CNA State Written Exam

When ambulating the client, the nurse aide SHOULD: (A) ask the nurse for help. B) be sure the client is wearing non-skid footwear. (C) ask a family member for assistance. (D) walk in front of the client and show the client the way.

B) be sure the client is wearing non-skid footwear.

Mouth care for a client who is unconscious MUST be done every: (A) 2 hours. (B) 4 hours. (C) 6 hours. (D) 8 hours.

(A) 2 hours.

Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide SHOULD wait: (A) 20 minutes. (B) 25 to 35 minutes. (C) 45 to 55 minutes. (D) at least 1 hour

(A) 20 minutes.

When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse aide to take? (A) Check that the client's name is displayed on the tray card (B) Make sure the client's favorite foods are present (C) Determine if enough fluids have been ordered (D) Keep all foods covered until eaten

(A) Check that the client's name is displayed on the tray card

Which of the following actions SHOULD the nurse aide take to communicate with a client who has a hearing loss? (A) Face the client when speaking (B) Repeat statements twice every time (C) Shout so that the client can hear you (D) Use a high-pitched voice

(A) Face the client when speaking

A client wakes up during the night and asks for something to eat. The nurse aide SHOULD: (A) check client's diet before offering nourishment. (B) tell the client nothing is available at night. (C) explain that breakfast is coming in 3 hours. (D) tell the client that eating is not allowed during the night.

(A) check client's diet before offering nourishment.

When providing care for a client receiving oxygen therapy, the nurse aide SHOULD: (A) check ears for pressure points. (B) tape cracks in oxygen tubing. (C) let the nurse know that the nurse aide cannot care for the client. (D) change the flow rate if the client is short of breath.

(A) check ears for pressure points.

When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: (A) lying down in bed. (B) dangling the legs from the edge of the bed. (C) standing at the side of the bed. (D) sitting in a wheelchair.

(A) lying down in bed.

Once a client has been pronounced dead, the responsibility of the nurse aide is to: (A) make sure the body is clean. (B) call the family. (C) leave the room. (D) give spiritual care.

(A) make sure the body is clean.

To prevent dehydration of the client, the nurse aide SHOULD: (A) offer fluids frequently while the client is awake. (B) wake the client hourly during the night to offer fluids. (C) give the client frequent baths. (D) feed the client salty foods to increase thirst.

(A) offer fluids frequently while the client is awake.

A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: (A) 360 mL. (B) 450 mL. (C) 480 mL. (D) 520 mL.

(B) 450 mL.

What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke? (A) Give the client a complete bath only when the client requests it (B) Encourage the client to do as much as possible and assist as needed (C) Leave the client alone and assume the client will do as much as the client can (D) Limit the client to washing the client's hands

(B) Encourage the client to do as much as possible and assist as needed

What is the FIRST area of a client's body that the nurse aide should wash when providing a bed bath? (A) Legs (B) Face (C) Arms (D) Chest

(B) Face

When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on FIRST? (A) Both sleeves (B) Left sleeve (C) Client's choice (D) Right sleeve

(B) Left sleeve

What SHOULD the nurse aide do when a client with Alzheimer's disease seems depressed and quiet? (A) Talk when the client is silent (B) Observe the client for non-verbal cues (C) Change subjects until the client begins to discuss something (D) Tell the client not to worry

(B) Observe the client for non-verbal cues

Which of the following actions by the nurse aide can BEST demonstrate active listening skills? (A) Changing the subject frequently (B) Responding when appropriate (C) Correcting the client's mistakes (D) Directing the conversation

(B) Responding when appropriate

Which of the following equipment should the nurse aide have available when caring for a client's beard? (A) Basin, mirror, nail file and towel (B) Towel, gloves, razor and shaving cream (C) Shaving cream, razor, gloves and comb (D) Razor, shaving cream, towels and orange stick

(B) Towel, gloves, razor and shaving cream

Articles contaminated with blood or body fluids SHOULD be disposed of in the: (A) soiled linen basket. (B) biohazard container. (C) soiled utility room. (D) client's room trash container

(B) biohazard container.

When a nurse provides the nurse aide confidential information about a client, the nurse aide SHOULD: (A) share it with other clients. (B) keep the information private. (C) discuss the information with other staff members in the break room. (D) discuss the information with the client's family

(B) keep the information private.

When making a bed that is occupied by a client, the nurse aide SHOULD: (A) leave the bed in the lowest position. (B) make the toe pleat. (C) leave the bottom sheet untucked. (D) place soiled linens on the floor.

