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Infection control in the nursing home is important because the elderly
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Watching TV news or reading the newspaper often helps the resident
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CNA Test
| Question | Answer |
|---|---|
| Infection control in the nursing home is important because the elderly | are more susceptible to disease |
| Watching TV news or reading the newspaper often helps the resident | remain oriented |
| When caring for a person who needs to wear glasses, you should | make sure the glasses are clean |
| Proper body mechanics means | standing straight with your knees bent and lifting with your legs |
| False teeth (dentures) should be cleaned at least | twice a day |
| The rigidity of Parkinson's disease makes the resident more prone to | falls |
| An early sign of mental breakdown (psychosis) would be | depression |
| The foods or fluids that would most likely cause a resident with a CVA (stroke) to choke are | very thin fluids |
| When communicating with a resident with a hearing aid, you should | face the resident so they can see you speak |
| When a resident is receiving nasogastric (NG) tube feeding, what should the nursing assistant do? | report any signs of choking or vomiting immediately |
| You are delegated to provide passive R.O.M. to left lower and upper extremities. This means you: | support each joint and provide extension and flexion movements on the left side of the body |
| CPR means | cardiopulmonary resuscitation |
| One long-term complication for the resident with diabetes is: | poor circulation in the feet |
| Which of the following temperatures would you report immediately? | a rectal temperature of 102.8 F |
| Everything in an isolation unit is considered to be: | contaminated |
| When washing hands you should wash them until they: | are cleaned thoroughly |
| All behavior has meaning to the: | person performing the behavior |
| ROM exercises will help prevent: | contractures |
| Genital areas should be washed: | from the cleanest to the dirtiest |
| When you are giving hair care you should particularly observe for the following: | lice, nits, and sores |
| The skin is: | disinfected before surgery to prevent infection |
| Healthy adults: | have approximately the same I&0 |
| When measuring the respirations of a resident you find that they are breathing times a minute. This rate is | higher than average |
| Which of the following measurements obtained from Mrs. Shumway should be reported immediately to the charge nurse? | B/P 190/114 |
| If a resident is incontinent of urine, you should chart each time the resident: | wets the bed |
| If a home care resident burns his hand, you should: | apply cool water |
| Moral principles or standards that guide our behavior are | ethics |
| A symptom of Alzheimer's disease is | memory loss |
| When calculating the weight of a resident in a wheelchair, the scale reads 192 and the weight of the wheelchair is 43. The resident's weight is | 149 |
| Osteoporosis is | porous and brittle bones |
| Another name for a transfer belt is | gait belt |
| Messages sent through facial expression, gestures, postures and body movements are | body language |
| The resident has an abductor wedge in place. This device | moves the legs away from the midline |
| An observation of what you actually see, hear, smell, or feel regarding a resident is called | objective |
| Holistic care is caring for the resident spiritually, emotionally and | physically |
| When feeding a resident you should be | at eye level |
| Abdominal thrusts should be given to a resident who | is choking with no visible air exchange |
| Elastic stockings are worn to | prevent blood clots |
| If a resident becomes combative during care, you should | make sure the resident is safe and try again later |
| An example of resident centered care is staff | allowing residents' choice of wake time |
| To support residents through the death and dying process, you should | listen to their beliefs about death |
| Waterless handsoap/gel is | used when soap and water are not available |
| When removing contaminated gloves, the nursing assistant should | grasp the cuff of one glove on the outside with fingers of the other gloved hand |
| The best way to help a resident who has experienced a loss of taste would be to | encourage good oral hygiene |
| To measure the height of a resident who must remain in bed you would | place the resident in a supine position and measure her from head to foot |
| A visual change that most likely accompanies aging is | decreased sharpness of vision |
| When caring for the elderly, a nursing assistant should | let the resident perform as much personal care as possible |
| To assist residents to eat the nursing assistant should | offer liquids frequently to moisten the food |
| You can assist the family to adjust when they place their loved one in a nursing home by | including the family in the care planning of their loved one |
| Clean bed linen placed in a resident's unit but not used should be | put in the dirty linen container |
| When the goal is to maintain confidentiality, the nursing assistant may discuss personal information about the resident with | the nursing assistant providing direct care who has a need to know |
