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Certified Nursing Assistant Written Exam
Questions and Answers (Verified Revised Full Exam)
- When assisting a client in learning to use a walker, it is important to: 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.: The correct answer is A. Standing behind him and using a transfer belt protects both the client and the aide.
- Urinary retention refers to A. a normal output of urine. B. an inability to urinate. C. Incontinence. D. a large output of urine: The correct answer is B. Urinary retention refers to an inability to urinate. Retention of urine is a
symptom that should be reported to the charge nurse as soon as it is noted.
- Normal hearing loss in aging is usually related to the ability to hear A. high-pitched sounds. B. loud sounds. C. all sounds. D. rapid speech.: The correct answer is A. Because of this aspect of hearing loss, the aged hear well if you lower your voice. Shouting in a high-pitched voice does not help.
- The best way to safely identify your patient is by A. asking his name. B. calling his name and waiting for his response. C. checking the bed plate. D. checking the name tag: The correct answer is D.A confused patient may answer to any name or lie down in any bed.
- Mrs. Jones is on a bowel and bladder training program. She has not had a bowel
charge nurse. Nurse aides cannot order a procedure or increase fluids. Anything unusual must be reported to the nurse in charge.
- The proper medical abbreviation for before meals is A. p.c. B. b.i.d. C. a.c. D. t.i.d.: The correct answer is C. The proper medical abbreviation for before meals is a.c.
- The proper medical term for high blood pressure is A. diabetes. B. hypertension. C. hypotension. D. CVA.: The correct answer is B. The proper medical term for high blood pressure is hypertension
- A patient who has difficulty chewing or swallowing will need what type of diet?
A. clear liquid B. low residue C. bland D. mechanical soft: The correct answer is D.A mechanical soft diet is easy to chew, swallow, and digest.
- Mrs Smith is an 81 - year-old resident with Alzheimer's disease and cannot find her room. What should the nurse aide do to help Mrs Smith feel more independent? A. Scold her and tell her to stay in the room. B. Ask her roommate to watch her. C. Place a familiar object outside her room door. D. Write the room number on a piece of paper.: The correct answer is C. Helping her locate her room on her own would make Ms. Lee feel better about herself.
- How often should a patient's intake and output records be totaled? A. once each shift B. twice a day C. every four hours
D. Raise the side rails of the bed and raise the bed to high position: The correct answer is A. 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 EX- CEPT A. check signal cords. B. adjust the back and knee rests as directed. C. administer medications. D. check lighting.: The correct answer is C. Nursing assistants are never allowed to give medications.
- When assisting a client in and out of bed, the nurse aide should always A. employ body mechanic techniques. B. get another person to help.
C. pull the client's feet out first, and then lift the back up. D. put shoes on the client because the patient may slip.: The correct answer is A.You should always use good body mechanics when moving patients.
- It is important to reposition a patient during an eight-hour shift. How often should he or she be turned? A. q2h B. q4h C. q1h D. q1d: The correct answer is A. It is necessary to turn the patient q2h to prevent pressure ulcers
- Which of the following is the correct procedure for serving a meal to a client who must be fed? A. Serve the tray along with all the other trays, and then come back to feed the client. B. Bring the tray to the client last; feed after you have served all the other clients. C. Bring the tray into the room when you are ready to feed the client. D. Have the kitchen hold the tray for one hour.: The correct answer is C.You should not bring the tray into the room until you have time to feed
- The most serious problem that wrinkles in the bedclothes can cause is A. restlessness. B. sleeplessness. C. decubitus ulcers.
B. explain the procedure to the client. C. check with the client's family. D. remake the bed.: The correct answer is B.You should always explain procedures first
- During hand washing, you accidentally touch the inside of the sink while rinsing the soap off.The next action is to A. allow the water to run over the hands for two minutes. B. dry the hands and turn off the faucet with the paper towel. C. repeat the wash from the beginning. D. none of the above: The correct answer is C.You have contaminated your hands and must start over
- You are going on a job interview. How should you prepare to dress? A. Wear your best jeans and T-shirt. B. Use a lot of perfume. C. Wear simple clothing (dress, shirt, pants, suit). D. Wear a lot of jewelry.: The correct answer is C.Your appearance is important. You should wear business attire
- Mr. Brown, a newly admitted conscious client, has been put to bed. Before leaving him alone, the first action would be to 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.: The correct answer is D.Always make sure new patients can call for help
- When lifting a heavy object, the correct method would be to bend at the A. waist, keeping your legs straight. B. waist, rounding your shoulders. C. knees, keeping your back straight. D. knees and waist.: The correct answer is C. Keeping your back straight forces you to use your strong leg muscles.
