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CNA Review
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Review questions to prepare for CNA state knowledge test
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208 cards
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1
A CNA is helping a resident that becomes faint and begins to fall, the assistant should:
Ease the resident to the floor and call for help
Hold the resident up and continue walking
Carry the resident back to bed and then go for help
Hold the resident up and call for help
2
The normal aging process is BEST defined as the time when:
People are over sixty-five years of age
People become dependent and childlike
Alzheimer’s disease begins
Normal body functions and senses decline
3
Your elderly patient speaks a different language than you do. It would help you to:
Make the patient speak your language
Use very simple words and directions
Talk louder
Avoid any conversation
4
If a client says, “God is punishing me” or “Why me?”, how should the nurse aide respond?
Reply, “God doesn’t punish people.”
Ignore the client
Make jokes
Listen quietly
5
Your patient is in bed with the bed rails raised. Your patient is at greatest risk for
Falling
Confusion
Coma
Entrapment
6
What is the term for a device used to take the place of a missing body part?
prosthesis
External rotation
abduction
pronation
7
The nurse aide is caring for a client who is agitated. The nurse aid should:
Tell the client to be quiet
Speak loudly so the client can hear the instructions
Talk in a slow, calm, reassuring manner
Ask to reassign the care of this client
8
Residents have the right to:
Have access to a telephone
Smoke in any area of the facility
See other clients’ medical reports
Go anywhere in the facility
9
A resident with an ileostomy evacuates feces through the:
colon
Anus
Ileum
Jejunum
10
When transferring Mrs. Sparks onto the toilet:
Put her right arm around your neck
Have her put all of her weight on her right leg when moving
All of the above
use a gait belt to stand her
11
The one factor common to all communication is:
The people feel comfortable
Words are being used
it occurs in one direction
There is a transfer of a message
12
ADLs are:
Activities of daily living
All done lovingly
All daily living
Activities during life
13
A resident asks the same question many times. What should you do?
Say that you already answered the question
Report the person’s behavior to the nurse
Tell the person that you are answering again
Get annoyed
14
When bathing a resident who has fragile and dry skin, the nursing assistant must remember to:
Use only cool water and soap
Pat the resident dry and apply lotion
Scrub the resident daily
do not bathe bony prominences
15
A resident wants her chair near the window on her roommate's side of the room. Which is correct
Her choice is allowed if it will not cause falls
Her choice is allowed if it will not cause accidents
Her choice is allowed if it is safe
Her choice interferes with personal space of her roommate
16
When an unsteady resident is showering you should:
Ambulate a resident just outside the door
Leave to respect privacy
Go start another shower
Use a shower chair
17
Who is responsible for preventing infections from spreading?
Nurses
The healthcare team
Doctors
The nursing team
18
The nurse uses a medical term that you do not understand. What should you do?
Ask a co-worker for an explanation
Ask a doctor what the word means
Look the word up in a medical dictionary
Pretend to understand
19
Which of the following increases a person’s risk for falls?
Awareness of surroundings
Non-skid footwear
Intact cognition
Elimination needs
20
In order to communicate clearly with a client who has hearing loss, the nurse aide should:
Speak in a loud and slow manner
Look directly at the client when speaking
Speak in a high pitched tone of voice
Stand behind the client when speaking
21
A person’s hair is matted and tangled. What should you do?
Cut the person’s hair
Tell the nurse
Braid the person’s hair
Shampoo the person’s hair
22
A nurse aide must wear gloves when:
Giving a back rub
Doing peri-care
Doing range of motion
Feeding a client
23
When caring for a resident whose religion is different from your own, you should:
Respect his/her religious beliefs
Arrange to have a priest/missionary/clergy visit
Show the resident how wrong his/her religion is
Try to convert the resident to your religion
24
These statements are about medical records. Which is INCORRECT?
Each page must have the person’s identifying information
They are used to communicate information about a person
All agency staff can access them
They are legal documents
25
A resident who is disoriented is:
Likely diagnosed as ADL
frequently violent
Confused as to time and place
Probably over 65 years old
26
You are delegated range-of-motion exercises on Mrs. Smith’s elbow. Which is correct?
