NNAAP Nurse Aide Practice Written Exam and CNA Practice Questions Exam 2023, Exams of Nursing

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NNAAP Nurse Aide Practice Written Exam and CNA Practice Questions Exam 2023 When getting ready to make a bed, the nurse aide SHOULD place the clean linens on: Correct Answer: a chair or table beside the bed The only purpose for using a restraint is to: Correct Answer: ensure the safety of the client or others Articles contaminated with blood or body fluids SHOULD be disposed of in the: Correct Answer: biohazard container To avoid pulling the indwelling urethral catheter when turning a client, the catheter tubing SHOULD be secured to the client's: Correct Answer: upper thigh When collecting a 24-hour urine sample for a client, the nurse aide SHOULD request that the client: Correct Answer: discard the first voided urine When ambulating the client, the nurse aide SHOULD: Correct Answer: be sure the client 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? Correct Answer: A faceshield Which of the following would be an appropriate response for the nurse aide to make if a client expresses anger during care? Correct Answer: "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? Correct Answer: 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: Correct Answer: 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: Correct Answer: check client's diet before offering nourishment The nurse aide is preparing to bathe a client. What should the nurse aide do FIRST? Correct Answer: Tell the client what the nurse aide is going to do When making a bed that is occupied by a client, the nurse aide SHOULD: Correct Answer: make the toe pleat Frequent turning and repositioning of the client helps prevent: Correct Answer: pressure injuries When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: Correct Answer: lying down in bed. 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: Correct Answer: suggest that this is not the place to discuss the client. The client's signaling device SHOULD be placed: Correct Answer: within the client's reach When helping a client who is recovering from a stroke to walk, the nurse aide SHOULD assist: Correct Answer: on the client's weak side A client who is confused begins to cry and scream out for the client's parent. What should the nurse aide do NEXT? Correct Answer: Talk to the client in a calm voice about familiar things Which of the following actions would be BEST for the nurse aide to take to show respect to the spiritual needs of a client? Correct Answer: Assisting the client to read the client's religious materials 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: Correct Answer: ask the client about the client's favorite memories of the client's child. When providing care for a client receiving oxygen therapy, the nurse aide SHOULD: Correct Answer: check ears for pressure points. A client falls and suffers a deep cut on the forehead. What should the nurse aide do NEXT? Correct Answer: Stay with the client and call for help 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? Correct Answer: Introduce the client to other clients and staff members The nurse aide is asked by a client who is confused "what day it is?" The nurse aide SHOULD: Correct Answer: point to the date on a calendar and say the date Which of the following is MOST important for the prevention of skin breakdown in the client? Correct Answer: Repositioning the client every 2 hours When caring for a client who is dying, the nurse aide SHOULD: Correct Answer: pay special attention to fluid intake and mouth care To BEST communicate with a client who has total hearing loss, the nurse aide should: Correct Answer: write out the information 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: Correct Answer: 450 mL 1. If a client expresses anger during care, which of the following would be an APPROPRIATE response for the nurse aide to make? (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 Answer: (D) "You seem upset. Would you like to talk about it?" 2. 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: (A) 360 mL. (B) 450 mL. (C) 480 mL. (D) 520 mL. Correct Answer: (B) 450 mL. 3. When a nurse gives the nurse aide confidential information about a client, the nurse aide SHOULD: (A) share it with other clients. (B) keep the information private. (C) discuss it with other staff members in the break room. (D) discuss it with the client's family. Correct Answer: (B) keep the information private. 4. The nurse aide SHOULD place the client's soiled bedsheets: (A) on the bedside table. (B) on the floor of the soiled utility room. (C) in a biohazard bag. (D) in the soiled linen container. Correct Answer: (D) in the soiled linen container. 