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CNA Practice Tests

Becoming a Certified Nursing Assistant (CNA) is a fantastic entry-level opportunity in the rapidly growing field of healthcare. In this article, we will explore the essential information about the CNA test and how to excel in it. Let’s dive into the world of CNA practice tests and unlock your path to a rewarding career.

What is the CNA Test?

If you aspire to become a Nursing Assistant or Nurse Aide, passing the CNA test in your state is your first crucial step. CNA stands for Certified Nursing Assistant, and it’s a role in high demand, offering a chance to enter the healthcare field without the need for a high school diploma or special qualifications. All you need to do is complete CNA classes and pass the CNA exam.

State-Specific Regulations

Each state in the USA can set its own regulations for CNA certification. However, many states adhere to common standards and similar tests. The National Nurse Aide Assessment Program (NNAAP) is one of the most widely used certification programs, encompassing over 20 states, including California, Colorado, and Virginia. Some states, such as Arizona and Tennessee, use a certification program from Diversified Technologies, while Florida, Michigan, and New York rely on the Prometric program.

While the focus of these state tests may vary slightly, the core topics remain consistent. These topics include medical safety, infection control, resident’s rights, mental health, personal care, communication, data collection, disease processes, and much more. Our online practice tests are based on NNAAP standards, making them ideal for preparing for CNA exams in various states.

Preparing for the CNA Test

To ensure your success on the CNA test, it’s crucial to practice with as many CNA practice tests as possible. The more CNA test questions you encounter, the better prepared you’ll be. Additionally, investing in a high-quality CNA study guide is recommended for in-depth content review and more practice questions. If you’re interested in detailed information on how to become a CNA, check out our comprehensive guide. Wishing you the best of luck as you embark on your new career in healthcare!

What to Expect on the CNA Exam

The CNA exam consists of two main parts: the written exam and the clinical skills test. The written part assesses your knowledge of nursing concepts, while the clinical skills test requires you to demonstrate essential nursing tasks in front of an evaluator. The clinical skills test typically takes about 35-45 minutes and covers five or more skills.

Why CNAs are Essential

Certified Nursing Assistants play a vital role in the healthcare team, ensuring patients’ safety and comfort. Their hands-on care often allows them to be the first to detect changes in patients’ conditions. While there’s much to learn, CNAs are a crucial component of healthcare, enabling the entire system to function effectively.

What’s Covered in the CNA Test?

The CNA exam typically comprises two parts: a written section and a skills section. The written part usually consists of 50 to 70 multiple-choice questions, addressing various subjects like CNA roles, observation, safety, emergencies, personal care skills, infection control, and more. These topics are typically covered in a CNA training program, ensuring that you are well-prepared for the test.

The CNA Exam: A Closer Look

The National Nurse Aide Assessment Program (NNAAP) oversees the largest nurse aide certification program, which administers over 200,000 paper and practical exams annually. The CNA exam is made available through a national testing service by Credentia, which handles scheduling, administration, and exam delivery in designated states.

CNA Exam Outline

The CNA exam comprises a written/oral portion and a skills demonstration portion. You must successfully complete both assessments to obtain your certification and be added to your state’s nurse aide registry.

Written/Oral Test

The written exam consists of 70 multiple-choice items, with 10 of them being non-scored items for statistical purposes. An oral exam option is available, consisting of 60 multiple-choice items and 10 reading comprehension items, suitable for those who may have difficulty with written exams.

The written and oral exams cover three primary content domains:

  • Physical Care Skills (61%)
  • Psychosocial Care Skills (13%)
  • Role of the Nurse Aide (26%)

Skills Test

The skills demonstration portion requires you to perform five essential skills of a nurse aide in a setting similar to your workplace. An evaluator will assess your performance on these tasks. You will have 30 minutes to complete all tasks. Among the five skills, you will be required to perform hand hygiene and four other randomly assigned skills, which may include measurements and recording of vital signs.

There are 23 skills that may be evaluated during the exam, including:

  • Hand hygiene
  • Assisting with ambulation using a transfer belt
  • Assisting with the use of a bedpan
  • Cleaning upper or lower dentures
  • Counting and recording radial pulse
  • Counting and recording respirations
  • Donning and removing PPE (gown and gloves)
  • Dressing a client with an affected arm
  • Feeding a client who cannot self-feed
  • Providing mouth care
  • And many more

CNA Exam Registration

To take the CNA exam, you must register through Credentia, the official testing vendor. The first step is to select the state in which you plan to practice. Then, you’ll be directed to the specific platform for your chosen state. It’s essential to have completed a state-approved nurse aide training program as a prerequisite for taking the CNA exam.

Test Day

On the day of your CNA exam, whether taken online or on-site, you will be required to bring two current, unexpired, and valid government-issued IDs with your photo and signature, including your Social Security card. You may also bring two No. 2 pencils, an eraser, a watch with a second hand, and any other requested supporting documents.

Taking the Exam Online

For online exams, you should prepare your computer or laptop by performing a system test. You’ll also need a mobile device to complete a 360-degree scan of your testing room. Your testing room should be private, with no one else present during the exam.

CNA Exam Scores

Your official Score Report will indicate whether you have passed or failed the exam. For the skills demonstration exam, the Score Report will show a rating of either Satisfactory or Unsatisfactory for each skill. A skill marked as Unsatisfactory is considered a failed skill, so you must receive a Satisfactory rating on all five skills to pass this part of the exam.

Receiving Your Scores

Your exam results will be available shortly after completing the test. You will receive an email notification once the results are accessible in your CNA365 account. In some states, physical copies of exam results will be mailed to you within five to seven business days.

If you pass both parts of the exam, your name will be added to the state’s nurse aide registry within a few weeks to a few months. If you do not pass the exam, you have the option to submit a written grievance or complaint through the state’s appropriate channels, or you may choose to retake the exam after a designated period.

How to Study for the CNA Exam

Effective preparation for the CNA exam involves not only spending hours studying but also studying efficiently. Taking CNA practice tests to evaluate your progress is one of the most effective ways to prepare. When reviewing your practice test results, pay special attention to:

  • Questions you answered incorrectly
  • Questions you guessed on, even if your guess was correct
  • Questions you found challenging or slow to work through

By focusing on these areas, you can pinpoint your weaknesses and allocate more study time where it’s needed. Delve into the questions you struggled with, analyze why you had difficulty, and strive for a thorough understanding of the concepts.

Answer Explanations

Many CNA practice tests offer explanations for answer choices. While these explanations are helpful, they may only cover part of the broader context of each question. To ensure a thorough understanding, investigate all concepts related to the question.

Comprehend Each Topic

Remember that the CNA practice test is meant for practice. Memorizing the questions and answers won’t be beneficial on the actual exam because it’s unlikely to feature the same questions. Instead, strive for a comprehensive understanding of the concepts to be prepared for any question that may arise.

Strategy for CNA Practice

When taking practice tests, follow this strategy:

  1. Begin with no time constraints and access to notes and your CNA study guide.
  2. Take a second practice test “open book” but set a timer to practice pacing.
  3. Simulate test day conditions for subsequent practice tests.
  4. Continue practicing until you’ve exhausted your resources or it’s time for the real test.

FAQs

What is the CNA exam?

The CNA exam is a certification for those who wish to become a certified nursing assistant. It includes a written/oral portion and a clinical skills test.

What is the cost of the exam?

The cost of the CNA exam varies by state but averages around $100.

What are the testing dates and locations?

CNA testing is typically conducted throughout the year at various sites. Check with your training instructor for testing sites in your area.

How do I get my CNA certification?

You need to enrol in a state-approved nurse aide training program. After completing the program, you can take the CNA exam.

How long does it take to become a certified nursing assistant?

The duration of the CNA program can range from 6 to 12 weeks, depending on your location and the training program.

How much does a CNA make per hour?

As of 2022, the median hourly wage for CNAs is between $14.82 and $16.

What are the duties of a CNA?

CNAs are responsible for providing basic care to patients, including assistance with activities of daily living, monitoring vital signs, and ensuring patient comfort.

What can you do as a CNA in a hospital?

CNAs in hospitals assist with various tasks, including monitoring patients’ vital signs, providing personal care, and assisting with mobility.

How many hours do CNAs work?

Full-time CNAs typically work between 32 and 40 hours per week.

What happens if I don’t pass the exam?

Most states allow you to retake the exam up to three times within two years of completing your training. You’ll only need to retake the section you failed.

How much is a CNA’s salary?

CNAs can earn an average annual salary ranging from $20,075 to $34,126.

Conclusion

Becoming a Certified Nursing Assistant can be your stepping stone to a fulfilling and rewarding career in healthcare. Preparing for the CNA exam through practice tests and a comprehensive understanding of the subjects is essential for success. We wish you the best on your journey to becoming a certified CNA and making a positive impact in the healthcare industry.

