CNA certification practice exam 158 Questions with Verified Answers
Giving medication - CORRECT ANSWER A nursing assistant knows that the
... [Show More] responsibilities of her position do not include....
bathe a resident without his permission - CORRECT ANSWER An example of "battery" is to...
Involuntary seclusion - CORRECT ANSWER Keep in a resident isolated from others as a form of punishment is an example of...
Report the suspected situation to the nurse assistance immediate supervisor. - CORRECT ANSWER An NA suspects that a resident is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADL's. What do you do?
MRSA - CORRECT ANSWER A resistant strain of bacteria that is difficult to treat with antibiotics
Frequent hand washing - CORRECT ANSWER The best way for an NA to prevent infection...
Supportive measures to hand washing - CORRECT ANSWER Wearing gloves, using antiseptic rub before and after care, and using standard precautions for care are...
Allow participation to promote a sense of independence - CORRECT ANSWER A key part of care when giving a bath to a resident is...
When shaving a resident - CORRECT ANSWER Look for shaving instructions related to problems or issues clotting.
An electric razor maybe necessary.
Small, watery leakage of stool - CORRECT ANSWER Fecal impaction (bowel obstruction) may present with the following symptom.
Alert the nurse - CORRECT ANSWER If any red pressure spots are identified during skin care...
Neuropathy - CORRECT ANSWER Common side effect of diabetes.
numbness in the feet
Breathing - CORRECT ANSWER Dyspnea means difficulty with...
Alzheimer's residents - CORRECT ANSWER It is important to maintain a routine to avoid confusion and overstimulation with..
Notable for Alzheimer's residents - CORRECT ANSWER Hallucinations and a decrease in appetite are common. It is important to frequently reorientate the patient.
Rules for making an occupied to bed - CORRECT ANSWER Lower it to the lowest level when the procedure is complete.
Mitering the corners of sheets, raise side rails, and never placed soiled linens on the floor.
60 to 100 - CORRECT ANSWER What is an acceptable pulse rate?
Signs of hypoglycemia - CORRECT ANSWER Sweating, confusion, and tremors
Guidelines for residents who are hard of hearing - CORRECT ANSWER Speak clearly and slowly as you face the resident
High Fowler - CORRECT ANSWER Position where a patient, typically in a hospital, is placed when the head of the bed needs to be elevated as high as possible. The upper half of the patient's body is between 60 degrees and 90 degrees in relation to the lower half of their body. The legs of the patient may be straight or bent.This position is also required postoperatively for pneumonectomy patients.
Gloves and gown - CORRECT ANSWER Protective equipment worn when changing an incontinent patient
Sudden onset confusion - CORRECT ANSWER Symptom most likely due to an infection
NPO - CORRECT ANSWER Nothing by mouth
Alert the nurse - CORRECT ANSWER If a patient with diabetes does not touch their meal...
Every 2 hours - CORRECT ANSWER Bed rest residents must be turned how often
Radial artery - CORRECT ANSWER Most commonly used location for pulses in vital signs
Throat obstructions - CORRECT ANSWER step 1. Ask the resident if they are choking,
-If they are able to talk or cough, air is still moving through the trachea.
If they nod yes, but are unable to speak, it's time to begin the Heimlich maneuver.
HIPPA - CORRECT ANSWER The fact that you must keep clients health information confidential is due to what?
Take the client to the bathroom - CORRECT ANSWER A client with alzheimer's wakes up more confused than usual in the morning. After breakfast it is most important to support normal gastrointestinal functions so you should...
Taking the client to the bathroom will most likely prompt a poop. The confuse patient may not remember with this urge means.
Check the chart for physician orders. - CORRECT ANSWER A diabetic client asks the NA to help her cut her toenails. What needs to happen first?
Diabetic clients often have special instructions regarding nail trimming.
Physical activity: walking - CORRECT ANSWER What is the best method to promote rest and well being at night (prevent insomnia)?
Wait 15 minutes and retake the temperature - CORRECT ANSWER If a client has a slightly elevated temperature (100.6) after eating or drinking warm items, what do you do?
Positioning boots - CORRECT ANSWER In chronic foot drop, the NA can expect to find what in the clients room?
Orthotics that ensure that the feet are dorsiflexed to prevent contractures and discomfort.