5. What is the MOST important reason for using a mechanical lift to transfer clients? (A) It takes fewer staff to transfer someone (B) It is the safest method for clients and staff (C) It is faster than other methods (D) It is the method that clients like best Correct Answer: (B) It is the safest method for clients and staff 6. When preparing to take a meal tray into the client's room, what is the MOST important action for the nurse to take? (A) Check that the client's name is displayed on the tray card (B) Make sure the client's favorite foods are present (C) Determine if enough fluids have been ordered (D) Keep all foods covered until eaten Correct Answer: (A) Check that the client's name is displayed on the tray card 7. The nurse aide SHOULD use proper body mechanics in order to: (A) keep the nurse aide's weight down. (B) protect the nurse aide from injury. (C) keep facility equipment in working order. (D) make a good impression. Correct Answer: (B) protect the nurse aide from injury. 8. When making an occupied bed the nurse aide SHOULD: (A) leave the bed in the lowest position. (B) make the toe pleat. (C) leave the bottom sheet untucked. (D) place soiled linens on the floor. Correct Answer: (B) make the toe pleat. 9. Frequent turning and repositioning of the client help prevent: (A) cyanosis. (B) indigestion. (C) coronary disease. (D) pressure ulcers. Correct Answer: (D) pressure ulcers. 10. Pillows should be used for a client placed in a side-lying position to: (A) promote sleep. (B) decrease pain. (C) prevent skin breakdown. (D) decrease edema. Correct Answer: (C) prevent skin breakdown. 11. 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 Answer: (D) Repositioning the client every 2 hours 12. When applying elastic stockings to the client, it would be BEST for the nurse aide to position the client: (A) lying down in bed. (B) dangling the legs from the edge of the bed. (C) standing at the side of the bed. (D) sitting in a wheelchair. Correct Answer: (A) lying down in bed. 13. The nurse aide is assisting a client to the bathroom. After the client uses the toilet, the nurse aide notices red streaks in the client's stool. The nurse aide SHOULD: (A) avoid flushing the toilet and report the finding to the nurse. (B) ask the Dietary department to change the client's diet. (C) tell the client to report the finding to the primary health care provider. (D) understand that this is an expected finding in the older adult client. Correct Answer: (A) avoid flushing the toilet and report the finding to the nurse. 14. In order to move a client up in bed, the nurse aide SHOULD: (A) raise the head of the bed. (B) get assistance from a coworker. (C) place the bed in the lowest position possible. (D) wait until the end-of-shift report. Correct Answer: (B) get assistance from a coworker. 15. When ambulating the client, the nurse aide SHOULD: (A) ask the nurse for help. (B) be sure the client is wearing non-skid footwear. (C) ask a family member for assistance. (D) walk in front of the client and show the client the way. Correct Answer: (B) be sure the client is wearing non-skid footwear. 16. The nurse aide MUST wear gloves when: (A) Pink nailbeds (B) Rectal temperature, 99.6° F (37.5° C) (C) Radial pulse, 110 (D) Clear, yellow urine Correct Answer: (C) Radial pulse, 110 26. 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 Answer: (B) biohazard container. 27. The nurse aide should understand that the signaling device MUST be: (A) answered after the nurse aide has made care rounds. (B) placed on the bedside table at the foot of the bed. (C) placed within the client's reach. (D) deactivated for clients with dementia. Correct Answer: (C) placed within the client's reach. 28. 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 Answer: (D) discard the first voided urine. 29. When caring for a client who has a hearing loss, the nurse aide SHOULD: (A) speak very loudly and use gestures as much as possible. (B) let the client use the roommate's hearing aid. (C) use only written communication with the client. (D) face the client when speaking to the client. Correct Answer: (D) face the client when speaking to the client. 30. A nurse aide is assisting a client with mouth care. Which of the following actions SHOULD the nurse aide take? (A) Avoid brushing the tongue with the toothbrush (B) Brush the outer surface of the teeth by using a side-to-side motion (C) Floss between the teeth moving the floss up and down (D) Floss the teeth before brushing the teeth Correct Answer: (C) Floss between the teeth moving the floss up and down 31. A nurse aide who wants to demonstrate effective listening skills SHOULD: (A) plan what to say next while the client is talking. (B) show no emotion when listening to the client. (C) finish the client's sentences for the client. (D) give complete attention to the client while the client is talking. Correct Answer: (D) give complete attention to the client while the client is talking. 32. When a client has memory loss or confusion, the nurse aide SHOULD: (A) laugh at the client's confused statements. (B) speak loudly to the client. (C) ignore the client. (D) give the client simple step-by-step instructions. Correct Answer: (D) give the client simple step-by-step instructions. 