CNA FINAL EXAM LATEST (3 DIFFERENT VERSIONS) 2022-2024 GRADED A +, Exams of Nursing

Download CNA FINAL EXAM LATEST (3 DIFFERENT VERSIONS) 2022-2024 GRADED A + and more Exams Nursing in PDF only on Docsity! CNA FINAL EXAM LATEST (3 DIFFERENT VERSIONS) 2022-2024 /CERTIFIED NURSING ASSISTANT / (CNA) EXAM EACH VERSION CONTAINS 100 REAL EXAM QUESTIONS AND ANSWERS VERSION 1 When getting ready to make a bed, the nurse aide SHOULD place the clean linens on: (Basic Nursing Skills) (A) Clean linens should be placed on a chair or table beside the bed. The only purpose for using a restraint is to: (Legal and Ethical Behavior) (A) The only purpose for using a restraint is to ensure the safety of the client or others. Articles contaminated with blood or body fluids SHOULD be disposed of in the: Basic Nursing Skills (B) Bloody or bodily fluid contaminated articles SHOULD be placed in the biohazard container. To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client’s: (Basic Nursing Skills) B. The tubing should be secured to the patient's upper thigh. When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: (Basic Nursing Skills) (D) The nurse aide should discard the first voided urine. When ambulating the client, the nurse aide SHOULD: (Basic Nursing Skills) (B) When ambulating the patient, be sure the patient is wearing non-skid footwear. 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? (D) The best PPE item a nurse aide can use for is a face shield Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? (D) “You seem upset. Would you like to talk about it?” 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? (C) The nurse aide should lower the bed and place the call light within reach. A client requests that the nurse aide call the client’s spiritual advisor. The nurse aide SHOULD: C) tell the client that the nurse aide will inform the nurse of the client’s request. A client wakes up during the night and asks for something to eat. The nurse aide SHOULD: (A) check client’s diet before offering What would be the BEST way for the nurse aide to promote client independence when bathing a client who had a stroke? (B) Encourage the client to do as much as possible and assist as needed Which of the following methods is the correct way to remove a dirty isolation gown? (C) Roll the gown dirty side in and away from the body The health care team member who assists the client with the performance of activities of daily living is the: (B) occupational therapist. What does “ambulate with assistance” mean? (D) The client can walk with the nurse aide providing help When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s: (C) legs. When changing a soiled dressing, the nurse aide SHOULD wash the nurse aide’s hands: (D) before, during, and after the procedure. The nurse aide MUST wear gloves when: (B) providing mouth care. When assisting a client who has right-sided weakness to transfer from a wheelchair, the nurse aide SHOULD support the client’s: (B) right side. The nurse aide can help prevent pressure injuries in the client by: (C) keeping linens clean, dry, and wrinkle free. If a nurse aide discovers a small fire in a client’s room, the nurse aide should FIRST (C) remove the client from any danger. When a client has memory loss or confusion, the nurse aide SHOULD: (D) give the client simple step-by-step instructions. What does the abbreviation ADL mean? (C) Activities of Daily Living Which of the following actions SHOULD the nurse aide take to communicate with a client who has a hearing loss? (A) Face the client when speaking What is the FIRST area of a client’s body that the nurse aide should wash when providing a bed bath? (B) Face When a nurse provides the nurse aide confidential information about a client, the nurse aide SHOULD: (B) keep the information private. Before entering a client’s room, the nurse aide should FIRST: (C) knock on the door. Mouth care for a client who is unconscious MUST be done every: (A) 2 hours. The nurse aide SHOULD place the client’s soiled bedsheets: (D) in the soiled linen container. Before taking the oral temperature of a client who has just finished a cold drink, the nurse aide SHOULD wait: (A) 20 minutes. To prevent dehydration of the client, the nurse aide SHOULD: (A) offer fluids frequently while the client is awake. 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 Which of the following equipment should the nurse aide have available when caring for a client’s beard? (B) Towel, gloves, razor and shaving cream To find out what type of diet the client should be receiving, it would be BEST for the nurse aide to check: (C) in the client’s care plan. What SHOULD the nurse aide do when a client with Alzheimer’s disease seems depressed and quiet? (B) Observe the client for non-verbal cues Which of the following actions by the nurse aide can BEST demonstrate active listening skills? (B) Responding when appropriate The nurse aide SHOULD understand that a back massage: (C) promotes circulation. When assisting with dressing a client who has left-sided weakness, what part