CNA State Board Exam (Simulated Exam 4)

Welcome to the CNA Practice Test for Basic Nursing Skills!

As you prepare for your career as a Certified Nursing Assistant, you are learning both the information and the skills that will keep your patients comfortable and safe. Because you have the opportunity to spend the most time with patients, you will often recognize and report subtle changes in their conditions that other team members wouldn’t notice. These observations will make a difference in patient outcomes.

Basic Nursing Skills are the heart of all nursing care. These skills will help your patients throughout your entire career. offers a variety of Basic Nursing Skills practice tests to help you prepare for your state’s written CNA examination. While each state can have slightly different requirements for the exam, you can expect that most of the questions will involve some aspect of basic care.

CNA State Board Exam (Simulated Exam 4)

The medical term for hair loss is called

  • pediculosis
  • decubitus
  • alopecia
  • hirsutism

When documenting in a patient's record, which statement is FALSE?

  • Use the patient's exact words when possible
  • Record only what you observed and did yourself
  • to save time, chart a procedure before doing it
  • do not skip lines between entries in the chart

Mrs. Harvey complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of

  • diarrhea
  • bowel movement
  • fecal impaction
  • constipation

A restraint attached to a patient's body and to a stationary object is ________.

  • a passive physical restraint
  • an active physical restraint
  • a chemical restraint
  • an illegal restraint

Which does NOT prevent or reduce odors?

  • practicing good personal hygiene
  • using room deodorizers
  • placing fresh flowers in the room
  • emptying bedpans promptly

The earliest identifying sign for a developing pressure sore is a local _______.

  • loss of sensation
  • change in color
  • swelling
  • lowering of temperature

Settings where a CNA can work include

  • hospices
  • home care
  • hospitals
  • all of the above

Who is in charge of delegating the work assignment?

  • The head CNA
  • the head of the clinic
  • the patient's family
  • the registered nurse on duty

The RN assigns you a task that is in your job description. Which statement is FALSE?

  • the RN should delegate every non-RN task to you
  • The RN should give you clear directions before you perform the task
  • The RN should check that you have the necessary education and training
  • The RN can delegate the task to you if it's suitable for the patient

Breathing liquids or solids into the airway or lungs is called

  • auscultation
  • expiration
  • aspiration
  • inspiration

The back-lying position is the

  • supine position
  • semi fowler position
  • sims position
  • prone position

What does afebrile mean?

  • sudden fever
  • no fever
  • high fever
  • low fever

Intake and Output deals with

  • mashed or pureed foods
  • solid foods
  • liquids
  • all of the above

If your patient has bradycardia, what does that mean?

  • the patient is breathing slowly
  • the patient's heart rate is fast, above 60 bpm
  • The patient is unconscious
  • The patient's heart rate is slow, below 60 bpm

Besides hearing, what other function does the ear have?

  • It improves the sense of smell
  • It coordinates involuntary muscles
  • It controls balance and equilibrium
  • It regulates body temperature

Paralysis on one side of the body is called

  • quadriplegia
  • Omniplegia
  • paraplegia
  • Hemiplegia

Which of the following is NOT a sleep aid?

  • drinking alcohol
  • Reducing noise
  • following bedtime rituals
  • eating a bedtime snack

You are instructed to strain Mr. Powers' urine. You know that straining the urine is done to find ______.

  • hematuria
  • nocturia
  • stones
  • urgency

Three liquid ounces equals how many milliliters?

  • 30
  • 90
  • 60
  • 120

What is the normal range of systolic blood pressure for adults?

  • 100-120
  • 80-100
  • 120-140
  • 60-80

The goal of the health care team is to

  • provide quality care
  • provide case management
  • obtain reimbursement
  • assign tasks and responsibilities

You observe that a patient is bleeding from an IV site. You should

  • Ignore, since it's not worth within your scope of practice
  • remove the IV catheter to the site
  • apply a dressing to the site
  • notify the RN immediately

Mr. Green’s water pitcher holds 1000 cc, It is full when you came on shift. You refill it once during your shift. At the end of the shift it is half full. How much water has Mr. Green had to drink?