33. Which of the following activities is within the role of the nurse aide? (A) Observing clients for changes in condition (B) Deciding the staging of a pressure ulcer (C) Suggesting new special diets to clients (D) Giving clients spiritual advice Correct Answer: (A) Observing clients for changes in condition 34. The Heimlich maneuver (abdominal thrust) is used when the client is: (A) having a seizure. (B) choking. (C) coughing. (D) having difficulty swallowing. Correct Answer: (B) choking. 35. A new client expressed to the nurse aide, "I would love to go to my religious services weekly." What SHOULD the nurse aide do? (A) Report the client's statement to the nurse (B) Tell the client's family of the client's wishes (C) Share this information with another nurse aide to coordinate when to take the client (D) Not share this information because the client's personal wishes should be kept private Correct Answer: (A) Report the client's statement to the nurse 36. After cleaning the client's denture, the nurse aide SHOULD store the client's dentures: (A) in a labeled container. (B) wrapped in a paper towel. (C) at the nurses' station. (D) in the utility room. Correct Answer: (A) in a labeled container. 37. The nurse aide SHOULD understand that a back massage: (A) causes muscle spasms. (B) increases blood pressure. (C) promotes circulation. (D) increases the heart rate. Correct Answer: (C) promotes circulation. 38. A client who is confused refuses to change from sleepwear to other clothes. The nurse aide SHOULD: (A) respect the client's refusal and ask the client again later. (B) insist that the client change clothes. (C) get another nurse aide to help change the client's clothes. (D) inform the client that the client cannot leave the room without changing clothes. Correct Answer: (A) respect the client's refusal and ask the client again later. 39. While the nurse aide is helping a client to shower, the client falls to the floor. What should the nurse aide do IMMEDIATELY? (A) Report the fall to the nurse (B) Insist that the client take a bath instead of a shower (C) Discuss the fall with the client's family member (D) Inform the client that the client should (C) restrain the client until the primary health care provider examines the client. (D) protect the client and others from physical harm Correct Answer: (D) protect the client and others from physical harm 49. When working with a client with Alzheimer's disease, it is IMPORTANT that the nurse aide: (A) speak very loudly. (B) approach the client from behind. (C) correct the client every time the client forgets a word. (D) provide a regular routine for the client. Correct Answer: (D) provide a regular routine for the client. 50. How can the nurse aide BEST help the client to maintain independence? (A) Allow the client to do as many activities of daily living as possible without assistance (B) Request that the client's family provide assistance to the client when performing activities of daily living (C) Do as many activities of daily living for the client as possible (D) Remind the client to quickly complete activities of daily living Correct Answer: (A) Allow the client to do as many activities of daily living as possible without assistance 51. The nurse aide is taking a client's vital signs. What SHOULD the nurse aide do if a client's pulse oximetry reading is 95%? (A) Provide oxygen to the client (B) Record the finding in the client's chart (C) Move the pulse oximetry sensor to another location (D) Report the finding to the nurse immediately Correct Answer: (B) Record the finding in the client's chart 52. Which of the following documents would inform the nurse aide of the client's needs? (A) Policy manual (B) Procedure manual (C) Care plan (D) Resident's Bill of Rights Correct Answer: (C) Care plan 53. To orient a new client to the facility, it would be BEST for the nurse aide to: (A) inform the client that it is mandatory to participate in activities. (B) encourage the client to make friends with at least two other clients. (C) introduce the client to other clients and staff members. (D) restrict visits from the client's family during the first month. Correct Answer: (C) introduce the client to other clients and staff members. 54. The nurse aide has been instructed to place the client in a supine position. The nurse aide SHOULD position the client on the client's: (A) abdomen (B) left side (C) back (D) right side Correct Answer: (C) back 55. 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 bed (C) Take the client into the bathroom to wash out the cut (D) Stay with the client and call for help Correct Answer: (D) Stay with the client and call for help 56. The family members of a client with diabetes mellitus brought the client cookies as a bedtime snack. The nurse aide SHOULD: (A) let the client eat the cookies. (B) convince the client to drink a diet soda instead. (C) inform the nurse of the cookies. (D) substitute fruit for the cookies. Correct Answer: (C) inform the nurse of the cookies. 