood pressure is
116/70 The American Heart Association guidelines state that a normal blood pressure for an adult is a systolic pressure of less than 120 and diastolic less than 80.
Mr. Martin drank 6 ounces of coffee and 3 ounces of orange juice during breakfast. How many cubic centimeters did he drink?
270 cc 9 oz. = 270 cc 1 oz. = 30 cc 1 cc = 1 ml
If a patient does not have a bowel movement for more than ______, the patient is considered at an increased risk for developing constipation and the nurse should be notified.
3 days While each person has an individual pattern of bowel movements, after three days, notify the nurse. Feces can become hard and difficult or painful to pass, especially after three days.
To convert four ounces of juice to milliliters (mL), the nurse aide should multiply:
4 x 30 mL When converting milliliters (ml) to ounces (oz) remember that 30 ml = 1 ounce.
Your resident consumed a bowl of soup that was 180cc of liquid. How many in ounces was that?
6 oz 30cc= 1 ounce 1cc= 1 ml
Three liquid ounces equals how many milliliters?
90 3 x 30 = 90 30 ml = 1 ounce
The case manager for a client requiring home health care is usually done by
A registered nurse Home health agencies employ registered nurses to manage client care. While a physician gives orders and is always available for consultation, the RN oversees the daily care by the home health staff. Home health agencies follow strict guidelines to maintain their accreditation.
Which of the following should be reported immediately? A) A blood pressure of 90/40 B) Respirations of 12 C) Temperature of 99.4 DA pulse of 90
A) A blood pressure of 90/40 Hypotension is less than 90/60
Elderly residents sometimes appear stooped over and like they have lost height. This is due to
Osteoporosis in the spinal column Osteoporosis in the spinal column can lead to a gradual loss of height and a stooped posture.
A resident who is incontinent of urine has an increased risk of developing
Pressure sores When skin becomes wet from incontinence, it becomes soft and more likely to be damaged.
When making a bed, ________.
raise the bed to the level of your waist.
When operating a manual bed, the nurse aide should remember to:
fold cranks under bed
Of the symptoms below, which one is most associated with Rheumatoid Arthritis?
joints are warm, red, painful, and swollen Rheumatoid Arthritis (RA) is an autoimmune disease. The patient's immune system attacks the lining of the membranes that surround the joints, causing severe pain, swelling, and redness. Over time, the joints become deformed. Women are more likely than men to develop RA.
To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client's:
upper thigh
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
Had breakfast. Diabetic clients have a strict schedule regarding insulin injections and eating. Eating causes blood sugar to rise, and the insulin helps move it into the cells. Without food, the blood sugar drops quickly, causing a serious situation. Immediate treatment is necessary. Quickly check the client's blood sugar and report it to the nurse. The client will need to eat 15 grams of glucose or a simple carbohydrate, such as 1/2 cup orange juice or a Tablespoon of sugar. The nurse aide should be aware of which clients are diabetic so that meals are served shortly after receiving insulin.
The circulatory system consists of the
Heart, arteries, veins, and capillaries.
A type of service that long term care facilities can provide include
Home care Home care may be an option for patients who require long term care services. Depending on the patient's condition, some families may prefer to provide care at home for as long as possible.
A resident with an ileostomy evacuates the feces through the
Ileum The ileum is the lowest part of the small intestine.
On what side should the patient lay for an enema?
Left Left Sim's position is used for rectal examinations and administering enemas.
Intake and Output deals with
Liquids Intake and output measure the fluid balance in the body.
Which specialist is responsible for assisting residents to do everyday activities?
Occupational therapist An occupational therapist helps patients who are disabled or who have been injured develop or regain the skills needed for daily activities.
The medical abbreviation for "before meals" is
ac The Latin term for before meals is "ac" which means "ante cibum." Many medical abbreviations come from Latin or Greek. The abbreviation for after meals is "pc" which means "post cibum."
The type of bed used for a patient arriving by stretcher or wheelchair is called
An open bed An open bed is the term used for a bed that is ready for a patient to enter. The sheets are folded back, so that it's easy for the patient to get in. Open beds are for new patients, as well as preparing the bed when patients get up for a short time.
The CNA can do all of these to assist a patient for discharge EXCEPT A Help the person change into street clothes B Explain the discharge orders to the patient C Help pack the belongings D Transport the person out of the facility
B Explain the discharge orders to the patient The RN is trained to provide patient education and answer questions regarding orders and treatment. It is beyond the scope of CNA practice to give discharge instructions to a patient.
