CNA Test
You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states, "ambulate at least 10 yards qid". This patient will be assisted with ambulation at which of the following times?
10 am, 2 pm, 6 pm and 10 pm
normal respiration rate
12-20 per minute
When a facility decides to transfer or to discharge a patient, how much time MUST the facility provide to the resident or resident's representative before they may do so?
30 Days
If a patient is in tears, his or her pain level is at a
5
Normal pulse rate
60-100 bpm
normal 24-hour urine output
800 and 2000 cc.
Osteoporosis
A condition in which the body's bones become weak and break easily.
medicare
A federal program of health insurance for persons 65 years of age and older
You are caring for a patient with a BKA. What do you expect to see when entering the patient's room related to this abbreviation when working with the patient?
A patient with an amputation below the knee
the nurse punched out the patient's medications and placed them in the trash without giving them to the patient. After two days of not receiving his medications, the patient was in severe pain. Which of the following options BEST identifies this action? a. Negligence b. Neglect c. Abuse d. Battery
A. negligence
Which of the following options BEST defines hazardous waste?
All waste matter that has the potential to cause infection
Tuberculosis
An infectious disease that may affect almost all tissues of the body, especially the lungs and immune system
You are assigned a comatose resident that is in need of oral care every four hours. Which of the following options identifies how you should provide this patient with oral care?
Be sure the patient's head is turned to its side and use the proper equipment to swab the patient's mouth and mucous membranes
diastolic pressure
Blood pressure that remains between heart contractions.
Mobility is an important human function. The hazards of immobility lead to many physical problems and emotional problems. Immobility can lead to detrimental cardiac, muscular, respiratory, skeletal, urinary, gastrointestinal, skin and emotional changes. Which of the following is an example of a skeletal hazard of immobility
Calcium loss
When providing denture care for your patients, you should do all of the following EXCEPT:
Carry the patient's dentures in your gloved hand to the sink for cleaning
Which of the following options is NOT considered nonverbal communication?
Congratulating a patient on their success
In order for a nursing assistant to be considered a team player, what MUST they be willing to accept?
Constructive criticism
Personal Protective Equipment (PPE)
Don: wash hands gown mask goggles gloves Doff: gloves goggles gown mask wash hands
When providing oral care to a resident, how should you position the patient?
Fowler's position
All of the following are physical signs that a resident is in pain EXCEPT:
Hypotension
One of your patients is blind and it is your responsibility to assist with feeding her lunch. While feeding the patient you should do all of the following EXCEPT:
Keep silent so the patient can enjoy her meal
When applying a condom catheter, what do you need to do?
Leave a one-inch space between the catheter and the penis
When measuring a patient's blood pressure for the very first time, what process should you follow?
Measure the blood pressure in both arms and use the second measurement as the patient's baseline was correct.
Which of the following actions do NOT decrease with age?
Need to sleep
If you are asked to place a patient in the Sim's position, how will you place them?
On his or her side with the patient's undermost arm positioned at his or her back
Which of the following hospital floors would you most likely expect to see Reverse Isolation Precautions?
Oncology
congestive heart failure (CHF)
People with congestive heart failure (CHF) have dependent edema of the legs. They have too much volume in their blood so the person will have a fluid intake restriction and a low salt diet. The person will also get daily weights to determine how much water weight the person is gaining or losing each day.
Which of the following approaches should be taken with your patients?
Prevention
Which of the following options identify the two general goals of skin care when bathing a patient?
Promote comfort and remove pathogens
Which of the following statements is TRUE in regards to providing perineal care to a female patient?
Rinse the genital area with a fresh washcloth
F.A.S.T
Sudden signs of a stroke occurring (F) ace (A)rms (S)peech (T)ime
systolic pressure
The blood pressure generated by the heart during contraction.
autoimmune illness
The body's immune system attacks normal tissue in the body
Hospital policy states that patients on the medical floor should have vital signs taken every 4 hours. Which of the following is an appropriate abbreviation for this order?
