CNA Practice Test 3

Question 1 of 55

Which of the following actions is correct when giving a client a bath?

Clean the perineal area by gently wiping with the washcloth from back to front.
Ensure any areas not being currently washed are covered by a sheet or towel.
Make the client give themselves their own bath, even if they perform it poorly.
Lotion the client’s feet after bathing and be sure to get in between the toes.

Question 2 of 55

Which of the following procedures cannot be performed by a nursing assistant?

Reporting a soiled dressing to the nurse.
Inserting a Foley catheter.
Performing oral care on an unconscious patient.
Assisting the client to the bathroom.

Question 3 of 55

A client who suffered a left-sided stroke one year ago has unresolved aphasia. The nurse knows that the term aphasia means:

that the client is confused.
that the client is unable to void.
that the client is unable to understand and process language.
that the client is unable to speak.

Question 4 of 55

A patient who is immobile may experience which of the following feelings?

Confusion.
Laziness.
Happiness.
Sadness.

Question 5 of 55

The Omnibus Budget and Reconciliation Act (OBRA) requires all nursing homes to do what for their clients?

Help residents write wills and choose power of attorneys.
Help residents reach their highest level of psychological and mental functioning.
Help residents perform ADLs and avoid neglect.
Help residents to transfer to other nursing homes if they want.

Question 6 of 55

Range-of-motion exercises are most important for which type of patient to perform?

A patient with a pulled leg muscle.
A patient who has hypertension.
A patient with hemiplegia.
A patient with depression.

Question 7 of 55

Which of the following is an example of a nursing assistant’s desired characteristic of reliability?

The nursing assistant lets the nurse know when a patient states he is in pain.
The nursing assistant monitors a patient’s vital signs.
The nursing assistant completes a task designated by the nurse in a timely manner.
The nursing assistant clocks in fifteen minutes after her shift began.

Question 8 of 55

The term grievance refers to which aspect included in the Patient Bill of Rights?

There is no lifetime monetary limit on essential care.
Patients are not allowed to call doctors at home.
Patients have access to their health information at all times.
Patients have the right to file a complaint without fear or penalty.

Question 9 of 55

Which of the following diseases does not require airborne precautions?

Measles.
MRSA.
Tuberculosis.
Chickenpox

Question 10 of 55

The nursing assistant cares for a patient with hepatitis C. The nursing assistant knows that the patient could have come in contact with this disease in which of the following ways?

IV drug use.
Dirty toilet seat.
Dirty eating utensils.
Going barefoot.

Question 11 of 55

The nursing assistant cares for a client who is depressed. One day, the client states “I can’t go on any longer. I have made a plan to kill myself. I don’t know if I would follow through with it, but it seems much better than living this life any longer.” Which of the following is the correct action?

Report the situation to the physician.
Ask the patient, “Can you tell me more about your feelings?”
Report the situation to the nurse in charge.
Reassure the patient by saying, “It’s not that bad. You’ll feel better tomorrow.”

Question 12 of 55

When recording data on a legal form, it is considered correct to write with which of the following?

black or a blue pen.
A blue pen.
A black pen.
A red pen.

Question 13 of 55

The nursing assistant takes the blood pressure of a patient known for “running low.” To her surprise, the reading is 155 over 85. Which of the following factors might be directly responsible?

The patient denies skipping any medication.
The patient is stressed.
The blood pressure cuff is too tight.
The patient is lying in bed.

Question 14 of 55

What is the difference between Sims position and left lateral position?

In Sims position, a pillow is placed between the patient’s knees to prevent them from touching.
In lateral position, the patient’s head is elevated to 15 degrees on two pillows.
In lateral position, the patient’s undermost arm is positioned laterally and parallel to the patient’s back.
In Sims position, the patient’s undermost arm is positioned laterally and parallel to the patient’s back.

Question 15 of 55

When assisting the resident to transfer from the bed to a chair, the nursing assistant knows it is necessary to do all of the following EXCEPT:

Assist the resident to put on a robe and nonskid slippers.
Encourage the resident to pivot themselves with minimal assistance.
Place the chair on the resident’s strong side.
Place the bed in the lowest position and lock the wheels.

Question 16 of 55

When applying a jacket restraint to a patient, it is most important to:

Check that the patient is not able to hit any other patients nearby.
Check that the patient can fully expand their chest for breathing.
Use a half-bow knot to secure each tie around the bed frame.
Use a square knot to fasten the vest ties together behind the chair.

Question 17 of 55

Choose the observation that should be reported to the nurse STAT.

Temperature of 98.9 degrees F.
A pulse of 72.
32 respirations per minute.
Blood pressure of 102 over 75.

Question 18 of 55

Which of the following best describes the concept of empathy?

