CNA Chapter 6 Exam

CNA CHAPTER 6 EXAM VERSION 1 When using a transfer belt, the NA should: (A) Place it underneath the resident's clothing (B) Place it around the resident's shoulders (C) Place it around a resident's chest (D) Place it over the resident's clothing D. Place it over the resident's clothing When transferring a resident from a bed into a wheelchair, where should the wheelchair be placed? (A) On the stronger side (B) On the weaker side (C) On the left side (D) On the affected side A. On the stronger side Which of the following is an example of an activity of daily living (ADL)? (A) Praying (B) Eating (C) Reading (D) Talking to a family member B. Eating If a resident starts to fall, the best thing an NA can do is to (A) Catch the resident under the arms to stop the fall (B) Widen her stance and bring the resident's body close to her (C) Lock her knees (D) Move out of the way B. Widen her stance and bring the resident's body close to her. What is a good way for a nursing assistant to promote respect, dignity, and privacy when helping a resident with care? (A) If a resident takes too long to choose a shirt for the day, the NA should choose one for her. (B) The NA should knock on the door while a resident is in the bathroom to see if the resident can finish quickly. (C) The NA should encourage the resident to do as much as possible for herself. (D) The NA should ask the resident to move faster if she is not moving quickly enough. C. The NA should encourage the resident to do as much as possible for herself. How does the skin appear when it first begins to break down? (A) Skin looks like a deep crater. (B) Skin turns pale, white, red, or purple. (C) Skin is covered with bruises. (D) Skin has raised blisters. B. Skin turns pale, white, red, or purple. Which of the following is a condition that increases the risk of pressure ulcers? (A) Flexibility (B) Cold air (C) Good circulation (D) Restricted mobility D. restricted mobility Which of the following statements is true about pressure ulcers? (A) Pressure ulcers are usually caused by exercising too much. (B) Pressure ulcers are difficult to heal but do not hurt much. (C) Pressure ulcers are impossible to prevent. (D) Pressure ulcers can lead to life-threatening infections. D. Pressure ulcers can lead to life-threatening infections. Which of the following is at a higher risk of skin breakdown? (A) Front of neck (B) Face (C) Tailbone (sacrum) (D) Hands C. tailbone (sacrum) A nursing assistant should reposition immobile residents at least every: (A) Two hours (B) Three hours (C) Ten minutes (D) Twenty minutes A. Two hours A ___ keeps the covers from resting on a resident's legs and feet. (A) Hand roll (B) Bed cradle (C) Trochanter roll (D) Draw sheet B. bed cradle Which of the following should be washed every day? (A) Hair (B) Perineum (C) Chest (D) Knees B. Perineum Which of the following is true of mechanical lifts? (A) Mechanical lifts prevent injury. (B) It is safer for the NA to lift residents without the use of a mechanical lift. (C) There is only one kind of mechanical lift. (D) When using a mechanical lift, the NA should pump it approximately five feet over the bed before moving the resident. A. Mechanical lifts prevent injury When bathing a resident, a nursing assistant should: (A) Leave the resident alone to promote self-care (B) Get each item needed as the resident asks for it (C) Use bath oil to moisturize the resident's skin (D) Make sure the room is warm enough before beginning D. Make sure the room is warm enough before beginning When cleaning the perineal area, the NA should (A) Work from front to back (B) Work from back to front (C) Work from side to side (D) Work from dirtiest to cleanest A. Work from front to back Which of the following statements is true of positioning? (A) Residents will not need help getting into comfortable positions. (B) Constant pressure on an area helps prevent pressure ulcers. (C) NAs should check residents' skin each time they are repositioned. (D) Bedbound residents should be repositioned every three hours. C. NAs should check residents' skin each time they are repositioned. Which of the following is true of nail care? (A) An accidental cut when providing nail care poses no great risk. (B) An orangewood stick should be used to smooth calluses and corns. (C) Nail care should be provided when the nails are dirty. (D) Nail equipment can be shared among residents as long as it is clean. C. Nail care should be provided when the nails are dirty. How can a nursing assistant help promote independence and dignity while assisting with grooming? (A) By doing things residents can do for themselves only when the NA is in a hurry (B) By letting residents make choices once in a while (C) By styling the resident's hair in cute, new ways (D) By honoring the resident's preferences D. By honoring the resident's preferences During which of the following procedures must an NA always wear gloves? (A) Shaving a resident (B) Combing a resident's hair (C) Dressing a resident (D) Turning a resident A. Shaving a resident Which of the following statements is true of hair care? (A) Residents' hair should be handled gently because hair can be pulled out when combing or brushing it. (B) Residents' hair should be combed or brushed into childish hairstyles because they look cute on elderly people. (C) Nursing assistants should cut residents' hair when it gets long and when residents request it. (D) Pediculosis (lice) cannot spread quickly. C. Nursing assistants should cut residents' hair when it gets long and when residents request it Which of the following is an appropriate way for an NA to refer to a resident's weakened side when assisting with dressing? (A) Broken side (B) Stiff side (C) Limp side (D) Involved side D. involved side Which of the following is true of helping a resident dress? (A) An NA should choose the resident's clothing for the day. (B) If a resident has weakness on