CNA practice test
When a nurse aide is being asked by a visitor about the client what should the nurse aide say
" The client is attending an activity. I can take you there now."
The first thing to do in serving meal trays is
Check that every client has the right tray
Prior to starting a back rub what is the most important thing to do
Checked skin for any skin damage
Residence might experience what do you to decreased intestinal mobility
Constipation
Abnormal shortening of muscle tissue
Contracture
Seizures are also known as
Convulsions
A legal documentCommunicating a clients wishesAbout life-saving care or death is called
DNR
An assigned resident does not want lifesaving measures to be performed if he expires. You know the term written on the chart is which of the following?
DNR
What food group is vitamin D found in
Dairy
A client with heart failure may be on a specialized diet that includes
Decreased sodium
The nurse is providing morning care to a mail client after shaving she put on aftershave what is this do
Decreases irritation of the skin
When a nursing assistant reports to the charge nurse that another nursing assistant accepted a tip from a resident when it is not true is an example of which of the following?
Defamation (Lying about another nursing assistant's behavior is considered defamation of character)
Validation therapy would be use for a client with what
Dementia
A client that could experience hypoglycemia or hyperglycemia may have
Diabetes
How to find kg when given lb
Divide the amt of lbs by 2.205
The nursing assistant should wear a mask when entering the residence room if The resident has been placed on what type of precaution
Droplet precaution
To prevent constipation
Eat foods high in fiver
Which of the following should be included in the nurse aids resume
Education history
The nurse it can prevent Aspiration in a client receiving tube feeding by
Elevating the head of the bed
A resident your assigned has an ostomy drainage bagThat is scheduled to be changed what is your first action
Empty the collection bag
A client has been upset and confused since recently Being placed in the facility by family the nurse aide should
Encourage the client in decisions regarding care
The nurse aide has been assigned 10 clients for the day shift. One client is in a bad mood and refusing to participate in morning care. The nurse aide knows that:
Encouraging the client to do as much morning care as possible even though the client is in a bad mood is necessary
Before Performing anyAssign procedure for the client the NA should
Explain the procedure to the client
The client would not be quiet during dinner so the nurse aide isolated her in the closet for two hours what type of abuse is this
False imprisonment
To assist the client ambulate the NA should
Firmly grasp the clients gait belt
What are the following is the correct term for intestinal gas
Flatus
A nurse they should assist client to turn cough and deep breathe to prevent which of the following
Fluid in the lungs
The nurse aide can best avoid charting errors by
Following agency rules for recording
When a resident falls, what is the most frequent injury that occurs?
Fractured hip
Sterile
Free from germs
The nurse aide refuses to take the client to the activity room because the client has not finished eating what clients right is she violating
Freedom from exploitation
The nurse is going to a clients room to give a bed bath but then here's the alarm from another room what should she do
Go to the room where the alarm was ringing
The patient's bill of rights is a document That lists The guidelines identifying the residence treatment, level of care, and services well in the facility.Any complaints or dissatisfaction from the resident in regard to care is considered
Grievance
The nurse is providing care to a client what information should the client know about the brushing and combing of the clients hair
Grooming should be a part of morning afternoon care
What is the correct definition of Fowler's position
Head of bed 45 to 60° with legs either bent or straight
A possible cause of concentrated urine is
In adequate fluid intake
When the resident been transferred to the wheelchair by the nursing aide, what is a proper position for the nursing aid during transfer
In front of the wheelchair
When collecting a stool specimen the nurse aide should
Label it with the clients information
The NA has brought the clients dentures to the sink to be cleaned which should be the first step
Line the sink with a soft cloth or fill with water
A resident is receiving oxygen therapy through a nasal cannula. When should the nasal cannula be removed?
Long enough to clean the nose
What is the correct way to count respirations
Look at your watch and the residence abdomen at the same time
What is used when giving a back rub
Lotion
Which of the following is recommended position to obtain patient's blood pressure
Lying flat
The nurse aide should apply and ordered splint to a clients wrist to
Maintain proper alignment
When trimming a residence nails you accidentally cut his finger which of the following legal actions would this be
Negligence
Which of the following is safest when ambulating a client
Non skid footwear
If a nursing assistant recognizes that a resident is not eating enough he or she should do which of the following
Offer dietary supplements as prescribed
When an unsteady client tries to get out of the wheelchair without help the nurse aide should
Offer transfer assistance
In which of the following locations with the nurse aid stand when assisting A resident who has experienced a stroke to ambulate
On the affected side of the resident
Where is the radial pulse found
On the thumb side of the wrist
The nurse is assigned to provide hair care to a client,Which of the following is true regarding her care for the client
Physical health can affect the condition of the hair
The nurse aid assists the client with coughing and deep breathing exercises to prevent what complication
Pneumonia
Tightening the bottom sheets is important because wrinkled sheets can cause
Pressure ulcers
Restorative nursing
Prevent deterioration when possible
Restraint alternative
Provide frequent attention to clients basic needs
When food is served as a client does not like what should the nurse I do
Provide the client with another food choice
When using a fire extinguisher, what does the acronym PASS mean?