VS q4 hrs
Which of the options below is NOT care that you would provide a patient who has dementia?
Vary the patient's routines
When it comes to communicating with patients who are hearing impaired, which of the following statements is TRUE?
You should speak short, clear statements
parkinsons disease
a progressive disease that destroys brain cells and is identified by muscular tremors, slowing of movement, and partial facial paralysis
Fowler's position
a semi-sitting position; the head of the bed is raised between 45 and 60 degrees
Sims position
a side-lying position with the lowermost arm behind the body and the uppermost leg flexed
slide board
a wooden board that helps transfer people who are unable to bear weight on their legs; also called a transfer board.
Which of the following options is NOT a sign or symptom of extreme blood sugar levels in a hypoglycemia patient? a. A sluggish mood b. Shallow respirations c. Rapid pulse d. Clammy skin
a. A sluggish mood
Which of the following statements is TRUE in regards to reporting accidents or incidents? a. All accidents and incidents require an incident report to be completed b. Only accidents or incidents that result in injury require an incident report to be completed c. Only the person involved or injured is required to complete an incident report d. Only patient involved accidents or incidents require an incident report to be completed
a. All accidents and incidents require an incident report to be completed
When taking a patient's rectal temperature, what step should you take immediately after you expose the patient's buttocks? a. Attach the rectal probe to the thermometer after removing the thermometer pack from its charger b. Use your dominant hand to expose the patient's anus c. Lubricate the probe using a tissue d. Ask the patient to relax and breathe slowly
a. Attach the rectal probe to the thermometer after removing the thermometer pack from its charger
You can promote sleep for your patients by all of the following actions EXCEPT: a. Change the patient's routine on a daily basis b. Decrease noise and confusion in the patient's environment c. Provide the patient with positioning devices to enhance his or her comfort d. Provide emotional support when patients are experiencing pain
a. Change the patient's routine on a daily basis
If you are accidentally punctured by a patient's needle, you could be at risk for: a. Hepatitis B b. Diabetes c. Ulcers d. Hypertension
a. Hepatitis B
Which of the following options is a warning sign that a patient may have a fecal impaction? a. If the patient has a small, watery leakage of stool b. If the patient expels a watery brown liquid c. If the patient has blood in his or her urine d. If the patient starts vomiting a black substance
a. If the patient has a small, watery leakage of stool
As a nursing assistant, what is your first priority when a fire occurs at the facility? a. Immediately remove all patients located in the fire zone b. Immediately activate the facility's fire alarm c. Immediately extinguish the fire d. Immediately close all doors to contain the fire
a. Immediately remove all patients located in the fire zone
Which of the following options is NOT an age-related condition that all residents must adapt to? a. Inability to learn new skills b. Reduced ability to feel pain c. Varying sleep habits d. Reduced ability to see
a. Inability to learn new skills
The patient would not be quiet during dinner, so the nurse isolated her in the closet for two hours. Which of the following options BEST identifies this action? a. Involuntary seclusion b. False imprisonment c. Invasion of privacy d. Neglect
a. Involuntary seclusion
One of your patients is diagnosed with depression. While checking his vitals, he confides in you that he has thought about committing suicide. Which of the following options BEST identifies what you should do? a. Report his suicidal thoughts to his nurse b. Promise the patient you will keep his secret c. Keep the depressed patient's thoughts confidential d. Discuss with the patient why he feels he should commit suicide
a. Report his suicidal thoughts to his nurse
When you check a patient's vitals, which of the following functions are you NOT performing? a. Taking the patient's glucose level b. Taking the patient's temperature c. Taking the patient's pulse rate d. Taking the patient's blood pressure
a. Taking the patient's glucose level
Which of the following statements is TRUE in regards to administering a cleansing enema? a. The enema bag should be hung on the IV pole with the tubing at the bottom b. The enema bag should be hung at 24 inches above the bed c. The enema bag should be placed at the same height as the patient's anus d. The enema bag should be secured to the bed frame
a. The enema bag should be hung on the IV pole with the tubing at the bottom
Which of the following methods is the appropriate method for removing a mask? a. Untie the bottom tie first, then the top tie b. Do not untie the mask, just slip the ties over your ears c. Grasp the front of the mask and slowly lift it over your head d. Untie the top tie first, then the bottom tie
a. Untie the bottom tie first, then the top tie
What should a nursing assistant do when he or she notices warning signs that indicate the patient may be developing a bedsore? a. Immediately report the warning signs to the patient's assigned nurse b. Administer the medication that is used for healing bedsores c. Monitor the warning signs to see if they get worse d. Ignore the warning signs until a bedsore actually develops
a. immediately report the warning signs to the patients assigned nurse
cerebrovascular accident (CVA)
a.k.a. "Stroke". Lack of blood supply to the brain causing brain damage
high blood pressure
anything over 120/80
Which of the following options is NOT considered verbal communication?
