CNA State Board Exam (Practice Questions)

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.

Basic Nursing Skills 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 Nursing Skills 2

The charge nurse has asked you to take Mrs. Shumway's vital signs. You know you must first

  • Identify the patient and introduce yourself
  • wash your hands
  • gather appropriate equipment
  • all of the above

The safest way to confirm a resident’s identity is

  • ask the resident's room mate
  • check an ID bracelet or tag attached to the resident
  • call the person by name and see if they answer
  • Look at the door number and compare to your room list

You are caring for Mr. Brown who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?

  • turn up the O2 to 4 liters/min
  • ask Mr. Brown to take breaths more frequently
  • report it STAT to your nurse
  • Switch the nasal cannula to a mask

Mrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation. Her condition is

  • Acute
  • Obsteric
  • Chronic
  • Tonic

Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?

  • 6 oz
  • 4 oz
  • 5 oz
  • 7 oz

In report the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should

  • offer frequent snacks
  • note all water the patient drinks and all output
  • take away the water pitcher at midnight
  • ask the patient if he is having any pain

In the Nursing Care Plan you note it is written; “O2 per N/C @3L, Orthopnea pos. as needed”. As a CNA you know this means

  • Resident is to be ambulated every 3 hours
  • Resident has oxygen with a nasal cannula on three liters, assist to sit in Fowlers
  • Orient new client @ 3:00 to orthopedic unit
  • Oral care every 3 hours

Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. she has {L} sided hemiplegia. This is

  • L arm and leg itching
  • Rash to the L arm
  • Paralysis on the left side if the body
  • L arm contracture

A nurse aide notices blood in a patient’s IV tubing. The aide should

  • try to flush the tubing
  • do nothing; that's normal
  • stop the IV
  • notify the nurse

Meal trays have arrived. Before serving each tray the nurse aide should

  • check the temperature of the food
  • ask patients if they are hungry
  • ask about dietary restrictions
  • check each armband, even on familiar patients

The recommended position for giving an enema is

  • left Sims
  • Semi-fowlers
  • prone
  • supine

Which of the following is not true of blindness?

  • ask if a blind person needs help before giving assistance.
  • Always identify yourself before touching a blind person
  • Diabetes is an important cause of blindness
  • Most legally blind or visually-impaired people have no sight at all

Before performing any procedure a nurse aide must

  • explain the procedure
  • wash your hands
  • identify the patient
  • all of the above

To help ensure adequate circulation to prevent skin breakdown, you could

  • Give back massages
  • change the patient's position frequently
  • Perform active or passive range-of-motion exercises
  • All of the above

The opening of the colostomy to the outside of the body is called the

  • Insertion site
  • Rectum
  • Stoma
  • None of the above

The brain is part of the

  • exocrine system
  • locomotor system
  • endocrine system
  • nervous system

Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a 6oz. glass of juice, 4oz. of milk, and 8oz. of coffee, you document

  • 240cc
  • 685cc
  • 920cc
  • 450cc

Drainage bags from urinary catheters should always

  • be kept below the level of the bladder
  • be changed every shift
  • be fastened securely to the bed frame
  • have their output measured each week

Post-partum refers to

  • the period of time right before delivery of a baby
  • the period of time just before death
  • the period of time right after death
  • the period of time after a delivery of a baby

A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient

  • had visitors that day
  • had breakfast
  • ate too much sugar
  • has diabetes

Signs and symptoms of shock may include

  • Absence of respirations and pulse
  • Low blood pressure, tachycardia, clammy, pale skin
  • Hyperventilation
  • Increased blood pressure, bradycardia, and flushed skin

A patient has a diagnosis of psoriasis. Her nurse aide should

  • Wear a mask when entering the room
  • wear gloves for patient care
  • treat her the same as any other patient with a non-infectious disease
  • avoid contact with the highly contagious lesions

When caring for a resident with an indwelling Foley catheter it is important to

  • Withhold fluids if the bag is too full
  • Check the bag and tubing frequently for adequate urinary flow
  • Tuck the tubing under the patient's leg to keep it off the floor
  • Pin the tubing to the resident gown

A nurse assistant notices red marks on a resident’s back and buttocks. The aide acts in the knowledge that

  • the skin can break down if nothing is done
  • it takes a doctor's order to rub skin with lotion
  • red marks are not a problem
  • patient's can only be turned every 2 hours

Most of our calories should come from

  • carbohydrates
  • vitamins
  • protein
  • fats

Which of the following measurements you obtained from Mrs. Shumway should be reported immediately to the charge nurse?

