CNA EXAM 1 multiple choice Questions and Answers

CNA EXAM 1 multiple choice Questions and Answers When you wash your hands you should: A.use the hottest water possible B.scrub with a brush for 3 minutes C.rinse with your fingers pointed up D. Rinse with your fingers pointed down Rinse with your fingers pointed down When should you wash your hands instead of using an alcohol based hand rub when performing hand hygiene? A.when hands are not visibly soiled B.when hands have come in contact with blood or other body substances C.after performing routine care, such as taking a persons blood pressure D.when changing gloves during a care procedure When hands have come in contact with blood or other body substances You have been told to follow contact precautions with one of your residents. Therefore this residents soiled linen should be: A. Thrown away B.bagged prior to removing it from the room C. Taken directly to the laundry D.placed in the linen hamper Bagged prior to removing it from the room Bacteria may enter the body through: A. The mouth B. The nose C. Cuts or breaks in the skin D. All of the above All of the above Which statement about the handwashing procedure is correct? A. As long as soap, is used, the temperature of the water does not matter B.the faucet is clean and may be touched during handwashing C.wash at least 1 inch above the wrist D.all the above Wash at least 1 inch above the wrist Microbes can be spread by: A. Looking at a person with a communicable disease B.coughing or sneezing C.touching a person with a communicable disease D. Both b and c Both b and c Which one of the following statements about gowns is true? A.the outside is considered the clean side B.the gown opens in the front C.a gown may be used more than once D.a gown is considered contaminated when wet A gown is considered contaminated when wet Which one of the following must be present in order for infection to spread? A.a nursing assistant B.an indwelling medical device C. A susceptible host D.a patient or resident who looks ill A susceptible host Hepatitis b virus, a blood borne pathogen, can be found in all of the following body fluids except A.blod B.semen C.wound drainage D.sweat Sweat When are goggles a necessary part of personal protective equipment (PPE) A.whenever blood is present B.whenever blood may splash or spray C.whenever you are taking care of a person with tuberculosis D.goggles are not really a necessary part of PPE Whenever blood may splash or spray human immunodeficiency virus (HIV) can be transmitted through all of the following means except: A. Blood splash to mucous membrane B. Sexual intercourse C. Sharing needles D.a mosquito bite A mosquito bite A vaccination against which one of the following blood borne diseases is available? A. Lyme disease B.AIDS C.hepatitis c D.hepatitis B Hepatitis B Hepatitis b is a viral disease of the A.spleen B.liver C.blood D. Heart Heart For health care workers, which of the following is the most important method of preventing the spread of infection? A.standard precautions B. Proper hand wash C. Wearing gloves D.wearing gowns and goggles Proper hand wash Personal Protective Equipment (PPE) refers to: A. Sterilization and disinfection B.security personnel C.disposable gloves, face masks, and gowns D.isolation precautions Disposable gloves, face masks, and gowns Who is the focus of the health care team's efforts? A.the doctor B.the director of nursing C.the organizations board of trustees D.the patient or resident The patient of resident What does OSHA do? Sets standards for a safe and healthy workplace. The inspection of a nursing home carried out by the government to ensure that care is being provided according to standards and regulations is called a A.OBRA B.survey C.sentinel event D.MDS report Survey Nursing assistants who work in the long term care setting must complete a course of training and undergo a competency evaluation. These requirements are set by the: A.CDC B.FDA C.OBRA D.OSHA OBRA As a nursing assistant it is your responsibility to A. Plan the patients care B.perform the tasks your supervisor assigns to you C. Do the best you can without asking for help D.compare assignments with your coworkers Perform the tasks your supervisor assigns to you If you do not know how to do a delegated task, you should A. Call another CNA for help B.Ask the patient how he prefers it C. Decline the task D.follow the instructions in the procedure manual Decline to do the task Nursing assistants work under the supervision of A. Doctor B.RN and LPN C. Other CNA D.long care facility administration A registered nurse (RN) or licensed practical nurse (LPN) Which step of the nursing process involves gathering information about a patient or resident? A. Assessment B.planning C.implementation D.evaluation assessment To "delegate" means to A.do what you are told to do B.give another person permission to perform a task on your behalf C.transfer your duties to another assistant D.have the charge nurse take your assignment Give another person permission to perform a task on your behalf What information is included in the registry? A. The nursing assistant's full name B. The nursing assistant's Social Security number C.Any reported incidents of abuse or theft D. All the above All