Foot drop - CORRECT ANSWER A weakening of the muscles that makes it possible to flex the ankle and toes.
Causes the patient to drag the front of the foot while walking.
To compensate for this scuffle, they bend the knee to lift the foot higher than usual.
Alert the nurse - CORRECT ANSWER If a client has low blood pressure (82/43) and reports feeling dizzy...
Abduction - CORRECT ANSWER Moving the extremity away from the body.
Ab is to move away.
Ad is to move closer (add)
Bending at the knees. - CORRECT ANSWER Proper body mechanics when lifting clients involve...
Keeping a straight spine,
Get help,
and...
Jaundice - CORRECT ANSWER Primary indication of hepatitis.
Important for confused clients - CORRECT ANSWER Reorient the client frequently with clocks, calendars, and family Momentos.
Hospice - CORRECT ANSWER Type of care for terminally ill clients.
Cheyne-Stokes - CORRECT ANSWER A breathing pattern marked by increased respirations, labored breathing, and periods of no breathing.
Respiration occurring in clients close to death.
20 seconds - CORRECT ANSWER Appropriate time for correct hand washing.
Time it takes to sing happy birthday.
Orthopneic - CORRECT ANSWER Position meant to assist in breathing: leaning forward makes it easier to get air into the lungs.
Foods high in potassium - CORRECT ANSWER Bananas
Cantaloupe
Dark leafy greens
On the right side:
so that it can help support the strong side - CORRECT ANSWER When helping a client with left sided weakness, the nurse should position the clients cane...
Perform CPR - CORRECT ANSWER If a client has no pulse and is not breathing
Remove the patient - CORRECT ANSWER In the event of a fire is found in a patient's room (trash can), first..
RACE - CORRECT ANSWER Used in fire situations - rescue, alarm, contain, extinguish.
First rescue the client to prevent injury.
Log - rolling - CORRECT ANSWER Technique used in the safe diagnosis of spinal cord injury.
Further damage can occur to the spinal cord if the legs cross over the midline (twisting motion).
Incontinence - CORRECT ANSWER Can occur if a patient ignores the need to go to the bathroom.
Anticipatory - CORRECT ANSWER Normal and healthy part of grieving that occurs before the loss actually happens.
Complicated, unresolved and inhibited grieving indicate there is a problem with recovering from the loss.
Clear liquid diet - CORRECT ANSWER Includes water, coffee and tea
Foley catheter bag - CORRECT ANSWER should be kept below the bladder level.
Keeping it below ensures bacteria cannot travel down to the bladder via gravity.
Rules for Foleys - CORRECT ANSWER Hang below the bladder level,
Keeping it below the level of the cavity ensures bacteria cannot migrate to the bladder by gravity,
The bag hangs from the bedframe, chair, or wheelchair but does not touch the floor,
Drain every 6 to 8 hours: prevents growth of microbes,
Tubing should not have dependent loops: prevents stasis in the tubes that promotes backflow into the bladder.
Physicians orders - CORRECT ANSWER For restraints to be legally applied one needs what?
480 ml - CORRECT ANSWER A large glass of juice should be recorded how?
collect sputum specimens - CORRECT ANSWER First thing in the morning collect this.
It will be most concentrated and you the most accurate results
Leave quickly and quietly - CORRECT ANSWER What do you do if you enter a patient's room and they are rubbing one out?
Speak calmly in a neutral manner to soothe the client. - CORRECT ANSWER You have an extremely agitated client who screams and bites. What do you do?
Allow the patient to perform as much as they can while you assist as needed. - CORRECT ANSWER The best way to support a patient's independence during bathing.
Burn severity levels - CORRECT ANSWER Superficial burn - blotchiness of the skin was no blistering,
Partial thickness - blistered and red,
Total thickness -
Appears waxy and white
Stages of grief - CORRECT ANSWER Denial:
The first reaction is denial. In this stage individuals believe the diagnosis is somehow mistaken, and cling to a false, preferable reality.
Anger:
When the individual recognizes that denial cannot continue, it becomes frustrated, especially at proximate individuals. Certain psychological responses of a person undergoing this phase would be: "Why me? It's not fair!"; "How can this happen to me?"; '"Who is to blame?"
Bargaining:
The third stage involves the hope that the individual can avoid a cause of grief. Usually, the negotiation for an extended life is made in exchange for a reformed lifestyle. People facing less serious trauma can bargain or seek compromise.