  • 1500 cc
  • 1000 cc
  • 2000 cc
  • 500 cc

The last sensation that is lost when dying is

  • smell
  • hearing
  • taste
  • sight

Mr. Brown has an ankle brace. When you remove the brace, you notice a reddened area on the ankle bone. You should

  • apply a bandage to the reddened area
  • report your observations to the nurse
  • massage the reddened area
  • put on two pairs of socks before the brace

How would a nursing aide identify a problem with a diabetic patient?

  • increased alertness
  • Cold, clammy skin
  • gasping
  • Seizures

When taking a blood pressure, you should do all of the following EXCEPT

  • turn off the television and radio
  • locate the brachial artery
  • take the blood pressure in the arm with an IV
  • apply the cuff to a bare upper arm

Mrs. Andrews has an indwelling urinary catheter. Which is INCORRECT?

  • Attach the drainage bag to the bed rail
  • keep the drainage bag below the bladder
  • she should not lie on the catheter tubing
  • Provide perenial care daily and after bowel movements

What is the definition of Aphasia?

  • The ability to remember recent events
  • the ability to understand and interpret words
  • the inability to articulate words or speak
  • the loss of long term memory

A type of service that long term care facilities can provide include

  • emergency care
  • diagnostic care
  • home care
  • psychiatric care

What basic need is most essential?

  • self-esteem
  • self actualization
  • safety and security
  • love and belonging

What is rigor mortis?

  • Spasm of the muscles caused by lack of potassium
  • Stiffening and locking of the joints after death
  • the patient is having problems moving his or her limbs due to rigidity
  • high amounts of calcium in the diet causes bones to become rigid

A health care agency or program for patients who are dying is

  • managed care
  • a preferred provider organization
  • hospice
  • case management

Hypothermia is a __________.

  • moist cold application
  • very low body temperature
  • bluish discoloration of the skin
  • very high body temperature

If your patient is in traction you should NOT

  • change the position of the weight
  • monitor the patient's vital signs
  • give a total bed bath
  • report weights that are on the floor

Which vegetable is not allowed on a low sodium diet?

  • Broccoli
  • Sauerkraut
  • carrots
  • lettuce

Who is responsible for the entire nursing staff and the activities involved in providing safe care.

  • The case manager
  • the supervisor
  • the director of nursing
  • a registred nurse

Mr. Burns just smoked a cigarette. How long should you wait to take his oral temperature?

  • 15-20 minutes
  • no wait is necessary
  • 5 minutes
  • 10 minutes

A client who is on a low cholesterol diet should not eat

  • peanut butter
  • fruits
  • red meat
  • bread and cereal

You notice that a patient has passed a black tarry stool. This is called

  • colon cancer
  • constipation
  • melena
  • fecal impaction

A nursing aide has four patients to assist. Who should she address first?

  • the patient who need their drainage bag emptied
  • the patient who asks for their glasses from the table to read
  • the patient who needs to be taken to the bathroom
  • the patient who lies uncomfortably in bed

Mrs. Allen has a gastrostomy and the nurse just put Ensure through the feeding tube. The CNA needs to put her in which position for the next 1-2 hours?

  • dorsal position
  • fowlers position
  • sim's position
  • supine position

The preferred way to remove a bed pan from a client who is unable to lift their buttocks is to

  • use a mechanical lifting device
  • slowly slide the pan out from under the client
  • Have another person lift the client
  • turn the patient on their side while holding the pan

A client who requires a high fiber diet should eat

  • fruit juice and cottage cheese
  • fruit, vegetables and whole grains
  • Meat, cheese and milk
  • White bread and red meat

The definition of scope of practice is?

  • Skills which the health care worker is legally able to perform
  • Skills the CNA has seen and feels competent to perform
  • Any skills that the charge nurse request you to perform
  • All skills learned on the job or described by the nurse

If a resident drinks four ounces of water with a meal, how many milliliters (ml) has he consumed?