  • Respiration 20
  • B/P 190/114
  • Temperature 99F
  • Pulse 74

What is the best way of keeping a skilled nursing facility from having an unpleasant odor?

  • Use an air freshener regularly
  • There is nothing you can do
  • Keep all the windows open
  • Empty bedpans and change linens in a timely manner

Normal urine color is

  • Colorless
  • Brown
  • Red
  • Yellow

On what side should the patient lie for an enema?

  • Whichever side is more comfortable
  • Right
  • The side closer to the restroom
  • Left

While taking a rectal temperature the nurse aide should insert the thermometer and

  • go on his break
  • hold onto the thermometer until it can be removed
  • stay in the room until it is time to read the temperature
  • Take care of other patients and return in 3 minutes

Which of the following is associated with smoking?

  • heart attacks
  • Pneumonia
  • vitamin C deficiency
  • all of the above

Continuing education is

  • All of the above
  • Important for keeping abreast of new development
  • necessary for recertification of new development
  • a professional standard

A resident with an ileostomy evacuates feces through the

  • colon
  • ileum
  • Jejunum
  • Anus

A patient appears more pale than usual. The nurse aide should

  • note it on the chart
  • ask the patient how it feels and take his vital signs immediately
  • offer a glass of water
  • get the patient a snack

The circulatory system consists of the

  • blood vessels, lymph nodes, spleen
  • heart, arteries, veins and capillaries
  • blood vessels, arteries, veins, and capillaries
  • heart, aorta, pulmonary vessels, lungs

Mrs. Shumway's nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include

  • daily jog around the facility for 1 hour
  • daily arm weight measurement
  • placement of TED hose after ambulation
  • Encourage oral fluids

Who orders a warm or cold application?

  • Nurse
  • Director of nursing
  • Doctor
  • You as a CNA can if you think it is necessary

A professional and safe working appearance would include

  • Jewelry that reflects your fun personality
  • Clean, wrinkle free uniform, short fingernails, off-the-shoulder hair
  • Sandals, t-shirts and name-tag
  • Carefully manicured acrylic nails

A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The best thing to do is

  • notify the IV nurse that the infusion appears to have infiltrated
  • reassure the patient that needles always hurt
  • notify the medication nurse that the patient is complaining of pain
  • put ice onto the hand

Which of the following should be reported immediately?

  • Temperature of 99.4
  • A blood pressure of 90/40
  • Respirations of 12
  • A pulse of 90

Basic Nursing Skills 3

The nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows

  • the resident can not talk
  • none of these
  • the resident can not swallow
  • the resident can not walk

The loss of the ability to express one’s self is

  • speech therapy
  • empathy
  • aphasia
  • verbal communication

A Hepatitis B vaccination protects the person receiving it against a disease that affects

  • liver
  • heart
  • kidneys
  • skin

Strokes are seen in the elderly. Strokes are best described as

  • when the brain is deprived of oxygen
  • when the muscles die
  • when the heart fails
  • when the lungs fill with fluid

Who supervises the work of a nurse aide

  • the office manager
  • the social worker
  • the resident's family
  • the nurse

The nurse aide knows to wear which of the following to perform resident care?

  • Non-skid shoes
  • A name tag
  • Comfortable, clean uniforms
  • All of the above

What can the nurse aide give the resident who has an order for NPO?

  • unlimited fluids
  • no food or liquids
  • small amounts of ice
  • only clear liquids

One of the major reasons the elderly person is incontinent of urine is

  • they are too lazy to go to the bathroom
  • the muscle that keeps urine in the bladder weakens
  • the circulatory system is failing
  • they can't tell when they need to urinate

The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should

  • report this to the charge nurse
  • ask the other nurses aides if the resident had a bowel movement that wasn't recorded
  • wait to see if she uses the bathroom tomorrow
  • ask the resident's roommate if she saw the resident use the bathroom

Which of the following is a proper way to correct an error in charting

  • use correction fluid
  • draw a single line through it
  • it out with several lines
  • erase it completely

Why should heat NOT be applied to a diabetic resident’s feet?