| Residents would most likely become short of breath quickly due to | increasing rigidity in the lungs |
| Appropriate care after death includes | provide privacy during post mortem care |
| The position of the hands when performing the abdominal thrust should be | on the middle of the abdomen above the navel |
| To assist a resident with a paralyzed arm put on a front buttoning shirt, the nursing assistant should | put the shirt on the weak arm first |
| Warm applications may be ordered to | relieve muscle spasms |
| Mr. Dobb had a recent stroke and has some difficulty chewing his food. The doctor ordered a therapeutic diet to fit his needs. The best diet for him would be a | mechanical soft diet |
| You just finished bathing a resident and have disinfected the tub. You should put the disinfectant | in a locked cupboard |
| Maintaining a clean health care facility is the responsibility of | the health care team |
| Annabelle has a hearing aid in her ear. Before you wash and style her hair you should | remove her hearing aid |
| A 1987 law passed to set many standards for the health care industry including certification for nursing assistants is the | Omnibus Budget Reconciliation Act (OBRA) |
| You may use your initials on a flow sheet as long as you have entered at least once your | first initial, last name, and job title |
| Errors in communication can be reduced by | confirming the message was received and understood |
| The main purpose of bowel and bladder programs is to | save the resident's dignity |
| You approach Mr. Peter's room. He is sitting in his chair holding his abdomen with a grimacing look on his face. He appears to be in discomfort but when you ask him he denies having pain. You should | show Mr. Peters the pain scale chart and ask him to rate his discomfort |
| What is the proper procedure for correction of a documentation error | cross out the error with one line, initial next to it and continue your documentation |
| During a grand mal seizure | the entire body is involved |
| To serve a resident solid foods you should use a | spoon |
| Mr. Yazzy is on I & O. You know he has kidney stones. When urinating he needs to use | a urine filter |
| When lying in a prone position a resident would be on her | abdomen |
| One of the main causes of constipation in the elderly is | immobility and medications |
| Explaining the care that you give and providing the opportunity for choices is showing | emotional support |
| Residents residing in long term care facilities are at risk for infections because | they usually have chronic health problems |
| You can best assist a resident during bladder retraining by | keeping track of incontinence |
| In osteoporosis | the bones fracture easily |
| Whenever you feel stressed or angry the best way to deal with your feelings is to | try to understand why you feel the way you do |
| The most valuable tool we have to work with when giving care is the | care plan |
| All members of the interdisciplinary health care team need to | work in harmony |
| The environment that works best for residents with Alzheimer's disease who are confused is | a closed unit with a consistent routine |
| When helping a resident get dressed, the nursing assistant should | encourage the resident to choose the clothing they wear |
| When caring for a vision-impaired resident you should | keep the resident's glasses clean |
| An adjustable table that provides a place to serve meals or to hold equipment during care is called a (an) | overbed table |
| Continual oozing or diarrhea may be a symptom of: | impaction |
| Standard precautions are based on the simple principle that all residents | have potential for spreading infection |
| The act that regulates training and certification of Certified Nursing Assistants is guided by legislation known as: | OBRA |
| Standard (universal) precautions: | prevent the spread of pathogens through the air; are used for all patients and residents; require gowns, masks, and gloves |
| Which of the following is recorded as the systolic blood pressure? The point: | where the first sound is heard |
| TED hose (anti-embolism) are applied: | before the resident gets out of bed |
| For residents who are dehydrated and unable to drink water by themselves, nursing assistants should offer a drink: | every time they are with the resident |
| A Sitz bath is helpful: | after rectal surgery |
| When transferring Mrs. Sparks onto the toilet: | use a gait belt to stand her |
| You are assigned to give Mr. Brown a partial bath. You know that this means to wash: | face, hands, underarms, back and perineum. |
| If a person is visually impaired, you would: | identify yourself whenever you enter the room |
| How often should mouth care be done for an unconscious resident? | as frequently as needed, at least Q2h |
| You are asked to assist the nurse in changing a dressing on a resident with a bedsore that has a large amount of yellow drainage. You should remember | to wear gloves and put the dirty dressing in a biohazard bag |
| Which resident is most likely to develop a pressure sore? | an underweight resident who is incontinent and has left-sided paralysis |
| An elderly resident has a high risk for a fracture of the | hip |
| The purpose of proper perineal care is to promote | hygiene |
