CNA Practice Test. 4-6 Questions and Answers

CNA Practice Test. 4-6 Questions and Answers a 1. A patient says that he is depressed. What should the CNA say? A. "Can you tell me more about this? Would you like to speak with someone about this?" B. "I am so sorry that you are feeling this way." C. "I know there is a lot to feel sad about these days, but you'll get through it." D. "That is tough. Maybe your family can help." c 2. If a CNA forgets to lock the wheels on a bed and a patient falls and gets injured as a result of this, what could the CNA be charged with? A. Malpractice B. Battery C. Negligence D. Assault d 3. Which is a safety measure that a CNA should employ when helping a resident shower? A. Make sure the resident has access to the call light. B. Check the temperature of the water. C. Lock the wheels of the shower chair. D. All of the above a 4. How should a CNA speak to a patient who is in an agitated state? A. In a calm and clear manner, while attempting to determine why the patient is agitated. B. Through the patient's roommate who may be able to calm or comfort the patient. C. The CNA should report this behavior to the RN on duty, who will then manage the patient. D. The CNA should not communicate with the patient, as he or she does not want to communicate. b 5. What is one way to emotionally connect with your residents without crossing boundaries? A. Doing favors for residents, such as calling banks to get financial information and making online purchases. B. Taking time to listen to the resident. C. Meeting with residents' families in the community to develop closer relationships. D. Receiving gifts from residents' families. d 6. When a resident is placed in restraints, which of the following statements is true: A. The resident is being punished for poor behavior. B. A nurse decided to put the resident in restraints. C. The healthcare team should leave the resident alone because the resident is usually violent. D. The healthcare team must check the resident's circulation at the site of restraint at least once every thirty minutes. c 7. A resident refuses to wash his hair even though it is beginning to become tangled and visibly dirty. What should the CNA do? A. Nothing—it is his hair. B. Tell the resident that he must bathe in order to stay in long-term care. C. Respect the resident's wishes and inform the charge nurse of his decision. D. Wash the resident's hair anyway—he needs it. a 8. Which of the following should a CNA do when shaving a resident? A. Use shaving cream to soften the hair and prevent nicks and cuts. B. Shave the resident's hair in the opposite direction of the hair's growth. C. Wash the resident's face completely and make sure it is dry before shaving. D. All of the above b 9. Which is the proper protocol for droplet precautions? A. Healthcare providers must wear special masks called High Efficiency Particulate Arrestance (HEPA) masks, and the patient is placed in a negative pressure room. B. A patient is placed in a private room, and healthcare providers must wear masks and wash their hands when entering the room. C. A patient has an infection that can be transmitted through touch. Healthcare providers must wear a gown, gloves, and use special soap to treat the patient. c 10. Which of the following is a sign of depression in a patient? A. An elevated temperature B. Memory loss C. Sadness and despair D. Unexplained bruising d 11. Which of the following scenarios increases a patient's likelihood of catching an infection? A. A patient has a cut on their hand. B. A patient has a weakened immune system because of long-term HIV. C. A patient is living in long-term residential nursing care. D. All of the above a 12. All patients have the right to: A. Be treated with dignity and respect. B. Discuss the results of their roommate's recent medical tests with their family. C. Play music as loudly as they would like. D. All of the above d 13. Which of the following is the definition of the term sterile? A. Eliminating the spread of microorganisms through facility practices B. A bacterium, virus, or microorganism that can cause disease C. Cleaning an item to remove bacteria D. Free from bacteria or other living microorganisms d 14. Which of the following best describes standard precautions? A. Needles and other sharps must be discarded properly in red biohazard containers in order to help prevent the spread of diseases such as HIV and hepatitis. B. Healthcare providers wash hands and skin if they become soiled with blood or bodily fluids and at certain times during the day. C. The use of personal protective equipment (PPE) by healthcare providers when there is a risk of coming into contact with