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A series of questions and answers designed to help individuals prepare for the prometric cna (certified nursing assistant) test. The questions cover a range of topics related to patient care, safety, and ethical considerations in a nursing home setting. Each question is followed by multiple-choice answers, with the correct answer clearly marked. The content is structured to test the knowledge and understanding of essential cna responsibilities, including assisting residents with daily activities, maintaining hygiene, ensuring safety, and communicating effectively with healthcare professionals. This material is useful for students and professionals seeking certification or looking to refresh their knowledge in nursing assistance.
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A resident who used to go to the bathroom by herself now asks for assistance to walk to the bathroom. What is the appropriate response by the nurse aide? A. Assist the resident and report the change to the charge nurse. B. Understand that these changes are just a normal part of aging. C. Update the resident's care plan and explain the change to the charge nurse. D. Encourage independence and suggest that the resident try going to the bathroom on her own. - โโA. Assist the resident and report the change to the charge nurse. What should a nurse aide do with a used disposable razor? A. Throw the razor away in a trash can. B. Place the razor in a sharps container immediately. C. Clean, rinse, and dry the razor so it can be used again. D. Wrap the razor in a paper towel until it can be thrown away. - โโB. Place the razor in a sharps container immediately. The Health Insurance Portability and Accountability Act (HIPAA) is important to the nurse aide because it A. allows residents to carry health care from the hospital to the nursing home. B. provides for insurance coverage for residents and health care workers. C. identifies protected health information that must remain confidential. D. provides accountability for care offered across health care settings. - โโC. identifies protected health information that must remain confidential. A resident must have assistance to walk. When leaving the resident in the resident's room, what must the nurse aide do before leaving the room?
A. Turn on the resident's television. B. Make sure the resident's bedpan is within reach. C. Place the call light where the resident can reach it. D. Say to the resident, "Remember that you need help to walk." - โโC. Place the call light where the resident can reach it. The nurse aide is bathing a resident and notices new swelling in the resident's ankles. Which of the following is the best response by the nurse aide? A. Ask if the resident has been eating salty foods lately. B. Elevate the resident's legs and check again later. C. Report the swelling to the charge nurse. D. Avoid bathing the resident's lower legs. - โโC. Report the swelling to the charge nurse. A resident has a contracture of the right arm. When putting on the resident's button-front shirt, the nurse aide should A. put the shirt sleeve on the left arm first, then the right arm. B. ask which arm the resident prefers the sleeve to go on first. C. put the shirt sleeve on the right arm first, then the left arm. D. raise resident's arms up to slide both sleeves on at the same time. - โโC. put the shirt sleeve on the right arm first, then the left arm. 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.
B. decreasing the resident's fluid intake. C. asking the resident to follow the schedule. D. taking the resident to the bathroom as needed. - โโD. taking the resident to the bathroom as needed. Areas of the body where bone lies close to the skin is known as A. a skin fold. B. a pressure ulcer. C. skin breakdown. D. a pressure point. - โโD. a pressure point. To prevent skin tears or shearing when moving the resident, the nurse aide should A. wear gloves to reduce friction against the skin. B. avoid pulling or sliding the resident when moved. C. tell the resident to be careful and follow directions. D. ask the resident to keep arms held over the resident's head. - โโB. avoid pulling or sliding the resident when moved. 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 - โโD. To help prevent aspiration A few minutes before the end of the shift, a resident calls and whispers to the nurse aide, "I had an accident. I wet myself." What should the nurse aide do?
A. Explain that the next shift will assist the resident in a short time. B. Remove any wet clothing and place the resident on a dry underpad. C. Ask if the resident feels very uncomfortable. D. Provide incontinent care to the resident. - โโD. Provide incontinent care to the resident. A nurse aide enters a room just as a resident's wife slaps the resident. The resident does not seem upset or hurt. What should the nurse aide do? A. Leave the room and close the door to allow privacy. B. Consider if this is normal behavior for this couple. C. Report the observation to the charge nurse immediately. D. Tell the wife that she must leave the facility for the day. - โโC. Report the observation to the charge nurse immediately. 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. - โโD. wait to take the vital signs after the minister has left. 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.
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 - โโD. Attached to the seat of the wheelchair, positioned below the level of the resident's bladder A resident who must stay in bed is at risk for developing A. dementia. B. arthritis. C. footdrop. D. Parkinson's disease. - โโC. footdrop. 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. - โโA. notice if the rhythm of the heart-beat is regular. When a resident is unable to stand, the resident's height is generally obtained by A. having coworkers hold the resident upright to allow for the measurement. B. adding the length of legs, chest, and neck/head to determine the height. C. asking the resident's height and subtracting an inch for age-related shrinkage.
