CNA Workbook Multiple Choice
Judah has a hearing deficit from working in construction for many years. This is an example of A congenital hearing loss An acquired hearing loss A neurological disorder Expressive aphasia
An acquired hearing loss
Long-term care facilities are required to have all of the following except An air conditioning system Handrails on both sides of the hallways A fully-equipped room for dining activities A safe water supply
An air conditioning system
Resident bathrooms in a long-term care facility must be Can eat resident room Shared by no more than two residents Accessible to all residents Equipped with a tub and a shower
Accessible to all residents
To ensure that hospitals are in compliance with federal regulations, they are surveyed by the Joint Commission at least every year Joint Commission at least once every 3 years Accreditation Commission for Healthcare every 6 months Healthcare Quality Association every 2 years
Accreditation Commission for Healthcare every 6 months
The most expensive type of healthcare setting is usually a(n) Assisted living facility Hospice organization Respite care facility Acute care facility
Acute care facility
When using a fire extinguisher, you should aim And sweep along the base of the fire Extinguisher at the base and hold still And sweep at the fire's flames At the flames and hold still
And sweep along the base of the fire
Mr.lee is a new Resident at your facility. His family has just left, and you notice that he is upset and cheery. When you enter his room, he says he wants to go home. You should Tell him that it is the best facility his family could have put him in Assure him that the staff is very kind and helpful Sit quietly with him and let him talk when he is ready Leave the room to give him privacy
Assure him that the staff is very kind and helpful
A nursing home that does not have fire evacuation plans in place is likely to Lose license to provide care Be cited and pay severe penalties Be unable to accept new residents Close until plans are made
Be cited and pay severe penalties
You are caring for a resident who comes from a different background than you do and you do not agree with the residents beliefs and lifestyle. How should you care for this resident? Try to convince the resident that he is wrong and you are right Care for the resident without regard to background or lifestyle or put in your personal opinion side Ask the nurse to instruct the resident to change his ways Ask A co-worker to care for the resident to avoid conflict
Care for the resident without regard to background or lifestyle or put in your personal opinion side
Patient rights listed in the California code of regulations include all of the following except to Informed by a physician of his health status Consent to or refuse to any treatment Have your phone in his room Have daily visiting hours established
Have your phone in his room
The position that puts resident at greatest risk of shearing injuries to the back, sacrum, and coccyx is Supine High-Fowler's Side-lying Semi-Fowler's
High-Fowler's
Information found in the SDS includes The residents diagnosis and care plan How to store or dispose of chemicals Ergonomic recommendations Fire safety plan
How to store or dispose of chemicals
OBRA is federal legislation that regulates Rehabilitation hospitals Long-term care facilities Respite care services Home health agencies
Long-term care facilities
A NA who works for a long-term care facility would most likely be caring for a resident who Needs 24-hour care due to his dementia Had heart surgery Needs supervision and activities while his family is shopping Needs assistance with meals and medications
Needs 24-hour care due to his dementia
You just entered the dining area when you noticed smoke coming from the kitchen. Your first response should be to Call Fire Department Pull the fire alarm Grab the fire extinguisher Placde the residents beyond the fire doors
Place the residents beyond the fire doors
When communicating with a resident who has hearing loss, you should do all the following except Raise the pitch of your voice Speak at eye level with the resident Slow your speech down You the picture board
Raise the pitch of your voice
Obra regulations apply to aspects of residents room and environment in Acute care facilities Assisted Living centers Skilled nursing facilities Respite care facilities
Skilled nursing facilities
One nursing assistant can move a resident up in bed if The resident has no side rails on his bed The resident has a trapeze secured to the bed The resident grabs the nursing assistant's arms for support None of the above; repositioning requires two assist
The resident has a trapeze secured to the bed
Respite care offers services for resident who need Rehabilitation and extensive therapy A safe environment for short periods of time End-of-life care Close monitoring of vital signs
A safe environment for short periods of time
A nursing assistant working in an acute care facility is likely to work with Public health department staff Radiologists and radiology technicians Physician assistants All of the above