You should perform the exercises at least 10 times
Abduction and adduction are the only exercises done
Flexion and extension are the only exercises done
Internal and external rotation are the only exercises done
27
Which of the following is true about people and their sleep needs?
Let each person choose their own bedtime
Everyone must be in bed by 10pm
A sleeping pill should be given to pts not asleep by 11pm
Illness does not affect a person’s need for sleep
28
You are charting changes in the person’s condition. You also need to chart the following EXCEPT
When you called the doctor about the changes
What you told the nurse about the changes
That you informed the nurse of the changes
When you reported the changes to the nurse
29
Mrs. Shields has glaucoma. What do you know about her sight?
The person is blind in the affected eye
The person cannot see to the side
Print and colors appear faded
The person’s vision is cloudy
30
Nonverbal communication is also called:
False messages
All of the above
Less important than verbal or written
Body language
31
You are instructed to strain Mr. Peterson’s urine. Straining urine is done to find:
Hematuria
Nocturia
stones
Urgency
32
To be sure that a client’s weight is measured accurately, the client should be weighed:
By a different nurse aide
After a good night’s sleep
After a meal
At the same time of day
33
A fracture pan is used for the following reasons EXCEPT
The person has limited back motion
The person had hip replacement surgery
The person is in traction
The person is incontinent
34
A patient is choking. The person is conscious and can cough. Which action is needed?
CPR
Performing abdominal thrusts
Encouraging the person to cough forcefully
The recovery position
35
Which of the following is true about dementia?
It only occurs in men
It is a progressive chronic condition
It happens to everyone
It happens to all elderly people
36
What is the purpose of applying TED hose?
exert pressure on the veins to prevent thrombi and emboli
have holes in the toes to make clipping toenails easier
prevent clots by increasing arterial circulation
add an extra layer of warmth for the older patient
37
Which item is needed for unconscious oral care?
toothbrush
denture cup
toothette
toothpaste
38
Before serving a meal tray, you must do the following EXCEPT
Check items on the tray with the dietary card
Make sure the tray is complete
Make sure adaptive equipment is on the tray
Open cartons, cut meat, butter bread, and so on
39
You are emptying a urinary drainage bag. The drain
Can touch the measuring container
Is cleaned with antiseptic wipes
Must not touch any surface
Is kept clamped
40
If the nurse aide discovers fire in a client’s room, the FIRST thing to do is:
Call the nurse in charge
Open a window
Try to put out the fire
Remove the client
41
Bathing method, time, and frequency are
Ordered by the doctor
Matters of personal choice
Decided by the nurse
Decided by the health team
42
The following are part of a pt with fecal incontinence care plan. Which should you question?
Empty ostomy pouch when feces are present
Give good skin care
Assist with elimination every 2 to 3 hours
Assist with elimination after meals
43
Your pt on i/o drank a 6 oz. glass of juice, 4 oz. of milk, and 8 oz. of coffee. You document
920 ml
240 ml
685 ml
540 ml
44
H. S. means:
Hours for sitting
Hour of sleep
Hours resident slept
Hour for supper
45
A heart rate less than 60 beats per minute is
Hypotension
Tachycardia
Bradycardia
Hypertension
46
While bathing Mr. Jones you observe a large bruised area on his back, you should:
Tell the family
Ignore the problem, bruises are typical in older people
Report it to the charge nurse
Report to APS
47
“Sundowning” in a patient with Alzheimer’s disease means:
The patient is more alert and oriented at night
The patient is in the third stage of Alzheimer’s disease
The patient is withdrawn and depressed on cloudy days
patient behaviors worsen in the late afternoon and evenings
48
NPO means:
Nothing by mouth except water
Only ice chips per mouth
Nothing per ostomy
Nothing by mouth
49
Which of the following factors tend to increase blood pressure?
