CNA (Written Exam Practice Questions) Questions and Answers

CNA (Written Exam Practice Questions) Questions and Answers What is the term for a device used to take the place of a missing body part prosthesis when a client has left-sided weakness, what part of a sweater is put on first left sleeve (weak side 1st) it is appropriate for a nurse aide to share the information regarding a client's status with the staff on the next shift when helping a client who is recovering from a stroke to walk, the nurse aid should assist on the client's weak side the nurse aide is caring for a client who is agitated. the nurse aide should talk in a slow, calm, reassuring manner the purpose for padding side rails on the client's bed is to protect the client from injury exercises that move each muscle and joint are called range of motion how can the nurse aide best help a client who is not accepting a loss encourage a client to talk the heimlich maneuver (abdominal thrust) is used for a client who has a blocked airway to BEST communicate with a client who is totally deaf, the nurse aide should write out information the nurse aide is asked by a confused client what day it is, the nurse aide should point to the date on a calendar and say the date to avoid pulling the catheter when turning a male client, the catheter tube must be taped to the clients upper thigh a nurse aide can assist clients with their spiritual needs by allowing clients to talk about their beliefs a nurse aide MUST wear gloves when doing peri-care when getting ready to dress a client, the nurse aide SHOULD give the client a choice of what to wear if the nurse aide discovers fire in a client's room, the FIRST thing to do is remove the client in order to communicate clearly with a client who has hearing loss, the nurse aid should look directly at the client when speaking which of the following stages of dying is usually the FINAL STAGE acceptance (once you've accepted it, it's kinda like you can move on and forward) if a client says, "God is punishing me" or "Why me", how should the nurse aide respond listen quietly the role of the ombudsman is to work with the nursing home to protect the client's rights a nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group, the nurse aid should respect the client's beliefs and avoid starting religious discussions the nurse aide notices that a client's mail has been delivered to the client's room, the nurse aide should give the client the unopened mail and offer help as needed which is the following correct measurement of Urinary Output 300cc the client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aid has done, the nurse aid should politely refuse the money all of the following situations are examples of abuse or neglect EXCEPT restraining a client according to a physician's order if a client is sitting in a chair in his room masturbating, the nurse aid should leave the client alone and provide privacy to convert 4oz of juice to milliliters (mL) ,the nurse aide should multiply 4 x 30mL (because 1oz=30mL) in giving care according to the client's Bill of Rights, the nurse aide should provide privacy during the client's personal care the LAST SENSE a dying client will lose is hearing a client wakes up during the night and asks for something to eat, the nurse aide should check client's diet before offering nourishment the normal aging process is BEST defined as the time when normal body functions and senses decline to prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed put them in a dirty linen container a client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client along, the nurse aide should ask another nurse aide to help to prevent dehydration of the client, the nurse aide should offer fluids frequently while the client is awake when transferring a client, MOST of the client's weight should be supported by the nurse aide's LEGS to be sure that a client's weight is measured accurately, the client should be weighed at the same time of the day* how may tips does a quad-cane base have four BEFORE taking the oral temperature of a client who has just finished a COLD drink, the nurse aide should wait 10-20 minutes * which of the following methods is the CORRECT way to remove a dirty isolation gown roll it dirty side in and away from the body what would be the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke encourage the client to do as much as possible and assist as needed a safety device used to assist a DEPENDENT client from a bed to a chair is called a transfer/gait belt if a nurse aide needs to wear a gown to care for a client in isolation, the nurse aid must take the gown off before leaving the client's room* when making an occupied bed, the nurse aide should help the client to sit in a chair while the bed is being made* the nurse aide is in the employee dining room. a group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting, the nurse aide should suggest this is not the place to discuss the client the nurse aide enters a client's room, and the client states that he has pain, what should the nurse aide do report it to the nurse in charge a client is upset and crying over the recent death of her husband, how should the nurse aid respond sit with the client and allow her to talk about her feelings which temperature is considered MOST accurate rectal* what is a beginning sign of a pressure sore discoloration* while assisting a client with denture care the nurse aide observes that the upper plate is cracked, the nurse aide should report the damage to the nurse in charge a new client refuses to wear a clothing protector at lunch, the nurse aide should respect the client's wishes* the nurse aid can BEST show that they are listening to the client by responding when appropriate the BEST time to prepare for a disaster is before it happens if a client is confused, the nurse aide should help the client to recognize familiar things and people* what is the process of restoring a disabled client to the highest level of functioning possible rehabilitation when changing an unsterile dressing, the nurse aide should wash hands before, after removal of the soiled dressing, and after the procedure (because if not after soiled dressing, bacteria can spread) clean bed linen placed in a client's room but NOT used should be put in the dirty linen container the nurse aide finds a conscious client lying on the bathroom floor, the FIRST thing the nurse aide should do