CNA FINAL EXAM 2023 with complete solution questions and answers

An acute illness is A sudden illness from which the person is expected to recover Persons living in nursing centers are called residents The nursing team involves the following except Doctors You have an important role in meeting standards and in the survey process. You must do the following except Interview patients and family The Omnibus Budget Reconciliation Act of 1987 is a Federal Law OBRA requires retraining and/or new competency evaluation for persons who Have not worked as a nursing assistant for 2 years Does a nurse have to delegate a task to you? No. The nurse makes delegation decisions that are best for the person A nursing assistant is also an EMT who works for the fire dept. In her EMT role, she is allowed to start IVs. On the weekend, she works as a nursing assistant at a nursing center. The RN asks her to start an IV on a resident. What should the nursing assistant do? Politely refuse to do the task and explain why Unlawful restraint or restriction of a person's movement is False imprisonment You see a nursing assistant hitting a resident. What should you do? Tell the nurse Work ethics mean Behavior in the workplace You should wear a wristwatch that Has a sweep hand Treating the person with dignity is Respectfulness A nursing center wants to hire you. Which is NOT required? A photo You see two health team members talking quietly to each other. You tell your co-worker what you overhear. This is Gossip You need to talk to the nurse about a patient or resident. Where should you do this? In private Before leaving the unit for a break, you need to Tell the nurse A patient's care is assigned to Sally. The patient needs to use the bathroom. Sally is on a meal break. Who will help the patient? Any staff member on the unit will help Which will NOT protect patients, residents, and you from harm? Making excuses or blaming others for your actions Stress is The response or change in the body caused by any emotional, physical, social, or economic factor Which of the following are used to record frequent measurements or observations? Flow sheets When should you report changes in the person's condition? At once These statements are about charting, Which is incorrect? You can chart a procedure before completing it When charting, you should record Safety measures performed Messages sent through facial expressions, gestures, posture, and body movements is Body language Which is correct? Calling patients and residents by their titles (Mr./Mrs./Ms./Dr.) promotes dignity and shows respect You can help a new resident fel safe and secure by Listening to the person's concerns Family and friends usually help meet the person's Love and belonging needs Which is a common response to illness and disability Anger You ask a patient a question. You should Give the person time to process what you asked Which is important when communicating with persons who are disabled? Your attitude The process of cell division in called Mitosis The point at which two or more bones meet is a Joint Which is NOT a main part of the brain? Spinal cord Another name for the trachea is the windpipe Which separates the lungs from the abdominal cavity? The diaphragm The process of breaking food down physically and chemically for absorption and use by the body is Digestion Digestion begins in the Mouth The stomach is located in the Upper left part of the abdominal cavity (LUQ) The urinary system Removes waste products from the blood Too little thyroid hormone results in the following EXCEPT Too much sugar in the blood The rate of growth and development is the same for each person False Which is a developmental task of adolescence Accepting changes in the body and appearance During middle adulthood several physical changes occur. Which is CORRECT? It is common to need eyeglasses Geriatrics is The care of aging people Why is the ability to sense heat, cold, and pain reduced in older persons? The skin has fewer nerve endings Older people usually need a shower or bath Twice a week Older people often complain about how food tastes. This is because Taste buds decrease in number An older person may have swallowing difficulties because of Less saliva Men may have difficulty urinating because the Prostate gland enlarges The need to urinate at night is reduced if the person Drinks most fluids before 1700 Paralysis and loss of sensory function in the legs and lower trunk is Paraplegia To correctly identify the person before giving care, which is correct? Check identifying information in the assignment sheet with that on the ID bracelet A patient is receiving continuous oxygen. The person wants to smoke. Which is correct? Smoking is not allowed where oxygen is being used The safe use of electrical equipment involves the following except Standing in water When transferring a person to or from a wheelchair The wheels must be locked These statements are about preventing falls. Which is incorrect? You can borrow a residents wheelchair for another person Bed rails are considered restraints if the person cannot lower them without help True Restraints are used When other measures fail to protect the person Restraints are used to Treat medical symptoms These statements are about restraints. Which is incorrect Restraints decrease confusion and agitation Which is a restraint? A chair with an attached tray table A resident keeps trying to pull out her feeding tube. Which restraint is the least restrictive? Mitt restraints Mitt restraints prevent Finger use Items are sterilized in An autoclave A person has protection against a certain disease. The person has Immunity Sterile means The absence of all microbes To control the spread of microbes, you should do the following except Shake linens and equipment to remove dust Which of the following will not control portals of entry? Wiping from the rectum to the urethra Clean gloves have contact with clean sheets. Which statement is correct? The gloves and the sheets are still clean Always practice Standard Precautions in home settings True Which is incorrect about masks? They are NOT reusable A gown is needed for isolation precautions. The gown is removed Before leaving the room Double bagging is needed when The outside of the bag is soiled When giving bedside care. the bed should be Raised so it is close to your waist To use good body mechanics, you should do the following except Bend at the waist To protect yourself from injury, it is best to Avoid lifting whenever possible Regular position changes Help prevent pressure ulcers and contractures A resident is in bed. How often is the person