0% 123456789101112131415161718192021222324252627282930313233343536373839404142434445464748495051525354555657585960616263646566676869707172737475767778798081828384858687888990919293949596979899100 Final Exam 1 / 100 1) he nursing care plan states, “Transfer with mechanical lift.” However, the client is very agitated. To transfer the client, the nurse aide SHOULD: A) keep the wheels unlocked so the lift can move with the client B) place the client in the lift C) get assistance to move the client D) lift the client without the mechanical device 2 / 100 2) The list used to describe the resident’s belongings brought to the facility is called the: A) Time Sheet B) Notebook C) I and O sheet D) Personal inventory record 3 / 100 3) To lift an object using good body mechanics, the nurse aide SHOULD: A) lift with the abdominal muscles B) hold the object away from the body C) bend the knees and keep the back straight D) keep both feet close together 4 / 100 4) Ms Loretta started hearing, smelling and seeing things that are not there. This is commonly known as: A) Hallucination B) Crazy C) Hoping D) Dreaming 5 / 100 5) Friction using hand sanitizer should be applied for: A) 10 seconds B) 5 seconds C) 30 seconds D) 60 seconds 6 / 100 6) You have a 70 year old patient that is usually pleasant and easy going. Today she has cognitive delays, is hitting and kicking, and does not know who the staff are. Which condition is the patient likely experiencing? A) Urinary tract infection B) Sinus infection C) Headache D) Hunger 7 / 100 7) What is the term for a device used to take the place of a missing body part? A) Prosthesis B) Pronation C) External rotation D) Abduction 8 / 100 8) When helping a client who is recovering from a stroke to walk, the nurse aide should assist A) on the client’s weak side B) with a wheelchair C) from behind the client D) on the client’s strong side 9 / 100 9) Objective information: A) Is the same as subjective information B) is seen, smelled, heard, felt, including directly what the resident says C) Cannot be seen, be observed, including information reported by someone else D) Is not important 10 / 100 10) Low blood glucose is called: A) Hypoglycemia B) Hyperhidrosis C) Hypotension D) Hypertension 11 / 100 11) The Comprehensive Care Plan (care plan) is a " ___________ "developed by the Health Care Team to meet each resident’s highest functional, medical, nursing, mental and psychosocial needs. A) Diagnosis B) Written plan of action C) Fictitious plan of action D) Verbal plan of action 12 / 100 12) When caring for a client who uses a protective device (restraint), the nurse aide SHOULD: A) ensure the protective device is tight B) release the protective device once per shift C) assess the client once every hour D) check the client’s body alignment 13 / 100 13) After taking your patient’s weight, you must: A) Accurately record it B) Let them know they have gained or lost weight C) Call the patient’s family D) Tell the patient to lose weight 14 / 100 14) Dyspnea is a term that refers to difficulty with which of the following? A) Breathing B) Defecating C) Urinating D) Swallowing 15 / 100 15) Physical restraints are used MOST often A) at the family’s request B) to prevent client injury C) when staff is short D) at the roommate’s request 16 / 100 16) Aural temperature is taken by placing the thermometer: A) In the nose B) In the rectum C) In the arm D) In the ear 17 / 100 17) The MOST important reason for using soap and water to clean a client’s skin after elimination is to: A) help the client feel clean and fresh B) remove bruises from the skin C) remove feces and urine from the skin D) prevent soiling 18 / 100 18) Upon finding some unlabeled pills in a nightstand, the CNA should: A) Notify the nurse immediately B) Leave them alone to respect patient confidentiality C) Provide water and insist the resident take them as soon as possible D) Discard them 19 / 100 19) The patient that is bed bound is at risk for which of the following? A) Neck paralysis B) Dysphasia C) Polydipsia D) Muscle Atrophy 20 / 100 20) Signs and symptoms of infection includes the following except: A) Discharge B) Memory loss C) Sore D) Rash 21 / 100 21) You notice a resident screaming at a