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CNA Review
CNA Review
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#CNA #Nursing Assistant #Review
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1
A medical chart is a legal document
False
True
2
Congestive heart failure is
heart pumps too much blood, fluid decreases
the heart quits pumping blood
the heart stops
heart fails to pump enough blood, fluid builds
3
Some symptoms to Parkinson's disease are....
Stiffness, speech changes, writing changes, Rigid muscles
loneliness
All of the above
Anxiety and depression
4
Why was the OBRA passed in 1987?
in response to better work environments in LTC
in response to lack of finding for LTC
in response to reports of abuse in LTC facilities
in response to infection control
5
The nursing assistants role in an emergency is to...
Recognize that an emergency exists.
Judge the appropriateness of a "do not resuscitate" order
Notify the family members of the patient or resident
Administer advanced medical care.
6
The care team revolves around the
resident
physician
CNA
nurse
7
What needs to be used if a resident can not swallow food
Catheter
Tracheostomy
Percutaneous endoscopic gastrostomy (PEG) tube
Ventilator
8
Hematuria means?
Sugar in the urine
Pus in the urine
Painful urination
Blood in the urine
9
Documenting should occur
First thing in the morning
On your next shift
Before you go home
After you complete something
10
Why would a resident be in isolation?
Because the resident cannot get along with other residents
Because the resident requires standard precautions
Because the resident requires transmission-based precautions
Because the resident cannot be managed by staff
11
What's Geriatrics?
lose of skin elasticity
study of aging
Shrinking
care of aging people
12
The word dyspnea refers to
difficulty breathing
normal breathing
the absence of breathing
rapid breathing
13
Which blood pressure would you
NOT
inform the nurse about?
82/48
114/76
165/84
192/59
14
The word meaning rapid heart rate is
Dyscardia
Bradycardia
Tachycardia
Acardia
15
OBRA states the CNA must have this many hours of continuing education per year
12
60
120
75
16
You are checking the resident's pulse on dorsal part of their foot. This pulse is called the
brachial pulse
apical pulse
popliteal pulse
pedal pulse
17
Postmortem care is
Care of the body after death
Meeting the emotional needs of the resident's family
Examining a body by pathologists to determine cause of death
Grief counseling for staff after a resident's death
18
What should you do if you notice a resident coughing and choking while eating?
add more thickener to their liquids
call their family to let them know
report it to the nurse
feed them more quickly
19
The nursing board must be kept up to date regarding the CNA's current
Home or work address
Health insurance coverage
BLS certification
Immunizations
20
When setting up utensils for a resident with left sided paralysis from a stroke, the utensils should be set
randomly
on the right side
on the left side
on both sides
21
If your resident is confused, you should do what?
Remain calm
Give them short simple instructions
Keep a quiet enviorment
All of these
22
Care of a patient with MRSA requires standard precautions and
Contact precautions
No other extra precautions
Airborne precautions
Droplet precautions
23
Nursing assistants never insert or remove IV lines
True
False
24
Normal blood oxygen measures between
60-100%
85-95%
90-100%
95-100%
25
If a resident has an axillary temperature or 97.2 is his oral temperature going to be
fluctuate
Lower
the same
higher
26
If a state surveyor asks a CNA a question she doesn't know the answer to she should lie or guess
True
False
27
which statement about the nursing process is true?
steps can be done in any order
you are responsible for it
it is done without the person's input
it is used to communicate the person's care
28
which is a step in the nursing process?
evaluation
assignment
observation
reporting
29
Residents with congestive heart failure may
Have a force fluids medical order
Take medications that cause a decrease in urinary output
Need to do range of motion exercises to improve muscle tone
Be on a high-sodium diet
30
If you have a resident that wanders
Don't worry they can't get hurt
Let them go outside with supervision
Give them an activity to do
Lock them in their room for safety
31
The best position for bowel elimination is supine
True
False
32
A normal oral temperature range is:
99.6-101.6
97.6-99.6
96.6-98.6
95.6-97.6
33
If a person has an infection, their _______ might be elevated
Red blood cells (erythrocytes)
Platelets (Thrombocytes)
Plasma
White blood cells (leukocytes)
34
Used to measure the heart rhythm and rate continuously
Ventilator
Thermometer
Telemetry
Pulse oximeter
35
When feeding a resident, the best position for the resident is
45 degrees
75 degress
90 degrees or upright
30 degrees
36
If you walk in a room and find a resident in a sexual encounter with their significant other you should
Tell the other residents
Tell your coworkers
Tell the nurse
Give them privacy
37
While doing foot care on a diabetic the CNA should clip their toenails
False
True
38
Why was HIPAA created?