Sudden position changes
Weight loss
narcotics
Pain
50
Which resident is most likely to develop a pressure sore?
a resident that wears TED hose
A resident who eats well, has diabetes, and can walk
An underweight resident who is incontinent
A resident who is ambulating but has the flu
51
In the first stage of dying the most common reaction of a person who has a terminal disease is:
Depression
Anger
Denial
bargaining
52
Your resident is feeding himself slowly. You should:
Praise him for feeding himself
Take the spoon and feed him
Ask him to hurry
Remove some of the food that you think is excessive
53
A disturbance in the ability to cope with or adjust to stress is
Mental illness
Mental health
Anxiety
Defense mechanisms
54
A type of card file that summarizes information found in a medical record
Kardex
Nurses order
chart
Medical record
55
Which fluids increase peristalsis?
Warm fluids
Cold fluids
Thick beverages
Alcoholic beverages
56
When caring for a confused resident what should a nursing assistant do?
Give simple directions
Say nothing
Give the patient activities
Allow the patient to plan daily activities
57
Nursing assistants can best help prevent the cross-contamination of microbes by:
Fanning linens
Wearing a mask
Isolating residents
washing their own hands
58
Which is true about logrolling?
do not put a pillow between the patient's legs
Only one person is needed
tuck the person's chin to their chest
Two people are positioned on the same side of the bed
59
Insulin, a hormone, regulates:
The strength of the skeletal muscles
The amount of sugar in the blood
The amount of salt retained in the blood
The rhythm of the heart
60
When peri care is done for a female resident, the area should be wiped:
Upward from the anus
Around and around the labia
Up and down the labia
Downward toward the anus
61
The CNA is confused about instructions of a task that was delegated. The CNA should:
Ask the other CNAs to do the job
Ask the nurse to clarify the instructions
Ask the patient what to do
Do the best job possible and not bother co-workers
62
Normal bathing temperature of bath water for the elderly should be which of the following?
Hot to the touch
Cool to the touch
Warm to the touch
At room temperature
63
Respirations are usually counted:
Only when the person is asleep
After taking the pulse
When the person is aware you are counting them
While the person is talking
64
Shaving a person's face is:
A pm care
Done carefully, but don’t worry about nicks, it happens
Performed going against the hair growth
Performed shaving with the hair growth
65
How can the nurse aide BEST help a client who is not accepting a loss?
Encourage the client to talk
Convince the client to accept the loss
Leave the client alone
Discourage individual activity
66
In giving care according to the patient’s Bill of Rights, the nurse aide should:
Provide privacy during the client’s personal care
Use the client’s personal possessions for another client
Prevent the client from complaining about care
Open the client’s mail without permission
67
Mrs. Green has a DNR from her doctor. When you bathe her, she stops breathing and dies.
Call the RN
Call her doctor
Stop, there is no use finishing the bath
Leave a note for her son
68
When helping a client who is recovering from a stroke to walk, the nurse aide should assist:
On the client’s unaffected side
from behind the client
On the client’s affected side
With a wheelchair
69
Vomiting can be dangerous because of the possibility of:
Aspiration
Cardiac arrest
Hypertension
Stroke
70
The nurse aide notices that a client’s mail has been delivered. The nurse aide should:
Read the mail to make sure it doesn’t contain upsetting news
Open the mail and read it to the client
Give the client the unopened mail and offer help as needed
Open the mail and leave it on the client’s table
71
Mrs. Allen is incontinent. Which of the following is correct?
You tell her she will wear a diaper
A catheter should be placed for urinary elimination
You are concerned about skin breakdown and falls
It is her choice to be incontinent
72
When giving Mr. Dickson a back massage, you start at the
Buttocks
Mid back
Upper arms
Shoulders
73
Your patient is unconscious. Which method of taking his temperature is contraindicated?
Orally
Rectally
Tympanic
Axillary
74
Which federal agency regulates employee safety on the job?
JCAHO
OSHA
CDC
OBRA
75
Which are causes of dementia?
Heart attack, infections, stroke
Alcohol, drugs, diabetes
Stroke, alcohol, tumors
Infections, diabetes
76
A resident’s call light:
Should be answered as quickly as possible
May only be answered by the CNA assigned to that client
May be answered when you have time
May be kept out of the resident’s reach
77
How many tips does a quad-cane base have?