co-worker? What should the aide do? A) None of the above B) Call the charge nurse C) Yell at the resident to stop D) Apply restraints 22 / 100 22) Blue discoloration of the skin and mucous membranes is called: A) Jaundice B) Cyanosis C) Cancer D) Hepatitis 23 / 100 23) When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s A) wrist B) Neck C) chest D) elbow 24 / 100 24) Post-mortem means: A) Newborn B) After death C) Before death D) Post office 25 / 100 25) Clean bed linen placed in a client’s room but NOT used should be: A) returned to the linen closet B) put in the dirty linen container C) used for a client in the next room D) taken to the nurse in charge 26 / 100 26) What is one way you as a caregiver can deal with stress A) Exercise regularly B) Eat more C) Talk about the residents in a negative manner D) Read more 27 / 100 27) ___________ is the key to safety. A) Call light B) Affection C) Prevention D) Calling 911 28 / 100 28) A Certified Nurse Assistant’s scope of practice include all of the following except: A) Administer Injections B) Assisting residents to move safely around the facility C) Helping residents with toileting and elimination needs D) Feeding residents 29 / 100 29) Behavioral change that occurs in the evening which may result in challenging behavior that improves or disappears during the day is called. A) Dementia B) Alzheimer’s C) Sundowning D) Confusion 30 / 100 30) The nursing assistant knows that the responsibilities of the position do NOT include: A) Administering a medication B) Helping a resident to bathe C) Applying an ice pack as ordered D) Keeping a resident’s room tidy 31 / 100 31) HIPAA Stands for: A) Health Insurance Portability and Accountability Actors B) Health Insurance Portability and Accountability Act C) Human Interest Profit and Accounting Act D) Human Insurance Portability and Accounting Act 32 / 100 32) The equipment you need for oral care of an unconscious client includes: A) toothpaste B) toothbrush C) all of the above D) toothette/mouth swab 33 / 100 33) A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that: A) The resident cannot talk B) None of the above are true C) The resident cannot walk D) The resident cannot swallow 34 / 100 34) Handwashing procedure should be performed for: A) 2 minutes and 45 seconds B) 45 seconds C) 65 seconds D) 60 seconds 35 / 100 35) When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s: A) Shoulders B) Back C) Legs D) Wrists 36 / 100 36) PASS stands for: A) Pull, Aim, Squeeze, Sweep B) Pull, Aim, Sweep, Squeeze C) Paint a Simple Sign D) Pin, Aim, Squeeze, Sign 37 / 100 37) When taking a client’s Carotid pulse, the nurse aide’s fingertips should be placed on the client’s A) elbow B) shoulder C) Neck D) chest 38 / 100 38) The Heimlich maneuver (abdominal thrusts) is used on a client who has: A) a blocked airway B) fallen out of bed C) a bloody nose D) impaired eyesight 39 / 100 39) _____________ is the body's first defense against infection. A) Skin B) Gloves C) Water D) Lotion 40 / 100 40) To take an oral temperature, the nurse aide should: A) place the thermometer in the rectum B) place the thermometer under the tongue C) put lubricant on the thermometer D) place the thermometer under the arm 41 / 100 41) During the morning shift, Rosie took her patient’s temperature by mouth. The patient’s temperature was 98.9°F, this is considered to be: A) Invalid range B) Within the normal range C) Above the normal range D) Below the normal range 42 / 100 42) A patient is experiencing dark stools. Which of the following conditions is the patient likely experiencing? A) Hepatitis B) Gastroenteritis C) Bleeding in the GI Tract D) Appendicitis 43 / 100 43) A client is to be assisted out of bed to sit in a wheelchair. How can this procedure be made safe? A) Release the wheel brakes B) Place a pillow on the wheelchair seat C) Lower both footrest pedals D) Place the bed in the lowest position 44 / 100 44) What is considered abuse: A) Suspicious injuries B) Slapping a resident C) All of the above D) Involuntary seclusion 45 / 100 45) Which of the following would be considered an example of battery toward a patient? A) The nursing assistant asks for permission before touching the resident to assist them