CNA Final Exam Review Guide

cna final exam review 100 questions 1. What is one important reason why bed linens should To help keep the remain wrinkle-free? skin healthy and prevent pressure ulcers 2. What is the term for a device that replaces a missing Prosthesis body part? 3. Exercises that put each joint through its full arc of motion are called 4. Which of the following is the correct way to remove a Unfasten gown at gown? neck and waist and roll the dirty side in while holding gown away from the body. 5. How many times can disposable gloves be worn be- One time fore being discarded? 6. To best communicate with a visually impaired resident, the NA should Identify herself when she enters the room 7. The best way for an NA to provide foot care for a diabetic resident is to Observe the feet regularly for signs of sores or infection 8. If a resident starts to fall, the best thing an NA can do Widen her stance is to and bring the resident's body close to her 9. An NA should use friction for at least _____ seconds 20 when washing her hands. 10. Range of motion Advance directive 1 / 22 Which of the following is a term for a legal document that designates what kind of care a person wants if he is unable to make that decision himself? 11. Which temperature site is generally considered to be Rectum (rectal) the most accurate? 12. Which of the following tasks is outside the scope of Prescribing a new practice for an NA? medication 13. How should the NA respond if a resident tries to give The NA should him a gift? refuse the gift but say thank you. 14. What does the term empathy mean? Empathy means being able to identify with the feelings of others. 15. To monitor a resident's pulse rate, the NA will most commonly check the ___ pulse. Radial 16. Slapping, shoving, and rough handling are all consid- Physical abuse ered to be a type of _________ 17. With which of the following people may an NA share Resident's doctor a resident's medical information? 18. Which of the following sentences is an example of a Mr. Gomez ate fact? half of his scrambled egg. 19. Which is/are the most essential nutrient(s) for life? Water 20. Objective information is Information collected using the senses 21. Which of the following statements is true of documentation? NAs should document care right 2 / 22 after it has been done. 22. Standard Precautions should be practiced On every single person in the NA's care 23. Which of the following statements is true of handwashing? An NA should wash her hands before and after touching a resident. 24. Using proper body mechanics includes Standing with the legs shoulder-width apart 25. What is one of the first signs that a pressure ulcer is Discoloration of forming? the skin 26. Which of the following is an example of a physical need? Food 27. Which of the following remarks is a cliché? "It will all work out in the end." 28. In which type of environment do microorganisms grow best? Dark 29. An axillary temperature is measured In the armpit 30. If a resident has just had a glass of iced tea, how long 10 to 20 minutes should the NA wait before measuring the resident's temperature via the oral method? 31. Which of the following abbreviations means nothing NPO by mouth? 32. Which of the following canes has four rubber-tipped Quad cane feet? 3 / 22 33. In which of the following situations must a nursing assistant always wear gloves? While shaving a resident 34. Which type of toileting equipment is used for elimina- Fracture pan tion for residents who cannot assist with raising their hips onto a regular bedpan? 35. Hypertension is the medical term for High blood pressure 36. How often should an ostomy bag be emptied? Whenever stool is eliminated 37. How should an NA work when helping a resident with egin at the shoulrange of motion exercises? ders and work down the body 38. (n) _____ is the permanent and painful shortening of Contracture a muscle or tendon. 39. Which of the following is used when documenting the Milliliters amount of fluid a resident drinks? 40. How should a fracture pan be positioned? With the handle toward the foot of the bed 41. In order to communicate with a resident who is hear- Face the resiing-impaired, the nursing assistant should dent directly when speaking 42. Which of the following is an example of physical abuse? Pinching a resident 43. Joking with a resident's roommate about the resident's incontinence is what type of abuse? Psychological abuse 44. Which of the following statements is true of mental illness? Mental illness is a disorder that produces signs and 4 / 22 symptoms like any physical disorder. 