avoiding eye contact
Which of the following patients would benefit the MOST from large print reading materials? a. A hearing impaired patient b. A visually impaired patient c. A hyperglycemic patient d. An anemic patient
b. A visually impaired patient
All of the following options are examples of contamination through droplet transmission EXCEPT: a. Common cold b. Arteriosclerosis c. Influenza d. Tuberculosis
b. Arteriosclerosis
Which of the following options BEST describes what you should do when a patient begins to fall during ambulation? a. Hang onto the patient's gait-transfer belt in order to prevent him or her from falling b. Help lower the patient to the floor by spreading your feet and bending your knees c. Immediately call the patient's nurse for help with the patient d. Allow the patient to freely fall to the floor
b. Help lower the patient to the floor by spreading your feet and bending your knees
If you have a patient who cannot independently perform range of motion, your job is to help them by performing passive range of motion (PROM). PROM will help the patient with all of the following EXCEPT: a. Protect his or her muscles from atrophy b. Increase his or her nutrition c. Increase his or her circulation d. Increase his or her joint motion
b. Increase his or her nutrition
One of your patients has recently started to refuse to participate in social activities and has been having trouble sleeping and eating. These are all signs that the patient: a. Is antisocial b. Is in pain c. Is delirious d. Is dehydrated
b. Is in pain
Which of the following statements is FALSE in regards to indwelling catheter care for a male patient? a. Cleanse the catheter area before cleaning the base of the penis b. Leave the perineal area moist after cleaning it c. Replace the patient's foreskin over the glans (if the patient is uncircumcised) d. Wipe around the meatus and glans in a circular motion
b. Leave the perineal area moist after cleaning it
When taking a patient's blood pressure, where should you place the bell of the stethoscope diaphragm? a. Over the cystic artery b. Over the brachial artery c. Over the femoral artery d. Over the fibular artery
b. Over the brachial artery
You are visiting Mr. Jones as he eats his lunch. While chewing a bite of his food, you notice that he grabs his throat and begins choking. As a nursing assistant, what is the first thing you should do? a. Apply Mr. Jones' oxygen mask b. Perform the Heimlich maneuver c. Call Mr. Jones' nurse for help d. Perform rescue breathing
b. Perform the Heimlich maneuver
While performing your duties as a nursing assistant you experience a coworker giving you a hard time. Which of the following approaches to the issue should you take? a. Openly discuss the issue with the coworker b. Privately discuss the situation with your immediate supervisor c. Discuss the employee's actions with other coworkers d. Walk away from the situation without completing the task
b. Privately discuss the situation with your immediate supervisor
You are asked to take a urine specimen from a patient's indwelling catheter. What should you do immediately before you expel the urine sample into the sterile container? a. Clamp the catheter b. Remove the clamp c. Place the lid on the sterile container d. Label the sterile container
b. Remove the clamp
When applying a mitt restraint on a patient, you should ensure: a. That the patient's fingers are not free to move b. That the patient can slightly flex his or her fingers c. That the patient's fingers are completely restrained d. That the patient's arm is free to move
b. That the patient can slightly flex his or her fingers
You are assigned a hemiplegia patient. Which of the following options BEST describes what the patient's medical condition is? a. The patient has been diagnosed with a blood condition b. The patient's entire right side of his or her body is paralyzed c. The patient has blood clots in his or her lower extremities d. The patient's lower half of his or her body is paralyzed
b. The patient's entire right side of his or her body is paralyzed
Which of the following options is NOT when you would use a gait belt on a patient? a. When you are moving a patient from a chair to a bed b. When you are moving a patient from the supine position to the Sim's position c. When you are moving a patient from a bed to a wheelchair d. When you are moving a patient from a bed to a stretcher
