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CNA Board Prep
CNA Board Prep
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1
Rex is told he has only 6 months to live. He says "You have my tests mixed up with someone elses." He is in what stage?
Acceptance
Bargaining
Anger
Denial
2
The CNA notes that 45 minutes after lying down, the patient is incontinent. To aid in bladder training, the aid should
Report to the nurse, bladder training won't work.
Take the patient to the bathroom 30 minutes after going to bed
Toilet the resident before she goes to bed.
3
To be sure a residents weight is measured accurately, he should be
After a meal
The same time ever day
After a good night sleep
Before a Meal
4
Your patient consumes soup with 180 ml of liquid. How Many ounces is this?
7 oz
6 oz
4 oz
18 oz
5
When a hearing aid is not in use the nurse aid knows
Hearing aids should be soaked at night
The battery should be disengaged
The hearing aids should be stored on the bedside table
The hearing aid should remain on
6
When hard dry stool fills the rectum and will not pass, it is called
Incontinence
Atrophy
Edema
Impaction
7
A patient has psoriasis, as a CNA you should
Treat them the way you treat other patients with a non infectious disease
Wear gloves with patient care
Avoid contact with highly contagious lesions
Wear a mask when entering the room
8
Why should heat not be applied to a diabetic patients feet?
Only the nurse can do this
Diabetics have decreased sensitivity to heat
Their feet have more oil glands
It makes their feet wrinkle
9
The circulatory system consists of
Blood vessels, lymph nodes, and spleen
Heart, pulmonary vessels, and lungs
Bloodvessels, capillaries and veins
Lungs, heart, and aorta
10
A person with aphasia
None of the above are true
Cannot walk
Cannot talk
Cannot swallow
11
Towards the end of the day some residents with Dementia experience Sundown Syndrome
False
True
12
What is most helpful with a Dementia patient who has insomnia?
A big meal before bed
Letting them sleep during the day and remain awake all night
Setting up a bedtime routine
Encouraging them to nap during the day
13
Misuse of a resident's money or property by family or friends is
Financial abuse
Neglect
Chemical restraint
Malpractice
14
3:45 pm is ___________ in military time
1745
0345
1554
1545
15
On which side should a patient lie for an enema
On the side closest to the bathroom
Whichever side is comfortable
On her left side
On the right side
16
When getting dressed, a patient wants to wear her favorite outfit every day. What is good solution?
Encourage family to buy several of the same outfit.
Let her wear it 3 days at a time
You choose her clothes.
Hide that outfit for a few days, she'll forget it
17
24 hour skilled care given in a hospital to those who require short term immediate care is called what?
rehabilitation
Acute care
Outpatient care
subacute care
18
What is the knowledge of right and wrong?
Informed consent
ethics
laws
conscience
19
Signs of poor circulation include
Perspiration and red skin
Hot flashes
Warm, dry, pink, skin
Paleness, cold skin, and edema
20
What is the best way to keep a facility from having unpleasant odors?
Spray air deodorizer
There is nothing you can do
Keep windows open
Empty bed pans and change linens in a timely manner
21
You notice on flow sheets that a patient has not had a Bowel movement for 5 days, you should
Report this to the nurse
Ask the other CNAs if they forgot to chart a BM
Ask the roommate
Wait to see if the patient has a BM by tomorrow
22
You can assist a client with their spiritual needs by
Talking about your own spiritual beliefs
Encouraging them to talk about their spiritual belifs
Telling them to focus on their health
Avoiding any spiritual discussions
23
Which is NOT a normal effect of againg?
Skin becoming dryer
Decrease in
Bones become porous and break more
Confusion
24
A patient has had hip surgery. Her legs should be
Abducted
Elevated
In the position most comfortable
Adducted
25
The primary cause of combativeness in a resident is?
Resentment
Anger
Hunger
Confusion
26
If a client has hand tremors, the CNA should
Assist the patient with ADLs as needed
Restrain the hand that has a tremor
Tell the patient to better control the tremors
Do everything for the resident to avoid embarrassment
27
Q.I.D means
Three times a day
4 times a day
Every other day
Every day
28
_________means to find a problem through a survey
mistake
cite
culture change
survey
29
What are the 2 types of restraints?
Belts and waistbands
Medical and physical
Chemical and physical
Masks and goggles
30
Constipation and indigestion can result from
Slow mental processes
Slowed peristalsis
Slowed respiration
Slowed brain waves
31
When ambulating a patient that is unsteady the best thing to use is
A quad cane
A wheelchair
A walker
A gait belt
32
Wasting or decrease in size of a muscle is called
Constipation
Decubitus
Edema
Atrophy
33
The equipment needed to provide oral care on an unconscious patient includes
Toothbrush
Oral swab
Toothpaste
All the above
34
All behavior has meaning
if its sad behavior
To the facility psychologist
If a person is elderly
To the person having the behavior
35
Who is responsible for the entire nursing staff and activities involved in providing safe care?
