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CNA Written Exam 2024 - 202 5 All Questions With 100%
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If a CNA witnesses a small fire in a patient room that is unoccupied what should be done? A. Put out the fire. B. Rescue resident's that are in rooms next door C. Pull the fire alarm. D. Shut all fire doors. -Answer C. Pull fire alarm.
When responding to fire use acronym RACE, stands for Rescue, Activate the alarm, Confine the fire, Extinguish the fire). Since no residents are in immediate danger, the CNA should activate the alarm.
Before entering a patient's room, a CNA should: A. Knock on the resident's door before entering. B. Check the resident's care plan. C. Make sure that the supplies are stocked for the unit. D. All of the above. - Answer A. Knock on the resident's door before entering.
It is important to remember that residents live in the facility. This is their home. Thus, it is important to knock on the door of a resident's room before walking in. Understanding the care plan is very important, but the CNA may not need to read this document before entering a resident's room on each and every occasion during a shift. Restocking the resident's room is also important, but the CNA may not need to do this each and every
time that they walk into a resident's room.
What needs are found on the lowest level of Maslow's hierarchy of needs? A. Love and belonging B. Self-esteem C. Safety and security D. Physical - Answer D. Physical
All humans must meet their basic physical needs for survival first which means food, water, shelter, etc.). Once those are met, people need safety and security, followed by love and belonging, self-esteem, and finally, self-actualization.
The family of a patient asks the CNA providing care to their loved one about the results of a recent blood test. What does the CNA respond? A. I think everything is normal, which is great! B. Let me find the nurse to talk to you about the results. C. Oh, he had a blood test? That is news to me. D. I cannot comment on patient treatment. Sorry. - Answer B. Let me find the nurse to talk to you about the results.
The CNA should not discuss medical procedures or diagnostic information. The patient has a right to privacy. When a family member asks the aide about a patient's care or health, assist the family and ask the nurse on duty to speak with them about a procedure of this kind.
The patient demonstrates the beginning stages of dehydration (dark yellow urine in small amounts, headache, sunken eyes, lethargy) but refuses fluids. Which is the best response by the CNA? A. The resident can go home and care for himself because he knows what is in his best interest. B. Explain dehydration complications, respect his decision, and report his status to the
C. The task is outside the scope of practice for the CNA. D. The activity may harm the CNA. - Answer A. The CNA has a personal issue with the resident's family. A personal problem with a resident's family is not a valid excuse to refuse to perform an activity. If the activity is not within the CNA's scope of practice, the activity is dangerous, or if the CNA believes it is unethical, then the CNA should explain to the nurse, in a calm professional manner, why she is refusing to undertake the task.
Which should the CNA NOT do as a health care professional? A. Arrive to work on time, or even 5-10 minutes early. B. Work single-handedly to take care of patients. C. Eat well and get plenty of exercise and sleep. D. Come to work well groomed in a clean uniform. - B. Take care of patients alone. A professional CNA is well groomed, arrives on time, and takes care of himself or herself outside the job. A CNA needs to be part of the healthcare team and not do the job alone.
While standing in the elevator, a CNA overhears his colleagues speaking about a resident's care. Which of the following is this a violation of? A. The patient's right to medical care. B. A DNR order C. Patient confidentiality D. It is not a violation of anything as professionals are discussing resident care. - Answer C. Patient confidentiality
This is a violation of the patient's confidentiality when discussing their care in public areas, such as an elevator. patient's right to confidentiality according to the HIPAA guidelines. DNR stands for do not resuscitate, which is when a patient does not want to be treated if he or she stops
breathing. Patients have the right to obtain medical treatment, but patients also have the right to decline obtaining medical treatment if they so choose.
- What pays for residential nursing care? A. Medicare B. Medicaid C. Private health insurance D. All of the above - Answer D. All of the above
Residential nursing care is paid for in a variety of ways including Medicare, Medicaid, private insurance and/or family savings depending on the resident's unique circumstances.
While helping a resident sip hot tea, the CNA slips and accidentally spills hot tea on the resident causing a burn. This is an example of: A. Battery B. Abuse C. Negligence D. Assault - Answer C. Negligence
Negligence would entail failure to take proper precaution and the resident being burnt with hot tea. Abuse, assault, and battery involve an intentional act committed with the intent to harm residents.