4
2
3
1
78
If a resident refuses to eat a certain food because of religious preference, the CNA should:
Ask the family to bring in special foods
Tell the resident to eat the food, no preference is given
Allow the resident to go hungry
Respect the resident’s religion and notify the dietician
79
It is appropriate for a nurse aide to share the information regarding a client’s status with:
The client’s roommate
The client’s family members
The staff on the next shift
Any one the nurse aide sees fit
80
Which is an OBRA requirement for resident rooms?
Closet space shared by two residents
A telephone in each room
Appropriate lighting
Every resident uses a mechanical bed
81
Which is NOT a sign or symptom of anxiety?
Rapid speech
Nausea
Rapid pulse
Regression
82
When removing soiled bed linen, they should be:
Shaken to get all the crumbs off
Rolled dirty side in
Rolled dirty side out
Put on the floor, it’s dirty also
83
A disease caused by pathogens that spread easily is
Immunity
A nosocomial infection
A communicable disease
An infection
84
Calorie counts are ordered for a resident. What should you do?
Measure and record the number of calories ingested
Note what the person ate and how much
Keep i/o records
Record the number of calories ingested
85
A resident is in cardiac arrest. Cardiac arrest is:
the sudden stopping of heart action
when organs and tissues get enough blood
The sudden loss of consciousness
The same as a stroke
86
Your pt's SpO2 is 82% on O2 via nasal cannula @ 2 liters/min. What do you do?
Turn up the O2 to 4 liters/min
nothing, 82% is normal
Report it STAT to your nurse
Ask Mr. Brown to take breaths more frequently
87
The first aid treatment for hemorrhage is:
Run and get the nurse
Put on a tourniquet
Apply direct pressure
Lower the arm below heart level
88
When making an occupied bed you must remember to:
Keep side rails down at all times
All of the above
Change only once a week
work from one side before going on to the next
89
You are caring for a pt who uses her signal light frequently. You can help prevent falls if
a.The signal light is kept on the table next to her bed
she is asked to only use the signal light when necessary
You answer her signal light promptly
You take away her signal light because of overuse
90
When transferring a client, MOST of the client’s weight should be supported by the CNA's:
Shoulders
Back
Legs
wrists
91
Keeping information confidential about a client is:
Not important
Applies only to medical records
Fairly important
A legal responsibility
92
When the amount and quality of sleep are decreased the patient has:
Sleepwalking
Early waking
Sleep deprivation
Insomnia
93
What is the most common time for bowel elimination?
a the evening meal
In the afternoon
In the morning
p the evening meal
94
If a nurse aide finds a client who is sad and crying, the nurse aide should:
Ask the client if something is wrong
Tell the client to cheer up
Call the client’s family
Tell the client to stop crying
95
Conditions that are favorable for growth of an infection is:
Warm and light
Cool and dark
Warm and dark
Cool and light
96
While providing postmortem care to Mr. Jones, you must follow
Medical asepsis and surgical asepsis
Sterile technique and Isolation Precautions
Standard Precautions and Bloodborne Pathogen Standard
The care plan
97
Morning care is
Given before breakfast
Given after lunch
The same as A.M. care
Given after breakfast
98
Which action is important when bathing a resident?
Hurry through so you don’t have to change the water
Rub vigorously to promote circulation
Cover the patient for warmth and privacy
Don’t use soap on anyone, it is not recommended
99
A pt states that she is afraid she will wake up during surgery. The best response would be
“I will get the RN to come talk to you about your surgery.”
“I will call the anesthesiologist to come talk to you.”
“Don’t worry, that doesn’t happen.”
Anxiety is common before surgery.”
100
When washing hands you should wash them until they:
Are sterilized
Show pathogens
Show normal flora
Are cleaned thoroughly
101
A person is choking. If the obstruction is not relieved
Shock will occur
Seizures will occur
Cardiac arrest will occur
Stroke will occur
102
Which of the following is NOT a sign of stroke that should be reported?
Numbness or weakness on one side of the body
Stooped posture and shuffling gait
Sudden confusion, trouble speaking, or understanding speech
Sudden severe headache with no known cause
103
Who should have control of the rehabilitation plan?
The family
The patient
The physician
The physical therapist
104
Which of the following is a correct measurement of urinary output?
