CNA Practice pdf 525+ Q&A PDF

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Crampsheet pharmacology reviewer for exit exam...

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CNA PRACTICE TEST I

Item 3 of 150 Which of the following statements is true about how people experience pain? A. Pain is usually worse in the morning.

Item 1 of 150 A resident tells the nurse aide that she has pain down her arms and into the jaw and that she feels nauseated. The nurse aide observes that the resident appears pale and is sweating. The nurse aide should

B. Residents with dementia do not feel pain. C. A person's culture can affect response to pain. D. Younger people handle pain better than older adults.

A. check the resident's arms and jaw for possible injury or bruising. B. check the care plan to see if the resident is on heart attack precautions. C. ask if the resident might have eaten something that has upset her stomach. D. recognize the seriousness of the signs and observations and report immediately.

Item 4 of 150 A nurse aide walks into a resident's room and finds a resident on the floor. The resident says, "I fell down and I cannot move my arm." What should be the nurse aide's next action?

Item 2 of 150 A resident, who is on bed rest, asks for a bedpan. The resident is not able to lift own hips to help with the placement of the bedpan. The best action by the nurse aide is to A. ask the nurse if the resident should have a urinary catheter. B. turn the resident onto one side to place the bedpan under the resident's hips. C. place an under pad on incontinent brief under the resident to collect the urine. D. have another nurse aide assist to lift the resident onto the bedpan.

A. Help the resident to a sitting position on the floor. B. Ask the resident to stay still while the nurse aide calls for help. C. Ask the resident to describe the pain and how the fall happened. D. Support the injured arm by placing a pillow under the arm and shoulder.

Item 5 of 150 Which action is most helpful to help decrease a resident's incontinence? A. Leaving the bedpan in place for extra time B. Putting an incontinent brief on the resident C. Answering the resident's call light quickly D. Controlling fluid intake throughout the day

Item 6 of 150 The nurse aide is bathing a resident and notices new swelling in the resident's ankles. Which of the following is the best response by the nurse aide? A. Ask if the resident has been eating salty foods lately. B. Elevate the resident's legs and check again later. C. Report the swelling to the charge nurse. D. Avoid bathing the resident's lower legs. Item 7 of 150 The nurse aide's role in assisting with a bowel and bladder retraining program includes A. being consistent with carrying out the toileting schedule. B. notifying the family that the resident has been placed on the program. C. determining the type of program best suited for the resident. D. checking the resident every four hours for incontinence.

Item 8 of 150 A resident reports having a very large bowel movement two days ago. What should the nurse aide do first? A. Report this to the charge nurse. B. Ask if this is a normal pattern for the resident's body. C. Suggest the resident drink more water and increase foods with fiber. D. Check if the resident is getting a medication to help with bowel movements.

Item 9 of 150 A nurse aide who is new to the unit, observes two residents go into a room and close the door. The nurse aide suspects that the two residents are going to have sex. What should the nurse aide do? A. Check on the residents every few minutes. B. Report the residents' behavior to the charge nurse. C. Ask the nurse if the residents should be medicated. D. Tell the residents that sex is not allowed in the nursing home. Item 10 of 150 When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide? A. Protect the toe by putting on an extra sock. B. Report the observation to the charge nurse. C. Apply an antibiotic ointment to prevent infection. D. Soak the foot in very warm water and dry gently.

Item 11 of 150 When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should

Item 14 of 150 The goal when removing gloves that are soiled is to A. remove quickly since there is a risk of exposure to germs.

A. pat gently to dry and cover with a dry dressing before applying a sock. B. stop the foot care immediately and ask the resident what happened. C. report the skin opening to the charge nurse as soon as possible. D. check the resident's sock for any wound drainage.

B. dispose of the gloves in a biohazardsafe trash can. C. avoid contact with the outside of the gloves. D. keep germs in the trash can area.