CNA Practice Test

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  • Questions count: 378
  • Passing grade: 80%
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1.
A CNA answers the phone at the nursing station. The caller states that they are a friend of Mrs. T. and they ask how she is doing. The CNA tells the caller about Mrs. T without determining that Mrs. T does NOT wants her medical information shared with the caller. The CNA has _____________________.
violated the law
acted correctly
hurt autonomy
2.
What color is the cornea in a blue-eyed person?
White
Blue
Slightly yellow
It is clear.
3.
Mr. Allen can be combative during care. How do you respond if he attempts to strike you?
Request another CNA hold his arms during care.
Calmly explain you are doing his care but will stop if he wishes and return later.
Refuse to do his care.
4.
You are in a resident room with another CNA who begins talking about other residents while caring for the resident. Your best action is to:
Listen quietly without comment.
Encourage the resident to join the conversation.
Change the subject away from discussing another resident.
5.
There are several different types of fire extinguishers. The best one to have in a private home is a class_____________ fire extinguisher.
A
B
C
ABC
6.
What is a physiatrist?
. A physician for persons with mental illness.
A doctor who specializes in rehabilitation.
A physical therapist specializing in the elderly.
7.
Your resident with dementia refers to you using an ethnic slur. How should you deal with this?
Call the resident's family and ask them to speak with her.
Pleasantly suggest to the resident that she address you by your name.
Refuse to care for the resident.
8.
Medications that are given to residents to change behaviors that are considered problematic are:
seclusion
chemical restraints
behavior modification
9.
Which radiation principle is the foundation for the use of lead aprons in the radiation area of your hospital?
Time
Duration
Distance
Shielding
10.
There are different kinds of poor behaviors. Some of the types of poor behavior include __________________ behaviors.
innate, intrinsic and extrinsic
nosocomial and psychotic
disruptive and dangerous
legal and illegal
11.
A CNA answers a patient's call light. The patient asks for a snack. The CNA tells the patient that she will bring the snack to the patient in 5 minutes. Over a half hour elapses before the CNA takes the snack to the patient. The CNA has violated which ethical principle?
Timeliness
Justice
Fairness
Fidelity
12.
A cyclone is an example of a (n) _________________ disaster.
natural
nuclear
explosive
artificial
13.
Which ethical term and definition is correct?
Autonomy: "do good"
Justice: "do no harm"
Beneficence: fairness
Veracity: truthfulness
14.
A state survey is being conducted at your facility. A surveyor asks you a question about how you would perform a procedure. You should:
Refer the surveyor to the nurse.
Refuse to answer the question.
. Say you are not sure because everyone does it differently.
Tell the surveyor how you would perform the procedure.
15.
You are making rounds at the beginning of your shift and you see a resident lying on the floor. Your first action should be to:
Assist the resident to get up.
Ask the resident "can you tell me what happened".
Get a set of vital signs.
Notify the nurse.
16.
You have a new admission on your resident assignment. Which information should you make sure the resident is aware of?
Your name, the name of the charge nurse and the director of nursing
The location of the bathroom and how to operate the call light signal
The office of the facility administrator
17.
You are pulled to an unfamiliar floor to provide resident care. You demonstrate professionalism in this difficult situation by:
explaining the situation to every resident so they know why you are slow.
telling the charge nurse you will do it, but in your own way.
asking the charge nurse or an experienced nursing assistance for guidance on arranging the assignment
18.
The principle of HIPAA laws are based upon which concept?
Need to know
Health care proxy
Informed consent
19.
The purpose of HIPAA regulations is to:
increase the amount of information shared with other health care workers.
keep unlicensed workers from sharing patient medical and private information.
ensure that information is only shared by those who need to know.
20.
You enter your resident's room and she asks you who the new nurses are. She is able to describe them to you and states that they came to pack some of her belongings for safe keeping. She seems upset by this. What is your appropriate action?
Do nothing, as this patient is having a delusion.
Tell the Charge Nurse what the resident said and ask if there is new staff who would have packed the resident's belongings
Immediately take the resident with you to try to identify the staff and ask why they have her belongings.
21.
Mrs. Miller tells you she is going to the dermatologist but does not know why. You explain to her the role of the dermatologist is to:
Diagnose and treat skin disorders
Diagnose and treat nervous system disorders
Diagnose and treat mental disorders
22.
The resident who is asking for help to walk to the bathroom is expressing a (n) _________ need according to Maslow.
mobility
esteem
elimination
physical
23.
Which of the following is a normal blood pressure charted correctly?
119:68
118/50
120/70
24.
Which of the following is an example of physical abuse?
A slap to the person's hand
Threatening the person
Ignoring and isolating a person
25.
You are caring for a resident who is dying of cancer. He smells very bad and as a result his room smells bad. His visitors have complained about the smell and blamed it on bad housekeeping and his not being bathed. After you inform the nurse and ask her to talk to the family, what is your appropriate action?
Complain to housekeeping that they need to do a better job.
Provide each visitor a disposable respirator to block out the smell.
Ask housekeeping for a bio-spray and use it often.
26.
Poor behaviors are provoked by "triggers". An example of an environmental "trigger" for poor behavior is _______________.
excessive noise
loneliness
a television or radio
27.
CNAs are permitted to do which of the following tasks?
Newborn temperatures.
Toddler blood pressures.
Clipping toenails.
All of the above
28.
Who is the center of care?
The nurse
The doctor
The administrator
The patient
29.
Mr. Delgado states he is having severe pain at his fracture site. You report this to the nurse. What type of information is this observation?
numerical
subjective
passive
30.
You see a dark green sky and you hear a sound that reminds you of a train roaring down the tracks. What event is most likely occurring?
A hurricane
A bomb
A tornado
A nuclear explosion
31.
You are serving trays in the dining room. You know that Mrs. Smith is a diabetic and that her diet calls for 2000 calorie ADA diet. The kitchen has put the following food items on her tray: mashed potatoes, apple juice, macaroni and cheese, meatloaf and a brownie. What should you do?
Be sure that this is the correct tray for Mrs. Smith.
Ask the dietitian if this is the correct plate for this person and diet.
Report the meal and the amount Mrs. Smith eats to the nurse so she can observe for high blood sugar.
All of the above.
32.
What step must be done before every procedure?
Introduce yourself to the resident.
Document the procedure.
Check the care plan.
Wash your hands.
33.
CNAs are NOT permitted to do which of the following tasks?
Newborn temperatures.
Blood pressures on toddlers.
Clipping toenails.
Dressing a wound.
34.
You have been taught that sodium control is important in your residents with Congestive Heart Failure. What symptoms should you look out for and report?
Weight gain of 3 pounds since yesterday
Increasingly swollen ankles
All of the above
35.
Who is legally able to make decisions for the patient or resident during a patient care conference when the patient is not mentally able to make decisions on their own?
The patient or their health care proxy
Only the patient
Only the health care proxy
36.
Albert B. is incontinent of urine. He also wears glasses and hearing aid. His ____________ lead(s) to his risk for falls.
incontinence and loss of vision
loss of vision
loss of hearing
37.
After documenting a set of vital signs for Mr. Alvarez, you realize you wrote in the spot for another patient. You should:
cleanly erase and then re-write the information in the proper place.
draw a single line thorough the documentation, write "error" and your initials and then write the information in the proper place.
use correction fluid to cover the entry and them re-write in the proper place.
38.
What is the Ethics Committee?
A committee consisting of the hospital department heads that decide when an employee has behaved unethically and suggest punishment.
A committee of physicians who decide when a hospital policy can be followed based on the medical ethics of the policy.
A committee usually made up of a physician, a chaplain, a nurse, a social worker, an administrator and others that determine ethics policies and ethical care for individual patients.
39.
Which of the senses allowed you to know that Sophie was crying?
Sight and hearing
Touch and hearing
Hearing and touch
40.
The need for safety is an example of a ___________ need according to Maslow's hierarchy of needs.
physical
security
self actualization
41.
Your patient has a number of physical and emotional needs. Some of these needs are the need for safety, the need for fluids and the need for mobility. Which of these needs must be addressed during all aspects of care?
Safety
Nutrition
Fluids
42.
What kinds of things must the CNA immediately report to the nurse?
Significant physical change
Significant emotional changes
Significant behavioral changes
All of the above
43.
You wake up feeling sick and unable to go to work. You should:
Call another CNA to come in and cover your assignment.
Wait until 30 minutes before your shift begins and call.
Wait 2 hours before your shift begins and call.
Call the facility as soon as possible.
44.
Mrs. Pope wants a shower and is demanding it right now. It is not her scheduled day or shift and you have others to shower. You hear her on the phone telling her daughter she has not had a shower in days and that you are refusing to do it. How should you handle this?
Ignore her demands and tend to your scheduled residents. She's just a complainer.
Report the conversation between the daughter and the resident to the nurse.
Fit her in to showering on your shift before you leave or ask the oncoming CNA to do the shower.
Talk to her about her scheduled shower routine and if you have an opportunity you will shower her; suggest she talk to the nurse about the shower schedule.
45.
Your patient is concerned about their health insurance and the costs associated with their hospital care. Which of Maslow's needs is your patient expressing?
Physical needs
Security needs
Self actualization
46.
Which department in the hospital prepares and provides medications?
Pharmacy
Pathology
Environmental services
47.
There are several types of internal and external disasters. A cyclone is an example of a natural, external disaster. It is an "act of God", not man.
Comply with the laws of the state.
Comply with the laws of the U.S.
Comply with both state and U.S. laws.
Maintain safety.
48.
You notice your resident has increasing difficulty in swallowing. You notify the nurse. Which type of rehabilitation therapy is most appropriate for this resident to be seen by?
Physical Therapy
Occupational Therapy
Speech Therapy
49.
Where can you find scopes of practice for nurses, doctors, and nursing assistants?
In state rules
In state laws
Hospital procedure manuals
50.
Where you work there is frequently a shortage of linen on your shift. You are working with another CNA and you observe her at the beginning of the shift remove a large amount of linen from the cart and take it into one of the rooms she is responsible for. As the shift proceeds you observe her taking linen from this room into her other rooms. What should you do about this?
You should report this immediately to the nurse
You should discuss this with her and ask her to please stop. If she does not agree or becomes angry, you discuss the problem with the nurse.
When she is preoccupied, remove what you need from her assigned room.
51.
You are working with a CNA you have not worked with before. She is complaining that her lower back hurts and she cannot perform some of her duties because of this. You observe that she bends over a lot instead of squatting and uses her back muscles instead of her legs to lift and turn. How can you help this coworker?
You can do the tasks that cause her pain for her so she will not hurt.
You can discuss and demonstrate the ABCs of body mechanics.
You can tell her to take a pill to relieve her back then you will help her.
52.
Winning teams ____________.
focus on issues.
focus on policies and procedures.
judge other team members.
53.
Your coworker has been accused of verbally abusing a resident. What will happen to him now?
His employment will be immediately terminated.
He will be escorted out of the building and suspended until an investigation has been held.
He will be transferred to another hall until an investigation can be performed.
54.
Which risk factor places patients and residents at the greatest risk for falls?
Old age
Middle years
Pneumonia
55.
You are working a 7 AM to 3 PM shift. Mr. Mack returns from dialysis at 2 PM. What should you do for him before your shift is finished?
Get him some food if he has not eaten, get his vital signs and allow him to have time for rest as dialysis can be exhausting.
Get his vital signs as ordered, but do not worry about food as he will have supper in a few hours, maintain his usual activities
Ask him if he wants to eat or not, leave him alone to rest. Do not worry about vital signs as the oncoming shift will be vital signs at 3PM.
56.
Which patient care is the lowest in terms of priority?
The water
Help to the bathroom
The chest pain
The crying person
57.
You are working as a rehabilitation aide. You are working with patients and residents who need__________________.
restorative care
hospice care
respite care
58.
A resident on your unit experiences cardiac arrest and the nurse calls for someone to bring the AED. What is the nurse asking for?
Automatic Extension Device
Automated Electric Driver
Allowable Extra Diffuser
Automated External Defibrillator
59.
An example of point-of-care testing would be:
a chest x-ray
a fingerstick using a blood glucose meter
a stress test
60.
You have an annual contract with a home care patient. You should change the batteries in the smoke alarms ____________________ so you do not forget to do it.
once a year on New Year's Day
on the same holiday every other year
with each time change
61.
You see a resident lying on the floor of the bathroom. You are NOT assigned to this patient. What is the first thing that you should do?
