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C.N.A Practice Exam
| Question | Answer |
|---|---|
| If a patient on bed rest continuously removes their heel pads the nurse's assistant should? | Place a pillow under their calves |
| The Hipaa Act Was Crated to do which of the following? | Protect the Confidentiality of medical information |
| All of the following are used to transport a deceased resident except: | Wheelchair |
| If you are asked to get the height of a patient on bed rest you need to? | measured in the lateral position from the top of the soles of the feet |
| When restraints are used, they must be Released | every 2 hours |
| You over hear another assistant raised his voice when speaking to a resident . The assistant is guilty of? | Abuse |
| A resident's daughter is visiting and wants to know what her father blood pressure reading is. The C.N.A should? | Refer her To the Nurse |
| The most common site for counting the pulse is the? | Radial Artery |
| Before using Restraints? | Try ways not to use restraints |
| The most serious problem that wrinkles in the bottom sheet can cause is? | Decubitus Ulcers |
| When Restraints are used on patients in bed, | The patients should be in the middle of the bed |
| When performing Catheter care , the c.n.a should wash? | Away from the meatus |
| The Client's religion forbids them from eating meat. Spaghetti & meatballs is being served at lunch. The CNA should | Asked the nurse to call the kitchen |
| When taking the temperature of a residents, which of the following would you report to the charged nurse immediately ? | 100.6*F- Rectal 96.6*F- Axillary 100.5*F - Oral ALL OF ABOVE |
| Respiratory isolation has been ordered for one of your residents. This prevents the spread of pathogens through | Airborne droplets |
| Which of the following would be considered abnormal? | Respiration of 31 breaths per minute |
| Oral temperature Should not be taking on residents who are | unconscious, on seizure precautions , and confused abd disoriented |
| The last sound heard when taking blood pressure is called | diastolic |
| Which of the following does R.O.M prevent | contracture |
| the residents says he's not getting air through his tube the CNA must do what | Check the tube |
| The purpose of the Shift report is to | give info to the nursing unit |
| An Asian patients looks down while you speck this is considered | respectful |
| When oxygen is in used a CNA can | adjust the nasal cannula |
| if the patient is disoriented it means that the patient is | unaware of their surroudings |
| A resident visitor is sick | report it to the nurse |
| one sign of diabetes | dry mouth and thirst |
| The OBRA act requires | promote residents rights |
| if a nurse ask you to check a patients oxygen level | look at the nail beds |
| OSHA protects the health and safety of | all U.S workers |
| When do you used a slip knot? | on any restraints |
| When you are recording a patient vital signs you realized that you'll made a mistake . What do you do? | Draw a line through the mistake and initial next 2 it |
| While ambulatory a residn5 with a halt belt the resident become steak and starts 2 fall | Grasp the halt bet and lower them on the dirty floor |
| When shaving a make resident with a razor you should? | Shave in the direction of the hair growth |
| If caring for resident who is unconscious | Mouth care every 2 hours |
| Things that can affect bowel elimination are | Diet,exercise, medications |
| A sign of dementia | Not knowing who they are |
| When dealing with resident with Alzheimer's disease which are signs or symptoms may be seen | Mental and physical wasting away , and extremely clear memory |
| What position should the patient be in to receive an enema | Left lying Sims position |
| When taking blood pressure what is the most common site | Brachial pulse (arm) |
| Your walking down the hall and see a fire in the resident room ? | Calmly escort the resident out and close the door |
| Valid regarding a visually challenged resident | They use a clock system to locate their food |
| If a nurse ask u 2 use a Hoyer lift what do you do | Get help and make sure the patients fit the weight limit |
| A common type of urine test is " clean catch" . what does this mean? | Have the patient start peeing then stop then start again with cup in place to catch clean urine. |
| A nursing assistant may give or take which information over the phone? | Name of person calling |
| If entering a room where two residents are arguing you should? | Try to divert their attention |
| When resident are having trouble coping with the death with another resident the CNA can help by ? | Avoiding responding badly to the resident |
| One example of not abusing the resident ? | Restraining a patient according to doctors orders |
| CNA is caring for someone who is agitated he/she should | Talk in a clam reassuring manor |
| A CNA can assist clients with their spiritual needs by | Allowing the clients to talk about their beliefs |
| Ombudsman | Work with nursing homes to protect clients rights |
| What is not cultural differences | Gait and ambulation |
| The use of restraints to keep a resident quiet is considered to be? | false imprisonment |
| Nurse tells you to turn up a patient oxygen level and hands you 2 morphine pills to give to the patient for pain what do you do? | Say no you are responsible for your own actions and can be sued if harm is caused |
