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This document, "CNA: Prometric Exam Study Guide," covers essential topics for certified nursing
assistant (CNA) exam preparation, including daily fluid intake, blood pressure measurement, policies and
procedures, body mechanics, rehabilitation, and restorative care. The document provides 115 questions
with correct answers and detailed explanations, offering a comprehensive review of CNA concepts.
Students can use this resource to study, review, and understand key concepts, ultimately enhancing
their knowledge and preparation for the exam.
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EXAM QUESTIONS
QUESTION 1
A fracture pan is
CORRECT ANSWER
a bedpan that is flatter than the regular bedpan. It is used for residents who cannot assist with raising
their hips onto a regular bedpan
RATIONALE: A fracture pan is correct because it refers to a bedpan specifically designed for individuals with mobility
impairments, particularly those who cannot lift their hips onto a standard bedpan due to a fracture or other medical
condition. This specialized bedpan allows for easier and safer use, taking into account the physical limitations of its
users.
QUESTION 2
Daily fluid intake
CORRECT ANSWER
A healthy person should take in 64 to 96 ounces of fluid each day to maintain health
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, RATIONALE: This recommendation is based on the Institute of Medicine's estimate that the human body is comprised of
approximately 55-60% water, and that adequate hydration is essential for maintaining proper bodily functions, such as
regulating body temperature, transporting nutrients, and removing waste products. By recommending 64 to 96 ounces
of fluid intake, the guideline aims to ensure that individuals meet their daily water needs and maintain optimal health.
QUESTION 3
Items used to take a blood pressure
CORRECT ANSWER
A stethoscope and a blood pressure cuff--also called a sphygmomanometer
RATIONALE: A stethoscope is used to listen to the sounds and rhythms of the heart and blood flow, allowing the
measurement of the Korotkov sounds, which are crucial in determining the systolic blood pressure, while a blood
pressure cuff, also known as a sphygmomanometer, compresses the artery to temporarily stop blood flow and then
measures the pressure at which blood starts to flow again, indicating the systolic and diastolic blood pressure. By
combining these two instruments, healthcare professionals can accurately measure and record a person's blood
pressure.
QUESTION 4
Nurse Aide Training Competency Evaluation Program
CORRECT ANSWER
Makes the rules about training and testing nursing assistants. The state programs make sure that federal
rules are followed in nursing facilities that receive payment from Medicare or Medicaid. Setting up and
running the nursing assistant registry is also a part of this program. If a nursing assistant is accused of
abusing a resident the facility will investigate according to its policies and procedure. If they determine
abuse has occurred a report must be made to them and they will decide whether or not to mark it on their
registry.
RATIONALE: This description is the correct definition of the Nurse Aide Training Competency Evaluation Program
because it outlines the program's role in setting standards and ensuring compliance with federal regulations, as well as
its responsibilities in handling allegations of abuse and maintaining a registry of nursing assistants. The key concepts,
such as training, testing, and registry management, are all crucial aspects of the program's purpose and function.
QUESTION 5
A policy is
CORRECT ANSWER
a course of action that should be taken every time a certain situation occurs
RATIONALE: A policy is a predetermined course of action that provides a framework for consistent decision-making in a
specific situation, thereby reducing uncertainty and promoting predictability. This consistent approach is essential in
various contexts, such as business, government, and personal life, where a standardized response to a particular
circumstance is necessary for efficiency and effectiveness.
QUESTION 6
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, A procedure is
CORRECT ANSWER
a method or way of doing something
RATIONALE: The word "procedure" inherently implies a systematic and often step-by-step approach to accomplish a
specific task or goal. This connotation of a structured process for achieving a particular outcome aligns with the
definition of a "method or way of doing something", as it encompasses a deliberate and organized approach to a task.
QUESTION 7
Assisting stroke residents to eat
CORRECT ANSWER
Place food in the resident's field of vision
Use assistive devices
Watch for signs of choking
Place food in the unaffected/nonparalyzed side of the mouth
RATIONALE: This sequence is the correct approach because it prioritizes the resident's safety and mobility by placing
food where they can easily access and manage it, and also being prepared to handle potential choking hazards or other
complications. Using assistive devices and placing food on the unaffected side of the mouth helps to minimize the risk of
choking and ensure that the resident can safely and effectively eat.
QUESTION 8
Hand hygiene
CORRECT ANSWER
Washing hands with either plain or antiseptic soap and water or using alcohol--based hand rubs
the most important thing NA can do to prevent the spread of disease
Wet hands and wrists, apply soap, lather for at least 20 seconds, clean nails
RATIONALE: The correct answer emphasizes the importance of physically removing pathogens and germs from hands
through the mechanical action of soap and water or alcohol-based hand rubs, which is essential for preventing the
spread of disease. The specific steps outlined, such as lathering for at least 20 seconds and cleaning nails, ensure that
all areas of the hands are thoroughly cleaned, making hand hygiene a crucial factor in disease prevention.
QUESTION 9
Conversions
CORRECT ANSWER
30 mL = 30 cc = 1 oz = 1/8 cup
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, RATIONALE: The conversion between milliliters (mL), cubic centimeters (cc), and fluid ounces (oz) is based on the fact
that 1 mL is equivalent to 1 cc, and 1 fluid ounce is equivalent to 29.5735 mL, but in a culinary or informal context, 1
fluid ounce can be approximated as 1 oz = 30 mL due to rounding conventions. In addition, 1/8 cup is often used as a
standard unit in cooking and recipes, making 30 mL = 30 cc = 1 oz = 1/8 cup a commonly accepted approximation in
these contexts.
QUESTION 10
Cyanotic
CORRECT ANSWER
Skin that is blue or gray
RATIONALE: Cyanosis is a medical condition characterized by a bluish discoloration of the skin, which occurs when
there is an increased amount of reduced hemoglobin in the blood. The bluish coloration is typically observed in the skin
that is close to the surface, such as the lips, fingers, and toes, and can appear blue or gray due to the way light
interacts with the reduced hemoglobin.
QUESTION 11
Military time
CORRECT ANSWER
Midnight = 0000
1 am = 0100
1pm = 1300
RATIONALE: In military time, the day starts at 0000 (midnight) and increments by 100 for every hour, effectively
converting the 12-hour clock cycle into a 24-hour representation. This system eliminates the need for AM/PM
designations and provides a straightforward, unambiguous way of expressing time.
QUESTION 12
OBRA: hours of training and continuing education hours for CNAs
CORRECT ANSWER
NAs must complete at least 75 hours of training that covers topics like communication, preventing
infections, safety and emergency procedures, and how to promote residents' independence and legal
rights
They must attend regular in-service education (a minimum of 12 hours per year) to keep their skills
updated
RATIONALE: The statement is correct because it aligns with the Omnibus Budget Reconciliation Act (OBRA) regulations,
which set standards for the training and education of Certified Nursing Assistants (CNAs) to ensure they possess the
necessary skills and knowledge to provide quality care to residents in long-term care facilities. The specified hours of
training and continuing education requirements reflect OBRA's emphasis on competency-based care and resident-
centered services.
QUESTION 13
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