D. taking the measurement from head to heels while the resident is flat in bed. - โโD. taking the measurement from head to heels while the resident is flat in bed. To help soften the beard before shaving with a disposable razor, the nurse aide should A. massage the beard area of the face gently. B. rub the beard in the direction of the hair growth. C. hold a warm, wet wash cloth against the face first. D. lather the face with soap instead of shaving cream. - โโC. hold a warm, wet wash cloth against the face first. A nurse aide enters a room to help the resident to the bathroom. A trash can in the room is on fire. What should the nurse aide do first? A. Use the resident's pitcher of water to put out the fire. B. Open the window to allow smoke to escape. C. Remove the resident from the room. D. Yell "Fire!" along with the location. - โโC. Remove the resident from the room. 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. - โโB. apply a dry protective dressing over the area. Which member of the health care team counsels residents and their families and arranges for needed services?
Which action is most helpful to help decrease a resident's incontinence? A. Leaving the bedpan in place for extra time B. Putting an incontinent brief on the resident C. Answering the resident's call light quickly D. Controlling fluid intake throughout the day - โโC. Answering the resident's call light quickly 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. - โโA. being consistent with carrying out the toileting schedule. 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. - โโD. should not be resuscitated. When a resident's husband begins telling the nurse aide how to care for his wife, the nurse aide should A. accept that the husband has always been in charge. B. explain that the nurse aide is certified and able to care for his wife. C. suggest that the husband participate in his wife's resident care conference. D. understand that the husband wants staff aware of his wife's needs. - โโD. understand that the husband wants staff aware of his wife's needs.
The term vital signs refers to A. any important information about a resident's condition. B. the color, condition, and appearance of the skin. C. fluid intake and output, as well as bowel movements. D. temperature, pulse, and respirations. - โโD. temperature, pulse, and respirations. The nurse aide can help the resident have regular bowel movements by A. making sure the resident gets a lot of rest. B. providing a routine time for the resident to toilet. C. giving the resident cereal for breakfast every morning. D. keeping a bedpan within reach while the resident is in bed. - โโB. providing a routine time for the resident to toilet. When feeding a resident, the nurse aide notices that the resident keeps coughing after each drink of fluids. What is the appropriate response by the nurse aide? A. Give the resident more time to swallow. B. Keep the amount of fluid small by using a spoon to give fluids. C. Add thickener to the fluid and see if it helps stop the coughing. D. Stop the feeding and report the coughing to the charge nurse right away. - โโD. Stop the feeding and report the coughing to the charge nurse right away. A resident who was admitted today is sitting in a chair in his room. He asks for help to go to the bathroom. The nurse aide knows the resident's care plan has not been completed. To help the resident the nurse aide should A. ask the resident to use a walker while assisting the resident to the bathroom. B. get another nurse aide's help to walk the resident to the bathroom.
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. - โโC. Providing opportunities for activity and periods for rest is important. A resident with dementia tries to get out of bed without help during the night. The care plan states the resident needs assistance to get out of bed. What should the nurse aide do first? A. Orient the resident to person, place and time. B. Review how to use the call light with the resident. C. Tell the resident to never get out of bed without help. D. Try to find out if there is something the resident needs. - โโD. Try to find out if there is something the resident needs. How much assistance does a resident receiving PROM need from the nurse aide? A. Partial assistance with range of motion exercises B. Full assistance with the nurse aide taking the joints through exercises C. Minimal assistance to just remind the resident when it is time to exercise. D. Minimal assistance to provide extremity support while the resident moves joints - โโB. Full assistance with the nurse aide taking the joints through exercises When a resident is receiving oxygen, the nurse aide should A. make sure the tubing is free of kinks. B. remove oxygen when the resident is eating.
C. place a NO VISITORS sign on the resident's door. D. limit how often mouth care is provided to the resident. - โโA. make sure the tubing is free of kinks. 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. - โโC. report the skin opening to the charge nurse as soon as possible. Which of the following is the best example of using reality orientation for a resident with early dementia? A. "Your son plans to visit today at 2:00 p.m." B. "You are in the nursing home. I am here to help you." C. "This is your daughter Anna. Do you remember her?" D. "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?" - โโD. "Look at the time. Lunch is in 30 minutes. Are you feeling hungry?" A resident has returned from the hospital after a hip replacement. The nurse aide should expect that the resident will be A. dependent and need total care. B. confined to bed for several weeks. C. going to physical therapy to increase mobility. D. receiving range of motion (ROM) exercises to hip. - โโC. going to physical therapy to increase mobility.