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CNA
Questions Review
| Question | Answer |
|---|---|
| Which of the following best helps reduce pressure on the bony prominences? a. floatation mattress b. repositioning every shift c. several pillows d. sheepskin | Repositioning every shift |
| Clean bed linen placed in a client's room but NOT used should be a. returned to the linen closet b. put in the dirty linen container c. taken to the nurse in charge d. used for a client in the next room | put in the dirty linen container |
| What is the first thing a nurse aide should do when finding an unresponsive client a. call for help b. call family c. close the door d. start compressions | call for help |
| Which of the following is NOT considered to be a way to restrain a client a. a hand mitt b. a sedative c. pain management d. lap buddy/tray | pain management |
| What does afebrile mean? a. high fever b. no fever c. low fever d. sudden fever | no fever |
| What is the normal range of systolic blood pressure for adults? a. 60-80 b. 80-100 c. 100-120 d.120-140 | 80-100 |
| Mrs. Harvey complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of a. constipation b. fecal impaction c. diarrhea d. bowel discontinence | constipation |
| What basic need is most essential a. self-actualization b. safety and security c. self-esteem d. love and belonging | safety and security |
| A client who has a low cholesterol diet should NOT eat a. fruits b. bread and cereal c. peanut butter d. red meat | red meat |
| If a patient has bradycardia, what does that mean a. patient is breathing slowly b. fast heart rate; above 60 bpm c. slow hr; below 60 bpm d. patient is unconscious | slow heart rate; below 60 bpm |
| Intake and Output deal with a. soiled foods b. mashed or pureed foods c. liquids d. all of the above | liquids |
| Which is INCORRECT when recording on a patients chart a. record only what you observed and did yourself b. handwriting must be legible c. record in a logical manner d. use a pencil in case you make a mistake | use a pencil when you make a mistake |
| When taking a blood pressure you should do all of the following EXCEPT a. locate a brachial artery b. apply the cuff to a bare arm c. turn off the television and radio d. take the blood pressure in the arm with an IV | take the blood pressure in the arm with an IV |
| A restraint attached to a patient's body and to a stationary object is a. a passive physical restraint b. an illegal restraing c. a chemical restraint d. an active physical restraint | a active physical restraint |
| When documenting in a patient's record, which statement is FALSE a. record only what you observed and did yourself b. to save time, chart a procedure before doing it c. do not skip lines between entries in the chart d. use the patients exact words | to save time, chart a procedure before doing it |
| Normal systolic blood pressure for adults a. 60-80 b. 80-100 c. 100-120 d. 120-140 | 80-100 |
| A client who requires a high fiber diet should eat a. meat, cheese, and milk b. fruits, veggies, whole grains c. white bread and red meat d. fruit juice and cottage cheese | fruits, veggies, whole grains |
| What is the branch of medicine that deals with physical medicine and rehab called a. podiatry b. physiology c. physiatry d. psychiatry | physiatry |
| To encourage blood circulation in residents who must remain in bed, you can do all of the following EXCEPT a. do passive or active ROM b. give back massages c. rub the skin vigorously during a bath d. turn the resident every 2 hrs | rub the skin vigorously |
| When is an easy time to do range of motion (ROM) exercises a. during the residents bath b. when the resident wakes up c. before going to sleep d. while getting dressed | during the resident's bath |
| When helping a resident preform a ROM exercise, he complains of pain. The nurse aide should a. ask to receive more training on ROM b. nurse gives pain meds c. repeat ROM to see if resident feels pain again d. stop the exercise and tell the nurse | stop the exercise and tell the nurse |
| An elderly resident who is inactive is at risk for constipation. Which of the following actions help to prevent constipation a. low fiber intake b. frequent snack times c. high protein diet d. adequate fluid intake | adequate fluid intake |
| Restorative nursing care is the process of a. focusing specifically on what the resident cannot do b. doing everything we can to prevent fatigue c. restoring residents rights d. providing holistic care; needs of the whole person | providing care for the whole person |
| Residents who are bedridden face all of the following risks EXCEPT a. increased muscle strength b. blood clots c. pneumonia d. blood loss | increased muscle strength |
| Which of the following statements are true about ROM exercises a. often preformed during ADLs b. require at least 20 reps c. done once every other day d. help prevent stroke and paralysis | often preformed during ADLs |
| When helping a client who is recovering from a stroke to walk, the nurse aide should assist a. on the clients weak side b. on the clients strong side c. with a wheelchair d. from behind the client | on the clients weak side |
