STNA Practice Exam

STNA PRACTICE EXAM_____________________ 1) The nursing assistant should a) encourage the resident to be independent. b) tell the family about problems with the resident. c) dress and feed residents, even if they are able to do it themselves. d) discourage residents from discussing their feelings. 2) Which of the following statements is not a reason for admission to a long-term care facility? a) A prospective resident requires specialized treatments. b) A prospective resident requires rehabilitation services before returning home. c) A prospective resident has Alzheimers or another dementia and can no longer be cared for at home. d) A prospective resident needs to be in an intensive care setting. 3) All conditions listed below are common to the urinary tract EXCEPT a) renal calculi. b) cardiac arrest. c) renal failure (uremia). d) rectocele and cystocele. 4) Changes in a man’s larynx due to aging causes the a) voice to become higher pitched. b) blood pressure to rise. c) resident to become disorientated. d) voice to become lower pitched. 5) The nursing staff should deal with sexuality a) by scolding residents to prevent sexual interest. b) with disgust and disapproval. c) by taking away residents’ activities. d) in a professional and mature way. 6) Amyotrophic Lateral Sclerosis (ALS) generally affects persons in what age group a) 10 to 20 years old. b) 25 to 30 years old. c) 50 to 70 years old. d) is present at birth. 7) Major nursing goals for a stroke victim include a) maintaining any skills and abilities remaining. b) preventing complications. c) helping regain functional abilities. d) all of the above. 8) When interviewing for a job as a nursing assistant, it is most important to a) be fashionably late because facilities never run on time. b) dress in your best jeans. c) be on time. d) bring note cards to help answer the questions you think they may ask. 9) When caring for a demanding resident you should a) give him the same care that everyone else receives. b) not answer his call light sometimes to help with his reality therapy. c) correct him when he is wrong, or he will take advantage of you. d) treat him the same way he treats you. 10) The person that spends more time with the resident than any other member of the health-care team is the a) doctor. b) nursing assistant. c) licensed staff. d) floor administrator. 11) The most appropriate action to take when a resident talks about suicide is to a) report this immediately. b) notify your co-workers. c) avoid upsetting her. d) call the resident’s family. 12) Alzheimer’s victims who have had the disease for more than 5 years, a) usually dress appropriately. b) need very little supervision. c) can eat meals unassisted. d) need help with most ADLs. 13) Being rude when a resident asks for help is considered to be a) a nursing assistant’s right. b) acceptable under certain circumstances. c) resident abuse. d) justifiable if the resident continually complains. 14) To ensure failure of an activity program, a) keep the noise level down. b) treat the residents as mature adults. c) have large groups for activities. d) make sure residents wear their hearing aids and glasses (if needed). 15) The most serious complication of restraints is a) depression. b) anger. c) agitation. d) strangulation. 16) A mask would always be used for a) contact precautions. b) nosocomial precautions. c) droplet precautions. d) ventilation precautions. 17) Bed rails a) are not considered a medical device. b) are always used for residents at risk for falling out of bed. c) place a resident at risk for strangulation. d) are used for staff convenience. 18) Residents wander for different reasons; your responsibility is to a) figure out why they are wandering. b) ensure their safety as they move. c) re-direct them to the living room. d) provide them with snacks and a drink. 19) Liver Cirrhosis can cause yellowing of the skin, whites of the eyes, and mucous membranes. Also known as a) petechiae b) cyanosis c) jaundice d) erythema 20) An example of non-verbal communication is a) placing your hands on your hips. b) telling your friend you are mad. c) speaking loudly to a resident. d) using a polite tone of voice. 21) The primary purpose of the medical record is to a) communicate to the healthcare team. b) document what the resident says. c) record care that was provided. d) report information to the doctor. 