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144 terms

CNA Questions

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Infection control in the nursing home is important because the elderly
are more susceptible to disease
Watching TV news or reading the newspaper often helps the resident
remain oriented
When caring for a person who needs to wear glasses, you should
make sure the glasses are clean
Proper body mechanics means
standing straight with your knees bent and lifting with your legs
False teeth (dentures) should be cleaned at least
twice a day
The rigidity of Parkinson's disease makes the resident more prone to
falls
An early sign of mental breakdown (psychosis) would be
depression
The foods or fluids that would most likely cause a resident with a CVA (stroke) to choke are
very thin fluids
When communicating with a resident with a hearing aid, you should
face the resident so they can see you speak
When a resident is receiving nasogastric (NG) tube feeding, what should the nursing assistant do?
report any signs of choking or vomiting immediately
You are delegated to provide passive R.O.M. to left lower and upper extremities. This means you:
support each joint and provide extension and flexion movements on the left side of the body
CPR means
cardiopulmonary resuscitation
One long-term complication for the resident with diabetes is:
poor circulation in the feet
Which of the following temperatures would you report immediately?
a rectal temperature of 102.8 F
Everything in an isolation unit is considered to be:
contaminated
When washing hands you should wash them until they:
are cleaned thoroughly
All behavior has meaning to the:
person performing the behavior
ROM exercises will help prevent:
contractures
Genital areas should be washed:
from the cleanest to the dirtiest
When you are giving hair care you should particularly observe for the following:
lice, nits, and sores
The skin is:
disinfected before surgery to prevent infection
Healthy adults:
have approximately the same I&0
When measuring the respirations of a resident you find that they are breathing times a minute. This rate is
higher than average
Which of the following measurements obtained from Mrs. Shumway should be reported immediately to the charge nurse?
B/P 190/114
If a resident is incontinent of urine, you should chart each time the resident:
wets the bed
If a home care resident burns his hand, you should:
apply cool water
Moral principles or standards that guide our behavior are
ethics
A symptom of Alzheimer's disease is
memory loss
When calculating the weight of a resident in a wheelchair, the scale reads and the weight of the wheelchair is The resident's weight is
149
Osteoporosis is
porous and brittle bones
Another name for a transfer belt is
gait belt
Messages sent through facial expression, gestures, postures and body movements are
body language
The resident has an abductor wedge in place. This device
moves the legs away from the midline
An observation of what you actually see, hear, smell, or feel regarding a resident is called
objective
Holistic care is caring for the resident spiritually, emotionally and
physically
When feeding a resident you should be
at eye level
Abdominal thrusts should be given to a resident who
is choking with no visible air exchange
Elastic stockings are worn to
prevent blood clots
If a resident becomes combative during care, you should
make sure the resident is safe and try again later
An example of resident centered care is staff
allowing residents' choice of wake time
To support residents through the death and dying process, you should
listen to their beliefs about death
Waterless handsoap/gel is
used when soap and water are not available
When removing contaminated gloves, the nursing assistant should
grasp the cuff of one glove on the outside with fingers of the other gloved hand
The best way to help a resident who has experienced a loss of taste would be to
encourage good oral hygiene
To measure the height of a resident who must remain in bed you would
place the resident in a supine position and measure her from head to foot
A visual change that most likely accompanies aging is
decreased sharpness of vision
When caring for the elderly, a nursing assistant should
let the resident perform as much personal care as possible
To assist residents to eat the nursing assistant should
offer liquids frequently to moisten the food
You can assist the family to adjust when they place their loved one in a nursing home by
including the family in the care planning of their loved one
Clean bed linen placed in a resident's unit but not used should be
put in the dirty linen container
When the goal is to maintain confidentiality, the nursing assistant may discuss personal information about the resident with
the nursing assistant providing direct care who has a need to know
Residents would most likely become short of breath quickly due to
increasing rigidity in the lungs
Appropriate care after death includes
provide privacy during post mortem care
