CNA State Board Exam (Simulated Exam 5)

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 5)

Which symptoms best indicate an instance of urinary tract infection?

  • burning or stinging sensation when urinating
  • urine that appears to be cloudy
  • the need to urinate more frequently
  • all of the above

Charting is an accurate record of all medical care while in hospital, including therapies given, treatments performed, and the patient's progress. Information typically found in the chart includes all of the following EXCEPT

  • vital signs
  • names of visitors
  • intakes and outputs
  • assessments

Wrinkles in the bed linens can lead to problems for residents. Which is the most serious problem that they can cause?

  • insomnia
  • allergic reaction
  • decubitus ulcer
  • restlessness

A resident who has stress incontinence ________.

  • may leak urine when laughing or coughing
  • needs toileting every 1-2 hours throughout the day
  • should wear an incontinent brief at night
  • will have an indwelling urinary catheter

To help prevent resident falls, the nurse aide should

  • leave residents beds at the lowest level when care is complete
  • remind residents who use call lights that they need to wait patiently for staff
  • tell residents to wear larger- sized, loose-fitting clothing
  • always raise side rails when any resident is in their bed

A patient suffering from pneumonia might exhibit symptoms such as

  • persistent coughing
  • chest pains and discomfort
  • thick sputum
  • all of the above

Supine position is

  • lying on the back
  • face down on the stomach
  • lying on the side
  • sitting upright at 90 degrees

Which one of these conditions requires Contact Isolation precautions?

  • pneumonia
  • HIV
  • scabies
  • Chicken pox

A patient has just finished taking a cold beverage. How long should you wait before taking an oral temperature?

  • 45-60 minutes
  • It can be taken immediately
  • 20-45 minutes
  • 15-20 minutes

Which specialist is responsible for assisting residents to do everyday activities?

  • physical therapist
  • Physiotherapist
  • Occupational therapist
  • Activities coordinator

Of the symptoms below, which one is most associated with Rheumatoid Arthritis?

  • Joints are warm, red, painful and swollen
  • Inflamed, black and blue patches around joints
  • Inflamed but painless joints
  • Painful joints, with mild redness or swelling

When calculating total fluid intake during a 24 hour period, all of the following should be included EXCEPT

  • Any eye or skin ointments that are absorbed
  • pudding per os (by mouth)
  • any liquids per os (by mouth)
  • any IV fluids

The safety device used to transfer a weak or dependent patient from a bed to a chair is called a

  • Transfer/gait belt
  • slide board
  • posey vest
  • hand roll

When a new ambulatory patient is admitted, the nurse aide should always

  • instruct on how to use the call light
  • ask if they are hungry
  • give a tour of the facility
  • measure intake and output

The Foley bag must be kept lower than the patient’s bladder because

  • it prevents urine returning to the bladder
  • it makes the client more comfortable in bed
  • it is easier to empty the bag
  • it will be out of sight to visitors

A resident who is incontinent of urine has an increased risk of developing ________.

  • dehydration
  • dementia
  • pressure sores
  • urinary tract infections

In Long Term Care Facilities, which shift usually gets the residents ready for their appointments, X-rays, etc.?

  • 11pm - 7:30pm
  • 7am - 3:30-pm
  • It's a 24-hour responsibility
  • 3pm - 11:30pm

A resident is on a bladder training program. The nurse aide can expect the resident to ______.

  • wear an incontinent brief as a reminder
  • be on schedule for toileting
  • have an indwelling urinary catheter
  • have a fluid restriction to prevent urges to urinate

A resident has diabetes. Which is a common sign of a low blood sugar?

  • incontinence
  • thirst
  • shakiness
  • fever

When admitting a new client, which of the following should a nurse aide observe and record?

  • freckles
  • moles
  • wrinkles
  • bruises

What type of isolation precautions are necessary for a patient with a gastrointestinal infection?

  • respiratory precautions
  • enteric precautions
  • secretion precautions
  • drainage precautions

What does the abbreviation BID stand for?

  • four times a day
  • two times a day
  • three times a day
  • before a dinner

The resident’s weight is obtained routinely as a way to check the resident’s __________.

  • ability to stand and balance
  • nutrition and health
  • growth and development
  • adjustment to the facility

A common eye disorder with a cloudy condition of the lens that reduces eyesight is known as

  • cataract
  • glaucoma
  • myopia
  • retinitis

Which of the following methods is the CORRECT way to remove a dirty isolation gown?

  • let it drop to the floor and step out of it
  • pull it over the head
  • pull it off by the sleeve and shake it out
  • roll it dirty side in and sway from the body

Objective data is any information that is fact. This means that the information is unbiased and multiple people should be able to interpret the information in the same way. All of the following are an example of objective data EXCEPT

  • The patient has been hospitalized for 3 days
  • the patient weighs 160 pounds
  • the patient's pain level is 3 out of 10
  • The patient's temperature is 100.3F

Food moves more slowly through the digestive tract of older people. What is a common consequence?