45. An appropriate resource for an NA to turn to if he is His supervisor experiencing stress is 46. In order for an object to be called clean in a healthcare Free of pathogens setting, it must be 47. Which of the following is an example of a whole grain Whole wheat food? bread 48. The serious condition that occurs when a person does not have enough fluid in the body is called Dehydration 49. Which of the following is an example of a plant-based Refried beans protein? 50. According to the USDA's MyPlate, most fruit choices Whole fruit should be 51. Which of the following statements is true of helping The NA should to prevent aspiration during eating? place food in the stronger side of the mouth. 52. Which of the following is true of Transmission-Based They are practiced Precautions? in addition to Standard Precautions. 53. An example of a physical restraint is Raised side rails on a bed 54. What does the abbreviation ADLs stand for? Activities of daily living 55. Which kind of care helps residents restore or improve Rehabilitation function after an illness or injury? 56. Angina pectoris 5 / 22 The medical term for chest pain, pressure, or discomfort is 57. An example of ethical behavior by an NA is Protecting a resident's privacy 58. Which of the following shows the correct conversion 1600 hours of 4:00 p.m. to military time? 59. Barriers to communication include which of the fol- NA uses medical lowing? terminology with the resident. 60. Which of the following is an example of nonverbal communication? A resident points to a glass. 61. Which of the following occurrences is considered an A resident falls. incident and requires a report to be completed? 62. An employer must offer an NA a free vaccine for _____. Hepatitis B 63. Draw sheets are used to Reposition residents without causing shearing 64. When assisting a resident with a standard bedpan, Response: In where should the wider end of the bedpan be placed? alignment with the resident's buttocks 65. Blood pressure is measured using a Response: Sphygmomanometer 66. One safety device that helps transfer residents is called a Response: Transfer belt 67. How many ounces of water or other fluids should residents be encouraged to drink each day? Response: 64 ounces 6 / 22 68. The medical term for skin that is blue or gray is Response: Cyanotic 69. Which of the following shows the correct conversion Response: 2400 of midnight (12:00 a.m.) to military time? hours 70. The Omnibus Budget Reconciliation Act (OBRA) re- Response: 100 quires that nursing assistants complete at least ___ hours of training before being able to work as nursing assistants. 71. How many ounces are equal to 90 milliliters? Response: 3 ounces 72. Regular inspections performed in facilities to make Response: Sursure they are following state and federal regulations veys are called 73. Which of the following is the best way for a nursing Response: Store, assistant to keep residents' health information confi- file, or shred docdential? uments according to facility policy 74. What are typical duties of an ombudsman? Response: An ombudsman advocates for residents and helps settle disputes. 75. Which of the following topics is required by OBRA to Response: Probe covered during nursing assistant (NA) training? moting residents' independence 76. Which of the following behaviors promotes Residents' Rights? Response: Encouraging a resident to participate in care planning 77. Response: Neglect 7 / 22 Which of the following terms means harming a person physically, mentally, or emotionally by failing to provide needed care? 78. Which of the following terms means to steal, take Response: Finanadvantage of, or improperly use the money, property, cial abuse or other assets of another person? 79. OBRA was passed as a response to Response: Reports of poor care and abuse in long-term care facilities 80. Which of the following statements is true of touch? 81. Tuberculosis is Response: An airborne disease 82. Which of the following statements is true of diabetes? Response: People with diabetes must follow their diet instructions carefully. 83. The most common form of diabetes is Response: Type 2 diabetes 84. HIV can be transmitted by Response: Blood 85. The key treatment for malignant tumors of the skin, Response: breast, bladder, colon, rectum, stomach, and muscle Surgery is 86. Baseline vital signs are Response: Initial values that can be compared to future measurements 8 / 22 87. Which of the following is the best way an NA can communicate with a resident who has cancer? Response: The NA should listen to the resident if he feels like talking. 