b. When you are moving a patient from the supine position to the Sim's position
Which of the following statements BEST describes abduction? a. When you move the extremity towards the body b. When you move the extremity away from the body c. When you bend the extremity d. When you extend the extremity
b. When you move the extremity away from the body
Which of the following is NOT an abnormal reaction to analgesia? a. Dyspnea b. Diarrhea c. Emotional distress d. Sudden drop in blood pressure
b. diarrhea
Which of the following personal qualities is a nursing assistant demonstrating when he or she accepts a new assignment without complaint? a. Being considerate b. Flexibility c. Self-responsibility d. Accountability
b. flexibility
Which of the following options BEST describes the role of a nursing assistant? a. Assessing and modifying the patient's nursing care b. Providing the patient with direct personal care c. Administering medications to the patient d. Planning the patient's meals
b. providing patient with direct personal care
Due to ethnic, racial, and cultural factors, which of the following groups is LESS likely to be diagnosed with diabetes? a. Hispanics b. White Americans c. Native Americans d. African Americans
b. white Americans
BKA
below knee amputation
One of your assigned patients is in need of an IV in order to receive his or her nutrients. Which of the following actions are you NOT certified to do? a. Be careful not to interrupt the IV flow b. Avoid kinking the IV tubing c. Adjust the patient's IV therapy d. Evade pulling the IV catheter
c. Adjust the patient's IV therapy
An immobile patient is susceptible to all of the following alterations EXCEPT: a. Respiratory infections b. Blood clots c. An increased appetite d. Bedsores
c. An increased appetite
A resident with heart disease may experience health issues with atherosclerosis. Which of the following options BEST defines atherosclerosis? a. Narrowed arteries b. Pain that occurs in the chest c. Fats and calcium that accumulate inside the artery's lining d. A heart attack
c. Fats and calcium that accumulate inside the artery's lining
In order to protect the patient and yourself, you should always use proper body mechanics when you are doing all of the following EXCEPT: a. Lifting patients b. Transferring patients c. Feeding patients d. Ambulating patients
c. Feeding patients
Which of the following terminology definitions is FALSE? a. Delirious is when an individual is in a state of confusion b. Tachycardia is when an individual has an increased pulse c. Hypertension is when an individual has low blood pressure d. Void is when an individual urinates
c. Hypertension is when an individual has low blood pressure
Which of the following options BEST identifies what a nursing assistant should do after feeding a dysphagic patient? a. Give the patient a bath b. Swab out the patient's mouth and position the patient on his or her infected side c. Keep the patient upright for at least 30 minutes d. Position the patient on his or her back and check his or her injuries
c. Keep the patient upright for at least 30 minutes
When you remove the soap from your hands during the hand washing process, you should always: a. Use cold water b. Use a linen towel c. Keep your fingers lower than your wrist d. Use your left hand to turn off the water
c. Keep your fingers lower than your wrist
Which of the following statements is TRUE in regards to a patient asking you to pray with him or her? a. It is mandatory that you pray with patients to make them feel more comfortable b. It is never permitted to partake in religious beliefs with your patients c. Praying with patients is acceptable, but it is not mandatory d. You are permitted to sit with a patient while they pray, but you should not partake in the prayer
c. Praying with patients is acceptable, but it is not mandatory
Which of the following options identifies the appropriate method for securing a urinary drainage bag? a. Secure the drainage bag to the bed's side rail b. Secure the drainage bag to the patient's IV stand c. Secure the drainage bag to the bed frame d. Secure the drainage bag to the patient's overbed table
c. Secure the drainage bag to the bed frame