Get the nursing assistant who is caring for the resident.
Tell the nurse that the resident has had another seizure.
Observe the resident for any injuries and call out for help.
62.
Miss O'Brien states she is too tired for her bath, although she usually gets a bath every morning. You should:
tell her you will come back a little later and see if it is a better time.
tell her you will bathe her tomorrow at her regular time.
tell her the physician says she should get a bath.
63.
Which healthcare professional is most involved with swallowing disorders?
A physical therapist
A speech therapist
A social worker
64.
An OSHA survey of a health care facility is focused on which of the following?
Resident Rights
CNA certification
Health and safety practices in the facility
65.
Teasing a co-worker regarding his homosexuality is an example of:
Sexual abuse
Sexual harassment
Verbal abuse
66.
In your hospital, dietary delivers trays to the patients at meal time. What is your role as a CNA at mealtime?
Clear the overbed table, clean and wash the patient with proper mouth care before the trays are served
Wash the patient's face and hands.
You have no role as the dietary person will take care of the patient.
67.
When you are emptying your resident's catheter, you notice the urine is cloudier and there are bloody streaks in it. What should you do with the urine?
Empty the urine and report your observation to the nurse.
Show the nurse the bag so she can assess the urine and determine if a urine test needs to be sent.
Catheter bags often get contaminated and catheters get tugged on so these are not noteworthy observations.
68.
Mr. Freeman has difficulty getting out of bed. The CNA should encourage Mr. Freeman to ______________.
ask for assistance before getting out of the bed.
remain in bed because it is safer and he will not fall.
instruct him to stand up quickly from the bed.
69.
Which of the following is an objective observation?
Mr. George has a fever.
Mr. George feels warm.
Mr. George told me he feels ill.
Mr. George's oral temperature is 98.6
70.
A CNA is with a patient who is ambulating down the hallway. The CNA sees a "Caution: Wet Floors" sign and red cones around the area. The CNA carefully looks and thinks that the floor is NOT wet anymore and that it is safe. Moments later, the patient slips and falls in the closed off area. Who is responsible for this fall?
The CNA is personally responsible.
The CNA's employer is fully responsible.
Administration is responsible.
71.
You hear an announcement in your nursing home. It states, "Doctor Storm, Doctor Storm." "Doctor Storm" is your nursing home's code word for immediately implementing emergency tornado measures. What should you do?
Move the patients to the top floor to avoid injury.
Open all of the windows to decrease the air pressure.
Pull the fire alarm so all the residents know that there is an emergency.
Move all residents into the hallway.
72.
A patient will be discharged from the hospital today. Which person will most likely arrange the discharge of this patient to their own home, to a nursing home, or assisted living facility?
A physical therapist
A speech therapist
A social worker
73.
Your patient fell last week. They are now getting special exercises in order to improve their balance and their gait. Which person will most likely help this person with these exercises?
A physical therapist
A speech therapist
A social worker
74.
Mr. Elliot, an elderly resident with terminal cancer, says to you "life is just not worth living anymore." He tells you he is planning to save his pain medication to take all at once so he can "end this misery." You must:
Call the family
Respect the resident's confidentiality
Notify the nurse at once
75.
The nurse informs you Mr. Flores has started taking antihypertensive medication. How will this information affect your care?
His appetite will increase.
His risk for falls will increase.
His ability to swallow will decrease.
76.
Which technological advance is MOST likely to place you at risk for HIPPA violations?
Social media
Word processing programs
Spreadsheets
77.
One major difference between long term care and respite centers is the fact that long term care facilities:
provide only physical care and respite centers give both physical and emotional care
provide care for residents on a long term basis and respite centers offer only outpatient services.
provide care for residents on a long term basis and respite centers offer only temporary services.
78.
Which of the following tasks can the CNA legally perform?
Wound care for a pressure sore
Insert a male urinary catheter
Insert a female urinary catheter
The measurement of blood pressure
79.
Your new resident requires some additional documentation, including meal monitoring and bladder training logs. Documentation should be done:
as each procedure is completed.
at the beginning of the shift.
at the end of the shift.
80.
CNAs and nursing assistants are permitted to work in which of the following areas as long as they stay within their scope of practice and NOT beyond their limitations?
Intensive care units
Research data analysis
Environmental statistics
81.
You are a male CNA working with an all-female staff. You are assigned your own residents just the same way the female CNAs are but you are frequently called upon by your coworkers to leave your residents to help them with a lift or heavy resident. How can you best handle this?
Help your coworkers and try to catch up on your own work when you can.
Discuss the problem with your coworkers and see if there are tasks they can do for you so you can still get your work done on time.
Tell your coworkers that you have your own assignment and you do not have time to help them.
82.
You have taken the vital signs for your patient. They are normal for the patient. What should you do next?
Report the vital signs to the nurse
Write the vital signs on a scrap paper
Call the family members
Document them on the graphic VS form
83.
You note a red rash on Mrs. Johnson's left thigh. This is an example of what type of observation?
subjective
objective
relative
84.
Your nursing home's Ethics Committee meets on a monthly basis. You attend one of these meetings and you hear Committee members discussing beneficence at the beginning of the meeting. They are discussing which of the following?
Doing the right thing
Honesty
Truthfulness
85.
You are a CNA in a facility with many Alzheimer residents. The doors to the parking lot are alarmed so residents cannot leave unnoticed. You become aware that many of the staff, including your nurse supervisor, who go out to the parking lot, disable the alarm so they can get back in without going to the front door. What should you do?
Go straight up the chain-of-command to the Administrator, who manages the nurse supervisor.
Assist your coworkers and watch the door carefully while they are out so the residents do not get out.
Talk to your coworkers first about the problem to see if they stop doing this and, if not, go up the chain-of-command
86.
Mr. Miller keeps calling out loudly and banging on his wheelchair tray. Another nursing assistant pushes him into his room, locks the wheelchair brakes and closes the door. You come to his aid, knowing this action is considered:
Involuntary seclusion
Infection control
Infection control
87.
Experts in radiation and radiation safety rely on the principles of _______________.
intrinsic, extrinsic, and innate.
distance, shielding and time.
hazardous and non hazardous.
internal, external and chemical.
88.
Mrs. Johnson has refused her bed bath for two days. What might help to convince her to accept a bath?
Tell her gently that she smells.
Ask her why she is refusing her bath.
Tell her she will get you in trouble if she continues to refuse.
89.
HIPAA rules on protecting identifiable health care information apply to information on:
Flow sheets
Verbal information such as shift report
Electronic communication including email, tweets and texts
All of the above
90.
As a CNA you are working with 6-8 year old children with mental disabilities. What should you do to prevent injury to them?
Keep the shampoo and soap in the bathroom at an accessible level.
Check shower or bath water temperature to be sure it's below 108F.
Turn out all the light at bedtime so the children will not try to get out of bed.
. Be sure beds are low to the ground and safety mats are in place.
91.
You are attending a patient care conference as the CNA on the team. What things should you discuss with other members of the healthcare team?
Medicines that the patient is taking
Reactions and adverse reactions to medicines
The person's ability to perform self care
92.
The people who live in a long-term care facility are referred to as:
Residents
Consumers
Patients
93.
You are a CNA in a children's home. While you are bathing a severely mentally challenged girl you notice bruising in her perineal area. What should you do?
Report this immediately to the nurse and document a description of your observations
Report this to the nurse and document what you think caused it.
Report it to the proper authorities as a sign of abuse.
94.
Which patient care problem is your second priority?
The water
Help to the bathroom
The chest pain
95.
Mrs. Smith receives her nourishment drink PC. What does this mean?
She receives her drink by mouth.
She receives her drink after any meal.
She receives her drink with every meal.
96.
The care plan for Mrs. Stewart says she is to receive passive range of motion exercises to her left knee and ankle BID. How frequently will the resident receive range of motion exercises?
every two hours
twice a day
twice a shift
97.
A CNA cannot perform which of the following tasks?
Blood pressure measurement
Passive range of motion
The application of an antibiotic cream
98.
Your resident has been out with his family all day and returns with a severe sunburn. Which of the following is true?
He has blistering so he has a 2nd degree burn. He will have pain and he will need fluids.
He has a 1st degree burn and may need you to apply aloe cooling medication to the burn.
He has a 2nd degree burn and you must apply an aloe cooling medication to the burn.
99.
The RN asks you to bring the unit's collected lab specimens to the lab "stat". You should ______________.
not do this errand because CNAs do not do "stats".
run this errand as soon as you can.
run this errand immediately and without delay.
100.
Nursing care plans are _______________.
written by CNAs before they provide care
guidelines of care that all nursing team members use
used by nurses but not by nursing assistants
101.
Refer to the following to answer the next 2 questions: You are giving care to a 76 year old patient. You noticed an unusual fruity mouth odor when you are providing oral care to this patient. What should you do?
Tell the person to use mouthwash and nothing else.
Read a reference book about diabetes and its signs.
Report this to the nurse because this observation is not normal
102.
Your resident tells you she is concerned about how her family will pay for her medical care. What department will assist the resident with financial matters?
Social services
Business office
Environmental services
103.
When, in the process of getting your resident up, she complains of dizziness as she sits on the side of the bed. What should you report to the nurse?
"The resident told me she had some dizziness."
"The resident became dizzy when I got her out of bed."
"The resident experienced orthostatic hypotension upon dangling."
104.
RACE is the acronym for the things you must do in the case of a fire. What is the FIRST thing that you do if a fire breaks out?
Restore the patients
Relate and report the fire
Rescue the patients
105.
Which of the following needs has the LEAST priority?
A healthy and satisfying relationship
Membership in a community group
An award or a special recognition
Reaching one's fullest potential
106.
Who is the most important member of the interdisciplinary health care team?
CNA
Attending physician
Charge nurse
Resident
107.
CNAs are very important in terms of observation and reporting. Why is this role so important?
CNAs are paid to make observations and reports.
They serve as the eyes and ears of the nurse.
They can fulfill the nurse's duties.
108.
Your resident is a diabetic who is bedbound. When you do his bath you notice white crusted material under his foreskin. What should you do?
Wash the area well with soap and water.
Report your observation to the nurse in case this is the beginning of a fungal infection.
All of the above.
Apply medication to stop any fungal infection.
109.
Hospitals, nursing homes and other healthcare settings are at risk for workplace violence because ______________.
most employees hate their jobs and their work
most patients and residents are angry at staff
these settings do not have armed security guards
these settings allow strangers to enter at all hours
110.
Which of the following goals are not part of the Patient Protection and Affordable Care Act?
Reducing the number of Americans who are uninsured
Requiring employers to provide health care coverage
Requiring insurance companies to cover people with pre-existing medical conditions
Protecting insurers from consumers with chronic conditions
111.
A CNA who does NOT give care with same level of skill that they learned in school can be found guilty of ______________ when this leads to an injury or damage to the person.
negligence
malpractice
unprofessional conduct
112.
You are caring for a group of patients and you hear a loud crash at the end of the floor. Which of your senses allowed you to hear this loud crash?
Auditory
Visual
Tactile
Gustation
113.
CNAs and nursing aides can work in home care__________________.
only when the RN is also in the home.
only when an RN or LPN is in the home.
only with elderly patients or residents.
only under the supervision of the nurse.
114.
You are working as a CNA in hospice. What types of patients are you caring for?
Children with birth defects
Troubled youth and teenagers
Toddlers who need surgery
People at the end of life
115.
Which of these needs is the GREATEST priority?
A healthy and satisfying relationship
Membership in a community group
Reaching one's fullest potential
116.
You are assigned to give a bath to Mrs. Turner. She is an uncooperative 572-pound woman, who can sometimes be uncooperative. Mrs. Turner has trouble getting up and turning over on her own. How can you best perform this task?
Coach Mrs. Turner to wash herself and do not assist her, as she needs to get motivated to wash herself.
Only bathe the parts that you can reach and leave the rest because Mrs. Turner does not want it done any way or she would cooperate.
Encourage Mrs. Turner to do the parts that she can on her own, like her face and arms, and then get help for the rest of her bath so you can clean all the other areas especially the skin folds.
117.
CNAs are responsible for observation and reporting. The primary purpose of observation is to _____________.
fulfill your job description and to ensure that all policies and procedures are strictly followed.
