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CNA Practice Test Exam (Questions And Answers)
The nursing home is having a Christmas party. A resident who is Jewish is not interested in going to the party. The nurse aide should A. remind the resident how much the resident enjoys parties B. encourage the resident to go since so many other residents are attending C. ask if the resident participated in any activities for the Jewish Hanukah holiday D. respect the resident's decision and ask what the resident would like to do - ANS- D A charge nurse asks a nurse aide to perform a task that is not part of the nurse aide's scope of practice. What should the nurse aide do? A. Consider if the task can be performed another way B. Provide the care and perform the task as best as possible. C. Contact the ombudsman's office since resident's rights may be violated. D. Refuse to perform the task and explain it is not within the nurse aide's role. - ANS- D The first step the nurse aide should take when discovering a fire is to A. check how quickly the fire is spreading B. remove any residents near the fire. C. throw a blanket over the flames. D. pull the alarm - ANS- B A resident with advance directives has a DNR order. This means that the resident A. does not remember B. should not be restrained. C. does not respond to instructions
D. should not be resuscitated. - ANS- D A resident with a feeding tube is scheduled for a shower. The resident's feeding tube is connected to a pump. Which of the following is the appropriate response by the nurse aide? A. Disconnect the feeding tube temporarily to give the shower. B. Protect the pump with a plastic bag before bringing into the shower room. C. Ask the charge nurse for assistance with the feeding pump. D. Give the resident a bed bath since the resident has a feeding tube. - ANS- C While helping the resident to get dressed, the nurse aide observes that the resident's breathing is faster. The resident says she feels tired. What should be the nurse aide's first action? A. Dress the resident quickly. B. Check the resident's vital signs. C. Stop the dressing to let the resident rest D. Go to find a nurse to check the resident. - ANS- C The nurse aide receives resident assignments from the charge nurse at the beginning of the shift. When planning priorities it will be most important for the nurse aide to A. decide break times with other nurse aides. B. review assignments with others to check if residents are divided evenly. C. check all assigned residents to see if anyone has immediate needs. D. check what the activity department has scheduled for residents during the shift - ANS- C Which of the following is considered a normal age-related change seen in elderly residents? A. Increase in appetite B. Decrease in constipation C. Decrease in taste sensation and smell
D. Yell "Fire!" along with the location. - ANS- C Why is it important to check the feet of a resident with diabetes at least once a day? A .To look for sores on the feet the resident may not feel B .To check if vision problems have resulted in foot injuries C. To trim the toenails so they do not become long or jagged D. To make sure the resident does not get a foot fungus - ANS- A A nurse aide is assigned to provide postmortem care for a resident, but has never done this procedure before. Which of the following is the most appropriate response by the nurse aide? A. Ask another nurse aide to trade assignments. B. Provide the care since the resident cannot be harmed. C. Talk to other nurse aides about how to perform the procedure. D. Discuss the nurse aide's lack of experience with the nurse. - ANS- D Which member of the health care team counsels residents and their families and arranges for needed services? A. Dietitian B. Social worker C. Physical therapist D. Activities director - ANS- B When going to take routine vital signs, the nurse aide discovers that a minister is praying with the resident. The nurse aide should A. ask how long the minister plans to visit. B. explain politely that it is time to take vital signs. C. check if the resident is praying before interrupting.
D. wait to take the vital signs after the minister has left. - ANS- D A resident reports having a very large bowel movement two days ago. What should the nurse aide do first? A. Report this to the charge nurse. B. Ask if this is a normal pattern for the resident's body. C. the resident drink more water and increase foods with fiber. D. Check if the resident is getting a medication to help with bowel movements. - ANS- B Which statement is true about the effects of aging? A. The aging process can be reversed with good health care. B. Bladder incontinence is a normal part of aging. C. Joints tend to be less flexible as a person ages. D. Sensitivity to pain increases with age. - ANS- C When preparing to shower a resident, what should the nurse aide do next after checking the water temperature? A. Give the resident a washcloth to hold B. Suggest the resident wash his or her face C. Ask the resident to check the water temperature D. Check if the resident wants a partial or full shower - ANS- C To help prevent residents who are confused from accidentally leaving the nursing home, the nursing home may A. block exit doors. B. restrain residents. C. place large stop signs on doors.
