CNA State Board Exam (Simulated Exam 1)

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 1)

To be sure that a client’s weight is measured accurately, the client should be weighed

  • After a good night sleep
  • at the same time of day
  • by a different nurse aid
  • after a meal

Which of the following is a correct measurement of urinary output?

  • 1 Quart
  • 40 oz
  • 300 cc
  • 2 cups

To convert four ounces of juice to milliliters (ml), the nurse aide should multiply

  • 4 x 10 ml
  • 4 x 5 ml
  • 4 x 15 ml
  • 4 x 30 ml

The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client’s feet?

  • Socks or stocking only
  • Nothing
  • Rubber-soled slippers or shoes
  • Cloth-soled slippers

The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD

  • leave the client to search for help
  • Lock the client's wheelchair and check the surrounding area for smoke
  • comfort the client while moving to a safe place
  • push the wheelchair out of the hallway and carry the client out of the facility

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?

  • Finish shaving the client as quicly as possible
  • Unplug the shaver
  • Call the nurse in charge
  • Use the roomate's shaver to finish the shave

Physical restraints are used MOST often

  • to prevent client injury
  • when staff is short
  • at the roommate's request
  • at the family's request

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

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

When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s

  • elbow
  • neck
  • chest
  • wrist

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

  • Prosthesis
  • Pronation
  • External Rotation
  • Abduction

The purpose for padding side rails on the client’s bed is to

  • have a place to connect the call signal
  • protect the client from injury
  • use them as a restraint
  • keep the client warm

If the nurse aide discovers fire in a client’s room, the FIRST thing do is

  • remove the client
  • Try to put out the fire
  • call the nurse in charge
  • open a window

The Heimlich maneuver (abdominal thrusts) is used for a client who has

  • impaired eyesight
  • a blocked airway
  • a bloody nose
  • fallen out of bed

When operating a manual bed, the nurse aide should remember to

  • fold cranks under bed
  • elevate the client's head at all times
  • lock the wheels when the cranks are folded
  • keep the bed in the neutral position

To avoid pulling the catheter when turning a male client, the catheter tube must be taped to the client’s

  • upper thigh
  • bed frame
  • hip
  • bed sheet

For safety, when leaving a client alone in a room, the nurse aide SHOULD

  • apply a restraint to the client
  • keep the door tightly closed
  • place signaling device within clients reach
  • leave the bed elevated in highest position

NPO means

  • Only ice chips per mouth
  • Nothing per ostomy
  • Nothing by mouth except water
  • Nothing by mouth

While eating dinner a client starts to choke and turn blue. The nurse aide SHOULD

  • give the client a drink of water
  • call for assistance and perform the Heimlich maneuver (abdominal thrusts)
  • slap the client on the back until the food dislodges
  • immediately remove the client's food tray and go find the nurse in charge

How many tips does a quad-cane base have?

  • 4
  • 3
  • 2
  • 1

What is the FIRST thing a nurse aide should do when finding an unresponsive client?

  • Start compressions
  • Close the door
  • call for help
  • Call family

To lift an object using good body mechanics, the nurse aide SHOULD

  • bend knees and keep back straight
  • keep both feet close together
  • hold the object away from the body
  • lift with abdominal muscles

A client needs to be repositioned but is heavy, and the nurse aide is not sure she can move the client alone. The nurse aide should

  • have the family do it
  • ask another nurse aide to help
  • go on to another task
  • try to move the client alone

A client is paralyzed on the right side. The nurse aide should place the signaling device

  • under the pillow
  • on the right side of the bed near the client's hand
  • at the foot of the bed
  • on the left side of the bed near the client's hand

Insulin, a hormone, regulates

  • the amount of sugar in the blood
  • the strength of the skeletal muscles
  • the rhythm of the heart
  • the amount of salt retained in the blood

A client is to be assisted out of bed to sit in a wheelchair. Which action would make this procedure safe?

  • place the bed in the low position
  • lower both footrest pedals
  • place a pillow on the wheelchair seat
  • release the wheel brake

Which of the following best helps reduce pressure on the bony prominences?

  • flotation mattress
  • repositioning every shift
  • sheepskin
  • several pillows

Clean bed linen placed in a client’s room but NOT used should be

  • used for a client in the next room
  • put in the dirty linen container
  • returned to the linen closet
  • taken to the nurse in charge

Which of the following is NOT considered to be a way to restrain a client?

  • lap buddy/tray
  • a sedative
  • a hand mitt
  • pain management

When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s

  • legs
  • back
  • shoulders
  • wrists

When caring for a client who uses a protective device (restraint), the nurse aide SHOULD

  • release the protective device once a shift
  • assure the protective device is tight
  • assess the client once every hour
  • check the client's body alignment

Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects?

