Practice Test 1

For residents who still have their own teeth, regular oral hygiene is: a. very important for the continued good health of the residents b. not too important because the residents are older c. taken care of by the resident so you don't have to worry about it d. the responsibility of the resident's dentist

a. very important for the continued good health of the residents

When a resident has tuberculosis and will leave her room to go to the X-ray department, the resident must: a. wear a protective mask b. wear an isolation gown c. be transported by stretcher d. be transported by wheelchair

a. wear a protective mask

An aging change that may bel life threatening to older residents

an inability to clear secretions

Mrs. Jackson complains of pain in her left knee. The nursing assistant should respond by saying. a. It is normal for older people to have aches and pains. b. I'll report your pain to the nurse c. It is not a good idea for older people to take pain medicine d. We complain more as we get older

b. Ill report your pain to the nurse

A resident is living with a disability. He may exhibit signs of: a. mental illness b. depression c. excitement d. delusion

b. depression

To prevent the spread of pathogens, a nursing assistant should: a. sterilize everything b. follow standard precautions c. wear gloves at all times d. carry disinfectant spray

b. follow standard precautions

All of the following are signs of clinical depression EXCEPT: a. diminished interest in doing ADL's b. increased ability to make decisions c. feelings of worthlessness d. increased fatigue

b. increased ability to make decisions

For the safety of a resident, as a CNA leaves a resident's room, he must: a. position the resident comfortably b. leave the call light within reach c. let the visitors know they may return d. leave the water container within reach

b. leave the call light within reach

A useful aid for moving a dependent resident to the top of the bed is a: a. rolled towel b. lift sheet c. bed spread d. couple of pillows

b. lift sheet

To relieve dry skin you should use: a. talcum powder b. lotion c. alcohol d. corn starch

b. lotion

The ability to deal with life situations as we grow older is: a. about the same b. often lessened c. often increased d. less important

b. often lessened

If a resident suffers from hardening of the arteries in the brain they may have symptoms which include: a. functional clear moments b. periods of confusion c. diminished reflexes d. bleeding from the nose

b. periods of confusion

When caring for a person with a pacemaker you would NOT: a. report hiccoughing b. report eyes watering c. carefully monitor the pulse rate d. report any discoloration over the implant site

b. report eyes watering

Mrs. Smith hit the nursing assistant during cares. Later in the day, Mrs. Smith put on her light for assistance. The nursing assistant refused to answer the light. This would be: a. justified b. retaliation c. obligation d. expected

b. retaliation

A good listening approach to use when communicating with residents is: a. stay at least 6 feet away from the resident b. sit beside the resident c. give him advice d. avoid looking directly in his eyes

b. sit beside the resident

As you finish your shift, a patient with a history of bowel incontinence has a strong odor. Your responsibility is to: a. leave the building your shift is over b. shout to the oncoming shift they they have a "Code Brown" c. provide peri-care in a dignified and private manner d. none of the above

b. sit beside the resident

The most common sterilization process in use today is: a. alcohol b. steam c. iodine d. chlorine

b. steam

What instrument is used to take an apical pulse? a. otoscope b. stethoscope c. sigmoidoscope d. ophtalmoscope

b. stethoscope

You are sitting at the dinning room table feeding a total care resident. You are talking with the resident, but another C.N.A. who is also feeding a resident keeps trying to talk to you about last night's party. You should: a. continue feeding the resident and talk the C.N.A. b. tell the C.N.A. you will talk with her a break time c. get the resident's to talk to each other so you can hear all about the party d. stop feeding, chart the intake and come back later

b. tell the C.N.A. you will talk with her at break time

Generally, resident charts may be reviewed by facility nursing staff and: a. a close personal friend b. the physician c. laboratory technicians d. clergy

b. the physician

The charge nurse has asked you to collect a urine specimen from Mrs. White. To prevent contamination, you must always a. wear gloves b. wash your hands c. put on a mask d. wear a gown

b. wash your hands

Signs that a resident may be been abused include: a. request for privacy and refusing treatments b. withdrawn behavior and unexplained bruises c. confusion and wandering d. crying frequently and digestive complaints

b. withdrawn behavior and unexplained bruises

Disorientation can be described as: a. a disease b. an attention getting tactic c. a side affect d. mental retardation

c. a side effect

The basic nutrients include all except: a. fats b. carbohydrates c. chemicals d. proteins

c. chemicals

The Heimlich maneuver is used for: a. hyperventilation b. choking with no air exchange c. coughing with a raspy voice d. none of the above

c. choking with no air exchange

Mrs. Jones has been diagnosed with insulin dependent diabetes. What care would you NOT perform on her? a. bathing in warm water b. feeding with a plastic spoon c. clipping finger nails d. ambulating with a gait belt