The CNA makes a false report that one of his colleagues accepted a very expensive gift from the family of a resident. This is an example of: A. Defamation B. Insubordination
the resident can hear the CNA. The CNA should listen to what the resident says.
A CNA should NOT: A. Delegate a task to another CNA B. Assist other CNAs with their residents C. Fully understand delegation guidelines before conducting a task D. Communicate with other members of the healthcare team - Answer A. Delegate a task to another CNA
A CNA should never delegate a task to another CNA. This is outside the role of the CNA. A CNA should: communicate clearly with other members of the healthcare team, help other CNAs with their patients (when needed) and make sure to understand the delegation guidelines completely before undertaking a task.
Which of the following is the first step in preventing the spread of germs? A. Keeping living areas clean B. Taking out the garbage daily C. Covering resident's sneeze D. Hand washing - Answer D. Hand washing
Hand washing is the most important action that a nursing assistant could offer to assist in preventing or containing an infection from occurring. Catching a resident's sneeze, cleaning living space, and removing garbage are all necessary actions but after infection prevention.
Which of the following is a facility in which CNAs work? A. Hospital
B. Long-term residential nursing care C. Rehabilitative care D. All of the above - Answer D. All of the above
CNAs can work in a wide array of medical settings including: long-term residential nursing care, hospitals, and others including but not limited to assisted living facilities.
The term medical asepsis means: A. Practices intended to reduce the numbers of pathogenic microorganisms and inhibit the proliferation and dissemination of the microorganism in the patient's environment. B. The use of a killed microbe to elicit an immune response, thereby preventing disease. C. An environment completely free of microorganisms. D. The killing of microorganisms with the use of chemicals or heat. -Answer A. Practices designed to reduce the numbers of pathogenic microorganisms and inhibit their growth and transmission in the patient's environment.
Medical asepsis means: practices that decrease the number of pathogenic microorganisms and limit their growth and transfer in the patient's environment. An environment with no microorganisms is said to be sterile environment. Disinfection refers to the chemical treatment or heat application used to kill the microorganisms. Vaccination involves injection of killed microbe into the system to stimulate immunity to prevent the disease.
When does one use a cold pack? A. To halt pain B. To halt bleeding C. To reduce swelling D. To improve circulation - C -To decrease swelling A cold pack is used to reduce swelling. A hot pack can improve circulation. Bleeding is retarded or ceased by applying direct pressure. A cold pack will, for a while, diminish pain, but it does not halt the pain.
D. Starts by bathing resident's feet. -Answer B. Close the curtain for privacy.
Before giving the resident a bed bath, the CNA should close the curtain to provide for resident privacy. The CNA should not start the bed bath at the resident's feet. The CNA should start the bed bath starting at the head and moving down the body - wash from the cleanest to the dirtiest areas of the body). A water temperature of 85-95 degrees Fahrenheit is too cold and will chill the resident. The CNA should not scrub the resident's skin, as this could hurt the resident or damage her skin.
While a nursing assistant is caring for a resident, the CNA notices a foul smell coming from the resident's wound. What should the CNA do? A. Clean the wound immediately. B. Give the resident some antibiotic since the wound is probably becoming infected. C. Call the nurse D. Nothing, Wound care is not the CNA's responsibility. - Answer C. Tell the nurse.
If a CNA is aware of a foul smell from a wound, the CNA must inform the nurse right away because this could mean that infection is setting in. Wounds should not be cleaned by CNAs unless it is stated in the standard set of care where the CNAs work. CNAs should never administer resident medication. A resident's health and wellness is part of the CNAs job, so the CAN should always pay close attention to the resident's health.
Which of the following is not part of the admissions process? A. Making the resident feel comfortable and welcome in the facility. B. Preparing the resident's room. C. Signing admitting papers and consent for treatment. D. The resident goes home. - Answer D. The resident goes home.
Admission helps the resident get her stay in the facility started, so it is important to: sign admitting paperwork and a consent for treatment, prepare the resident's room and
make her feel welcome and comfortable. The resident goes home after the discharge process. Discharge The resident goes home after the discharge process. If a patient's chart indicates that he be placed in a lateral position, he should lie: A. On the back with the bed at a 45-degree angle. B. On the side with a pillow under the head, a second pillow under the top arm, and a pillow under the top leg. C. Prone with the head to one side and pillows under the abdomen and feet. D. Supine with a pillow placed under the lower back. -Answer B. On the side, with one pillow placed under the head, a second pillow placed under the top arm, and a pillow placed under the top leg.
