ProCare Chapters 1-5 CNA Questions and Answers

ProCare Chapters 1-5 CNA Questions and Answers A resident has purchased a special gift for her nursing assistant. What would be the best response by the nursing assistant (A) The NA should refuse the gift but thank the resident for thinking of her (B) The NA should accept the gift because she is unsure about her facility's policy on gifts (C) The NA should accept the gift if the resident agrees to keep it confidential (D) The NA should refuse the gift and explain that her employer is very unfair about employees accepting gifts from her residents A. The NA should refuse the gift but thank the resident for thinking of her Which of the following statements is true of a nursing assistant's responsibilities if an activity is not listed in the care plan? (A) The NA should not perform the activity if it is not listed in the care plan. (B) The NA should perform the activity if he believes it is best for the resident. (C) The NA should only perform the activity if the resident says he wants it performed. (D) The NA should consult other NAs to see if they would perform the activity. A. The NA should not perform the activity if it is not listed in the care plan What is one reason why reporting a resident's changes and problems to the nurse is a very important role of the nursing assistant? (A) The care plan must be updated as the resident's condition changes. (B) Reporting changes is not a task that the NA performs. (C) Depending on the resident's changes, the NA can decide if she wants to work that day or not. (D) The NA can decide what medication to prescribe for the resident's current condition. A. The care plan must be updated as the resident's condition changes Which of the following is a typical task that an NA performs? (A) Changing a sterile dressing on an open wound (B) Helping residents with elimination needs (C) Administering medication (D) Prescribing treatments B. Helping residents with elimination needs What is required of a nursing assistant if he suspects that a resident is being abused? (A) The NA should call the police to report that the resident is being abused. (B) The NA should discuss the issue with the resident to find out if it is okay for him to report what he suspects (C) The NA should report it to the charge nurse immediately. (D) The NA should immediately confront the abuser about what he suspects. C. The NA should report it to the charge nurse immediately Ombudsmen are in facilities to assist and support (A) Administrators (B) Directors of nursing (C) Residents (D) Nursing assistants C. Residents The Omnibus Budget Reconciliation Act (OBRA) sets minimum standards for (A) Facility cleanliness (B) Resident rehabilitation (C) Nursing assistant training (D) Facility spending C. Nursing assistant training How many hours of in-service education does OBRA require for nursing assistants every year? (A) At least 34 hours (B) At least 28 hours (C) At least 18 hours (D) At least 12 hours D. At least 12 hours If an NA makes a mistake in handwritten documentation, how should she correct it? (A) By erasing it and writing in the correct information (B) By drawing a single line through it, then writing the correct information (C) By using correction fluid to cover the error, then writing the correct information (D) By discarding the chart and starting a new one B. By drawing a single line through it, then writing the correct information What is the term for the person assigned by law to be the legal advocate for residents? (A) Activities director (B) Ombudsman (C) Medical social worker (D) Administrator B. Ombudsman Which of the following shows the correct conversion of 9:00 p.m. to military time? (A) 2300 hours (B) 2100 hours (C) 2400 hours (D) 2000 hours B. 2100 hours Which of the following shows the correct conversion of 0530 to regular time? (A) 12:30 a.m. (B) 12:30 p.m. (C) 5:30 a.m. (D) 5:30 p.m. C. 5:30 a.m. Which of the following is an example of objective information? (A) "Mrs. Johnson says she has a rash on her torso." (B) "There are raised, red marks the size of pinpricks on Mrs. Johnson's torso." (C) "Mrs. Johnson must have a rash because she said that she's itchy." (D) "Mrs. Johnson needs some lotion." B. "There are raised, red marks the size of pinpricks on Mrs. Johnson's torso." What is a proper way for a nursing assistant to respond if a resident does not hear her or does not understand her? (A) The NA should speak more quickly. (B) The NA should speak more softly or whisper. (C) The NA should speak slowly and clearly. (D) The NA should shout. C. The NA should speak more slowly and clearly Which of the following should an NA report about a resident to the nurse immediately? (A) Family fighting (B) Chest pain (C) Watching too much TV (D) Acting lonely B. Chest pain If a resident has a hearing impairment, the NA