Item 12 of 150 If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the resident's side quickly? A. To get the resident into a more comfortable position B. To get towels placed to protect the bed linen C. To keep the vomit off the resident's face D. To help prevent aspiration

Item 13 of 150 When counting a resident's pulse, the nurse aide should A. notice if the rhythm of the heart-beat is regular. B. ask if the resident takes any heart medication. C. consider the time of day when the pulse is taken. D. multiply the rate by four if counted for 30 seconds.

Item 15 of 150 While receiving personal care in bed, a resident begins to have a seizure. The nurse aide should A. hold the resident down to reduce injury. B. keep the airway open and prepare to do CPR. C. call the charge nurse and remain with the resident. D. place a tongue blade between the resident's teeth. Item 16 of 150 Areas of the body where bone lies close to the skin is known as A. a skin fold. B. a pressure ulcer. C. skin breakdown. D. a pressure point.

Item 17 of 150 When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include A. limiting activity by keeping the resident on bedrest. B. emptying the urinary drainage bag every two-hours. C. keeping the area where the catheter enters the body clean. D. toileting the resident every two hours for bladder retraining. Item 18 of 150 Which of the following should be reported to the charge nurse immediately? A. A resident's change in appetite B. A resident's complaint of chest pain C. A resident who refuses to take a scheduled tub bath D. A resident who wanders is found napping in another resident's bed Item 19 of 150 While performing range of motion exercises, the nurse aide notices that the resident's elbow is stiff and will not bend. The nurse aide should A. continue exercises but move onto another joint. B. continue since stiff joints are a normal part of aging. C. apply very gentle pressure to try to bend the elbow slightly. D. suggest the resident see a physical therapist for the elbow.

Item 20 of 150 The care plan requires that the resident be ambulated 100 feet twice a day at 10 a.m. and 2 p.m. When the nurse aide arrives to walk the resident at 10 a.m., the resident refuses. Which of the following is the best response by the nurse aide? A. "Maybe you can plan to walk a little further this afternoon." B. "The doctor ordered your walking exercise. You really need to try." C. "You have the right to refuse. Do you want me to tell the nurse?" D. "Would you prefer to walk a little later?" Item 21 of 150 A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first? A. Orient the resident to person, place and time. B. Review how to use the call light with the resident. C. Tell the resident to never get out of bed without help. D. Try to find out if there is something the resident needs.

Item 22 of 150 Which of the following describes an important requirement when providing colostomy care?

Item 25 of 150 To help soften the beard before shaving with a disposable razor, the nurse aide should

A. Use sterile technique when providing care. B. Wear gloves for Standard Precautions.

A. massage the beard area of the face gently. B. rub the beard in the direction of the hair growth. C. hold a warm, wet wash cloth against the face first. D. lather the face with soap instead of shaving cream.

C. Avoid cleansing skin near the stoma. D. Position the resident on the side. Item 23 of 150 When a resident wears a restraint, the nurse aide must make sure the A. resident is wearing an incontinent brief. B. resident is checked once every two hours. C. restraint is applied following the manufacturer's instructions. D. restraint is applied tightly and placed under the resident's clothing.

Item 24 of 150 When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide? A. Give the resident more time to swallow. B. Keep the amount of fluid small by using a spoon to give fluids. C. Add thickener to the fluid and see if it helps stop the coughing. D. Stop the feeding and report the coughing to the charge nurse right away.

Item 26 of 150 Which statement is true about the effects of aging? A. The aging process can be reversed with good health care. B. Bladder incontinence is a normal part of aging. C. Joints tend to be less flexible as a person ages. D. Sensitivity to pain increases with age. Item 27 of 150 Which of the following actions helps to prevent skin tears? A. Keeping side rails raised B. Using less lotion on the skin C. Sliding the resident up in the bed D. Dressing the resident in long sleeves

Item 28 of 150 When a resident is unable to stand, the resident’s height is generally obtained by A. having coworkers hold the resident upright to allow for the measurement. B. adding the length of legs, ch est, and neck/head to determine the height. C. asking the resident’s height and subtracting an inch for age -related shrinkage. D. taking the measurement from head to heels while the resident is flat in bed.