All of the above
A pleasant home-like environment in a healthcare facility can improve Resident comfort Consumer use of the facility Customer satisfaction All of the above
All of the above
Healthcare workers are at risk of exposure to bloodborne pathogens present in Urine and feces Wound drainage Vomit and saliva All of the above
All of the above
Wearing shoes that are comfortable and have good arch support helps prevent injury to the NA by Reducing the risk of trips and falls Reducing back strain Maintaining the back in good alignment All of the above
All of the above
When two nursing assistants move a resident up in bed, they should grasp the draw sheet 4 inches away from the resident's body 6 inches away from the resident's body As close to the resident's body as possible As far from the resident's body as possible
As close to the resident's body as possible
Your resident in the assisted living facility can no longer stand and needs more help than the staff can provide. The resident's daughter is very upset and asks you why her mother is being transferred to a long term care facility. How should you answer her? Ask her to please wait while you get the supervisor, who can explain the situation in more detail Inform her the facility is short staffed most of the time and cannot properly care for her mother Tell her you're not sure, but whatever the reason her mother will be well cared for Politely ask her not to ask you these types of questions because you do not make the decisions
Ask her to please wait while you get the supervisor, who can explain the situation in more detail
You enter your resident's room and find him grimacing and holding his stomach. The best response is to Assistant to the bathroom Ask him if he's okay and be prepared to assist if needed Tell the nurse he is in pain and needs medication Come back later when he's feeling better
Ask him if he's okay and be prepared to assist if needed
Maria is one of the residents you care for a long-term care facility. She tells you that she has not been able to sleep because her roommate has a lot of family who visit in the evening. You should Ask the family if they can visit in the common room Movie roommate to new room Luz Maria to new room Tell the family to visit during the day instead
Ask the family if they can visit in the common room
You are working as a nursing assistant at the local hospital when you're replacement calls to say that she will be late. You need to leave right away at the end of your shift. You should Ask the nurse if she can call another nursing assistant to help How's the nurse work for you until your relief can get there Continue to work until your relief arrives Discuss the situation with the hospital administrator
Ask the nurse if she can call another nursing assistant to help
A resident in your facility is upset to hear that the medication the doctor has ordered is not the same medication that she had read about in a current magazine. The appropriate response for the NA would be to Immediately tell the nurse of the resident's concerns Inform the facilities Director of Nurses Ask the resident to explain her concerns and then report this to the nurse Let the other NA know so that they do not upset the resident
Ask the resident to explain her concerns and then report this to the nurse
During the sixth week of your new hospital job, you realize the fast paced and constant demands are too difficult. How should you speak with you supervisor regarding these concerns? Tell the supervisor that you prefer to be assigned to only patients whom you feel comfortable caring for Ask you supervisor to assign the other NA some of your tasks Ask you supervisor if you can talk about other opportunities available in the facility that could be a better fit for your personality type Tell your supervisor that you could do a better job if given more breaks during your shift
Ask you supervisor if you can talk about other opportunities available in the facility that could be a better fit for your personality type
While you are assisting a resident with his shower, he becomes angry and starts hitting you on the face and arms. What should you do first? Back away from the resident and allow him time to calm himself Use active listening techniques to determine why he's upset Assist him out of the shower so he will not fall and injure himself Report the incident to your supervisor
Assist him out of the shower so he will not fall and injure himself
You are a new nursing assistant and work well in a fast-paced, changing environment. You might enjoy working On the medical-surgical floor at a local hospital At a skilled nursing facility (SNF) with dementia care At a chiropractic clinic assisting with exercises For a home healthcare agency
At a skilled nursing facility (SNF) with dementia care
The FIRST step in transferring a resident from the bed to wheelchair is to Place the wheelchair at the foot of the bed Remove the leg rests from the wheelchair Tell the resident what you need her to do Check the resident's care plan for level of assistance needed