help the CNA, the nurse and other members of the healthcare team to provide quality care.
inform the nurse, other CNAs and other members of the healthcare team about the patient's diagnosis.
118.
You have a question about your assignment. Who is the correct person to ask?
Medical director
Nurse
Resident
119.
A laboratory worker comes to your unit and asks to read the entire medical record for Jake B. You give the medical record to this lab worker and you allow them to read the entire medical record because they work in the hospital. The lab worker has ____________.
violated HIPPA
done nothing wrong
emotionally abused Jake B
120.
Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own. Soon, she will be getting some assistive devices for eating meals. Which healthcare worker will be getting Penny these assistive devices?
A physical therapist
A speech therapist
A social worker
An occupational therapist
121.
Your resident has a history of somnambulism. What is this?
Bed wetting
Nightmares
Grinding his teeth in his sleep
Sleep walking
122.
You have applied for a position as a CNA with a temporary staffing agency. All of the following items will be the same between your temporary staffing position and the skilled facility where you used to work as a full-time employee. Which item will be different between the two types of work?
Assignments and locations can be accepted or declined.
CNA tasks
Team work.
123.
Your favorite resident has passed away. She told you several times in the past year that she wanted you to have her silver rosary when she died. What should you do about the rosary while you are packing her belongings?
Place the rosary with her belongings and list it with all of the rest of her belongings to be given to the family.
Keep the rosary separate from her other belongings, inform the family of her stated intention and ask them if you can keep it.
Place the rosary aside and see if the family asks for it. If not, it is yours because that is what she wanted.
124.
Identify the "trigger" type with the correct "trigger" that can possibly lead to disturbed behavior.
Emotional: room coldness
Environmental: boredom
Physical: pain
125.
The department of a hospital that provides care for patients with pulmonary and breathing disorders:
Physical therapy
Occupational therapy
Speech therapy
Respiratory therapy
126.
Which person is most likely capable of workplace violence?
A community resident who opposed the zoning of the nursing home.
A double agent who is spying on a group of residents
A former staff member who has been fired
127.
You have six beds to strip and make. The nurse tells you one of your residents needs to be taken to the bathroom. You should:
ask the nurse to get another CNA to do it.
ask the nurse if she can take care of the resident.
ask if the resident can wait so you can get caught up.
ask if you can get help with the beds after taking care of the resident.
128.
Your resident is actively dying. You want to stay with her but you have other residents and 2 call lights on. How should you handle this?
Let your coworkers know what is happening and solicit their aid to sit with her or answer lights.
Stay with her as often as possible but continue your routine tasks.
Don't worry about your other patients, as they will understand.
129.
Who should be members of a patient care conference?
Doctors, nurses and CNAs since they are healthcare providers
Doctors, nurses and the patient and/or the family members
ALL members of the healthcare team
ALL members of the healthcare team and the patient/resident.
130.
The facility where you work has the policy of telling CNAs to clock out on time and then return to finish their work. Which of the following is not an accurate statement regarding this situation?
If you have clocked out, workman's compensation does not cover you if you are injured.
It's alright to do this, so you can finish your work at a reasonable pace and not worry about the time.
If you clock out, you are not covered by the facility malpractice insurance if you drop or injure a resident.
131.
You are working in a healthcare setting that cares for people with chronic, physical healthcare problems. Which type of healthcare facility are you MOST likely working in?
A hospital
A nursing home
A health department
132.
You are caring for Lucy S. Lucy suddenly starts acting out, screaming and resisting her morning bath. What should you do?
You should stop the bath and postpone it until she calms down.
Continue the bath, despite her acting out and resisting it.
None of the above
133.
Mrs. Sanchez is a slow eater who usually has a poor intake. The nursing assistant is running behind and decides not to feed her since she takes a long time to feed but eats very little. The dietary department reports the tray is returned untouched. What charge could this nursing assistant be found guilty?
Aiding and abetting
Malpractice
Battery
Negligence
134.
Your resident has a wound vac on her leg. The alarm keeps sounding and she is becoming agitated and wants it removed. What should you do?
Shut if off for a little while until she calms down then turn it back on.
Reset the alarm and reposition the leg
Report the problem to the wound care nurse when you have time.
Let the resident know that this is a highly specialized piece of equipment and you will notify the nurse immediately.
135.
Which of these actions is illegal in most states?
Abortion
Euthanasia
Healthcare proxy
136.
You walk into your female resident's room and you see a male patient exposing his genitals to the female patient. This type of behavior has to be managed because it is _______________.
disruptive
dangerous
illegal
137.
The majority of incidents in the long-term care setting are from:
medication errors
elopement
falls
138.
You are working in an assisted living facility where some residents have kitchens in their units. You have noticed that one resident often puts something on the stove and forgets she has done this. What must you do?
Move her directly to a room without a kitchen.
Tell the resident that you have observed this and she needs to be more careful.
Tell the resident what you have observed and let her know you are going to report it to your supervisor.
139.
What documentation is within the role of the CNA?
Heights and weights
Admission assessments
Ongoing assessments
140.
How can the CNA best avoid skin shear when moving a resident up in bed?
Make sure the resident is dressed.
Make sure the resident's skin is damp.
Make sure you use a draw sheet and obtain assistance.
141.
Mr. Gomez is a diabetic resident who has heavy stubble and cannot shave himself. He wants you to use a disposable safety razor to shave him instead of his electric razor. Can you use a disposable safety razor on this patient?
No, you can only use the electric shaver, as he is a diabetic.
No, he must make an appointment with the barber.
Yes, but you must report any nicks to the nurse.
142.
The RN has assigned you to empty urinary drainage bags for a group of patients. You should take which of the following actions?
tell the RN that CNAs are NOT permitted to do this.
complete this task and report task completion to the nurse.
disconnect the catheter tubing from the drainage bags.
143.
One of your nursing home patients is dependent on a mechanical ventilator for their respiratory needs. The patient cannot breathe on their own. Suddenly, the lights in the patient's room and the entire nursing unit go off. You realize that the electric power has been lost. What is the first thing that you should do for this patient?
Plug the ventilator into the red outlet in the room.
Plug the ventilator into the red outlet in the room.
Call the doctor about this emergency.
Call the doctor about this emergency.
144.
A fire needs which of the following?
Gas, air and heat.
Air, heat and something to burn
Something that burns, gas and air.
145.
As his CNA, you observe Mr. Oliver's hands have cigarette burns on his fingers. You know he smokes heavily and has become less responsible when he smokes. Which of the following is the best course of action?
Escort Mr. Oliver when he smokes to keep him safe and prevent the burns.
Take his cigarettes and lighter away because smoking has become unsafe for him.
Tell Mr. Oliver to be more careful or you will tell on him.
Tell the nurse your observation and let him handle the problem.
146.
Which natural disaster is most likely to lead to a fire hazard?
A tsunami
A volcano
An earthquake
147.
You are working the midnight to 8 am shift. When you leave a resident's room, there is a man with a knife in this hand. He says he wants to see Julie B. who is the nursing supervisor. What should you do?
Remain calm and follow your emergency procedures
Try to knock the person down so you can get the knife
Bring the person to Julie B.'s office as he asked you to do
148.
Which is NOT an acceptable abbreviation?
D/C
tid
bid
149.
A CNA sees a former patient across the store. The CNA cared for this former patient for 6 months and got to know her well. Based on that scenario, which of the following is accurate with regards to HIPAA?
If the patient is with company, it is a HIPAA violation to approach a former patient and ask how she is doing.
If the patient approaches you, it is not a HIPAA violation to talk about her hospitalization or diagnosis.
If the patient is by herself, you can approach her and ask how she is doing and discuss her hospitalization and diagnosis.
150.
Mr. Barry, a resident with dementia, asks you when his wife is coming to see him. You know his wife is deceased. How should you answer him?
"Tell me about Mrs. Barry. "
"Now, Mr. Barry, you know your wife has passed on."
"She called and said she would be here later."
151.
Restraints are sometimes used for what patient conditions or situations?
Punishment when the patient is uncontrollable
To prevent the patient from pulling their IV out
When a patient is a danger to self and others
All of the above
Both b and c only
152.
Tasks that can be legally done by a CNA are found in: ____________.
federal laws and regulations.
state laws and regulations.
federal and state laws and regulations.
153.
Who has the legal "need to know" what is in the medical record?
Nurses
Doctors
CNAs
All of the above
154.
A type of health insurance payment that is pre-paid by the consumer:
Medicare
Medicaid
HMO
155.
A patient is yelling at other residents in the nursing home. A CNA tells the person to stop yelling or the CNA will hit them. The CNA has committed __________ against this patient.
assault
battery
physical neglect
156.
Refer to the following to answer the next 3 questions: At the end of your shift, Sophie T. starts crying when you walk into her room. Sophie is usually very cheerful. You speak to Sophie and she tells you that she is very sad because she has not seen her family in weeks. What should you do?
Listen to Sophie with genuine concern.
Tell Sophie that she should not cry.
Immediately call the family so Sophie stops crying.
157.
You are a female CNA working in an acute care facility. You have been assigned to bathe a bedfast male patient. When you enter the room, introduce yourself and inform him of what you are there to do, he refuses your care and tells you to get out of the room. You have been able to determine that his response is because you are a female and your care is culturally unacceptable to him. What should you do?
Report the response to the nurse and ask to have someone else assigned to bathe the patient.
Ask the patient if he is okay with your doing the rest of his care but that you will find someone else to bathe him.
Continue with him as your patient but find a male CNA to bathe him while you perform the other tasks without consulting the patient in this action.
158.
You are emptying urinary drainage bags for patients that need their output recorded. Where are you most likely to document the amount of urinary output?
On the graphic output form
On the I and O form
In the nurses notes
159.
Mr. Jackson tells you he is having pain. You notify his nurse who says "OK, I can give him Tylenol PRN for pain." What is the meaning of PRN?
as needed or as indicated
only given by the RN
only by mouth
160.
Your patient is concerned about their life insurance and the costs of their burial. Which of Maslow's needs is your patient expressing?
Physical needs
Security needs
Self actualization
161.
A chronic illness:
requires immediate treatment.
cannot become acute and does not require hospitalization.
lasts 6 months or less.
lasts a long time but can have acute phases which require hospitalization.
162.
You are beginning a new career as a CNA. Which of the following senses will you not use throughout your new career?
hearing
sight
touch
taste
163.
Match the type of fire and the appropriate fire extinguisher.
Grease: D
Electric: B
Wood: A
164.
The best way for CNAs, and healthcare facilities, to control the effects of poor and disruptive patient behavior is to _________________.
prevent it
restrain the patient
medicate the patient
165.
The director of nursing at your long term care nursing home has assigned you to be in charge of the nursing home for the weekend because she is going away on a cruise vacation to the Caribbean. What should you do?
Refuse to do the assignment
Do the best you can do
Ask about the details
166.
You are taking vital signs for a group of elderly residents. Which vital sign characteristic must be reported immediately because it is the greatest priority?
An irregular apical pulse
A temperature of 98.4 degrees
A blood pressure of 120/80
167.
Good team members do which of the following?
focus on their tasks and not on some lofty goal.
do NOT communicate with or interfere with others.
do their job well without helping others with theirs.
accept responsibility and accountability.
168.
You work as a CNA in a hospital. A woman says she is the sister of a patient and asks you why she is there and how she is doing. What is your best response?
"I can't discuss her diagnosis but she is in room 201, why don't you visit her."
"I can't tell you her diagnosis but she is responding to treatment well."
"I'm the CNA. If you give me your name, and wait a few minutes, I'll check to see if she can have a visitor."
169.
Your resident is terminally ill and on hospice care. This means:
She must die within 6 months or be dismissed from hospice care.
You do not need to do personal care because she is going to pass away shortly.
She will probably live less than 6 months but you continue her care as usual until that time.
You do not need to turn her because she will not live long enough to get a pressure ulcer.
170.
You are a home health aide. You are driving your patient to the grocery store and the drug store for shopping. As you are driving, you feel the earth shake. What is the first thing that you should do?
Drive the car to an area surrounded by tall buildings so you can be protected and safe.
Drive the car to the nearest police station for so the police officers can help your patient.
Stop the car regardless of where you are and call 911 about this emergency to insure safety.