Pull, Aim, Squeeze, Sweep
The nurse aide is helping and newly admitted clientTo place the clients belongings in the clients personal space. What should the nurse I do to help the client
Record all the belongings
What should the NA do first if a client is being sexually inappropriate
Redirect the client
Which of the following is a proper description for stage one decubitus ulcer
Redness
How may the nurse aid best assist a client To exercise citizenship rights
Refer the client to the appropriate person in the facility To make arrangements for voting
The nurse aid can assist a client with bladder training by
Reinforcing the understanding the control of urinating is the goal
Which of the following actions is used for the nursing assistant when caring for a resident with a condom catheter
Remove the catheter at least once daily and report any problems
Nurse aide notice a visitor looking into the clients room what should she do
Report suspicious activity to the charge nurse
A nurse aide is transferring a client from the bed to the wheelchair and the client hits his leg on a wheelchair. The client states that the leg feels ok. What should the nurse aid do?
Report the incident to the nurse and complete an incident report
Which requires a doctors order
Restraint
trochanter roll
Rolled towel support placed against the hips and upper leg to prevent external rotation of the legs.
Which of the nurse they do to prevent the clients indwelling catheterFrom being pulled out by accident
Securing it to the inner thigh
When positioning a client for deep breathing and coughing exercises what position should be taken
Semi Fowler's
Which of the following should the nursing assistant report immediately after the resident has received an enema
Severe abdominal cramping
What is not a sign of infection
Shortness of breath
The nurse that has been notified that a client needs to have a 24 hour urine specimenCollection. This means the collection:
Should be kept chilled on ice or refrigerated
What is expected of an older resident
Slowing of responses
What is the appropriate equipment for mouth Care for an unconscious client
Soft toothette
If a client is a choke on food the nurse aide should
Stay with the client during all meals
The nurse aide answer the call light to a clients room Where the client is in bed requesting a bed pan. What position is used initially for the client when placed on a standard bedpan
Supine
What task is carried out by the nurse air
Taking temp, pulse respiration
In which of the following conditions is a cold pack applied
To decrease swelling
Why is an indwelling catheter taped or secured to the resident's leg?
To ensure the catheter does not become dislodged
Why should antiembolism stockings be applied to a client
To prevent blood clot if immobile after surgery
What is a false statement regarding nail care
To return the resident to better than normal functioning
When ambulating a client the nurse aide should
Use a gait belt
The nursing has been selected to perform Morning care to a mail client who is unable to shave himself what should she do
Use short strokes in the direction of the hair
The nursing assistant notice is that a resident has just finished drinking an ice tea and it is time to take oral temp what shoukd she do?
Wait abt 15 min
What product is applied to a client skin before shaving
Warm water
It is important to Constantly give water to a client because
Waters continuingly lost through perspiration Elimination and respiration
The nurse is preparing to ambulate a client,Do you maintain the client safety what precaution should the client take
Wear footwear with non-skid soles
Which of the following procedures should be taken one weighing a client
Weigh the client at the same time every day
An alcohol-based hand-cleanser should not be considered in which of the following situations?
When hands are visibly soiled
When is it important for the nurse aide to listen to a shift report
When the nurse aide reports to work
Client care plan
Written guide for clients needs
Which one of the following mealtime events should be reported to the nurse in charge immediately?
a diabetic client who takes insulin ate only diet pudding
traction
a pull to the arm or leg muscles to bring a bone back into place when it is dislocated or fractured
The proper medical abbreviation for before meals are:
a.c
How a client reacts to illness and disability is most dependent on his
age and stage of life
A resident is confined to her bed. What might keep her from getting pressure sores?
an air mattress
When an object is free of disease - causing organisms, it is said to be:
aseptic
If a client cannot speak English, the NA should
ask the charge nurse to arrange an interpreter
Patient is on bed rest, wearing anti -embolitic stockings. How often should stockings be removed?