  • constipation
  • enteric conditions
  • diarrhea
  • bowel incontinence

What is an embolism?

  • a blood clot that moves through the bloodstream, and causes obstruction
  • a bubble of air that blocks blood flow in arteries, causing an IV to stop
  • when a blood vessel bursts and bleeds inside the brain
  • when an artery begins to clot due to damage and causes obstruction

Considering the resident’s activity, which of the following sets of vital signs should be reported to the charge nurse immediately?

  • after walking exercise: 98.2 -98-28
  • After eating: 97.0 -64-24
  • Resting: 98.6 -98-32
  • While watching television: 98.8 -72-14

The Heimlich maneuver (abdominal thrust) is administered to the patient if they have

  • internal abdominal bleeding
  • ingested a toxic substance
  • become inebriated
  • a blocked airway

You are measuring Mrs. Clark’s resting pulse and it is 106 beats per minute, which is significantly higher than her normal pulse. You should

  • encourage Mrs. Clark to exercise more
  • report this to the charge nurse
  • ignore this, as pulse rates fluctuate in older people
  • calls the doctor immediately

A slipknot is used when securing a restraint so that ________.

  • the restraint cannot be removed by the resident
  • body alignment is maintained while wearing the restraint
  • it can be easily observed whether the restraint is applied correctly
  • the restraint can be removed quickly when needed

The term atrophy refers to an organ or tissue becoming

  • larger because of overuse
  • smaller because of overuse
  • smaller because of underuse
  • larger due to underuse

Which of the following is considered a normal age-related change?

  • elderly dementia
  • wheezing when breathing
  • joint contactures
  • bladder capacity decreases

Which one of the following amounts is the proper way to record urinary output?

  • two cups
  • one pint
  • 480 cc
  • 16 ounces

Mr. Martin drank 6 ounces of coffee and 3 ounces of orange juice during breakfast. How many cubic centimeters did he drink?

  • 9 cc
  • 180 cc
  • 270 cc
  • 18 cc

A resident has an indwelling urinary catheter. While making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first __________.

  • check for kinks in the tubing
  • offer the resident fluid to drink
  • ask the resident to try urinating
  • obtain a new urinary drainage bag

A patient is nearing death. What should the nurse aide focus on?

  • Reassuring them that everything will be fine
  • Assisting the patient through the stages of grief
  • leaving the patient alone to pass away in peace
  • supporting the patient and keeping them comfortable

Swollen ankles and legs may be signs of

  • congestive heart failure
  • peripheral vascular infection
  • a cardiac arrest
  • coronary artery obstruction

The normal heart rate/pulse rate for an adult human is 60-100 bpm. An elevated heart rate can be expected with

  • Increased vagal tone
  • an Olympic athlete
  • decreased body temperature
  • uncontrolled bleeding

What is a pulse oximeter used to measure?

  • the amount of O2 in the blood
  • The amount of CO2 in the blood
  • The amount of O2 in a patient's lungs
  • The amount of CO2 in the patient's lungs

If a patient does not have a bowel movement for more than ______, the patient is considered at an increased risk for developing constipation and the nurse should be notified.

  • 3 days
  • 1 day
  • 2 days
  • 4 days

Which stage of a pressure sore or ulcer involves breakdown of the subcutaneous layer of the skin?

  • Stage III
  • Stage II
  • Stage I
  • Stage IV

The nervous system changes as people get older. Which change is considered normal?

  • slower response time
  • ability to reason diminishes
  • sensitivity increases
  • substantial loss in memory

As the nurse aide begins their assignment, which should they do first?

  • Collect linen supplies for the shift
  • check all the nurse aide's assigned residents
  • assist a resident that needs assistance to get off the toilet
  • start bathing a resident that has physical therapy in one hour

What is the condition when patients are unable to control their bladder?

  • urinary tract infection
  • Urinary inflammation
  • Urinary incontinence
  • Urinary retention

The nurse asks you to change the urine drainage bag for a patient with an indwelling catheter. If you aren't sure how to change it, what should you do?

  • Ask the nurse to show you
  • Change it anyway
  • Tell another nurse to do it
  • Check the policy manual

Which of the following is an appropriate task for the nurse aide?

  • Participating in resident care plan conferences
  • Giving medications to assigned residents
  • changing sterile would dressings
  • taking a telephone order from a physician

Which of the following diet has no food restrictions?

  • Soft
  • Regualr
  • Diabetic
  • Low Sodium

Which blood pressure reading would you report to the nurse?

  • 128/80
  • 118/78
  • 144/92
  • 96/64

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

Basic Restorative Services 2 (copy)

What is the branch of medicine that deals with physical medicine and rehabilitation called?

  • physiology
  • podiatry
  • psychiatry
  • physiatry

What would be the BEST way for the nurse aide to promote client independence in bathing a patient who has had a stroke?