  • their feet might be dirty
  • diabetics have decreased sensitivity to heat
  • it makes their feet wrinkle
  • the feet have more oil glands

To count a respiration, a respiration includes

  • one exhalation
  • one inhalation and one exhalation
  • one inhalation and two exhalation
  • one inhalation

There are two kinds of restraints

  • belts and wristbands
  • chemical and medication
  • masks and goggles
  • physical and chemical

What is the purpose of using the chain-of-command in a long-term care facility

  • To provide more jobs in nursing
  • to keep communication about a problem flowing smoothly
  • to prevent resident from going behind the nurses station
  • to be sure resident follow the rules

A bedsore or decubitus ulcer is caused by

  • inadequate turning
  • abrasions
  • burns
  • fatigue

The nurse aide is going to take Mr. Heath’s vital signs. What should the nurse aide do to get Mr. Heath to cooperate and reduce his anxiety?

  • explain the procedures to Mr, Heath
  • wash her hands before and after the procedure
  • gather all equipment before beginning
  • wear disposable gloves for all procedures

Signs of poor circulation are

  • hot flashes
  • paleness, cold skin, edema
  • warm, dry, pink skin
  • perspirations, red skin

Constipation and indigestion can be result from

  • slowed respirations
  • slowed brain waves
  • slowed peristalsis
  • slowed mental response

When dry, hard stool fills the rectum and will not pass, it is called

  • incontinence
  • edema
  • atrophy
  • impaction

Type 2 diabetes is

  • controllable
  • Often associated with obesity and sedentary
  • Common
  • All of the above

A sitting or semi-setting position with the head of the bed elevated is called

  • lateral
  • Fowler's
  • supine
  • prone

A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should

  • tell the resident ok, but the resident will have to soak her feet first
  • go ahead and do it, it is part of the job
  • tell the resident that the nurse aide can not do this, but will report it to the charge nurse
  • ask another aide to help

Elderly residents sometimes appear stooped over and like they have lost height. This is due to

  • decreased cardiac output
  • the deterioration of muscle tissue
  • the resident's increased difficulty in breathing
  • osteoporosis in the spinal column

Wasting or a decrease in the size of a muscle is called

  • impaction
  • atrophy
  • edema
  • decubitus

When lifting, the nurse aide should have his feet separated in the standing position to

  • provide a wide base of support
  • distribute body weight evenly
  • to prevent straining his knees
  • relieve the pressure on his toes

When lifting a heavy object, which muscle groups should be utilized

  • muscles of hands
  • muscles of shoulders
  • muscles of back
  • muscles of legs

The most important way for the nurse aide to gather information about the safety and well being of the resident is

  • observation
  • listen to other nurse aides at break
  • flow sheets
  • listen to the nurses talk in the med room

A Foley catheter is used

  • to suction stomach contents
  • for gastric feeding
  • as a rectal tube
  • to drain bladder

The thinning of the fatty layer under the skin could cause the resident to

  • develop pressure sores
  • have slowed mental responses
  • lose their appatite
  • have difficulty walking

Headaches, nausea and pain would be called

  • symptoms
  • charting
  • assessment
  • observations

For most residents, normal respiration ranges between

  • 8 to 16 inspirations per minute
  • 20 to 28 inspirations per minute
  • 12 to 20 inspirations per minute
  • 28 to 30 inspirations per minute

Hospice specializes in the care of persons who are

  • chronically ill
  • on Medicare
  • On Medicaid
  • terminally ill

The plan, which begins on the resident’s admission and assists when the resident goes home, is called

  • nursing care plan
  • nurse aide flow record
  • discharge plan
  • treatment plan

A resident is NPO for tests. The nurse aid should

  • remove the water pitcher and glass from the room
  • encourage fluids for hydration
  • allow the resident to drink water only
  • allow the resident to eat ice chips

Many elderly residents lose their appetite due to

  • Depression
  • decrease in number of taste buds
  • All of the above
  • Social isolation

Diabetes mellitus make a resident more prone to develop

  • infections
  • cancer
  • chills
  • fever

The exchange of oxygen and carbon dioxide takes place

  • in the lungs
  • around the kidneys
  • in the heart
  • in the intestines

If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do

  • brush the resident's teeth first
  • take a rectal temperature
  • wait 15 minutes to take the temperature
  • tell the next shift to take the temperature

Various factors will change pulse rate. Increased pulse rates can be caused by

  • depression
  • sleep
  • excersise
  • coma

Which of the following is true regarding the use of side rails on a bed?