A nurse aide is assisting a resident at mealtime. The resident grabs his throat and cannot speak. What should the nurse aide do first? A. Try to get the resident to take a few sips of water through a straw. B. Reach around from behind the resident to provide abdominal thrusts. C. Pat the resident's back and then reach in his mouth to remove the blockage. D. Ask the resident to take a deep breath and cough. - ANS- B While bathing a resident who is comatose, the nurse aide notices a reddened area on the left hip. Once reported, the charge nurse is likely to request that the nurse aide A. massage the area using lotion. B. apply a dry protective dressing over the area. C. keep the resident positioned to avoid pressure on the hip. D. cleanse the hip using extra soap, then rinse and dry thoroughly. - ANS- C When providing foot care, the nurse aide observes an open sore on the resident's foot. The nurse aide should A. pat gently to dry and cover with a dry dressing before applying a sock. B. stop the foot care immediately and ask the resident what happened. C. report the skin opening to the charge nurse as soon as possible. D. check the resident's sock for any wound drainage. - ANS- C A resident must stay in bed for long periods of time. Which of the following actions will best prevent the resident from developing pressure ulcers? A. Put hand rolls in the resident's hands. B. Avoid raising the head of the resident's bed. C. Turn and position the resident according to schedule. D. Provide range of motion (ROM) exercises every two hours. - ANS- C
Which of the following best describes the daily routine needs of residents with dementia? A. It is important that the resident's day be kept full of activities. B. Changing daily routine is often helpful to residents with dementia. C. Providing opportunities for activity and periods for rest is important. D. Following a strict schedule is required to decrease confusion. - ANS- C A resident has a urinary catheter connected to a drainage bag. Which action by the nurse aide shows correct handling of the catheter and the urinary drainage bag while the resident is in bed? A. Hang the urinary drainage bag higher than the level of the resident's bladder. B. Use the measurements on the drainage bag to measure urine output. C. Raise the bed to the highest position for better urine drainage. D. Wear gloves when emptying the urinary drainage bag - ANS- D A resident has an indwelling urinary catheter. When the resident sits in a wheelchair, where should the nurse aide place the drainage bag? A. On the floor directly next to the wheelchair, positioned well below the resident's bladder B. Tucked at the resident's side on the seat of the chair to keep the drainage bag level with the resident's bladder C. Hung from back of the wheelchair so that it is out of the resident's view and above the bladder D. Attached to the seat of the wheelchair, positioned below the level of the resident's bladder - ANS- D Which of the following describes an important requirement when providing colostomy care? A. Use sterile technique when providing care. B. Wear gloves for Standard Precautions. C. Avoid cleansing skin near the stoma. D. Position the resident on the side. - ANS- B
A resident is scheduled for a morning shower but is refusing to take one. The best response by the nurse aide is to A. explain that the shower is required to keep clean and healthy. B. try to motivate the resident by collecting clothing and supplies. C. ask if the resident has another preference for bathing today. D. remind the resident, "You do have the right to refuse care." - ANS- C While helping in the dining room, the nurse aide notices a male resident in distress holding his throat. The nurse aide believes the resident may be choking. After calling for help, the nurse aide's next action should be to A. check the resident's ABCs. B. ask if the resident can talk. C. provide an abdominal thrust. D. lower the resident to the floor. - ANS- B A resident who has dementia is usually able to get dressed with some prompting. This morning the resident is more confused and needs more help with all activities of daily living. What should the nurse aide do? A. Tell the resident not to feel bad about needing more help today. B. Provide extra help as needed to avoid the resident becoming frustrated. C. Ask if the resident would prefer to stay in night clothes for the day. D. Check if the resident will get dressed for another nurse aide. - ANS- B A nurse aide is assigned to a resident with Alzheimer's disease. The nurse aide notices that today the resident is restless and is pacing a lot. The resident is also observed rubbing his stomach. The nurse aide should report this change to the nurse and A. ask the resident when he had his last bowel movement. B. check if the resident is hungry or needs to go to the bathroom.