| TED hose are used for? | Support veins and increase circulation reduce edema reduce the chance of thrombosis |
| The CNA is looking over a patient care plan and see that the patients need to do ROM everyday . But the patient refused because she says their too hard . What does the CNA do? | Tell the patient I understand but try working slowly and rest often |
| When a CNA do ROM exercises with a patients what is he? She doing to the patient joints? | Move it to its fullest range or until resident feels pain |
| What does NPO means | Nothing by Mouth |
| A patient is having a seizure what does the CNA do? | move any objects that can cause harm and support their head |
| Resident has had a stroke and her right side is weak what side the CNA should stand to help them walk? | Right side |
| The CNA assignment sheet says Forced Fluids what should be done | increase the amount of liquid intake |
| ABCs | Air ways Breathing Cicrualtion |
| abd | abdomen |
| ac | Before meals |
| ADL | Activities of Daily Living |
| adm | admission |
| am | morning |
| AX | axillary |
| bid | 2 times a day |
| BM or bm | bowel movement |
| BP | Blood Presussure |
| BSc | bedside commode/Chair |
| C | Celsius |
| CBC | complete blood count |
| C.diff | Clostridium difficile |
| ADL's | daily task such dressing,eating,grooming,elimination or bathing |
| ALF | People needing assistance with ADL's and its the bridge between independent living and nursing home . |
| Avodcate | A person who defends another person |
| Ambulation | To walk in an upright position or assist someone to walk |
| Assault | An attempt or threat to cause physical harm to a resident |
| Confidentiality | Keeping someone information to ones self |
| DNR & DNAR | Do Not (attempt) to resuscitate |
| Empathy | The ability to feel someone emotions |
| Geriatrics | Related to the eldery |
| Gerontology | The Study of the eldery |
| Health Team | Doctors (etc). that come together for one goal to deliver the resident with the best possible care |
| Invasion of Privacy | Exposing someone business |
| Living Will | A document that explains how much care a person want and whether the person wants to be resuscitated if in a near- death or vegg state |
| LTC | Long Term Care |
| "AM" care | Morning care |
| Genitalia care | Body Parts Care |
| Halitosis | Bad Breath |
| "HS" care | Night CAre |
| Hygine | cleanliness |
| Labia | The tissue folds on the outside of vagina |
| Oral Hygiene | Brushing teeth and mouthwashing |
| Perineaum | The region between the private area and butt area |
| Vulva | Outside area of organs on a female |
| CNA duties | *Helping with ADL'S *Helping amit patients and discharging them *Updating Charts *Moving and lifting patients |
| CNA have reponsibilities to | *Residents *Your care team *To your empolyer *Yourself |
| A.W.I.P.E. | *Announce yourself *Wash your hands *Introduce yourself *Pull curtain *Explain what your doing to the patients |
| What to do to be a good CNA | BE: Dependable Considerate Positive |
| What you can not do | *You cant give medications *You cant insert tubes or devices *You cant take phone orders from doctors *You cant perform procedures that requires sterile technique *You cant tell the patient about their medical plans or diagnosis *You cant prescrible |
| Resident Rights | * Personal decisions *To choose their own physician *Treated with the fullest measure of respect and dignity |
| Florida Statute 400.022 | * The right to civil and religious freedom *The right to private communication *The right to organize and participate in resident group *The right to participate in group activites such as religious (Etc.) |
| A resident often carries a doll with her, treating it like her baby . one day she is wandering around crying that she cant find her baby. The nurse aide should? | Offer comfort to the resident and help her look for her baby. |
| A nurse aide is asked to change a urinary drainage bag attached ro an indwelling urinary catheter . The nurse aide has never done this before. The best response by the nurse aide is to | Ask a nurse to watch the nurse aide change the bag since it is the first time |
| Before feeding a resident, which of the following is best reason to wash the residents hand | The resident may still touch his/her mouth or food |
| Which of the following is a job task performed by the nurse aide? | Participating in resident care planning conferences |
| Which of the following statements is true about range of motion (ROM) exerices? | Are often performed during ADL's such as bathing or dressing |
| While the nurse aide tries to dress a resident who is confused, the resident keeps trying trying to grab a hairbrush . The nurse aide should | Give the resident the hairbrush to hold |
| A resident who is lying in bed suddenly becomes short of breath. After calling for help, the nurse aide's next action should be to | Raise the head of the bed |
| A resident who has cancer is expected to die within the next couple of days. Nursing care for this resident should focus on | Proving for the resident's comfort |
| While giving a bed bath, the nurse side hears the alarm from nearby door suddenly go off. The nurse aide should | Make the resident being bathed safe and go check the door right away |