is call for assistance form the nurse in charge (not help client sit upright, not offer water, not check for signs of injury) if a nurse aide finds a client who is sad and crying, the nurse aide should ask the client is something if wrong* (not tell client to cheer up, or to stop crying, or to call the family) clients have the right to have access to a telephone proper use of a waist restraint requires that the nurse aide watch for skin irritation* (not release the restraint every four hours, not tie restraint to a sidereal, and to apply restraint tightly restricting movement of client) Which of the following is the most appropriate time to use a soft toothette? When giving an unconscious resident mouth care. When a resident is having a seizure. When a resident has dentures. When a resident is complaining of a toothache. which of the following would be an inappropriate action when providing nail care to a resident Thoroughly dry the fingers and toes to prevent skin breakdown. Use extra caution when trimming the nails of diabetic residents. Use lots of lotion on the hands and feet and between fingers and toes to help prevent dryness Soak the resident's hands or feet in warm water before trimming to make the process easier. It is time to bathe an Alzheimer's patient who has had visitors in the room for most of the shift. The most appropriate action for the nursing assistant is: Ask the patient when you should come back. Ask the visitors to step out until the bath is complete. Ask the charge nurse to speak with the visitors. Perform the bath as your first task the next day. A resident in your care reduces their food intake and shows little interest in eating. What is the best way for a nursing assistant to handle the situation? Administer multi-vitamins to supplement deficiencies. Check the resident's prescribed dietary supplements and provide them to the resident. Offer to bring a different tray of food. Discuss the problem with the resident and try to persuade them to eat more. A resident is often late to physical therapy because she is very slow at feeding herself during breakfast. What is the best action for the nursing assistant to take? Bring the resident to breakfast earlier. (Why? Still focuses on her independence she likes) Withhold breakfast until after physical therapy. Begin feeding the resident breakfast. Encourage her to eat faster by taking her plate away when it's time for her physical therapy. Which of the following is an incorrect procedure for shaving a resident? When shaving the face, start from the chin and shave upwards towards the sideburns. Before shaving a resident check on their records and with the nurse to be sure they do not have a bleeding problem. Shave upward on the neck. Use a towel around the resident's chest when shaving their face. Which of the following is NOT a common mealtime and eating challenge that residents often face? Loss of ability to manipulate eating utensils. Chewing or swallowing problems. Decreased recognition of hunger or thirst. Being reminded when it is time to eat. Which of the following is an important fact that is easily overlooked or forgotten by caregivers and facilities in reference to resident bathing needs? The resident should be rinsed and dried thoroughly. The water needs to be at a safe temperature for bathing. The caregiver needs to use proper body mechanics to avoid injury when bathing a resident. Beliefs about bathing frequency differs among cultures. Which of the following may depend on facility rules when performing nail care on a resident? Nails are easier to trim if the feet or hands soak for 10 minutes before starting. Nail care is best provided if the resident can sit in a chair, although it can be done with the resident in bed. Cutting toenails. When providing nail care, report blue or pale nail beds to the nurse. Which of the following statements is false for the care of a resident's dentures? Dentures are very slippery when wet. Dentures should be stored in cool water. Dentures break easily and are expensive to replace. Denture care is left to the resident so a care facility cannot be charged with negligence if something goes wrong. All of the following are proper precautions for residents who are unable to move by themselves, EXCEPT: The resident should be routinely checked for pressure sores. The resident should be left clean and dry from incontinence. The resident should be turned once on every nursing assistant shift.* The resident should be turned every 2 hours. Morning care (sometimes referred to AM care) before the resident eats breakfast is important for which of the following reasons? It provides a pleasant appearance. It adds to a resident's sense of well-being. All of these are correct.* It helps to decrease harmful bacteria. Key considerations for bathing residents include safety, privacy, and which of the following choices? Swiftness in procedure Dim lighting Providing security* Quiet surroundings Bad breath, tooth decay, and skin breakdown are all symptoms of: Inadequate amounts of toothpaste used when brushing the teeth Overly moist mouth. Dry mucous membrane in the mouth* Dehydration. What is one important reason why the bed should remain wrinkle-free? to help keep the skin healthy and prevent pressure sores Which of the following abbreviations means "nothing by mouth"? NPO What is a task that is outside the scope of practice for an NA? inserting tubes into a resident's body Standard Precautions should be practiced on every single person in your care If an activity is not listed on the care plan, what is the responsibility of a NA? The NA should not perform the activity if it is not listed on the care plan. Restraints can be applied: only with a doctor's orders What is a normal range of a blood pressure? varies 119/75 is an example Incontinence may be caused by: nervous system diseases Standing with the legs shoulder-width apart is using good body mechanics Aftr an amputation, a resident may experience phantom sensation. Phantom sensation is pain or sensation caused by remaining nerve endings How should a fracture pan be positioned with the handle toward the foot of the bed What does palliative care involve pain relief and comfort Nursing assistants do not usually perform procedures that require sterile technique Insulin reaction can be caused by too little food Which of the following is a requirement of OBRA? nursing assistants must have at least 75 hours of training