  • Side rails should not be raised unless stated in the care plan
  • Side rails should not be raised at night
  • Side rails should not be raised on both sides when making an occupied bed
  • Side rails on one side of a bed should be raised at all times

Basic Nursing Skills 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 Nursing Skills 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 Nursing Skills 6

When giving an enema to a person you ask the person to lie on _______.

  • their abdomen
  • their left side
  • their right side
  • their back

Some common causes of constipation include all of the following EXCEPT

  • getting older
  • decreased fluid intake
  • being active
  • medication

The surgical creation of an artificial opening of the large intestine is called _______.

  • a colostomy
  • a gastronomy
  • a colectomy
  • a pouch

A normal adult blood pressure is

  • 134/90
  • 116/70
  • 180/80
  • 80/40

The admission process includes all EXCEPT

  • Completing an admission checklist
  • weighing and measuring the person
  • orientating the person to the room, nursing unit and facility
  • completing a physical assessment by the CNA

A fracture-type bedpan is used for residents who

  • have a back injury
  • are in traction
  • have had hip surgery
  • all of the above

One of the differences between an RN and a CNA is that only the RN can ________.

  • report abnormalities
  • write the patient record
  • give medication
  • provide patient care

What body system provides framework for the body and allows the body to move?

  • Musculoskeletal
  • endocrine
  • nervous
  • integumentary

The nutrient used to build and repair tissue is

  • fats
  • vitamins
  • protein
  • carbohydrates

Which is the best way to prevent joint and muscle damage?

  • active and passive exercises
  • coughing and deep breathing q 2 hours
  • drinking 1000cc fluids each day
  • moving as little as possible to avoid injury

The proper way to identify a patient is to

  • ask the roommate to verify the patient
  • call the patient by their name
  • refer to the patient's chart
  • check the patient's wristband

All of the following are signs of approaching death EXCEPT

  • circulation increase
  • breathing is labored
  • cold extremeties
  • low blood pressure

The proper temperature for a soapsuds enema is

  • 115°F
  • 105°F
  • 98.6°F
  • 84°F

The nurse aide enters a client’s room, and the client states that he has pain. What should the nurse aide do?

  • help the client to get out of bed and move around
  • report it to the nurse in charge
  • turn on the television to distract the client
  • tell the client that the pain will go away soon

When the valves in the legs weaken it can result in

  • cerebral vascular accident
  • varicose veins
  • myocardial infarction
  • heart failure

Which statement best describes ADL's

  • driving a car, shopping, cooking meals
  • watching TV, sleeping, playing games
  • Bathing, feeding, dressing, ambulation
  • going to work, having good relationships

Which function is NOT done by the circulatory system?

  • transmitting electrical pulses from the brain
  • transporting nutrients to the cells of the body
  • delivering oxygenated blood throughout the body
  • removing waste products from the cells

The physician ordered Mrs. Jones “to receive physical therapy QOD”. That means that she will go ________.

  • every other day
  • every day
  • every four hours
  • four times a day

When heat is applied to the skin, the blood vessels _______.

  • constrict
  • narrow
  • dilate
  • remain the same

As death nears, the last sense to leave the body is

  • taste
  • sight
  • smell
  • hearing

When making a bed, ________.

  • raise the bed to the level of your hips
  • raise the bed 12 inches
  • do not raise the bed
  • raise the bed to the level of your waist

Edema means

  • decreased appetite
  • swelling
  • increased appetite
  • dehydration

The RN, LPN, and CNA are members of the

  • ancillary team
  • nursing team
  • primary team
  • medical team

If a nurse aide needs to wear a gown to care for a patient in isolation, the nurse aide should

  • leave the gown untied to take it off quicly
  • remove the gown in the dirty utility room
  • take the gown off before leaving the patient's room
  • wear the same gown to care for the next patient

Mrs. Jones is an insulin-dependent diabetic. What task should not be done for Mrs. Jones?