| The doctor has ordered PT for every day of the week. The patients religion does not permit any activity on saturday, so what should you do when PT arrives on saturday. | tell the nurse so they can call the doctor to change the order |
| When a patient ambulates for the first time, the NA should a. watch for signs of dizziness b. help them stand up and quickly pivot c. take his temp. and pulse rate first d. stay with him and wait for assistance | watch for signs of dizziness |
| To move a resident up in bed when they are able to move with assistance, the NA should a. bend ur knees and ask them to push with their feet b. position ur knees straight, bend at waist c. pull resident up with a draw sheet d. use a gait belt | bend ur knees and ask them to push with their feet |
| A cane should be used on the a. strong side b. weak side c. preferred side d. dominant side | strong side |
| After Mr.Hall's stroke, his right arm is weak. He should be taught to a. resident decides which arm goes into shirt first b. put his right (weak) arm in the shirt first c. put the left (strong) arm into shirt first d. arms in shirt at the same time | put his right (weak) arm in the shirt first |
| After Mr.Hall's stroke, his right arm is weak. He should be taught to a. resident decides which arm goes into shirt first b. put his right (weak) arm in the shirt first c. put the left (strong) arm into shirt first d. arms in shirt at the same time | put his right (weak) arm in the shirt first |
| When walking a resident, a gait or transfer belt is often a. used to position resident in wheelchair b. put around residents wait to hold onto resident c. used to help resident stand d. worm around nurse aides wait | put around residents wait to hold onto resident |
| When walking a resident, a gait or transfer belt is often a. used to position resident in wheelchair b. put around residents wait to hold onto resident c. used to help resident stand d. worm around nurse aides wait | put around residents wait to hold onto resident |
| What statement about gait belts is NOT true a. protects both resident and nurse aide b. nurse aide stands behind and on weak side c. belt can help break falls d. belts have reversible buckles | belts have reversible buckels |
| What statement about gait belts is NOT true a. protects both resident and nurse aide b. nurse aide stands behind and on weak side c. belt can help break falls d. belts have reversible buckles | belts have reversible buckels |
| Mrs. Wilson is in your facility for rehab. Her husband wants to help give her a bath. What should u say? a. "You will need to leave." b. "I'm sorry but it's against policy." c. "Let me gather everything and we can do it tgt." d. "You can do it." | "Let me gather everything and we can do it tgt." |
| A NA is helping a resident walk. If resident becomes faint, the NA should a. hold resident up and continue walking b. hold resident + call for help c. carry resident back to bed + call for help d. ease resident onto floor + call for help | ease resident onto floor + call for help |
| You are delegated to provide passive ROM to lower and upper extremities, this means u a. have patient raise their legs and arm 10x b. watch how many times she moves extremities c. extend her limbs d. support her joints and provide flex and extension | support her joints and provide flex and extension |
| A button hook and sock assist are all part of what kind of nursing care a. rehab b. ADL c. prosthetic mobility d. disability and reactivity | ADL |
| Equipment used to help the resident maintain correct body alignment include all of the following EXCEPT a. cones b. foot supports c. splints d. bed cradles | cones |
| Proper body mechanics dictates that when lifting an object, the nurse aide place their feet a. doesn't matter b. 12in-18in apart c. 3ft-5ft apart d. 6in-12in apart | 12in -18in |
| The NA notes a resident needs bladder retraining to prevent the resident from urinating in bed, what should the NA do a. tell resident to cooperate b. report to nurse c. take resident to bathroom later d. take resident to bathroom before sleeping | take resident to bathroom before sleeping |
| Mr. Jones returned from surgery. What should you do a. notify family about surgery results b. turn, cough, breath, leg exercises c. give medication to control nausea d. check vitals every 4hrs | turn, cough, breathe, leg exercises |
| A contracture is caused by a. old age b. too much exercise c. pressure on muscle d. lack of movement of muscle | lack of movement of the muscle |
| After assisting with evening care, the NA notices the resident hearing aids. If its not in use the NA should a. leave them turned on b. leave them on the bedside table c. have the battery disengaged d. place in residents pocket | leave them on the bedside table |
| BID meaning | twice a day |
| The surgical creation of an artificial opening of the large intestine is called a. a colectomy b. a pouch c. a gastronomy d. colostomy | colostomy |
| QOD meaning | every other day |
| When making a bed, raise bed to a. waist height b. hips height c. raise bed 12 inches d. don't raise the bed | waist height |