Stop the car away from tall buildings and get the patient and yourself on the floor of the car.
171.
Many people, particularly older people, go to what kind of healthcare facility after they are discharged from a hospital after a stroke?
A subacute care center
A hospice
A respite center
test
172.
Which of the following lists the five senses?
sight, hearing, taste, smell and common sense.
hearing, taste, smell, common sense and auditory.
sight, taste, smell, auditory and visual.
hearing, smell, taste, sight and touch.
173.
Your resident's clothing catches fire. You must ____________.
look for the closest liquid
tell the patient to run
tell the patient to crawl on the floor
roll the person on the floor
174.
When you greet your resident this morning, he looks at you suspiciously and asks "who are you?" Yesterday he recognized you and greeted you by name. Your response to this should be to:
ask him if he remembers your name.
document his response in the flow sheet.
bring in another CNA to see if her remembers her name.
notify the nurse.
175.
As a CNA, you are assisting the EMTs move a new resident from the stretcher to the bed. You notice a skin rash and pustules around the resident's scalp and ears. What should you do?
Report the findings immediately to the nurse.
Ask the EMTs what it is.
Ask the EMTs what it is.
176.
You do not know how a resident toilets. What is the best way to find the correct information?
Ask the resident or a family member.
Ask another nursing assistant.
Evaluate the resident's strength and capacity for cooperation and decide.
Check the resident profile card or care plan.
177.
You are at work in a skilled facility when you notice two female visitors without name tags walking from room to room. You do not recognize the women. What do you do?
Ignore them as there are always visitors you do not know.
Confront them and escort them out of the wing.
Call security to handle the matte
Introduce yourself, ask who they are and which resident they are visiting and guide them to the correct room to verify.
178.
All residents will not receive the same care interventions. What factors determine the care a resident will receive from the CNA?
The needs of the resident.
The documentation on a flow sheet.
The resident's ability to pay for care.
179.
Mr. King has an order for a vest restraint when he is bed. How will you secure the restraint to keep the resident safe?
Tied in a slip knot to the bed frame.
Tied in a double knot to the bed frame.
Tied in a slip knot to the siderail.
180.
Mr. Dennis is receiving hospice care for end-stage metastatic colon cancer. What is the most important issue in his care plan?
Daily bathing
Controlling pain and providing comfort
Encouraging fluids
181.
The CNA observes sudden changes in their patient's health status. Which of the following changes is the highest in terms of priority?
Physical changes
Emotional changes
Behavioral changes
182.
The resident's vitals are 99 - 98 - 36. Which of these findings needs to be reported immediately to the nurse?
Temperature
Pulse
Respirations
183.
You enter a resident's room to give her care. When you are standing next to her bed, you see a pill on the floor next to the bed. What should you do?
You should pick the pill up, ask the resident if it is one of hers and throw it away because it is dirty from being on the floor.
Wearing a glove, pick the medication up, ask the resident if it looks like one of her pills and return it to the nurse so he will be aware that the resident did not take that pill.
Pick up the pill, throw it away and tell the nurse
184.
You are ready to use a fire extinguisher to put out a grease fire in your home care patient's kitchen. You should aim the fire extinguisher where?
At the base of the fire.
At the top of the flames
Near the kitchen entry.
185.
You are a CNA assigned to the emergency room. You have been tasked to obtain a clean catch urine specimen from a patient who is elderly and has arthritis in her hands. How can you best perform this task?
Ask the patient if she will be able to perform the procedure with her arthritis and if so, let her provide it when she can.
Explain the procedure to the patient, assume she cannot clean properly because of her arthritis, then perform the procedure for her.
Give the patient the bottle and let her provide the specimen when she can.
186.
You hear a co-worker talking about a resident, saying "she's just here to get more drugs she couldn't get in jail." You counsel the co-worker to stop her remarks, advising her that she could be accused of:
Slander
Libel
Assault
187.
You are caring for a resident with dementia, who refuses to change her clothes or remove them at bedtime. How should you handle this?
Ask her why she won't change her clothes.
Tell her the clothes are dirty and they smell so she has to change.
Change her clothes through force of will.
Take her to the shower and while she has her clothes off remove them and put on new ones.
188.
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
10 am and 2 pm
10 am, 2 pm, 6 pm and 10 pm
189.
The nurse has written a nursing order in John Taylor's nursing care plan. It states, "Assist the patient to the bedside commode prn". When will this patient get this assistance to the commode?
Whenever needed
At bedtime
During the night
190.
You will be escorting a patient to the operating room on a stretcher. In order to prevent this patient from falling, you must do which of the following?
make sure the locks are not locked as you move the patient onto the stretcher from the bed
use a safety belt or strap on the patient throughout their escort to the operating room
All of the above
191.
A resident tells you he is experiencing pain. You ask him if he told the nurse and he says he did not want to bother her. You must:
tell him to put the call light on and tell the nurse
tell the nurse at the end of your shift
call the resident's doctor and report he is having pain
notify the nurse promptly
192.
A resident has no physician order for restraints. He is indicating he wants to leave the facility. The nurse says she will restrain the resident if necessary to keep him from leaving the facility. This would be considered:
Standard of care
False imprisonment
Coercion
193.
Which should you document, but not immediately report?
A urinary output of 30 cc during your 8 hour shift.
A patient fall that did not lead to any apparent injury.
A sudden onset of confusion with a patient who was not confused.
The fact that the patient drank 1000 cc of fluid during your 8 hour shift.
194.
You are the CNA taking care of Mrs. Lee in room 232 bed 2. You are not assigned to take care of Mrs. Libs in 232 bed 1. The CNA who has been assigned to Mrs. Libs has asked you several times to perform care on her patient. Mrs. Libs is now asking you to perform care on her also. How should you address Mrs. Libs' request for care?
Perform the care even if interferes with your other duties, as CNAs must work as a team.
Tell Mrs. Lib that you will get her caregiver because she is not your patient.
Since you have to walk past her bed to reach your patient anyway, just take care of her needs as well.
Perform the care if it does not interfere with your other duties, but tell the responsible CNA that you cannot care for her patient and inform the assigning nurse about the situation.
195.
Which of the following has the LOWEST priority?
An obstructed airway
Chest pain
Irregular pulse
Severe depression
196.
Mrs. Miller has a long list of medical diagnoses, included Type 2 DM and HTN. This means she has:
type 2 diabetes and heart failure.
type 2 diabetes and hypertrophic cardiomyopathy.
type 2 diabetes and high blood pressure.
197.
Residents in long- term care facilities are at risk for incidents because:
they have limited mobility.
they may be confused or disoriented.
they may have visual or hearing impairments.
All of the above
198.
Which of the following would be an objective observation?
The resident says he has pain in his abdomen.
You hear the resident wheezing when he breathes.
The resident complains of nausea.
199.
You are caring for an advanced Alzheimer's resident whom you have just gotten up to the wheelchair. When you go to the back of the wheelchair to straighten her up and remove the gait belt, she screams that you are trying to choke her and strikes out hitting you in the arm and chest. How should you react to this outburst?
You should remain behind the chair so she cannot hit you again and explain to her why you are there and what you are doing
You should ignore the outburst and finish what you are doing.
You should go to the front of the chair where she can see you and explain that you are trying to get her comfortable and remove her gait belt.
200.
You enter Ms. Diamond's room and observe she is having difficulty speaking after she awoke from a nap. You should next:
notify the nurse of a change in condition.
wait an hour to see if she regains her speech ability
give her a drink of water because her mouth is dry.
201.
Which of these devices is considered a protective device, rather than a restraint?
A mitten on the hands to prevent scratching
A mitten on the hands so the person cannot pull their IV out
A soft wrist restraint to prevent the patient from pulling their IV tubing
202.
Your patient has had a very full and rewarding life. She has had a lot of success in her personal and professional life. She has achieved all of her goals and she has maximized her potential. This patient can be best described as a person who has achieved Maslow's___________.
self actualization
exploration
closeness
203.
What is the relationship between HIPPA and technological advances?
Technology helps to foster HIPPA confidentiality.
Computers help us to share information with others.
Computer screens are not visible to others in the area.
Technology places us at risk for HIPPA violations.
204.
You are caring for a group of patients in the nursing home. The highest priority, greatest need for this group of patients is the need for which of the following?
esteem and respec
self determination
justice
safety
205.
Mr. Golden's chart has a notation on the spine that reads "DNR." This means:
do not resuscitate.
do not remove the chart from the unit.
he is under hospice care.
206.
Two female nursing assistants are caring for a male resident. While performing care they discuss dates with their boyfriends, including intimate details. This inappropriate action could be:
Physical abuse
Verbal abuse
Sexual abuse
207.
Which of the following is accurate with regards to restraints, both physical and chemical, which restrict voluntary movement or behavior?
Restraints may be used in a restraint-free facility with a physician's order.
Restraints must always be preceded by a physician's order whether a restraint-free facility or not.
Restraints may never be used in a restraint-free facility even with a physician's order.
208.
Which of the following is an example of emotional abuse?
A slap to the person's hand
Threatening the person
Ignoring and isolating a person
209.
Patients have a right to ______________.
only enough information so they can comply with care
ALL of their health related information
small amounts of information so they do not get nervous
210.
Your patient is upsetting other residents because they are yelling and repeating the same thing over and over in a sing song manner. This behavior has to be managed because it is: ______________.
disruptive
dangerous
illegal
211.
Which federal agency is responsible for infection control in hospitals and skilled facilities?
Center for Disease Control (CDC)
. Joint Commission for Accreditation of Healthcare Organizations (JCAH)
Occupation Safety and Health Administration (OSHA)
All of the above.
Both a and c only.
212.
CNAs are responsible for reporting. The primary purpose of reporting is to __________________.
inform the nurse about the patient's condition and the patient's needs, when necessary.
fulfill your job description and to ensure that all policies and procedures are strictly followed.
help the CNA, the nurse and other members of the healthcare team to teach the patient and family.
213.
You want to post a photo online of you and your resident. This may done if:
permission is granted by the both the resident and the facility.
permission is granted by the resident and the family.
the resident is not identified in the photo.
214.
You suspect that another CNA on your unit may have pushed a patient. What should you do?
Do nothing because you are not sure.
Immediately report this to the nurse.
Tell that CNA that they should go home.
215.
Your patient has been confused for years. Your patient can be best described as a patient with a chronic ___________ disorder.
physical
psychotic
thinking
216.
The nurse delegates a specific task that you must perform now in addition to your assignment. You may:
ask another CNA to complete the task if you are too busy.
tell the charge nurse you will do it if you can.
complete the task as soon as you can.
217.
Mrs. Steven's husband has just left after a visit. She is confused and non-verbal. While providing care, you notice a new bruise on her upper right arm. You should:
Notify the nurse.
Call the husband to ask if the bruise was there.
Wait until the next day to ask if anyone else saw the bruise.
218.
Your resident has a history of skin allergies and needs to be careful about what soap she uses and what detergent she uses in her wash. You notice red bumps with no pus or oozing on her back when you bathe her. What is the proper term for these spots?
Wheals
Vesicles
Purpura
Papules
219.
You are working as a valued member of the team on your nursing care unit. You are trying to figure out whether or not the team is doing well. Which of the following is a sign that your team is doing well?
Conflict occurs but this is seen as an opportunity for team growth and development.
No negative feelings are ever expressed so everyone is happy and satisfied
Mistakes are NOT tolerated. Mistakes result in disciplinary action.
220.
Your resident is NPO. This means:
Thickened liquids only
Medications only
Nothing by mouth
221.
Tommy R., your 68 year old patient, is at risk for falls. He has fallen 3 times in the last month. You should keep Tommy's ______________ in order to prevent him from falling again.
bed side rails up at all times
bed in the low position
family members in the room at all time
call bell within reach
222.
You are new on the unit. Many residents on the unit are ambulatory. Your assignment is to give Mrs. Jones in 306A a bath. There is a resident sitting on the bed in 306A. She is not wearing a name bracelet. How will you make sure this is Mrs. Jones?
Ask the resident if she is Mrs. Jones.
Ask another resident to confirm that this is Mrs. Jones.
Ask the resident to state her room number.
223.
Your resident has received a new radio and his family has stretched the electrical cord across the room and plugged it in. What should you do first?
Unplug the radio and explain the danger to the resident and the family.
Look for a better place to plug the radio in.
Ask the family to take the radio home so it will not get broken