2 cups
300 mL
40oz
1 quart
105
Clean bed linen placed in a client’s room but not used should be:
Taken to the nurse in charge
Put in the dirty linen container
Used for a client in the next room
Returned to the linen closet
106
The most comfortable position for a resident with respiratory problems is:
Prone
Supine
Lateral
Fowler’s
107
Which foods are NOT allowed on a clear liquid diet?
Hard candy and popsicles
Custard, eggnog, and plain ice cream
Clear fruit juices and fat-free clear broth
Water, tea, and coffee
108
When getting ready to dress a client the nurse aide should:
Give the client a choice of what to wear
Choose clothes that the nurse aide personally likes
Use the clothes the client wore the day before
Get the first clothes the nurse aide can reach in the closet
109
Older people usually need a complete bath
2-3 times per week
Daily
Every other day
weekly
110
Everything in an isolation unit is considered to be:
Sterile
contaminated
Disinfected
Clean
111
Validation therapy includes:
Attempting to bring the person back to reality
Recognizing that all behavior has meaning
Skipping stages of development that are too emotional
Encouraging family members to ignore delusional behavior
112
When logrolling:
Place bed in fowlers
Lower bed to lowest position
Turn the person in alignment with one motion
Lower both side rails
113
A nurse aide can assist clients with their spiritual needs by:
Avoiding any religious discussions
Taking clients to the nurse aide’s church
Talking about the nurse aide’s own spiritual beliefs
Allowing clients to talk about their beliefs
114
Which of the following best describes a myocardial infarction?
Blood flow to the heart muscle is suddenly blocked
Right- or left-sided heart failure
heart rate drops below 60 beats per minute
Chest pain relieved by rest
115
A catheter is
A tube used to drain or inject fluid through a body opening
A way to inject fluid into the bowel
An artificial filter to remove waste and from the body
An opening where stool is excreted through the abd wall
116
When a client has left-sided weakness, what part of a sweater is put on first?
Right sleeve
Both sleeves
Client’s choice
Left sleeve
117
A resident has not been eating or sleeping well and has lost all interest in ADLs.
they might be depressed
They are angry
they are experiencing acceptance
they are experiencing denial
118
If a resident suddenly begins to have difficulty breathing, the nursing assistant should:
Give the resident a glass of water
Position fowler's and report to the charge nurse immediately
Put him in the supine position
Start and administer oxygen
119
When a seizure occurs:
Hold their tongue in place with a tongue depressor
Restrain the resident to prevent injury
Move objects away from which may cause injury
Immediately get the charge nurse
120
If a resident is retaining fluid in the tissue, he is said to have:
hypertension
Edema
Distension
Hypothermia
121
Who does the CNA delegate to?
the LPN
the RN
another CNA
no one
122
Compared to a regular diet, a high-protein diet would include greater amounts of:
Fruits and vegetables
Fats, oils, sweets
Breads, cereals, pasta
Meat, poultry, fish, milk
123
You are assigned to give Mr. Brown a partial bath. You know that this means to wash:
Face, hands, underarms, back and perineum
Face, arms, hands, perineum, and legs
Face, abdomen, legs, underarms, and feet
Face, underarms, perineum, and feet
124
How should you address a new resident that you have never met?
Ask a family member what name to call him/her
Call her “dear” or “honey” to be friendly
Ask her by what name she would like to be called
Call her by her first name
125
When you are giving hair care you should particularly observe for the following:
Split ends
Hair color changes
Lice, nits, and sores
Hair curl
126
Abdominal thrusts are used for a client who has:
Impaired eyesight
A bloody nose
A blocked airway
Fallen out of bed
127
Which type of bed will you prepare for a resident who will spend her day out of bed
Occupied bed
Open bed
Surgical bed
Closed bed
128
Who delegates to the CNA?
the doctor
a licensed nurse
the resident
the person's family
129
Which agency requires training about blood borne pathogens?