  • 30
  • 16
  • 120
  • 64

The type of bed used for a patient arriving by stretcher or wheelchair is called _________.

  • an open bed
  • an occupied
  • a closed door
  • a reserved bed

Which is INCORRECT when recording on a patient's chart?

  • use a pencil in case you make a mistake
  • record only what you observed and did yourself
  • record in a logical manner
  • handwriting must be legible

Which is the most accurate way to measure a resident’s temperature?

  • oral
  • rectal
  • ear
  • axillary

A patient with a persistent blood pressure measurement above 140/90 has

  • hypertension
  • tachycardia
  • ataxia
  • hypotension

Basic Restorative Services 1 (copy)

Mr. Johnson has just returned from surgery. Which of the following things do you do?

  • check vital signs every 4 hours
  • immediately give medication to control nauses
  • notify family about the surgery results
  • turn, cough, and deep breathe, leg exercises

The nurse aide just admitted a new resident. Which of the following is the most restorative approach?

  • unpack all of all his clothes and put them away for him
  • tell him he'll need to unpack for himself
  • encourage a family member to unpack for him
  • encourage the resident to participate in unpacking

A nursing assistant is helping a resident to walk. If the resident becomes faint and begins to fall, the assistant should

  • hold the resident up and continue walking
  • ease the resident to the floor and call for help
  • carry the resident back to bed and then go for help
  • hold the resident up and call for help

A patient has had hip surgery. Her legs should be

  • elevated
  • adducted
  • in the most comfortable position for the patient
  • abducted

ROM exercises will help prevent

  • Depression
  • Contractures
  • obesity
  • pressure sores

When the nurse aide moves a joint during ROM (range of motion) exercises, and the resident complains of pain, the nurse aide should

  • ask the nurse to give pain medication so the exercises can continue
  • stop the movement at the point the pain occurs and report to the nurse
  • push past the point where the pain occurs to see if it still hurts
  • stop giving the resident any ROM exercises

What can you do to allow a helpless resident some independence when he must be fed?

  • Ask which foods the resident would like to eat first
  • feed the resident with a fork
  • feed the resident lying down
  • always stand to feed the resident

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

  • be left on the clint's bedside table
  • be left turned on
  • have the battery disengaged
  • be placed in the client's pocket

The nurse aide documents that about 45 minutes after the resident is put to bed for an afternoon nap, the resident urinates in bed. To help with bladder training, the nurse aide should

  • remind the resident that it is important to cooperate with bladder training
  • report to the registered nurse that the resident will not succeed in bladder training
  • take the resident to the bathroom right before going to bed
  • take the resident to the bathroom after about 30 minutes of being in bed for the nap

The nurse aide is making an occupied bed. Which of the following is the most restorative approach?

  • lower both side rails
  • tell the resident to get out of bed
  • do everything for the resident
  • encourage the resident to help

A button hook and a sock assist are all part of what kind of nursing care?

  • Prosthetic mobility
  • disability and reactivity
  • restorative and rehabilitation
  • activities of daily living

What is the process of restoring a disabled client to the highest level of functioning possible?

  • retention
  • reincarnation
  • responsibility
  • rehabilitation

You are delegated to provide passive R.O.M. to L lower and upper extremities. This means you

  • watch how many times she moves left lower and upper extremities in 15 minutes
  • support each joint and provide extension and flexion movements on the left side of the body
  • have patient raise left arm and leg ten times
  • extend Rt. arm over the left side of the body

If a client has hand tremors, the nurse aide SHOULD

  • restrain the hand that has the tremor
  • tell the client to stop shaking and to control the tremors
  • assist the client with the activity of daily living as needed
  • do everything for the client to avoid embarrasment

The most basic rule of body mechanics is to

  • bend from the knees and hips
  • never use a lift belt
  • keep the arms flexed
  • twist as you lift