the above All of the following are legal terms that relate to making false statements that injure another person's reputation except: A. Defamation B.assault C.slander D.libel Assault If the RN fails to raise the side rails on the bed of a confused patient and the patient falls out of bed and is injured, the nurse may be charged with A. Malpractice B.neglect C.assault D.intentional tort Malpractice Resident rights are a part of which legislation A.AMA B.OBRA C.FEMA D.social security act OBRA Which of the following is a basic right of residents? A. Right to choice B.right to privacy C.right to be free from verbal abuse D.all the above All the above Confidentiality means A. Only sharing information with those directly involved in a patient's or resident's care B. Respecting a patient's or resident's right to privacy C.never sharing information on the patient D. Both a&b Both a and b You are a nursing assistant working in a home health care setting. You suspect that one of your clients is being emotionally and physically abused by her husband. What should you do? A. Call the police B. Keep your suspicions to yourself but continue to observe C.immediately report to the case manager D.tell another CNA Immediately report to the case manager One of your co workers has been having a very hard time with one of her residents. The resident is confused and as a result is being uncooperative. In a moment of complete frustration your co worker says to the resident "if you don't shut up and behave yourself right now, I'm going to slap you!" What kind of an intentional tort has this nursing assistant committed? A.assault B.battery C. Negligence D.malpractice Battery A legal document that transfers the responsibility for handling a persons medical decisions to a family member, friend, or other trusted individual is known as A. Living will B.HIPPA agreement C.form of consent D.durable power of attorney for health care Durable power of attorney for health care What does HIPPA protect? A. A patients privacy B.a patients right to sue negligent health care workers C. A patients right to be free from abuse D.a patients right to choose who will provide their care a patient's privacy A cna answers the phone at the nursing station, it's a doctor wanting to give a verbal order, the CNA tells the dr she is a nurse and can take the order. What intentional tort has the CNA committed? A. Slander B.fraud C.libel D.informed consent Fraud Which one of the following is an open ended question? A. Are you Mrs. Brown? B. Mr. Jones, when you were growing up, what was your favorite meal? C.are you feeling okay? D.its beautiful outside today, do you want to go outside? Mr. Jones, when you were growing up, what was your favorite meal? Which one of the following is considered positive body language? A. Nodding encouragingly as someone speaks B. Crossing your arms across your chest C. Looking at your watch D.rolling your eyes Nodding encouragingly as someone speaks An example of an action that blocks effective communication is: A. Interrupting B.being judgmental C.not listening carefully D.all the above All the above Which one of the following is an example of objective data? A. Mr. Smith says his back hurts when he walks B. Ms. O'Connells urine is cloudy and has a strong odor C. Ms. Andrew's has a headache D. The patient in room 102 is complaining of a stomachache Ms. O'Connells urine is cloudy and has a strong odor Which of the following is an example of nonverbal communication A. Using sign language B.recording vital signs in a patients chart C. Gently touching a patient's shoulder to reassure her D. Making a phone call Gently touching a patient's shoulder to reassure her What usually forms the basis for subjective data? A. A symptom B. A measurement C. A doctors order D. All the above A symptom Caroline is taking care of Ms. Jordyn who has hearing loss, Ms. Jordyn is wearing her hearing aid but it does not seem to be working. What should Caroline do? A. Yell B. Make sure it is on and volume is high enough C. Remove the hearing aid and replace the battery D. Report the problem to the nurse Make sure it is in and volume is high enough With regard to telephone communication, nursing assistants are responsible for all of the following except: A. Answering with a pleasant greeting B. Writing down the callers name and number so the nurse can speak with them C. Taking down doctor's orders if the nurse is not available and a doctor calls D. Identifying themselves to the caller Taking down doctor's orders if the nurse is not available and a doctor calls When recording information in a persons medical chart, what should you remember to do? A. Use pencil in case of errors B. Sign or initial and date your entry C.update all of patients charts at one time D. All the above Sign or initial and date your entry What is it called when people have differences and they are unable to come to an agreement? A. Conflict B. Culture C. Communication D.personality differences Conflict Mr. Campi, one of your elderly residents, is very hard of hearing. What should you remember when you are talking to Mr. Campi? A. Demand him to repeat your instructions back to you B. Just let it pass, letting him know you did not understand C. There is no point in talking to