Nurse Aide Practice Questions for State Exam, Exams of Nursing

Download Nurse Aide Practice Questions for State Exam and more Exams Nursing in PDF only on Docsity! Practice Questions CNA State Exam When assisting a client in learning how to use a cane, the nurse aide stands a. approximately two feet directly behind the client. b. about one foot from the client's weak side. c. about one foot from the client's strong side. d. slightly behind the client on the client's weak side. -/nd. slightly behind the client on the client's weak side. When working with a client who has urinary retention, the nurse aide can expect that the client will a. urinate large volumes. b. be unable to urinate. c. urinate frequently. d. be incontinent of urine. -/nb. be unable to urinate. Aging-related hearing changes result in older clients gradually losing their ability to hear a. high-pitched sounds. b. low-pitched sounds. c. slow sounds. d. rapid sounds. -/na. high-pitched sounds. The best way to safely identify your patient is by a. asking his name. b. calling his name and waiting for his response. c. checking the bed plate. d. checking the name tag. -/nd. checking the name tag. A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should a. report it to the charge nurse. b. give the client an enema. c. offer the client prune juice. d. encourage the client to drink more fluids. -/na. report it to the charge nurse. The proper medical abbreviation for before meals is a. p.c. b. b.i.d. c. a.c. d. t.i.d. -/nc. a.c. A client diagnosed with hypertension will most likely have a history of a. low blood pressure. b. high blood pressure. c. low blood sugar. d. high blood sugar. -/nb. high blood pressure. A patient who has difficulty chewing or swallowing will need what type of diet? a. clear liquid b. low residue c. bland d. mechanical soft -/nd. mechanical soft An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent? a. Tell her to stay in the room. b. Have her roommate secretly watch her. c. Place a familiar object on the client's door. d. Write the room number on a piece of paper. -/nc. Place a familiar object on the client's door. How often should a patient's intake and output records be totaled? a. once each shift b. twice a day c. every four hours d. every 12 hours -/na. once each shift Which of the following should the nursing assistant observe and record when admitting a client? a. freckles b. wrinkles c. short nails d. bruises -/nd. bruises When responding to a client on the intercom, the nursing assistant should say a. "Hello, who is calling, please?" b. "What is it that you want?" b. inspect the client's skin. c. assess the client's intake and output. d. make sure the client knows how to use the call bell. -/nd. make sure the client knows how to use the call bell. When lifting a heavy object, the correct method would be to bend at the a. waist, keeping your legs straight. b. waist, rounding your shoulders. c. knees, keeping your back straight. d. knees and waist. -/nc. knees, keeping your back straight. When should nurse aides wash their hands? a. after eating b. before using the bathroom c. after client care d. before cleaning a bedpan -/nc. after client care When assisting a client with eating, one of the first things the nurse aide should do is a. cut the food into bite-size pieces. b. wash his own hands and the client's hands. c. butter the client's bread. d. provide the client with privacy. -/nb. wash his own hands and the client's hands. A patient has a new cast on her right arm. While caring for her, it is important to first observe for a. pulse above the cast. b. color and hardness of the cast. c. warmth and color of fingers. d. signs of crumbling at the cast end. -/nc. warmth and color of fingers. Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is a. done only when time permits. b. the family's responsibility. c. necessary for rehabilitation. d. a violation of client rights. -/nc. necessary for rehabilitation. In caring for a confused elderly man, it is important to remember to a. keep the bedrails up except when you are at the bedside. b. close the door to the room so that he does not disturb other patients. c: keep the room dark and quiet at all times to keep the patient from becoming upset, d. remind him each morning to shower and shave independently. -/na. keep the bedrails up except when you are at the bedside. Before assisting a client into a wheelchair, the first action would be to check if the a. client is adequately covered. b. floor is slippery. c. door to the room is closed. d. wheels of the chair are locked. -/nd. wheels of the chair are locked. A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand a. on the right side. b. in