(B) make the toe pleat.

The health care team member who assists the client with the performance of activities of daily living is the: (A) social worker. (B) occupational therapist. (C) speech therapist. (D) case manager.

(B) occupational therapist.

When helping a client who is recovering from a stroke to walk, the nurse aide SHOULD assist: (A) on the client's strong side. (B) on the client's weak side. (C) from behind the client. (D) with a wheelchair.

(B) on the client's weak side.

The nurse aide MUST wear gloves when: (A) transferring a client. (B) providing mouth care. (C) dressing a client. (D) weighing a client.

(B) providing mouth care.

When assisting a client who has right-sided weakness to transfer from a wheelchair, the nurse aide SHOULD support the client's: (A) left side. (B) right side. (C) front side. (D) back side.

(B) right side.

The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD: (A) join in the conversation. (B) suggest that this is not the place to discuss the client. (C) be quiet and not say anything to the other nurse aides (D) return to t

(B) suggest that this is not the place to discuss the client.

To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's: (A) bed sheet. (B) upper thigh. (C) bed frame. (D) hip.

(B) upper thigh.

The client's signaling device SHOULD be placed: (A) on the bed. (B) within the client's reach. (C) on the client's right side. (D) over the side rail.

(B) within the client's reach.

What does the abbreviation ADL mean? (A) Ad Lib (B) As Doctor Likes (C) Activities of Daily Living (D) After Daylight

(C) Activities of Daily Living

A client with arthritis reports difficulty when cutting the food. What SHOULD the nurse aide do to encourage the client's independence in eating? (A) Cut the food and feed the client (B) Insist that the client eat the meal without help (C) Assist the client in cutting the food and encourage the client to use the special eating utensils (D) Ask the dietary department to puree the client's food

(C) Assist the client in cutting the food and encourage the client to use the special eating utensils

Which of the following actions would be BEST for the nurse aide to take to show respect to the spiritual needs of a client? (A) Escorting the client to religious services (B) Discussing the nurse aide's religion with the client (C) Assisting the client to read the client's religious materials (D) Requesting that the facility's spiritual advisor visits the client

(C) Assisting the client to read the client's religious materials

The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do NEXT? (A) Instruct the client to lie still (B) Quickly go to get the supplies (C) Lower the bed, and place the call light within reach (D) Ask the roommate to watch the client while the nurse aide gets the supplies

(C) Lower the bed, and place the call light within reach

Which of the following methods is the correct way to remove a dirty isolation gown? (A) Pull the gown over the head (B) Let the gown drop to the floor and step out of the gown (C) Roll the gown dirty side in and away from the body (D) Pull the gown off by the sleeve and shake the gown out

(C) Roll the gown dirty side in and away from the body

A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do NEXT? (A) Place the client in a geriatric chair (B) Restrain the client in his bed (C) Talk to the client in a calm voice about familiar things (D) Leave the client alone in his room until he calms down

(C) Talk to the client in a calm voice about familiar things

The nurse aide is preparing to bathe a client. What should the nurse aide do FIRST? (A) Test the temperature of the water (B) Help the client undress (C) Tell the client what the nurse aide is going to do (D) Close the door and windows

(C) Tell the client what the nurse aide is going to do

To find out what type of diet the client should be receiving, it would be BEST for the nurse aide to check: (A) with the kitchen staff. (B) on the client's room bulletin board. (C) in the client's care plan. (D) with the client's family.

(C) in the client's care plan.

The nurse aide can help prevent pressure injuries in the client by: (A) repositioning the client every 4 hours. (B) massaging reddened areas on the client's skin. (C) keeping linens clean, dry, and wrinklefree. (D) using perfumed soap to clean the client's skin

(C) keeping linens clean, dry, and wrinklefree.

Before entering a client's room, the nurse aide should FIRST: (A) turn lights on. (B) identify self. (C) knock on the door. (D) call the client by the client's name.

(C) knock on the door.

When transferring a client, MOST of the client's weight should be supported by the nurse aide's: (A) back. (B) shoulders. (C) legs. (D) wrists.

(C) legs.

When caring for a client who is dying, the nurse aide SHOULD: (A) only allow 1 visitor in the room at a time. (B) keep the room dark at all times. (C) pay special attention to fluid intake and mouth care. (D) wear gloves when providing personal care.

(C) pay special attention to fluid intake and mouth care.