224.
You are feeding a dependent resident when you are asked by the nurse to change a resident who is incontinent and wet. You should:
refuse because you are feeding another resident.
tell the nurse you will need someone to take over feeding the resident.
place the cover on the resident's food and change the incontinent resident.
225.
You are caring for a resident who is hallucinating and seeing spiders on her wall. She points them out to you and wants you to kill them. What should you do?
Show her the spot on the wall and explain that it is just a spot. Reassure her that if you find any spiders that you will take care of them.
Take a shoe and hit the spot and tell her the spider is dead.
Ignore the patient's request in order to not reinforce the delusion.
226.
Your resident has severe stage IV pressure ulcers on her heels and ankles. How would you chart these?
Chart your action in relieving pressure and positioning.
Chart any drainage or bleeding.
Document your care but not anything about your observations of the ulcers, as that is the nurse's responsibility.
Both a and b
227.
You witness your co-worker place a resident's ring in her own bag. By not reporting this, what charge could you be found guilty?
Theft
Aiding and abetting
Defamation
228.
Which of the following is an example of physical neglect?
A slap to the person's hand
Threatening the person
Ignoring and isolating a person
Leaving a patient soiled for hours
229.
CNAs are personally responsible in terms of ________________.
patient outcomes
ethical actions
the Nurse Practice Act
230.
Verbal bullying, among school aged children, threatens which of Maslow's needs?
Physical needs
Self actualization needs
Love and belonging needs
231.
The resident who is asking for water is expressing a _________ need according to Maslow.
hydration
fluids
physical
232.
Under HIPAA, what is PHI?
Personal Health Indicators
Physical Health Issues
Protected Health Information
233.
Mr. Golden is not able to ambulate independently. He keeps trying to get out of his wheelchair and the staff must repeatedly respond to his wheelchair alarm. What action would be appropriate?
Place a restraint on Mr. Golden so he does not fall.
Call the family and ask them to come in and sit with him.
Assist Mr. Golden to walk to the bathroom or to where he wants to go.
234.
You are the CNA in a home health agency. You visit many elderly patients in their homes. Some have a history of falls. You have to identify environmental factors that place these home care patients at risk for new falls and repeated falls. Which of the following environmental factors should be corrected by the CNA in order to prevent falls in the home?
Scatter rugs
No glare floors
Room temperature
235.
You have been job hunting and Simi General Hospital has scheduled a telephone interview with you at 2pm today. How should you prepare?
There is no special preparation as this is not really a face to face interview and they have all your pertinent information
Find a quiet place to take the call. Have all of your submitted information in front of you so you don't give conflicting information
Find a quiet place to take the call. Have all of your information handy to answer routine questions and have a start or availability window of dates ready
236.
You are doing home care and your client trips on an area rug and falls. She gets up and is apparently unhurt. This is the second time it's occurred. How should you handle this emergency?
Since she says she's ok, there's no need for further action.
Move the rug and call your supervisor to come assess the patient.
Tell the client to stay where she is and dial 911.
237.
The difference between a flood watch and a flood warning is that a flood warning means that flooding ________________.
is possible and a flood watch means that flooding will occur.
will occur shortly and a flood watch means that flooding is possible.
is possible and evacuation has already been carried out.
will occur shortly and evacuation has already been carried out.
238.
Who is the person tasked with hearing residents' complaints and helping to resolve them?
Charge Nurse
Patient Advocate
Facility Administrator
239.
A loud crash at the end of the hall is coming from a room that you are not assigned to. What should you do first?
Find the CNA who is assigned to the room.
Yell for help.
Rush to the room and observe what has happened.
240.
Mrs. B. curses at you and tries to strike you after you knock on the door to greet her at the beginning of the shift. What should you do?
Report this to the nurse because Mrs. B. is exhibiting dangerous behavior.
Tell her to stop this behavior and walk out of the room until she calms down.
Ignore it. Most patients and residents try to hit staff because they are angry.
241.
Mr. Johnson has a pressure ulcer classified as stage II. What would you expect to see?
A full thickness crater with dead yellow tissue at the bottom
Discolored skin with a shallow crater and pain
Intact skin with discoloration
242.
Which sensory impairment places residents and patients at risk for falls?
Blindness
Confusion
Aging
Weakness
243.
Mrs. Smith states she has lost her pocketbook, which contained $50. Upon hearing this, you should:
stop what you are doing and help her look for it.
call the police to report a missing item.
ask her roommate and other residents if they have seen it.
notify the nurse.
244.
Which of the following are signs of depression?
Not eating, not communicating, drinking alcohol
Overeating, crying, singing
Eating normally, going to work on time, not being social
245.
You are in the dining room at your facility and you observe a resident displaying the universal sign of choking, the hands in a V at the throat. What should you do?
Ask him if he is okay and if he says "yes", perform the Heimlich maneuver to dislodge the food.
Ask him if he is okay. If he cannot speak, cough or breathe, perform abdominal thrusts until the food is dislodged.
Grab him right away and perform abdominal thrusts before you ask him any questions because it is an emergency.
246.
You are assigned to a resident who is receiving palliative care. You know this means the resident is receiving care that is planned to:
provide comfort
modify behavior
improve ADL performance
decrease food intake
247.
The fire alarms in your nursing home begin ringing. What is the first thing you must do?
evacuate the patients laterally.
evacuate the patients vertically.
open the patient doors.
Close the patient doors.
248.
Teamwork needs ___________________.
the nurse as the leader.
the doctor as the leader.
equal collaboration.
249.
You need to get Mrs. Lees up from the wheelchair and back to the bed. The first step is to check to make sure the bed and wheelchair are in a safe position. Which of the following describes the safe position of the wheels on the bed and the wheelchair for a transfer?
Bed wheels unlocked - wheelchair wheels locked
Bed wheels locked - wheelchair wheels unlocked
Bed wheels locked - wheelchair wheels locked
250.
Of all the patient needs, which one is the GREATEST priority?
An airway
Breathing
Safety
251.
Your former grade school teacher is now one of your residents. A friend asks for details on her condition. What is your best answer?
"Let me check her chart and I will get back to you."
"She is very depressed - why don't you visit her?"
"She has had a stroke is unable to speak, so don't call her"
."I'm sorry, I am not authorized to tell you."
252.
You have a resident who has recently been moved from one room in a different hall to your hall and a new room. At bedtime, you observe her moving her personal items back to the old room which is still empty but not cleaned. What should you do?
Take steps to switch her room back to the old one.
Call security to escort her back
Let her stay in the old room tonight and move her back in the morning.
Tell the resident she has been moved, take her back to the new room and help move her belongings back.
253.
You are a CNA on an Alzheimer's unit. Some of your residents are difficult and aggressive. One of your co-workers always puts Mrs. James' and Mrs. Jones' wheelchairs side by side because she seems to enjoy watching them bicker. She has often commented on how amusing this is. How can you relieve this situation?
If you see these residents side by side, move one or both of them away from the area.
Tell the co-worker that you feel that these two should be separated and let her handle it.
Discuss the problem with the co-worker and help her move the residents. Report the situation to the nurse.
254.
Nursing assistants work in a lot of different places. One place that CNAs work is a skilled nursing facility. This type of facility is also called a ______________.
hospital
rehab center
hospice
nursing home
255.
You are working the 4 pm to 12 midnight evening shift. You are taking care of a group of patients. The RN identifies 5 patients who get a therapeutic backrub at "HS". When will you give these therapeutic backrubs?
After the dinner meal
Whenever requested
At the patient's bedtime
256.
You are the CNA on the first floor. You have been informed in report that you will be receiving 3 new residents from the hospital this morning. Each resident is reported to be able to feed themselves, needing assistance to the bathroom and being admitted for rehabilitation. How can you best prepare for these admissions?
Tell the charge nurse that you cannot handle three admissions on your shift and perform your usual duties on time.
Set up the new rooms first. After that, begin your routine duties despite the fact that they may be late.
Perform all of your assigned duties in the order that you usually would. Set up the rooms after the new residents arrive.
Perform your other assigned duties and between the routine tasks set up the rooms based on the anticipated order of the new arrivals.
257.
Your elderly patient has a temperature of 98.5 degrees. Is there anything else that the CNA should do, in addition to documenting this temperature?
No, this temperature is within normal limits.
No, this temperature is normally hyperthermic.
Yes, this temperature is highly hyperthermic.
258.
What other preventive measure will prevent Mary Eden from falling from her bed?
A low bed
A gym mat
Padded briefs
Monitoring
259.
You walk past Mrs. Olsen's room and see that she is crying. What is an appropriate CNA action?
Go to the nurse and report what you saw.
.Ask Mrs. Olsen "what's wrong, honey?"
Tell Mrs. Olsen to cheer up.
Offer to sit with Mrs. Olsen if she would like.
260.
What type of footwear should a resident have on his or her feet when being transferred from a bed to a wheelchair?
non-skid footwear
skid footwear
slippers
261.
Your resident voided 60 mL of urine at 1:00 pm in the afternoon. Your facility uses international time (the 24-hour clock.) How will you document the time of this resident action?
01:00
1pm
100
1300
262.
Your coworkers are talking about Mary because she is always depressed and too tired to do her work. You know Mary's husband has left her and her two children, so she is working two jobs. What can you do to help this situation?
Agree with your coworkers, to vent frustrations and support the team.
Explain Mary's situation to her coworkers.
Help Mary at work and, if possible, outside of work.
263.
You are working the 8 am to 4 pm shift. You begin to vomit at 3 pm and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. You have _________________.
enough sick time so this is not a problem
finished all your work so this is not a problem
seriously abandoned the patients
264.
Physical bullying, among school aged children, threatens which of Maslow's needs?
Physical needs
Love and belonging needs
Safety needs
All of the above
265.
Negligence occurs when a CNA does which of the following?
Does NOT do something that they should have done
Does something that is wrong
Physically abuses a patient
266.
You are taking care of a teen age person who is recovering from a serious automobile accident in your rehabilitation/restorative care area. His injuries included broken legs and arms. The MOST likely goal of this care is to _________________.
insure that the teenager continues their schooling
assist the person with their end of life needs
restore this patient to full and normal function.
267.
The CNA can legally ____________.
supervise other CNAs
teach other CNAs
mentor other CNAs
None of the above
268.
Mr. Long ate very little breakfast today. Which of the following diagnoses would require that this information be reported promptly to the nurse?
congestive heart failure
morbid obesity
diabetes
269.
What does Full Code mean?
The opposite of a DNR and DNI.
The same as a DNR, but the opposite of a DNI.
The same as a DNR and DNI.
270.
You overhear another nursing assistant tell a resident "Don't mess this bed up again, because I'm not coming in here to fix it." This is an example of:
Informed consent
Psychological or mental abuse
Sexual harassment
271.
What is the purpose of writing an incident report?
The purpose is to admit one's errors so that they will not be repeated.
The purpose is to notify the authorities of wrongdoing so that the perpetrators can be dealt with justly.
The purpose is to place blame where it should go on the cause of an incident.
The purpose is to identify and correct undesirable trends in resident care whether personnel related or systemic in nature
272.
Who developed the Hierarchy of Needs?
Erikson
Piaget
Maslow
273.
One of the most important purposes of placing people in long term care is to:
cure dementia.
keep residents safe.
allow for elderly to interact with others.
274.
Which of the following has the HIGHEST priority?
An obstructed airway
Chest pain
Irregular pulse
275.
Medicare is ________________
for the poor who cannot afford insurance
government healthcare funding
for healthy, homeless children
276.
Should you report Sophie's crying to the nurse?
No, everyone cries once in a while.
No, because your shift is over.
Yes, because this is an emotional patient change.
277.
You are a CNA working in an adult day care center. A woman brings her elderly mother in for the day. You notice bruising on the mother's wrists. She seems withdrawn and frightened when the daughter is there but is noticeably more relaxed when she leaves. What should you do?
You should confront the mother who is your client and ask her directly if she is being physically abused.
You should not do anything beyond your basic tasks, as the bruises may be from blood thinner medication.
You should report your observations to your supervisor and let her take appropriate action.
278.
Mr. O'Brien, a confused resident, is agitated and wandering throughout the unit. Dinner trays have been served but he does not want to sit and eat and keeps walking away. To encourage him to eat you should:
walk him back to his seat and firmly direct him to sit.
ask the nurse for an order for a restraint.
inform him if he misses dinner he will be hungry later on.
offer him finger food so he may continue to walk.
279.
How many milligrams of sodium are in 1 teaspoon of normal table salt?