- At what time(s) during a shift should a nurse aide wash his or her hands? A. before eating B. after using the bathroom C. before and after patient care
C. necessary for rehabilitation. D. a violation of client rights: The correct answer is C. Rehabilitation should always be part of the care plan.
- In caring for a confused elderly man, it is important to remember to A. keep the bed rails up except when you are at the bedside. B. close the door to the room so that he does not disturb other patients. C. keep the room dark and quiet at all times to keep him from becoming upset. D. remind him each morning to shower and shave independently: The correct answer is A. Make sure to follow agency policy
- Before assisting a client into a wheelchair, the first action would be to check if the A. client is adequately covered. B. floor is slippery.
C. door to the room is closed. D. wheels of the chair are locked: The correct answer is D. Before assisting a patient into a wheelchair, check to see if the wheels of the chair are locked.
- You are transferring a resident from the bed to the wheelchair.The patient has a weak left side.You should stand A. on the right side. B. in front of the patient. C. on the left side. D. behind the patient.: The correct answer is C.You must assist the patient from the weak side
- While making rounds at 4:00am, a nurse aide finds a patient lying on the floor. What should she or he do first? A. Call 911/000. B. Perform CPR. C. Call for another nurse aide. D. Assess the patient's vital signs: The correct answer is D.Always check for vital signs; the patient may have fainted.
- When moving a wheelchair onto 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 the client to observe his or her condition.
B. hold the nourishment and report to the charge nurse. C. ask the secretary to notify the kitchen of an error. D. ask Mrs. Black if she likes ice cream.: The correct answer is B. Always report abnormal conditions
- When assisting a client who is using the bedside commode, it is important to A. leave the call light within reach. B. place toilet tissue close by. C. return to check on the client periodically. D. all of the above: The correct answer is D. All of the choices listed are correct
- Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown.This can be accomplished by doing all of the following EXCEPT A. positioning the patient every two hours. B. using mechanical aids. C. giving backrubs. D. performing active or passive ROM exercises.: The correct answer is A. The patient must be positioned every two hours to prevent skin breakdown due to poor circulation.
- The purpose of cold applications is usually to A. speed the flow of blood to the area. B. prevent heat exhaustion. C. prevent or reduce swelling.
D. prevent the formation of scar tissue.: The correct answer is C. The purpose of cold applications is usually to prevent or reduce swelling
- The hot water bottle is an example of a A. local dry heat application. B. generalized dry heat application. C. local moist heat application. D. generalized moist heat application.: The correct answer is A. A hot water bottle applied by itself is dry heat.
- Clients receiving an enema are usually placed A. on the right side. B. on the left side.
change her breathing pattern slightly. The correct answer is B.Telling the patient you are watching her breathing will cause her to change her breathing pattern slightly
- With catheterized patients, which of the following is NOT the nurse aide's responsibility? A. inserting the catheter B. preventing infection C. checking to make sure the catheter is draining properly D. recording output: The correct answer is A. A nurse aide is responsible for the other options, but he or she never inserts a catheter.
- When giving information to the charge nurse for an incident report, you should
A. write in the client's chart that an incident occurred. B. keep the report in your personal file. C. state the facts clearly. D. give your opinions as to the cause of the incident: The correct answer is C. An incident report becomes a permanent part of the legal record. Make sure the facts are clear
- All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by A. OBRA. B. OSHA. C. CDC. D. FDA.: The correct answer is A. OBRA stands for the "Omnibus Budget and Reform Act."
- A resident is blind. It is important NOT to A. leave the door completely opened. B. rearrange the furniture. C. announce yourself before entering the room. D. explain the location of food on the plate, using the face of the clock to assist.: The correct answer is B. Never rearrange the furniture in a blind patient's room after the patient settles into it. This can cause falls.
- When family members visit a client, the visitors should