front of the client. c. on the left side. d. behind the client. -/nc. on the left side. While making rounds at 5:30 A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first? a. Call 911. b. Perform CPR. c. Call for help. d. Assess the client's pulse and respirations. -/nd. Assess the client's pulse and respirations. When moving a wheelchair onto an elevator, the nurse aide should stay a. behind the chair and pull it toward the aide. b. behind the chair and push it away from the aide. c. in front of the client to observe the client's condition. d. at the side of the wheelchair while opening the door. -/na. behind the chair and pull it toward the aide. The Foley bag must be kept lower than the client's bladder so that a. urine will not leak out, soiling the bed. b. urine will not return to the bladder, causing infection. c. the bag will be hidden and the client will not be embarrassed. d. the client will be more comfortable in bed. -/nb. urine will not return to the bladder, causing infection. As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first a. substitute diet soda for the ice cream. b. hold the afternoon snack and report to the charge nurse. c. call the kitchen and report the error. d. allow the client to have half of the ice cream. -/nb. hold the afternoon snack and report to the charge nurse. When assisting a client who is using the commode, it is important to a. leave the call light within reach. b. lock the door to promote privacy. c. stand next to the client until the client is finished. d. restrain the client to prevent a fall. -/na. leave the call light within reach. Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT a. positioning the patient every four hours. b. using mechanical aids. c. giving backrubs. d. performing active or passive ROM exercises.card -/na. positioning the patient every four hours. The purpose of cold applications is usually to a. speed the flow of blood to the area. b. prevent heat exhaustion. c. prevent or reduce swelling. d. prevent the formation of scar tissue. -/nc. prevent or reduce swelling. The hot water bottle is an example of a a. local dry heat application. b. generalized dry heat application. c. local moist heat application. a. Tell her to stop crying. b. Ignore her and continue with her carq. c. Tell her jokes to make her laugh. d. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk. -/nd. Tell her that it's all right to cry, and that the aide is there for her if she wants to talk. When providing denture care, the nurse aide must a. wash them in boiling water. b. hold them under warm running water. c. dunk them in and out of cool water. d. place them on a towel in the sink with cool water. -/nd. place them on a towel in the sink with cool water. Sexuality in long-term-care clients may include all of the following EXCEPT a. needing private time with a partner. b. caring about one's physical appearance. c. engaging in public fondling. d. desiring sexual interaction -/nc. engaging in public fondling. A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client's a. face, neck, ears, arms, and hands. b. face, axillae, hands, and buttocks. c. face, hands, axillae, and legs. d. face, hands, axillae, genitals, and buttocks. -/nd. face, hands, axillae, genitals, and buttocks. An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to a. turn on the light. b. speak quietly and calmly. c. touch her shoulder. d. shout her name. -/nb. speak quietly and calmly. If a client objects to certain food for religious or cultural reasons, the appropriate action would be to a. tell him to wait for the next meal. b. offer to substitute something different for him. c. call the dietician the next day. d. tell him he needs to eat what is on his tray. -/nb. offer to substitute something different for him. The client's religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is to a. encourage the client to eat it because she needs protein. b. tell the client it is all right since her doctor ordered the diet. c. call the kitchen for a tray without bacon. d. tell the client that restrictions are not as important as her health. -/nc. call the kitchen for a tray without bacon. Which type of communication can often be most powerful? a. written b. verbal c. silent d. tactile -/nc. silent A client refuses to allow the nurse aide to bathe her. The nurse aide tells the client that she will not be allowed to eat lunch or go to bingo if she does not have her bath. This is an example of a. rehabilitation. b. discipline. c. verbal abuse. d. physical abuse. -/nc. verbal abuse. On entering a room, an aide notices that the client is not breathing. The aide's first action should be to a. call for help. b. lay the