  • ambulating with a gait belt
  • feeding with a plastic spoon
  • clipping toe nails
  • bathing in warm water

The case manager for a client requiring home health care is usually done by

  • a registered nurse
  • a physician
  • a nutritionist
  • a home health aide

Your client has been placed on I & O. This means that you should

  • record all the fluid intake and output
  • measure the first voiding each morning
  • keep track of the solid foods the client eats
  • keep the patient NPO

When nursing assistants find equipment in need of repair, they should

  • continue to use the item until it is replaced
  • wait for the safety inspection
  • fill out an incident report
  • report it to the appropriate personnel

The period of heart muscle contraction is called

  • fibrillation
  • infarction
  • diastole
  • systole

The CNA can do all of these to assist a patient for discharge EXCEPT

  • help the person change into street clothes
  • explain the discharge orders to the patient
  • help pack the belongings
  • transport the person out of the facility

Rheumatoid arthritis may

  • cause deformities
  • cause pain and muscle spasms
  • have periods of remmision
  • all of the above

Which of the following is recorded as the systolic blood pressure?

  • the point when the pulse is no longer felt
  • the point where the first sound is heard
  • the point mm Hg above where the pulse was felt
  • the point where the last sound is heard

While providing denture care for a client, the nurse aide observes that the upper plate is cracked. The nurse aide should

  • notify the client's dentist
  • report the damage to the nurse in charge
  • clean the dentures and return them to the client's mouth
  • call the client's family for a replacement

The patient just voided 400cc of cloudy yellow urine that has a strong smell. The patient also complains of pain while urinating. What should you report to the nurse?

  • color, amount, and color
  • color, clarity, amount, odor, and pain
  • color and amount
  • record it in the patient's chart for the nurse to read

The medical abbreviation for “before meals” is

  • ac
  • bm
  • pc
  • npo

A restraint should always be tied to the

  • side rail
  • mattress
  • bed frame
  • bedside table

When muscles atrophy, they become

  • larger
  • hardened
  • stretched
  • smaller

A sodium-restricted diet for heart disease does NOT include

  • pickles and olives
  • carrots an bananas
  • fish an potatoes
  • hamburger and pears

Continual oozing or diarrhea may be a symptom of

  • increased dietary fiber
  • bowel obstruction
  • fecal incontinence
  • hemorrhoids

A major risk factor for a stroke is

  • hypotension
  • overuse of vitamins
  • being underweight
  • hypertension

The branch of medicine concerned with the problems and diseases of the elderly is called _______.

  • orthopedics
  • pediatrics
  • obstetrics
  • geriatrics

Pulses can be taken

  • only if the pulse rate is above 80 beats per minute
  • for 15 seconds and then multiply by 4, if irregular
  • on the inside of the wrist at the base of the thumb
  • only with a stethoscope

A warning sign of cancer is

  • a change in bowel or bladder habits
  • a sore that does not heal
  • an obvious change in a want or mole
  • all of the above

The medical abbreviation for “three times a day” is

  • tid
  • qid
  • qd
  • bid

The first sign of a decubitis ulcer is

  • mottled and cold skin
  • redness and warmth
  • white and insensitive skin
  • tender broken skin

When making an occupied bed, the nurse aide should always

  • put the dirty sheets on the floor
  • raise the side rail on the unattended side
  • lower both side rails before changing the sheets
  • keep the bed at the lowest level for patients safety

A resident has a slow heart rate; less than 60 beats per minute. The nurse tells you she is having

  • Bradycardia
  • Tachypnea
  • Bradypnea
  • tachycardia

Which of the following foods is allowed in a clear liquid diet?

  • jello
  • tomato juice
  • milkshake
  • pudding

When preparing a new patient's room, the CNA should collect

  • a patient pack and gown
  • a stethoscope and sphygmomanometer
  • an admission checklist and scale
  • all of the above

An apical pulse is counted for _______.

  • 15 seconds, then multiplied by 4
  • 1 full minute
  • as long as it takes to hear a regular beat
  • 30 seconds, then multiplied by 2

Basic Restorative Services 1

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

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

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

Care of Cognitively Impaired Residents 2

A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to __________.

  • remind him that he is retired from his job and in a nursing home
  • tell him that residents are not allowed in the nurses station
  • ask the resident about his job and if he is hungry
  • help the resident back to his room and into bed

While the nurse aide tries to dress a resident who is confused, the resident keeps trying to grab a hairbrush. The nurse aide should _______.