Lateral position-The client lies on the side. Prone position-A resident lies on the stomach. Supine position-A resident lies on the back. Semi-Fowler's position-A resident lies on the back with the bed at a 45-degree angle.
What does the diastolic blood pressure number, or bottom number, refer to? A. Diastolic blood pressure refers to a patient's blood pressure that is too high. B. Diastolic blood pressure is the pressure in the arteries during the contraction of the heart. C. Diastolic blood pressure is the pressure in the arteries during the resting of the heart. D. Diastolic blood pressure refers to a patient's blood pressure that is too low. - Answer C. The diastolic blood pressure refers to the pressure on the arteries when the heart is resting.
Diastolic blood pressure is the bottom number. It is the pressure when the heart is resting between beats. Systolic blood pressure is the top number. It reflects the pressure when the heart contracts. Average blood pressure of adults is 120/80.
Seizure When a resident has a seizure she: A. Has convulsions. B. Has consumption. C. Has a heart attack. D. Has high blood sugar. - Answer A. Has convulsions.
Seizures are also termed convulsions. Diabetes is also termed high blood sugar. Pneumonia or tuberculosis is sometimes termed consumption. A heart attack is sometimes termed a myocardial fracion.
Oral care for an unconscious resident should be performed by the CNA using: A. Mouthwash B. A soft toothette C. A toothbrush D. All of the above - Answer B. A soft toothette
An unconscious resident cannot expectorate. Thus, a CNA should not use mouthwash because of the risk of aspiration. A hard toothbrush may be harmful to a resident's oral cavity because an unconscious resident is unable to move or respond. Soft toothette is the accepted tool for oral care of unconscious residents.
Which of the following devices is most appropriate to use for elimination if the resident is able to sit up, pivot, and get out of bed with minimal assistance, yet has difficulty reaching the bathroom? A. Portable commode B. Regular toilet C. Bedpan D. All of the above - Answer A. Portable commode
Since the resident can sit up and turn independently, a portable commode that is placed near the bed is most appropriate. Always use the device that gives the resident the most independence. Bedpans are used for residents who cannot get out of bed. The regular toilet is not appropriate because the bathroom is too difficult for the resident to get to.
Which is an appropriate safety procedure that a CNA should do when cleaning a resident's dentures? A. Place dentures on a shelf next to the sink to dry. B. Put a paper towel in the sink when cleaning the dentures. C. Place cleaned dentures in a glass next to the sink. D. Place a cloth towel in the sink when washing the dentures. -Anwer D. Place a cloth towel in the sink when washing the dentures.
Dentures are very costly and difficult to replace if they break so a CNA should place a cloth towel in the sink as a cushion just in case the dentures fall while cleaning the dentures; paper towels will not cushion the fall.
A resident is receiving oxygen therapy through a face mask. When would the face mask be removed? A. When eating B. When sleeping C. Every 2 hours D. Every 8 hours - Answer A. When eating
The mask covers the resident's nose and mouth. It is removed to let the resident eat. It should not be removed every 2 hours, every 8 hours, or when sleeping because this interferes with oxygen delivery and might cause a delay or harm the resident's recovery.
Which of the following is an objective sign or symptom and can be directly observed by a CNA?
Of the following interventions, which would NOT be supportive to a patient who presents with edema? A. Elevating the patient's affected extremity above the heart B. Gently massaging lotion into the affected extremity to stimulate blood flow C. Applying an ice pack or cold pack to the affected area to decrease swelling D. Asking the patient to perform ROM exercises - Answer C. Applying an ice pack or cold pack to the affected area to decrease swelling
Edema is swelling of an extremity due to poor circulation. The use of ice or cold packs to reduce swelling will be ineffective in managing edema. Interventions that stimulate circulation such as elevation of the body part above the heart, ROM and massaging the affected area help.
If a resident is actively dying, how often would the CNA document his/her vital signs? A. Never B. Once every 15 minutes C. Once every 30 minutes D. Once every 60 minutes - Answer A. Never
In general, a CNA should not chart the vital signs of a patient who is actively dying. Instead, the CNA and other caregivers should take steps to make the patient and his or her family as comfortable as possible. However, if a nurse or a doctor orders regular vital signs, the CNA should follow this medical order.