client down on his back. c. give four quick breaths. d. give 8-10 abdominal thrusts. -/na. call for help. A client's dentures are lost. The first action should be to a. notify the administrator. b. look for them. c. notify the doctor. d. notify the charge nurse. -/nd. notify the charge nurse. Nursing assistants are responsible for a. planning client care. b. doing tasks assigned by the charge nurse. c. performing without ever asking for help. d. comparing assignments with coworkers. -/nb. doing tasks assigned by the charge nurse. A patient turns on the call light when he needs to urinate. The appropriate action is to a. ignore the light, since he is not the aide's own client. b. announce on the intercom that there are two patients ahead of him. c. answer the call light and get the urinal. d. answer the call light when the aide has the time. -/nc. answer the call light and get the urinal. A client is on CMR and in the prone position. The nurse aide finds the client vomiting bright red blood. The nurse aide should first a. clean up the vomit. b. place the client in the side-lying position. c. provide the client with an emesis basin. d. call the charge nurse. -/nb. place the client in the side-lying position. When performing catheter care, the nurse aide should wash the catheter a. toward the meatus. b. with Betadine soap. c. away from the meatus. d. with alcohol. -/nc. away from the meatus. A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of a. slander. b battery. c. false imprisonment. d. negligence. -/nc. false imprisonment. H.S. care is care that is given a. before meals. b. before bedtime. c. after meals. d. upon awakening. -/nb. before bedtime. hard." -/n(A) Call for help to get the resident back into bed and put the restraint back on. A resident does not want to wear her dentures. She says she has a sore in her mouth. The nurse aide should (A) tell her to leave her dentures out for a few days. (B) have the resident rinse her mouth with salt water. (C) tell her that she will feel better if she wears the dentures. (D) leave the dentures out and ask the nurse to check the resident's mouth. -/n(D) leave the dentures out and ask the nurse to check the resident's mouth. After a resident has died, the nurse aide is often assigned to do which of the following? (A) Prepare the resident's body. (B) Call the resident's family. (C) Call the resident's doctor. (D) Call the undertaker. -/n(A) Prepare the resident's body. A resident complains that he cannot fall asleep. What can the nurse aide do first to help him relax? (A) Move him to the day room. (B) Give the resident a back rub. (C) Give the resident a sleeping pill. (D) Report the resident's complaint to the charge nurse. -/n(B) Give the resident a back rub. A resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the nurse aide do to each joint? (A) Stretch it until it hurts. (B) Rotate it in both directions until it hurts. (C) Bend it to a 90-degree angle while supporting the limb. (D) Move it to its fullest range or until the resident feels discomfort. -/n(D) Move it to its fullest range or until the resident feels discomfort. A sign on the resident's door says NPO. What does this sign tell the nurse aide about the resident? (A) The resident is receiving AM care. (B) The resident is receiving oxygen therapy. (C) The resident is not to be given any solid food. (D) The resident is not to be given anything by mouth. -/n(D) The resident is not to be given anything by mouth. A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the nurse aide do first? (A) Stay with the resident until he is finished smoking. (B) Tell the resident that he must be more careful. (C) Check on the resident every few minutes. (D) Go and report it to the charge nurse. -/n(A) Stay with the resident until he is finished smoking. A nurse aide is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the nurse aide do? (A) Scold the resident for talking that way. (B) Ask the resident why she feels this way. (C) Tell the resident, "That isn't true." (D) Ignore the resident's behavior. -/n(B) Ask the resident why she feels this way. A resident is able to dress himself, but he is very slow. What should the nurse aide do to assist this resident to get to breakfast on time? (A) Dress the resident. (B) Tell the resident to hurry. (C) Start the resident dressing earlier. (D) Warn the resident he is going to miss breakfast. -/n(C) Start the resident dressing earlier. A nurse aide is caring for a resident on bedrest. The resident is not able to turn herself. What is the longest time that the nurse aide is allowed to leave the resident in one position? (A) 1 hour (B) 2 hours (C) 3 hours (D) 4 hours -/n(B) 2 hours A resident's