educate on abuse and neglect
provide information on NA role in care of a resident
to discuss insurance benefits
to provide confidentiality of patient's information
39
An ostomy can be temporary or permanent
True
False
40
What type of razor is safest to use on someone who is on anticoagulants (blood thinners)
Electric razor
Razor scissors
Disposable razor
Safety razor
41
If the CNA needs to chart 1pm as military time she would write
0100
1300
1500
1100
42
The proper PPE to don for airborne precautions is:
Surgical masks, gown, gloves
N95 or HEPA masks, gown, gloves
Gown, gloves, bonnet
Shoe covers, gown, gloves
43
When speaking with a person with hearing impairment the light should be on
the chair
The person's face
your coworker
Your face
44
You should always rub or massage white, red, or purple areas on the skin
True
False
45
Ways to manage stress include
Get enough sleep
Argueing
Not exercising
Complaining
46
Which of the following statements is true of an NA's role in restorative care?
The NA should do a task for a resident if they take too long
The NA should give pain meds before rehabilitation sessions
The NA should recognize that setbacks occur & be reassuring
The NA should tell family about progress when it isn't true
47
When communicating with someone with mental illness you should
Do not maintain eye contact
Argue
Sit or stand at a normal distance
Talk to them like children
48
A CNA accepts her assignment then goes home sick without telling anyone. This is known as
tort
abandonment
elder abuse
neglect
49
Most people in LTC facilities have ________ conditions
Chronic
Acute
50
When undressing a Resident you;
Undress the weak/affected side first
Undress the strong side first
51
Factors that increase the risk for falls include
Throw rugs
Exposed electrical cords
Call lights out of reach
Good lighting
52
what are neurotransmitters
brain cells
hormones
chemical substances
enzymes
53
Warm applications are used to stop bleeding, prevent swelling, reduce pain, bring down fevers
True
False
54
If a resident drank 1 1/2 8oz cups of milk how many mLs did he drink
360
120
480
240
55
Older people are active and engaged in work, volunteering, exercise regimens.
False
True
56
Which is
NOT
an advanced directive
DNR
Power of Attorney
Durable Power of Attorney for Healthcare
Living Will
57
You overhear the nurse telling the resident she must go to dialysis even though she is refusing. This violates the
right to quality of life
right to participate in own care
right to complain
right to privacy and confidentiality
58
Active neglect is the unintentional failure to provide needed care resulting in harm to a person
False
True
59
What causes Cerebral Palsy?
It's caused due to having poor physical activity
It's caused due having poor genes
It's caused due to an injury in the brain at birth
A baby is born with Cerebral Palsy and no explanation
60
During an emergency, which patients will you evacuate first?
patient with a walker
wheelchair patient
ambulatory patient
bed-bound patient
61
What is hypothyroidism?
weakness in the heart leads to buildup of fluid in the lungs
low activity of the thyroid gland
a broad category of brain diseases
an inflammation of the bronchial tubes
62
If the resident with dementia has trouble with elimination you could:
Put lids on trashcans or wastebaskets
Act disgusted when cleaning up incontinence
Encourage fluids
Mark the bathroom with a picture
63
A diabetic resident should
Avoid exercise
Go barefoot
Skip meals
Receive careful foot care
64
When assisting a resident with a urinal, the highest priority is
maintaining safety
closing the cap
ensuring privacy
sitting the urinal on the bedside stand
65
Which of the following VS requires further evaluation?