57. After turning and repositioning the client, the nurse aide SHOULD make sure that: (A) all side rails are up. (B) the signaling device is placed within reach. (C) all pillows have been removed. (D) the bed is placed in the highest position. Correct Answer: (B) the signaling device is placed within reach. 58. The BEST approach for assisting a client who is vision impaired to ambulate in an unfamiliar area is to: (A) guide the client by holding the client's arm. (B) offer an arm to the client. (C) walk in front of the client. (D) walk behind the client. Correct Answer: (B) offer an arm to the client. 59. When giving a client a bed bath, it is IMPORTANT for the nurse aide to: (A) cleanse the eyes by wiping from the inner to the outer corners of the eyes. (B) ensure that the water temperature is 140° F (60° C). (C) uncover the whole body so that the linens do not get wet. (D) wash and dry the skin vigorously. Correct Answer: (A) cleanse the eyes by wiping from the inner to the outer corners of the eyes. 60. 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 client's room bulletin board. (C) in the client's care plan. (D) with the client's family Correct Answer: (C) in the client's care plan. 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? Correct Answer: Unplug the shaver A client is paralyzed on the right side. The nurse aide should place the signaling device: Correct Answer: on the left side of the bed near the client's hand. To lift an object using good body mechanics, the nurse aide SHOULD: Correct Answer: bend knees and keep back straight. The nursing care plan states, "Transfer with mechanical lift." However, the client is very agitated. To transfer the client, the nurse aide SHOULD: Correct Answer: get assistance to move the client. While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD: Correct Answer: call for assistance and perform the Heimlich maneuver (abdominal thrust). A client with Alzheimer's disease wanders from room to room moving the belongings of other clients to different locations. Alert and oriented clients are angry that their things have been moved. The nurse aide SHOULD: Correct Answer: find the missing articles and return them. Which of the following is a restraint alternative? Correct Answer: Pain management Nurse aides can provide a client with a sense of security by: Correct Answer: explaining all routines and procedures. When caring for a client who uses a protective device (restraint), the nurse aide SHOULD: Correct Answer: check the client's body alignment. What should the nurse aide do FIRST when changing an ostomy bag? Correct Answer: Explain procedure to client When giving a back rub the nurse aide SHOULD: Correct Answer: use circular motion over bony areas. What is the FIRST thing a nurse aide should do when finding an unresponsive client? Correct Answer: Call for help When operating a manual bed, the nurse aide should remember to: Correct Answer: fold cranks under bed. In what position should the nurse aide place the unconscious person when giving oral care? Correct Answer: Lateral The nurse aide should place soiled linen: Correct Answer: in the dirty linen container. The BEST razor to use when shaving a diabetic client is: Correct Answer: an electric razor. What should the nurse aide do to communicate with a client that only speaks and understands a foreign language? Correct Answer: Use an interpretation guide When transferring a client to a different unit, the most important information the nurse aide needs from the nurse is the: Correct Answer: name and room number. What is the main purpose of continuing education for the nurse aide? Correct Answer: Client safety Incident reports are written in order to: Correct Answer: determine patterns and trends. A button hook and a sock assist are all part of what kind of nursing care? Correct Answer: Restorative and rehabilitation When ambulating an unsteady client, it is best for the nurse aide to use a: Correct Answer: gait belt. The client's Bill of Rights includes: Correct Answer: freedom of choice. Which of the following statements might strongly support that a client is considering suicide? Correct Answer: "I might as well be dead." The nurse aide is caring for client who answers every question by nodding and saying "yes." How will the nurse aide respond to this behavior? Correct Answer: Inform the nurse of the client's behavior The nurse aide gave a client the wrong diet. What will the nurse aide do after realizing this error? Correct Answer: Report the error immediately to the nurse After assisting with evening care, the nurse aide notices the client has bilateral hearing aids. The nurse aide understands that if a hearing aid is not in use, it should: Correct Answer: have the battery removed. A family member asks the nurse aide what medication the client is receiving. The nurse aide should: Correct Answer: refer the family member to the nurse. The nurse aide is caring for a client whose religious beliefs do not allow the client to eat certain foods. The nurse aide should report this information to the: Correct Answer: charge nurse. The female perineum should be cleansed: Correct Answer: from front to back Right before dinner a patient is incontinent of urine. The nurse aide should: Correct Answer: clean the client and take to dinner as soon as possible The BEST razor to use when shaving a diabetic client is: Correct Answer: an electric razor While an unsteady resident is showering you should: Correct Answer: have the client use a shower chair Before helping a client into a bath or shower, the nurse aide should first: Correct Answer: check the temperature of the water You have been assigned to administer a S.S.E. to Mr. Taylor. It has been several months since you have performed this procedure. To refresh your memory, you should refer to the: Correct Answer: policy and procedure manual Water for the residents bath should be: Correct Answer: 100 degrees F While dressing a post CVA resident with one-sided weakness, which arm should be put through the sleeve first? Correct Answer: weak arm An aide is pushing a resident down the hall with a wheelchair when a call light lights up. The aide should: Correct Answer: push the patient to a safe place, apply the wheel locks, and answer the call light ADL is an acronym for: Correct Answer: activities of daily living The last sense a dying patient will lose is: Correct Answer: hearing You are giving mouth care to an unconscious resident. You must be especially careful to prevent the resident from: Correct Answer: aspirating any fluid When assisting a blind resident to walk it is important to: Correct Answer: allow the resident to hold your arm A sitz bath is helpful: Correct Answer: after rectal surgery When giving a back rub the nurse aide should: Correct Answer: use continuous circular motions Which of the following will not assist bowel elimination? Correct Answer: increasing dairy and sugar intake When assisting a resident with a weak left side from a wheelchair, the nurse aide should report the clients: Correct Answer: weak side You are assigned to give Mr. Brown a partial bath. You know that this means to wash: Correct Answer: face, hands, underarms, back, and perineum Which of the following will not put strain on the back when lifting a heavy object? Correct Answer: lifting with legs When you are giving hair care you should particularly observe for the following: Correct Answer: lice ans nits To prevent dehydration of the client, the nurse aide should: Correct Answer: offer fluids frequently while the client is awake In what position should the nurse aide place the unconscious person when giving oral care? Correct Answer: lateral A residents dentures should be stored in: Correct Answer: a labeled cup with cold water How should the nurse aide positopn Correct Answer: a. hospital b. rehab center a. Gather supplies and assist the nurse with the bed change b. Tell the nurse you cannot help as you are going on lunch * c. Delay your lunch if needed to assist the nurse as possible d. Request the CNA covering your lunch to assist the nurse Correct Answer: It is nearly time for your lunch break. A nurse is requesting assistance with an incontinence bed change. Which of the following is not a proper response? a. 10 am b. 10 am and 2 pm c. 10 am, 2 pm and 6 pm d. 10 am, 2 pm, 6 pm and 10 pm * Correct Answer: You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states, "ambulate at least 10 yards qid". This patient will be assisted with ambulation at which of the following times? a. not do this errand because CNAs do not do "stats". b. run this errand as soon as you can. c. run this errand immediately and without delay. * d. Before the end of your shift or after your lunch. Correct Answer: The RN asks you to bring the unit's collected lab specimens to the lab "stat". You should . a. V. Signs QID b. VS q4 hrs * c. Vital signs QOD d. Vitals QD x 4 Correct Answer: Hospital policy states that patients on the medical floor should have vital signs taken every 4 hours. Which of the following is an appropriate abbreviation for this order? a. Activities of Daily Living * b. Advantages of Disability and Life Insurance c. Assessment of Depth and Length d. All Day Long Correct Answer: What does the medical abbreviation ADL stand for? a. A patient with an amputation below the knee * b. A patient with tubes coming out of both kidneys c. A blood sugar of 600 once you take a finger stick glucose d. A patient with swollen legs from heart failure Correct Answer: You are caring for a patient with a BKA. What do you expect to see when entering the patient's room related to this abbreviation when working with the patient? a. sight, hearing, taste, smell and common sense. b. hearing, taste, smell, common sense and auditory. c. sight, taste, smell, auditory and visual. d. hearing, smell, taste, sight and touch. * Correct Answer: Which of the following lists the five senses? a. Sight, hearing and touch * b. Sight and hearing only c. Sight and common sense only d. Taste and hearing only Correct Answer: What senses do nursing assistants use to observe patients and residents? a. Report this finding to the nurse. * b. Place barrier