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Certified Nursing Assistant Final Exam
Questions and Answers (Verified Revised Full Exam)
- Which of the following should you observe and record when admitting a patient? A. color of the stool and amount of urine voided B. how much the patient has eaten and drunk C. bruises, marks, rashes, or broken skin D. requests the patient makes Ans>> C. bruises, marks, rashes, or broken skin Failure to notice bruises or marks on the skin on admission may later cause someone to believe you were involved in abuse.
- When responding to a patient on the intercom, you should A. ask for the patient's name B. say, May I help you? C. give your name and position
D. say, The nurse will answer your call Ans>> C. give your name and position When responding to a patient on the intercom, you should give your name and position.
- Which of the following things should you do to familiarize a new patient with his or her surroundings? A. show the patient where the call bell is and how to work it B. tell the patient not to operate the TV C. ask visitors to leave the room while you finish admitting the patient D. raise the side rails of the bed and raise the bed to high position Ans>> A. show the patient where the call bell is and how to work it You should never leave a new admit until the patient knows how to call for help.
- When arranging a patient's room, you should do all of the following EXCEPT A. check signal cords B. fix the back and knee rests as directed C. administer medications D. check lighting Ans>> C. administer medications
A. employ body mechanic techniques B. get another person to help C. pull the patient's feet out first, and then lift the back up D. put shoes on the patient because the patient may slip Ans>> A. employ body mechanic techniques You should always use good body mechanics when moving patients.
- When should you wash your hands? A. when you notice they look or feel dirty B. when the head nurse tells you to C. at least twice a day D. before and after contact with a patient Ans>> D. before and after contact with a patient You should wash your hands before and after contact with a patient.
- Which of the following is the correct procedure for serving a meal to a patient who must be fed? A. serve the tray along with all the other trays, and then come back to feed the patient B. bring the tray to the patient last; feed after you have served all the other patients
C. bring the tray into the room when you are ready to feed the patient
B. left side C. head D. feet Ans>> C. head Always control a stretcher from the head in case you lose control of it.
- The most serious problem that wrinkles in the bedclothes can cause is A. restlessness B. sleeplessness C. decubitus ulcers D. bleeding and shock Ans>> C. decubitus ulcers The most serious problem that wrinkles in the bedclothes can cause patients are decubitus ulcers, or decubiti.
- When making a bed, you can save steps and time if you A. assemble all needed linen before starting to make the bed B. tuck in bottom linen and top linen at the foot of bed before going to the head of bed C. use only fitted sheets D. ask for help from the head nurse Ans>> A. assemble all needed linen before starting to make the bed Gathering all supplies first is a timesaver.
- One important way to reduce the incidence of decubitus ulcers is to
10 / 23 You should always explain procedures first, so b is the correct answer
- You touch the inside of the sink while rinsing soap off your hands. You should A. allow the water to run over your hands for two minutes B. dry your hands and turn off the faucet with the paper towel C. repeat the wash from the beginning D. none of the above Ans>> C. repeat the wash from the beginning You have contaminated your hands and must start over answer.
- As a safety measure, when you give mouth care to an unconscious patient, you should position the patient A. on her or his back B. in semi-Fowler's position C. with the head turned to the side D. in the supine position Ans>> C. with the head turned to the side Turning the head to the side will assist in drainage out of the mouth.
- When you obtain a clean-catch urine specimen, you should A. wash the patient's hands B. use clean techniques C. use sterile techniques
11 / 23 D. perform the procedure in the bathroom Ans>> B. use clean techniques A clean-catch urine specimen does not require sterile technique.
- Mr. Roark, a newly admitted conscious patient, has been put to bed. Before leaving him alone, you should A. ask him if he is hungry B. inspect his skin C. complete the listing of his clothing and valuables D. make sure he knows how to use the call light Ans>> D. make sure he knows how to use the call light Always make sure new patients can call for help.
basin with a paper towel or to fill the sink with water is to A. prevent contamination of the dentures B. hide the dentures from view C. guard against breaking the dentures D. protect the basin from scratches Ans>> C. guard against breaking the dentures The purpose of this procedure is to prevent breakage.
- When assisting a patient with eating, one of the first things you should do is A. cut the food into large bite-size pieces B. wash your hands and the patient's hands C. butter the patient's bread D. provide the patient with privacy Ans>> B. wash your hands and the patient's hands
Always remember to consider infection control.
- A patient has a new cast on his right arm. While caring for him, you should observe for A. pulse above the cast B. color and hardness of the cast C. warmth and color of fingers D. signs of crumbling at the cast end Ans>> C. warmth and color of fingers A new cast may cut off circulation. Choice c reminds you to check for circulatory impairment.
- Encouraging a patient to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is A. done only when time permits B. the family's responsibility C. necessary for rehabilitation D. a violation of patient rights Ans>> C. necessary for rehabilitation Rehabilitation should always be part of the care plan.
- In caring for a confused elderly man, you should remember to A. keep the bedrails up except when you are at the bedside B. close the door to the room so that he does not disturb other patients
- When giving a complete bed bath, you should A. not wash the patient's genitals because the patient will feel embarrassed B. use the same water throughout the bath to save you from extra trips C. keep the patient covered as much as possible D. position yourself on one side of the bed and stay there Ans>> C. keep the patient covered as much as possible The other choices are wrong because of proper care techniques or body mechanics.
- When assisting Mr. Cohen in learning to use a walker, you should A. stand behind him and use a transfer belt B. put padding all the way around the top rim C. let him walk by himself so he gains independence D. let him practice using the walker on the day he is discharged Ans>> A. stand behind him and use a transfer belt Standing behind him and using a transfer belt protects both the client and the aide.
- Before assisting a patient into a wheelchair, check to see if the A. patient is adequately covered B. floor is slippery C. door to the room is closed D. wheels of the chair are locked Ans>> D. wheels of the chair are locked
Before assisting a patient into a wheelchair, check to see if the wheels of the chair are locked.
- While giving an unconscious patient a bath, it is important to A. give passive range of motion to all joints B. let the team leader exercise the patient's joints C. call the physical therapist to exercise the patient afterwards D. exercise the patient only if the doctor has ordered it Ans>> A. give passive range of motion to all joints Passive ROM should always be given with the bath on an unconsious patient.
- When reporting your patient's condition to your team leader, you should report immediately
A. Tredelenberg B. hyperextension C. dangling at the side of the bed D. semi-Fowler's Ans>> D. semi-Fowler's Semi-Fowler's position is correct because the patient is on bedrest.
- When caring for a patient with a nasogastric tube, you should A. offer the patient water if she starts to gag B. take the tape off the nose if it bothers the patient C. never unfasten the connecting tubing from the patient's gown D. protect the tube when moving or changing the patient's position Ans>> D. protect the tube when moving or changing the patient's position You must ensure that the tube is not dislodged.
- To prevent a patient from getting bedsores, you should A. wash urine and feces off with only water B. put baby powder on the skin to keep it dry C. rub the reddened area once a day D. turn the patient every 2 hours Ans>> D. turn the patient every 2 hours Turning the patient is the best way to protect against bedsores.
- When moving a wheelchair on or off an elevator, you should stay A. behind the chair, pulling it toward you B. behind the chair, pushing it away from you C. in front of patient to observe his or her condition D. to the side and hold the door open Ans>> A. behind the chair, pulling it toward you You must stay behind the chair to control it, but it should go on and come off an elevator backwards to prevent the wheels from falling into the door opening.
- Nursing orders frequently instruct you to assist patient to cough and deep breathe. This activity helps the patient avoid A. decubitus ulcers B. pneumonia C. internal bleeding