22) You are caring for a comatose resident. You suspect the resident may be in pain because you notice a) the resident has slipped down in the bed and needs to be repositioned. b) respirations have increased to 20 from the last time you checked them and they were 18. c) the family states they are concerned that the resident may be in pain. d) grimacing and moaning is observed when you come into the room. 23) During feeding, the nursing assistant should provide time for the resident to chew and use a a) teaspoon one-half full. b) teaspoon one-third full. c) tablespoon one-third full. d) tablespoon one-full. 24) During range-of-motion (AROM), the resident moves a) no limbs with or without assistance. b) one limb with limited assistance. c) all limbs freely, with no assistance. d) limbs with assistance. 25) A barrier is a block, ___________ is a barrier to effective communication. a) aggressiveness b) defensiveness c) powerlessness d) playfulness 26) Restorative care is provided by the a) nursing department. b) therapy department. c) activities department. d) social services department. 27) Physical changes in aging that affect the nervous system include a) increased sensitivity of nerve receptors in the skin (heat, cold, pain, pressure). b) decreased blood flow to the brain, which may result in mental confusion and memory loss. c) an increase in more relaxed sleep patterns resulting in better sleep throughout the night. d) improved balance and coordination with a significant decline in falls. 28) When giving a partial bed bath, the nursing assistant should a) gather supplies, wash the resident’s hands, torso and extremities. b) place the overbed table within reach with a basin of warm water, provide privacy, allow the resident to wash him/her self. c) not provide a back massage as rubbing bony prominences may cause pressure injuries. d) raise the bed to a comfortable working position, raise the side rails and instruct the resident to wash each body part. 29) When required to wear full personal protective equipment a) put the gloves on first. b) remove the gown last. c) remove the gloves first. d) put the gown on last. 30) The elbow is an example of a a) ball-and-socket joint. b) hinge joint. c) pivot joint. d) synovial joint. 31) Mary, the nursing assistant is getting ready to brush Mr. Baker’s teeth, she will need a) mask b) goggles c) gloves d) gown 32) Battery is a) the actual touching of a person’s body without the person’s consent. b) intentionally attempting or threatening to touch a person’s body without the person’s consent. c) injuring the name and reputation of a person by making false statements to a third person. d) an object used to provide electrical currents to power a device. 33) You reported a blood pressure bottom number of 90 and report to the nurse that the resident has an elevated a) systolic blood pressure. b) mean blood pressure. c) actual blood pressure. d) diastolic blood pressure. 34) You weighed Ms. Smith in her 23 pound wheelchair, obtaining a total weight of 172 pounds. Ms. Smith weighs a) 325 pounds. b) 213 pounds. c) 195 pounds. d) 149 pounds. 35) The care plan identifies that Mrs. Jones should be ambulated bid each day. This means that Mrs. Jones should be ambulated a) three times a day. b) two times a day. c) every other day. d) before each meal. 36) Symptoms of C. difficile include a) fever, diarrhea that includes blood and mucus, nausea. b) nausea, increased appetite and abdominal cramps. c) lack of appetite, foul smelling watery stools, low grade fever. d) frequent watery stool, increased appetite, fever and nausea. 37) You are working as a CNA and accidently get stuck with a used needle. Your next action will be to a) finish the shift and stop by a local emergency room on the way home. b) ask the resident if they are current on their vaccinations and if they have any diseases. c) let your nurse know you are leaving and call 911 since you will need immediate treatment. d) follow the facility policy and report the exposure to your supervisor immediately. 38) Your resident is a practicing Hindu. He will have diet restrictions that should be honored, such as a) no alcohol, beverages with caffeine or chocolate. b) no products made with wheat. c) no beef, but products from cows are allowed. d) no fish, lobster or shrimp. 39) When residents are laying on their sides they are in a a) prone position. b) lateral position. c) sim’s position. d) supine position. 40) The stages of grief include a) denial, anger, bargaining, depression, acceptance. b) denial, anger, guilt, regret, relief. c) shock, denial, regret, sadness, loneliness. d) shock, anger, guilt, relief, sadness. 41) The significance of a fire extinguisher labeled as Type B is that it may be used a) on all types of fires. b) for a paper and wood fire. c) for an electrical fire. d) for a grease and oil fire. 42) Hospice care for the person focuses on pain relief and comfort measures. The goal of hospice is to a) focus on a cure and life-saving measures. b) improve the dying person’s quality of life. c) prepare the family and the facility to give care. d) make it easier for the facility to achieve pain relief. 