The nurse aide is asked by a client who is confused "what day it is?" The nurse aide SHOULD: (A) explain that memory loss is natural and the date is not important. (B) ignore the request. (C) point to the date on a calendar and say the date. (D) provide the date and then test the client later

(C) point to the date on a calendar and say the date.

The nurse aide SHOULD understand that a back massage: (A) causes muscle spasms. (B) increases blood pressure. (C) promotes circulation. (D) increases the heart rate.

(C) promotes circulation.

If a nurse aide discovers a small fire in a client's room, the nurse aide should FIRST (A) sound the alarm. (B) contain the fire. (C) remove the client from any danger. (D) extinguish the fire.

(C) remove the client from any danger.

A client requests that the nurse aide call the client's spiritual advisor. The nurse aide SHOULD: (A) ask the client why the client wants the nurse aide to call the client's spiritual advisor. (B) tell the client that this is not part of the nurse aide's job. (C) tell the client that the nurse aide will inform the nurse of the client's request. (D) call the spiritual advisor for the client.

(C) tell the client that the nurse aide will inform the nurse of the client's request.

Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? (A) "Why are you being so mean today?" (B) "You should not say such mean things to people." (C) "I will come back when your bad mood is over." (D) "You seem upset. Would you like to talk about it?"

(D) "You seem upset. Would you like to talk about it?"

The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs SHOULD the nurse aide understand that a quad cane has? (A) 1 (B) 2 (C) 3 (D) 4

(D) 4

Which of the following is the BEST personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray? (A) Shoe covers (B) A mask (C) Goggles (D) A faceshield

(D) A faceshield

The client has been sad and depressed since being admitted to the facility yesterday. What would be the BEST thing for the nurse aide to do for the client? (A) Arrange for the client's spiritual advisor to visit the client (B) Turn on the television in the client's room and leave the client alone (C) Force the client to take part in facility activities (D) Introduce the client to other clients and staff members

(D) Introduce the client to other clients and staff members

Which of the following is MOST important for the prevention of skin breakdown in the client? (A) Air-drying the client's skin (B) Rubbing lotion on the client's skin (C) Ambulating the client once a day (D) Repositioning the client every 2 hours

(D) Repositioning the client every 2 hours

A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT? (A) Take the client to the hospital (B) Help the client back to the bed (C) Take the client into the bathroom to wash out the cut (D) Stay with the client and call for help

(D) Stay with the client and call for help

What does "ambulate with assistance" mean? (A) Walk with the client twice a day (B) The client may use a wheelchair (C) Have the client use a cane for walking (D) The client can walk with the nurse aide providing help

(D) The client can walk with the nurse aide providing help

When getting ready to make a bed, the nurse aide SHOULD place the clean linens on: (A) a chair or table beside the bed. (B) the roommate's bed. (C) a clean surface in the bathroom (D) the floor beside the bed.

a) a chair or table beside the bed

When caring for a client from another country, the nurse aide should: a) be sensitive to the client's cultural needs b) orient the client to the cultural practices of the facility c) promote group activity participation d) decline to care for the client

a) be sensitive to the client's cultural needs

Before helping a client into a bath or shower, the nurse aide should first: a) check the temperature of the water b) shampoo the client's hair c) soak the client's feet d) apply lotion or oil to the client's skin

a) check the temperature of the water

The only purpose for using a restraint is to: (A) ensure the safety of the client or others. (B) make the nurse aide's job easier (C) calm a client who is verbally abusive. (D) help the client be quiet.

a) ensure the safety of the client and others

The female perineum should be cleansed: a) from front to back b) without soap c) with a disinfectant d) from back to front

a) from front to back

When communicating with the client's family, the nurse aide should: a) listen to concerns and offer support b) offer advice about the client's medical treatment c) get involved in family drama d) share the latest facility gossip

a) listen to concerns and offer support

The nurse aide should refuse to perform a task if the: a) nurse aide has not been trained to do it b) client is difficult to deal with c) nurse aide can find someone else to do it d) nurse aide is at the end of the shift

a) nurse aide has not been trained to do it

The nurse aide reports directly to: a) nurse supervisor b) physician c) staff development nurse d) administrator

a) nurse supervisor

A client is paralyzed on the right side. The nurse aide should place the signaling device: a) on the left side of the bed near the client's hand b) on the right side of the bed near the client's hand c) near the pillow d) at the foot of the bed

a) on the left side of the bed near the client's hand

A client is to be assisted out of bed to sit in a wheelchair. Which action would make this procedure safe? a) place the bed in the low position b) place a pillow on the wheelchair seat c) lower both footrest pedals d) release the wheel brakes

a) place the bed in the low position

When giving care to a client, the nurse aide should avoid unnecessary exposure of the client in order to protect the client's right to: a) privacy b) confidentiality c) personal choice d) personal hygiene

a) privacy

The nurse aide is responsible for all of the following fire prevention measures except: a) taking cigarettes and matches away from all 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 all clients and visitors