Check the resident's care plan for level of assistance needed
Jane is an older resident who is unable to move on her own. Her care plan states that she has to be repositioned every 2 hours. You've been especially busy and you decide that you are able to reposition or at only every 4 hours because of this Gene develops a bed sore on her tailbone. This is an example of Physical abuse Battery Neglect Both A and C
Both A and C
Carla is a resident with receptive aphasia. She often becomes upset when she doesn't understand your directives during care. How can you best care for her? Ask a resident to speak slowly and clearly Break tasks up into smaller steps Write your directives on a whiteboard Ask for an interpreter
Break tasks up into smaller steps
You are caring for a resident when her daughter arrives to visit. While visiting, the daughter becomes upset and starts yelling at the resident. You believe the situation will become physically abusive. The best response is to Contact the authorities Tell the daughter she's no longer allowed to visit Leave the room and return when the daughter is calmer Provide the resident and her daughter time to speak privately
Contact the authorities
Your resident uses the call light system every 10 minutes and you are getting frustrated. What should you do? Tell the resident to only use the call light in an emergency Continue to answer the call light every time it is on Ask your supervisor to move the resident to a closer room Call the resident's family and ask them to visit the resident
Continue to answer the call light every time it is on
The call light and one residents room is not working. The first step you should take is to Find a bell for the resident to use in place of the call light I saw resident to sit at the nurse's desk Report the broken call light to the nurse Ask the facility maintenance staff to fix the call light
Report the broken call light to the nurse
A task that is NOT in the scope of practice for a NA is Delivering medications Providing dementia care Assisting with daily living activities Aiding with basic personal care tasks
Delivering medications
For repositioning a bariatric resident while in bed, you need to Ask for help from at least one other coworker Use the top sheet, bath blanket, or bed blanket Ask the resident to help as much as she is able Do all of the above
Do all of the above
In the case for an evacuation the nursing assistant may have to Go with the residents during transportation to new area Take laundry and kitchen duties Care for more residents than usual Do all of the above
Do all of the above
Positioning a resident properly in a wheelchair helps to Prevent pressure injuries Decrease discomfort Reduce the risk of sliding out of the wheelchair Do all of the above
Do all of the above
According to the California title 22, the first eight hours of orientation for a nursing assistant recently had a long-term facility will consist of Emergency procedures Patient care policies How to keep residents comfortable Nursing assistant training requirements
Emergency procedures
You can assist the resident who is independent with ambulation by Telling him he must walk to the dining room for meals Encouraging him to attend group activities offered that day Not allowing him to use a wheelchair Remaining close to him when he walks
Encouraging him to attend group activities offered that day
You are working the night shift and notice many of your coworkers are talking and laughing very loudly. What should you do? Remind them that the residents are asleep Join in if no residents have complained Call the supervisor and report you coworkers actions Make sure all of the residents' doors are closed
Remind them that the residents are asleep
Two residents share a room. One resident is eating breakfast in the room, and her roommate is asking to use the bedside commode. What would you do? Pull the privacy curtain and place the resident on the commode Explain that the roommate is eating and take the resident to a restroom Tell the resident that she needs to wait until the roommate is finished with breakfast Cover the breakfast tray while the commode is being used
Explain that the roommate is eating and take the resident to a restroom
The care plan for one of your residents states that she must have her back brace applied before she is to get out of bed in the morning. You are unsure how to do this, so you should Ask one of you coworkers to apply the brace Have the resident tell you how she normally wears it Explain to the nurse that you do not understand the directives Have the nursing assistant from the previous shift apply it before she leaves
Explain to the nurse that you do not understand the directives
You are assisting a resident to the common dining room and lock his wheelchair brakes so he remains at the dining table until his meal arrives. This is an example of Neglect Abandonment False imprisonment Negligence
False imprisonment