Item 29 of 150 A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A. Use the resident’s pitcher of water to put out the fire. B. Open the window to allow smoke to escape. C. Remove the resident from the room. D. Yell “Fire!” along with the location. Item 30 of 150 A resident is choking. The first response by the nurse aide should be to A. go find the charge nurse. B. get the suction machine. C. call emergency services (911). D. begin abdominal thrusts.

Item 31 of 150 The nurse aide is to obtain a resident’s weight. The nurse aide should A. ask if the resident remembers his/her last weight. B. ask when the resident last ate food or drank fluid. C. wait until after the resident has a bowel movement. D. check what scale is usually used for this resident. Item 32 of 150 A resident says she is 5 feet 6 inches tall. When the nurse aide measures the resident’s height, the resident is 5 feet 4 inches. What should the nurse aide do? A. Record the resident’s height as 5 feet 4 inches. B. Record the resident’s height as 5 feet 6 inches. C. Explain that older people shrink with aging. D. Measure the resident again. Item 33 of 150 A resident with dementia says, “I need to get home. My daughter’s school bus is coming soon.” The nurse aide knows the resident is confused because her only daughter just turned 60. What is the best response by the nurse aide? A. “Let’s go see if Bingo has started yet. You love Bingo.” B. “Remember you are in a nursing home. Your daughter is all grown up.” C. “Do you mean your greatgranddaughter? Your daughter just turned 60.”

D. “What do you like to do with your daughter when she gets home from school?” Item 34 of 150 Before helping a resident to stand who has been lying in bed, the nurse aide needs to A. find out what the resident plans to do for the day. B. make sure a walker is available for support in case it is needed. C. ask if the resident has taken any medication recently. D. allow time for the resident to adjust to sitting at the edge of the bed. Item 35 of 150 When moving a resident in bed, a lift or turning sheet may be used to help prevent A. atrophy. B. shearing. C. infections. D. contractures. Item 36 of 150 Residents are most likely to feel the urge to have a bowel movement A. after taking a nap. B. after eating a meal. C. just before bedtime. D. during the shift change.

Item 37 of 150 A resident says, "I am not going to eat this food. It is poisoned," What is the best response by the nurse aide? A. Offer to taste all the food first to prove it is not poisoned. B. Report to the charge nurse that the resident is acting crazy. C. Ask if there is something else the resident would like to eat. D. Leave the resident alone becau se the resident will eat when hungry enough.

Item 38 of 150 When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should A. ask how long the minister plans to visit. B. explain politely that it is time to take vital signs. C. check if the resident is praying before interrupting. D. wait to take the vital signs after the minister has left. Item 39 of 150 Which foods are found on a high protein diet? A. Pasta and rice B. Meat and eggs C. Fruits and vegetables D. Whole grains and milk products

Item 40 of 150 "Sundowning" is a term used to describe when residents A. take short naps throughout the day. B. show signs of Alzheimer's at a younger age. C. prefer to go to bed earlier in the evening. D. become restless and agitated late in the day. Item 41 of 150 The term vital signs refers to A. any important information about a resident's condition. B. the color, condition, and appearance of the skin. C. fluid intake and output, as well as bowel movements. D. temperature, pulse, and respirations. Item 42 of 150 Which of the following best describes the daily routine needs of residents with dementia? A. It is important that the resident's day be kept full of activities. B. Changing daily routine is often helpful to residents with dementia. C. Providing opportunities for activity and periods for rest is important. D. Following a strict schedule is required to decrease confusion.

Item 43 of 150 A resident with an indwelling catheter says, "I need to urinate." Which of the following is the best response by the nurse aide? A. Check to see if the tubing is kinked and draining properly. B. Report to the charge nurse that the resident is very confused. C. Remind the resident this is impossible since a catheter is in place. D. Tell the resident to try to urinate since the urine will collect in the bag. Item 44 of 150 Which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation? A. The resident's shoe-fit B. The resident's pulse rate C. The way the resident walks D. The color of the resident's toes Item 45 of 150 A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed? A. Hang the urinary drainage bag higher than the level of the resident's bladder. B. Use the measurements on the drainage bag to measure urine output. C. Raise the bed to the highest position for better urine drainage. D. Wear gloves when emptying the urinary drainage bag.