one side, the NA should start with the weaker side when dressing. (C) If a resident has weakness on one side, the NA should start with the stronger side when dressing. (D) Residents should dress in nightclothes during the day because it promotes comfort. B. If a resident has weakness on one side, the NA should start with the weaker side when dressing. Oral care should be done at least ___ time(s) a day. (A) One (B) Two (C) Three (D) Four B. Two Which of the following statements is true of dentures? (A) Dentures should be cleaned with hot water to remove bacteria. (B) Clean dentures should be returned to the resident or stored in a denture cup. (C) Dentures are not expensive. (D) Wearing gloves is not required for cleaning dentures. B. Clean dentures should be returned to the resident or stored in a denture cup. Ways to prevent aspiration during oral care of unconscious residents include (A) Using as little liquid as possible when giving oral care (B) Turning residents on their stomachs when giving oral care (C) Not giving frequent mouth care (D) Pouring water slowly into the resident's mouth A. Using as little liquid as possible when giving oral care Dangling means (A) Sitting up with legs over side of bed (B) Sitting up in chair with feet on floor (C) Lying in bed with feet over side of bed (D) Hanging both arms over chair rests A. Sitting up with legs over side of bed How often should bedbound residents be repositioned? (A) At least every two hours (B) Once per shift (C) Twice a day (D) At least every three hours A. At least once every two hours How often should residents in wheelchairs be repositioned? (A) At least every hour (B) At least every two hours (C) At least every three hours (D) At least every four hours A. At least every hour A resident who is lying on either her left or her right side is in the ___ position. (A) Supine (B) Lateral (C) Prone (D) Fowler's B. Lateral position A resident who has her head and shoulders elevated and is in a semi-sitting position (45 to 60 degrees) is in the ___ position. (A) Sims' (B) Fowler's (C) Prone (D) Lateral B. Fowler's position A resident who is lying on her stomach with her arms at her sides is in the ___ position. (A) Sims' (B) Fowler's (C) Prone (D) Lateral C. Prone position A resident who is lying on her left side with her upper knee flexed and raised toward the chest is in the ___ position. (A) Sims' (B) Fowler's (C) Prone (D) Supine B. Fowler's position Fowler's position VERSION 2 Semi-sitting Sims' position Laying on left side, with one leg drawn up Prone position Lying on stomach Supine position Lying flat on their back Lateral position Laying on either side promoting independence is part of how NA cares for residents true Styling one's hair is part of grooming oneself true perineal care is care of the fingernails and toenails false It is best for the NA to make the decisions about when and where procedures will be done False having care explained before it is performed is a resident's legal right true The NA should knock and wait for permission to enter the room true personal care provides the NA with an opportunity to observe a residents mental state true if the resident appears tired during a procedure the NA should encourage him to keep going so that the procedure is more efficient false Before leaving a residents room the NA should leave the bed in its highest position false The call light should always be left where the NA can easily reach it when she returns to the room false the bottom sheet on residents bed must be kept tight and free from wrinkles Cloth-covered items that keep the hand or fingers in a normal natural position Handrolls a problem that can result from pulling a residents across that sheet when transferring him shearing skin should be kept clean and dry Keeps cover from resting on the legs and feet bed cradle one type of material that prevents air from circulating causing the skin to sweat plastic at a minimum the number of hours at which immobile residents should be re positioned two skin this color should not be massaged red Lateral position pressure injuries - side of head - ear - shoulder-hip -greater trochanter -knee -ankles Prone position pressure injuries -cheek -collar bone -breast -buttock -genitals -knees -toes Supine position pressure injuries -back of head -shoulder blades -elbows -abdomen -sacrum -between the legs -heels With stage one pressure injuries skin is intact but may appear red and may be warmer than the area around it true areas of the body where bone is close to the skin are at higher risk for skin breakdown true residents seated in wheelchairs do not need to be re positioned false The NA should massage any red areas he notices false proper nutrition helps keep the skin healthy true when transferring or positioning residents the NA should pull them slowly across the sheets to make the job easier false Another name for pressure injuries in decubitus ulcers true common sites for pressure injuries are the chest, nose, and hands false A type of device that help support and align a limb is called an orthosis true bed cradle keeps bed covers from resting on the legs bony prominences Areas of the body where the bone lies close to the skin Draw sheet used to help resident that cannot help with turning or moving in bed helps prevent skin damage from shearing foot board placed against the feet to keep them properly aligned and to prevent foot drop handrolls keeps fingers in a natural position orthotic device helps support and align a limb and improve its functioning pressure points areas of the body that bears much of its weight Trochanter rolls rolled towels used to keep the kips and legs from turning outward A partial bath includes washing a residents genitals which of the following should be used to wash the residents face when giving a bed bath washcloth and water who is best able to choose a comfortable water temperature for the resident the resident How