Nurse Aide Procedures and Client Care Best Practices, Exams of Nursing

Download Nurse Aide Procedures and Client Care Best Practices and more Exams Nursing in PDF only on Docsity! 1 CNA - Certified Nurse Aide Written Exam Questions and Answers 2024 When getting ready to make a bed, the nurse aide SHOULD place the clean linens on: (A) a chair or table beside the bed. (B) the roommate's bed. (C) a clean surface in the bathroom (D) the floor beside the bed. Correct Ans:- A The only purpose for using a restraint is to: (A) ensure the safety of the client or others. (B) make the nurse aide's job easier (C) calm a client who is verbally abusive. (D) help the client be quiet. Correct Ans:- A Articles contaminated with blood or body fluids SHOULD be disposed of in the: (A) soiled linen basket. (B) biohazard container. (C) soiled utility room. (D) client's room trash container Correct Ans:- B To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's: (A) bed sheet. (B) upper thigh. (C) bed frame. (D) hip. Correct Ans:- B When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: (A) take a bath or shower before starting the urine collection. (B) select food items that do not contain red meat. (C) drink 2 L of water. (D) discard the first voided urine. Correct Ans:- D When ambulating the client, the nurse aide SHOULD: (A) ask the nurse for help. (B) be sure the client is wearing non-skid footwear. 2 (C) ask a family member for assistance. (D) walk in front of the client and show the client the way. Correct Ans:- B Which of the following is the BEST personal protective equipment item for the nurse aide to wear when handling infectious waste that could splash or spray? (A) Shoe covers (B) A mask (C) Goggles (D) A faceshield Correct Ans:- D Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? (A) "Why are you being so mean today?" (B) "You should not say such mean things to people." (C) "I will come back when your bad mood is over." (D) "You seem upset. Would you like to talk about it?" Correct Ans:- D The nurse aide has raised the height of the client's bed to provide care to the client, but the nurse aide forgot to bring the supplies needed. What should the nurse aide do NEXT? (A) Instruct the client to lie still (B) Quickly go to get the supplies (C) Lower the bed, and place the call light within reach (D) Ask the roommate to watch the client while the nurse aide gets the supplies Correct Ans:- C A client requests that the nurse aide call the client's spiritual advisor. The nurse aide SHOULD: (A) ask the client why the client wants the nurse aide to call the client's spiritual advisor. (B) tell the client that this is not part of the nurse aide's job. 5 (B) Discussing the nurse aide's religion with the client (C) Assisting the client to read the client's religious materials (D) Requesting that the facility's spiritual advisor visits the client Correct Ans:- C While the nurse aide is providing care to the client, the client calls the nurse aide by the name of the client's child, who died several years ago. The nurse aide's BEST response would be to: (A) quickly finish providing care and leave the client alone. (B) pretend to be the client's child. (C) ignore the client because the client is confused. (D) ask the client about the client's favorite memories of the client's child. Correct Ans:- D When providing care for a client receiving oxygen therapy, the nurse aide SHOULD: (A) check ears for pressure points. (B) tape cracks in oxygen tubing. (C) let the nurse know that the nurse aide cannot care for the client. (D) change the flow rate if the client is short of breath. Correct Ans:- A A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT? (A) Take the client to the hospital (B) Help the client back to the bed (C) Take the client into the bathroom to wash out the cut (D) Stay with the client and call for help Correct Ans:- D The client has been sad and depressed since being admitted to the facility yesterday. What would be the BEST thing for the nurse aide to do for the client? (A) Arrange for the client's spiritual advisor to visit the client 6 (B) Turn on the television in the client's room and leave the client alone (C) Force the client to take part in facility activities (D) Introduce the client to other clients and staff members Correct Ans:- D The nurse aide is asked by a client who is confused "what day it is?" The nurse aide SHOULD: (A) explain that memory loss is natural and the date is not important. (B) ignore the request. (C) point to the date on a calendar and say the date. (D) provide the date and then test the client later Correct Ans:- C Which of the following is MOST important for the prevention of skin breakdown in the client? (A) Air-drying the client's skin (B) Rubbing lotion on the client's skin (C) Ambulating the client once a day (D) Repositioning the client every 2 hours Correct Ans:- D When caring for a client who is dying, the nurse aide SHOULD: (A) only allow 1 visitor in the room at a time. (B) keep the room dark at all times. (C) pay special attention to fluid intake and mouth care. (D) wear gloves when providing personal care. Correct Ans:- C To BEST communicate with a client who has total hearing loss, the nurse aide should: (A) smile frequently and speak loudly. (B) smile often and talk rapidly. (C) avoid eye contact (D) write out the information. Correct Ans:- D When a client who is weak and unable to move without assistance is positioned in a 7 chair, the nurse aide SHOULD: (A) check on the client every 5 minutes. (B) make sure the client's water pitcher is full (C) protect the client with a seat belt. (D) place the signaling device within the client's reach Correct Ans:- D What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke? (A) Give the client a complete bath only when the client requests it (B) Encourage the client to do as much as possible and assist as needed (C) Leave the client alone and assume the client will do as much as the client can (D) Limit the client to washing the client's hands Correct Ans:- B Which of the following methods is the correct way to remove a dirty isolation gown? (A) Pull the gown over the head (B) Let the gown drop to the floor and step out of the gown (C) Roll the gown dirty side in and away from the body (D) Pull the gown off by the sleeve and shake the gown out Correct Ans:- C The health care team member who assists the client with the performance of activities of daily living is the: (A) social worker (B) occupational therapist (C) speech therapist (D) case manager Correct Ans:- B What does "ambulate with assistance" mean? (A) walk with the client twice a day (B) the client may use a wheelchair (C) have the client use a can for walking (D) the client can walk with the nurse aide providing help Correct Ans:- D When transferring a client, MOST of the client's weight should be supported by the nurse aides: (A) back (B) shoulders (C) legs (D) wrists Correct Ans:- C 10 (D) at least 1 hour Correct Ans:- A To prevent dehydration of the client, the nurse aide SHOULD: (A) offer fluids frequently while the client is awake (B) wake the client hourly during the night to offer fluids (C) give the client frequent baths (D) feed the client salty foods to increase thirst Correct Ans:- A When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse aide to take? (A) check that the client's name is displayed on the tray card (B) make sure the clients favorite foods are present (C) determine if enough fluids have been ordered (D) keep all food covered until eaten Correct Ans:- A Which of the following equipment should the nurse aide have available when caring for a client's beard? (A) basin, mirror, nail file and towel (B) towel, gloves, razor and shaving cream (C) shaving cream, razor, gloves and comb (D) razor, shaving cream, towels and orange stick Correct Ans:- B To find out what type of diet the client should be receiving it would be BEST for the nurse aide to check: (A) with the kitchen staff (B) on the clients room bulletin board (C) in the clients care plan (D) with the clients family Correct Ans:- C What SHOULD the nurse aide do when a client with Alzheimer's disease seems depressed and quiet? (A) talk when the client is silent (B) observe the client for non-verbal cues (C) change subjects until the client begins to discuss something (D) tell the client not to worry Correct Ans:- B Which of the following actions by the nurse aide can BEST demonstrate active listening skills? (A) changing the subject frequently (B) responding when appropriate (C) correcting the client's mistakes (D) directing the converstation Correct Ans:- B The nurse aide SHOULD understand that a back massage: 11 (A) causes muscle spasms (B) increases blood pressure (C) promotes circulation (D) increases heart rate Correct Ans:- C