CNA 1
One of your residents is not doing well. He received a very upsetting diagnosis from his doctor this morning. His daughter comes in to visit and asks you why her father seems so sad today. The best response is to
a) tell the daughter what happened since she is family.
b) suggest that the daughter discuss it with the resident.
c) not answer in order to protect the resident’s privacy.
d) inform the daughter to call the resident’s doctor about his diagnosis.
b) suggest that the daughter discuss it with the resident.
You are performing a bed bath for a resident who has just passed away. When you roll him onto his side, you hear a sigh. This is due to
a) a buildup of saliva in the mouth.
b) air escaping the lungs.
c) increased respiratory secretions.
d) Cheyne-Stokes breathing.
b) air escaping the lungs.
The abbreviation for the phrase “as needed” is
a) AN.
b) PRN.
c) PN.
d) ASN.
b) PRN.
Professionalism in healthcare includes
a) arriving to work before the start of your shift.
b) providing care with compassion.
c) a strong work ethic.
d) all of the above.
d) all of the above.
A resident’s colostomy bag should be emptied
a) when the bag is close to full.
b) when the bag is about half-full.
c) if there is any amount of stool present.
d) at least once each day.
b) when the bag is about half-full.
You can better understand the resident’s feelings by
a) using easily understood yes/no questions.
b) expressing your sympathy.
c) being aware of nonverbal communication.
d) focusing on “you” statements.
c) being aware of nonverbal communication.
The nursing assistant should provide oral care for a resident who is dying
a) each time you reposition her.
b) two or three times a day.
c) every 15 minutes.
d) only when the resident requests.
a) each time you reposition her.
The commonly used abbreviation for “nothing by mouth” is
a) NBM.
b) NPM.
c) NPO.
d) OBM.
c) NPO.
The first step in refusing a delegated task is to
a) document the reason for your refusal.
b) inform the director of nurses of your refusal.
c) determine if you have been trained to perform the task.
d) tell your immediate supervisor that you are not able to complete the task.
c) determine if you have been trained to perform the task.
The human body is made up of mostly
a) vitamins.
b) water.
c) bones.
d) muscles.
b) water.
Mr. Peterson often leaves the dining table after only eating a few bites of food. One of your coworkers decides to put his wheelchair between the wall and the table so he stays and eats. This is an example of
a) abandonment.
b) physical abuse.
c) defamation.
d) false imprisonment.
d) false imprisonment.
You have assisted your resident from a lying to a sitting position on the bed. While letting him dangle at the side of the bed, you should
a) get a gait belt from the supply area.
b) stand in front of the resident.
c) pick out clothes from the closet.
d) sit with the resident until he is ready to stand.
b) stand in front of the resident.
Charles is on a fluid restriction and must have all his fluid intake measured. This evening he had a 4-ounce glass of apple juice, an 8-ounce carton of milk, and a 4-ounce cup of ice cream. The total amount you should document is
a) 360 mL
b) 480 mL
c) 12 ounces
d) 16 ounces
b) 480 mL
A resident is at an increased risk for falls if he
a) attends exercise class.
b) has a history of falls.
c) is over 75 years old.
d) drinks too much coffee.
b) has a history of falls.
One of your coworkers assists Mrs. Baker into a recliner and puts her feet up so she doesn’t get out of the chair without assistance. Mrs. Baker is unable to use her call light because of dementia. This is an example of
a) abandonment.
b) physical abuse.
c) defamation.
d) false imprisonment.
d) false imprisonment.
David is a resident who lives in a local nursing home. He recently has become upset with the staff, feeling that he must wait a very long time for someone to answer his call light and he isn’t able to go to bed until late at night. He has spoken to the facility’s director of nurses, but he is still unhappy with his care. The next step that David should take is to
a) submit a complaint to the Joint Commission.
b) contact the volunteer ombudsman.
c) refuse to pay for services received.
d) file a complaint with the Department of Public Health.
b) contact the volunteer ombudsman.
A resident who is unable to bear weight needs to be transferred with a
a) mechanical lift and two nursing assistants.
b) sit-to-stand device and two nursing assistants.
c) mechanical lift and one nursing assistant.
d) gait belt and pivot disc.
a) mechanical lift and two nursing assistants.
Red blood cells in the human body
a) defend the body from different types of infections.
b) carry oxygen to areas of the body.
c) target parasites and fungi.
d) help blood clot after an injury.
b) carry oxygen to areas of the body.
You are caring for a resident who is on a fluid restriction. When documenting his total fluid intake, you should include
a) milk.
b) ice cream.
c) gelatin.
d) all of the above.
d) all of the above.
A resident’s oxygen concentrator should be kept away from the wall at least
a) 2 inches.
b) 6 inches.
c) 12 inches.
d) 18 inches.
c) 12 inches.
Signs and symptoms of an anaphylactic reaction include
a) bleeding and confusion.
b) an unsafe rise in blood pressure and pulse.
c) shortness of breath, wheezing, and facial and airway swelling.
d) dizziness, lack of appetite, and nausea.
c) shortness of breath, wheezing, and facial and airway swelling.
A resident might need a pureed diet if he
a) has use of only his right hand.
b) chokes easily on his coffee and juice.
c) can no longer wear his dentures.
d) has a difficult time chewing and swallowing meat.
c) can no longer wear his dentures.
You have called the nurse to your resident’s room because he is complaining of chest pain. He also appears sweaty and anxious and is holding his left arm. The resident may be experiencing a(n)
a) cardiovascular accident.
b) myocardial infarction.
c) asthmatic attack.
d) transient ischemic attack
b) myocardial infarction.
You are performing range-of-motion exercises for a resident who has a weakened right arm and leg. One of the required movements on the resident’s care plan is abduction. This means
a) increasing the joint angle.
b) moving away from the mid-line of the body.
c) moving toward the mid-line of the body.
d) moving the foot so that the toes are pointing downward.
b) moving away from the mid-line of the body.
A resident with a chronic condition is likely to have her oxygen at
a) 6–8 liters per minute.
b) 1–6 liters per minute.
c) 8–10 liters per minute.
d) 10–14 liters per minute.
b) 1–6 liters per minute.