Which of the following options is the correct sequence for donning the required personal protective equipment for isolation procedures? a. Wash hands; put on gloves; put on disposable gown; put on goggles; put on mask b. Wash hands; put on mask; put on goggles; put on disposable gown; put on gloves c. Wash hands; put on disposable gown; put on mask; put on goggles; put on gloves d. Wash hands; put on gloves; put on mask; put on goggles; put on disposable gown
c. Wash hands; put on disposable gown; put on mask; put on goggles; put on gloves
Which of the following statements is the correct process for using sphygmomanometers, tympanic thermometers, and stethoscopes? a. You should always follow the facility's guidelines b. You should always follow the guidelines you were taught in school c. You should always use the manufacturer's guidelines d. You should always ask your supervising nurse for assistance
c. You should always use the manufacturer's guidelines
Which of the following items is NOT information that is recorded on the facility form after taking a patient's radial or apical pulse? a. Rate b. Strength c. Depth d. Rhythm
c. depth
The nurse exposed the patient's genitals while she changed the bandage on his lower left thigh. Which of the following options BEST identifies this action? a. Negligence b. Battery c. Invasion of privacy d. Assault
c. invasion of privacy
Needles are often used in the health care of patients. If you should find a needle when changing a patient's bed sheets, what should you do with it? a. Place it on the patient's bedside table b. Place it with the patient's other medications c. Place it in the sharps container d. Place it in the closest trash can
c. place in sharps container
Which of the following options is NOT acceptable when changing a patient's linens? a. Folding the contaminated side of the linen inwards b. Placing the contaminated linens inside of a plastic bag c. Placing the linens on the floor while changing them d. Changing the contaminated linens immediately
c. placing the linens on the floor while changing them
Which of the following team members is responsible for working with the patient's therapist and dietician to ensure that the patient is receiving the proper care? a. Nursing Assistant b. Licensed Practical Nurse c. Registered Nurse d. Unlicensed Assistive Personnel
c. registered nurse
COPD
chronic obstructive pulmonary diseas; shortness of breath and requirement of oxygen therapy. The patient may require additional breathing medications at times which would be administered by the nurse or respiratory therapist.
Which of the following approaches to work would NOT work for a nursing assistant? a. A team approach b. An enthusiastic approach c. A communicative approach d. An isolated approach
d. An isolated approach
Which of the following locations is the appropriate location to store a patient's bedpan? a. On the patient's overbed table b. Under the patient's bed on the floor c. On top of the patient's bedside table d. In the bottom drawer of the patient's bedside table
d. In the bottom drawer of the patient's bedside table
If a patient wakes up confused, or delirious, this is a sign that indicates: a. The patient is in a great deal of pain b. The patient is receiving too much sleep during the day c. The patient's sugar levels are not in line d. The patient is not getting enough oxygen to the brain
d. The patient is not getting enough oxygen to the brain
Which of the following options is FALSE in regards to feeding a patient? a. Allow the patient time to swallow before offering another bite b. Record the amount of food that the patient consumed using a percentage c. Feed the patient while they are in a sitting position d. Use a fork to feed the patient
d. Use a fork to feed the patient
How should you record a patient's output? a. Using cubic meters and liters b. Using millimeters and centimeters c. Using grams and kilograms d. Using cubic centimeters or milliliters
d. Using cubic centimeters or milliliters
When you are giving a resident a partial bedbath, what is the first thing that you should do? a. Use a soap-free washcloth to wash the resident's face b. Protect the bedding by positioning a towel under the patient c. Use a limited amount of soap to wash the patient's hands and arms d. Verify that the water is at a safe and comfortable temperature
d. Verify that the water is at a safe and comfortable temperature
One of your terminally ill patients has just had her analgesics increased. Which of the following options BEST describes what you should do? a. Notify the patient's nurse immediately b. Check the patient's vitals every two hours c. Offer the patient additional food or fluids d. Watch the patient for a change in alertness