c. clipping finger nails

The assignment and acceptance of a task that the CNA is qualified to perform is considered: a. direct transmission b. displacement c. delegation d. indirect transmission

c. delegation

A nursing assistant is helping a resident to walk. If the resident becomes faint and begins to fall, the assistant should: a. hold the resident up and call for help b. hold the resident up and continue walking c. ease the resident to the floor and call for help d. carry the resident back to bed and then go for help

c. ease the resident to the floor and call for help

You can help prevent dehydration by: a. withholding fluids b. bathing everyday c. encouraging fluid intake d. cutting back on fluid intake

c. encouraging fluid intake

When you are communicating with residents, you need to remember to: a. look away when they make direct eye contact b. speak rapidly and loudly c. face the resident and make eye contact d. finish all their sentences for them

c. face the resident and make eye contact

You have a new job and you need to resign form your present position. You should: a. report to your new job in the morning b. ask for an immediate exit interview c. give appropriate notice for your workplace d. ask another co-worker to take your shifts

c. give appropriate notice for your workplace

A low protein diet may be prescribed for a resident with: a. heart disease b. diabetes c. kidney disease d. high blood pressure

c. kidney disease

If the resident is able to help with his care, the nursing assistant should: a. provide the care herself because it is her job b. tell him to hurry so you can care for more residents c. let him do it even if it takes him longer d. discourage him from trying, for fear of failure

c. let him do it even if it takes him longer

Which one of the following is an activity that a confused resident most likely would not enjoy: a. helping you with chores b. listening to quiet background music c. listening to loud music d. playing checkers

c. listening to loud music

A prerequisite for becoming a successful nursing assistant will include: a. being involved in community activities b. being a pillar of society c. possessing maturity and sensitivity d. having a good business background

c. possessing maturity and sensitivity

Which of the following is a right of residents in a nursing facility? a. smoking in their room b. making as much noise as they want c. refusing treatment ordered by the doctor d. to take all the drugs they want

c. refusing treatment ordered by the doctor

Mrs. Jackson is an insulin dependent diabetic. She has not eaten any of her breakfast. As a nursing assistant you should: a. ignore it b. force her to eat c. report the information d. throw the food away

c. report the information

You notice a reddened area on Mr. Thomkin's right hip. You reposition him onto his left side. An hour later when you return, the area on the right hip is still red. You should: a. turn him back onto his right hip b. vigorously massage the area with lotion c. tell the charge nurse about his skin changes d. wash the area with soap and water

c. tell the charge nurse about his skin changes

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

c. toothette or mouth swab

Normal bathing temperature of bath water for the elderly should be which of the following? a. hot to the touch b. cold to the touch c. warm to the touch d. at room temperature

c. warm to the touch

The normal temperature range for an axillary temperature for an elderly adult is between: a. 97 degrees F and 99 degrees F b. 94 degrees F and 96 degrees F c. 98 degrees F and 100 degrees F d. 96 degrees F and 98 degrees F

d. 96 degrees F and 98 degrees F

A teenage female was in an accident and has many facial abrasions. You are taking her vital signs when she begins crying hysterically, Look at me, Im ugly. A nursing assistant's best response would be,: a. No, you're not ugly. b. Right now you feel ugly, but don't you think your face will heal? c. Stop crying, it makes your eyes and face swell more d. You say you feel ugly?

d. You say you feel ugly?

A resident weighs 210 pounds and is non-weight bearing. The best way to transfer the resident is to use: a. the help of another person b. a 3-person towel carry c. a gait belt b. a mechanical lift

d. a mechanical lift

A urinary catheter bag that has no urine in the bag after a complete shift may mean: a. it has been kinked all shift b. the resident is in kidney failure c. it has been pulled out d. all of the above

d. all of the above

To avoid injury, you should: a. avoid reaching b. use proper body mechanics c. let resident know what you are going to do d. all of the above

d. all of the above

When you practice good infection control techniques: a. you protect yourself b. you protect the residents c. you protect your family and other staff members d. all of the above

d. all of the above

Which of the following functions can a CNA perform? a. giving medications to patients b. performing procedures requiring sterile technique c. taking doctors orders over the phone d. assisting with a patient's ADL's as necessary

d. assisting with a patient's ADL's as necessary

Which of the following is NOT a mechanical aid used to reduce pressure: a. foam pillow or pad b. alternating pressure mattress c. bed cradle d. autoclave

d. autoclave

You have suspicions your patient is being abused. What is your first response. a. call the police b. tell a family member that visits often c. ask another health care assistant for help d. immediately report your suspicions to your immediate supervisor