When ambulating an unsteady client, it is BEST for the nurse aide to use a

  • walker
  • wheelchair
  • quad cane
  • gait belt

Exercises that move each muscle and joint are called

  • rotation
  • range of motion
  • adduction
  • abduction

The role of the ombudsman is to

  • prepare classes that nurse aides take to learn about client hygiene
  • control the nursing home budget
  • run a group of nursing homes
  • work with the nursing home to protect client's rights

The primary goal of restorative care is

  • return the resident to a normal life at home
  • do everything for the resident
  • keep the resident comfortable in the nursing home
  • take care of the resident's personal business

Pressure sores can often be prevented if the client is

  • dressed in loosely fitting clothing
  • positioned with a pillow under the head
  • turned or repositioned every two hours
  • placed in an incontinence brief

A patient is leaving the hospital. The family has been told to give her medications bid. The wife asks what that means. The nurse aide tells her to give the medication

  • twice a day
  • three times a day
  • once a day
  • only when needed

Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT

  • bed cradles
  • cones
  • foot supports
  • splints

Proper body mechanics dictates that when lifting an object, the nurse aide place his feet

  • 12in - 18in apart
  • 3ft - 5ft apart
  • 6in - 12in apart
  • it doesn't matter

A contracture (tightening, or shortening of a muscle) is caused by

  • pressure on the muscle
  • too much exercise
  • old age
  • lack of movement of the muscle

Goals of arthritis care include

  • decreasing inflammation and preserving joints
  • preventing contractures
  • strengthening bones and muscles
  • all of the above

Care of Cognitively Impaired Residents 1 (copy)

As dementia progresses, incontinence can become an issue. How can the nurse aide assist?

  • watch for signs of discomfort so you can take the resident to the bathroom
  • remind the resident to let you know when they need to use the bathroom
  • avoid outings to minimize accidents and possible embarrassment
  • start to use an adult diaper to keep clothing and linens clean

A resident who has not been discharged insists she is going home. What should the nurse aide do?

  • advise her that she can leave if she wants to
  • tell her she cannot leave without a doctor's orders
  • put her in physical restraints until she calms down
  • notify the charge nurse immediately

What is an important way to help the resident feel comfortable in a long-term facility?

  • discourage is an important way to help the resident feel comfortable in a long term facility
  • provide space for personal possesions
  • bring the resident to all activities
  • allow the resident to establish their own schedule

Which of the following is NOT true of dementia?

  • people with dementia are often frightened and anxious
  • grooming is difficult for patients with dementia
  • patients can have vivid hallucinations
  • people with dementia act uncooperative in order to be spiteful

Communication with a resident who has late-stage dementia or Alzheimer's includes

  • hiring a speech therapist
  • encouraging them to be more expressive
  • speaking on or two word sentences
  • eliminating all conversation

A resident has difficulty remembering what day it is and where they are. How can you best help the resident?

  • joke with the resident about their forgetfulness
  • tell the resident often what day it is and where the resident is
  • agree with whatever the resident says
  • keep the resident from talking about the past

A resident is standing in the hallway holding a bag, and asks the nurse aide when the train is due. The aide should tell her

  • that it should be here any time now
  • to go back to her room
  • where she is, in a matter of fact tone of voice
  • that she is being ridiculous

When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?

  • hide the favorite outfit for a few days so she forgets
  • explain the benefits of variety and offer several other outfits
  • tell the resident that the outfit is dirty and she will have to choose another
  • ask the family to get several identical outfits

Reality orientation should include

  • talking about your interests
  • calling the resident by his name
  • telling imaginative stories to the resident
  • using nicknames like "Granny"

A way to make sure a resident with dementia gets adequate nutrition is to

  • give the resident 10 minutes to eat, then feed them the rest of the meal
  • offer small meals and snacks that match their limited attention span
  • turn on the television so they will be distracted and eat more
  • only provide their favorite foods to ensure the resident will eat

A resident with Alzheimer’s disease tells the nurse aide that she smells smoke. The nurse aide should

  • put the patient to bed because she is clearly tired
  • reassure the patient that there is no fire
  • tell her that no one is allowed to smoke in the building
  • look around for a fire

Residents with cognitive impairments often have difficulty sleeping. What can be helpful?