43) You are walking Mr. Smith down the hallway, Mr. Smith stumbles and starts to fall. You should a) do everything you can to hang on to him, and fall with him if needed, to help break his fall. b) let go of his gait belt and see if he can regain his balance. c) yell for help and hang on to whatever part of his gait belt or clothing you can grab. d) slide your leg behind Mr. Smith and try to lower him to the floor. 44) When measuring intake and output, 240 milliliters (mL) is equal to a) 1 tablespoon b) 1 cup c) 1 pint d) 1 quart 45) Body fluids include a) blood, sweat, saliva. b) tears, sputum, sweat. c) blood, urine, vaginal secretions. d) semen, vomit, feces, sweat. 46) When working with a resident that has had a stroke, the nurse aide should a) keep questions and directions simple and one step at a time. b) just perform the required task for residents without speaking to them. c) ask residents questions that require a full response. d) use only non-verbal gestures when communicating. 47) Proper body mechanics are used to decrease injuries to the residents and staff. When transferring a resident from the bed to the wheelchair, the CNA will a) place the bed in the high position, so the bed is at waist height of the CNA. b) place the bed in the low position, so the resident’s feet are flat on the floor. c) have the resident wrap her arms around the CNA’s neck to be pulled up to a standing position. d) unlock the wheelchair brakes, so that the wheelchair can be moved once the resident is standing up. 48) During a report you find out that a resident fell last night and has a hairline fracture of the wrist. The CNA understands that to be a) open and the bone is broken in two areas. b) open and the bone came through the skin. c) closed and the bone has a fine-line crack. d) closed the bone is in the proper place. 49) A sign of substance abuse includes a/an a) decrease in the level of confusion. b) increase in appetite. c) decrease in normal functioning. d) increase in the sense of smell. 50) The nurse asks the Certified Nursing Assistant (CNA) to take the resident’s blood pressure. The CNA chooses to take it on the right side because the resident has a) an IV in the right hand. b) had a mastectomy on the right breast. c) a left below-the-knee amputation. d) an IV in the left hand. 51) CDC stand for a) Centers for Disease Control. b) Centers for Diabetic Control and Prevention. c) Centers for Disease Control and Prevention. d) Centers for Disease Complex. 52) You hear the nurse say that the resident is experiencing orthopnea. You understand you must put the resident into a a) high-fowler’s position. b) lateral position. c) prone position. d) supine position. 53) When transferring a resident from her bed to the wheelchair, you must a) lock at least 2 of the 4 bed brakes, lock wheelchair, lower the bed so that the resident’s feet are flat on the floor. b) position the wheelchair at bedside, put on non-skid slippers, lock the brakes on all 4 wheels of the hospital bed. c) lower the bed, lock all the brakes on the bed and wheelchair, position your wheelchair touching the bed, put on non-skid slippers. d) apply gait belt to the resident, lower the bed so that the feet are flat on the floor, put on non-skid slippers. 54) You have been caring for a resident and the resident’s family for three years. One day the resident states she is feeling lonely and asks you for a hug. You decide a) this is acceptable because of the long term relationship with the resident and the resident requested a hug. b) this is not acceptable because it is crossing the nursing assistant/resident boundary. c) this would require you to first ask the charge nurse to make sure this does not violate the resident’s rights. d) this would require you to document the request in the medical record because the resident has made an unacceptable request. 55) If a resident is having a difficult time hearing you when you speak, interventions you can use to help the resident hear you better are a) to put your mouth as close to the resident’s ear as possible and raise your voice while clearly stating each word. b) to stand to the side of the resident and speak in a louder voice while clearly stating each word. c) to stand directly in front of the resident while speaking and clearly state each word. d) to use a pad and pencil to write out what you are trying to tell the resident. 56) After reporting abnormal results to the nurse, a) document in the EMR by the end of your shift. b) document in the EMR right away or as soon as possible. c) document in the EMR the next time you log in. d) you don’t need to document in the EMR, you told the nurse. 