Depression:
"I'm so sad, why bother with anything?"; "I'm going to die soon so what's the point?"; During the fourth stage, the individual becomes saddened by the mathematical probability of death. In this state, the individual may become silent, refuse visitors and spend much of the time mournful and sullen.
Acceptance:
"It's going to be okay."; "I can't fight it, I may as well prepare for it."; "Nothing is impossible."
In this last stage, individuals embrace mortality or inevitable future, or that of a loved one, or other tragic event. People dying may precede the survivors in this state, which typically comes with a calm, retrospective view for the individual, and a stable condition of emotions.
Transfer belt - CORRECT ANSWER Best assistive equipment for moving in a mobile client from the bed to a chair.
The lateral aspect of the patients - CORRECT ANSWER To safely give a bath to a patient with a Foley catheter or, move the catheter where to ensure it's not pulled out?
Tell them you understand that they are in pain and stay to comfort them. - CORRECT ANSWER When a patient is notified about a death and responds in disbelief and pain, do what?
Enema - CORRECT ANSWER Helps expel a few days of poop before it can become impacted
prolonged bed-rest clients - CORRECT ANSWER Should be turned every two hours.
Turning can prevent pressure ulcers
Turning, Coughing and deep breathing - CORRECT ANSWER prescribed for bedridden clients to prevent complications of pneumonia.
massage can minimize pain.
Active and passive range of motion exercises with hydration are also appropriate to prevent contractures and promote skin integrity.
Elevate - CORRECT ANSWER Above the heart prevent swelling.
You may also need to extend the limb from the body
Proper application of a jacket restraint - CORRECT ANSWER straps should be secured to the bed frame and never to the side rails.
secured so that two fingers can slide easily between the restraint and the clients skin,
A safety knot in the restraint straps prevents tightening,
should not tighten when force is applied against them: allows quick and easy removal in case of emergency
Cauliflower - CORRECT ANSWER Avoid this to help prevent stomach aches and bloating since it is a food that forms gas.
Also: beans, cabbage, radishes, cucumbers
Hot sitz baths - CORRECT ANSWER The ideal temperature is between 95 and 110°F. This temperature will help relieve muscle spasm, soften exudates, speed the suppuration process, quicken healing in perianal surgeries, provide comfort in the perineal area and reduce congestion.
Rules for urinary specimens for sugar and ketones - CORRECT ANSWER Collect 4: 30 minutes before meals and at bedtime
Some sugar and acetone appear in urine. Tests are done four times a day (as noted). Double-voided specimens are best for these tests.
Double-void: a urinalysis procedure in which the first specimen is discarded and a second, obtained 30 to 45 minutes later, is tested.
Changing non-sterile dressings - CORRECT ANSWER Always know the color, odor, amount and consistency of the drainage on the old dressing.
Cleanse the wound and scab using circular motions and start from the wound itself and extend out to the skin (clean to dirty).
Apply clean dressings: holding the dressings by the corners as you apply them so as not to contaminate the center of the bandage.
Tape the dressing in place leaving the edges free: do not tape completely around the edges.
Ostomy care - CORRECT ANSWER It is done aseptically. It does not require a doctors order for changing. The collection bag must be changed when it's full or when the seal is broken. A client with osteomy will have a change in the normal bowel movement. Poop will be collected through a bag that is held over the stoma (hole) by a special adhesive or paste.
Rules for Elastic stockings - CORRECT ANSWER Used to help prevent blood clots by exerting pressure on the veins, promoting blood flow to the heart.
Embolic stockings are applied before the client gets out of bed.
Swelling can occur from sitting or standing.
If the stockings are off, the client should be in bed.
Oxygen therapy - CORRECT ANSWER An NA can keep the connection secure and free of kinks.
Turning oxygen on and off and picking an oxygen delivery device are duties of a doctor.
Elastic bandages - CORRECT ANSWER Check:
the exposed fingers or toes to allow circulation,
color and temperature of the limb every hour.
Complaints of pain, itching, tingling, or numbness should prompt you to remove the bandage and tell the nurse immediately.
Binder application - CORRECT ANSWER T binders secure dressings in place after rectal and Perianal surgeries.
Double T binders are for men, while Single T binders are for women.
