Nurse Aide Training: Urinary Output Measurement and Client Care Scenarios, Exams of Nursing

Download Nurse Aide Training: Urinary Output Measurement and Client Care Scenarios and more Exams Nursing in PDF only on Docsity! CNA EXAM QUESTIONS WITH ANSWERS To be sure that a client's weight is measured accurately, the client should be weighed A. -after a meal B. -by a different nurse aide C. -after a good night's sleep D. -at the same time of day - ANS-at the same time of day Which of the following is a correct measurement of urinary output? A. -300 cc B. -40 oz C. -2 cups D. -1 quart - ANS-300 cc A client is paralyzed on the right side. The nurse aide should place the signaling device A. -on the right side of the bed near the client's hand. B. -under the pillow. C. -on the left side of the bed near the client's hand. D. -at the foot of the bed. - ANS-on the left side of the bed near the client's hand. Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects? A. -Physical therapist B. -Speech therapist C. -Occupational therapist D. -Registered nurse - ANS-Speech therapist While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD A. -call for assistance and perform the Heimlich maneuver (abdominal thrusts). B. -slap the client on the back until the food dislodges. C. -immediately remove the client's food tray and go find the nurse in charge. D. -give the client a drink of water. - ANS-call for assistance and perform the Heimlich maneuver (abdominal thrusts). The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD A. -leave the client to search for help. B. -comfort the client while moving to a safe place. C. -lock the client's wheelchair and check the surrounding area for smoke. D. -push the wheelchair out of the hallway and carry the client out of the facility. - ANS-comfort the client while moving to a safe place. For safety, when leaving a client alone in a room, the nurse aide SHOULD A. -leave the bed elevated in highest position. B. -place signaling device within client's reach. C. -keep the door tightly closed. D. -apply a restraint to the client. - ANS-place signaling device within client's reach. The equipment you need to gather to do unconscious oral care would include A. -Toothbrush B. -toothette/mouth swab C. -Toothpaste D. -All of the above - ANS-toothette/mouth swab When caring for a client who uses a protective device (restraint), the nurse aide SHOULD A. -assess the client once every hour. B. -assure the protective device is tight. C. -check the client's body alignment. D. -release the protective device once a shift. - ANS-check the client's body alignment. To convert four ounces of juice to milliliters (ml), the nurse aide should multiply A. -4 x 30 ml B. -4 x 15 ml C. -4 x 10 ml D. -4 x 5 ml - ANS-4 x 30 ml Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a 6oz. glass of juice, 4oz. of milk, and 8oz. of coffee, you document A. -920cc B. -450 cc C. -685cc D. -240cc - ANS-450 cc Hint: 1oz = 30cc The circulatory system consists of the -heart, aorta, pulmonary vessels, lungs -heart, arteries, veins and capillaries. -blood vessels, lymph nodes, spleen -blood vessels, arteries, veins and capillaries - ANS-heart, arteries, veins and capillaries. Meal trays have arrived. Before serving each tray the nurse aide should -check the temperature of the food. -ask patients if they are hungry. -ask about dietary restrictions. -check each armband, even on familiar patients. - ANS-check each armband, even on familiar patients. Normal urine color is A. -Yellow B. -Brown C. -Colorless D. -Red - ANS-Yellow The charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first -Wash your hands -Identify the patient and introduce yourself -Gather appropriate equipment -All of the above - ANS-All of the above The opening of the colostomy to the outside of the body is called the A. -Rectum B. -Stoma C. -Insertion site. D. -None of the above - ANS-Stoma Continuing education is A. -necessary for recertification in many states. B. -a professional standard. C. -important for keeping abreast of new development. D. -all of the above. - ANS-all of the above. While taking a rectal temperature the nurse aide should insert the thermometer and A. -stay in the room until it is time to read the temperature. B. -go on his break. C. -hold onto the thermometer until it can be removed. D. -take care of other patients and return in three minutes. - ANS-hold onto the thermometer until it can be removed. Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. she has {L} sided hemiplegia. This is A. -L arm contracture B. -L arm and leg itching C. -Paralysis on the left side of the body D. -Rash to the L arm - ANS-Paralysis on the left side of the body Hint: Hemi means half A resident with an ileostomy evacuates feces through the -Jejunum -ileum -Anus -Colon - ANS-ileum A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is -notify the IV nurse that the infusion appears to have infiltrated. -put ice onto the hand. -reassure the patient that needles always hurt. -notify the medication nurse that the patient is complaining of pain. - ANS- notify the IV nurse that the infusion appears to have infiltrated. Which of the following measurements you obtained from Mrs. Shumway should be reported immediately to the charge nurse? -Respiration 20 -Temperature 99F -Pulse 74 -B/P 190/114 - ANS-B/P 190/114 A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient -had visitors that day. -had breakfast. -ate too much sugar. -has diabetes. - ANS-had breakfast. You are caring for Mr. Brown who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do? -Turn up the O2 to 4 liters/min -Report it STAT to your nurse. -Ask Mr. Brown to take breaths more frequently. -Switch the nasal cannula to a mask. - ANS-Report it STAT to your nurse. Mrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include -Placement of TED hose after ambulation -Daily jog around the facility for 1 hour -Encourage oral fluids -Daily am weight measurement - ANS-Daily am weight measurement Which of the following is associated with smoking? -vitamin C deficiency. -Pneumonia. -heart attacks. -all of the above. - ANS-all of the above. In report the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should -offer frequent snacks. -note all water the patient drinks and all output. -take away the water pitcher at midnight. -ask the patient if he is having any pain. - ANS-take away the water pitcher at midnight. A patient appears more pale than usual. The nurse aide should The Heimlich maneuver (abdominal thrusts) is used for a client who has -a bloody nose -a blocked airway -impaired eyesight -fallen out of bed - ANS-a blocked airway The most comfortable position for a resident with a respiratory problem is -Supine -Lateral -Prone -Fowler's - ANS-Fowler's The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD -call housekeeping. -call the nurse. -leave the spill. -clean up the spill. - ANS-clean up the spill. The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST? -Call the nurse in charge. -Finish shaving the client as quickly as possible -Unplug the shaver -Use the roommate's shaver to finish the shave - ANS-Unplug the shaver When transferring a client, MOST of the client's weight should be supported by the nurse aide's -shoulders -back -wrists -legs - ANS-legs The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client's feet? -Nothing -Rubber-soled slippers or shoes -Socks or stockings only -Cloth-soled slippers - ANS-Rubber-soled slippers or shoes Physical restraints are used MOST often -at the roommate's request. -when staff is short. -to prevent client injury. -at the family's request. - ANS-to prevent client injury. Which of the following is NOT considered to be a way to restrain a client? -Pain management -A hand mitt -Lap buddy/tray -A sedative - ANS-Pain management 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 -ask another nurse aide to help -have the family do it -try to move the client alone -go on to another task - ANS-ask another nurse aide to help Insulin, a hormone, regulates -The amount of salt retained in the blood -The rhythm of the heart -The amount of sugar in the blood -The strength of the skeletal muscles - ANS-The amount of sugar in the blood NPO means -Only ice chips per mouth -Nothing by mouth except water -Nothing by mouth -Nothing per ostomy - ANS-Nothing by mouth Clean bed linen placed in a client's room but NOT used should be -returned to the linen closet -used for a client in the next room -taken to the nurse in charge -put in the dirty linen container - ANS-put in the dirty linen container When taking a client's radial pulse, the nurse aide's fingertips should be placed on the client's -elbow. -wrist. -neck. -chest. - ANS-wrist. When taking an oral temperature, it is important to -put lubricant on the thermometer. -place the thermometer in the rectum. -place the thermometer under the tongue. -place the thermometer under the arm. - ANS-place the thermometer under the tongue. What is the FIRST thing a nurse aide should do when finding an unresponsive client? -Call for help -Call family -Start compressions -Close the door - ANS-Call for help When operating a manual bed, the nurse aide should remember to -elevate the client's head at all times. -keep the bed in the neutral position. -fold cranks under bed. -lock the wheels when the cranks are folded. - ANS-fold cranks under bed. Which of the following best helps reduce pressure on the bony prominences?