You suspect that the nursing assistants has been very verbally abusive to one of your residents. The best response would be to Confront your coworker Report your suspicions to the supervisor Find out if your suspicions are correct and then report Tell the residents family so they can keep him safe
Find out if your suspicions are correct and then report
Before you assist a resident to stand, she must be wearing Shoes or have bare feet Socks or bathroom slippers Footwear with a nonskid sole What she finds most comfortable
Footwear with a nonskid sole
The most comfortable position for a resident with breathing problems is Prone Supine Sim's Fowler's
Fowler's
An employee assistance plan EAP is an agreement that provides Free services to employees only Free services to employees and their families health benefits to employers Health information to employers
Free services to employees and their families
The nurse requests that you assist a resident into a tripod position. This is likely because he Has difficulty breathing Will be getting an enema Is watching television while in bed Has a pressure injury on his coccyx
Has difficulty breathing
While caring for a resident in her room, you hear the facility's fire alarm. The FIRST step you should take is to Report to the nurse for directives Remove residents from the area of the fire Locate a fire extinguisher and extinguish the fire Evacuate residents from the facility
Remove residents from the area of the fire
Scope of practice for a nursing assistant includes Checking a resident's blood sugar levels giving residents their ordered medications Removing a urinary catheter Offering emotional support to a hospice resident
Removing a urinary catheter
Due to OSHA regulations, healthcare entities must provide their employees with Family medical leave Inexpensive health insurance free hepatitis B vaccines Chicken pox vaccines
Inexpensive health insurance
Sarah is a resident who uses her wheelchair to move throughout the facility. She has leg rests on her wheelchair to keep her legs elevated. You help her to her room since she can keep her feet on the floor Position the leg rests according to the care plan and hand her the call light Do none of the above
Position the leg rests according to the care plan and hand her the call light
While caring fro a resident in the nursing home where you work, a doctor enters the room and gives you instructions on how to properly care for the resident's heel wound. What is your best response? Listen carefully and report to the nurse the instruction given to you Tell the doctor to please write the information down and that you will give that to the nurse when she returns Ask the doctor to wait while you get another NA to make sure you understand the instructions Inform the doctor that you are the resident's CNA but that you would be happy to find a nurse to assist him
Listen carefully and report to the nurse the instruction given to you
Using a residents phone without her knowledge is example of Misappropriation of funds Caregiver strain Negligence Invasion of privacy
Misappropriation of funds
Juanita is a resident who has been using her call light frequently throughout your shift. You decide to ignore her call light since you've been in her room so often. Juanita attempts to reach her bathroom unassisted and falls. This is an example of Abandonment Abuse False imprisonment Neglect
Neglect
Emotional communication deficits can be a result of Stroke Post-traumatic stress disorder Hearing loss Expressive aphasia
Post-traumatic stress disorder
You have been assigned to an unfamiliar unit at your facility. Even though it is a new area, you ask for directives from the nurse at the start of your shift. This is an example of being Prompt Flexible Empathetic Compassionate
Prompt
Sarah and her roommate have very different personalities and have not been getting along. Sara is asking to move to a new room. You should Move her to a new room when it's available Explain that this is not an option for her Do nothing; this is not uncommon in long-term care Report her request to the nurse
Report her request to the nurse
You are transporting a resident in her wheelchair. Her feet drag on the floor because she is unable to keep them lifted while you re moving. You should Place a cushion under her buttocks to keep her feet from touching the floor Place leg rests on the wheelchair if indicated in the care plan Have a coworker hold her legs up while you transport the resident Pull the wheelchair backward so her feet do not get hurt
Place leg rests on the wheelchair if indicated in the care plan
The nurse you are working with asks you to perform a task that i not within your scope of practice. What is your response? Tell the nurse that if he gives you written instructions that you will perform the task Politely remind the nurse that the task is not withing your scope of practice Inform the nurse that you are going to the director of nursing to report him for asking you to do something that is not within your scope of practice Tell the nurse that you cannot perform the task, but you can find a NA who will