Physical restraints are used MOST often: a) to prevent client injury b) when staff is short c) at the family's request d) at the roommate's request

a) to prevent client injury

If a client has hand tremors, the nurse aide SHOULD: a) restrain the hand that has the tremor b) assist the client with the activity of daily living as needed c) tell the client to stop shaking and control the tremors d) do everything for the client

b) assist the client with the activity of daily living as needed

Right before dinner a client is incontinent of urine. The nurse aide should: a) take the client to the dinner table and clean up after dinner b) clean the client and take to dinner as soon as possible c) tell the client not to eat until the client has changed and cleaned self d) insist that the client eat dinner in the room

b) clean the client and take to dinner as soon as possible

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD: a) call the nurse b) clean up the spill c) call housekeeping d) leave the spill

b) clean up the spill

A client with Alzheimer's disease wanders from room to room moving the belongings of other clients do different locations. Alert and oriented patients are angry that their things have been moved. The nurse aide should: a) return the client to the room and close the door b) find the missing articles and return them c) walk wit the client to keep them from wandering d) assure the other clients that the client with Alzheimer's disease will not harm them

b) find the missing articles and return them

For safety, when leaving a client alone in a room, the nurse aide SHOULD: a) keep the door tightly closed b) place signaling device within the client's reach c) apply a restraint to the client d) leave the bed elevated in highest position

b) place signaling device within the client's reach

The client looks forward to playing Bingo each morning. The nurse aide SHOULD: a) tell the client that the nurse aide does not have time to get the client ready for Bingo b) plan the client's schedule so client is bathed and dressed in time for Bingo c) tell the client the nurse aide forgot about Bingo, but they will go the next day d) ask the client to bathe and dress self

b) plan the client's schedule so client is bathed and dressed in time for Bingo

While making an empty bed, the nurse aide sees that he side rail is broken. The nurse aide should: a) wait for the next safety check to report the broken side rail b) report the broken side rail immediately c) tie the side rail in the raised position until it is fixed d) warn the client to be careful when she gets back into bed

b) report the broken side rail immediately

If an alert and oriented client touches a nurse aide inappropriately, the nurse aide's BEST response is to: a) slap the client's hand b) step back and ask the client not to do it again c) refuse to care for the client d) warn the client that the behavior may be punished

b) step back and ask the client not to do it again

If the nurse aide is concerned about client care, who should the nurse aide speak to FIRST? a) another nurse aide b) the nurse in charge c) the director of nursing d) the administrator

b) the nurse in charge

What should the nurse aide do first when changing an ostomy bag: a) put on gloves b) wash hands c) explain procedure to client d) wash area around stoma

b) wash hands c) explain procedure to client

When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's: a) chest b) wrist c) neck d) elbow

b) wrist

While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's child, who died several years ago. The nurse aide's BEST response would be to: (A) quickly finish providing care and leave the client alone. (B) pretend to be the client's child. (C) ignore the client because the client is confused. (D) ask the client about the client's favorite memories of the client's child.

(D) ask the client about the client's favorite memories of the client's child.

When changing a soiled dressing, the nurse aide SHOULD wash the nurse aide's hands: (A) before the procedure. (B) after the procedure. (C) before and after the procedure. (D) before, during, and after the procedure.

(D) before, during, and after the procedure.

When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: (A) take a bath or shower before starting the urine collection. (B) select food items that do not contain red meat. (C) drink 2 L of water. (D) discard the first voided urine.

(D) discard the first voided urine.

When a client has memory loss or confusion, the nurse aide SHOULD: (A) reassure the client that forgetting information is expected with age. (B) speak loudly to the client. (C) ignore the client's statements that are not accurate. (D) give the client simple step-by-step instructions.

(D) give the client simple step-by-step instructions.

The nurse aide SHOULD place the client's soiled bedsheets: (A) on the bedside table. (B) on the floor of the soiled utility room. (C) in a biohazard bag. (D) in the soiled linen container.