  • establish a bedtime schedule and make sure the residents go to bed within 15 minutes of that time
  • keep residents up as late as possible, so they will fall asleep more quickly
  • turn on the television and allow the residents to watch until they fall asleep in their own
  • avoid physical activity during the day because it can overstimulate the residents

The primary reason for combative behavior in a resident is

  • stubbornness
  • hunger
  • confusion
  • resentment

When caring for a confused resident what should a nursing assistant do?

  • allow the resident to plan daily activities
  • give simple directions
  • say nothing to avoid more confusion
  • give the resident activities

While the nurse aide is giving care to Mr. T., he calls the nurse aide by the name of his son who died several years ago. The nurse aide’s BEST response is to

  • ignore Mr. T because he is confused
  • quickly finish the care and leave Mr. T alone
  • ask Mr. T about his favorite memories of his son
  • pretend to be Mr. T's son

If a resident displays paranoid behavior, what is important for the nurse aide to know?

  • delusions are a normal part of the progression of the dementia process
  • the nurse should be immediately notified, so a medication can be ordered
  • the family must be involved, so they can reason with the resident
  • if the behavior is ignored, it will diminish. The resident will forget about it

All of the following are clues to aggressive behavior EXCEPT

  • clenched jaw
  • pacing
  • depressed moods
  • rocking

The end of the day can bring a common behavior for residents with dementia, called

  • evening paranoia
  • sundown syndrome
  • depressive disorder
  • overstimulation fatigue

A confused resident tells you there is a monster in the closet. The nurse aide should

  • open the closet and show the resident nothing is there
  • tell the resident there are no such thing as monsters
  • tell the resident you will take the monster hime with you
  • pretend to kill the monster

A client with dementia has developed a fear of taking a shower. What can a nurse aide do?

  • ask the client's family to convince the client
  • offer a reward if the client takes a shower
  • give a bed bath and try a shower on another day
  • remind the client of the importance of being clean

Communication and Interpersonal Skills 1 (copy)

The nurse aide is caring for a client who answers every question by nodding and saying “yes.” How will the nurse aide respond to this behavior?

  • ask a family member to translate for the client
  • speak loudly when providing care
  • immediately inform the nurse of the client's odd behavior
  • determine if the client is able to understand

The nurse aide is asked by a confused client what day it is. The nurse aide should

  • provide the date and then quiz the client later
  • ignore the request because the client is already confused
  • point to the data on a calendar and say the date
  • explain that memory loss is natural and the date is not important

A resident has just been admitted to the facility. The nurse aide should

  • announce his arrival at dinner
  • say nothin until he has settled in
  • do whatever the charge nurse says
  • introduce him to his roommate

Which of the following is an acceptable way for the CNA to cope with feelings of anger and frustration?

  • tell several staff members over lunch
  • call your best friend on the way home and vent
  • ask your supervisor for time to talk about your feelings
  • refuse to care for a difficult resident until your mood improves

Mrs. Smith, your patient, reports to you that her hearing aid is missing. What do you do?

  • immediately report it to the nurse
  • let her borrow her roommate's extra hearing aid
  • tell her she will be fine without it for the day
  • call the family for a replacement

In order to communicate clearly with a client who has hearing loss, the nurse aide should

  • speak in a high pitched tone of voice
  • look directly at the client when speaking
  • speak in a loud and slow manner
  • stand behind the client when speaking

How can the nurse aide BEST help a client who is not accepting a loss?

  • leave the client to grieve privately
  • encourage the client to talk about the loss
  • discourage group activities until the client is ready
  • convince the client to accept the loss

An example of negative body language is

  • leaning toward the resident to communicate
  • smiling and maintaining eye contact
  • touching a resident's shoulder while talkiing
  • placing hand on hips

If a client says, “God is punishing me” or “Why me?” how should the nurse aide respond?