  • encourage the patient to do as much as possible, offering help as needed
  • teach the patient to wash their hands properly before doing anything else
  • leave the patient alone and tell them to call you if they need any help
  • do everything for the patient so they can watch how to do tasks properly

Which statement about gait belts is NOT true?

  • the gait belt can help break a fall
  • it protects both the resident and the nurse aide
  • all gait belts have reversible buckles
  • the nurse aide stand behind and on the weak side

Residents who have had a stroke are at risk for a fall because of

  • cognitive changes
  • difficulty walking
  • balance problems
  • all of the above

Mrs. Wilson is in your facility for rehabilitation after her hip replacement. Her husband wants to help give her a bath and she agrees. What should you say?

  • "Great! I can take a longer break while you give her the bath. Let me set you up."
  • "I must protect the privacy of my patients/ You will need to leave while I bathe her."
  • "Im sorry, but it's against policy to let anyone but staff take care of patients."
  • "How sweet! Let me gather everything and we can do it together."

Raising the bed to a comfortable position will help prevent

  • neck strain
  • back strain
  • arm strain
  • leg strain

Which of the following statements is true about range of motion (ROM) exercises?

  • they require at least twenty repetitions of each exercise
  • they are often performed during ADLs
  • they can help prevent strokes and paralysis
  • they are done just once every other day

When a patient ambulates for the first time, the nurse aide should

  • watch for signs of dizziness and fatigue
  • help him to stand up and pivot quickly
  • stay with him until he stands without assistance
  • take his temperature and pulse rate first

To move a resident up in bed when they are able to move with assistance, the nurse aide should _________.

  • use a gait or transfer belt to assist with the repositioning
  • bend their knees and ask them to push with their feet
  • position yourself with knees straight, and bend at the waist
  • pull the resident up holding one side of the draw sheet at a time

When walking a resident, a gait or transfer belt is often _________.

  • used to help the resident stand, then removed before walking
  • used to keep the resident positioned in the wheelchair
  • worn around the nurse aide's waist for back support
  • put around the resident's waist to hold onto the resident

Mr. Brown is blind from an industrial accident. How can you help him learn to feed himself?

  • Use a clock face to tell him where the food is
  • tell hime where the salt and pepper, water glass, and other items are located
  • offer to cut meat or butter bread
  • all of the above

While helping a resident perform a Range of Motion (ROM) exercise, he complains of pain. The nurse aide should

  • ask the nurse to give a pain medication
  • stop the exercise at that point and tell the nurse
  • repeat the ROM exercise to see if it happens again
  • ask to receive more training in ROM techniques

Restorative nursing care is the process of

  • restoring resident right for those who haven't had them
  • providing care for the needs of the whole person
  • doing everything we can to prevent fatigue
  • focusing specifically on what the resident cannot do

When helping a resident get out of bed, what should a nurse aide do?

  • ask another nurse aide to help
  • use good body mechanics
  • raise the bed all the way up
  • keep the side rails up

The doctor has ordered physical therapy (PT) for every day of the week. The patient's religion does not permit any activity on Saturday. What should you do when PT arrives on Saturday?

  • tell the nurse so they can call the doctor to change the order
  • tell the patient's family so they can decide if PT is allowed
  • tell the patient that they must follow the doctors orders
  • tell the PT to come back for two sessions on Sunday

When is an easy time to do Range of motion (ROM) exercises?

  • when the resident wakes up
  • while getting dressed
  • during the resident's bath
  • before going to sleep

An elderly resident who is inactive is at risk for constipation. In addition to increased activity and exercise, which of the following actions helps to prevent constipation?

  • frequent snack times
  • adequate fluid intake
  • high protein diet
  • low fibber diet

When helping a client who is recovering from a stroke to walk, the nurse aide should assist

  • On the client's weak side
  • from behind the client
  • with a wheelchair
  • On the client's strong side

A cane should be used on the ________.

  • strong side
  • weak side
  • preferred side
  • dominant side

Mr. Lopez is learning to use a walker. What should the nurse aide do?

  • have him walk in place for five minutes
  • encourage him to walk by himself
  • walk behind him, using a gait belt
  • put padding on the walker in case he falls

Residents who are bedridden face all following risks EXCEPT

  • blood clots
  • muscle strength
  • calcium loss
  • pneumonia

Exercises that can help maintain the movement of joints are called

  • abduction and adduction
  • range of motion
  • joint effectiveness techniques
  • muscle endurance methods

What is the term for a device used to take the place of a missing body part?

  • practicum
  • prognosis
  • pronation
  • prosthesis

To encourage blood circulation in residents who must remain in bed, you can do all of the following EXCEPT

  • do passive or active ROM exercises
  • rub the skin vigorously during a bed bath
  • give back massages
  • turn the resident every two hours

After Mr. Hall's stroke, his right arm is weak, he should be taught to

  • put his left arm into his shirt first
  • put both arms in the shirt at the same time
  • put his right arm into his shirt first
  • the resident can decide which arm goes first