| Gloves should be worn for which of the following procedures | Emptying a urinary drainage bag |
| Which of the following a resident , gait or transfer belt is often | Put around the residents waist to provide a way to hold onto the resident |
| Which of the following statements is true about about residents who are restained | They are at greater risk for developing pressure sores |
| A resident has diabetes. Which of the following is a common sign of a low blood sugar | Shakiness |
| When providing foot care to a resident it is important for the nurse aide to | Check the feet for skin breakdown |
| When feeding a resident a resident, frequent coughing can be a sign the resident is | Having difficulty swallowing |
| When a person is a admitted to the nursing home, the nurse aide should expect that the resident will | Experience a sense of loss related to the life change |
| A resident's wife recently died. The resident is now staying in his room all the time and eating very little. The best response by nurse aide is to | Understand the resident is grieving and give him chances to talk. |
| When a resident refuses a bed bath, the nurse aide should | Wait awhile and then ask the resident again |
| When a resident is combative and trying to hit the nurse aide , it is important for the nurse aide to | Step back to protect self from harm while specking in a calm manner |
| During lunch in the dining room, a resident begins yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to | Remain calm and ask what is upsetting the resident |
| what of the following questions asked to the resident is most likely to encourage conversation | What are your favorite foods |
| When trying to communicate with a resident who speaks a different language then the nurse aide, the nurse aide should | Use pictures and gestures |
| While walking down the hall, a nurse aide looks into a resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to | Enter the room immediately to provide for the resident's safety |
| Before touching a resident who is crying to offer comfort, the nurse aide should consider | Whether the resident has been sad recently |
| When a resident is expressing anger, the nurse aide should | listen closely to the resident's concerns |
| When giving a back rub, the nurse aide should | Keep the resident as much as possible |
| A nurse finds a resident looking in the refrigerator at the nurse station at 5 a.m. The resident, who is confused , explains he needs breakfast before he leaves for work. The best response by the nurse aide is to | Ask the resident about his job and if he is hungry |
| Which of the following is true about caring for a resident who wears a hearing aid | Replace batteries weekly |
| Residents with Parkinson's disease often require assistance with walking because they | have a shuffling walk and tremors |
| A resident who is inactive is at rick of constipation. In addition to increased activity and exercise , which of the following actions helps to prevent constipation | Adequate fluid intake |
| A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first | Check for kinks in the tubing |
| A resident who is incontinent of urine has an increased risk of developing | Pressure sores |
| When cleaning the genital area during perineal care, the nurse aide should | Replace the foreskin when pushed back to cleanse an uncircumcised penis |
| Which of the following is considered a normal age-related change | Bladder holding less urine |
| The resident is on a bladder training program the nurse aide can expect the resident to | Have a schedule for toileting |
| A resident who has stress incontinence | May Leak urine when laughing or coughing |
| The doctor has told the resident that his cancer is growing and that he is dying. When the resident tells the nurse aide that there is a mistake, the nurse aide should | Understand that denial is normal reaction |
| A slipknot is used when securing a restraint so that | The restraint can be removed quickly when needed |
| When using PPE the nurse aide correctly follows standard Precautions when wearing | Gloves to remove a resident bedpan |
| To help prevent resident falls, the nurse aide should | Leave residents beds at the lowest level when care is complete |
| Before the nurse aide start their assignment what should they do first | Help any resident that call for help |
| What can get your license taking | Having a finding for resident neglect |
| To help prevent the spend of germs between patients, nurse aides should | Hold supplies and lines away from their uniform |
| When a sink has hand-control faucets, the nurse aide should use | A paper towel to turn off water |
| When moving a resident up in bed who is able to move with assistance, the nurse aide should | Bend residents knees and tell the residents to push up with thier feet |
| The resident weight is obtained routinely as a way to check the resident | Nutrition and health |
| Residents Bill of rights | To make decisions and participate in own care |
| One sudden change of the resident that might be a sign of a stroke | Slurred speech |
| Vital signs that should be reported to the nurse | Resting 98.6-98-32 |
| Tempertures | warm- 93'F to 98'F hot - 98'f to 105'F very hot - 105'F to 115'F Cool- 65'F to 80'F Cold-59'F to 65'F Very Cold - 59'F and below |
| Mouth Care | S |
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