A breast binder is specifically used to support the breast after breast surgery.
Straight abdominal binders are applied with the person supine. It is secured in front of the body by safety pin, Velcro, zippers, hooks, or other closures. The top part is at the person's waist; the lower part is over the hips.
Protective Devices - CORRECT ANSWER Used to prevent and treat skin pressure ulcers and skin breakdown,
Possibly-
Bed cradle,
Trochanter rolls,
Flotation pads
Bed cradle - CORRECT ANSWER Placed on the bed and over the person; may be used as a protective device to prevent pressure ulcers and skin breakdown.
Trochanter roll - CORRECT ANSWER Apply to prevent the hips and legs from turning outward and aid in proper positioning of the client;
may be used as a protective device to prevent pressure ulcers and skin breakdown.
Top linens - CORRECT ANSWER brought over the bed cradle to prevent pressure on the legs and feet;
may be used as a protective device to prevent pressure ulcers and skin breakdown.
Hypoxia - CORRECT ANSWER Risk for clients on oxygen therapy,
Cells do not have enough oxygen: life threatening. May also have increased respiratory rate, increased pulse rate or cyanosis which is blue discoloration of the skin.
Restlessness, dizziness, disorientation.
The call bell - CORRECT ANSWER Should always be in the clients reach
Air mattress - CORRECT ANSWER Used in the prevention of bed and pressure sores
dying - CORRECT ANSWER allow the client to express feelings when they are..
ADL - CORRECT ANSWER Activities of Daily Living
After a back rub - CORRECT ANSWER Note any changes in skin
Client with a hearing loss - CORRECT ANSWER Face them and speak clearly to communicate
Prosthesis - CORRECT ANSWER Term for device used to take the place of a missing body part?
the weak left side - CORRECT ANSWER When a client has left-sided weakness dress starting with...
staff on the next shift. - CORRECT ANSWER It is appropriate for a nurse aide to share the information regarding the client status with the...
weak side. - CORRECT ANSWER When helping a client who is recovering from a stroke to walk, support them on the...
Talk in a slow, calm, reassuring manner. - CORRECT ANSWER You are caring for a client who is agitated.
protect the client from injury. - CORRECT ANSWER The purpose for padding side rails on the clients bed is to...
range of motion - CORRECT ANSWER Exercises that move each muscle and joint are called...
Encourage the client to talk. - CORRECT ANSWER How can you best help a client who is not excepting a loss?
blocked airway. - CORRECT ANSWER The Heimlich maneuver (abdominal thrust) is used for a client who has a...
write out communication. - CORRECT ANSWER If your client is totally deaf...
point to the date on a calendar and say the date. - CORRECT ANSWER A confused client asks what day it is. The NA should...
upper thigh. - CORRECT ANSWER To avoid puling the catheter when turning a male client, the catheter tube must be taped to the clients...
allowing the client to talk about their beliefs. - CORRECT ANSWER A NA can assist clients with their spiritual needs by...
doing peri-care. - CORRECT ANSWER An NA must wear gloves when...
let the client choose what to wear. - CORRECT ANSWER When getting ready to dress a client, the nurse aide should...
remove the client. - CORRECT ANSWER If the NA discovers fire in a room, the first thing to do is...
look directly at the client when speaking. - CORRECT ANSWER To communicate clearly with a client with a hearing loss, the NA should...
Acceptance. - CORRECT ANSWER The final stage of dying:
Listen quietly. - CORRECT ANSWER If a client says, "God is punishing me" or "why me", how should the NA respond?
help protect clients rights. - CORRECT ANSWER The ombudsman's role is to..
respect the clients beliefs and avoid starting religious discussions. - CORRECT ANSWER An NA who is active in her church has a client who is not a member of any religious group the NA should...
give the client the unopened mail and offer help if needed. - CORRECT ANSWER The NA notices that a client's mail has been delivered. The NA should...
300 cc. - CORRECT ANSWER A correct measurement of urinary output...,
It's only measured in cc or milliliters
abuse - CORRECT ANSWER -Leaving a client alone in the bathtub,
-threatening not to give meals,
-leaving a client in a wet or dirty bed
Not abuse - CORRECT ANSWER Restraining a client per Dr.'s orders
leave, give the client privacy. - CORRECT ANSWER If a client is masturbating in his room...