Omnibus Budget Reconciliation Act (OBRA)
Occupational Safety Health Administration (OSHA)
Center for Disease Control (CDC)
American Medical Association (AMA)
130
The client offers a nurse aide $20 bill as a thank you. The nurse aide should:
Politely refuse the money
Take the money and buy something for the floor
Take the money so as not to offend the client
Ask the nurse in charge what to do
131
The safest way to confirm a resident’s identity is:
Look at the door number and compare to your room list
Call the person by name and see if they answer
Ask the resident’s roommate
check the person's picture and ask their name
132
A health insurance plan that provides health benefits for the elderly is:
Private insurance
Medicare
Medicaid
DRG
133
You don’t answer a call light because the patient is always hitting it accidentally. This is
False imprisonment
Breaking confidentiality
Neglect/abuse
Unethical
134
The nurse aide is asked by a confused client what day it is. The nurse aide should:
Point to the date on a calendar and say the date
Explain memory loss is natural and the date is not important
Ignore the request
Provide the date and then test the client later
135
Mr. Jones needs water with thickening. This is written
H20 a thickener
H20 s thickener
H20 p thickener
H20 c thickener
136
The basic foundation of medical asepsis is:
Hand washing
Wearing gloves
Wearing a mask
Wearing goggles
137
Under the HIPAA law, graphic sheets, progress notes, nursing history, etc. are all
PHI
NKA
PRN
TPN
138
Linens that are wet, damp or soiled must be:
changed ac
Changed immediately
Changed hs
Changed each shift
139
Which one of the following would be negligence or malpractice?
A CNA assists a resident to the bathroom in the night
A resident’s signal light is answered within 5 minutes
A resident is burned from a heat lamp too close to the bed
A CNA reports suspicious bruises on a resident to the RN
140
How many mL is 6 oz?
180
120
240
150
141
Your patient has an order for physical therapy TID. You will take her to physical therapy
Two times per day
Three times per day
Ten times per day
Twenty times per day
142
When cleaning dentures, why do you line the sink with paper towels?
To dry the teeth
To keep the sink clean
To keep the teeth from breaking if they are dropped
To lay the dentures on after you are through cleaning them
143
Which person provides treatment for people who have difficulty talking?
Speech therapist
Occupational therapist
physical therapist
Registered nurse
144
Deadly virus transmitted by sexual contact, blood or body fluids & sharing dirty needles
MRSA
HIV
AIDS
GERD
145
When assisting with perineal care, what should CNAs do to protect themselves from infection?
Wash the residents hands before beginning
Pour cleaning solution/water in the toilet
Wear gloves
Let the resident help him/herself
146
The circulatory system does the following EXCEPT
Carries heat from muscles to other body parts
Removes waste from the body
Pumps blood
Carries food and oxygen to cells
147
A nursing assistant covers the resident with a bath sheet when giving a bath. This is
Choice
Privacy
Confidentiality
Right of expression
148
How long after eating should a patient receiving NG feedings remain fowler’s position?
at least 30-60 minutes
4 hours
2 hours
15 minutes
149
Standard precautions:
Require gowns, masks, and gloves
Are used for all patients and residents
All of the above
Prevent the spread of pathogens through the air
150
How should you respond to a suicidal resident?
Leave the resident alone
Provide confidentiality and tell no one
Trust the resident completely
Take all threats seriously
151
A client needs to be repositioned but is heavy. The nurse aide should:
Go on to another task
ask another nurse aide to help
Have the family do it
Try to move the client alone
152
ROM exercises will help prevent:
Pressure sores
Depression
Obesity
Contractures
153
The role of the ombudsman is to:
Control the nursing home budget
Work with the nursing home to protect clients’ rights
Prepare nurse aides classes to learn about client hygiene
Run a group of nursing homes
154
A pt has Stage 2 Alzheimer’s Disease. Which behaviors would you expect him to exhibit?
Doesn’t recognize self
incontinence
Coma
Occasional forgetfulness
155
To prevent dehydration of the client, the nurse aide should:
Wake the client hourly during the night to offer fluids
Feed the client salty foods to increase thirst
Give the client frequent baths
Offer fluids frequently while the client is awake
156
What is the treatment for confusion?