of a sweater should be put on FIRST? (B) Left sleeve A client with arthritis reports difficulty when cutting the food. What SHOULD the nurse aide do to encourage the client’s independence in eating? (C) Assist the client in cutting the food and encourage the client to use the special eating utensils 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? (D) 4 Once a client has been pronounced dead, the responsibility of the nurse aide is to: (A) make sure the body is clean. which of the following is considered a sign? a. headache b. nausea c. pain d. dark colored urine - ANSWER- d (you can see the patients urine but can not see a,b,c) According to Maslow's Hierarchy of Needs which of the following needs must be taken care of first? a. food b.shelt er c. having friends d. feeling secure as a person - ANSWER- a T/F a resident suddenly has FBAO (foreign body airway obstruction) they are not speaking, breathing, or making noise. you should immediately encourage coughing? - ANSWER- F (perform the Heimlich maneuver) Medicated shampoo should be kept where? a. in the residents bathroom b. in the residents bedside table c.locked up at the nurses station d. with the CNA at all times - ANSWER- c T/F you should unlock the brakes of a W/C before attempting a transfer? - ANSWER- F how many people do you need for a stretcher transfer? a. 2 b. 4 c. 3 d. 1 - ANSWER- c which of the following is NOT on a MSDS? a. health hazards b. how to clean up a spill c. chemical name of the product d. what age you should be to use the product - ANSWER- d all of the following help prevent fires EXCEPT... a. residents wear cotton pajamas b. no open flames in the rooms d. hepatitis A - ANSWER- c as a CNA when should you not use Alcohol-based hand rub? a. after contact with a resident b. before contact with a resident c. before eating d. after removing gloves - ANSWER- c TB, chicken pox, severe acute respiratory are all examples of? a. droplet precautions b. airborne precautions c. contact precautions d. all of the above - ANSWER- b which of these isolation precautions required N95 mask? a. droplet b. airborne c. contact d. all of these above - ANSWER- b T/F trendelenburg position is used the resident's comfort and is often re- questioned? - ANSWER- F fowlers bed position is often used for our residents. which one of these is not a fowlers position? a. 15-30 degrees b. 30-45 degrees c. 45-60 degrees d. 60-90 degrees - ANSWER- a T/F logrolling is done with 2 people and a resident - ANSWER- T T/F lateral and dorsal recumbent are the same position - ANSWER- F (supine and dorsal recumbent) as a CNA transferring a resident which of these are not recommended? a. transfer on the strong side b. transfer belt applied correctly c. allow the resident to hold around your neck d. bend at your knees when lifting - ANSWER- c there are 4 different types if bedmaking for a medical facility. which one is done for a resident returning on a stretcher? a. closed linens b. surgical c. open- top d. occupied - ANSWER- b which of these is not an OBRA requirement? a. space for W/C b. 1 window c. no more than 2 residents per room d. room temperature 71-81 degrees - ANSWER- c performing oral care for a resident in their bed you should not? a. use a kidney basin b. brush teeth at 45 degrees angle c. sit the resident up right d. only use hot water for denture care - ANSWER- d mr. jones is unconscious and needs mouth care as a CNA you should gather all supplies then? a. brush his teeth with a toothbrush b. use a clamp to hold his mouth open c. position Mr. Jones in a supine position d. turn head to the side to prevent aspiration - ANSWER- d T/F when providing a bed bath you should wash from the dirtiest to the cleanest - ANSWER- F T/F a complete bed bath should be in the order of: eyes face/ neck arm chest/ abd leg back peri - ANSWER- T T/F when removing PPE it should be done in this order: which nutrient is excellent for tissue growth and wound healing? a. carbohydrates b. minerals c. proteins d. vitamins - ANSWER- c you are serving.a meal try to mr. smith. you notch coffee, apple juice, beef broth, and jello on his tray. you would check to make sure that he is on what type of diet? a. Regular b. clear liquid c. full liquid d. soft diet - ANSWER- b your patient has dysphagia. you know this means that your patient has a. difficulty swallowing b. difficulty speaking c. difficulty breathing d. difficulty chewing - ANSWER- a T/F the male is considered uncircumcised when foreskin must be retracted during perineal care - ANSWER- T your resident is on a full liquid diet. you know that he can have the flooring food/drink items a. only water, broth, jello, coke, and coffee b. only liquids that have been thickened c. catered, milk, ice cream and jello d. all pureed foods or drinks - ANSWER- c T/F Your patient is NPO, you know your patient can only have water to drink - ANSWER- F T/F when measuring output the CNA can measure the following: urine, vomiting, diarrhea, and wound drainage - ANSWER- T your patient drank at of a 6 oz glass of milk. the drank how many milliners