should (A) Face away from the resident when speaking (B) Face the resident with the light on the NA's face (C) Shout so that the resident can hear the NA (D) Exaggerate the words so that the resident can read the NA's lips B. Face the resident with the light on the NA's face One way that an NA can help a resident who is visually impaired is to (A) Move the furniture to make it easier for the resident to get around (B) Keep the lights very low (C) Use the face of an imaginary clock to explain the position of objects (D) Walk behind the resident, lightly pushing the resident forward C. Use the face of an imaginary clock to explain the position of objects The first two steps to take when approaching an emergency are (A) Perform first aid and assess the situation (B) Call the victim's family and call 911 (C) Assess the situation and assess the victim (D) Get assistance and perform CPR C. Assess the situation and assess the victim is the best way a nursing assistant can respond to a combative resident? (A) The NA should let the resident know that he will be discharged from the facility if he does not stop what he is doing (B) The NA should tell the resident that other NAs will refuse to care for him if he continues the behavior. (C) The NA should remain calm and lower the tone of her voice. (D) The NA should stand as close as possible to the resident. C. The NA should remain calm and lower the tone of her voice A sign of the onset of diabetic ketoacidosis is breath that smells (A) Sour (B) Sweet (C) Garlicky (D) Bitter B. Sweet With whom should an NA use Standard Precautions? (A) With residents who have infectious diseases (B) With residents he suspects might have infectious diseases (C) With every resident in his care (D) With residents who request that they be used C. With every resident in his care Under Standard Precautions, the term body fluids includes (A) Sweat (B) Water (C) Juice (D) Urine D. Urine Which of the following is true of wearing gloves? (A) Disposable gloves can be washed and reused. (B) Gloves should be changed before contact with mucous membranes. (C) After giving care, gloves are not contaminated. (D) Gloves can continue to be worn if they are torn as long as the hole is covered. B. Gloves should be changed before contact with mucous membranes When washing hands, an NA should use friction for (A) At least 25 seconds (B) At least 20 seconds (C) At least 15 seconds (D) At least 5 seconds B. at least 20 seconds A nursing assistant will come into contact with microorganisms (A) Only in high-traffic areas of the facility (B) Only during direct contact with residents (C) Only during personal care procedures (D) Every time the NA touches something D. Every time the NA touches something What is one way that bloodborne pathogens can be transmitted? (A) By hugging an infected person (B) By infected blood entering the bloodstream (C) By standing too close to an infected person when he coughs (D) By touching something an infected person has touched B. By infected blood entering the bloodstream In which position should a resident be placed for eating? (A) Lying flat on his back (B) Reclining at a 45-degree angle (C) Sitting as upright as possible (D) Lying on his side with his arm propping up his head C. sitting as upright as possible Which of the following statements is true of body mechanics? (A) Body mechanics help save energy and prevent injury. (B) The narrower a person's base of support, the more stable the person is. (C) Proper alignment of the body means that the two sides of the body should not line up. (D) Twisting at the waist is the best way to maintain body alignment. A. Body mechanics help save energy and prevent injury The single most important thing the NA can do to prevent the spread of disease is to (A) Carry dirty linen close to her uniform so as not to spread contaminants (B) Wash and dry her disposable gloves before reusing them (C) Remove gloves before cleaning spills (D) Wash her hands D. Wash her hands Which of the following is true of resident falls? (A) An incident report will need to be completed for all falls. (B) If the resident can get up after the fall, the NA should not notify the nurse. (C) A fall does not need to be reported unless the resident complains of pain. (D) The resident can decide if the NA needs to report the fall. A. An incident report will need to be completed for all falls How is methicillin-resistant Staphylococcus aureus (MRSA) most often spread? (A) By direct physical contact (B) By indirect contact (C) By being in enclosed spaces (D) Through the air A. By direct physical contact Which of the following is a correct response if a resident is having a seizure? (A) Hold the resident down if he is shaking severely. (B) Give the resident a hard piece of candy to prevent choking. (C) Move furniture away to prevent injury to the