  • listen and ask questions to learn more
  • talk about a time you felt the same way
  • make humorous remarks to relieve tension
  • reply, "God doesn't punish people."

You are assigned to care for a new resident. You do not know what to call her. You should introduce yourself then

  • start calling her by her first name
  • call her "dear" or "honey" to be friendly
  • ask a family member what name to call her/him
  • ask her what name she would like to be called by

The best approach if you are not sure how to use a piece of equipment is to

  • don't use the equipment
  • find a different way to complete the task
  • do the best you can
  • ask the nurse for instructions

Active listening is important because

  • it provides time to plan a response
  • it eliminates the need to ask questions
  • it doesn't require any effort
  • it prevents misunderstandings

Which is the best way to talk to a resident with a vision impairment?

  • announce your presence when entering the room
  • speak loudly and use exaggerated mouth movements
  • touch the resident before you begin talking
  • turn on all the lights to enhance the remaining vision

After you have had to complete several assignments that a co-worker didn't do, what is the best approach?

  • leave a note on the supervisor's desk
  • ask the co-worker if there is a reason
  • warn the other team members
  • post an anonymous sign in the break room

Although a resident says "Fine" when asked how she feels, the nurse aide suspects the resident is in pain because

  • the resident often mixes up language
  • the resident has a high tolerance for pain
  • the resident is grimacing
  • the resident is dependent on analgesics

A resident calls the nurses aide and says, “Someone spilled water onto my bed.” The nurse aide observes a wet area on the pad, directly under the resident. The nurse aide should

  • remind the resident to ask for a bedpan when she needs one
  • tell the resident that she has obviously urinated in bed
  • ask the nurse to get an order for an indwelling catheter
  • change the linens and make a mental note to offer the bedpan more often

To BEST communicate with a client who is totally deaf, the nurse aide should

  • smile frequently and speak loudly
  • write information for the client to read
  • avoid eye contact with the client
  • allow them to initiate communication

When communicating with a non-verbal resident, the nurse aide should use all of the following EXCEPT

  • asking the family if there are facial expressions or gestures that have meaning
  • remembering that non-verbal residents are often able to understand
  • to the resident's eye-level for better interaction
  • assuming the resident has no way of communicating and provide routine care

What should the nurse aide do to communicate with a client that only speaks and understands a foreign language?

  • listen and say nothing
  • ask the nurse for a different assignments
  • use picture boards and gestures
  • speak more slowly to increase understanding

A visitor enters the room while the nurse aide is changing the client. How SHOULD the nurse aide respond?

  • "Can't you knock?"
  • "Stay on the other side of the curtain."
  • "Hi, come on in. We're almost done."
  • "Would you please wait in the lobby?"

A resident complains that his children never visit. The aide should

  • listen quietly as he talks about his feelings
  • find other lonely residents for him to talk to
  • remind him that his children have busy lives
  • tell him that they will probably come soon.

When interacting with clients, the nurse aide should remember that

  • clients lose the ability to communicate as they get older
  • speaking is the most reliable way to communicate
  • picture boards are not considered an accurate way to communicate
  • more than half of all communication is non-verbal

If the CNA is confused about instructions of a task that the nurse told the CNA to do, the CNA should

  • ask the nurse to clarify the instructions
  • ask another CNA to do the job so you don't get in trouble
  • do the best job possible and hope it is adequate
  • ask the patient how the task is usually done

When communicating with the client’s family, the nurse aide SHOULD

  • compare the client's progress to other residents
  • listen to concerns and offer support
  • try to mediate the family's problems
  • offer advice about the client's medical treatment

The nurse aide finds a resident sobbing. What is the best thing for the nurse aide to say?

  • "You seem sad. Can you tell me about it?"
  • "Please stop crying. It upsets the others."
  • "Crying doesn't solve anything."
  • "Cheer up. Let's go up to the activity room."