cream over the sore. c. Ask the patient how they got the sore. d. Do nothing. Correct Answer: A CNA is caring for an immobile patient and notices a new open sore to the patient's sacrum. What should the CNA do? a. Perform the Heimlich maneuver * b. Start chest compressions c. Slap the residents back d. Call for help and wait Correct Answer: A CNA is working in the resident dining hall and notices a resident grabbing at her throat without making any noise. What should the CNA's response be? a. Call Child Protective Services b. Ask the child what happened c. Confront the parents d. Report the finding to the charge nurse per hospital protocol * Correct Answer: A CNA is bathing a child on a Pediatric hospital unit. She notices the child has bruising to his arms and legs. What should be the CNA's first response be? a. Old age * b. Middle years c. Pneumonia d. COPD Correct Answer: Which risk factor places patients and residents at the greatest risk for falls? a. Blindness * b. Confusion c. Weakness d. Aging e. A and c only Correct Answer: Which sensory impairment places residents and patients at risk for falls? a. Unlock the door and allow the resident to exit the building b.Take hold of the resident's elbow and direct them toward the room c. Attempt to verbally reorient or redirect the resident back to their room * d. Assist the resident to their room and apply restraints to prevent her from leaving Correct Answer: You are caring for a resident in an Alzheimer's unit in a nursing home. The resident is repeatedly pushing on the locked door trying to exit the building. Which of the following would be your first response? a. Tell the residents they must stop arguing b. Notify the nurse or resident care manager * c. Change the room for one resident d. Pull the curtain between the two residents Correct Answer: You are working in a dual occupancy room in a long-term care facility when the residents start arguing back and forth from their beds. What is the best response? a. Address their concerns in a slow and calm manner * b. Shout at them to snap out of it c. Close the door to their room d. Physically assist the patient back into a supine position in bed Correct Answer: Which of the following is most likely to de-escalate a disoriented patient who is starting to become verbally abusive? a. Safely pick up the syringe and place in the sharps container, then report it to the nurse. * b. Ignore the syringe, the cleaning staff will find it and dispose of it. c. Safely pick up the syringe and place it in the trash can. d. Leave the syringe in place and report it to the nurse. Correct Answer: A CNA notices an uncapped syringe lying on the floor in the patient's room. What is the CNA's response? a. evacuate the patients laterally. b. evacuate the patients vertically. c. close the patient doors. * d. open the patient doors. Correct Answer: The fire alarms in your nursing home begin ringing. Nobody on your unit is in immediate danger. You must now . a. Extinguish the fire if you can do so safely and without harm. * b. Run away from the fire. c. Cover the fire with a blanket. d. Open the windows and exit the floor. Correct Answer: A small contained fire breaks out in a small trash can near the lobby of the nursing home. No visitors or residents are in immediate danger. You have pulled the alarm, what should you do next? a. Google Search b. Ask another CNA c. The Facility's Policy and Procedures Manual * d. Human Resources Handbook Correct Answer: Which of the following locations would provide you with the most up-to-date information on how to respond to a disaster within your facility? a. Move patients as far away from windows as possible. * b. Assist ambulatory patients to exit the building. c. Do nothing, the building is secure. b. Applying skin barrier cream to high pressure areas c. Changing incontinence pads as soon as they are soiled d. Applying contracture boots in an immobile patient. * Correct Answer: All of the following are preventive measures to avoid pressure ulcers in the elderly, except: a. On the patient's weak side b. At the foot of the bed c. At the head of the bed d. On the patient's strong side* Correct Answer: Where should the wheelchair be placed when transferring a stroke patient from their bed to the chair? a. Fall Mats b. Bed Alarm c. Non-skid Socks d. Restraints * Correct Answer: Which of the following would not be considered a fall risk intervention? a. The CNAs stand on either side of the bed to help turn the patient b. One CNA holds the patient while the other cleans the peri-area c. The CNAs discuss another patient's care while caring for this patient. * d. The CNAs boost the patient up in bed using the draw sheet Correct Answer: Two CNAs are caring for a total care elderly patient with dementia. Which of the following scenarios is incorrect? a. nervous and anxious b. having a panic attack c. having a heart attack * d. calling out for emotional attention Correct Answer: Your patient is saying that they have chest pain and "a pounding heart". You touch the person's