care plan calls for the resident to ambulate 50 feet twice a day. The resident tells the nurse aide that she is unable to do it now. What should the nurse aide do? (A) Ask the resident to be more helpful. (B) Ask the charge nurse to change the care plan. (C) Tell the resident that she can skip her walk today. (D) Allow the resident to choose a better time to ambulate. -/n(D) Allow the resident to choose a better time to ambulate. A nurse aide notices that a resident has very dry skin on the feet. How should the nurse aide care for the resident's feet? (A) Raise them on a pillow. (B) Wash and dry them only. (C) Keep socks on them at all times. (D) Apply lotion after washing and drying the feet. -/n(D) Apply lotion after washing and drying the feet. An elderly resident is normally alert, but today she is slightly confused. What should the nurse aide do? (A) Say, "It is not like you to act like this." (B) Report the confusion to the charge nurse. (C) Not worry because all old people get confused sometimes. (D) Ignore the confusion because the resident may only be trying to get extra attention. -/n(B) Report the confusion to the charge nurse. A nurse aide has found a fire in a resident's waste can. What should the nurse aide do first? (A) Pull the fire alarm. (B) Pour water on the fire. (C) Move residents out of immediate danger. (D) Use the fire extinguisher to put out the fire. -/n(C) Move residents out of immediate danger. What is the first thing a nurse aide should do after receiving the resident assignments for the shift? (A) Start giving care to the first resident on the ambulate. -/n(D) Help the resident become familiar with the location of the furniture in the room.. ambulate. A nurse aide finds clean linen lying on the floor near the linen cart. What should the nurse aide do? (A) Discard the linen in the soiled linen hamper. (B) Place the linen on the clean linen cart and cover the cart. (C) Place the linen in a resident's room for immediate use. (D) Leave the linen on the floor for housekeeping staff to remove. -/n(A) Discard the linen in the soiled linen hamper. A resident cannot walk by herself. What must the nurse aide do before leaving her room? (A) Give her a bedpan. (B) Tell her to shout if she needs help. (C) Put the call light where she can reach it. (D) Let another nurse aide know that she is in her room. -/n(C) Put the call light where she can reach it. A resident has trouble finding her room. What could the nurse aide do to help this resident? (A) Speak sharply to her whenever she goes to the wrong room. (B) Assign another resident to watch her. (C) Make a special sign for her door. (D) Keep her in her room. -/n(C) Make a special sign for her door. A resident dies during the night. At breakfast, another resident who was his friend, begins to talk to the nurse aide about the death. What should the nurse aide do? (A) Distract the resident by talking about the news of the day. (B) Tell the resident to find someone else to talk to. (C) Find out who told the resident about the death. (D) Allow the resident to talk about the death. -/n(D) Allow the resident to talk about the death. A resident is lying on the floor having a seizure when the nurse aide walks into the room. What should the nurse aide do first? (A) Restrain the residents arms. (B) Put a screen around the resident for privacy. (C) Place a padded tongue blade between her teeth. (D) Move any objects which could injure the resident and support her head. -/n(D) Move any objects which could injure the resident and support her head. A resident was given a stuffed animal as a gift. The resident wants to keep the stuffed animal with her much of the time. What should the nurse aide do? (A) Explain that adults do not hold stuffed animals. (B) Ask her relatives to take the stuffed animal home. (C) Let her hold the stuffed animal whenever she wants to. (D) Suggest that she keep the stuffed animal on the windowsill. -/n(C) Let her hold the stuffed animal whenever she wants to. A resident is dehydrated. The nurse aide's assignment says "Force fluids." What should the nurse aide do? (A) Decrease the resident's fluid intake. (B) Increase the resident's fluid intake. (C) Give liquids with meals only. (D) Measure output. -/n(B) Increase the resident's fluid intake. A nurse aide wants to get a resident involved in her own care. Which of these statements would best encourage the resident's involvement? (A) "Stop feeling sorry for yourself." (B) "It's time for us to eat our breakfast." (C) "I want to brush your hair right now." (D) "Do you want to take your bath now or after breakfast?" -/n(D) "Do you want to take your bath now or after breakfast?" A resident has an indwelling catheter. As