The position of the hands when performing the abdominal thrust should be
on the middle of the abdomen above the navel
To assist a resident with a paralyzed arm put on a front buttoning shirt, the nursing assistant should
put the shirt on the weak arm first
Warm applications may be ordered to
relieve muscle spasms
Mr. Dobb had a recent stroke and has some difficulty chewing his food. The doctor ordered a therapeutic diet to fit his needs. The best diet for him would be a
mechanical soft diet
You just finished bathing a resident and have disinfected the tub. You should put the disinfectant
in a locked cupboard
Maintaining a clean health care facility is the responsibility of
the health care team
Annabelle has a hearing aid in her ear. Before you wash and style her hair you should
remove her hearing aid
A law passed to set many standards for the health care industry including certification for nursing assistants is the
Omnibus Budget Reconciliation Act (OBRA)
You may use your initials on a flow sheet as long as you have entered at least once your
first initial, last name, and job title
Errors in communication can be reduced by
confirming the message was received and understood
The main purpose of bowel and bladder programs is to
save the resident's dignity
You approach Mr. Peter's room. He is sitting in his chair holding his abdomen with a grimacing look on his face. He appears to be in discomfort but when you ask him he denies having pain. You should
show Mr. Peters the pain scale chart and ask him to rate his discomfort
What is the proper procedure for correction of a documentation error
cross out the error with one line, initial next to it and continue your documentation
During a grand mal seizure
the entire body is involved
To serve a resident solid foods you should use a
spoon
Mr. Yazzy is on I & O. You know he has kidney stones. When urinating he needs to use
a urine filter
When lying in a prone position a resident would be on her
abdomen
One of the main causes of constipation in the elderly is
immobility and medications
Explaining the care that you give and providing the opportunity for choices is showing
emotional support
Residents residing in long term care facilities are at risk for infections because
they usually have chronic health problems
You can best assist a resident during bladder retraining by
keeping track of incontinence
In osteoporosis
the bones fracture easily
Whenever you feel stressed or angry the best way to deal with your feelings is to
try to understand why you feel the way you do
The most valuable tool we have to work with when giving care is the
care plan
All members of the interdisciplinary health care team need to
work in harmony
The environment that works best for residents with Alzheimer's disease who are confused is
a closed unit with a consistent routine
When helping a resident get dressed, the nursing assistant should
encourage the resident to choose the clothing they wear
When caring for a vision-impaired resident you should
keep the resident's glasses clean
An adjustable table that provides a place to serve meals or to hold equipment during care is called a (an)
overbed table
Continual oozing or diarrhea may be a symptom of:
impaction
Standard precautions are based on the simple principle that all residents
have potential for spreading infection
The act that regulates training and certification of Certified Nursing Assistants is guided by legislation known as:
OBRA
Standard (universal) precautions:
prevent the spread of pathogens through the air; are used for all patients and residents; require gowns, masks, and gloves
Which of the following is recorded as the systolic blood pressure? The point:
where the first sound is heard
TED hose (anti-embolism) are applied:
before the resident gets out of bed
For residents who are dehydrated and unable to drink water by themselves, nursing assistants should offer a drink:
every time they are with the resident
A Sitz bath is helpful:
after rectal surgery
When transferring Mrs. Sparks onto the toilet:
use a gait belt to stand her
You are assigned to give Mr. Brown a partial bath. You know that this means to wash:
face, hands, underarms, back and perineum.
If a person is visually impaired, you would:
identify yourself whenever you enter the room
How often should mouth care be done for an unconscious resident?
as frequently as needed, at least Q2h
You are asked to assist the nurse in changing a dressing on a resident with a bedsore that has a large amount of yellow drainage. You should remember
to wear gloves and put the dirty dressing in a biohazard bag
Which resident is most likely to develop a pressure sore?
an underweight resident who is incontinent and has left-sided paralysis
An elderly resident has a high risk for a fracture of the
hip
The purpose of proper perineal care is to promote
hygiene
The Ombudsman's role is to
be an advocate for the residents
A 200 ml cup is /4 full. A 120 ml glass is 1/4 full. Calculate the intake.