Which of the following is recorded as the systolic blood pressure? A The point 30 mm Hg above where the pulse was felt B The point where the first sound is heard C The point where the last sound is heard D The point where the pulse is no longer felt
B The point where the first sound is heard When taking a blood pressure, inflate the cuff of the sphygmomanometer until it is snug, about 180 mmHg. Slowly release the valve of the cuff. When the blood is allowed to circulate, there will be a sound. That is the systolic pressure measurement, or the top number of the blood pressure reading. Hint: To remember which is the top number, think of the "S" in systolic, superior, and sky. All of them are "above" or "high."
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. While the RN can assign or delegate tasks that are in your job description, they must ensure that you know how to do the task and that it's beneficial to the patient. Some non-RN tasks may be outside the scope of your CNA practice.
Which of the following is NOT considered to be a way to restrain a client? A) A sedative B) Lap buddy/Tray C) A hand mitt D) Pain management
D) Pain management
Meal trays have arrived. Before serving each tray the nurse aide should
Check each armband, even on familiar patients.
All of the following are signs of approaching death EXCEPT A Circulation increases B Cold extremities C Low blood pressure D Breathing is labored
Circulation increases As death nears, the heart rate drops, causing many signs: the circulation slows, blood pressure drops, and the extremities become cold. Blood begins to pool on the patient's back and back of the legs. Skin can grow pale. As the lungs work to bring in more oxygen, breathing becomes labored and irregular
The nurse aide is responsible for all of the following fire prevention measures EXCEPT: A) Being aware of the locations of the fire extinguishers B) Reporting all damaged wiring and/or sockets in clients' room C) Participating in fire drills D) Taking cigarettes and matches away from all clients and visitors
D) Taking cigarettes and matches away from all clients and visitors. Smoking by clients and visitors may not be appropriate, the nurse aide may not take away their cigarettes or matches. However, the nurse aide can certainly report these actions to the charge nurse. The nurse aide should also be familiar with policies regarding smoking or smoking areas, to inform smokers if there are designated places.
Mrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx (diagnosis). You would expect her ADL routine to include
Daily morning weight measurement
The plan, which begins on the resident's admission and assists when the resident goes home, is called
Discharge plan A good discharge plan allows for continuity of the care that begins on admission. It anticipates possible issues or barriers which the client and their family may encounter, as well as services which will be needed after discharge
What type of isolation precautions are necessary for a patient with a gastrointestinal infection?
Enteric Precautions Enteric precautions are used for infections such as C. difficile, rotavirus, or norovirus, as well as severe diarrhea of an unknown cause. Precautions for staff include proper hand washing and putting on gown and gloves before entering the patient's room. All linen is bagged in the patient's room. Visitors may not eat in the room and must wash their hands with soap and water when leaving the room.
The physician ordered Mrs. Jones "to receive physical therapy QOD". That means she will go_______.
Every other day QOD means every other day. "Q" stands for every and "D" stands for day. "QD" is every day. Remember that "O" is other, or alternate.
Mrs. Harvey complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of
Fecal impaction Liquid stool may pass around the impaction. Patients may complain of feeling bloated; having the urge to push; nausea or vomiting; not wanting to eat.
Continual oozing or diarrhea may be a symptom of
Fecal incontinence Fecal incontinence, also called bowel incontinence or accidental bowel leakage, happens when people are unable to control their bowel movements. Stool can leak or ooze from the rectum, sometimes without the person being aware that it's happening.
Which one of these conditions requires Contact Isolation precautions?
Scabies Contact isolation precautions are used when infection or disease can be speech by touching the patient or items in the patient's room that could possibly be contaminated. Scabies, MRSA, severe diarrhea, and RSV are examples of conditions requiring gowns and gloves to care for the patient.
The opening of the colostomy to the outside of the body is called the
Stoma A stoma is an artificial opening in the body, done during surgery.
What is a pulse oximeter used to measure?
The amount of o2 in the blood A pulse oximeter is a device used to measure pulse, as well as the amount, or saturation, of oxygen in the blood. Normal O2 saturation levels are 94-99%. Patients with COPD and emphysema will have levels of 90% and higher. Always notify the nurse of an SpO2 of less than 90%.