to the bathroom B) The nursing assistant bathes the resident without his or her permission C) The nursing assistant cleans the resident’s glasses D) The nursing assistant keeps a resident isolated from others as a form of punishment 46 / 100 46) What is the first thing the CNA should do if they feel a resident has been abused? A) Tell a coworker B) Report it to the family C) Report to the nurse D) Do nothing, not my business 47 / 100 47) What is the best way for a nursing assistant to prevent infection? A) Wear gloves when in contact with body fluids B) Frequent hand washing C) Use standard precautions when caring for residents D) Apply an antiseptic hand rub before and after caring for residents 48 / 100 48) How often should residents receive oral care? A) Once a week B) As needed C) At least once a shift D) In the morning and at bedtime 49 / 100 49) The process of ridding the body of waste through urination and defecation. A) Urination B) Vomiting C) Elimination D) Prevention 50 / 100 50) Which of the following is an example of a pulse rate that should be reported to the nurse? A) 98 B) 45 C) 65 D) 82 51 / 100 51) he nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client’s feet? A) Rubber-soled slippers or shoes B) Socks or stockings only C) Nothing D) Cloth-soled slippers 52 / 100 52) For safety, when leaving a client alone in a room, the nurse aide SHOULD: A) apply a restraint to the client B) place the call light within the client’s reach C) leave the bed elevated in the highest position D) keep the door tightly closed 53 / 100 53) You have a patient on strict dysphagia (swallowing) precautions. The cafeteria sent her up a lunch tray. What item would you question if it arrived on the patient’s tray? A) Regular orange juice B) Apple sauce C) Mashed potatoes D) Jello 54 / 100 54) Which of the following interventions should the CNA use to promote skin integrity? A) Leave TEDS stockings on during the night B) Provide client with additional blankets so they are warm C) Slide the client up to reposition them higher in the bed D) Pad bony prominences when in bed 55 / 100 55) Which of the following is the most comfortable position for a client with a respiratory problem? A) Lateral B) Supine C) Fowler's D) Prone 56 / 100 56) Contact precautions include what? A) Mask, gown, gloves, face shield B) Gloves, gown C) Mask, gown, gloves D) Mask, gown, gloves, face shield, shoe covers 57 / 100 57) Which of the following is a key part of care when administering a bath to a resident? A) Perform all care for the resident in order to conserve their energy B) Clean the perineal area of a patient before assisting them to clean their face C) Use cool water when bathing the patient to promote better circulation D) Allow participation in care to promote a sense of independence 58 / 100 58) When emptying a urinary drainage bag: A) place cylinder on the floor and don’t let the tubing touch the cylinder. B) place cylinder on paper towel placed on the bed and let the tubing touch the cylinder. C) place cylinder on paper towel placed on floor and don’t let the tubing touch the cylinder. D) have the patient hold the cylinder with a napkin 59 / 100 59) When Mrs. Dewey is dressing, you should: A) Give her a choice of two outfits B) Choose her clothes for her C) Let her wear whatever she wants even if it looks bad D) Ask her family to pick her outfits 60 / 100 60) Sundowning happens during the: A) Winter season B) All day C) Afternoon, evening, and night. D) Morning, evening, and night. 61 / 100 61) A client is paralyzed on the right side. The nurse aide should place the signaling device A) on the left side of the bed near the client’s hand B) at the foot of the bed C) on the right side of the bed near the client’s hand D) under the pillow 62 / 100 62) The five stages of grief include all of the following except: A) Acceptance B) Dancing C) Denial D) Depression 63 / 100 63) When should universal precautions be practiced A) When the client has a fever B) For all client encounters C) When the client has a cough D) When the client has an open wound 64 / 100 64) Should a resident begin kicking or hitting you, what actions should you take? A) Remain calm, step out of the way, remove other