88. Which of the following is an example of physically restraining a resident? Response: Putting both side rails up on the bed 89. A resident with AIDS who has an infection of the mouth may need to eat food that is Response: Soft 90. To convert four ounces to milliliters, the NA should multiply four by 30 91. Which of the following shows the correct conversion Response: 7:00 of 1900 hours to standard time? p.m. 92. Where is long-term care offered? Response: In skilled nursing facilities 93. Which of the following statements is true of urinary Response: Cerincontinence? tain nervous system diseases can cause urinary incontinence. 94. After an amputation, a resident may experience phan- Response: The tom sensation. Phantom sensation is feeling that the amputated body part is still there 95. When should bed sheets be changed? Response: When they are soiled or damp 96. Which of the following is a type of advance directive? Response: Durable Power of 9 / 22 Attorney for Health Care 97. _____ is taking in and eliminating equal amounts of Response: Fluid fluid. balance 98. What member of the care team might help a resident Response: Occulearn to use adaptive devices for eating or dressing? pational therapist 99. When encountering a fire, an NA should first Response: Remove residents from danger 100. Nursing assistants are not allowed to Response: Change sterile dressings 101. A resident often carries a doll with her, treating it like C offer comfort to her baby. One day she is wandering around crying the resident and that she can't find her baby. The nurse aide should help her look for her baby. (A) ask the resident where she last had the doll. (B) ask the activity department if they have any other dolls. (C) offer comfort to the resident and help her look for her baby. (D) let the other staff know the resident is very confused and should be watched closely. 102. A nurse aid is asked to change a urinary drainage bag attached to an indwelling urinary catheter. The nurse aid has never done this before. The best response by the nurse aide is to 103. Before feeding a resident, which of the following is the best reason to wash the resident's hands? ask a nurse aid to watch the nurse aid change the bag since it is the first time A The resident may still touch his/her mouth or (A) The resident may still touch his/her mouth or food. food. (B) It reduces the risk of spreading airborne diseases. 10 / 22 (C) It improves resident morale and appetite. (D) The resident needs to keep meal routines. 104. Which of the following is a job task performed by the A Participating in nurse aid? resident care plannning conferences A. Participating in resident care plannning conferences B. Taking a telephone order from a physician C. Giving medications to assigned residents D. Changing sterile wound dressings 105. Which of the following statements is true about range of motion excersises? A. Done just once a day B. Help prevent strokes and paralysis C. Require at least 10 reps of each excersise D. Are performed during adls such as bathing or dressing D Are performed during adls such as bathing or dressing 106. While the nurse aide tries to dress a resident who is B confused, the resident keeps trying to grab a hairbrush. The nurse aide should (A) put the hairbrush away and out of sight. (B) give the resident the hairbrush to hold. (C) try to dress the resident more quickly. (D) restrain the resident's hand. 107. A resident who is lying in bed suddenly becomes C short of breath. After calling for help, the nurse aide's next action should be to (A) ask the resident to take deep breaths. (B) take the resident's vital signs. (C) raise the head of the bed. (D) elevate the resident's feet. 108. A resident who has cancer is expected to die within B the next couple of days. Nursing care for this resident 11 / 22 should focus on A. helping the resident through the stages of grief B. providing for the residents comfort C. keeping the residents routine, such as for bathing D. Giving the resident a lot of quiet time 109. While giving a bedbath, the nurse aide hears the C alarm from a nearby door suddenly go off. The nurse aide should (A) wait a few minutes to see if the alarm stops. (B) report the alarm to the charge nurse immediately. (C) make the resident being bathed safe and go check the door right away. (D) stop the bedbath and go check on the location of all assigned residents. 110. Gloves should be worn for which of the following procedures? A (A) Emptying a urinary drainage bag (B) Brushing a resident's hair (C) Ambulating a resident (D) Feeding a resident 111. When walking a resident, a gait or transfer belt is often D (A) worn around the nurse aide's waist for back support. (B) used to keep the resident positioned properly in the wheelchair. (C) used to help stand the resident, and then removed before walking. (D) put around the resident's waist to provide a way to hold onto the resident. 112. Which of the following statements is true about resi- A dents who are restrained? 