resident. (D) Open the resident's mouth to move the tongue to the side to prevent choking. C. Move the furniture away to prevent injury to the resident What is the best way to control the spread of C. difficile? (A) By limiting contact of the infected person with others (B) By using more powerful antibiotics (C) By giving more enemas to clean out the GI tract (D) Through proper handwashing with soap and water D. Through proper handwashing with soap and water Holistic care focuses on (A) The person's physical, mental, and social well-being (B) Disease and disability (C) How sick a person is (D) The absence of disease and illness A. The person's physical, mental, ad social well-being Which of the following is a physiological need? (A) The need for social interaction (B) The need for water (C) The need for self-esteem (D) The need for independence b. The need for water Which of the following is an example of a psychosocial need? (A) The need for food (B) The need for sleep (C) The need for activity (D) The need for acceptance D. The need for acceptance What is one way a nursing assistant can promote a resident's independence? (A) Finishing a resident's task if he takes a long time to complete it (B) Allowing a resident to do a task by himself no matter how long it takes him (C) Deciding where a resident should sit in the dining room (D) Deciding what a resident should wear for the day B. Allowing a resident to do a task by himself no matter how long it takes him If a nursing assistant encounters a consenting adult resident in a sexual situation, she should (A) Provide privacy and leave the room (B) Tell him that what he is doing is wrong (C) Ask him to stop what he is doing (D) Discuss the incident with the resident's family A. Provide privacy and leave the room Which of the following statements is true of the normal aging process? (A) Most elderly people are entirely dependent on others (B) Most elderly people are disabled (C) Most elderly people are active (D) Most elderly people cannot manage their finances C most elderly people are active Normal changes of aging include (A) Depression (B) Thinner, drier skin (C) Significant weight loss (D) Incontinence B. Thinner, drier skin Signs and symptoms of depression include (A) Apathy (B) Intense hunger (C) Sudden chest pain (D) Breath that smells fruity A. Apathy If a nursing assistant notices abusive behavior from a family member toward a resident, she should (A) Report it to the nurse immediately (B) Ask the family member to explain what he did before she reports the incident (C) Ask the resident for her permission to report the incident to the nurse (D) Not get involved because it is a private family matter A. Report it to the nurse immediately When caring for a dying resident with diminished senses, a nursing assistant should (A) Ask many questions to see what is comfortable for the resident (B) Turn on as many lights as possible (C) Observe body language (D) Encourage all visitors to remain silent C. Observe body language How can an NA give emotional support to a resident who is dying? (A) By leaving the resident alone as much as possible (B) By listening more (C) By sharing her religious beliefs with the resident (D) By letting the resident know that it will all be over soon B. By listening more The NA's responsibilities regarding postmortem care include (A) Placing drainage pads where needed (B) Removing tubes from the dead resident (C) Removing equipment from the room D) Examining the body to help determine the cause of death A. Placing drainage pads where needed The last sense to leave the body is usually the sense of (A) Hearing (B) Sight (C) Taste (D) Touch A. Hearing Which of the following statements is true of the skin? (A) it feels heat, cold, pain, touch, and pressure. (B) It becomes more elastic as a person ages. (D) It becomes thicker as a person ages. (C) It is the chemical substance that is created by the body and controls body functions. A. It feels heat, cold, pain, touch, and pressure When atrophy occurs (A) The muscle slowly becomes stronger (B) The muscle increases in size (C) The muscle remains the same size (D) The muscle decreases in size D. The muscle decreases in size Which of the following statements is true of how an NA should assist a resident with one-sided weakness after a stroke? (A) The NA should lead with the weaker side. (B) The NA should stand on the weaker side. (C) The NA should use the terms bad or messed up so it is clear which side is the weaker side. (D) The NA should not use a transfer belt during transfers. B. The NA should stand on the weaker side Respiration consists of (A) Intake and output (B) Inspiration and expiration (C) Systole and diastole (D) Dilation and contraction B. Inspiration and expiration A(n) — stocking is a special stocking that can help with circulation after a knee