BP 92/54 HR 102 RR 28 Oxygen sat 90
BP 122/84 HR 82 RR 20 Oxygen sat 98
BP 118/78 HR 78 RR 18 Oxygen sat 99
BP 112/72 HR 64 RR 16 Oxygen sat 96
66
Surgery is the front line of defense for most cancers
False
True
67
A person with schizophrenia has multiple personalities
False
True
68
A restraint is
available to any resident if needed without consulting an RN
ok to apply anytime a nurse tells a NA to
a low risk way to keep a resident in bed
a physical or chemical way to restrict voluntary movement
69
When obtaining a weight on a Resident you;
Have the Resident use the bathroom first
Use the same scale
Start with the scale balanced at zero
Weigh the same time daily, in the morning in their pajamas
70
Medicare is a medical assistance program for people who have a low income
False
True
71
How long after collecting a stool specimen should it be sent for ova and parasites
Right away
1 hour
24 hours
4 hours
72
A resident's pulse is 165. When should you tell the nurse?
after you have finished with all the vitals
right away
at the end of shift
tomorrow
73
What position is lying flat on his back with your head/shoulders supported by a pillow?
Supine position
Sims' position
Lateral position
Prone position
74
What are 3 parts of the communication process
None of the above
Nurses, residents, & NAs
pointing, laughing, & drawing
Sender, receiver, & feedback
75
After a Resident falls you need to;
Help them up
Sit them up
Obtain Vital signs
Stay with the person and call for the Nurse
76
Restraint alternatives include
all of the above
redirection
alternate caregivers
calm reassuring words
77
The Ombudsman's job is to
Create rules
Help staff
Make sure the facility is clean
Resolve conflict and settle disputes
78
c. Diff
requires handwashing with an alcohol based rub
True
False
79
If a resident becomes combative, an NA should
Tell the resident he may be removed from the facility
Try to find out what triggered the behavior
Argue with the resident
Leave the resident alone to calm down
80
The first thing a CNA should do if a person is choking is
Abdominal thrust
Back blows
Call for help
CPR
81
If a resident with AD is experiencing hallucinations/delusions you should
Ignore harmless hallucinations
Argue with the resident
Reassure the resident
Be calm
82
Sundowning can be handled by
restricting exercise
scheduling activities at this time
encouraging strenuous exercise
setting a bedtime routine and keeping it
83
In which stage(s) of pressure injuries might you see eschar?
Deep Tissue Injury
Stage 3 or 4
Stage 1 or 2
Only in Stage 1
84
An anxiety disorder characterized by obsessive behavior or thoughts is
Generalized anxiety disorder
Post-traumatic stress disorder
Obsessive-compulsive disorder
Major depressive disorder
85
Diabetes can lead to which of the following complications?
Improved ability to perform strenuous exercise
Lack of appetite
Chronic cough
Problems with circulation
86
If a resident is making promises to God or a higher power he might be in this stage of grief
Acceptance
Denial
Anger
Bargaining
87
An abduction pillow would be used to
position a patient laterally
keep the cervical spine in alignment
to keep the hips in proper position after surgery
immobilize the knee
88
The numeric scale used to grade pain is
0-5
1-10
0-20
0-10
89
You see a diagnosis of COPD (chronic obstructive pulmonary disease) on a chart. What might this mean a resident needs?
Antiembolic stockings
More trips to the bathroom
Prescribed exercise programs and special diets
Help sitting upright or leaning forward
90
When making an occupied bed you should turn the resident__________ the side rail
away from
towards
91
Mental illness is a disorder like any physical disorder
True
False
92
If a person was able to get out of bed but not to the bathroom, use a
Condom Catheter
Portable commode
Hand rail
Bedpan
93
Restorative Care
assists the resident to return to his full potential
assists terminally ill patients
helps those with a disability
psychosocial care
94
You are admitting a new resident. You will do which of the following?
Tell the person about treatments and the care plan
Measure the person's vital signs
Measure the person's urine output
Bathe the person before allowing into the room
95
Pain from
cardiomyopathy
results from damage to the _____ muscles.
skeletal
heart
chest
voluntary
96
What is cataracts?
Damages your optic nerve and leads to blindness
leads to inability to bend light to focus it on the retina.
when your eye can't eliminate dust and other irritants.
lens of the eye becomes opaque, resulting in blurred vision
97
Resident safety involves
Preventing all injuries
Limiting independence
Decreasing the risk of accidents and injuries
Limiting mobility
98
Holistic care focuses on
A whole person, including physical, mental & social wellness
How sick a person is
The person's disease and disabilities
The absence of disease and illness