him because he clearly does not understand D. You should sit or stand so that Mr. Campi has a clear view of your face, and you should avoid chewing gum or speaking quickly You should sit or stand so that Mr. Campi has a clear view of your face, and you should avoid chewing gum or speaking quickly Sally is caring for Mrs. Norville, who lives in a long-term care facility. Sally encourages Mrs. Norville to make her own decisions about what to do each day. She helps her with dressing and grooming, but let's her do as much as she can for herself. These activities help fulfill Mrs. Norville's need for: A. Security B. Shelter C. Spirituality D. Self-esteem self-esteem When caring for people from different cultures, you should try to: A. Avoid talking to them B. Understand and respect their special needs C. Pretend that the cultural differences do not exist D. Encourage them to change their beliefs Understand and respect their special needs A resident's religion forbids him from eating pork. Pork chops are being served for dinner. What should you do? A. Tell the resident that religious restrictions on diet do not count in times of illness B. Insisted that they eat the pork because it contains good proteins C. Ask the nurse to call the dietary department D.reassure the resident by telling him that the doctor ordered this diet Ask the nurse to call the dietary department A resident in long term facility may show her sexuality by doing all of the following except A. Desiring sexual intercourse B. Engaging in public fondling C. Giving her granddaughter a doll for her birthday D. Applying makeup and scented powder before a male visitor Giving her granddaughter a doll for her birthday Which one of the following is a basic physical need? A. Fear B. Love C. Self esteem D. Water Water Which one of the following is a basic social need? A. Food B.water C. Love D. Air Love How should a residents room look? A. Like a hotel room B. As home like as possible C. Like a hospital room D. Functional and sparsely decorated As home like as possible You show respect to a patient or resident when you: A. Knock before entering his or her room B. Close the door and pull the privacy curtain when you are providing care C. Handle the person's personal belongings with care D. All the above All the above Which regulations state that a residents unit must be clean, safe, orderly, and free of obstacles in the pathway? A. OBRA B. OSHA C. Medicare D. Medicaid OBRA One of your patients has had back surgery, and the nurse asks you to position his bed so that the head of the bed is elevated. The patient's body needs to remain flat against the mattress. What position would the nurse tell you to put him in? A. Reverse Trendelenburg position B. Fowlers position C. Prone position D. Trendelenburg position Reverse Trendelenburg position How can you help to control unpleasant odors in the workplace? A. Use facility approved air fresheners B. Empty emesis basins promptly C. Assist your patient in skin care and oral care D. All the above All the above What is the purpose of epithelial tissue? A. To provide and frame and give shape to the body B. To connect other types of tissues together C. To cover the body and line the cavities D. To conduct nerve impulses To cover the body and line the cavities The substance found in the epidermis that gives our skin, hair, and eyes color is called A. Collagen B. Sebum C. Melanin D. Keratin Melanin Which of the following is a normal age related change affecting the integumentary system? A. The nails become thicker B. The body produces less sweat C. The skin becomes dry and fragile D. All they above All the above When a muscle atrophies, it becomes: A. Larger and stronger B. Stiff C. Thinner and weaker D. More flexible thinner and weaker Where does gas exchange occur in the lungs? A. Alveoli B. Bronchioles C. Pharynx D. Nasal cavity alveoli What part of the respiratory system is known as the windpipe A. Trachea B. Pharynx C. Larynx D. Epiglottis Trachea The upper chambers of the heart are called the: A. Ventricles B. Atria C. Mitral valves D. Arterioles atria The blood cells that contain hemoglobin and carry oxygen are called A. Leukocytes B. Phagocytes C. Thrombocytes D. Erythrocytes erythrocytes Varicose veins are commonly caused by? A. Loss of elasticity in the veins B. Forceful heart contractions C. Loss of elasticity in the arteries D. Decreased number of red blood cells Loss of elasticity in the veins How does aging effect the nervous system A. Older people usually become senile and forgetful B. Older people lose the ability to form or understand words C. Older people may take slightly longer to react to things D. Aging does not affect the nervous system because old neurons are constantly replaced Older people may take slightly longer to react to things What is the fatty white substance covering a nerve fiber that helps speed the conduction of nerve impulses? A. Meninges B. Synapse C. Dendrite D. Myelin myelin What is the largest part of the brain? A. Cerebellum B. Cerebrum C. Brain stem D. Diencephalon cerebrum As a normal part of aging, many older people gradually lose the ability to hear high-pitched sounds. What is this called? A. Presbyopia B. Cerumen C. Presbycusis D. Vestibular apparatus presbycusis