replacement. (A) Antiembolic (B) Sheer (C) Clotting (D) Sleeve A. Antiembolic When helping a resident who has had a hip replacement get dressed, how should the nursing assistant begin? (A) Start with the stronger side (B) Start with the left side (C) Start with the weaker side (D) Start with the feet and move upward C. Start with the weaker side What does the abbreviation PWB stand for? (A) Previously weakened bones (B) Partial weight-bearing (C) Patient's weight before (D) Patient wants baths B. partial weight bearing What is one reason why females are more likely to have urinary tract infections than males? (A) The different location of the meatus (B) Having a shorter urethra (C) Not filtering blood properly in the kidneys (D) Urinary incontinence B. Having a shorter urethra Where should the NA stand when helping with ambulation for a resident who is recovering from a stroke? (A) On either side, but very close to the resident (B) On the resident's stronger side (C) On the resident's weaker side (D) A few feet in front of the resident C. On the residents weaker side The medical term for high blood pressure is (A) Angina (B) Atherosclerosis (C) Nitroglycerin (D) Hypertension D. Hypertension Which of the following should a nursing assistant do if a resident is confused? (A) Not mention the date or the location, as it will further confuse the resident (B) Stay calm and provide a quiet environment (C) Leave the resident alone until he is acting normally (D) Avoid explaining care, as it will only agitate the resident B. Stay calm and provide a quiet environment Which of the following statements is true of Alzheimer's disease (AD)? (A) Skills a person has used over a lifetime are usually kept longer. (B) Residents with AD will show the same signs at the same times. (C) NAs should do everything for residents with AD. (D) Alzheimer's disease is a normal part of aging. A. Skills a person has used over a lifetime are usually kept longer What can a nursing assistant do to help prevent urinary tract infections? (A) The NA should restrict fluids. (B) The NA should encourage baths, rather than showers. (C) The NA should wipe from front to back when giving perineal care. (D) The NA should ask the resident not to drink cranberry juice. C. The NA should wipe from front to back when giving perineal care When a resident with AD is frightened, the NA should (A) Speak in a room where the television is on (B) Check her body language to make sure she is not tense or hurried (C) Use longer sentences (D) Not tell the resident what she is going to do B. Check her body language to make sure she is not tense or hurried When a resident with AD shows memory loss, the NA should (A) Repeat herself using the same words (B) Tell the resident that she already answered that question (C) Remind the resident every time she forgets something (D) Give the resident a list of instructions to review A. Repeat herself using the same words If a resident with AD has lost most of his verbal skills, the NA should (A) Assume the resident cannot understand what is being said (B) Use touch, smiles, and laughter (C) Ask the resident questions (D) Not involve the resident in activities because he will find that frustrating B. Use touch, smiles, and laughter If a resident with AD has problems with dressing, the NA should (A) Lay out clothes in the order they should be put on (B) Dress the resident in the hallway (C) Choose the resident's clothing for him (D) Give the resident multiple steps to follow A. lay out clothes in the order they should be put on A helpful way for an NA to respond to hallucinations is to (A) Tell the resident that what she thinks she sees is not real (B) Tell the resident that she can see the hallucination too (C) Reassure a resident who is upset and worried (D) Laugh to ease tension and encourage the resident to laugh. C. Reassure a resident who is upset and worried A NA can respond to sundowning by (A) Adding more caffeine to the resident's diet (B) Setting a bedtime routine and keeping it (C) Restricting exercise during the day (D) Scheduling activities during this time B. Setting a bedtime routine and keeping it When a resident with AD cannot understand basic instructions, it is a good idea to use (A) A notepad to write out instructions (B) Longer words to catch the resident's interest (C) A very loud voice (D) Short words, pictures, and gestures D. Short words, pictures, and gestures Which of the following would be the best way for an NA to respond to inappropriate sexual behavior? (A) The NA should warn other residents that it is happening. (B) The NA should take the resident to a private area. (C) The NA should inform the resident's family that the resident is being inappropriate. (D) The NA should reprimand the resident to shame him into stopping. B. The NA should take the resident to a private area