| The last sense to leave the body is a.hearing b. sight c. smell d. taste | hearing |
| When making an occupied bed, the NA should always a. place dirty linen on floor b. lower both side rails c. raise side rail on unattended side d. keep bed at lowest level | raise side rail on unattended side |
| TID means | three times a day |
| The proper temp. for a soapsuds enema is a. 115^ F b. 98.6^ F c. 105^ F d. 84^ F | 105^ F |
| Enema means | injection of liquid into the rectum |
| A restraint should always be tied to the a. side rail b. mattress c. bed frame d. bedside table | bed frame |
| Muscular Atrophy means | muscles reduce in size |
| A normal adult BP is a. 80/40 b. 180/80 c. 134/90 d. 116/70 | 116/70 |
| Systolic levels have to be | less than 120 (between 100-120 is good) |
| Diastolic levels have to be | less than 80 (between 60-90) |
| Before meals abbreviation | AC |
| Heart muscle contraction is called | Systole |
| The first sign of a decubitus ulcer is a. redness and warmth b. white and insensitive skin c. tender broken skin d. mottled and cold skin | redness and warmth |
| The nutrient used to build and repair tissue is a. vitamins b. fats c. protein d. carbs | protein |
| Major risk factor for a stroke is a. overusing vitamins b. being underweight c. hypotension d. hypertension | hypertension |
| An insulin dependent patient (diabetic). What task should not be done on them a. clip toenails b. feed with plastic spoon c. ambulating with belt d. bathing in warm water | clip toenails |
| Case manager for a client requiring home health care is usually done by a. a physician b. RN c. Home Health Aide d. nutritionist | RN |
| Apical pulse is counted for a. 1 min b. 30 sec x2 c. 15 sec x4 d. as long as it takes to hear a beat | 1 min |
| When giving an enema to a person, ask them to lie on their a. abdomen b. left side c. back d. right side | left side |
| When heat is applied to the skin, the blood vessels a. construct b. narrow c. remain the same d. dialate | dilate |
| Systolic pressure is recorded when | the first sound is heard (contraction) |
| Diastolic pressure is recorded when | the heart rests between beats (relaxation) |
| If a patient does not have a bowl movement for __ days, they are at risk for developing constipation. a. 4 days b. 1 day c. 3 days d. 2 days | 3 days |
| What stage of a pressure sore or ulcer involves breakdown of the subcutaneous layer of the skin a. stage 3 b. stage 1 c. stage 2 d. stae 4 | stage 3 (loss of full skin thickness) |
| An elevated heart rate can be expected with a. an olympic athlete b. increased vagal tone c. uncontrolled breathing d. decreased body temp | uncontrolled breathing |
| What specialist is responsible for assisting residents to do everyday activities a. physiotherapist b. occupational therapist c. activities coordinator d. physical therapist | occupational therapist |
| What symptoms best indicate a UTI a. urine appears cloudy b. need to urinate frequently c. stringing or burning sensations d. all of the above | all of the above |
| A resident has diabetes. What is a common sign of low blood sugar a. shakiness b. fever c. thirst d. incontinence | shakiness |
| What is an embolism? a. blood clot in blood stream b. bubble of air in arteries c. blood vessel bursts and bleeds in brain d. artery begins to clot | blood clot in blood stream |
| Which should be reported to charge nurse immediately a. Resting HR 98.6^ F - 98 bpm - 32 res. b. After walking 98.2^ F - 98 bpm - 28 res. c. After eating 97^ F - 64 bpm - 24 res. d. Watching TV 98.8^ F - 72 bpm - 14 res. | Resting HR 98.6^ F - 98 bpm - 32 res. 98.6^ F - Normal 98 bpm - Normal 32 res. - extremely high for resting (should be 12-20) |
| What does a pulse oximeter measure a. amount of CO2 in lungs b. amount of CO2 in blood c. amount of O2 in blood d. amount of O2 in lungs | amount of O2 in blood |
| Isolation precaution needed for patient with gastrointestinal infection a. respiratory precautions b. secretion precautions c. drainage precautions d. enteric precautions | enteric precautions precautions for conditions relating to intestines |
| Which is an appropriate task for a NA a. changing sterile wound dressings b. taking a telephone order from a physician c. participating in resident care plan conferences d. giving meds to patients | participating in resident care plan conferences |
| Wrinkles in bed linen can lead to problems for residents. Which is the most serious problem that they can cause a. insomnia b. decubitus ulcer c. restlessness d. allergic reaction | decubitus ulcer |
| Which one of these conditions requires contact isolation precautions a. pneumonia b. scabies c. chicken pox d. HIV | scabies |
| Supine position is | lying on back |
| In Long Term Care facilities, which shift gets residents ready for appointments a. 24 hr responsibility b. 11pm-7:30 pm c. 3pm - 11:30 pm d. 7am - 3:30 pm | 3pm - 11:30 pm |
| A residents weight is obtained to check a. nutrition and health b. weight c. adjustment to facility d. ability to stand and balance | nutrition and health |