When assisting with dressing a client who has a left-sided weakness, what part of a sweater should be put on FIRST? (A) both sleeves (B) left sleeve (C) clients choice (D) right sleeve Correct Ans:- B A client with arthritis reports difficulty when cutting the food. What SHOULD the nurse aide do to encourage the client's independence in eating? (A) Cut the food and feed the client (B) Insist that the client eat the meal without help (C) Assist the client in cutting the food and encourage the client to use the special eating utensils (D) Ask the dietary department to puree the client's food Correct Ans:- C The nurse aide is assisting a coworker in obtaining a quad cane for a client. How many legs SHOULD the nurse aide understand that a quad cane has? (A) 1 (B) 2 (C) 3 (D) 4 Correct Ans:- D Once a client has been pronounced dead, the responsibility of the nurse aide is to: (A) make sure the body is clean. (B) call the family. (C) leave the room. (D) give spiritual care. Correct Ans:- A A client drinks 240 mL of soup, 120 mL of coffee, and 90 mL of juice for lunch. The client's total liquid intake for lunch is: 12 (A) 360 mL. (B) 450 mL. (C) 480 mL. (D) 520 mL. Correct Ans:- B What is the term for a device used to take the place of a missing body part? (A) Pronation (B) Abduction (C) External rotation (D) Prosthesis Correct Ans:- D When a client has left-sided weakness, what part of a sweater is put on first? (A) Both sleeves (B) Left sleeve (C) Client's choice (D) Right sleeve Correct Ans:- B It is appropriate for a nurse aide to share the information regarding a client's status with: (A) any one the nurse aide sees fit (B) the client's family members (C) the client's roommate (D) the staff on the next shift Correct Ans:- D When helping a client who is recovering from a stroke to walk, the nurse aide should assist: (A) on the client's strong side (B) on the client's weak side (C) from behind the client (D) with a wheelchair Correct Ans:- B The nurse aide is caring for a client who is agitated. The nurse aide SHOULD: (A) speak loudly so the client can hear the instructions (B) ask to reassign the care of this client (C) talk in a slow, calm, reassuring 15 If the nurse aide discovers fire in a client's room, the FIRST thing do is: (A) call the nurse in charge (B) try to put out the fire (C) open a window (D) remove the client Correct Ans:- D In order to communicate clearly with a client who has hearing loss, the nurse aide should: (A) speak in a high pitched tone of voice (B) stand behind the client when speaking (C) speak in a loud and slow manner (D) look directly at the client when speaking Correct Ans:- D Which of the following stages of dying is usually the final stage? (A) Anger (B) Acceptance (C) Bargaining (D) Depression Correct Ans:- B If a client says, "God is punishing me" or "Why me?", how should the nurse aide respond? (A) Reply, "God doesn't punish people." (B) Listen quietly (C) Ignore the client (D) Make jokes Correct Ans:- B The role of the ombudsman is to: (A) run a group of nursing homes (B) work with the nursing home to protect clients' rights (C) control the nursing home budget (D) prepare classes that nurse aides take to learn about client hygiene Correct Ans:- B A nurse aide who is active in her 16 church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD: (A) help the client understand the nurse aide's faith (B) tell the client that it is important for the client to join some church, even if it is not the nurse aide's church (C) respect the client's beliefs and avoid starting religious discussions (D) arrange to have the nurse aide's clergyman visit the client Correct Ans:- C The nurse aide notices that a client's mail has been delivered to the client's room. The nurse aide SHOULD: (A) open the mail and leave it on the client's table (B) open the mail and read it to the client (C) read the mail to make sure it doesn't contain upsetting news (D) give the client the unopened mail and offer help as needed Correct Ans:- D Which of the following is a correct measurement of urinary output? (A) 40 oz (B) 300 cc (C) 2 cups (D) 1 quart Correct Ans:- B The client offers a nurse aide a twenty dollar bill as a thank you for all that the nurse aide has done. The nurse aide SHOULD: (A) take the money so as not to offend the client (B) politely refuse the money (C) take the money and buy something for the floor (D) ask the