of milk a.240 ml b.24ml c.180 ml d. 30 ml - ANSWER- c T/F 1 oz = 8 milliliters - ANSWER- F `a normal oral temperature range is a.96.6-99.6 b.97.6-99.6 c.98.6-99.0 d.97.0-100.0 - ANSWER- b T/F an elderly person with a temperature of 98.6 may signal a fever - ANSWER- T when taking a rectal temperature, you will need to use which color thermometer a. red b. blue c. green d. brown - ANSWER- a T/F the brachial pulse is located on the thumb side of wrist - ANSWER- F this pulse site on the neck is used to asses a pulse during CPR a. apical b. brachial c. carotid d. radical - ANSWER- c A normal pulse range for an adult is a. 10-20 b. 12-24 c. 60-80 d. 60-100 - ANSWER- d T/F inhalation and exhalation is considered one breath - ANSWER- T your patient's blood pressure is 130/54. you know that: a. the systolic is abnormal -dx or proscribe treatments or meds -supervise other nursing assistants -ignore an order What is assault? - ANSWER- threat what is battery - ANSWER- touch admission record - ANSWER- Identifying information (name, DOB, address, nearest relative and legal rep, allergies, dx, Dr.) health record - ANSWER- (nursing hx)- chief complaint, illness hx, past health hx, meds, allergies, assistive devices what should you record - ANSWER- -what you observed -what you did -the person's response lateral - ANSWER- away from the midline medial - ANSWER- toward the midline proximal - ANSWER- Closer to the point of attachment distal - ANSWER- away from the point of attachment Posterior - ANSWER- toward the back anterior - ANSWER- toward the front what are objective - ANSWER- signs what are signs - ANSWER- seen, heard, felt or smelled (ex: v/s, color of urine, or smell of drainage) what are subjective? - ANSWER- Symptoms what are symptoms - ANSWER- what the person tells you (ex: pain, nauseas or headache) what is the prioritize order of care? - ANSWER- -when your shift begins, get report -read over chart or chair plan to find out what has changed -assess what had happened during pervious shift -find out what needs to happen on your shift what is on a person's ID bracelet - ANSWER- person's name room bed number birth date age doctor agencys name what should you do if you notice poison in a person's room - ANSWER- remove it and tell the nurse after you remove it what does FBAO stand for - ANSWER- foreign body airway obstruction what is a MSDS - ANSWER- Material Safety Data Sheet what does RACE stand for - ANSWER- rescue, alarm, confine, extinguish What does PASS stand for? - ANSWER- Pull (the safety pin), Aim (low), Squeeze (the lever), Sweep (back and forth) what is the most common reason for falls? - ANSWER- urgency to use the bathroom S/S of infection - ANSWER- • fever •chills •increased pulse •increased respirations •fatigue •N/V/D (diarrhea) •redness/swelling •heat/warmth at site •headache •aches * confusion lateral position - ANSWER- side lying position Sims position - ANSWER- lying on left side with right knee drawn up and with left arm drawn behind, parallel to the back T/F place a pillow at the head board to prevent the person from hitting head on the headboard as you are moving them up in bed - ANSWER- T how many people is needed for logrolling - ANSWER- at least 2 T/F transfer on the person's weak side - ANSWER- f (transfers on the strong side, strong side moves first) What is the Trenelenberg bed position? - ANSWER- feet are higher than the head, used when BP drops what is the OBRA requirements for beds - ANSWER- proper bed with clean, comfortable mattress OBRA requirement on room temperature - ANSWER- 71-81 closed bed making - ANSWER- lines not folded back (the sheets go full length foot to head) open bed making - ANSWER- top lines folded back and is ready for the resident occupied bed making - ANSWER- a bed with a person in it surgical bed making - ANSWER- lines folded to one side what are 3 important rules for bed making - ANSWER- -keep bottom linen wrinkled-free -make as much of one side of bed as possible -roll dirty lines away from you what degree should you brush their teeth at - ANSWER- 45 how to help a confused person brush teeth - ANSWER- provide step- by- step assistance when to should you assist brush teeth - ANSWER- in AM and after each meal unconscious mouth care - ANSWER- -prevent aspiration by turning head to side -use a padded tongue blade to hold mouth open -use a sponge tipped applicator to clean mouth (make sure it is tight on the stick) -done every 2 hours What is aspiration? - ANSWER- chock and fluid goes into lungs T/f pat the patient dry after bathing - ANSWER- T how full should the bath basin be - ANSWER- 2/3 what temperature should the bath basin be at - ANSWER- 110-115 degrees what order should you wash the patient - ANSWER- -start at inner cannula of eye -face/neck far arm and hand then nearest arm and hand -chest then abdomen -far leg then the nearest leg what is the general goal for bathing - ANSWER- remove pathogens and promote comfort when changing water for perineal care what should the water temperature be at - ANSWER- 105-109 T/F massage reddened bony areas - ANSWER- F T/F side-lying position for elderly is more comfortable - ANSWER- T how should you keep the bath blanket on the resident during perineal care - ANSWER- diamond shape T/F drain the tub before the person gets out - ANSWER- T what is the true name for lice - ANSWER- pediculosis what do lice nits look like - ANSWER- tan to grayish-white and about the size of sesame seed What does POW stand for - ANSWER- put on weak what does TOSS stand for - ANSWER- take off strong side what are bedpans used for - ANSWER- used for persons who can't get out of bed what are fracture pan used for - ANSWER- casts, traction, limited back motion, hip fx, or surgery what should the male patient do when done with urinal - ANSWER- tell the patient to call for assistance where do you put urinal - ANSWER- follow the agency policy on where to set urinal after use T?F stay with confused patients when on commode - ANSWER- T where do you attach bag catheters - ANSWER- bed Frame never the rail, coil the tubing on the bed and secure to bottom sheet. secure the catheter to the inner thigh pulse - ANSWER- 60-100 bpm Respiration - ANSWER- 12-20 VERSION 3 blood or saliva What do pathogens prefer? - ANSWER- warm, moist, dark places What is the most important thing to prevent spread of infection - ANSWER- hand washing Infections acquired as a result of bing in a health care facility are called: - ANSWER- nosocomial diseases Disinfection - ANSWER- A cleaning process that destroys most microorganisms through the use of certain chemicals or boiling water Sterilization - ANSWER- A cleaning process that kills all microorganisms including spores. airborne - ANSWER- dust particles or moisture in the air droplet - ANSWER- sneezing, coughing, talking vehicle - ANSWER- contaminated food or water chain of infection - ANSWER- 1. infectious agent 2.reservoir 3. portal of exit 4. mode of transmission 5.portal of entry 6.susceptible host What term is used to describe people who live in long-term facilities? - ANSWER- residents Actions that promote effective communication between a CNA and resident include - ANSWER- identifying self by name and job title When you answer are call light promptly, which of the human needs are you meeting? - ANSWER- safety and security needs abbreviation for "wheelchair" - ANSWER- wc One very important aspect of a CNA's job, no matter what the setting, is to... - ANSWER- make observations and report them according to facility policy When is CNA transfers a resident, the CNA should keep their feet... - ANSWER- about 12 inches apart Attitudes that promote communication when providing resident care include all of the following EXCEPT: - ANSWER- showing sympathy abbreviation for ambulate: - ANSWER- amb What need does the CNA spend most of their time attending to which basic need? - ANSWER- physiological needs A sheet that is placed under the resident shoulders to below the hips that is used to turn, lift, or move is... - ANSWER- draw sheet subjective data - ANSWER- things a person tells you about that you cannot observe through your senses; symptoms objective data - ANSWER- information that is seen, heard, felt, or smelled by an observer; signs Who does a CNA report to? - ANSWER- a RN or a LPN abbreviation for "activities of daily living" - ANSWER- ADL The charge nurse tells the CNA to assist the resident to dangle. What will the CNA do? - ANSWER- assist the resident to sit on the edge of the bed with their feet hanging down abbreviation for "bowel movement" - ANSWER- BM If you sit a resident up in bad and they complain of being dizzy what should you do? - ANSWER- assist to lie down and report to supervisor Where can a CNA apply to work? - ANSWER- home health agency, nursing home, hospital gives most of the direct resident care - ANSWER- certified nurse aid assists with physical and occupational therapy - ANSWER- A rehabilitation aide supine position - ANSWER- lying on back, facing upward High flowers position - ANSWER- resident sitting up almost straight, at 60 to 90 degrees Flowers position - ANSWER- resident reclined in a sitting position, at 45 to 60 degrees prone position - ANSWER- lying face down Sims position - ANSWER- lying on left side with right knee drawn up and with left arm drawn behind, parallel to the back residents rights - ANSWER- -the right to freedom of speech and communication -the right to be treated with dignity -the right to privacy -the right to know their rights -the right to know about the care that will be given How to break the chain of infection - ANSWER- -wash hands -staying home when sick -mask When a CNA makes a bed while the resident is still in it, the bed making method is called a(n) - ANSWER- occupied bed Normal adult oral temperature - ANSWER- 98.6 F Normal adult rectal temperature - ANSWER- 99.6 F Normal adult tympanic temperature - ANSWER- 98.6 F Normal adult axillary temperature - ANSWER- 97.6 F While providing care for a resident the CNA should... - ANSWER- observe the skin condition, mouth scalp hair, and nails The CNA should visually check a restrain - ANSWER- every 15-30 min