825 mgs
1000 mgs
2400 mgs
280.
You see a sign over Mary Jones' bed when you arrive at 7 am to begin your day shift. The sign says, "NPO". Ms. Jones is on a regular diet. The patient asks for milk and some crackers. You _____________.
can give her the milk but not the crackers.
can give her both the milk and the crackers.
can give her the crackers but not the milk.
cannot give her anything to eat or drink.
281.
The primary reason that people act out with disturbed behavior in a healthcare facility, like a nursing home, is because the person has a _________ problem.
social
spousal
thinking
282.
Mrs. Lewis normally eats meals independently in her room. You check on her and see her clutching her throat. She is unable to cough or speak. You put on the call light. Your next action should be to:
perform abdominal thrusts
give her a drink of water
ask her if she is choking
283.
Refer to the following to answer the next 2 questions: You are taking Mr. D's blood pressure. The first sound that you hear is at 162 and the second sound that you hear is at 86.You should document and report that the blood pressure is _____________.
86/162
irregular and high
162/86
284.
In relation to infections organisms, what does MDRO mean?
Management data retrieval options. Reports and results of infectious organisms in a health environment.
Multi drug resistant organism. This is an organism which has mutated to become resistant to a variety of antibiotics
Mechanical data restriction orders. HIPAA restrictions on organism data retrieval
Multi drug release order. This tells pharmacy what drugs they can release for use together on a patient.
285.
You are assigned to take care of the residents in room 221. Mrs. Smith, in Bed #1, has complained that Mrs. Brown, in Bed #2, uses her bed control to raise and lower her bed continuously. You have observed this behavior yourself and realize that this is very annoying for Mrs. Smith but also realize that Mrs. Brown has every right to perform this behavior. How should you handle this situation?
Explain to Mrs. Brown that her behavior is disturbing her roommate and ask her to stop. If she does not or if she responds negatively, report the situation to the nurse.
Explain to Mrs. Smith that Mrs. Brown has every right to do what she is doing and you cannot stop her.
Explain to Mrs. Brown that her behavior is annoying Mrs. Smith and take her bed control away.
286.
An angry resident is threatening to hit another resident. What action should be taken immediately?
Explain to the resident he can be discharged from the facility if he hits the resident.
Separate the residents.
Ask the other resident what he did to make the resident angry.
287.
You use your __________ sense when you take Mr. D's radial pulse
auditory
tactile
olfactory
288.
You are assigned to a resident who is receiving palliative care. You know this means the resident is receiving care that is planned to:
provide comfort
modify behavior
improve ADL performance
289.
Refer to the following to answer the next 5 questions: You are taking care of 12 residents today. One of your residents wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today.Which patient care problem must you deal with first?
The water
Help to the bathroom
The chest pain
290.
Which of the following is an example of an invasion of privacy?
Opening mail for a patient at his request.
Asking another CNA for assistance in changing a heavy resident.
Exposing a person unnecessarily during bathing.
291.
In your facility, the patient charts are kept in a cabinet by the patient's room. You see a family member go into the cabinet and read the patient's chart. The family member has a medical power of attorney for the patient. What type of violation is this?
HIPAA violation
Hospital policy violation
No violation
292.
Mr. Gray is in a bad mood today. You enter his room to offer care and he says "get the hell outta here and don't come back." You should report to the nurse that Mr. Gray:
is in a bad mood today.
does not want to take a bath today.
told you to "get the hell outta here and don't come back".
293.
You notice a posted "Residents' Bill of Rights" near the elevator as you are walking through your nursing home. This document can be best described as containing ____________.
legal rights
legal jargon
moral principles.
294.
You are the CNA caring for Mr. Charles Y. You see a notation on the nursing care plan that states, "remind the patient to use the incentive spirometer tid". This patient will be reminded at which of the following times?
10 am
10 am and 2 pm
10 am, 2 pm, 6 pm and 10 pm
10 am, 2 pm and 6 pm
295.
The levels of Maslow's hierarchy are ___________________.
the physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization
subjective data, objective data, data analysis, open ended questions and close ended questions
assessment, planning, implementation and evaluation
296.
You are the CNA taking care of Lorraine T. She has a urinary drainage bag. You notice that her urinary output is scant and it is dark amber. What should you do?
Measure Lorraine's urine and force her to drink fluids.
Nothing, since this is normal for most patients, including Lorraine
Immediately report this observation to the nurse
297.
You are a CNA on the way to work. You arrive on the scene of a car accident with injured persons inside a flipped vehicle. What should you do first?
Assess the scene for your own safety.
Try to get the injured person out of the vehicle.
Direct cars around the accident.
298.
Mary M. has been a resident in your nursing home for about 5 years. She is alert and oriented. Today, Mary has decided that she does not want to eat and she does not want a feeding tube. You do not think that this is a good decision. You should _______________.
convince her that this is NOT a good decision
force her to eat and drink
respect her autonomy
299.
Your resident's family brought in 5 new blouses. Your action should now be to:
put the blouses in the resident's closet.
label the blouses with the resident's name.
ask the family to take home some of the old blouses.
300.
You have just come on duty for your 3 pm to 11 pm shift. Which task is the most important?
Make rounds to check condition and location of residents.
Gather your linen and supplies needed for the shift.
Check and see who your co-workers will be for the shift.
301.
In the event of a fire, the first action you should take is:
remove any residents in immediate danger.
pull the fire alarm.
look for the nearest fire extinguisher.
302.
What kind of preventive measures is MOST likely to be used to prevent Mary Eden from falling because of her muscular frailness?
Physical therapy for muscle strengthening exercises
Physical therapy for range of motion exercises
Medications in order Medications in order to have her sleep moreto have her sleep more
303.
As the CNA you know that Mr. Thames has CHF. What specific observations should you make when doing AM care?
You should observe for swelling of hands and feet, shortness of breath and the color of his urine when you empty his urinal.
You should observe for swelling of his hands as well as an increase in his urinary output.
You should observe if his breath smells fruity or sweet.
304.
Which governmental agency mandates that workplaces, including healthcare settings, have security plans in place to prevent workplace violence?
The Centers for Disease Control and Management (CDC)
Health Insurance Portability and Accountability Act (HIPPA)
National Institutes of Health (NIH)
Occupational Safety and Health Administration (OSHA)
305.
A catastrophic reaction by a patient is a sudden, unpredicted, overreaction to a situation. When this occurs, what should a CNA do?
Determine, if possible, what stimulated this behavior.
Speak calmly to the resident and get assistance quickly to prevent escalation.
Both a and b.
306.
Which of the following matches one of the five senses with an alternative term or definition?
Sight: tactile
Hearing: olfactory
Taste: gustation
307.
You have a survey arriving at your facility that is being conducted by JCAHO. What must you as a CNA do?
Do your job as you always do and be prepared to answer questions.
You will be asked to demonstrate personal care tasks.
They will only ask you about your residents' complaints.
308.
The care plan states your resident may be out of bed ad lib. This means:
with assist of 2 persons
twice a day
as the resident chooses
309.
Gina is a CNA at the Sunshine Senior Care Center. She is the only nursing assistant at the nursing station when the phone rings. Answering the phone is part of her duties. Which of the following greetings is most professional?
Hi, this is Gina."
"Hello, Sunshine Senior Care Center, this is Gina."
"Hello."
310.
You are a CNA on a Med-Surg floor and as you are admitting Mr. James you notice a handgun in his belongings bag. What is your most appropriate action?
Confront Mr. James and tell him he must surrender the handgun as it is against hospital policy for him to have a weapon.
Do not confront Mr. James but immediately inform the nurse what you have observed.
Notify security about the handgun and let them handle it.
311.
The nursing assistant has gone home when she remembers she forgot to document one of her residents. The best procedure to follow now is:
follow the facility procedure for making a late entry.
call the facility and have another CNA make the entry for you.
cover the error by making the entry the next work day and back-date it to when it happened.
312.
Your break was supposed to be at 9:15 am but you did not go. It is now 9:30 am. Your best action now is to:
Get another CNA to cover your assignment and leave the unit.
Leave the unit when you get a chance to take your break.
Check with the nurse to see if you may take your break now.
313.
Which statement regarding documentation is accurate?
Only nurse and physician written documentation is legally admissible in court.
CNAs are exempt from legal written documentation.
Flow sheets, meal acceptance logs and elimination records are not legal documents.
All parts of the medical record are considered legal documents
314.
The sense that you have used to smell the fruity mouth odor in the above scenario is the __________ sense.
taste
auditory
olfactory
315.
When giving care to a resident which of his rights are you enforcing when you close the door or curtain before starting?
Right to confidentiality
Right to refuse care
Right to privacy
316.
The nurse knows you wish to further your education and asks if you would like to insert an indwelling catheter on a resident. Which of the following is an accurate statement regarding this situation?
CNAs should take all opportunities to learn new skills.
Inserting a catheter is a sterile procedure that is not in the CNA scope of practice.
The nurse can delegate any task to a CNA.
317.
While providing care for a resident, a co-worker enters the room to ask you a question unrelated to resident care. Your best response is to:
answer the question quickly and return to your work.
ask the resident if he minds while you discuss the question.
leave the resident in a safe position, leave the room and answer the question.
ask the co-worker to discuss the question on break.
318.
The fire alarms in your nursing home begin ringing. Nobody on your unit is in immediate danger. You must now ____________.
evacuate the patients laterally.
evacuate the patients vertically.
open the patient doors.
close the patient doors
319.
You work as a CNA in a facility where restraints are used. Which of the following is an accurate statement on the use of restraints?
There is no need to do skin or circulatory checks on your resident as the nurse will do this.
Restraints are only to be used when a resident exhibits angry behavior.
Residents who are restrained may have anger and trust issues and depression may occur after the restraints are removed.
320.
All of the following are functions of a registered dietitian, except:
Diet counseling of patients
Manage the day-to-day operations of the dietary department
Design and implement weight loss programs for cardiac rehabilitation patients
321.
Mr. Sweet is an alert and oriented diabetic resident. He bathes and dresses himself with minimal assistance. Which part of his body should the CNA inspect daily?
Face
Hands
Feet
322.
You are holding a Class C fire extinguisher in your hand and you are ready to use it. What is the next step?
Pull the pin
Aim it
Sweep the base of the fire
Squeeze the trigger
323.
A CNA has failed to leave the patient's bed in the low position after you having given care. The patient falls out of the bed and gets a concussion. Who is responsible for this fall?
The CNA is personally responsible.
The CNA's employer is fully responsible.
Administration because of their policy
324.
A resident's family member asks you to arrange your assignment so the family member is in your care assignment. You should tell the family:
"It's a great idea because you know the resident."
"I'll ask the charge nurse if he can re-arrange the assignment."
."I'll text you regularly with updates about the resident."
325.
You are a CNA student in a North Carolina approved state curriculum program. On graduation you are moving to New York and you do not want to take the state test twice and spend $200.00 for the testing. What should you do?
Take the North Carolina state exam then contact the New York licensure board for transfer of your license
Review the New York CNA regulatory board website and research the requirements for taking the test there.
Contact the North Carolina regulatory board for CNAs and see if you can transfer your registration to New York.
326.
Which of the following diseases, or disorders, is acute?
Pneumonia
Paralysis
Alzheimer's disease
327.
As a CNA in a rehabilitation facility, which of the following may negatively affect the progress of the person's rehabilitation and need to be reported?
Signs of withdrawal from social activities and depression
Increase in range of motion
Refusal to use assistive devices
All of the above
Both a and c only
328.
As a CNA in the Emergency Room, you have been assigned to perform as a sitter for a young male patient who is in restraints and is high on drugs. When his dinner tray arrives what should you do?
Loosen a wrist restraint so he can eat.
Leave the restraints in place and put the tray in a position that the patient can eat himself.
Let the nurse know his tray is there and proceed to feed him.
Document that his tray is there, he is awake enough to eat and notify the staff that he needs to be assisted
329.
A friend asks you to explain the role of the CNA in long-term care. You should tell her:
Assist the resident with ADLS, administer some medications, help residents walk
Assist with ADLS, provide emotional support, observe and report
Do whatever the resident asks you to do
330.
You are a CNA registered in your current state. You have graduated from state accredited training program in your current state. You are moving to Texas. What must you do to practice in Texas?
. You do not have to take any steps to work in Texas as a CNA.