Family therapy
Treat the underlying disease process
Orientation to person, place and time
Validation therapy
157
A fracture-type bedpan is used for residents who:
Have had hip surgery
Have a back injury
Are in traction
All of the above
158
Exercises that move each muscle and joint are called:
Rotation
Abduction
Adduction
Range of motion
159
Which is a symptom?
Noisy respirations
Pulse rate of 78
Cough
Tingling
160
To convert four ounces of juice to milliliters (ml), the nurse aide should multiply:
4x10ml
4x30ml
4x15ml
4x5ml
161
The master gland of the body is the
Pituitary gland
Adrenal medulla
Pancreas
Thyroid gland
162
Law that requires LTC to maintain or improve each person’s quality of life, health, and safety
OSHA
NASA
JCAHO
OBRA
163
What action should the CNA take for a rehab pt experiencing anger, depression & hostility?
Provide support and realistic reassurance
Leave the pt alone to work through these personal feelings
Tell the person to just work harder in therapy
Tell the pt that he will never be totally independent again
164
A client wakes up during the night and asks for something to eat. The nurse aide should:
Check the client’s diet before offering nourishment
Explain that breakfast is coming in three hours
Tell the client that eating is not allowed during the night
Tell the client nothing is available at night
165
All of the following situations are examples of abuse or neglect except:
Leaving a client in a wet and soiled bed
Restraining a client according to a physician’s order
Leaving a client alone in a bathtub
Threatening to withhold a client’s meals
166
Multiple sclerosis is a disease:
Of the blood vessels
That occurs at birth
That is a chronic problem of the nervous system
Of multiple personalities
167
You are caring for a resident when another CNA starts to tell you about last night's date.
Continue care and talk to the CNA
Stop feeding, chart the intake and come back later
Get the residents to talk to each other so you can talk
Tell the CNA you will talk with her at break time
168
Which position would you place Mr. Barnes in to prepare for an enema?
Semi-Fowler’s
Fowler’s
Sim's
Right lateral
169
Mrs. Lee uses her call signal excessively. Your best response to Mrs. Lee is:
Ask not to be assigned to Mrs. Lee again
Take Mrs. Lee’s call signal away or unplug it
Tell Mrs. Lee to not use the it unless it is an emergency
Give Mrs. Lee some choices and control over her care
170
When assisting a blind resident to walk it is important to:
Allow the resident to hold your arm
Stand slightly behind them
Have him use a white cane
Hold the resident’s elbow
171
You notice a reddened area on the person’s left shoulder. What should you do?
Apply powder to the site
Rub the area
Report the observation to the nurse
Massage the area during the back massage
172
You observe two adult residents sharing the same bed after lunch. You know:
Have the right to share the same bed
Have the right to privacy
Should be discharged for lewd conduct
They can perform ROM for each other
173
Sexual desire and activity in the elderly:
Stops at age 75
Should not be encouraged
Is non existent
May be a need
174
During unconscious oral care, you must be especially careful to prevent the resident from:
Eating the toothpaste
Talking during the procedure
Aspirating any fluid
Biting down on the toothbrush
175
Which on of the following is a stage of death and dying/grieving and loss?
hope
Denial
Wishing
Wanting
176
What can you do to allow a helpless resident some independence when must he be fed?
Feed the resident with a fork
Feed the resident lying down
Ask which foods the resident would like to eat first
Always stand to feed the resident
177
You are feeding Mrs. Green. You need to serve
Foods in the order you would eat them
Hot foods first and cold foods last
Foods in the order the person prefers
Foods as directed on the dietary card
178
A resident’s pulse can be taken:
Only if the pulse rate is above 80 beats per minute
On the inside of the wrist at the base of the thumb
Only with a stethoscope
For 15 seconds and then multiply by 4, if irregular
179
The LAST sense a dying client will lose is:
Taste
Hearing
Smell
sight
180
You are giving Mr. Johansen a massage before bed. You should
Use a pulsating motion to relieve soreness
Keep your hands in contact with his skin during the massage
Use chilled lotion
Rub a red area that you notice on his shoulder
181
TED hose (anti-embolism) are applied:
While the resident sits in a chair
After the resident has ambulated
Before the resident gets out of bed
Four times a day
182
Which of the following would be appropriate for you to do when caring for a demanding patient?