| The Ombudsman's role is to | be an advocate for the residents |
| A 200 ml cup is /4 full. A 120 ml glass is 1/4 full. Calculate the intake. | 140 ml |
| A nursing assistant tells a resident, "I am not going to take you to the bathroom if you are not quiet." This is an example of | psychological abuse |
| When calculating the weight of a resident in a wheelchair, the scale reads 199 and the weight of the wheelchair is 42. The resident's weight is | 158 |
| The nursing assistant contributes to the MDS by | reporting changes that may trigger a needed MDS |
| Ms. Hampton is receiving hospice care. The nursing assistant knows this means | she is not expected to live beyond six months |
| A nursing assistant may share confidential resident information with | other members of the care team |
| A resident is recovering from a broken leg and has a cast. The nursing assistant should | check the color of the toes and report any changes |
| Foods high in vitamin C are | citrus fruits and tomatoes |
| Sexual needs of older adults are | normal after 75 years of age |
| In order to keep residents safe during a bath you should | check water temperature |
| When washing hands, the fingertips should be pointed | down |
| The description of the resident's antique diamond ring on the personal belonging sheet should state | gold colored band with clear stone |
| You are preparing to transfer your resident to the physical therapy department for a routine appointment. The resident states, "I am too tired to go there today." The nursing assistant should tell the | nurse of the resident's refusal |
| A resident has been sick. She asks you what is wrong with her. You have overheard the doctor telling the nurse the resident has cancer. You should tell her | you will ask the nurse to speak with her |
| Elastic stockings are worn to | prevent blood clots |
| In caring for a blind resident, the nursing assistant should | address the resident by name |
| The word that means free from disease or infection is | asepsis |
| A state of mind or your feelings toward yourself and others would be called your | attitudes |
| Changes in the aging urinary system include | difficulty in emptying the bladder |
| Clean bed linen placed in a resident's unit but not used should be | put in the dirty linen container |
| To assist a resident with a paralyzed arm put on a front buttoning shirt, the nursing assistant should | put the shirt on the weak arm first |
| Personal protective equipment includes | gloves, gown, and mask |
| Mrs. Henry frequently misplaces her eyeglasses. Today she is wearing different glasses, obviously not her own. On other occasions she has wandered into neighboring rooms and taken eyeglasses from the dresser. The nursing assistant should first | locate her glasses and return the other pair to the rightful owner |
| When Mr. Sullivan is feeling hopeless a useful approach is to | ask if he would like to talk about his feelings |
| Normal signs of the aging process include | wrinkles, loss of hair color, and dry skin |
| If you do not know how to complete an assigned task, you should | ask for training before you complete the task |
| Mr. Curtain is blind and is capable of pouring his own water at his bedside. The appropriate way to approach this is to | encourage him to fill his own water glass |
| Mrs. Sapp's voice has a high pitch and she is speaking very rapidly. Her mouth is dry, she feels sick to her stomach and could have diarrhea. She reports she hasn't slept since her husband died a week ago and she is very distracted. She is experiencing | anxiety |
| You are feeding a resident who chokes on food and is coughing strongly. You should | wait and allow them to cough |
| A contracture is | lack of joint mobility caused by muscle shortening |
| A resident has a reddened area on his sacrum. The most important reason for observation and reporting is to ensure | continuity of care for facility residents |
| A co-worker constantly shows up late and calls in sick. When she is at work she does more talking than care taking. You should first | ask for a private conversation and discuss the matter with her |
| Mr. Andrews has dementia. He is grunting and groaning. He is also bent over and holding his abdomen. You know these behaviors are | signs of pain |
| Miss Stevens is sitting in her bedside chair for lunch. After preparing her for lunch, you need to | give her the call light |
| Mrs. Diamond's coffee cup holds 250 ml. She did not drink all the coffee. You measure that 75 ml of coffee remained in the cup. You should record her fluid intake as | 175 ml |
| You are assigned to a forty-five year old dying cancer resident, who has requested comfort care only. What would be included in the resident's care | bathing, backrub, mouth care |
| When approaching vision-impaired residents you should first | address them by name and use a light touch |
| Noting the resident's ability to move joints is an observation of which one of the following systems | musculoskeletal |
| You walk into the activity room and see Mrs. Johnson having a seizure. You should | move the furniture out of the way |
| The nursing assistant always works under the supervision of a (an) | RN or LPN |
| To serve a resident solid foods you should use a | spoon |