Since you have graduated from a state accredited training program, your Texas employer will handle state registration for you.
Your current state registration will transfer automatically so all you have to do is notify the Texas Nurse Aide Registry and they will register you.
Each state has its own criteria and rules, so review a Texas CNA licensure website for instructions before you proceed any further.
331.
You are assisting Mr. Williams with dinner. The mashed potatoes are steaming. How can you be sure the food is not too hot?
Taste it yourself.
Blow on the forkful of food to cool it off first.
Drop a small amount on your wrist to test the temperature.
332.
A family member requests information about a resident assigned to you. Which answer contains appropriate information?
"She slept well and has had her morning care."
"She refused her meds and treatments."
"The doctor ordered new lab work."
333.
The tray serving cart has leaked on the hallway floor. What should you do about the possibility of resulting slip and fall accident?
Place a wet floor sign on the area
Notify housekeeping so they can clean it up.
Wipe up the spill and notify housekeeping for a proper clean up.
334.
How can you best assist a vision impaired resident to eat?
Feed him but tell him what is available on the plate so he can choose.
Describe the location of food and utensil items on the tray or table using the face of a clock.
Give him finger foods so he can feel them and know what they are.
335.
You have been a CNA for four years. Your license has expired and you have been working outside of healthcare. How do you renew your license?
Take a CNA refresher course and apply for state testing.
Retake the CNA course because you are out of practice and pay your fees
Apply for renewal and pay your fees
336.
Mr. Gonzalez' care plan states he is to be out of bed using a Hoyer lift QOD. He was last out of bed on Monday. When is the next day he should be out of bed?
Tuesday
Wednesday
Friday
337.
You are doing hospice care for Mr. Jones. Which of the following symptoms will let you know his death is near?
Shallow rapid breathing, warm skin, heart rate 72, pulse oximetry of 92%
Eupnea, irregular pulse rate 60-90, skin cool and dry, pulse oximetry of 89%
Cheyne stokes respirations, pulse rate 42-60 irregular, skin cool and moist, pulse oximetry of 76%
338.
What senses do nursing assistants use to observe patients and residents?
Sight, hearing and touch
Sight and hearing only
Sight and common sense only
339.
You are a CNA in a skilled facility caring for a resident Ella K. When you go to the grocery store Ella's granddaughter stops you and asks you how her grandmother is doing. What is your best response?
"Your grandmother's dementia has been pretty stable", but do not elaborate.
"Are you listed as a medical surrogate under HIPAA?" and, if so, provide information on the grandmother's care.
"Let's find an empty isle and we can talk."
"I really can't discuss patient care in a public setting due to regulations. It's best to call the facility for more information."
340.
You are a CNA in a skilled facility. A resident's attorney is there having the resident sign papers and asks you to witness the proceeding. What should you do?
Get the resident's CNA to act as witness because she knows the resident better.
Decline because you do not know if this resident is mentally competent.
Refer the attorney to the nurse for a proper witness to be provided.
341.
You notice the floor in the hall is wet from a food tray spill. Your next action should be to:
call housekeeping.
wipe it up as soon as possible.
tell residents to be careful where they step.
342.
During an Ethics Committee meeting, the members are trying to resolve an ethical dilemma using the principle of nonmaleficence. This ethical principle states that we should_____________.
do the right thing
do no harm
loyal and fair
343.
You are assigned to help residents in the group dining room during their lunch time meal. A resident begins yelling and they throw a spoon at you. Your best response is to do which of the following?
Remain calm and ask the resident what is upsetting them.
Remove all the other residents from the dining room.
Take the resident's fork and plate so there is Scold the resident and tell the resident to leave the room.nothing else to throw.
344.
When doing HS (Hour of sleep) care what is the proper oral care with a patient that has dentures or bridges?
Have the patient take them out and store them in a container.
Have the patient brush his teeth with them in and rinse his mouth out, then take them out of the mouth and store them in a container.
Have the patient remove them, then clean and soak them and store them in a container.
345.
You are the CNA assigned to clean Mrs. James' room. While you are doing this, you start to clean her clothes closet. In the closet you discover several articles of clothing with other resident's names on them. You have been informed in report that articles of clothing are missing from other resident's rooms and the families of those residents are suggesting that someone has stolen the clothing. What should you do?
Show the clothing to the resident and ask her if they belong to her. If she indicates that these are hers, hang them back in her closet.
. Remove the clothing from the room, turn them in to the nurse and notify the police.
Remove the clothing without confrontation and turn them in to the nurse for her to follow up on the problem.
346.
A grease fire breaks out in the nursing home kitchen. What type of fire extinguisher should you use?
A
B
C
347.
All hospitals and nursing homes are mandated to have the goal of a restraint free environment. The best way to achieve this goal is to________________.
ban the use of all restraints under all circumstances.
limit restraints to only those situations when falls cannot be prevented.
keep all bed side rails up for all patients during the nighttime hours.
348.
You enter Ms. Harris' room and note her respirations are rapid and she is having trouble catching her breath. After notifying the nurse, you should:
ask Ms. Harris if she needs a drink.
elevate the head of the bed.
lower the head of the bed.
349.
Match the abbreviation with the correct definition:
bid: at bedtime
tid: tomorrow
pc: patient care
ac: before meals
350.
When you are emptying your resident's catheter, you notice the urine is cloudier and there are bloody streaks in it. What should you do with the urine?
Empty the urine and report your observation to the nurse.
Show the nurse the bag so she can assess the urine and determine if a urine test needs to be sent.
Catheter bags often get contaminated and catheters get tugged on so these are not noteworthy observations
Pour some of the urine in a test-tube to send it to the lab for testing.
351.
A small contained fire breaks out in a small trash can near the lobby of the nursing home. No visitors or residents are in immediate danger. You have pulled the alarm, what should you do next?
Extinguish the fire if you can do so safely and without harm.
Run away from the fire
Cover the fire with a blanket.
352.
An intervention is a way to change or manage a behavior. As a CNA what is your responsibility in developing and implementing interventions?
As part of the care team, you may have suggestions and observations which might contribute to the care plan for interventions.
Other more qualified health care professionals such as nurses, psychologists and physicians are responsible for the therapeutic interventions, not CNAs
Planning and Implementations are performed by nurses, social workers and psychologists so you have no responsibility regarding intervention.
353.
You are a CNA in a long-term care facility. A resident's physician asks you to perform a procedure upon which you have not been trained. Your response should be:
"I'll try it."
"I'll do it but don't tell anyone because I'm not supposed to do this."
"No."
"I will get the charge nurse to help you. This procedure is not in my scope of practice."
354.
Refer to the following to answer the next 3 questions: You are taking care of Mary Eden. She is an elderly and frail 91 year old resident. She gets confused during evening hours and at times she thinks that she hears her daughter calling her from the other side of the nursing home Which physical problem places Mary Eden at risk for falls?.
Her confusion
Her daughter
Evening hours
Her frailness
355.
You are a CNA at the hospital. The phlebotomist has left an uncapped needle on the bed and you have punctured your finger. What should you do first?
Put on a Band-Aid.
Pick up the needle and discard it in the sharps container.
Report to your supervisor.
356.
A resident's family member gives you a Christmas card with a $20 bill tucked inside. What is the appropriate response?
Accept the gift and show your appreciation by providing extra care to the resident.
Accept the gift and buy doughnuts for the unit.
Return the gift courteously.
357.
Mrs. Osborne is a fall risk. She has no orders for any restraints. Which is the best option for her safety?
Side rails raised, call light in reach, bed in highest horizontal position
Side rails down, call light in reach, bed in lowest horizontal position
Side rails raised, call light in reach, bed in lowest horizontal position
358.
You are the CNA scheduled to be on duty at night when a hurricane is predicted to hit your area. What should you do?
Report as scheduled to work prepared to remain there until after the hurricane All Clear and follow the disaster team leader's instructions.
Report to work as usual preparing to leave in time to get safely home before the hurricane hits.
Call the facility to see if there is enough staff because you need to stay home with your family.
Call the facility and tell them you cannot come to work because of the possible hurricane.
359.
In your facility, CNAs are assigned lunch hours so that patient's meals will not be affected by staff breaks. Your coworker Sue has been assigned 10:30 AM and you have been assigned 11:00 AM. Sue does not want to go that early and, if she asks you to switch, you would not want to, as it's too early for you too. Is there anything that could make this situation better?
You should switch with Sue anytime she asks.
Let Sue know that you do not want to switch today but if it happens again, you will switch.
Encourage Sue to talk to the nurse who assigned the lunch hours and discuss her dissatisfaction.
360.
Your resident put on her call light multiple times during the shift with requests to be toileted. However, each time she only voided scant amounts of urine. This can be a sign of:
overhydration
need for attention
urinary tract infection
respiratory illness
361.
You answer the phone on your nursing unit. The caller states, "There is a bomb in the operating room." You should _________________.
hang up the phone and call the operating room.
tell the person on the phone that this claim is silly.
keep the person on the line as long as possible.
362.
The majority of care at an ALF (Assisted Living Facility) is provided by:
Physicians
Personal care assistants
Registered nurses
363.
Which of the following is an example of emotional neglect?
. A slap to the person's hand
Threatening the person
Ignoring and isolating a person
364.
Which of Maslow's needs is the LEAST priority?
Physical needs
Safety and security needs
Self actualization
365.
What federal agency has the ultimate responsibility in a disaster situation?
What federal agency has the ultimate responsibility in a disaster situation?
The National Guard
FEMA
366.
A patient has a goal of eating at least 50% of each meal. The patient refuses to eat so a CNA force feeds the patient in order for them to reach their goal of eating at least 50% of the meal. The CNA has committed __________ against this patient.
assault
battery
physical neglect
367.
Nursing care plans contain which of the following?
nursing diagnoses.
medical diagnoses.
MD orders.
368.
Your resident's care plan directs the resident is to be out of bed "ac TID". This means the resident is to be:
out of bed 3 times a day in the air conditioning
out of bed 3 times a day after meals
out of bed 3 times a day before meals
369.
Your resident has peripheral neuropathy from her diabetes. How might you prevent her from harming herself because of this?
Test the bath water before she gets into it to make sure it is below 112 degrees on the bath thermometer.
Have her test the bath water to see if it feels okay.
Test the bath water to be sure it is below 105 degrees on the bath thermometer before you place her in it.
370.
Who is a Podiatrist?
A doctor who specializes in rehabilitation
A doctor who specializes in foot care
A nurse who specializes in rehabilitation
371.
CNAs can legally document _______________
all patient care
care that they give
Foley insertion
372.
Mr. Banks has a Foley catheter in place. You have observed him pulling at the catheter and handling his penis on several occasions. How should you address this problem?
Let the nurse know of your observations.
Ask Mr. Banks what the problem is, observe the meatus to see is there is discharge or bleeding. Report your findings to the nurse.
Tell Mr. Banks not to pull on or handle the catheter.
373.
You are transferring a resident from the bed to the wheelchair. Which of the following is most important during the transfer?
The wheelchair brakes are locked.
The resident is full weight bearing.
The wheelchair has an alarm.
374.
A standard of care tells you __________________.
. about the scope of CNA practice
state laws that affect CNAs
what you must minimally do
375.
Define prejudice:
A natural inborn dislike of a person or type of person
A learned dislike of a person or type of person
The behavior you display when you like a person.
376.
You hear your name being called on the overhead paging system when you are bathing a resident in the tub room. Your response should be to:
finish bathing the resident and answer the page
complain to the resident about the facility management
stop the resident's bath to answer the page
377.
You are a CNA who works at two different skilled facilities. It is your opinion that Shady Oaks is cleaner and better staffed than China Hill. You have a resident at China Hill whose family is always complaining about her care. The family complains to you. What can you do?
You should listen with empathy but refer them to the Patient Advocate or Administration for intervention and resolution.
Listen carefully to their issues and complaints. Take these to Nursing and the Patient Advocate so they can begin investigating and approach the family.
Let the Administration at Shady Oaks know there is a dissatisfied family at China Hill so they can contact them to see if they want to move their family member.
378.
The primary purpose of a patient care meeting or conference is to determine which of the following?
the patient's ability to pay for the costs of their care.
how the healthcare team can best meet the patient's needs.
the patient's physical status and condition.
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