140 ml
A nursing assistant tells a resident, "I am not going to take you to the bathroom if you are not quiet." This is an example of
psychological abuse
When calculating the weight of a resident in a wheelchair, the scale reads 199 and the weight of the wheelchair is 42. The resident's weight is
158
The nursing assistant contributes to the MDS by
reporting changes that may trigger a needed MDS
Ms. Hampton is receiving hospice care. The nursing assistant knows this means
she is not expected to live beyond six months
A nursing assistant may share confidential resident information with
other members of the care team
A resident is recovering from a broken leg and has a cast. The nursing assistant should
check the color of the toes and report any changes
Foods high in vitamin C are
citrus fruits and tomatoes
Sexual needs of older adults are
normal after 75 years of age
In order to keep residents safe during a bath you should
check water temperature
When washing hands, the fingertips should be pointed
down
The description of the resident's antique diamond ring on the personal belonging sheet should state
gold colored band with clear stone
You are preparing to transfer your resident to the physical therapy department for a routine appointment. The resident states, "I am too tired to go there today." The nursing assistant should tell the
nurse of the resident's refusal
A resident has been sick. She asks you what is wrong with her. You have overheard the doctor telling the nurse the resident has cancer. You should tell her
you will ask the nurse to speak with her
Elastic stockings are worn to
prevent blood clots
In caring for a blind resident, the nursing assistant should
address the resident by name
The word that means free from disease or infection is
asepsis
A state of mind or your feelings toward yourself and others would be called your
attitudes
Changes in the aging urinary system include
difficulty in emptying the bladder
Clean bed linen placed in a resident's unit but not used should be
put in the dirty linen container
To assist a resident with a paralyzed arm put on a front buttoning shirt, the nursing assistant should
put the shirt on the weak arm first
Personal protective equipment includes
gloves, gown, and mask
Mrs. Henry frequently misplaces her eyeglasses. Today she is wearing different glasses, obviously not her own. On other occasions she has wandered into neighboring rooms and taken eyeglasses from the dresser. The nursing assistant should first
locate her glasses and return the other pair to the rightful owner
When Mr. Sullivan is feeling hopeless a useful approach is to
ask if he would like to talk about his feelings
Normal signs of the aging process include
wrinkles, loss of hair color, and dry skin
If you do not know how to complete an assigned task, you should
ask for training before you complete the task
Mr. Curtain is blind and is capable of pouring his own water at his bedside. The appropriate way to approach this is to
encourage him to fill his own water glass
You answer Mrs. Sapp's call light. Her voice has a high pitch and she is speaking very rapidly. She tells you her mouth is dry, she feels sick to her stomach and could have diarrhea. She reports she hasn't slept since her husband died a week ago and she is very distracted. You realize that she is experiencing
anxiety
You are feeding a resident who chokes on food and is coughing strongly. You should
wait and allow them to cough
A contracture is
lack of joint mobility caused by muscle shortening
A resident has a reddened area on his sacrum. The most important reason for observation and reporting is to ensure
continuity of care for facility residents
A co-worker constantly shows up late and calls in sick. When she is at work she does more talking than care taking. You should first
ask for a private conversation and discuss the matter with her
Mr. Andrews has dementia. He is grunting and groaning. He is also bent over and holding his abdomen. You know these behaviors are
signs of pain
Miss Stevens is sitting in her bedside chair for lunch. After preparing her for lunch, you need to
give her the call light
Mrs. Diamond's coffee cup holds 250 ml. She did not drink all the coffee. You measure that 75 ml of coffee remained in the cup. You should record her fluid intake as
175 ml
You are assigned to a forty-five year old dying cancer resident, who has requested comfort care only. What would be included in the resident's care
bathing, backrub, mouth care
When approaching vision-impaired residents you should first
address them by name and use a light touch
Noting the resident's ability to move joints is an observation of which one of the following systems
musculoskeletal
You walk into the activity room and see Mrs. Johnson having a seizure. You should
move the furniture out of the way
The nursing assistant always works under the supervision of a (an)
RN or LPN
To serve a resident solid foods you should use a
spoon
You have been assigned to assist Mrs. Jones, a 50 year old post-mastectomy resident, with PM care. She states, "They found cancer in my lymph nodes... that means I won't be around much longer... right?" An appropriate response for a nursing assistant to make to Mrs. Jones is to say,
"I think your question is a good one... let me get the nurse to speak with you."
One guideline for communicating with a resident with aphasia is to
allow time for them to respond
You are taking care of a resident who has a written DNR order. This means they are not to be
resuscitated
To assure that a chair does not move while transferring a resident you should position the chair
against a wall