residents, never strike back or respond verbally, leave the resident alone to calm down (if safe) and report the behaviors to the nurse immediately B) Hit her back C) Yell at the resident D) Tell her to stop 65 / 100 65) Hospice services are intended to provide support to the resident who is anticipated to have A) Cancer B) 6 months or less to live C) Less than 10 years to live D) Less than 5 years to live 66 / 100 66) While eating dinner, a client starts to choke. The nurse aide SHOULD: A) give the client a drink of water B) slap the client on the back until the food dislodges C) call for assistance and perform the Heimlich maneuver (abdominal thrusts) D) immediately remove the client’s food tray and go find the nurse in charge 67 / 100 67) If your clothes is caught on fire you should: A) Call 911 B) Ask the patient to help you C) Stop, drop and roll to smother the flames D) Call the fire department 68 / 100 68) What is the primary indication of hepatitis? A) Hypertension B) Apnea C) Jaundice D) Dysphagia 69 / 100 69) Ovaries, fallopian tubes, uterus, vagina, breasts are structures and functions of the women’s: A) Nervous system B) Urinary system C) Reproductive system D) Respiratory system 70 / 100 70) You are assisting a resident with ambulation. This patient uses a cane for ambulation. How should you assist this patient? A) Walk backward in front of the patient so that you can see if they fall B) Stand behind the patient in case they fall C) Stand on the same side as the cane D) Stand on the patient’s weaker side 71 / 100 71) What does PPE stand for? A) Protective Private Equipment B) Personal Protective Equipment C) Private & Personal Equipment D) Protective Personal Equipment 72 / 100 72) NPO means A) Nothing per ostomy B) Nothing by mouth except water C) Only ice chips in mouth D) Nothing by mouth 73 / 100 73) To be sure that a client’s weight is measured accurately, the client should be weighed A) by a different nurse aide B) after a meal C) at the same time of day D) after a good night’s sleep 74 / 100 74) C-O-C-A stands for: A) Color, Odor, Characteristic and Amount B) Coke zero C) Color, Odor, Caring and Amount D) Color, Odor, Characteristic and Age 75 / 100 75) Juna just transferred her patient to a wheelchair, to prevent the wheelchair from rolling if the resident attempts to get up, she has to: A) Tell the patient not to get up B) Lock the wheelchair C) Unlock the wheelchair D) Tie the patient’s feet 76 / 100 76) One of the residents gets confused at night and wanders into other residents’ rooms. The CNA should: A) Provide companionship and supervise the residents movements B) Ask the nurse to ask the doctor for sleeping pills C) Request an order for restraints D) Use the linen cart to barricade the path to the other rooms 77 / 100 77) Some assistive devices include: A) Bicycle, Cane, Crutches, Walker B) Brace, Car, Crutches, Walker C) Brace, Cane, Crutches, Walker D) Bicycle, Cane, Crutches, Motorcycle 78 / 100 78) Which of the following is a major reason for urinary incontinence in the elderly? A) Their circulatory system is failing B) They are too lazy to go to the bathroom C) The muscle that keeps urine in the bladder weakens D) They can’t tell when they need to urinate 79 / 100 79) Mrs. Jones is trying to tell you something but it doesn't make sense. You should: A) Nod your head and pretend to understand B) Get the nurse C) Watch her facial expressions and body language D) Ignore her 80 / 100 80) You have a patient that has incontinence who wears briefs. What is necessary for patients with stress incontinence? A) Diuretics to help keep their bladder empty B) Less fluids to keep them from urinating often C) Frequent toileting breaks throughout the day D) A Foley catheter to keep the skin dry 81 / 100 81) Older people like to make their own decisions and can do so unless they are cognitively declining. The Certified Nursing Assistant is aware that one of the best ways to respect the resident’s decisions is to do what? A) Suggest legal counsel B) Ask them to speak with the social worker C) Actively listening to them D) Encourage them to listen to their family 82 / 100 82) The Certified Nursing Assistant is aware that the resident sleeping more than usual, lack