Illinois CNA state exam questions & the scouring guide
How do you promote communication with a resident? - asking OPEN ENDED questions- "How are you
... [Show More] feeling?" (ch.6)
A resident wants to use the commode, but she needs help... what do you do? - Use a gait belt
What is the temperature of a TEPID bath? - 80-93 `F
What is the temperature of a SITZ bath? - Sitz- seat. The perineal and rectal areas are immersed in WARM or HOT water (93-98-106)
What is the oral temperature? - 97.6-99.6
A male resident wants to use a urinal, what do you tell him to do when he is done? - use call light/call for help promptly or while waiting for help- place in side rails
A doctor comes in and give an order for a new treatment before leaving, what do you do? - Let the doctor speak to the nurse.
How should you be positioned when applying TED hose? - Wide base of support
Legs between 12-24 inches apart.
Check ever 2 hours.
Remove every 8 hours for 30 min
As a CNA, what can you do to help a resident who is being discharged? - Help in packing resident's things away.
You are in a resident's room and you see a bottle of disinfectant that housekeeping left behind, what do you do? - Remove it from the resident's room immediately.
Calculate the resident's total INTAKE for the 3-11 shift
*there will be an illustration for this question* - 1 oz = 30 mL
How do you take a random urine specimen? - Used for routine urinalysis
No special measures are needed.
Collected any time during a 24-hour period.
Pour about 120 mL into the specimen container, place the container in a plastic bag, apply Biohazard Label.
The Midstream Specimen - *Clean-voided specimen
1). Perineal is cleaned
2). Start voiding
3). Stop voiding half way
4). Starts voiding in a sterile specimen container
How do you take a 24-hour urine specimen? - Start with an empty bladder
1). Person voids to begin the test with an empty bladder---discard it
2). Save all the voiding for the next 24-hours.
Tes is restarted if:
-a voiding was not saved
-toilet tissue was discarded into the specimen
-the specimen contains stools
You answer the phone but the person meant to call a different unit, what do you do? - Transfer the call.
(pg.56)
A resident wth dementia is getting agitated and thinks he lost his keys, what do you do? - Tell him you will help him find his keys
What do you do to a room when a resident checks out? - Disinfect the room.
A resident is in isolation.
What do you do with their food tray when they done eating? - Double bag outside the room and send it to the kitchen.
What do you do with a residents BM when you empty their colostomy bag? - Flush in the toilet
How many times do you ambulate a resident when the care plan states ambulate with BID? - BID- twice a day
TID- Three times a day
QID- Four times a day
You walk into a room and there is a trash can on fire. What is the first thing you should do? - Remove/protect the residents.
R-remove resident
A-alarm
C-confine, close doors
E-evacuate
How should a gait belt be applied? - Over clothes with buckle off center
How should an cold compress be applied? - With cloth bag = Ice pack
What do you do with person in shock? - Make the person lie down and elevate the legs
When transferring someone with a gait belt, how should your hands be positioned? - Underhand grasp
During rehab, where do you focus:
A). on patient's abilities
B). on patient's disabilities - On patient's abilities- what they can do
Where do you walk if the person has right-sided weakness? - Towards his weak side
How do you apply TED hose? - While residents is lying in bed- supine position
How to read a Fahrenheit and Centigrade thermometer? - F= 0.2 of a degree (short line)
C= 0.1 of a degree (long line)
Blue-oral and axillary thermometers- long/slender tips/pear shaped tip
Red-rectal termometers- stubby tips
Where do you throw away an ostomy? - Facility approved bag
Resident was alert and is now hard to arouse and unresponsive. What do you do? - Tell the nurse
How does a Diabetic diet work? - Give same amount of carbs, protein, fats everyday at the same time.
What is a step you can take as a CNA to prevent resident poisoning? - -Make sure patients and residents cannot reach hazardous material
-Follow agency policy for storing personal care items
-Keep harmful products in their original containers
-Leave the original label on harmful products
-Read all labels carefully before using a product.
Residents with dementia is on the commode, how long should you leave them alone? - Never
Can a urine contaminate a stool sample? - Yes
What is PPE worn for? - Contact precautions
What does rehabilitation and restorative nursing care focus on? - The whole person and what the person can do.
What is a bland diet? - To reduce gastric irrigation
Arm pain is an example of.... - Subjective data- the person tells you about that you cannot observe through your senses (symptoms)
[objective- information that is seen, heard, felt, or smelled by an observer (signs)]
A patient with hip injury would use what type of bed pan? - Fracture bed pan
How would you place the call light for a quadriplegic patient? - If not able to reach, check on the person often.
After providing the urinal for a patient.... - ask them to close tightly to prevent spills and call for help.
Know PROM - Passive Range of Motion
ex. Flexion
A CNA is aware that for stool collection... - Must be 1/2 cup
must not be contaminated
A resident continues to call you Sally, his daughters name, what do you tell him? - Ask him to tell you about his daughter Sally.
How do you help a resident participate with activities on time? - Make sure they have an activities schedule
be flexible as the CNA, and work the patients routine care around the activities schedule.
When do you give PM care? - After lunch
Before bed
After visitors leave in the evening
A patient that is playing bingo receives a phone call. What do you do? - Bring the phone call to them in the activities area
bring them back to their room and close the door to give privacy
You answer a phone call for a resident while she is in the dining room and it is her daughter, she asks you about her mothers condition and treatment.
What do you do? - Refer daughters questions to nurse
A patient asks you for her blood pressure readings after you check it, What do you do? - Provide her the reading
Before helping a patient stand, you raise the head of the bed and let the patients legs dangle, what does this do? - This prevents orthostatic hypotension- low blood pressure when person stands up
What do you do if a patients temperature is 101.2? - Tell the nurse
What will the nurse most likely ask you to do if a patient is in shock? - Keep the person lying down.
If not injured, raise the feet 6 to 12 inches.---elevate the feet so blood will flow back to the head. [Show Less]