The case manager
The charge nurse
The registered nurse
The Director of Nursing
36
A diabetic patients asks you to cut her toenails. You should
Trim her nails, it's part of the job.
Tell the patient, a nurse aide cannot do it, but you will tell the nurse
Ask another CNA to assist you
Tell her you can after she soaks her feet
37
As dementia progresses, incontinence can become an issue. You should?
Watch for signs of discomfort and take the patient to the bathroom
Remind the resident to tell you when they have to go to the bathroom.
Always put the resident in briefs.
Tell the resident to remain in their room in case they have an accident.
38
Which of the following can cause an increase in pulse rate?
A coma
Exercise
Sleep
Depression
39
The goal of the Healthcare team is to
Provide quality care
Assign tasks and responsibilities
Provide case management
Obtain reimbursement
40
A hepatitis B vaccine protects the person receiving it from a disease that affects the
Heart
Kidneys
Liver
Lungs
41
You observe a coworker abuse a resident and you fail to report it. You can be charged with
Malpractice
False witness
Negligence
Aiding and abetting
42
ROM exercises prevent
Pressure ulcers
Obesity
Depression
Contractures
43
A person with Dementia needs
To be fed
A structured environment
Needs total assist with all ADL's
Needs less activities to lessen confusion
44
This plan starts upon admission and assists when the resident goes home is called
The discharge plan
The nurse aide flow sheet
The Nursing careplan
The treatment plan
45
Mrs Bey has CHF. Part of her ADL routine would include,
Daily jogging around the facility
Placement of TED hose after ambultion
Daily am weight measurement
Encouraging fluids
46
A patients complains of hand pain and it appears puffy where the IV is running. A nurse aide should
Apply ice
Notify the medication nurse that the patient has pain
Notify the nurse the IV has infiltrated
Stop the IV
47
When caring for a confused patient a CNA should?
Stay at a distance in case they become combative
Allow the residents to plan daily routine
Give simple directions
Keep the resident busy with activities
48
Once a CNA is placed on the abuse registry for neglect.,they may petition the state nursing board for reinstatement .
False
True
49
Headaches, nausea, and pain are considered
Symptoms
Charting
Observations
Assessment
50
Incident reports are completed to
Find fault
Inform family
Report to state
Determine patterns and trends
51
When lifting a heavy object, what muscle group should you use?
Muscles of the legs
Muscles of the abdomen
Muscles of the arms
Muscles of the back
52
All of the following statements about Type 2 Diabetes are true EXCEPT
It is common in those ebese
It may require medication for treatment
Type 2 Diabetes is very rare in Adults
It can be controlled with diet and exercise
53
You are delegated to do passive ROM to L lower and upper extremities. This means you
Perform extension/flexion on patients left lower and upper extremities
Stretch patients left extremities 10 times
Assist resident in stretching both legs
Supervise patient as she extends and flexes left arm and leg
54
Which is the best way to talk to a patient with visual impairment?
Turn on all the lights as you enter the room
Announce your presence when entering theroom
Speak louder.
Touch the resident before you start talking
55
Elderly residents sometimes appear stooped over and may have lost height. This is due to
The residents increased respiratory rate
Osteoporosis in the spinal column
Decreased cardiac tissue
Deterioration of muscles
56
Which is the safest way to confirm a patients identification
Check the name on the door
Check the ID bracelet or tag attached to the resident
Ask the residents roommate
Call the resident by name and see if he answers
57
Before starting any procedure, a nurses aide should
All of the above
Introduce themselves
Wash your hands
Identify the patient
58
A nurse aide notices blood in the IV tubing. The aide should
Flush the tubing
Stop the IV
Do nothing, this is normal
Notify the nurse
59
Showing ____________means listening to the feelings and difficulties of others
sympathy
compassion
tact
empathy
60
A patient appears paler than usual you should
Ask the patient how he feels and take vital signs
Offer a snack
Offer the patient a glass of water
Document on the chart
61
According to the Patient Self-Determination act which of the rights must be given to the resident upon admission?
The right to go to bingo
the right to watch TV
The right to hire an attorney to represent them
The right to prepare an Advance directive
62
A bedsore or decubitis ulcer is caused by
Inadequate turning
Burns
Fatigue
Abrasions
63
Which of the following should be reported immediately
Pulse of 90
A blood pressure of 90 over 40
Temperature of 99.4
Respiration of 12
64
Most legally blind or visually impaired people have no sight at all
True
False
65
Which is INCORRECT when recording on a patients chart?