hot should the water be when shampooing a resident's hair no higher than 105 F the resident's perineum should be washed once a day Which of the following products should be used when giving a shower or tub bath shampoo When should gloves be changed during a bed bath before washing the perineal area Benefits of regular grooming appearance confidence feelings feel clean how they feel about others Electric razors should not be used when: around water= electrocution oxygen= explosion Which of the following would be the best type of clothing for a residents to wear during the day clean clothes Resident that have weakness undressing place clothes on weaker side first place on stronger Oral care before and after meals What to report when giving oral care -infection -irritation -swollen tongue - raised areas -flaky white spots -dry bleeding lips -loose chipped decayed teeth -bad breath Aspiration inhalation of food/ fluid into lungs turn them on their sides A fracture pan is used for voiding for residents who cannot raise their hips Men will generally use a ______ for urination when they cannot get out of bed urinal residents who can get out of bed but cannot walk to the bathroom may use a portable commode Another name for portable commode is bedside commode Which of the following statement is true when handling body wastes the NA should wear gloves why should NA report color odor and amount of urine and stool first signs of a medical problem Fowlers semi-sitting body position in which a person's head and shoulders are elevated 45 to 60 degrees Lateral on side both hands in front prone stomach supine on spine sims on side on arm behind the back why do residents who spend a lot of time in bed or wheelchairs need to be re positioned often they are at risk of skin breakdown and pressure injuries Weaker side on body is called involved sides draw sheet used as to help re position resident without causing shearing Logrolling is moving a resident as a unit without disturbing alignment Dangling is a way to help residents regain balance before standing up working with a residents in wheelchair the NA should check the residents alignment in the chair after a transfer is complete The following piece of equipment may be used to help transfer residents who are unable to bear weight on their legs sling Which of the following statement is true of mechanical or hydraulic lifts lifts help prevent injury to the nursing assistant and the resident When applying a transfer belt the NA should place it over the resident clothing and around the waist If a residents starts to fall during the transfer the NA best response would be to bend her knees and lower the resident to the floor Why do the elderly have more safety concerns than younger people? Due to issues like dementia confusion, illness, disability, and diminished senses What is the key to safety in facilities? Prevention Those at greatest risk of burns are? Older adults and those with loss of sensation Scalds are burns caused by? Hot liquids How long does it take for a serious burn to occur with a liquid temp of 140F? 5 seconds or less How should the NA check the temp of the hot water? Use a water thermometer What should an NA do if an appliance has a frayed cord or looks unsafe? The NA should report it immediately When serving hot liquids to residents, the NA should do what? Pour hot drink away from the resident What happens if a NA doesn't identify a resident before mealtimes or care? It can cause death or serious problems Which of the following is included on a Material Safety Data Sheet? (MSDS) Chemical ingredients and dangers Employers must? Have a MSDS for every chemical used The purpose of restraints are? To restrict voluntary movement or behavior An example of a physical restraint is? Raised side rails on a bed A chemical restraint is? Medication used to control behavior What is one reason the use of restraints has been restricted? They were abused by caregivers A restraint can be used when? When a doctor has ordered the use Restraint-free means what? Restraints are never used for any reason Restraint alternatives are? Any interventions used in place of a restraint which of the following statements is true of preventing falls clear walkways of clutter one condition or problem that can cause a lack of sensation is diabetes to serve hot liquids to residents a nursing assistant should pour hot drinks away from residents when should a nursing assistant identify a resident before helping with feeding in which position should a resident be placed for eating sitting as upright as possible why does working with oxygen require special safety precautions oxygen is a dangerous fire hazard which of the following guidelines is true of working around oxygen equipment NAs should not allow open flames around oxygen what information does a material safety data sheet contain description of emergency response actions which of the following is an example of physically restraining a resident putting both side rails up on the bed restraints can be applied only with a doctors order a serious problem that has been associated with restraint use is pressure ulcers which of the following statements is true of restraint usage people tend to respond better to restraint alternatives than to restraints an example of a restraint alternative is giving the resident a repetitive task if a restraint is applied a nursing assistant must check on the resident every 15 minutes which of the following terms applies to body mechanics fulcrum and lever which of the following statements is true of body mechanics body mechanics help save energy and prevent injury when helping a resident sit up stand up or walk the NA should bend her knees which of the following is a way to use proper body mechanics the NA should stand with her legs shoulder width apart race is an acronym for a safety rule and means remove residents activate alarm or call 911 contain fire extinguish