4×30=120 mL - CORRECT ANSWER To convert 4 ounces of juice to milliliters (cubic centimeters), multiply...,
1 ounce equals 30 mL
Privacy - CORRECT ANSWER The Bill of Rights says that you must provide this during personal care.
politely refuse. - CORRECT ANSWER The client offers you a $20 bill as a thank you for all you have done. The NA should...
hearing. - CORRECT ANSWER The last sense a dying client will lose is...
Check the clients diet before offering food. - CORRECT ANSWER The client wakes up during the night and asks for something to eat. What do you do?
decline. - CORRECT ANSWER The normal aging process is best defined as a time when normal body functions and senses...
recognize familiar things and people. - CORRECT ANSWER If a client is confused, you should help the client to
Rehabilitation - CORRECT ANSWER The process of restoring a disabled client to the highest level of functioning possible:
after the full procedure - CORRECT ANSWER When changing and unsterile dressing, you should wash hands
before you remove the dressing, after removing the dressing, and..
now officially dirty linen. - CORRECT ANSWER Clean bed linen placed in the clients room but not used is...
call for assistance from the nurse in charge. - CORRECT ANSWER You find a conscious client lying on the bathroom floor. The first thing you should do is..
ask whats wrong. - CORRECT ANSWER If you find a client who is sad and crying, you should...
use a telephone. - CORRECT ANSWER Clients have the right to...
watch for skin irritation. - CORRECT ANSWER Proper use of a waist restraint requires the NA to...
Put them in the dirty linen container. - CORRECT ANSWER To prevent the spread of infection, do what with the soiled linens removed from the bed.
Ask an NA for help. - CORRECT ANSWER A client needs to be repositioned but is heavy and you are not sure you can move the client alone.
frequently when the client is awake. - CORRECT ANSWER To prevent dehydration you should offer fluids...
legs. - CORRECT ANSWER When transferring a client, most of the clients weight should be supported by the NAs...
same time of day. - CORRECT ANSWER For more accurate weight measurements, weigh at the...
4 - CORRECT ANSWER How many feet does a quad-cane base have?
10 to 20 minutes. - CORRECT ANSWER Before taking the oral temperature of a client who just finished a cold drink, wait...
roll it dirty-side-in, away from the body. - CORRECT ANSWER The correct way to remove a dirty isolation gown is to...
do as much as possible and assist as needed. - CORRECT ANSWER The best way to promote independence while bathing with a client who has had a stroke is to encourage the client to...
transfers/gate belt. - CORRECT ANSWER A safety device used to help a dependent client from a bed to a chair is called a...
take the gown off before leaving the clients room. - CORRECT ANSWER If you wear a gown to care for a client in isolation, you must..
raise the side rail on the unattended side. - CORRECT ANSWER When making an occupied bed...
suggest that this is not the place to discuss the client. - CORRECT ANSWER A group of NAs are eating lunch together in the employees dining room and begin talking about how rude a client behaved. You ...
Tell the nurse in charge. - CORRECT ANSWER A client says he is in pain.
Sit with the client and allow her to talk about her feelings. - CORRECT ANSWER A client is upset and crying over the recent death of her husband.
Rectum - CORRECT ANSWER This is the most accurate temperature location.
Discoloration - CORRECT ANSWER This is the beginning signs of a pressure sore.
Report the damage to the charge nurse. - CORRECT ANSWER While doing denture care the NA see an upper plate crack.
Respect the clients wishes. - CORRECT ANSWER If a client refuses to wear a clothing protector at lunch.
respond when appropriate - CORRECT ANSWER The best way to show that you are listening to the client is to...
before it happens. - CORRECT ANSWER This is the best time to prepare for disaster:
30 cc - CORRECT ANSWER 1 ounce = ? cubic centimeters
30 mL - CORRECT ANSWER 1 ounce = ? milliliters
100-119 - CORRECT ANSWER Normal systolic blood pressure range
62-79 - CORRECT ANSWER Normal diastolic blood pressure range
60-100 - CORRECT ANSWER Normal pulse - bpm
12-20 - CORRECT ANSWER Normal respiration - rpm
Always - CORRECT ANSWER Test the temperature of the water before putting on gloves,
Wash your hands before and after each skill,
Provide privacy,
Provide a call light,
Lower the bed to the lowest position [Show Less]