patients' bodily fluid. D. All of the above are standard precautions. b 15. Which of the following is NOT a sign of hypoxia? A. A rapid pulse rate B. An elevated temperature C. Cyanosis D. Dyspnea d 16. Which of the following is NOT a risk factor for suicide? A. A history of alcohol or drug abuse B. A prior suicide attempt C. A stressful life event (the death of a loved one, for example) D. A quiet personality a 17. A nurse is very busy working with a disruptive resident and asks you to give Mr. Smith, who is not your patient, two ibuprofen because, "he has a headache." What should you do? A. Politely remind the nurse that you cannot give Mr. Smith ibuprofen and ask if there is anything else you can help with. B. Ignore the nurse—Mr. Smith is not your responsibility. C. Ask the CNA who is caring for Mr. Smith to give him the ibuprofen because it is important to keep members of the healthcare team informed about patient care. D. Give Mr. Smith the ibuprofen because it is important to work together as a healthcare team to care for residents. d 18. Which of the following can a CNA do to help reduce the spread of infection? A. Keep patients' rooms clean B. Keep soiled sheets away from one's uniform C. Handwashing D. All of the above c 19. A person lying on his abdomen with his head turned to one side is in the ________ position. A. Sims' B. Fowler's C. Prone D. Supine b 20. Which of the following is NOT true about the ombudsman program? A. The ombudsman investigates concerns and resolves complaints. B. The ombudsman certifies CNAs. C. The ombudsman represents a resident's interests before the local, state, and federal governments. D. The ombudsman is not a nursing center employee. c 1. Which of these procedures must you pay special attention to when helping a patient who has diabetes? A. Getting dressed B. Washing hair C. Clipping toenails D. Brushing teeth b 2. Which of the following does NOT apply when a CNA gives a resident a bed bath? A. Wash from clean to dirty B. Ensure that the water temperature is at least 120 degrees Fahrenheit C. Decontaminate your hands and put on gloves D. Provide for privacy c 3. If a CNA notices that a patient is having difficulty swallowing, the CNA should: A. Mash up each bite of food to make it easier for the patient to swallow. B. Give the patient smaller bites of food and something to drink after each bite. C. Notify the nurse immediately. D. Give the patient smaller bites of food and more time to chew. a 4. Symptoms of a stage ______ pressure ulcer include partial thickness skin loss and possibly a blister or a reddish/pink shallow ulcer. A. 2 B. 4 C. 1 D. 3 d 5. How often should a CNA turn a patient to help prevent pressure ulcers? A. Once every six hours B. Once every four hours C. Once every three hours D. Once every two hours b 6. Which describes a stage 4 decubitus ulcer? A. Open wound with redness B. Open area with visible bone C. Black area D. Blanching of the skin a 7. If a resident begins to fall while walking with a CNA, what should the CNA do? A. Get behind the resident and slowly guide them to the ground. B. Grab a chair for the resident to fall into. C. Grab the resident by the arm and yank them to their feet. D. Once the resident has fallen, seek immediate help since the resident may be injured. c 8. What is the most common injury that occurs when a resident falls? A. Strained ligament B. Sprained ankle C. Fractured hip D. Broken wrist b 9. Which of the following is an acute illness? A. Diabetes B. Ear infection C. Obesity D. Arthritis b 10. Which is NOT a treatment for gastroesophageal reflux disease (GERD)? A. Losing weight B. Eating spicy foods C. Avoiding smoking and alcohol D. Not lying down for 3 hours after meals a 11. Before measuring the patient's height and weight, what should a CNA do? A. Wash his hands. B. Ask the patient to remove their shoes. C. Help the patient stand up and walk to the scale. D. Give the patient a gown to change into before the physical exam. d 12. What is the recommended position for taking a resident's blood pressure? A. The resident is standing up. B. The resident is sitting with his feet elevated. C. The resident is lying down with his feet elevated. D. The resident is sitting with his feet on the floor. d 13. When caring for a patient who has started vomiting, a CNA should: A. Place a basin next to the patient's chest. B. Tilt the patient's head up. C. Dispose of all of the vomitus immediately. D. Measure, report, and record the amount of vomitus. b 14. Which is the best method of skin care to prevent pressure ulcers? A. Apply heat to red areas of the skin. B. Keep the skin clean and dry. C. Apply pressure to the affected area. D. Massage red areas