  • put the hairbrush away and out of sight
  • restrain the resident's hand
  • try to dress the resident more quickly
  • give the resident the hairbrush to hold

Mrs. Johnson, a resident with dementia, loves to wear her favorite blue plaid shirt with her favorite green striped pants. What should you do?

  • respect her choice of clothing
  • keep her in her pajamas all day
  • insist on picker out her outfits
  • tease her about her sense of style

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

  • offer the resident a choice of ten activities
  • give simple and direct instructions
  • Provide a different schedule for variety
  • allow the resident to plan their day

Which of the following can be a cause of intellectual disability?

  • down syndrome
  • childhood illness
  • birth complications
  • all of the above

A person with dementia is being admitted to your facility. Which statement is correct?

  • the admission process is completed as quickly as possible
  • family members are asked to leave to help the person adjust
  • the person's confusion may increase in new surroundings
  • all of the above

A resident with dementia has wandered to another unit. What should the nurse aide say after finding the resident?

  • "How on Earth did you get here?"
  • "Let's go. Don't you know I have work to do?"
  • "Let's walk back together, okay?"
  • "Do you think you're Christopher Columbus?"

Some patients may exhibit some "false beliefs" not supported by facts or reality. This is known as

  • duration
  • deliberation
  • digression
  • delusion

Which one of these behaviors is NOT a signal of possible combativeness?

  • rapid eye movement
  • fist in a ball
  • clenched mouth and teeth
  • saying "I am angry."

When you approach a resident with dementia, how should you behave?

  • with a relaxed and cheerful manner
  • with a meek, submissive demeanor
  • with a cold, professional attitude
  • with an "I'm busy, Let's get this done" behavior

A 90 year-old resident tells you that his mother is coming to visit on Sunday. What is your most appropriate response?

  • "How nice! What are you going to do when she gets here?"
  • "Are you wishing you could see your mother?"
  • "Okay, let's figure out how your mother could be."
  • "That is impossible! Your mother is dead."

The Global Deterioration Scale (GDS) helps caregivers understand how people decline when they have dementia. Of the seven stages, which stage has no sign of dementia?

  • stage 4
  • stage 7
  • stage 2
  • stage 6

Reality orientation therapy should include

  • calling the resident by a name such as "Gramps"
  • addressing the resident by their proper name
  • telling the resident that they will be going home soon
  • creating imaginative stories to amuse the resident

When preparing to give peri-care to an incontinent female resident with dementia, the CNA knows

  • the resident may become combative
  • the resident may become tearful
  • the resident may feel sexually assaulted
  • all of the above

A resident with Alzheimer's disease has a baby doll that she carries with her and cares for. When she misplaces the doll, she begins to cry. What should the nurse aide do?

  • quickly find a new doll to replace the lost one
  • comfort the resident as if the doll were real
  • allow the resident to cry until she stops
  • tell the resident that it was only a doll

If a resident becomes confused, you should

  • put him in restraints so he won't fall
  • help the resident recognize familiar items
  • sit him down until you have time to assist him
  • place him in his room so he won't wander

If a resident behaves becomes combative, the nurse aide should

  • show him that the nurse aide is in control
  • ask a co-worker to witness the situation
  • communicate calmly while stepping out of the way
  • tell him to calm down or restraints may be necessary

Mr. Russell keeps getting up from his wheelchair. Instead of using a restraint, you should ask him if _________.

  • he wants to sit alone in his room
  • he would rather go home
  • he needs to go to the toilet
  • he is just being difficult

In a reality orientation program you would do all of the following EXCEPT

  • ask them to identify the smells of their meal
  • show them the weather outside their window
  • tell them the date and time each morning
  • ask the resident about their childhood

A good way to reduce confusion or agitation for residents with dementia is

  • trade assignments so they get to know all staff
  • follow a familiar schedule every day
  • ask them what the want to do
  • include a variety of activities for stimulation

Untitled multiple choice question

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

Communication and Interpersonal Skills 1

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."

Communication and Interpersonal Skills 2

If a patient speaks a different language, how can you communicate?

  • wait till a family member can translate
  • try to learn the language
  • get an interpreter
  • use gestures and visual aids

Paraphrasing is

  • restarting the message in your own words
  • asking a question to clarify information
  • correcting the other person's grammar
  • repeating the exact words the other person said

How can the nurse aide show they are interested and listtening to a client?