of interest in once-loved activities, and withdrawal from family and friends can be a sign of what condition? A) Frustration with staff B) Alzheimer’s Disease C) Anger D) Depression 83 / 100 83) You are providing education to a female resident about proper perineal care to promote self care. You explain to your patient that it is important to wipe from the front to the back to prevent bacteria from spreading from the rectum to the what? A) Uterus B) Ovaries C) Urinary meatus (Urethra) D) Cervix 84 / 100 84) Intake and Output (I&O) is: A) In place to record the patient’s height, weight, pulse, temperature B) Filled out by the patient’s doctor C) the measurement of the amount of fluid the resident takes into the body and the amount of fluid leaving the body. D) The document used to record the patient’s personal items 85 / 100 85) Which of the following most addresses a client’s needs in regard to spirituality? A) Not one of the CNA’s responsibilities B) Force the client to attend church services every saturday C) Treat any religious objects in the client’s room as if they were any other D) Pray with the client in the morning and in the afternoon 86 / 100 86) Before shaving a resident, the nursing assistant checks for which of the following items in the resident’s care plan? A) Presence of the resident’s razor from home B) Shaving instructions related to problems of clotting issues C) History of a heart condition D) Any previous refusal of ADLs 87 / 100 87) After taking your patient’s weight, you must: A) Accurately record it B) Tell the patient to lose weight C) Let them know they have gained or lost weight D) Call the patient’s family 88 / 100 88) Insulin is a hormone that regulates: A) the rhythm of the heart B) the amount of sugar in the blood C) the strength of the skeletal muscles D) the amount of salt retained in the blood 89 / 100 89) Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects? A) Speech therapist B) Occupational therapist C) Physical therapist D) Registered nurse 90 / 100 90) The CNA is caring for a resident with clostridium difficile (C diff). Which of the following should be used when caring for this resident A) gown gloves and n95 respirator B) gloves and surgical mask C) gown, gloves, surgical mask and face shield D) gown and gloves 91 / 100 91) Nonverbal communication includes: A) Facial expressions and a text message B) An email and text message C) facial expressions and posture D) Voicemail and a call 92 / 100 92) Bed Making technique includes eliminating wrinkles in the sheets. The CNA knows this technique assists to: A) Prevent pressure sores B) Minimize the need to remake the bed frequently C) Ensure the client is warm D) Minimize the need for additional blankets 93 / 100 93) The purpose of padding side rails on the client’s bed is to A) protect the client from injury B) have a place to connect the call signal C) use them as a restraint. D) keep the client warm 94 / 100 94) Fecal impaction may present with which of the following symptoms? A) Excessive flatulence B) Abdominal pain C) Small, watery leakage of stool D) Dark urine 95 / 100 95) A client needs to be repositioned but is heavy, and the nurse aide is not sure that she can move the client alone. The nurse aide should: A) ask another nurse aide to help B) go on to another task C) have the family do it D) try to move the client alone 96 / 100 96) The pulse should be taken for how long: A) 5 minutes B) 50 seconds C) 2 minutes D) 60 seconds 97 / 100 97) The normal range for blood pressure is: A) 80/50 – 132/90 B) 100/60 – 140/90 C) 100/60 – 140/80 D) 150/60 – 160/80 98 / 100 98) Reinforcing the date and time is an example of: A) Validation therapy B) Reality orientation C) Reminiscence therapy D) Displacement therapy 99 / 100 99) Non-verbal signs and symptoms of pain include: A) Difficulty breathing B) Moaning or groaning C) Facial grimacing or frowning D) All of the above 100 / 100 100) Which of these are important for the care of a diabetic patient? A) Soaking his dry calloused feet in a warm tub daily B) Giving the patient a heating pad for his feet when they’re cold C) Ensuring his toe nails are always clipped short for cleanliness D) Keep his feet dry and warm with dry, clean socks