A nursing assistant asks a patient whether they would like to take a walk or watch a movie.
A nursing assistant speaks with a dietician about alterations to the patient’s meal tray.
A nursing assistant speaks with a patient about their recent diagnosis of cancer.
A nursing assistant asks the nurse when she may take a meal break.

Question 19 of 55

Another term that is similar to the word convulsion is:

Tremors.
Seizure.
Fever.
Hypertension.

Question 20 of 55

Which of the following bedtime snacks should a patient choose in order to increase their intake of vitamin D?

Some pretzels.
A cookie.
An apple.
A warm glass of milk.

Question 21 of 55

Diabetes is a disease of which primary body system?

Respiratory
Musculoskeletal
Endocrine
Cardiac

Question 22 of 55

Which of the following is the leading cause of accidental death in those 85 years of age and older?

Poisoning
Falls
Car accidents
Drowning

Question 23 of 55

All of the following factors may interfere with elimination EXCEPT:

Infection
Aging
Medications
Family stress

Question 24 of 55

During a bath, the three most important things for the resident are:

Safety, security, and privacy.
Safety, warmth, and cleanliness.
Comfort, rest, and security.
Privacy, rest, and warmth.

Question 25 of 55

A nursing assistant arrives at work. Three hours into the shift, she feels chilled and takes her temperature. The read-out is 101.0 degrees F. The correct action is to:

Continue working, but wear a mask.
Report herself to the nursing supervisor and be dismissed home.
Continue working, but wash hands every fifteen minutes.
Leave immediately for home.

Question 26 of 55

A nursing assistant happens to witness a patient fall and is asked to document what happened. Which of the following statements is written correctly for legal documentation?

“The patient tripped over bedsheets because housekeeping left them on the floor all day.”
“The patient slipped and slid down the side of the bed to the floor, landing on their sacrum.”
“The patient fell because they ignored me when I told them to stay in bed.”
“The patient fell because the nurse forgot to lock the wheels of the bed again.”

Question 27 of 55

Which of the following disorders are said to be irreversible?

Chicken pox.
Asthma.
Emphysema.
Hypertension.

Question 28 of 55

The abbreviation Rx indicates:

A type of wound.
A treatment.
An acute illness.
A disease.

Question 29 of 55

The nursing assistant cares for a diabetic client. Which of the following symptoms in this client should be immediately reported?

Emesis.
Refusal to eat dessert.
A cough.
A bowel movement.

Question 30 of 55

It would be inappropriate to utilize an alcohol-based hand sanitizer in which of the following situations?

The nursing assistant’s hands are visibly soiled.
The nursing assistant has just left the patient’s room.
The nursing assistant is about to enter the patient’s room.
The nursing assistant helps a patient to the bathroom while wearing gloves.

Question 31 of 55

The nursing assistant knows that urine is normally:

Dark in color and foul-smelling.
Dark yellow.
Clear, dark yellow.
Clear, pale yellow.

Question 32 of 55

The nursing assistant is helping a male patient to use the urinal. She pulls the curtain around the bed for privacy before saying:

“If you do not fill it completely, I will empty it later.”
“If you need any more assistance, please ring the bell.”
“Please ring me when you are finished and I will empty it for you.”
“Please let me know later how many mL.”

Question 33 of 55

A patient is undergoing bowel training. The nursing assistant knows that bowel training:

is used for people with colostomies to ensure a regular pattern.
is a normal part of a healthy digestive tract.
is a technique for going to the bathroom without pushing.
is not used anymore.

Question 34 of 55

The nursing assistant would suspect that one of her patients is having a problem with swallowing if she notices which of the following?

Completing a meal over the course of fifteen minutes.
Chewing very slowly.
Pocketing of food.
Uneven chewing.

Question 35 of 55

When caring for a patient, the nursing assistant notices that the patient is bleeding around an IV site. Which of the following is the most appropriate action to take?

Clamp the IV catheter and tell the nurse.
Tell the nurse when she happens to see her.
Report it to the patient’s nurse immediately.
Report it to the nursing supervisor.

Question 36 of 55

Rectal temperatures are usually taken on patients who are:

combative.
unconscious.
anxious.
confused.

Question 37 of 55

A typical blood pressure around the upper arm should NOT be taken when the patient:

complains that “this is the fifth time today.”
has IV catheters in both the left and right arms.
has heart failure.
has had lymph nodes removed around the axilla of the left arm.

Question 38 of 55

Which of the following is an example of nonverbal communication?

Hand gestures.
A whisper.
Mouthing words.
Minimizing facial expression.

Question 39 of 55

Which of the following is an example of emotional liability?