| Mrs. Jones, a 50 year old post-mastectomy resident, with PM care. She states, "They found cancer in my lymph nodes... that means I won't be around much longer... right?" An appropriate response for a nursing assistant to make to Mrs. Jones is to say, | "I think your question is a good one... let me get the nurse to speak with you." |
| One guideline for communicating with a resident with aphasia is to | allow time for them to respond |
| You are taking care of a resident who has a written DNR order. This means they are not to be | resuscitated |
| To assure that a chair does not move while transferring a resident you should position the chair | against a wall |
| The universal sign for choking is | clutching the throat |
| When you are giving a resident a bed bath you should | change the wash water as needed |
| To measure an apical pulse you would use | a stethoscope over the heart |
| The nursing assistant should not take angry outbursts personally. These are often the result of feelings of hopelessness and a resident is really needing your | emotional support |
| Residents who will be making the health care facility their home should be encouraged to | bring some personal items from their home |
| You notice that an unmarried man is making sexual advances toward an unmarried female resident. Neither resident appears to have a problem with the situation. According to resident's rights you should | provide privacy for them |
| You must meet basic needs for a resident in restraints by | releasing, exercising, and offering her a bedpan q2h |
| Mr. Tidewater has had congestive heart failure for more than two years. He often sleeps with his head elevated. He likes this position because he can | breathe easier |
| When bowel incontinence is a problem, the nursing assistant may be asked to assist with | starting a retraining program |
| Residents have rights which need to be protected. These include the right to | refuse medical care |
| On Monday, Mrs. Green and her family requested and received a "no resuscitation order" from her doctor. When you bathe her on Thursday, she stops breathing and dies. Her son is not home. You should: | call your supervisor |
| Nursing assistants can best help prevent the cross contamination of germs by: | washing their own hands |
| You enter Elizabeth Brown's room just in time to duck a water pitcher that's been hurled toward the door. You should: | quietly pick up the pitcher as you say, "You are upset. Can I help?" |
| Which of the following is a common cause of falls in the home? | throw rugs |
| A resident has not been eating or sleeping well and has lost all interest in ADL's. These behaviors may indicate: | depression |
| Which one of the following is a stage of death and dying/grieving and loss? | denial |
| Everything in an isolation unit is considered to be: | contaminated |
| How often should mouth care be done for an unconscious resident? | as frequently as needed, at least Q2h |
| Signs and symptoms of diabetes mellitus include: | excessive thirst and excessive urine production |
| Which action is important when bathing a resident? | cover the patient for warmth and privacy |
| When you are giving hair care you should particularly observe for the following: | lice, nits, and sores |
| A resident is in cardiac arrest. Cardiac arrest is: | the sudden stopping of heart action |
| A paraplegic is a person who has paralysis of the: | lower portion of the body |
| Mr. Smith has started yelling after being in the restraint for about two hours. The C.N.A. should: | release the restraint, offer toileting and reposition |
| Effective hand washing | requires soap and friction |
| When working with residents, a nursing assistant may lose his/her state certification for physical abuse, sexual abuse and/or | financial abuse |
| Indication for use of a mechanical lift would be the resident | is unable to bear weight |
| Equipment can be sterilized by | using high temperature to kill all germs |
| Before using a stethoscope, the nursing assistant should | wipe the earpieces and diaphragm with alcohol |
| Ms. Hampton is receiving hospice care. The nursing assistant knows this means | she is not expected to live beyond six months |
| If a resident starts to fall, the nursing assistant should | ease the resident to the floor |
| Mr. Ross' fluid consumption for the day included 13 oz for breakfast, 14 oz for lunch, 8 oz for dinner, and 24 oz for snacks. Mr. Ross consumed ______ ml of fluid. | 1770 ml |
| When changing soiled linens you must follow the | blood borne pathogens standard |
| Mrs. Holter, who has a history of seizures, does not respond when you greet her. She stares straight ahead for 20-30 seconds before she blinks her eyes and speaks to you. You have most likely just seen | a petit mal seizure |
| Aging changes to the urinary system causes | decreased ability to filter blood |
| Loss of teeth, poor oral hygiene and eating alone may cause | malnutrition |
| The stage of grief when a person refuses to believe what is happening is | denial |
| Pressure ulcers | are easier to prevent than treat |
| Male residents should have the opportunity to be shaved | daily |
| While a resident is vomiting, the nursing assistant should turn the resident's head to the side to prevent | aspiration |
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