repositioned At least every 2 hours The nurse asks you to position a patient in the lateral position. The position is A side-laying position The surfaces rub together. This is Friction A resident has weakness on her left side. You are transferring her from the bed to the wheelchair. Where should you position the wheelchair? Next to the bed on her right side A transfer belt is not needed to transfer a resident from the bed to a chair. For the transfer, how should you hold onto the person? Place your hands under the person's arms and around her shoulder blades You are going to transfer a resident from the wheelchair back to bed. Where should you position the wheelchair? On the person's strong side The nursing center has a new mechanical life. Which statement is correct? You need to be trained in its use A patient has slid down in the wheelchair. The person cannot assist with repositioning. To safely reposition the person A mechanical lift is used Symptoms are Subjective data Information that you can see, hear, feel, or smell is Objective data Which vessels carry blood away from the heart? Arteries You give wrong information on a job application. This is Fraud Being dependable means the following except Being eager to learn Persons needing respite care Are admitted to nursing centers for short stays A person is in a coma. This means that the person Cannot respond to others The musculoskeletal system does the following except Helps regulate body temperature A resident's son is visiting. Which will NOT protect the residents privacy Exposing the residents body in front of her son The white of the eye is the Sclera After water is absorbed from chyme, the remaining semi-solid material is called Feces Your work is causing you stress. What should you do? Talk to the nurse Who helps patients, residents, and families with social, emotional, and environmental issues affecting illness and recovery? The social worker An assisted living residence Provides three meals a day and housekeeping and laundry services Which of the following should you report to the nurse? Red-colored urine A man is going to use the urinal. What should he do when he is done? Hang it on the bedrail These statements are about incontinence. Which is incorrect? It is a matter of personal choice A resident has a catheter. Catheter care is given According to the care plan Persons with catheters need perineal care Daily and after bowel movements When giving catheter care, you need to hold the catheter at the Meatus Defecation is The process of excreting feces from the rectum through the anus Flatus is Gas or air passed through the anus Which foods are needed for normal bowel movements Fruits and vegetables Which does not slow the passage of feces through intestines Exercise and activity You are assisting a resident with elimination. You ned ot do the following except Stand next to the person until the person is finished A resident complains of diarrhea. The person needs assistance with ambulation. When the person's signal light is on, you need to Answer promptly A person has fecal incontinence. The following measures are part of the care plan. Which should you questions? Empty ostomy pouch when feces are present A patient complains of flatulence. The person has the following food choices. Which does NOT cause flatulence? Potatoes You do not administer an enema that contains A drug After giving an oil-retention enema, the person is left in the Sim's or left side-lying position These statements are about colostomies. Which is incorrect? The more colon remaining, the more liquid the stool Which vitamin is needed for blood clotting? Vitamin K OBRA requires the following for foods served in long-term care centers EXCEPT That food be prepared and seasoned in a certain way Food must be served Promptly A person is on a high-calorie diet. Which is CORRECT? There are dietary increases in all foods A person's 24-hr fluid intake was 1500 mL. You know this amount Is below normal requirements Defrosting frozen food on the counter at room temp. prevents the growth of pathogens False Giving nutrients through a catheter inserted into a vein is Parenteral nutrition After a tube feeding, the person is positioned in semi-fowler's position for 1 to 2 hours All states and agencies allow nursing assistants to change peripheral IV dressings False The period of heart muscle contraction is Systole A resident is 55 years old. The person needs rehabilitation after hip replacement surgery. You take the person's tympanic membrane temperature. Which measure is correct? 98.6 You are taking an oral temperature with a glass thermometer. How long do you have to leave the thermometer in place? 2 to 3 minutes You are taking an axillary temperature with a glass thermometer. How long do you have to leave it in place? 5 to 10 minutes To rinse a glass thermometer, you need to use Cold water A person is receiving oxygen. When measuring temperature, you CANNOT use the Oral site A person in unconscious. When measuring temperature, you CANNOT use the Oral site A person has a convulsive disorder. When measuring temperature, you CANNOT use the Oral site To take a rectal temperature, the person needs to be In Sim's position For an adult, which pulse rate is reported to the nurse at once? 110 Your agency uses electronic BP equipment. Why do you still need to feel pulses? The rate is given but not the rhythm or force How many staff members are needed to take an apical-radial pulse? 2 Which systolic pressure should you report at once? 80 You cannot hear a person's BP, if after taking it again. What should you do? Tell the RN Why is pain usually worse at night? There are fewer distractions and the person has more time to think These statements are about pain. Which is INCORRECT? The ability to feel pain increases with aging The nurse assesses that a resident has pain. The following measures are on the person's care plan. Which should you question? Do not allow visitors A resident has pain. The person is taught how to breath deeply and slowly and how to contract and relax muscle groups. What is this called? Relaxation You are admitting a new patient. To find out the person's name Check the admission form You are admitting a new resident. You should do the following EXCEPT Discuss the person's diagnoses and medical history Melena is A black, tarry stool The nurse asks you to collect a random urine specimen. Which is CORRECT No special measures are needed The nurse asks you to collect a 24-hr urine specimen. Which is CORRECT The first void is discarded When collecting a sputum specimen, the person coughs up sputum from the Bronchi and trachea