Record in a logical manner
Report only what you observe yourself
Your handwriting needs to be legible
Use a pencil in case you make a mistake
66
What is the 1st thing a CNA should do when finding an unresponsive patient?
Start CPR
Call for help
Call the family
Close the door
67
If a CNA finds a patient sad and crying, the CNA should
Tell the patient to cheer up.
Ask the patient what's wrong.
let the family know
Come back Later
68
When making an occupied bed, the most Restorative approach is?
Lower both siderails
Encourage the resident to help
Doing everything for the patient
Tell the patient to get out of the bed
69
A resident has difficulty remembering what day it is. You should
Make up a date, they'll forget anyway
Remind the resident what day it is
Joke with resident about their forgetfulness
Change the subject
70
Drainage bags from Urinary catheters should always
Be fastened securely to the bed frame
Be changed every shift
Have their output measured each week
Be kept below the level of the bladder
71
The range of normal respirations is
12-20 per minute
8-16 per minute
10 to 20 per minute
60 to 100 per minute
72
A resident is NPO for tests, the CNA should
Encourage fluids
Allow patient to drink water only
Allow the patient to have ice chips
Remove the water pitcher from the patient's room
73
A patient was given am insulin, she is later pale, sweaty, and confused. What should you find out?
If she had visitors
If she ate breakfast that morning
If she has Diabetes
If she ate extra sugar
74
The brain is part of
The nervous system
The endocrine system
The locomotor system
The reproductive system
75
Mr. Sims has C-diff. A cna should
Use contact precautions when providing care
Use airborne precautions
Keep patient confined to his bed
Limit time spent providing care
76
Which is the proper way to correct an error in charting?
Erase it completely
Scribble several lines through it
Draw a single line through it
Use correction fluid
77
Lying on your side is prone position
True
False
78
How should you communicate with a patient who speaks another language?
Use picture board and gestures
Listen and say nothing
Ask the nurse for a different assignment
Speak more slowly to help understanding
79
Most of our calories should come from
Carbohydrates
Protein
Fats
Vitamins
80
Strokes are seen in the elderly. Strokes occur when
The lungs fill with fluid
The brain is deprived of oxygen
The muscles
The heart fails
81
Mrs. Lee is demanding, uses her callight repeatedly and yells "Help me" over and over. She is demonstrating
That she doesn't like you
Being spoiled and pampered
Anxiety and fear
Psychotic behavior
82
How do you convert pounds to kilograms?
Divide by 30
Multiply x 30
Divide by 2.2
Multiply x 2.2
83
Postmortem care refers to
The period of time right after death
The period of time just before birth
The period of time after the delivery of a baby
The period of time just before death
84
Who can order a warm or cold application?
The nurse
The doctor
The Director of Nursing
You can as a nurse aide
85
Goals of arthritis care include
Preventing contractures
Strengthening muscles and bones
Decreasing inflammation and preserving joints
All of the above
86
Dysphagia is difficulty speaking.
True
False
87
Watering eyes while eating may indicate
Sadness
Aspiration
Allergies
The need for eye drops
88
Meal trays have arrived. Before serving each tray, the nurse aide should
Check the temperature of the food
As the patient if he's hungry
Check patient armbands,/identity even on familiar patients
Ask about dietary restrictions
89
Mr Lu is on I&O. He drank half a 4oz glass of juice, 4 ounces milk and 7 ounces coffee. You Document he drank
390ml
390 ounces
450ml
13 ounces
90
Which of the following are associated with cigarette smoking
All above
Heart attack
Stroke
Pnuemonia
91
A sitting or semi sitting position with head of bed up is called
Supine
Sims position
Fowler's
Prone
92
A button hook and a sock assist are part of what type of Nursing care?
Rehabilitation and Restorative
Disability and intellectually
Prosthetic mobility
Activities of daily living
93
A __________ is a course of action that should be taken every time a certain situation occurs
A procedure
An MDS
A careplan
A policy
94
b.i.d. means at bedtime
False
True
95
Mrs. Howe has dementia and is admitted to LTC. Her condition is considered
Acute
Tonic
Chronic
Life threatening
96
What is the process of restoring a disabled client to highest level of functioning is called
Retention
Reincarnation
Responsibility
Rehabilitation
97
To count respirations, one respiration includes
1 exhalation
1 inhalation, 1 exhalation
1 Inhalation
One inhalation, 2 exhalation s
98
More than half of all communication is nonverbal
False
True
99
Continuing education is
A professional requirement
Important for keeping abreast of new developments
All of the above
Necessary for recertification in many states
100
A resident with an ileostomy evacuates feces through
Ileum
Anus
Jejenum
Colon