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Personal Care
Personal Care Continued
Disease/Disorder
Infection Control
Misc.
100

A CNA is assisting a resident with a transfer from the bed to a wheelchair. Where should the CNA position the wheelchair?

on the resident's stronger side

100

A patient with a weak right arm needs help with putting on a shirt. What's the right approach?

Put the shirt on the right arm first, then the left

100

Which of the following statements is true about Alzheimer’s residents?

  • A) An increased appetite is common as Alzheimer’s progresses.
  • B) Residents can never be reoriented because they will immediately forget it.
  • C) The resident may become confused, but hallucinations are never a part of Alzheimer’s.
  • D) It is important to maintain a routine to avoid confusion and overstimulation.
  • D) It is important to maintain a routine to avoid confusion and overstimulation.

Maintaining a routine is incredibly important to Alzheimer’s patients. Hallucinations and a decrease in appetite are common. It is important to frequently reorient the patient.

100

What protective equipment should be worn when changing an incontinent patient?

gloves, (gown optional)

100

Which of the following would be considered an example of battery toward a patient?

  • A) The nursing assistant bathes the resident without his or her permission.
  • B) The nursing assistant keeps a resident isolated from others as a form of punishment.
  • C) The nursing assistant asks for permission before touching the resident to assist them to the bathroom. 
  • A) The nursing assistant bathes the resident without his or her permission.
  • Bathing a resident without his or her permission is an example of battery. Keeping a resident isolated from others as a form of punishment is an example of involuntary seclusion.
200

Fecal impaction may present with which of the following symptoms?

  • A) Excessive flatulence.
  • B) Small, watery leakage of stool.
  • C) Abdominal pain.
  • B) Small, watery leakage of stool.
  • The watery leakage of stool around a blockage is the most specific sign of fecal impaction, also known as a bowel obstruction
200

Always allow the resident to ______________ in care to promote a sense of _________________.

participate, independence

200

Dyspnea is a term that refers to  _______________.

difficulty breathing

200

________________ are ineffective against the spores of C. difficile. Soap-and-water handwashing is required to mechanically remove the spores.  

hand sanitizers

200

Normal adult pulse range: ____-______

Normal adult respirtory rate: _____-_____

Pulse 60-100

RR 12-20

300

When feeding a resident who has dysphagia, which consistency of liquid is typically considered safe to prevent choking?

thickened liquids 

they move more slowly in the throat, giving the resident more control.. Thickening powders can be added to most liquids to thicken them to a nectar-thick consistency, like a thick soup, or to a thicker consistency, like a pudding. Straws are often avoided as they can deliver fluid too quickly.

300

Before shaving a resident, the nursing assistant checks for which of the following items in the resident’s care plan?

  • A) Shaving instructions related to problems or issues clotting.
  • B) History of a heart condition.
  • C) Presence of the resident’s razor from home.
  • D) Any previous refusal of ADLs.
  • A) Shaving instructions related to problems or issues clotting.
  • It is necessary to check the shaving instructions in the resident’s plan of care to be aware of any problems clotting and the necessity of using an electric razor as opposed to a traditional one.
300

Of the following symptoms, which one 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.
  • Infection, especially in older clients, tends to cause sudden onset confusion. Tented skin may be normal for an older client, as could pale skin. Aphasia could indicate the onset of a stoke.
300

What is the best way for a nursing assistant to prevent infection?

  • A) Use standard precautions when caring for residents.
  • B) Apply an antiseptic hand rub before and after caring for residents.
  • C) Wear gloves when in contact with body fluids.
  • D) Frequent hand washing.
  • D) Frequent hand washing.
  • Frequent hand washing is the best way to prevent infection without a doubt. The other measures are supportive. 
300

You should speak __________ and ____________, while ___________ a resident who is hard of hearing, preferably in a well lit room.

slowly, clearly, facing

400

A resident receives oxygen continuously through a nasal cannula. Where is the most common place for skin breakdown to occur?

Behind the resident's ears.

400

What is the most important safety precaution when a CNA is feeding a resident?

raising the head of the bed at least 45 degrees/sit upright

400

The nursing assistant knows that signs of hypoglycemia include which of the following?

  • A) Bradypnea.
  • B) Polyuria.
  • C) Hot and dry skin.
  • D) Sweating.
  • D) Sweating.

Sweating, as well as confusion and tremors, are signs of hypoglycemia.

400

When a CNA is preparing to enter a contact-precautions room, what is the correct order for donning (putting on) PPE?

gown, mask, gloves

400

The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. What action should the nursing assistant take next?

Report the suspected situation to the nursing assistant’s immediate supervisor.

Abuse in nursing facilities, or even suspicion of abuse, should be reported immediately to the nursing assistant’s supervisor. This requires more intervention than the nursing assistant’s scope of practice covers. Waiting or notifying the nurse only about bruises may delay getting the resident help.

500

When preparing bath water for a resident, the proper temperature range is approximately:

about 100 degrees F/ 38 C

500

A CNA is performing oral care for an unconscious resident. Which position is most appropriate to prevent aspiration?

lateral/side lying

Unconscious residents cannot swallow and are at high risk for aspiration (inhaling fluid into the lungs). Placing them in a lateral position (side-lying) with the head turned to the side allows fluids to drain out of the mouth safely.

500

The nursing assistant should tell the nurse if the client with diabetes:

  • A) does not touch their lunch tray.
  • B) reports numbness in their feet sometimes.
  • C) decides not to finalize a will.
  • A) does not touch their lunch tray.
  • Someone with diabetes should always eat regular meals to keep their blood sugar relatively stable. Numbness in the feet is neuropathy, a common side effect of diabetes.
500

MRSA is an example of which of the following?

A resistant strain of bacteria that is difficult to treat with antibiotics.

500

The nursing assistant is helping residents to eat in the dining room when, suddenly, a resident stands from their seat and begins clutching their throat while coughing silently. The nursing assistant performs which of the following actions first?

  • A) Ask the resident if they are choking.
  • B) Call 911.
  • C) Begin CPR immediately.
  • D) Begin the Heimlich maneuver.
  • A) Ask the resident if they are choking.

It is important to first assess whether or not the resident is choking. If they are able to answer, air is still moving through the trachea. If they nod yes, but are unable to speak, it is time to begin the Heimlich maneuver. The Heimlich should not be performed on anyone who is able to cough or speak.