d. Watch the patient for a change in alertness
Which of the following options is the MOST effective safeguard used to manage infections in patients and workforce? a. Immunizations b. TB screenings c. Isolation d. Hand washing
d. hand washing
If one of your patients is from a non-western culture, he or she may believe that his or her illness is caused from: a. Germs b. Bacteria c. Cancers d. Magic
d. magic
Which of the following options BEST describes why isolation procedures are implemented? a. To observe patients b. To provide patients with exercise c. To transfer patients d. To control infection
d. to control infection
Which of the following chronic diseases is NOT responsible for affecting the thinking and reasoning processes of elders? a. Alzheimer's disease b. Stroke c. Arteriosclerosis d. Tuberculosis
d. tuberculosis
Osteoarthritis
degenerative joint disease (DJD) affects elderly
dysphagia
difficulty swallowing
receptive aphasia
difficulty understanding spoken or written words
beneficence
doing good for others
Tachycardia
fast heart rate
medicaid
health care services for low income people, people with disabilities
myocardial infarction (MI)
heart attack; heart not receiving enough oxygen
dangling
helps residents regain balance before standing up
hypertension (HTN)
high blood pressure
Which of the following personal qualities is a nursing assistant demonstrating when he or she accepts his or her own limitations?
honesty
enema bag
hung on IV pole @ the bottom - placed higher than patients anus no higher than 12 in
empathetic
identifying with and understanding another's feelings
incontinence
inability to control bladder and/or bowels
qod/QOD
indicates to take vital signs every other day
arthritis
inflammation of a joint rheumatoid arthritis can affect people of any ages
Which of the following options is the primary cause of death for individuals who are 85 years or older?
injuries related to falling
Which of the following options BEST describes MRSA?
life threatening skin disease that spreads through the blood stream
hypolycemia
low blood sugar
prone position
lying face down
supine position
lying on back, facing upward
logrolling
moving a resident as a unit, without disturbing the alignment of the body
psychosocial needs
needs that involve social interaction, emotions, intellect, and spirituality
NPO
nothing by mouth
patient blood pressure stethoscope placement
over the brachial artery
analgesic
painkiller - causes confusion and or constipation - watch patents alertness
Diebetes
pancreas produces too little or doesn't properly use insulin
paraplegia
paralysis from the waist down
quadriplegia
paralysis of all four limbs
hemiplegia
paralysis of one side of the body
reverse isolation
protects a patient who is highly susceptible to infection
normal pulse measurement
radial pulse
Tachypnea
rapid breathing
When taking the patient's radial pulse the first time, you find that his pulse rate is 45 BPM. Which of the following actions should you take next?
recount the patient's pulse for 60 seconds
sympathetic
sharing in the feeling with others
lateral position
side lying position
A patient who is dysphasic is one who has trouble
speaking
The tympanic membrane temperature is one in which you:
take the patient's temperature using his or her ear
An elderly patient who has been diagnosed with Parkinson's disease may be affected by all of the following EXCEPT:
the ability to learn new skills
Asepsis is defined as
the absence of disease causing germs
fecal impaction
the prolonged retention and buildup of feces in the rectum
oncology
the study and treatment of tumors
The nurse's son called and asked her to bring home a package of bandages, so the nurse grabbed a package from the facility's stockroom to take home. Which of the following options BEST identifies this action?
theft
expressive aphasia
trouble communicating thoughts through speech or writing
BID
twice a day
When you are recording your observations of a resident, it is important that you do NOT:
use red ink
draw sheet
used to reposition residents w/o causing sheering
partial bath
washing the face, hands, under arms, back, buttocks, and perineal
hemiparesis
weakness on one side of the body
You are asked to take the patient's radial pulse, where on the patient's body would you perform this task?
wrist