If a resident reports chest pains, what is the best action by a CNA? A. Seek assistance immediately. B. Position the resident to facilitate breathing exercises to raise her oxygen level. C. Massage the area of discomfort the resident reports pain in. D. Provide the resident with a pain reliever to ease her discomfort -Answer A. Seek
assistance immediately.
Chest pain can mean the resident is having a heart attack-myocardial infarction-and this is an emergency. The CNA must call for assistance immediately. The CNA should never administer pain medication because this is outside the scope of her care.
Which device is used to transfer a resident from a bed to a stretcher? A. Trapeze B. Slide board C. Hoyer lift D. Gait belt - Answer B. Slide board
A slide board is used to transfer a resident from a bed to a stretcher and back again. A CNA transfers a weak or immobilized resident from bed to chair and back again using the Hoyer lift. A gait belt is utilized in assisting a resident to stand or walk. A trapeze is utilized in assisting a resident in sitting up in bed. Which of the following positions will assist a patient that has difficulty with deep breathing? A. Lateral position B. Prone position C. Supine position D. Fowler's position - Answer D. Fowler's position
In the Fowler's position, the patient is positioned in a semi-sitting position. Gravity in this position assists the patient to breathe easier. In the prone, lateral and supine positions, the patient is positioned lying flat. These would not assist the patient with breathing.
What is the order in which the five stages of grief would likely occur? - Answer Denial, anger, bargaining, depression, acceptance
Grief as it is expected to occur in order, consists of: denial, anger, bargaining,
A. Progress notes B. Minimum data set C. Admission sheet D. Flow sheet - Answer D. Flow sheet
The flow sheet provides a record of how well the patient can perform activities of daily living, or ADLs, such as dressing. The admission sheet provides information about a new resident including his or her marital status, insurance information, name of doctor and religion. Minimum data set contains information about a resident's medical data as well as his memory, communication, and social behavior. Progress notes shall contain data about treatments and medications a person is undergoing, procedures conducted by the doctor, and visits conducted by other health team members. Procedure: If a CNA has made an error in recording a patient's temperature, which of the following does he perform to correct this notation? A. Place a single line through the notation, write the word "error" beside this line and initial it. Record the correct number next to the notation. B. Erase the incorrect notation and record the new notation in pencil. C. Cross the mistake out and write the correct number beside of the mistake. D. Use liquid paper to cover the mistake and then write the correct notation over the mistake. -Answer A. Draw a single line through the notation, write the word "error" beside this line and initial it. Then, write the correct number next to the notation.
It is a mistake easily made; however, there is a right way to correct the mistake. First, the error is to be crossed through with one line. Beside the line is written the word "error" and then initialled by the CNA. In the same line, beside the error, the CNA writes the correct notation.
Which of the following actions protects a resident's right to privacy? A. A CNA leaves the door open a crack while showering a resident. B. A CNA assists a resident with dressing while behind a curtain.
C. A CNA doesn't close the curtain when assisting a resident who is using a bedpan. D. A CNA stays in the room while a resident receives company. -Answer B. A CNA assists a resident with dressing while behind a curtain.
A resident has the right to privacy. Pulling the curtain closed while the resident is getting dressed provides for privacy. Remaining in the room while the resident has visitors, forgetting to pull the curtain and not shutting the door completely during procedures does not provide for privacy.
After signing the consent forms for an upcoming invasive procedure, a patient has a few questions. What should the CNA say to the patient? A. I am so sorry, but you already signed the consent forms so the time for questions has passed. B. I am sure you can ask the doctor right before the procedure begins. C. I'll speak to the nurse to ask the doctor to speak with you. D. What are your questions? I'll see if I can answer them. - Response C. I'll speak to the nurse to ask the doctor to speak with you.
A CNA should never discuss healthcare procedures above his or her standard of care. The CNA should tell the nurse that the patient has additional questions. The nurse will then tell the doctor, who will speak with the patient.
The CNA is assigned to care for a comatose patient on a ventilator. The CNA has never cared for a patient in this condition. What should the CNA do? A. Do the best that he or she can, as everyone will have a first time caring for this kind of patient. B. Request to switch patients with another CNA who has done this kind of care before. C. Inform the nurse manager that he/she has never provided care of this nature and request further instruction and training materials. D. Seek tips and guidance from a CNA who does provide care of this nature. -Answer C. Inform the nurse manager that he/she has never provided care of this nature and