  • Physical therapist
  • Registered nurse
  • speech therapist
  • Occupational therapist

The nurse aide notices that the client’s radio cord is draped across a chair in order to reach the nearest outlet. The FIRST thing the nurse aide should do is

  • see if any changes can be made so that the radio can be plugged in safely
  • take the radio to the activities room and tell the clients to listen to it there
  • unplug the radio and ask the client not to use it
  • tell the client the radio is a safety hazard and take it away

The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD

  • leave the spill
  • clean up the spill
  • call the nurse
  • call housekeeping

While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD

  • warn the client to be careful when she gets back into bed
  • report the broken side rail immediately
  • tie the side rail in the raised position until it is fixed
  • wait for the next safety check to report the broken side rail

The most comfortable position for a resident with a respiratory problem is

  • Prone
  • Fowler's
  • Lateral
  • Supine

When taking an oral temperature, it is important to

  • put lubricant on the thermometer
  • place the thermometer under the tongue
  • place the thermometer in the rectum
  • place the thermometer under the arm

What type of fire can be put out with water?

  • Chemical
  • Electrical
  • Paper
  • Grease

The nurse aide is responsible for all of the following fire prevention measures EXCEPT

  • reporting all damaged wiring and/or sockets in client's rooms
  • participating in fire drills
  • taking cigarettes and matches away from all clients and visitors
  • being aware of the locations of fire extinguishers

The equipment you need to gather to do unconscious oral care would include

  • toothette/mouth swab
  • toothbrush
  • toothpaste
  • all the above

The nursing care plan states, “Transfer with mechanical lift.” however, the client is very agitated. To transfer the client, the nurse aide SHOULD

  • get assistance to move the client
  • keep wheels unlocked so the lift can move with the client
  • lift the client without the mechanical device
  • place the client in the lift

Untitled multiple choice question

  • Put your answer option here
  • Put your answer option here

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

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."

Infection Control (copy)

Precautions for a patient in respiratory isolation include all EXCEPT

  • special air system
  • mask
  • private room
  • gown

Infection control practices that prevent the transmission of disease are called

  • policies and procedures
  • isolation protocols
  • standard precautions
  • hand hygiene mandates

The most important way to prevent the spread of infection is

  • sanitizer
  • hand washing
  • vaccinations
  • antibiotics

At the start of a bed bath, Mrs. Smith takes washcloth to clean her perineal area and puts it back into the basin of water. The nurse aide should

  • clean the basin and replace the water
  • remove the washcloth and continue with a fresh one
  • remind Mrs. Smith that baths are done head to toe
  • add some sanitizer to the water and proceed

All are types of pathogens EXCEPT

  • virus
  • fungus
  • bacteria
  • ebola

When wearing gloves, it is important to remember

  • gloves can be left on for as long as needed
  • gloves are worn when using disenfectants
  • alcohol wipes do not affect gloves
  • gloves are sturdy enough for jewelry

When caring for a patient with MRSA, the nurse aide should wear

  • sterile isolation suit
  • surgical goggles
  • gown and gloves
  • rebreather mask

While emptying the trash in a client's room, you get stuck by a needle that should have been placed in the sharps container. What is the first thing to do?

  • fill out an incident report
  • wash the site for several minutes
  • call your personal physician
  • try to squeeze blood out

To prevent the spread of infection, how should the nurse aide handle the soiled linens removed from a client’s bed?

  • place them in a neat pile on the floor
  • shake them in the air to remove any dirt
  • carry them close to the nurse aide's body
  • put them in the dirty linen container

After Mr. Johnson’s bath, the nurse aide realizes she needs another towel to completely dry Mr. Johnson. The nurse aide should

  • ask a co-worker to bring a towel from the clean linen cart
  • ask Mr. Johnson to wait while you quickly go get a clean towel
  • use a towel left in the shower room by another aide
  • use Mr. Johnson's clothing to dry him

Personal Protective Equipment (PPE) is used to

  • eliminate all infections in patients
  • discourage visitors from lengthy stays
  • minimize the need for hand washing
  • reduce exposure for health care workers

While Mr. Jones is visiting his wife, you notice that he is sneezing and blowing his nose. What is the best step?

  • teach him proper hand washing
  • ask the nurse for a decongestant
  • tell him to leave until he is better
  • move them to a private area

Blood-borne infections include

  • chicken pox
  • measles
  • hepatitus
  • pneumonia

Which conditions promotes the growth of bacteria?

  • cold, dark, moist
  • warm, light, dry
  • warm, dark, dry
  • dark, warm, moist

It is important that a client's dressings remain

  • secured by tape
  • snug to keep out bacteria
  • clean and dry
  • loose to admit fresh air

When washing your hands, apply the soap

  • after removing gloves
  • after wetting your hands
  • before turning on the faucet
  • before wetting your hands

During dinner, a client who is HIV-positive accidentally breaks a glass and cuts himself. What is the proper procedure?

  • begin to fill out an incident report
  • call the paramedics to treat the client
  • block off the area until it can be cleaned
  • Use a long-handled mop to wipe up the blood

All body fluids are considered infectious EXCEPT

  • sweat
  • semen
  • blood
  • saliva

After cleaning a resident's dentures, you remove and discard your gloves. What is the next step?

  • wash your hands
  • help the resident insert their dentures
  • proceed to your next assigned resident
  • pull back the resident's privacy curtain

Used disposable supplies and equipment should be discarded

  • in designated receptacle
  • outside the resident's room
  • in the clean utility room
  • in the resident's wastebasket

Untitled multiple choice question

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