of the skin. d 15. Passive range of motion exercises are helpful for patients who cannot voluntarily move their limbs because: A. They prevent contractures. B. They increase the strength of muscles. C. They increase muscle flexibility. D. All of the above d 16. What should the CNA do to create a physically and/or emotionally safe environment for a resident who is visually impaired? A. Make sure that the resident's glasses and other visual aids are within reach. B. Remove possible environmental hazards, like clutter on the floor. C. Ensure that the environment is well lit. D. All of the above b 17. Which of the following is NOT one of the 5 stages of grief? A. Bargaining B. Self-actualization C. Acceptance D. Denial a 18. If a resident asks for a moment to pray before a CNA assists with their feeding, what should the CNA do? A. Allow the resident a moment of privacy to pray. B. Lead the resident in a prayer. C. Tell the resident to pray while they are being fed. D. Remind the resident that there are a lot of patients to see and that they can pray later. c 19. How frequently should a CNA record the fluid intake and output in a resident's chart? A. At the end of every 24-hour period B. At the end of every meal C. At the end of each shift D. Every 3 hours a 20. Which is an example of objective data? A. The patient has a respiration rate of 15 breaths per minute. B. The patient reports feeling ill. C. The patient reports having a pain scale of 7. D. All of the above are objective data. d 21. When a resident has visitors, what should the CNA do? A. Remain outside of the resident's room to "keep an eye on things." B. Act as a host for the visitors, serving them food and beverages. C. Stay in the room in case the resident needs anything. D. Provide privacy so that the resident can spend time with visitors. a 22. A nursing assistant catches a resident with type 2 diabetes eating a candy bar and drinking a sugary soda. What should the nursing assistant do? A. Speak to the resident about her choices, encourage her not to eat and drink these items, and tell the nurse. B. Nothing. It is the resident's life, and she can do whatever she wishes. C. Yell at the resident and tell her that she is stupid for eating and drinking these high-sugar items. D. Immediately take the candy bar and soda from the resident, as these items are dangerous for a diabetic. b 23. Which statement is false about using a mechanical lift to transfer a resident? A. The lift must be in good working condition. B. There must be at least one staff member to operate the lift. C. The operator must be trained to use each type of mechanical lift. D. The type of sling used depends on the person's size, condition, and other needs. c 24. If a CNA sees that a resident is not eating enough, what should the CNA do? A. Recommend to the nurse that the resident get nutrition through an IV. B. Give the resident vitamins to help supplement their diet. C. Offer the resident prescribed dietary supplements according to the care plan. D. Get the resident a new tray with tastier food. a 25. A nursing assistant is recording a resident's ability to bathe independently. Which document will the nursing assistant use to record this information? A. The Flow Sheet B. The Care Plan C. The Kardex D. Progress Notes c 1. When cleaning a patient's perineal area, the CNA should be sure to wipe the resident: A. With significant force to make sure the area is clean. B. In a circular motion from back to front. C. From front to back. D. From back to front. d 2. Before bringing a tray into a patient's room, a CNA should: A. Make sure that the resident is able to swallow the food on the tray. B. Record all of the items on the tray in the input/output log. C. Make sure that the resident is awake and alert for meal time. D. Make sure that the resident is being given the correct food tray labeled with his name and room number. d 3. Gloves should always be worn as personal protective equipment (PPE) when: A. Transferring a person from the bed to a wheelchair. B. Feeding a resident who is unable to feed himself. C. Helping a patient walk down the hall. D. Assisting a resident with the use of a urinal. b 4. Which of the following actions should a nursing assistant always perform when helping a resident to use a bedpan? A. Raise the bed rails so the person won't fall out of the bed B. Place an absorbent pad on the bed for protection C. Place the individual in the genupectoral position D. Use a fracture pan d 5. Which actions help control the spread of infection? A. Covering your mouth when you cough or sneeze B. Disinfecting doorknobs C. Handwashing D. All of the above a 6. When making a resident's bed, what is