12 / 22 A. They are at a greater risk for developing pressure sores B. They are at a lower risk for developing pnemonia C. Their posture and alignment are improved D. They are not at risk for falling 113. A resident had diabetes. Which of the following is a B. Shakiness common sign of a low bloodsugar? A. fever B. Shakiness C. Thirst D. Vomiting 114. When providing foot care to a resident it is important B for the nurse aide to A. remove calluses and corns. B. check the feet for skin breakdown C. keep water cool to prevent burns D. apply lotion, including between the toes 115. When feeding a resident, frequent coughing can be a D sign the resident is (A) choking. (B) getting full. (C) needs to drink more fluids. (D) having difficulty swallowing. 116. When a person is admitted to the nursing home, the C nurse aid should expect that the resident will A. have problems related to incontinence B. require a lot of assistance with personal care C. expeirence a sense of loss related to life change D. adjust more quickly if admitted directly from the hospital 117. A resident gets dressed and comes out of his room ask if the resiwearing shoes that are from two different pairs the dent realizes that nurse aid should the shoes do not match 13 / 22 118. A residents wife jhust died. the resident is now stay- C ing in room all the time no eating. what should nurse aide do. A. remind the resident to be thankul for the years spent with his wife B. tell the resident that he needs to get out of his room at least once a day C. understand the resident is grieving and give him chances to talk D. avoid mentioning his wife when caring for him 119. When a resident refuses a bedbath, the nurse aide should B (A) offer the resident a bribe. (B) wait awhile and then ask the resident again. (C) remind the resident that people who smell don't have friends. (D) tell the resident that nursing home policy requires daily bathing. 120. When a resident is combative and trying to hit the nurse aide, it is important for the nurse aide to D (A) show the resident that the nurse aide is in control. (B) call for help to make sure there are witnesses. (C) explain that if the resident is not calm a restraint may be applied. (D) step back to protect self from harm while speaking in a calm manner. 121. During lunch in the dining room, a resident begins A yelling and throws a spoon at the nurse aide. The best response by the nurse aide is to (A) remain calm and ask what is upsetting the resident. (B) begin removing all the other residents from the dining room. 14 / 22 (C) scold the resident and ask the resident to leave the dining room immediately. (D) remove the resident's plate, fork, knife, and cup so there is nothing else to throw. 122. Which of the following questions asked to the resident is most likely to encourage conversation? A. Are you feeling tired? B. Do you want to wear this outfit C. What are your favorite foods? D. Is the water warm C. 123. When trying to communicate with a resident who A speaks a different language than the nurse aide, the nurse aide should (A) use pictures and gestures. (B) face the resident and speak softly when talking. (C) repeat words often if the resident does not understand. (D) assume when the resident nods his/her head that the message is understood. 124. While walking down the hall, a nurse aide looks into a B resident's room and sees another nurse aide hitting a resident. The nurse aide is expected to (A) contact the state agency that inspects the nursing facility. (B) enter the room immediately to provide for the resident's safety. (C) wait to confront the nurse aide when he/she leaves the resident's room. (D) check the resident for any signs of injury after the nurse aide leaves the room. 125. Before touching a resident who is crying to offer comfort, the nurse aide should consider (A) the resident's recent vital signs. 15 / 22 B (B) the resident's cultural background. (C) whether the resident has been sad recently. (D) whether the resident has family that visits routinely. 126. When a resident is expressing anger, the nurse aide C. Listen closely should:A. Correct residents misperceptions.B. Ask to resident's conresident to speak in a kinder tone.C. Listen closely cerns. to resident's concerns.D. Remind resident that everyone gets angry. 