Item 46 of 150 While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide A. massage the area using lotion. B. apply a dry protective dressing over the area. C. keep the resident positioned to avoid pressure on the hip. D. cleanse the hip using extra soap, then rinse and dry thoroughly. Item 47 of 150 Which of the following is an example of disinfection? A. Washing a resident's hands after toileting B. Using a wipe to clean around a resident's stoma C. Cleaning a shower chair with a chemical cleanser D. Cleaning a resident's bath basin with soap after use Item 48 of 150 While eating lunch, hot tea splashes on a resident's hand. The nurse aide's first response should be to A. quickly move the resident to the nurses' station. B. ask the resident how badly the burned area hurts. C. wet a towel or napkin with cool water and place against the injured area. D. apply antibiotic ointment to the burned area and then cover with a bandage.

Item 49 of 150 A resident has a contracture of the right arm. When putting on the resident's button-front shirt, the nurse aide should A. put the shirt sleeve on the left arm first, then the right arm. B. ask which arm the resident prefers the sleeve to go on first. C. put the shirt sleeve on the r ight arm first, then the left arm. D. raise resident's arms up to slide both sleeves on at the same time. Item 50 of 150 A nurse aide notices that a resident with dementia is walking with a limp on the right foot. The nurse aide's first response should be to A. return the resident to bed. B. provide the resident with a cane. C. tell the nurse the resident is having foot pain. D. remove the resident's shoe and inspect the foot. Item 51 of 150 A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to A. explain that the shower is required to keep clean and healthy. B. try to motivate the resident by collecting clothing and supplies. C. ask if the resident has another preference for bathing today. D. remind the resident, "You do have the right to refuse care."

Item 52 of 150 The nurse aide notices that a resident with dementia keeps walking over to the piano, pausing there, touching the piano, and then walking away only to return again. Which of the following is the best action for the nurse aide to take? A. Take the resident back to the resident's room. B. Distract the resident by asking about the resident's family. C. Invite the resident to sit down at the piano with the nurse aide. D. Ask the activity director to find something for the resident to do.

Item 53 of 150 Which of the following best describes how persons affected by Parkinson's disease typically walk? A. They tend to walk quickly. B. They tend to lean back when walking. C. They walk normally but with some shakiness. D. They shuffle their feet while taking small steps. Item 54 of 150 It is most important for the nurse aide to check the temperature of the water before A. assisting the resident with mouth care. B. soaking the resident's feet for foot care. C. giving the resident a bed bath. D. washing hands.

Item 55 of 150 How should the nurse aide respond when a resident tries to talk about the recent death of another resident? A. Explain that HIPAA laws forbid staff from discussing residents that died. B. Suggest the resident talk to other residents feeling the same loss. C. Try distracting the resident with a more cheerful subject. D. Allow the resident to talk about the resident who died. Item 56 of 150 When helping admit a new resident, the nurse aide notices the resident's right-sided weakness from a stroke. The resident asks for help to the bathroom. Before assisting the resident, the nurse aide should A. ask how the resident went to the bathroom at home. B. ask the resident to wait until the care plan is completed. C. get instructions from the nurse about how to toilet the resident. D. help the resident to the bathroom immediately, supporting the right -side.

Item 57 of 150 A resident who is wearing a hearing aid keeps asking the nurse aide to repeat information. Which of the following actions should the nurse aide do first? A. Speak loudly and directly into the hearing aid. B. Check that the hearing aid is in the correct ear. C. Ask when the hearing aid battery was replaced. D. Make sure the hearing aid is turned on. Item 58 of 150 When caring for a resident who is comatose, the nurse aide is expected to A. provide ...