the nurse aide cares for him, which of these should the nurse aide report to the charge nurse immediately? (A) The resident complains of pain and burning. (B) The urine in the collection bag is clear and light yellow in color. (C) The resident tells the nurse aide that he hates to have a catheter. (D) The urine in the collection bag is hanging below the level of the bladder. -/n(A) The resident complains of pain and burning. What is the best source of information about the care a nurse aide needs to give a resident? (A) The resident's family (B) The resident's roommate (C) The resident's plan of care (D) Other nurse aides on the unit -/n(C) The resident's plan of care A resident tells the nurse aide that her hearing aid is not working. What should the nurse aide do first? (A) Turn up the volume. (B) Change the battery. (C) Tell the charge nurse. (D) Check to see that the hearing aid is turned on. -/n(D) Check to see that the hearing aid is turned on. While making rounds at 3:00 A.M., a nurse aide hears a resident crying softly. How should the nurse aide respond? (A) Tell the resident that everything will be better in the morning. (B) Tell the resident that everything is fine and to cheer up. (C) Pretend not to notice that the resident is crying. (D) Ask the resident what is wrong. -/n(D) Ask the resident what is wrong. A resident is being discharged from the nursing home. He tells the nurse aide that he feels worried about the change. What is the nurse aide's most helpful response? (A) Encourage the resident to talk about his feelings. (B) Tell the resident not to worry as things will work out fine. (C) Tell the resident that he should be happy to leave the nursing home. (D) Suggest to the resident that his worries will go away if he ignores them. -/n(A) Encourage the resident to talk about his nurse aide do to control the spread of infection? (A) Report the resident's behavior to the resident council. (B) Ask the resident to throw his used tissues in the toilet. (C) Pick up the used tissues in the resident's room once a day. (D) Attach a paper bag to the resident's bed and ask him to put the used tissues in it. -/n(D) Attach a paper bag to the resident's bed and ask him to put the used tissues in it. A resident tells a nurse aide he is going to kill himself. What should the nurse aide do? (A) Nothing, because people who threaten suicide usually do not kill themselves. (B) Call the resident's family and ask them to come and sit with him. (C) Tell the resident that things are not as bad as they seem. (D) Stay with the resident and call for help. -/n(D) Stay with the resident and call for help. A nurse aide sees the charge nurse swallow medication that belongs to a resident. What should the nurse aide do? (A) Ignore the incident because the charge nurse might get the nurse aide fired. (B) Tell the resident's family that the charge nurse is stealing medication. (C) Report the incident to the administrator or nursing supervisor. (D) Suggest the nurse get help immediately. -/n(C) Report the incident to the administrator or nursing supervisor. Which of the following should the nursing assistant observe and record when admitting a client? a. freckles b. wrinkles c. short nails d. bruises -/nd. bruises When responding to a client on the intercom, the nursing assistant should say a. "Hello, who is calling, please?" b. "What is it that you want?" c. "This is [nursing assistant name and position], can I help you?" d. "Please hold; I'll have the nurse answer your call." -/nc. "This is [nursing assistant name and position], can I help you?" When arranging a client's room, the nursing assistant should do all of the following EXCEPT a. checking the placement of the call bell. b. adjusting the back rest as directed. c. administering the client's medications. d. adjusting the lighting as appropriate. -/nc. administering the client's medications. When assisting a client out of bed, the nurse aide should always a. employ body mechanic techniques. b. get another nurse aide to assist. c. raise the bed to its maximum height. d. lower all safety rails. -/na. employ body mechanic techniques. How often should clients be repositioned during an eight-hour shift? a. qlh b. q2h c. q3h d. q4h -/nb. q2h Which of the following is the correct procedure for serving a meal to a client who must be fed? a. Serve the tray along with all the other trays, and then come back to feed the client. b. Bring the tray to the client last; feed after you have served all the other clients. c. Bring the tray into the room when you are ready to feed the client. d. Have the kitchen hold the tray for one hour. -/nc. Bring the tray into the room when you are ready to feed the client.