127. When giving a backrub, nurse aide should:A. Apply B. Keep resident lotion to the back directly from the bottle.B. Keep covered as much resident covered as much as possible.C. Leave extra as possible. lotion on skin when completing the procedure.D. Expect resident to lie on his/her stomach B 128. A nurse aide finds a resident looking in the refrigerator at the nurses' station at 5 a.m. The resident, who is confused, explains he needs breakfast before he leaves for work. The best response by the nurse aide is to:A. Help resident back into his room and back to bed.B. Ask resident about his job and if he is hungry.C. Tell him that residents are not allowed in the nurses' station.D. Remind him that he is retired from his job and in a nursing home. 129. Which of the following is true about caring for a B resident who wears a hearing aid?A. Apply hairspray after hearing aid is in place.B. Remove hearing aide before showering.C. Clean earmold and battery case with water daily, drying completely.D. Replace batteries weekly. 130. Residents with Parkinson's disease often require as- D sistance with walking because they:A. Become confused and forget how to take steps without help.B. Have poor attention skills and do not notice safety problems.C. Have visual problems that require special glasses.D. Have shuffling walk and tremors. 16 / 22 131. A resident who is inactive is at risk of constipation. In A addition to increased activity and exercise, which of the following actions helps to prevent constipation.A. Adequate fluid intake.B. Regular mealtimes.C. High protein diet.D. Low fiber diet. 132. A resident has an indwelling urinary catheter. While C making rounds, the nurse aide notices that there is no urine in the drainage bag. The nurse aide should first:A. Ask the resident to try urinating.B. Offer the residents fluid to drink.C. Check for kinks in the tubing.D. Obtain a new urinary drainage bag. 133. A resident who is incontinent of urine has an increased risk for developing:A. Dementia.B. Urinary tract infections.C. Pressure sores.D. Dehydration. C 134. When cleansing the genital area during peri care, the B nurse aide should: A. Cleanse penis with circular motion starting from the base and moving toward the tip.B. Replace the foreskin when pushed back to cleanse an uncircumcised penis.C. Cleanse the rectal area first, before cleansing the genital area.D. Use the same area on the washcloth for each washing and rinsing stroke for a female residen 135. Which of the following is considered a normal age-re- C` lated change?A. Dementia.B. Contractures.C. Bladder holding less urine.D. Wheezing when breathing. 136. A resident is on a bladder restraining program. The D. Have a schednurse aide can expect the resident to:A. Have a flu- ule for urinating. id intake restriction to prevent sudden urges to urinate.B. Wear an incontinent brief in case of an accident.C. Have an indwelling urinary catheter.D. Have a schedule for toileting. 137. 17 / 22 A resident who has stress incontinence:A. Will have C. May leak urine an indwelling catheterB. Should wear an incontinent when laughing or brief at night.C. May leak urine when laughing or coughing. coughing.D. Needs toileting every 1-2 hours throughout the day. 138. The doctor has told the resident that his cancer is A. Understand that growing and he is dying. When the resident tells the denial is a normal nurse aide that there is a mistake, the nurse aide reaction. should:A. Understand that denial is a normal reaction.B. Remind the resident that the doctor would not lie.C. Suggest the resident to ask for more tests.D. Ask if the resident is afraid of dying. 139. A slipknot is used when securing a restraint so that:A. The restraint cannot be removed by the resident.B. The restraint can be removed quickly when needed.C. Body alignment is maintained while wearing the restraint.D. It can be easily observed whether the restraint is applied correctly B. The restraint can be removed quickly when needed. 140. When using personal protective equipment (PPE) the C nurse aide correctly follows Standard Precautions when wearing: A. Double gloves when providing peri care to a resident.B. A mask and gown while feeding a resident that coughs.C. Gloves to remove a resident's bedpans.D. Gloves while ambulating a resident. 141. To help prevent resident falls, the nurse aide should: A. Always raise siderails when any resident is in his/her bed.B. Leave residents beds at the lowest level when care is complete.C. Encourage resident to wear larger-sized, loose-fitting clothing.D. Remind resident who use call lights that they need wait patiently for staff. B. Leave resident's bed at lowest level when care is complete. 