Certified Nursing Assistant State Exam
Questions and Answers.
Reality orientation vs Validation therapy
A resident keeps calling you by his daughter's name (different approaches based on
technique) -
\REALITY ORIENTATION - keep reminding resident of your name and who you are
VALIDATION THERAPY -- ask him about his daughter
Shock position -
\Head down with feet elevated. You can elevate the feet by putting several pillows under
their legs
Normal RECTAL temperature -
\98.6 - 100.6 degrees F (lubricate and hold in place for 1-2 minutes, insert 1 inch into
the rectum and resident must be in SIMS position - which is left side lying )
Shoulder ROM exercises -
\Flexion & extension; abduction & adduction; internal & external rotation
Possible HIPAA violations -
\Taking a picture of resident or family & visitors / not closing door during tasks / not
pulling the privacy curtain, not asking visitors to leave when needing to perform a task
Precautions for removing a meal tray or specimen from an isolation room -
\Must double bag when removing tray or specimen
BID / TID / QID -
\BID = twice a day / TID = three times a day / QID = four times a day
Where & how restraints secured -
\Secured to the movable part of the bed and are secured with an easy release knot
When passing ice water, what is the procedure? -
\You may not touch the inside of the water pitcher or glass; in between resident rooms
be sure that ice scoop is place in the side pocket of the ice chest
Cold dry ice application preparation -
\Cold dry ice applications must be covered with some type of cotton cloth (i.e. pillow
case
Dysphagia -
, \Difficulty swallowing
Dysphasia -
\Difficulty speaking
Aphasia -
\Absent or difficult speech
Dyspnea -
\Difficulty breathing
If your resident drinks poison -
\You need to put on the signal light and call for the nurse
Recreation therapy -
\Used with residents with dementia or AD -- can help increase the resident's alertness
Orientation therapy -
\Helping the resident with person (who they are & who you are) / where they are / what
day of the week and date or season etc.
How you will identify your resident before performing a task -
\Use their ID band and a 2nd identifier
Anti-Embolus hose are applied -
\With the resident laying in bed
Where are you standing during the application of Anti-Embolus hose? -
\You are standing at the foot of the bed, in good body alignment with your feet spread
apart (use shoulders are your guideline about 12-18 inches) to improve your balance
Reason to use Anti-Embolus hose -
\They will increase circulation and help to prevent blood clots
AM care includes -
\Prepare for morning (Breakfast), assist with elimination, chance & clean incontinent
person, wash face & hands (shower), oral hygiene, dress person, brush hair and
position person for breakfast, make bed and straighten their room
PM care includes -
\Preparing for sleep, assist with elimination, clean & change incontinent person, help
with washing face & hands, oral hygiene, back massage, undress and help with
pajamas, straighten bed & unit
Position of mechanical lift sling -
\Needs to be under shoulders, butt and thighs
Questions and Answers.
Reality orientation vs Validation therapy
A resident keeps calling you by his daughter's name (different approaches based on
technique) -
\REALITY ORIENTATION - keep reminding resident of your name and who you are
VALIDATION THERAPY -- ask him about his daughter
Shock position -
\Head down with feet elevated. You can elevate the feet by putting several pillows under
their legs
Normal RECTAL temperature -
\98.6 - 100.6 degrees F (lubricate and hold in place for 1-2 minutes, insert 1 inch into
the rectum and resident must be in SIMS position - which is left side lying )
Shoulder ROM exercises -
\Flexion & extension; abduction & adduction; internal & external rotation
Possible HIPAA violations -
\Taking a picture of resident or family & visitors / not closing door during tasks / not
pulling the privacy curtain, not asking visitors to leave when needing to perform a task
Precautions for removing a meal tray or specimen from an isolation room -
\Must double bag when removing tray or specimen
BID / TID / QID -
\BID = twice a day / TID = three times a day / QID = four times a day
Where & how restraints secured -
\Secured to the movable part of the bed and are secured with an easy release knot
When passing ice water, what is the procedure? -
\You may not touch the inside of the water pitcher or glass; in between resident rooms
be sure that ice scoop is place in the side pocket of the ice chest
Cold dry ice application preparation -
\Cold dry ice applications must be covered with some type of cotton cloth (i.e. pillow
case
Dysphagia -
, \Difficulty swallowing
Dysphasia -
\Difficulty speaking
Aphasia -
\Absent or difficult speech
Dyspnea -
\Difficulty breathing
If your resident drinks poison -
\You need to put on the signal light and call for the nurse
Recreation therapy -
\Used with residents with dementia or AD -- can help increase the resident's alertness
Orientation therapy -
\Helping the resident with person (who they are & who you are) / where they are / what
day of the week and date or season etc.
How you will identify your resident before performing a task -
\Use their ID band and a 2nd identifier
Anti-Embolus hose are applied -
\With the resident laying in bed
Where are you standing during the application of Anti-Embolus hose? -
\You are standing at the foot of the bed, in good body alignment with your feet spread
apart (use shoulders are your guideline about 12-18 inches) to improve your balance
Reason to use Anti-Embolus hose -
\They will increase circulation and help to prevent blood clots
AM care includes -
\Prepare for morning (Breakfast), assist with elimination, chance & clean incontinent
person, wash face & hands (shower), oral hygiene, dress person, brush hair and
position person for breakfast, make bed and straighten their room
PM care includes -
\Preparing for sleep, assist with elimination, clean & change incontinent person, help
with washing face & hands, oral hygiene, back massage, undress and help with
pajamas, straighten bed & unit
Position of mechanical lift sling -
\Needs to be under shoulders, butt and thighs