The patient gets upset after a long day and blames it on tiredness.
The patient gets upset when he learns he has been diagnosed with cancer.
The patient gets upset when he does not receive a plate in his favorite color.
The patient gets upset after telling the nurse immediately prior how happy he is.

Question 40 of 55

The nursing assistant speaks with the nursing facility’s ombudsman. The role of this position is to:

care for patients as if they were their own family.
make residents as happy as possible.
assist residents to set up insurance and policy claims.
investigate residents’ complaints and bring them to the attention of the correct authorities.

Question 41 of 55

An eighty-five year-old resident at a longterm care facility is signing up for an afternoon activity. The resident asks the nursing assistant which choice she thinks is best. Which of the following should the nursing assistant suggest?

Gardening.
Tai chi and meditation.
Basketball.
Watching TV.

Question 42 of 55

The nursing assistant knows that the term “pulse deficit” refers to:

the difference between the systolic and diastolic blood pressure.
an absence of the pulse.
the difference between the apical and radial pulse.
a strong pulse.

Question 43 of 55

A nursing assistant watches a nurse teach a client about heart failure. The client has many questions and seems more confused rather than less. Which of the following strategies is best in regard to teaching?

Give the client a DVD to watch about heart failure.
Have the client repeat back what the nurse has said.
Give the client a brochure about heart failure.
Encourage the client to form more of a discussion with the nurse in order to understand better.

Question 44 of 55

The nursing assistant cares for a client with AIDS. The nursing assistant knows that AIDS patients require what type of precautions?

Droplet.
Contact.
Respiratory.
Standard.

Question 45 of 55

When the nursing assistant brings the client his tray for lunch, the client repeats questions twice before remembering the answer. The nursing assistant knows that the client had a fall two days ago. Which of the following actions is correct?

Assess the client’s head for bruising.
Take the client’s temperature.
Report it to the nurse immediately.
Assume the client is forgetful.

Question 46 of 55

A nursing assistant who suspects a resident is being abused by someone in the facility should report it to

the charge nurse.
the nurse caring for the client.
a fellow nurse’s aide.
the CEO.

Question 47 of 55

A nursing assistant cares for a resident who has a cast on the left arm. While receiving a bed bath, the nursing assistant notices that the fingers on the client’s left hand are cold. Which of the following actions should the nursing assistant take next?

Tell the nurse immediately.
Feel the client’s fingers on the other hand.
Ask the client if it hurts.
Give the client gloves.

Question 48 of 55

A client in the hospital announces that he is leaving this minute and that no one can stop him. The nursing assistant should:

tell the patient to wait and see if he likes the care more as he feels better.
tell the patient to wait so that she can get the nurse because he has to sign a form.
warn the patient that it’s better to follow the doctor’s recommendations.
tell the patient that he can’t leave.

Question 49 of 55

A patient with a respiratory illness complains of thick, sticky secretions that are hard to cough up. The nursing assistant knows to suggest which of the following?

Drink plenty of fluids.
Turn and cough every hour.
Go outside and breathe the fresh air.
Cough harder.

Question 50 of 55

A patient has a fever and describes feeling very uncomfortable. Which of the following recommendations is best for the nursing assistant to provide?

Give the patient a backrub.
Administer Tylenol 500mg PO.
Give the patient a cool washcloth to be placed on the forehead.
Suggest the patient sit outside in the fresh air.

Question 51 of 55

The nursing assistant overhears the nurse say to the patient that he has a “bulging tympanic membrane.” What does this most likely mean?

The patient is in pain.
The patient has a viral illness.
The patient has an ear infection.
The patient should clean his ears more frequently.

Question 52 of 55

A patient who has recently been paralyzed below the waist due to a motorcycle accident refuses his medications from the nurse. The patient then refuses to say anything. What is the nursing assistant’s best response?

Say, “You seem upset.
Ignore the client’s temper tantrum.
Say, “Why did you refuse your medication?”
Say, “Don’t worry, things will seem better tomorrow.”

Question 53 of 55

A 52-year-old homeless man has just been admitted to the ER with a core body temperature of 90.2 degrees F. The doctor diagnoses the man with hypothermia. The nursing assistant knows that the organ most under stress from the low body temperature is the:

lungs.
liver.
heart.
ears.

Question 54 of 55

The nursing assistant receives her assignment for the shift and notices that she does not have a nurse assigned to her group. What action should she take next?

Offer to team up with another nursing assistant to give medications.
Begin gathering medications she must give.
Loudly complain about the situation.
Alert the charge nurse to the situation.

Question 55 of 55

A nursing assistant begins caring for a client during a bed bath and notes he has a reddened, intact area on his coccyx. Which of the following correctly describes this condition?

Ulceration stage 1
Ulceration stage 2
Ulceration stage 3
Ulceration stage 4

CNA Practice Test 3

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