C. try to keep the resident close to observe the resident throughout the shift. D. allow the resident to move around as long he does not harm other residents. - ANS- B When weighing a resident, it is important to make sure the A. resident's last measured weight is available. B. scale measures both pounds and kilograms. C. resident is wearing light weight clothing such as pajamas. D. scale is balanced or calibrated before helping the resident onto the scale. - ANS- D Which of the following is the most appropriate schedule for residents who are incontinent to receive perineal care? A. In the morning and at bedtime B. At the beginning and near the end of a shift C. Whenever the resident is soiled with urine or stool D. Every two hours when the nurse aide checks on the resident - ANS- C Residents are most likely to feel the urge to have a bowel movement A. after taking a nap. B. after eating a meal. C. just before bedtime. D. during the shift change. - ANS- B The normal appearance of urine is A. clear. B. cloudy. C. dark yellow.
D. place a tongue blade between the resident's teeth. - ANS- C When counting a resident's pulse, the nurse aide should A. notice if the rhythm of the heart-beat is regular. B. ask if the resident takes any heart medication. C. consider the time of day when the pulse is taken. D. multiply the rate by four if counted for 30 seconds. - ANS- A Which foods are found on a high protein diet? A. Pasta and rice B. Meat and eggs C. Fruits and vegetables D. Whole grains and milk products - ANS- B When bathing a resident, the nurse aide observes that the resident's great toe is red and swollen. Which of the following is the appropriate action by the nurse aide? A. Protect the toe by putting on an extra sock. B. Report the observation to the charge nurse. C. Apply an antibiotic ointment to prevent infection. D. Soak the foot in very warm water and dry gently. - ANS- B When feeding a resident who is lying in bed, the head of the bed is raised to A. make chewing food easier. B. decrease the risk of aspiration. C. improve the resident's digestion. D. allow for better respirations between bites. - ANS- B
A nurse aide is walking a resident using a gait belt. The resident tells the nurse aide she feels dizzy. The nurse aide should A. hold the gait belt tighter and ask the resident to rest for a minute. B. suggest the resident lean on the nurse aide for more support. C. guide the resident over to the handrail and ask to hold. D. ease the resident to the floor if a chair is not available. - ANS- D When a person is receiving end-of-life care, the resident's care plan is likely to include A. ways to best provide for the comfort of the resident. B. exercises to help improve the resident's strength. C. frequent observation to help prevent confusion. D. instructions for providing post-mortem care. - ANS- A Which of the following is the nurse aide most likely to observe in a resident who has a low blood sugar? A. Shakiness or trembling B. Thirst and dry mouth C. Sweet breath odor D. Increased urine - ANS- A When a resident has an indwelling urinary catheter, the nurse aide should expect that the resident's care plan will include A. limiting activity by keeping the resident on bedrest. B. emptying the urinary drainage bag every two-hours. C. keeping the area where the catheter enters the body clean. D. toileting the resident every two hours for bladder retraining. - ANS- C
When helping a resident transfer from a bed to a chair, which of the following best demonstrates appropriate safety techniques? A. Place a gait belt around the resident's waist B. Position the chair as close to the bed as possible C. Signal the resident to stand by saying, "1, 2, 3, stand" D. Follow the transfer technique as described in the care plan - ANS- D A resident who is Roman Catholic is dying. The resident comments that she has not been to confession and she worries that she will die in a state of sin. Which of the following is the best response by the nurse aide? A. "Don't you think God knows you are in a nursing home?" B. "Would you like it arranged for a priest to visit you?" C. "Sounds like you are not ready to die." D. "Have you considered praying?" - ANS- B Before helping a resident to stand who has been lying in bed, the nurse aide needs to A. find out what the resident plans to do for the day. B. make sure a walker is available for support in case it is needed. C. ask if the resident has taken any medication recently. D. allow time for the resident to adjust to sitting at the edge of the bed. - ANS- D Which of the following is most important to closely observe when a resident wears elastic stockings, the type that are worn to help circulation? A. The resident's shoe-fit B. The resident's pulse rate C. The way the resident walks