  • direct the conversation
  • change the subject frequently
  • respond when appropriate
  • correct the client's mistakes

When a person is admitted to the nursing home, the nurse aide should expect that the resident will

  • have problems related to incontinence
  • require a lot of assistance with personal care
  • adjust more quickly if admitted directly from the hospital
  • experience a sense of sadness related to the life change

When asking questions, a good rule to remember is to

  • start with difficult questions
  • offer your own opinion after they answer
  • ask one question at a time
  • use a "yes" or "no" format, yo make it easy

After Mary’s death, her husband wishes to share his feelings and emotions. You should

  • advise him to go to a counselor
  • tell him he must accept it, since she was so ill
  • encourage him to keep busy
  • listen to him and offer support

An important rule of communication is to always use "register." This means

  • the way we talk to different people
  • the records of all the clients at the facility
  • a method of helping clients to recall events
  • a list of words to look up in the dictionary

How can you give a resident some independence when he must be fed?

  • play music during mealtimes
  • use colorful dishes and napkins
  • ask which food he would like to eat first
  • always stand to feed the resident

Conflict resolution is an important part of communication. All the following are good tips EXCEPT

  • organizing meetings so others have a chance to speak and listen
  • letting emotions determine your reactions and decisions
  • owning your behavior and apologizing when necessary
  • staying positive about finding a solution that will help everyone

Non-verbal communication includes

  • Gestures
  • Facial expressions
  • shouting
  • all of the above

When communicating with elderly residents, you should

  • look away when they talk to you
  • speak rapidly and loudly
  • face the resident and make eye contact
  • finish all their sentences

A common impairment that can complicate effective communication between you and your patient include

  • bulemia
  • insomnia
  • aphasia
  • apoplexia

What should a nurse aide do when a resident comes out their room wearing mismatched slippers?

  • tell the resident to get help next time
  • tease the resident about their fashion sense
  • make the resident go back and fix their mistake
  • quietly ask if the resident notices the slippers

A patient's child died in the accident they were both in. What should the nurse aide do?

  • never mention or remind the patient of the death of the child
  • take the patient for a short walk to get fresh air
  • tell the patient that the child is in a better place
  • give the patient time to grieve and offer support

A good way to build a relationship with a resident is to

  • compliment them every day on their outfit
  • learn their favorite kind of joke so you can make them laugh
  • bring them home-baked cookies once a week
  • learn their non-verbal communication style

Which is NOT an example of clarification?

  • could you please say that again?
  • could you tell me one of your favorite memories
  • when you said.......what did you mean?
  • I'm not sure I understand what you just said

To assist residents who are anxious, you should do all EXCEPT

  • allow them to talk about their features
  • pay attention when they tell you they are nervous
  • notify your nurse of their condition
  • them everything will be okay

Ms. Smith is a new resident at your facility. What can you do as the CNA?

  • encourage other residents to welcome her
  • introduce her to the other residents
  • show her where she will be eating and doing activities
  • all of the above

You tell an unconscious patient what you are going to do because ________.

  • the patient's visitors may be interested
  • your co-workers will know what you're doing
  • they may be able to hear you
  • they have the right to refuse

Mrs. King wants to know why her indwelling catheter must always be kept below the level of her bladder. You reply

  • "Don't worry. Let us do our job."
  • "To keep urine from going back into the bladder."
  • "That's how the doctor ordered it."
  • "So your visitors can't see the urine."

What are the main components for successful communication?

  • pronunciation, articulation, intelligence
  • gestures, proper language, avoiding eye contact
  • a sender, a message, a reciever
  • a stimulus, the control center, the effector

Which is a good way to start a conversation with patients?

  • "What kind of work do you do?"
  • "Is your room warm enough?"
  • "Are you ready to eat breakfast?"
  • "Are you feeling great today?"

A resident frequently acts demanding, especially when his roommate has visitors. The nurse aide understands the resident is

  • hostile
  • paranoid
  • selfish
  • anxious

Which is NOT an example of an open-ended question?

  • do you like the view from your window?
  • what kind of things did you do when you were my age?
  • tell me about your son
  • what will you do when you get home?

Using touch as a way to communicate with a client

  • is natural and does not require consent
  • establishes authority with a client
  • depends on the client's culture
  • should only be done when giving direct care

Infection Control

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

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