at least twice a day
After anti- embolism stockings are applied, the stockings should:
be free of creases
While a client is in bed, a urinary drainage bag should be secured to the:
bed rail
a nurse aide should know that a normal pulse oximetry reading is:
between 95% and 100%
The facility needs to be evacuated due to a fire. A client in one room cannot walk. Which of the following items will the nurse aide need to perform a one- rescuer carry?
blanket
When recording vital signs, what is the correct order
blood pressure,temp,pulse,then respiration
If the client is in traction, the NA should never
change the position of weights
the accepted way to identify a client is to
check the identification band
Which of the following best describes nail care?
check with the charge nurse for nail care instruction
Active range of motion (ROM) exercises are performed by the:
client alone
Before dressing an ECF resident, the NA should
close the door
The NA is instructed to give a commercial enema. What should the nurse aide do FIRST?
collect necessary equipment and supplies
When a NA cannot work due to illness the NA should
contact the supervisor ASAP
A closed wound caused by a blow to the body is called:
contusion
objective observation
A factual or measurable event such as a pulse rate or body sign
When ambulating and unsteady client the best thing to use is
A gait belt
Which of the following devices is used to prevent contractures
A hand roll
Your device used to move the resident from the bed to the chair is
A hoyer lift
Which of the following BEST defines a client at risk of injury?
decreased sensation of lower extremities
A general term that refers to a clients serious, progressive, and permanent loss of the ability to communicate, remember, think and reason is
dementia
dysphagia
difficulty swallowing
After shaving patient with safety razor, the nurse aide should
dispose of it in the sharps container
Standard (Universal) Precautions require the nurse aide to wear gloves when:
dressing a client with an open sore in the arm
How often should incontinent clients be given skin care?
each time they are incontinent
When is the best time for the nurse aide to collect a sputum specimen from a client?
early morning
The charge nurse instructs the nurse aide to clean an ECF resident's closet. The NA should
enlist help from the client
A set of principles relating to what is morally right or wrong is known as:
ethics
When the assignment sheet says that a nurse aide should change a sterile dressing, the nurse aide should:
explaiin to the nurse that a nurse aid is not qualified to change a sterile dressing
When assisting a new client on admission, what is the most important thing a nurse aide should do to promote the client's safety?
explain how to use the call light
The first step in performing any procedure is to
explain the procedure
The resident who is NPO asks for a drink of water. The nurse aide should:
explain to the resident that he is NPO and what it means
A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client's:
face, hands, axillae,genitals, and buttock
When performing passive range of motion (PROM) on a client, which of the following is the last body part the nurse aide should exercise?
feet and toes
Which medical term is often used for burping, belching and passing gas?
flatus
Which of the following could be a symptom of a urinary tract infection?
frequent voiding
The nurse aide is to measure and record fluid intake for a client. This includes foods such as:
gelatin
When communicating with another nurse aide about the clients change in condition, the nurse aide should:
give facts and be specific
When caring for a client with Alzheimer's disease, the nurse aide SHOULD:
give the client one step directions
A client is in contact isolation. What should the nurse aide wear?
gown and gloves
The method most commonly used by nurse aides to protect clients from infection is :
hand washing
When the nurse aide is providing perineal care for a client, the nurse aide should understand that perineal care:
helps to prevent skin breakdown and odor
Hypertension
high blood pressure
When taking a rectal temperature, the nurse aide should:
hold the thermometer in place
Which of the following provides identification of clients in long-term care facilities?
identification bracelet and photograph
What is the MOST common risk factor for client falls?
impaired mobility
incontinence means that the patient is
in need of medical attention.
The purpose of a bed cradle is to:
keeo the weigth of the linen off the feet
Surgical bed should be left in what position
level with the stretcher
Systolic blood pressure is determined by
listening for the first clear sound
Diastolic blood pressure is determined by
listening for the last clear sound
supine position
lying on back, facing upward
When documenting a client's vital signs, the NA makes mistake. The nurse aide should
make single line over it, write "error" and initial it
Early signs of Alzheimer's disease include:
minor forgetfullness
When assisting a client to use a walker, the nurse aide should ask the client to:
move the walker about 6-8 inches in front first
How to convert ounces to milliliters?
multiply ounces by 30
Which of the following is an early sign of dementia in an elderly client?