(D) in the soiled linen container.

When a client who is weak and unable to move without assistance is positioned in a chair, the nurse aide SHOULD: (A) check on the client every 5 minutes. (B) make sure the client's water pitcher is full (C) protect the client with a seat belt. (D) place the signaling device within the client's reach

(D) place the signaling device within the client's reach

Frequent turning and repositioning of the client helps prevent: (A) cyanosis. (B) indigestion. (C) coronary disease. (D) pressure injuries

(D) pressure injuries

To BEST communicate with a client who has total hearing loss, the nurse aide should: (A) smile frequently and speak loudly. (B) smile often and talk rapidly. (C) avoid eye contact (D) write out the information.

(D) write out the information.

A confused and disoriented client is begging to go home. The nurse aide's best response to this client is: a) tell the client "this is your home" b) take the client to the activity room c) ask the client to tell the nurse aide about his/her home d) tell the client, "We will take you home later"

c) ask the client to tell the nurse aide about his/her home

To lift an object using good body mechanics, the nurse aide SHOULD: a) keep both feet close together b) left with abdominal muscles c) bend knees and keep back straight d) hold the object away from the body

c) bend knees and keep back straight

While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD: a) immediately go to remove the client's food tray b) slap the client on the back until the food dislodges c) call for assistance and perform the Heimlich maneuver (abdominal thrust) d) give the client a drink of water

c) call for assistance and perform the Heimlich maneuver (abdominal thrust)

When caring for a client who uses a protective device (restraint), the nurse aide should: a) assess the client once every hour b) assure the protective decide is tight c) check the client's body alignment d) release the protective device once a shift

c) check the client's body alignment

The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide should: a) push the wheelchair out of the hallway and carry the client out of the facility b) leave the client to search for help c) comfort the client while moving to a safe place d) lock the client's wheelchair and check the surrounding area for smoke

c) comfort the client while moving to a safe place

Nurse aides can provide a client with a sense of security by: a) rushing through care b) leaving the room without speaking c) explaining all routines and procedures d) talking to another nurse aide while providing care

c) explaining all routines and procedures

The nursing care plan states, "Transfer with mechanical lift". However, the client is very agitated. To transfer the client, the nurse aide should: a) life the client without the mechanical device b) place the client in the lift c) get assistance to move the client d) keep wheels unlocked so the lift can move with the client

c) get assistance to move the client

Which of the following is a restraint alternative: a) lap buddy/tray b) a sedative c) pain management d) a hand mitt

c) pain management

What type of fire can be put out with water? a) electrical b) grease c) paper d) chemical

c) paper

When taking oral temperature, it is important to: a) place the thermometer in the rectum b) place the thermometer under the arm c) place the thermometer under the tongue d) place lubricant on the thermometer

c) place the thermometer under the tongue

The MOST important reason for using soap and water to clean a client's skin after elimination is to: a) keep the client happy b) prevent soiling of bed linen c) remove feces and urine from the skin d) keep the linen costs down

c) remove feces and urine from the skin

The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client's feet? a) socks or stockings only b) cloth-soled slippers c) rubber-soled slippers or shoes d) nothing

c) rubber-soled slippers or shoes

The nurse aide notices that the client's radio cord is draped across a chair in order to reach the nearest outlet. The first thing the nurse aide 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

A visitor enters the room while the nurse aide is changing the client. How SHOULD the nurse aide respond? a) "Can't you knock?" b) "Hi, come on in." c) "Boy, was he dirty today" d) "Would you please wait in the lobby?"

d) "Would you please wait in the lobby?"

When the nurse aide gives evening care to a client with a full set of dentures, proper procedure requires that the dentures be placed: a) in the client's bathroom on the sink b) in tissue on the bedside stand c) under the client's pillow d) in a denture cup with the client's name on it

d) in a denture cup with the client's name on it

When assisting the client in resolving grievances, the nurse aide should report the grievance to the: a) doctor b) family c) administrator d) nurse in charge

d) nurse in charge

Pressure sores can be prevented if the client is: a) placed in an incontinence brief b) positioned with a pillow under the head c) dressed in loosely fitting clothing d) turned or repositioned every 2 hours

d) turned or repositioned every 2 hours

The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST? a) call the nurse in charge b) finish shaving the client as quickly as possible c) use the roommate's shaver to finish the shave d) unplug the shaver

d) unplug the shaver