142. As the nurse aide begins his/her assignment, which C. Assist a resof the following should nurse aide do first?A. Colident that has lect linen supplies for the shift.B. Check all nurse called for assis18 / 22 aide's assigned residents.C. Assist a resident that tance to get off the has called for assistance to get off the toilet.D. Start toilet. bathing a resident that has physical therapy in one hour. 143. Which of the following would affect a nurse aide's D. Having a findstatus on the state's nurse aide registry and also ing for resident neglect. cause the nurse aide to be ineligible to work in a nursing home? A. Having been terminated from another facility for repeated tardiness.B. Missing a mandatory infection control inservice training program.C. Failing to show up for work without calling to report the absence.D. Having a finding for resident neglect. 144. To help prevent the spread of germs between patients, nurses aides should: A. Wear gloves when touching residents.B. Hold supplies and linens away from their uniforms.C. Wash hands for at least two minutes after each resident contact.D. Warn residents that holding hands spreads germs. B. Hold supplies and linens away from their uniforms. 145. When a sink has hand-control faucets, the nurse aide B should use: A. A paper towel to turn the water on.B. A paper towel to turn off the water.C. An elbow, if possible to turn the faucet controls on and off.D. Bare hands to turn the faucet controls both on and off. 146. When moving a resident up in bed who is able to move with assistance, the nurse aide should: A. Position self with knees staright and bent at waist.B. Use a gait or transfer belt to assist with repositioning.C. Pull the resident up holding onto one side of the drawsheet at a time.D. Bend the resident's knees and ask the resident to push with his/her feet. D. Bend the resident's knees and ask the resident to push with his/her feet. 147. The residents weight is obtained routinely as a way to C. Nutrition and check the resident's:A. Growth and development.B. health. 19 / 22 Adjustment to facility.C. Nutrition and health.D. Activity level. 148. which of the following is a right that is included in the D. To make deciResident's Bill of Rights? sions and particiA. To have staff available that speak different lanpate in own care guages on each shift.B. To have payment plans that are based on financial needs.C. To have religious servies offered at the facility daily.D. To make decisions and participate in own care. 149. Which of the following, if observed as a sudden C. Slurred change in the resident is considered a possible warn- Speech. ing sign of a stroke? A. Dementia.B. Contractures.C. Slurred Speech.D. Irregular Heartbeat. 150. Considering the resident's activity, which of the following sets of vital signs [temp-pulse-respiration-BP] should be reported to the charge nurse immediately? A. Resting: 98.6-98-32 // 140-90 B. After eating: 97-64-24 // 120-80 C. After walking exercise: 98.2-98-28 // 125-70 D. While watching television: 98.8-72-14 // 110-60 A. Resting [high respirations] 98.6-98-32 // 140-90 151. of the following, which is most likely due to an infection in a resident? A. Pale skin B. Tented skin C. Sudden onset confusion D. Aphasia C. Sudden onset confusion Tinted or tented skin is normal and pale skin aphasia could indicate stroke 152. which of the following would be a primary indication jaundice of hepatitis 153. Cheyne-Stokes respiration occur in a client who is close to death 154. Accelio Present Applied Technology something that helps you fly 20 / 22 155. when helping a client with left-sided weakness due to right side, to supCVA, where should you give the cane port the weak side 156. CPR Should be performed on a victim who is... no pulse and not breathing 157. "Log-rolling" is a technique best used for which of the B following patient diagnoses? A. left tibial fracture B. Spinal cord injury C. Cellulitus of the right arm, D. psychosis 158. Log rolling is a method of moving patients with sus- spine pected (A) head injury. (B) spinal injury. (C) bowel obstruction. (D) extremity fracture. 159. which of the following types of grief is considered a A. normal and healthy part of grieving A. anticipatory B. Complicated C. Unresolved D. Inhibited 160. Battery and Assault Battery is an unprivileged, unwanted touching of another. 161. MRSA resistant to antibiotics 162. fecal impaction also known as bowel obstruction 163. Dyspnea difficulty breathing 21 / 22 164. a resident burns foot on george foreman grill, it looks Partial thickness blistered and red, what kind of burn is this burn, total thickness would appear waxy and white, superficial would be blotchiness and no blistering 165. a client who has not had a bowel movement in four enema. days would recieve the most benefit from which procedure? 166. poopoo scloopoo bee 167. chicken waffle iron isngoisg 168. porkland chicken 169. deefke beefle 170. I once heard a joke about amnesia But I forgot how it goes 171. chicken that conquered the worldalso like to eat tchicken every single day and one time i sae a chicke 172. poople scloople rpm processing unit 22 / 22