not knowing who she is
If a client does not eat all the food on his tray, the first thing an aide should do is
notify the charge nurse
A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand:
on the left side
The first step when weighing an ambulatory client is to have the client stand:
on the platform after balencing the scale
A condition that causes bones to become fragile and brittle is
osteporosis
The nurse aide can help prevent contractures by:
performing range of motion excercises
Clients with Alzheimer's disease have all the following characteristics EXCEPT
physical wasting away
Security for client's dentures includes
placing them in a labeled denture cup
Before transferring client from the bed to wheelchair, the nurse aide should sit her on the edge of the bed for few minutes to
prevent orthostatic hypertension
The nurse aide is caring for a client who is on bedrest. The nurse aide understands that the client is on bedrest to:
promote healing
A hearing -impaired client has the right to all of the following EXCEPT
purchase of the most expensive hearing aids
If family brings new clothes in for an Extended Care Facility resident, the nurse aide should
put them in the resident's dresser drawers
During a job interview, it is important to tell the interviewer about
qualifications
The most common site for counting the pulse is the:
radial artery
When assisting the range of motion (ROM) exercises for a client on bed rest, the nurse aide:
rasies the bed to waist height
When encountering residents with culturally or linguistically diverse backgrounds, one of the actions that can help caregivers provide effective care is to
recognize when sterotyping occurs and work to correct it
According to the chart, a clients last temperature was 99-degree F R. The "R" indicates that the temperature was:
rectal
When applying cold treatment to patients, it is important to observe the patient closely for signs of
redness
When removing soiled gown from a client who has an IV, the best action is to
remove the opposite arm from the gown first
What should be the first priority in caring for a client?
safety
If a client begins to vomit in bed, the client should be moved on to the:
side
The nurse aide is working with a client who suddenly cannot speak. The first thing the nurse aide should do is:
stay with the client and cal for the nurse immedietly
In caring for a client who is having a seizure, the nurse aide should:
stay with the client to prevent self injury
Which of the following best destroys all bacteria
sterilizing
Reporting what the client tells you is an example of
subjective observation
Walker may be used if the client can
support some weight
When a client receives a vaccination, which link in the chain of infection is broken?
susceptible host
When a nurse aide gets a vaccination, which link in the chain of infection is affected?
susceptible host
enema
the placement of a solution into the rectum and colon to empty the lower intestine through bowel activity
The nursing assistant shampoos client's hair to improve all of the following EXCEPT
the rate of the client's hair growth
Confidentiality refers to
the right of the patient to privacy and sharing information only with those involved in the client's care.
involuntary seclusion
the separation of a person from others against the person's will
Cane should be used on
the unaffected strong side of the body
What is the main goal of OBRA'87?
to make sure that healthcare providers meet the requirements nationwide by -passing competency and skill test to provide quality care
The nurse aide working in a long-term care facility should question which of the following assigned tasks?
trimming the toenails of a client with diabetes
The preferred way to remove bedpan from a client who is unable to lift her buttocks is to
turn the client to the side while holding the bedpan
pronation
turning the palm downward
False Imprisonment
unlawful restraint or restriction of a person's freedom of movement
All of the following are correct when measuring blood pressure, EXCEPT
use the biggest cuff possible to get an accurate reading
Procedure manual is a
written set of instructions on how to perform procedures
Restorative care begins:
ASAP
After handwashing the nurse aide should turn off the hand faucet
After drying the hands
The nurse aide can promote self-care in a client by
Allowing the client to perform a task
Which of the following foods could be counted as solid when recording intake
Apple sauce
The nurse aide is new to the facility and does not know all the clients yetHow does the nurse aide identify the alert client
Ask the client for name, birthdate, and check clients bracelet
Which of the following is the responsibility of the nursing assistant when caring for a resident who is receiving intravenous therapy
Assess the site for swelling redness and bruising
When a confused resident is placed in restraints by the nurse, the nursing assistant knows which of the following is true?
Assessment of the resident needs such as bathroom, repositioning, and circulation must be conducted at least every 2 hours.
What tasks are not carried out by the NA
Assigning care if clients to other nurse aide, preparing care plans, drawing blood for lab tests
The nurse aide can help prevent a UTI by
Assisting the client to clean the perennial area
How frequently should the nursing assistant record the total intake and output of the client
At the end of the shift
a nurse is caring for a client who can not verbally communicate. The nurse aid SHOULD report: A) when the client gets out of bed without difficulty B) A grimacing expression upon getting up C) that the client is participating in activities D) A happy expression on the clients face
B) A grimacing expression upon getting up
Which muscles are injured most often when a nursing assistant does not use proper body mechanics for a procedure
Back muscles
If a nursing assistant restrained a resident without a physicians order this would be seen as
Battery
A plate guard is
-a curved piece of plastic that slides onto one side of a plate to prevent slippage. -Used to help pt scoop food.