abbreviation for "nothing my mouth" - ANSWER- NPO Rectal temp is record with - ANSWER- uppercase R When the CNA cares for a resident on oxygen, the CNA should... - ANSWER- give oral care more frequently Where should restraints be tied - ANSWER- the bed or wheelchair frame What is the leading cause of injury death in older adults? - ANSWER- falls How often should restrains be removed - ANSWER- every two hours diastoic pressure - ANSWER- -bottom number -the pressure in your arteries as your heart is relaxed systolic pressure - ANSWER- -top number -The blood pressure generated by the heart during contraction. average range of adult respiration is... - ANSWER- 14 to 20 If a resident refuses any food what should the CNA do? - ANSWER- try to find out why they don't want the food and report their reasons What should be kept at residents bed side? - ANSWER- -call signal and telephone -tissue and straws -fresh water and ice what is least accurate for measuring tempature - ANSWER- axillary If the CNA is unsure if the residents blood pressure what should they do? - ANSWER- ask the supervisor to check the resident's blood pressure PASS - ANSWER- Pull, Aim, Squeeze, Sweep Where is the apical pulse located? - ANSWER- on the left side of the chest just below the nipple How is apical pulse recorded? - ANSWER- Ap When tornado what should you do? - ANSWER- evacuate residents to basement 1 oz = ? mL - ANSWER- 1 oz = 30 mL When weighing a resident daily when should you do it? - ANSWER- before breakfast each day How can a CNA promote sleep for a resident? - ANSWER- - listen to resident's concerns and worries -follow the resident's existing pattern or routine -regulate sound, light, temperature and ventilation How does vision change during aging? - ANSWER- decreased sharpness of vision What environment would be good for an Alzheimer's patient? - ANSWER- a simple request are used Dementia: - ANSWER- is defined as the loss of the ability to think, remember, reason and communicate advance directives - ANSWER- A legal document designed to indicate a person's wishes regarding care in case of a terminal illness or during the dying process -medications and treatments -artificial feedings -use of CPR What does good skin care around the stoma prevent? - ANSWER- skin breakdown Complications of inactivity or immobility include all of the following: - ANSWER- -bone lose calcium -circulation is slowed -muscles are weakened and atrophy How should a CNA help with rehabilitation? - ANSWER- preform range of motion exercises with the resident abbreviation for "range of motion" - ANSWER- ROM The type of health care that focuses on maintain a resident's functioning, to improve his quality of life and to increase independence: - ANSWER- restorative care When CNA is caring for resident as death approaches what would you expect to see? - ANSWER- irregular pulse and decreased blood pressure How to promote pain relief? - ANSWER- -use of distraction -pressure reducing devices -assisting the resident to a safe position What helps costipation? - ANSWER- increased fiber in the diet How do you clean a catheter? - ANSWER- clean around the insertion site then downward and away from insertion site. The CNA observes that the same amount of urine is in the urinary drainage bag that was in the bag 4 hours ago. What should the CNA do? - ANSWER- inform the nurse of the resident's lack of urinary output perseveration - ANSWER- The tendency to persevere in, or stick to, one thought or action for a long time. Is perseveration is a good action for dementia patients? - ANSWER- yes If a resident is alert and fairly independent, but needs assistance getting on and off the toilet, once she is on the toilet what should the CNA do? - ANSWER- leave her if it is safe with the call button within reach What is a metal brace attached to a foot an example of? - ANSWER- orthotic orthotic - ANSWER- a mechanical appliance, such as a leg brace or splint, that is specially designed to control, correct, or compensate for impaired limb function What is a prosthesis? - ANSWER- an artificial device used to replace a missing body part -artificial eye Changes in the integumentary system that may accompany aging including? - ANSWER- nails are more brittle What is one of the last functions to be lost in the dying resident? - ANSWER- hearing How do you work with someone with hearing loss? - ANSWER- speak to resident even if he is unconscious, be careful not to say anything that would be upsetting to the resident, encourage the family to keep talking to the resident example of subjective observation? - ANSWER- complaints of shortness of breath Validation therapy: - ANSWER- acknowledging the personals feelings about current and past experiences What does "do not resuscitate" mean? - ANSWER- An order not to attempt Cardiopulmonary Resuscitation (CPR) in the event a patient suffers cardiac or respiratory arrest. How many times should you perform range of motion exercises? - ANSWER- three to five times How should you assist resident with foods? - ANSWER- alternate liquids and solid foods