arm and you feel moisture. The patient is sweating and your also see that the person's lips are blue. These signs and symptoms indicate that the person is most likely . a. Diabetes b. Dementia c. Congestive heart failure * d. Continguous heart disease Correct Answer: You are caring for Thomas N. Thomas is 77 years old. He has edema, or swelling, in his legs and he has a fluid restriction in terms of his fluid intake. You have been assigned to weigh him daily. Based on these symptoms and the care that he is being given, what disorder is he most likely affected with? *a.Take the patient's blood sugar b.Take the patient's vital signs c. Call a Rapid Response or Code d. Answer the call light of a patient who is requesting a walk Correct Answer: You are caring for a diabetic patient who reports dizziness and is shaky and sweaty. The patient is alert and oriented. The patient's vital signs were normal one hour ago. After reporting your findings to the nurse, what do you expect the nurse to ask you to do? a. Wipe from front to back. * b. Stand up slowly to prevent dizziness. c. Make sure to press the call light when you are done. d. Put one hand on the walker and one hand on the seat to press yourself us. Correct Answer: You are assisting an elderly female patient to the bathroom. Which of the following would be important to emphasize to the patient to prevent Urinary Tract Infections? a.Alzheimer's b. Heart Failure c. Parkinson's Disease * d. Stroke Correct Answer: You notice a patient is walking with a shuffling gait with a walker and has jerky movements of the arms and legs. The patient has some difficulty speaking but is alert and oriented. What do you suspect is causing this patient's symptoms? a. Coronary Artery Disease b. COPD * c. UTI d. Constipation Correct Answer: A patient is complaining of shortness of breath and requesting his breathing treatment. You notice the patient is wearing a nasal cannula with oxygen flowing at 2 L/min. What disease do you suspect this patient suffers from? *a. Anticipatory grief b. Complicated grief c. Unresolved grief d. Inhibited grief Correct Answer: Which is considered a "normal" or "healthy" type of grief? a. Gently explain the policy to the family and then implement it. b. Notify the nurse about this cultural concern. * c. Call the deceased patient's primary care provider for advice. d. Move the deceased patient to an empty room and stay with the body yourself. Correct Answer: The Grant family has just lost a loved one. A family member informs you that their culture does not permit a dead person to be left alone before burial. Hospital policy states that all bodies are to be stored in the hospital morgue. How would you best handle this situation? a. Start chest compressions b. Call 911 c. Shout at the patient to wake up d. Notify the nurse * Correct Answer: A CNA is caring for a patient on hospice care. She notices the patient's lips, hands and feet are blue and mottled. There is no rise and fall of the patient's chest. What should the CNA's next action be? a. Taking vital signs as requested for the family b. Providing repositioning and perineal care for the patient c. Providing emotional support for the family d. Determining time of death for the family* Correct Answer: Which of the following hospice tasks should not be performed by a CNA? The nurse aide is using an electric shaver to shave a client when it begins to spark and smoke. Which of the following actions SHOULD the NA take? a. call the nurse in charge b. finish shaving the client as quickly as possible c. use the roommate's shaver to finish shaving the client d. unplug the shaver Correct Answer: d The NA is assisting a client with eating. The client begins to choke and turn blue. The NA SHOULD: a. immediately remove the client's food tray and go find the nurse in charge. b. slap the client on the back until the food dislodges c. call for assistance and perform the Heimlich maneuver (abdominal thrust) d. give the client a drink of water. Correct Answer: c The NA is preparing to help a client walk from the bed to a chair. Which of the following SHOULD the NA put on the client's feet? (A) Socks or stockings only (B) Cloth-soled slippers (C) Rubber-soled slippers or shoes (D) Nothing Correct Answer: c Which of the following is a restraint alternative? (A) Lap buddy/tray (B) A sedative (C) Pain management (D) A hand mitt Correct Answer: c The nurse aide is caring for a client with Alzheimer's disease who wanders from room to room moving the belongings of other clients to different locations. The other clients, who are alert and oriented, are angry that their things have been moved. The nurse aide SHOULD: (A) return the client to the client's room and close the door. (B) find the missing articles and return them. (C) walk with the client to keep from wandering. (D) assure the other clients that the client with Alzheimer's disease will not harm them. Correct Answer: b The nurse aide is caring for a client with 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. Correct Answer: c