the final action a CNA should take? A. Handwashing B. Reposition the bed to a low position C. Put the call signal within easy reach of the resident D. Smooth all wrinkles from the bed b 7. In what order should the CNA put on personal protective equipment (PPE)? A. Gloves, gown, mask B. Gown, mask, gloves C. Mask, gown, gloves D. Gloves, mask, gown d 8. A CNA needs to obtain a resident's oral temperature. The resident is drinking a cold cup of water. What should the CNA do? A. Take the oral temperature immediately. B. Wait until the next time the resident's oral temperature is ordered. C. Wait approximately an hour before taking the resident's oral temperature. D. Wait approximately 15 minutes before taking the resident's oral temperature. a 9. A drainage bag must be positioned lower than the bladder: A. To prevent urine from flowing back into the bladder. B. To prevent physical discomfort for the resident. C. To prevent urine from spilling out of the drainage bag. D. To ensure the urine bag does not get disconnected from the tubes of the catheter. c 10. Your patient had a stroke, or CVA, three years ago. He still has weakness on the right side of his body. You are about to transfer the resident from the bed to a wheelchair. The wheelchair should be positioned at the: A. Foot of the bed on the patient's right side. B. Foot of the bed on the patient's left side. C. Head of the bed on the patient's left side. D. Head of the bed on the patient's right side. c 11. A resident is choking. What procedure should a nursing assistant use to help him? A. Oxygen therapy B. Defibrillation C. Heimlich maneuver D. CPR d 12. A resident has just suffered a stroke, or a CVA, and has limited mobility. How often should you turn her to prevent skin breakdown? A. Every 4 hours B. Every hour C. Every ½ hour D. Every 2 hours c 13. Which of the following steps should the nursing assistant take to care for a resident with a condom catheter? A. Ensure that the condom is lubricated after it is placed on the penis B. Use standard tape to secure the condom catheter into place C. Connect the catheter to the drainage bag D. Attach the drainage bag to the side table b 14. Which of the following is a vehicle of transmission? A. A person's nose B. A bedpan C. A break in a person's skin D. An animal d 15. In addition to calling 911, what is one of the first things a nursing assistant should do when a resident is showing signs that she may be experiencing a stroke? A. Remove her clothing to provide for comfort. B. Locate the AED and use it to provide emergency care. C. Perform rescue breathing on the patient. D. Take note of when the symptoms began, monitor the patient's breathing, and look for any other changes in her condition. a 16. When transferring a resident using a gait belt, where should you stand in relation to the resident? A. Facing him B. Behind him C. To his strong side D. To his weak side d 17. How should a CNA encourage residents' independence? A. Ask residents about their preferences. B. Allow residents to do as much for themselves as possible and assist them when necessary. C. Be patient and allow residents time to answer questions and respond to healthcare providers. D. All of the above b 18. Patients who lose of mobility due to a stroke or an injury often experience: A. Mania B. Depression C. Claustrophobia D. Dementia a 19. You are assigned to provide care to a new South Asian resident who is Hindu. You are not familiar with Hinduism. How can you go about facilitating good communication with this resident? A. Take time to speak about Hinduism and her culture. B. Communicate with the resident in a loud and slow voice so that she can understand you. C. Teach the resident about your customs and culture so that she will understand: "where you're coming from". D. Avoid discussing Hinduism at all so that you can avoid potentially embarrassing situations or conversations. b 20. Which method is most effective for communicating with a patient who has aphasia? A. Giving the patient a pen and a notepad to write with B. Using a picture or letter board C. Giving additional time for the patient to respond D. Making decisions on behalf of the patient d 21. How should a CNA speak with a resident about his bowel movements (frequency, consistency, etc.)? A. Ask the patient directly about his bowel movements when there are many people in the room. B. Do not ask the patient about his bowel movements, as the RN should do this. C. Use an indirect manner, such as asking if he has anything to report, to avoid embarrassing the patient, and hope he understands what you mean. D. Ask the patient in private about his bowel movements in a calm, clear and professional tone.