Politely remind the nurse that the task is not withing your scope of practice
Virgil is a resident recovering from a recent stroke. He often becomes frustrated because he was not able to understand your directives. This an example of Receptive aphasia Expressive aphasia Congenital hearing loss An emotional deficit
Receptive aphasia
You are having trouble communicating with your hearing impaired resident, and she is becoming frustrated and upset. What is the best response? Refer to her care plan to identify any communication techniques that will help you Try sign language; you learn this in high school Raise the pitch of your voice is she can hear you Return to the resident later when she is no longer angry
Refer to her care plan to identify any communication techniques that will help you
You have notices that one of your coworkers has come to work tearful and upset on several occasions. When you speak to her, she states, "Things aren't going good at home." What should you do? Report your coworker's statement to the director of nursing Contact authorities since this might indicate an abusive situation Refer your coworker to the Employee Assistance Plan Ask your coworker for more information before deciding what action to take
Refer your coworker to the Employee Assistance Plan
One of your co-workers is in the main doorway of your facility when you hear her talking about a resident she was especially challenging that day. The best response would be to Joining the conversation to decrease on stress Allow her to express your frustration Remind her that she should not talk about residents in a public area Immediately report the situation to the supervisor
Remind her that she should not talk about residents in a public area
You are working the night shift at an assisted living facility. Your co-worker has been 20 minutes late every morning this week. You cannot leave until he gets there. As a result, your kids have missed the bus. How would you resolve this situation? Inform the coworker that you will be reporting him to the supervisor Remind the coworker that his shift started promptly at 6:00 a.m. and explain why you cannot be late getting home Talk to the other team members about how he is showing up late to work Consistently show up 20 minutes late when you are relieving him from his shift
Remind the coworker that his shift started promptly at 6:00 a.m. and explain why you cannot be late getting home
While toileting a resident, you are accidentally exposed to urine. You wash the area thoroughly with soap and water. The NEXT step should be to Have blood drawn for an HIV test Report the incident to the nurse Fill out an incident report Obtain a medical evaluation
Report the incident to the nurse
You're caring for a Native American resident who wishes to have a tribal healing ceremony performed in his hospital room before going to surgery. It would involve having several people in the room. The best response is to Remind the patient of the hospital's visitation policies Suggest waiting until after the surgery Report the request to the nurse Instruct the patient to discuss the request with the doctor
Report the request to the nurse
You are working as an NA in the nursing home, and you have a fire drill at the same time that you are scheduled to take your break. What should you do? Take your break as scheduled Ask your coworkers what they would do Request that the drill time be changed Report to your supervisor for instruction
Report to your supervisor for instruction
A resident asks you for a copy of his medical record. How would you respond? Tell the residents that he does not have the right to his personal records Make copies of the medical record for the resident Report your residence requests to the nurse Read the medical record for the resident
Report your residence requests to the nurse
Alyssa is a resident with severe hearing loss. She has an assistive listening device that she uses with her hearing aid. You're not sure how to use for listening device. You should Ask Melissa how to use the device in hearing aids Get another nursing assistant to help you with Melissa care Request training on the listening device before helping Melissa Ask Melissa family to show you how to use the device
Request training on the listening device before helping Melissa
You have noticed that one of your residents is more agitated and upset after starting a new medication. You should report this to the Director of nursing Staff nurse Resident's healthcare provider Resident's husband
Resident's healthcare provider
Health and safety codes are the laws and regulations in the state of California that protect Employers Residents Physicians Caregivers
Residents
If a nursing home has a dining room too small for its residents and their equipment, the facility should Leave the equipment outside the dining room Have some residents eat in their rooms Set up tables in the hallway Rotate the residents meal times
Rotate the residents meal times