d. immediately report your suspicions to your immediate supervisor

Learning about the resident's cultural beliefs is: a. not important to meet the resident's needs b. not encouraged in a health care facility c. only important if the resident has no family or friends d. important in providing care that meets the resident's needs

d. important in providing care that meets the resident's needs

Residents often walk with their feet shuffling. This is usually due to: a. loss of mobility b. laziness c. increased visual acuity d. increased muscle tension

d. increased muscle tension

You are properly dressed for work when you are wearing: a. open-toed shoes, uniform, and a watch b. uniform, well groomed long fingernails, and a necklace c. bracelets, uniform, and an identification badge d. identification badge, watch, and a uniform

d. indentification badge, watch, and a uniform

The nursing assistant enters the dining room and sees a resident who is grasping his throat and is unable to speak. This indicates that the resident: a. has a sore throat b. thinks the food is bad c. is hungry d. is choking

d. is choking

All of the following may help residents remain mobile EXCEPT: a. encouraging them to walk b. exercise programs c. games which include active participation d. keeping them in a wheel chair as much as possible so they can save their energy for activities

d. keeping them in a wheel chair as much as possible so they can save their energy for activities

All of the following are part of the respiratory system EXCEPT: a. pharynx b. larynx c. bronchi d. liver

d. liver

A symptom of Alzheimer's disease is: a. mental illness b. tremors c. gait disturbance d. memory loss

d. memory loss

After giving a resident a shower they offer you five dollars. You should: a. take the money and say thank you b. take the money and return it later c. pretend you did no hear the offer d. politely decline the offer

d. politely decline the offer

When transferring a resident be sure to: a. have him pivot on his affected leg b. always use a transfer board c. use the muscles in your back to lift d. provide safety at all times

d. provide safety at all times

If a resident who has been outgoing suddenly starts to show signs of withdrawal, you should: a. overlook this because it will probably go away b. avoid spending time with the resident c. call the family d. report this at once

d. report this at once

Increased respiratory rate is: a. bradypnea b. apnea c. dyspnea d. tachypnea

d. tachypnea

A CNA overhears another CNA tell a resident to shut up. This is an example of : a. neglect b. physical abuse c. emotional abuse d. verbal abuse

d. verbal abuse

Removing a call light from a resident violates the residents right to

freedom from abuse

When cleaning equipment

rinse with cold water

When caring for confused residents you should NOT: a. rearrange furniture often to stimulate the resident b. show the person respect and maintain their dignity c. use rewards like smiles, touches, and frequent praise d. use validation therapy

a. rearrange furniture often to stimulate the resident

A resident with Alzheimer's disease is yelling in the middle of the hallway. The nursing assistant should: a. reassure the resident in a calm voice b. use a loud voice so the resident can hear c. explain to the resident he is disturbing others d. place the resident in a time out

a. reassure the resident in a calm voice

Capacities that a resident with Alzheimer's disease retains include all of the following EXCEPT: a. short term memory b. long term memory c. sense of humor d. music

a. short term memory

When you go into your assigned resident's room you notice that the oxygen is set on 5 liters. You know the order is for 2 liters, so you: a. turn the oxygen down to 2 liters b. leave the flow alone, since it is within acceptable flow limits c. turn the oxygen completely off immediately, since the resident has had too much oxygen for too long d. ask the resident to turn the oxygen down to 2 liters

a. turn the oxygen down to 2 liters

Personal values are: a. a guide to life's choices b. the same for everyone c. different for the elderly d. especially for health care employees

a. a guide to life's choices

To help ensure adequate circulation to prevent skin breakdown, you could: a. change the patient's position frequently b. perform active or passive range-of-motion exercises c. give back massages d. all of the above

a. change the patient's position frequently

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

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

The first symptom to occur with a diagnosis of multiple sclerosis is: a. double vision b. lack of coordination c. speech difficulty d. memory loss

a. double vision

When caring for a demanding resident you should: a. give him the same care that everyone else receives b. not answer his call light sometimes to help with his reality therapy c. correct him when he is wrong or he will take advantage of you d. treat him the say way he treats you

a. give him the same care that everyone else receives

You are assigned to move Mrs. Simons, an obese, dependent resident up in bed. Mrs. Simons has a pressure sore on her right hip. The best way to move her is to: a. lift her on a draw sheet with one or more other nursing assistants assisting b. use a bed scale c. lift the resident by yourself d. ask another nursing assistant to lift the hips while you lift the feet

a. lift her on a draw sheet with one or more other nursing assistants assisting

The role that nursing assistants play in the care of long term care facility residents is: a. major b. minor c. partial d. insignificant

a. major

While residents are smoking: a. no oxygen is allowed b. continue oxygen flow c. turn off oxygen d. turn up oxygen

a. no oxygen is allowed