Tell her you have other residents who need your help more
before you leave the room ask if she needs anything else
Avoid her room once you have done her care
Require her to bathe and dress when you are available
183
Which of the following stages of dying is usually the final stage?
Bargaining
Anger
depression
Acceptance
184
A pt has chest pain that radiates down his left arm due to a lack of blood flow to the heart
Cerebrovascular accident
Congestive heart failure
Myocardial infarction
Transient Ischemic Attack
185
A resident has dementia. To shave the person’s face, you need to use
An electric shaver
A safety razor
A blade shaver
A razor blade
186
The nurse aide finds a conscious client lying on the bathroom floor. The FIRST action is
Help the client into a sitting position
Offer the client a drink of water
Call for assistance from the nurse in charge
Check for signs of injury
187
How many 8 oz. glasses of water does a person need daily to promote normal bowel elimination?
6 to 8
8 to 10
2 to 4
4 to 6
188
Which tympanic temperature is normal?
100.6F
97.4°F
99.8°F
98.6°F
189
Reality orientation therapy should include:
Telling imaginative stories to the resident
Talking about your interests
Using nicknames like “granny”
Calling the resident by his name
190
Mrs. Thompson has a bland diet ordered. You would expect her meals to contain
Foods that contain strong spices for taste
Fried foods
Foods that are served at moderate temperatures
Foods that are high in roughage
191
Which of the following temperatures would you report immediately?
An axillary temperature of 97.6F
A rectal temperature of 102.8F
An oral temperature of 99F
An oral temperature of 98.6F
192
How often are beds made?
Every other day
Every day
Two times per day
Once per week
193
Signs that death is near include the following EXCEPT
Blood pressure falls
Body temperature rises
Pain increases
The pulse is fast and weak
194
Before rigor mortis sets in, the body is
Placed in a body bag or on a shroud
Positioned in normal alignment
Cleaned and dressed
Taken to the funeral home
195
Dispose of contaminated linens:
Over the clean linens
On the bathroom floor
In the hallway on the floor
In a covered soiled linen container
196
The person’s written statement about the use of life sustaining measures is called:
Durable power of attorney
Hospice care
Living will
DNA order
197
When talking with a resident with a hearing loss, the nursing assistant should:
Speak clearly, slowly, and distinctly
Raise his voice to an “almost” shout
Use high-pitched tones rather than low-pitched tones
Never use hand motions
198
Coping with and adjusting to everyday stresses in ways accepted by society is
Mental health
Holism
Defense mechanisms
Mental illness
199
How should the nurse aide handle the soiled linens removed from a client’s bed?
Place them in a neat pile on the floor
Put them in the dirty linen container
Carry them close to the nurse aide’s body
Shake them in the air
200
To avoid pulling the catheter when turning, the catheter must be taped to the client’s:
Bed frame
Upper thigh
Bed sheet
hip
201
People needing Transmission-Based Precautions often experience
Self-actualization
Loss of self-esteem
Love and belonging
Safety
202
How often should oral care be done for an unconscious resident?
Before bedtime
at least Q2h & prn
Daily
Only after meals
203
Jeremy, a mentally challenged resident, is masturbating in his private room. The CNA should:
Tell him to stop
Restrain his wrists
Pull the privacy curtains and close the door
Call a family member to sit with him
204
Which of the following is the typical focus of therapies for people with Alzheimer’s Disease?
Ensure orientation to person, place and time
Eliminate sundowning
Focus on strengths and past successes
Improve memory
205
What is the process of restoring a disabled client to the highest level of functioning possible
Responsibility
reincarnation
Retention
Rehabilitation
206
Which is NOT an early warning sign of dementia?
personality changes
getting lost in familiar places
irritability
recent memory loss that affects job skills
207
Which of the following is a common cause of falls in the home?
Non-skid slippers
Throw rugs
Dry bathroom floor
Well illuminated hallways
208
Which of the following foods is something that is allowed on a fiber & residue restricted diet
Whole wheat bread
Cottage cheese
Raw fruits and vegetables
mashed potatoes