D. The color of the resident's toes - ANS- D Which of the following statements is true about how people experience pain? A. Pain is usually worse in the morning. B. Residents with dementia do not feel pain. C. A person's culture can affect response to pain. D. Younger people handle pain better than older adults. - ANS- C The nurse aide's role in assisting with a bowel and bladder retraining program includes A. being consistent with carrying out the toileting schedule. B. notifying the family that the resident has been placed on the program. C. determining the type of program best suited for the resident. D. checking the resident every four hours for incontinence. - ANS- A When checking the resident's urinary drainage bag, the nurse aide observes that the resident has had about 50 ccs (mls) of urine output in the last six hours. What should the nurse aide do first? A. Begin offering the resident fluids to drink every 15 minutes. B. Report the observation to the charge nurse immediately. C. Ask if the resident is having any pain when urinating. D. Check to see if the tubing is kinked or bent. - ANS- D "Sundowning" is a term used to describe when residents A. take short naps throughout the day. B. show signs of Alzheimer's at a younger age. C. prefer to go to bed earlier in the evening. D. become restless and agitated late in the day. - ANS- D
The use of a physical restraint helps A. control a resident's behavior. B. protect the resident from injury. C. make staff members' jobs easier. D. decrease how often staff need to check the resident. - ANS- B The goal when removing gloves that are soiled is to A. remove quickly since there is a risk of exposure to germs. B. dispose of the gloves in a biohazard-safe trash can. C. avoid contact with the outside of the gloves. D. keep germs in the trash can area. - ANS- C It is most important for the nurse aide to check the temperature of the water before A. assisting the resident with mouth care. B. soaking the resident's feet for foot care. C. giving the resident a bed bath. D. washing hands. - ANS- B A nurse aide is asked to provide post-mortem care to a resident who died of natural causes. Which of the following is the most appropriate practice to follow when providing postmortem care? A. Wear gloves, a mask and a gown when providing care. B. Use strict isolation precautions throughout care. C. Wash hands and wear gloves throughout care. D. Double bag all items removed from the room. - ANS- C
A nurse aide is assigned to a table in the dining room during the residents' lunch. One of the residents who is seated at the table begins to have a seizure. The nurse has been called. The next action by the nurse aide should be to A. guide the resident from the chair to the floor. B. remove the other resident's away from the table. C. try to open the resident's mouth to check for food. D. keep the resident in the chair by holding around the resident's waist. - ANS- A If a resident is lying in bed vomiting, why does the nurse aide need to help the resident to turn onto the resident's side quickly? A. To get the resident into a more comfortable position B. To get towels placed to protect the bed linen C. To keep the vomit off the resident's face D. To help prevent aspiration - ANS- D A resident is being showered while sitting in a showerchair. The resident says, ""I feel weak. I think I am going to faint." The nurse aide's immediate concerns are calling for help and A. making sure the water temperature is proper. B. getting the resident back to her room right away. C. finishing the shower quickly by washing only soiled areas. D. keeping the resident safe and comfortable. - ANS- D A resident reports that his wrist watch is missing. The nurse aide should ask A. if the resident thinks someone took it. B. if the resident has checked the lost and found box. C. who was assigned to the resident on the previous shift. D. for permission to help look around the resident's room. - ANS- D