It is in the NA's scope of practice to Educate a resident on a new diet Remind a resident to perform his leg exercises Show a resident how to put on his wrist brace for the first time Instruct a resident on how to take a new medication
Show a resident how to put on his wrist brace for the first time
The position used for residents who will be receiving an enema is Sim's Supine Semi-Fowler's Prone
Sim's
Your resident has been recently diagnosed with a serious illness and has been searching the Internet for information. Your resident is upset and tells you the information gathered regarding her illness says that she will die. The best response would be to Call her family and report her comments Inform her that she should only read medical websites Suggest she contact her healthcare provider to further discuss any concerns Help the resident search online for healthcare services
Suggest she contact her healthcare provider to further discuss any concerns
Your home health resident asks you to explain the proper instructions given by the doctor regarding her recent hospital stay. What is your best response? Tell her that you are unable to give initial instructions but that you will call your supervisor Instruct the resident to go online and find the proper information Tell her that you will call the doctor and have her explain the instructions Tell the resident that you will call her daughter and let her explain
Tell her that you are unable to give initial instructions but that you will call your supervisor
Your resident appreciates the care you provide an offers you $20 as a tip. How should you respond? Gladly accept the tip for your work Thank the resident and tell her that you cannot accept tips Tell the residents that you can accept only small tips Split the $20 tip among their coworkers
Thank the resident and tell her that you cannot accept tips
Your neighbor is in need of skilled nursing care. Her daughter asks you to explain the difference between long-term care and home care. The best response would be That a long term care is most appropriate for a resident who requires ongoing treatment around the clock That home care is available only to residents who have a lot of money To tell the daughter it would be best if she could move in and care for her mother To tell the daughter to call her mother's doctor
That a long term care is most appropriate for a resident who requires ongoing treatment around the clock
A resident you have been caring for in the nursing home tells you she is going home. She will be receiving care from a home health agency and is not sure what to expect. You should tell the resident That you need to get your supervisor, who will give her more information about what to expect from her home health provider That nursing homes car is much better than home health care Not to worry and that everything will be fine You know other residents who have been very happy with home health services
That you need to get your supervisor, who will give her more information about what to expect from her home health provider
When a resident is in Fowler's position, pillows should be placed Under the head and lower legs Under the head and shoulders Under the head only Behind the knees
Under the head and lower legs
While plugging in a resident's television, you notice a spark and smoke. What should you do ? Wait and make sure the television work well Tell the resident that she needs to get it fixed soon Unplug the television and report to the supervisor immediately Bring in you television for the resident to use
Unplug the television and report to the supervisor immediately
Juan's care plan states that he is a one assist. To assist him with ambulation, you must Use a gait belt with at least one hand on it at all times Ask another NA to help you Give him verbal reminders to walk each day Use a gait belt only if he is feeling weak or unsteady
Use a gait belt with at least one hand on it at all times
When caring for a resident with expressive Aphasia, you should Speak slowly and clearly You're short, direct sentences Use a picture board or book Talk in a normal pitch of voice
Use a picture board or book
While at work in the nursing home, you notice your hands start to itch; by the end of the day, you have a rash on your hands. What should you do? Wash your hands and report to your supervisor immediately Use hand sanitizer instead of soap and water Wear gloves to further eliminate any exposure Update your supervisor if the rash doesn't go away after a few days
Wash your hands and report to your supervisor immediately
The most important step in protecting yourself from workplace violence is to Keep doors locked at all times Work only with people you know and trust Watch her potentially dangerous situations Work during daytime hours
Watch her potentially dangerous situations
A Na becomes certified in the state of California after she Obtains criminal clearance Completes 75 hours of classroom training Passes the certification exam both a and c
both a and c
To place a resident in a semi-Fowler's position, the head of the bed should be raised 35-40 degrees raised 45-60 degrees left flat raised 80-90 degrees
raised 35-40 degrees