nurse in charge what to do Correct Ans:- B 17 All of the following situations are examples of abuse or neglect EXCEPT: (A) restraining a client according to a physician's order (B) leaving a client alone in a bathtub (C) threatening to withhold a client's meals (D) leaving a client in a wet and soiled bed Correct Ans:- A If a client is sitting in a chair in his room masturbating, the nurse aide SHOULD: (A) report the incident to the other nurse aides (B) tell the client to stop (C) laugh and tell the client to go in the bathroom (D) leave the client alone and provide privacy Correct Ans:- D To convert four ounces of juice to milliliters (ml), the nurse aide should multiply: (A) 4 x 5 ml (B) 4 x 10 ml (C) 4 x 15 ml (D) 4 x 30 ml Correct Ans:- D In giving care according to the client's Bill of Rights, the nurse aide SHOULD: (A) provide privacy during the client's personal care (B) open the client's mail without permission (C) use the client's personal possessions for another client (D) prevent the client from complaining about care Correct Ans:- A The LAST sense a dying client will lose is: (A) smell (B) hearing 20 (C) tie restraints to the siderail (D) apply the restraint tightly so the client cannot move Correct Ans:- B To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client's bed? (A) Shake them in the air (B) Place them in a neat pile on the floor (C) Carry them close to the nurse aide's body (D) Put them in the dirty linen container Correct Ans:- D A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should: (A) try to move the client alone (B) have the family do it (C) ask another nurse aide to help (D) go on to another task Correct Ans:- C To prevent dehydration of the client, the nurse aide SHOULD: (A) offer fluids frequently while the client is awake (B) wake the client hourly during the night to offer fluids (C) give the client frequent baths (D) feed the client salty food to increase thirst Correct Ans:- A When transferring a client, MOST of the client's weight should be supported by the nurse aide's: (A) back (B) shoulders (C) legs (D) wrists Correct Ans:- C To be sure that a client's weight is measured accurately, the client should 21 be weighed: (A) after a meal (B) by a different nurse aide (C) at the same time of day (D) after a good night's sleep Correct Ans:- C How many tips does a quad-cane base have? (A) 1 (B) 2 (C) 3 (D) 4 Correct Ans:- D BEFORE taking the oral temperature of a client who has just finished a cold drink, the nurse aide should wait: (A) 10 to 20 minutes (B) 25 to 35 minutes (C) 45 to 55 minutes (D) at least 1 hour Correct Ans:- A Which of the following methods is the CORRECT way to remove a dirty isolation gown? (A) Pull it over the head (B) Let it drop to the floor and step out of it (C) Roll it dirty side in and away from the body (D) Pull it off by the sleeve and shake it out Correct Ans:- C What would be the BEST way for the nurse aide to promote client independence in bathing a client who has had a stroke? (A) Give the client a complete bath only when the client requests it (B) Encourage the client to do as much as possible and assist as needed (C) Leave the client alone and assume the client will do as much as she can 22 (D) Limit the client to washing her hands Correct Ans:- B A safety device used to assist a DEPENDENT client from a bed to a chair is called a: (A) posey vest (B) hand roll (C) transfer/gait belt (D) foot board Correct Ans:- C If a nurse aide needs to wear a gown to care for a client in isolation, the nurse aide MUST: (A) wear the same gown to care for all other assigned clients (B) leave the gown untied (C) take the gown off before leaving the client's room (D) take the gown off in the dirty utility room Correct Ans:- C When making an occupied bed, the nurse aide SHOULD: (A) put the dirty sheets on the floor (B) help the client to sit in a chair while the bed is being made (C) lower both side rails before changing the sheets (D) raise side rail on unattended side Correct Ans:- D The nurse aide is in the employee dining room. A group of nurse aides are eating lunch together and begin discussing how rude a certain client was acting. The nurse aide SHOULD: (A) join in the conversation (B) suggest that this is not the place to discuss the client (C) be quiet and not say anything to the other nurse aides (D) return to the unit and tell the client what was said Correct Ans:- B