57) For a dependent resident, you should brush their teeth a) every other day. b) once a day. c) only with bedtime care. d) twice a day. 58) The nursing assistant is taking care of a resident with a diagnosis of chronic obstructive pulmonary disease. The resident may exhibit a) shortness of breath, cough and fatigue. b) fever, headache and sore throat. c) weight loss, night sweats and weakness. d) thirst, ankle edema, and increased urination. 59) The purpose of a sequential compression device is to a) aid with chest compressions. b) induce a deeper sleep cycle. c) provide for easier breathing. d) promote venous blood flow. 60) You have blood on your hands, what should you do first? a) Tell the nurse. b) Wash with soap and water. c) Rinse with hot water. d) Use an alcohol based hand sanitizer. 61) The best defense against infection is a) PPE. b) nutrition. c) immunization. d) hand washing. 62) Before you transfer a resident from the bed to a wheelchair, you must a) prepare yourself by placing your feet close together. b) get as close as possible to who/what you are lifting. c) adjust the bed to the highest position. d) bend your back and not your knees. 63) A physical restraint is a) medication used to sedate the resident. b) locking a resident in their room. c) any device that restricts movement. d) spanking or slapping a resident. 64) A common physical change in the digestive system as the body ages is an increase in a) appetite. b) dysphagia. c) peristalsis. d) saliva production. 65) Osteoporosis is caused by a) labored breathing and shortness of breath. b) chronic inflammation that narrows bronchioles. c) gradual loss of minerals from the bones. d) weak heart muscle that can’t pump blood. 66) Mrs. Melvin is a demanding patient who is difficult to please. Which of the following would be appropriate for you to do? a) Ask Mrs. Melvin before leaving her room, if you have done everything she needed. b) Require Mrs. Melvin to bathe and dress when you are available, not when she wishes to. c) Avoid Mrs. Melvin’s room once you have done her care, so she won’t keep asking for things. d) Tell Mrs. Melvin you have other residents who need your help more than she does. 67) When cleaning dentures, why do you line the sink with paper towels? a) To keep sink clean. b) To keep the teeth from breaking if they are dropped. c) To dry the teeth. d) To lay the dentures on after you are through cleaning them. 68) You find a patient in shock. You should a) sit them up. b) give them something to eat. c) tell them they will be okay. d) elevate their feet above heart level. 69) Which of the following people provide treatment for persons who have difficulty talking due to disorders such as stroke or physically swallowing? a) Speech Therapist. b) Registered Nurse. c) Physical Therapist. d) Occupational Therapist. 70) The first aid treatment for hemorrhage is to a) lower the arm below heart level. b) put on a tourniquet. c) run and get the nurse. d) apply direct pressure. 71) The recommended position for giving an enema is a) semi-fowler’s. b) prone. c) left Sims. d) supine. 72) All behavior has meaning to the a) facility psychologist. b) person performing the behavior. c) person observing the behavior. d) person who is talking. 73) What can you do to allow a helpless resident some independence when he must be fed? a) Feed the resident lying down. b) Feed the resident with a fork. c) Always stand to feed the resident. d) Ask which foods the resident would like to eat first. 74) When caring for a resident whose religion is different from your own, you should a) respect his/her religious beliefs. b) try to convert the resident to your religion. c) show the resident how wrong his/her religion is. d) arrange to have a priest/missionary/clergy visit. 75) What is the first thing that should be done if you discover a fire in a resident’s room? a) Ring the fire alarm. b) Move the resident out of danger. c) Hurry and get the nearest fire extinguisher. d) Close all doors and windows. 76) When the resident’s body is dehydrated and loses more fluid than is taken in, or retains more than is put out, it is called a) edema. b) fluid balance. c) fluid imbalance. d) measurable intake and output. 77) A restraint should always be tied to the a) side rail. b) bed frame. c) head board. d) bedside table. 78) You don’t answer a call light because the patient is always hitting it accidentally. This would be considered a) unethical. b) neglect/abuse. c) breaking confidentiality. d) false imprisonment. 79) Nursing Assistants can do many things to help a resident sleep well at night. One thing that you can do is a) offer a cup of coffee. b) turn the room temperature down very low. c) avoid giving a bedtime snack. d) keep the environment quiet.