| Swollen ankles and legs may be signs of a. coronary artery obstruction b. cardiac arrest c. congestive heart failure d. peripheral vascular infection | congestive heart failure |
| As the nervous system changes and people get older, what change is considered normal? a. substantial loss of memory b. slower response time c. ability to reason diminishes d. sensitivity increases | slower response time |
| Which blood pressure reading would you report to the nurse a. 96/64 b. 128/80 c. 144/92 d.118/78 | 144/92 |
| tasks a nurse aide usually does not preform | inserting/removing tubes, giving tube feedings, changing sterile dressings, giving medications |
| Reality orientation should include a. Telling imaginative stories to the resident b. Using nicknames like "Granny" c. Talking about your interests d. Calling the resident by his name | Calling the resident by his name |
| Communication with a resident who has late-stage dementia or Alzheimer's includes a. eliminating all conversation. b. one- or two-word sentences. c. hiring a speech therapist. d. encouraging them to be more expressive. | one to two word sentences |
| A way to make sure a resident with dementia gets nutrition is to a. give10 minutes to eat, then feed the rest of the meal. b.offer snacks that match their limited attention span. c.only provide favorite foods d.turn on the TV so they will eat more. | offer snacks that match their limited attention span. |
| A resident who has not been discharged insists she is going home. What should the nurse aide do? aAdvice her she can leave if she wants b Tell her she cannot leave without a order. cNotify the charge nurse dPut her in restraints until she calms down. | Notify the charge nurse |
| A client with dementia has developed a fear of taking a shower. What can a nurse aide do? Remind client importance of being clean. Offer reward if the client showers Ask client's family to convince client. bed bath and try a shower on another day. | bed bath and try a shower on another day. |
| A confused resident tells you there is a monster in the closet. The nurse aide should pretend to kill the monster open the closet, show nothing is there tell resident there are no monsters tell the resident you will take the monster home with you | open the closet, show nothing is there |
| A resident is standing in the hallway holding a bag, and asks the nurse aide when the train is due. The aide should tell her go back to her room. where she is, in a matter-of-fact tone that she is being ridiculous. that it should be here any time now. | go back to her room. |
| All of the following are clues to aggressive behavior EXCEPT depressed mood clenched jaw rocking pacing | depressed mood |
| A 90 year-old resident tells his mother is visiting . Pick an appropriate response Your mother is dead! What are going to do when she gets here? Are you wishing you could see your mother? Okay, let’s figure out how old your mother could be. | Okay, let’s figure out how old your mother could be. |
| A person with dementia is being admitted to your facility. Which statement is correct? Family members are asked to leave to help the person adjust The person’s confusion may increase in new surroundings The admission is completed asap All above | all above |
| Which one of these behaviors is NOT a signal of possible combativeness? Clenched mouth and teeth Fists in a ball Rapid eye movement Saying I am angry | Saying I am angry |
| A resident’s daughter expresses concern b/c her father appears "stuck" at times and unable to walk. The NA should say... a. he might not feel like walking b. its a common sign of Parkinson's c. her father had a stroke d. he doesnt move when confused | this is a common sign of Parkinson’s disease. |
| A client with Alzheimer’s disease wanders from room to room. The NA should... return client to room assure residents that they are not in danger walk with client to keep them still | assure the other clients that the client with Alzheimer’s disease will not harm them. |
| Delusions are defined as... reactions after natural catastrophes false beliefs based on misinterpretations invalid sensory information within the brain depression caused by ongoing heavy rainstorms | false beliefs based on misinterpretations |
| Mr. S is concerned for his son and asks to speak to his rabbi. The nurse aid should ask the nurse to contact Mr. S's rabbi and invite him to visit. ask the nurse if rabbis are allowed to visit assure Mr. S his son is fine | ask the nurse if rabbis are allowed to visit in the facility. |
| The term used when a person repeats a phrase or action over and over is called Persistence Perseveration Senility Repetition | Perseveration |
| Mr. S is concerned, asks to speak to his rabbi. The nurse aid should ask nurse to contact Mr. S’s rabbi and invite him ask nurse if rabbis are allowed to visit report Mr. S’s concern and request to family. assure Mr. S his son is fine | ask nurse to contact Mr. S’s rabbi and invite him |
| The learning and behaviors of a group passed from one generation to the next is Culture Religion Holism Wisdom | Culture |
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ZoyaC
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