CNA Practice Test 4

Question 1 of 60

Which of the following is the most appropriate time to use a soft toothette?

when a resident is complaining of a toothache
when a resident is having a seizure
when a resident has dentures
when giving an unconscious resident mouth care

Question 2 of 60

A resident is recovering from a stroke and has weakness on their left side. They call you to help them put on a sweater. Assistance should be given

behind the resident
in front of the resident
on the residents left side
on the residents right side

Question 3 of 60

Which of the following would be an inappropriate action when providing nail care to a resident?

Use lots of lotion on the hands and feet and between fingers and toes to help prevent dryness.
Use extra caution if you trim the nails of diabetic residents.
Thoroughly dry the fingers and toes to prevent skin breakdown.
Soak the residents hands or feet in warm water before trimming to make the process easier.

Question 4 of 60

It is time to bathe an Alzheimers patient who has had visitors in the room for most of the shift. Which of the following is the most appropriate action for the nursing assistant to take?

Ask the charge nurse to speak with the visitors.
Ask the visitors to step out until the bath is complete.
Ask the patient when you should come back.
Perform the bath as your first task the next day.

Question 5 of 60

A resident on the DASH diet reduces his food intake and shows little interest in eating. What is the best way for a nursing assistant to handle the situation?

Call the staff nutritionist.
Discuss the problem with the resident and try to persuade him to eat more.
Check the residents prescribed dietary supplements and provide them to the resident.
Talk with the family to see if they can coordinate bringing the residents favorite foods from outside the facility.

Question 6 of 60

A resident is often late to physical therapy because she is very slow at feeding herself during breakfast. What is the best action for the nursing assistant to take?

Bring the resident to breakfast earlier.
Encourage her to eat faster by taking her plate away when its time for her physical therapy.
Withhold breakfast until after physical therapy.
Begin feeding the resident breakfast.

Question 7 of 60

Which of these is an incorrect procedure for shaving a resident?

Use a towel around the residents chest when shaving his face.
Shave upward on the neck.
When shaving the face, start from the chin and shave upwards towards the sideburns.
Before shaving a resident check on their records and with the nurse to be sure they do not have a bleeding problem.

Question 8 of 60

Which of these is not a common mealtime and eating challenge that residents often face?

chewing or swallowing problems.
loss of ability to manipulate eating utensils.
being reminded when it is time to eat.
decreased recognition of hunger or thirst.

Question 9 of 60

Which of these is an important fact that is easily overlooked or forgotten by caregivers and facilities in reference to resident bathing needs?

The resident should be rinsed and dried thoroughly.
Beliefs about bathing frequency differs among cultures.
The caregiver needs to use proper body mechanics to avoid injury when bathing a resident.
The water needs to be at a safe temperature for bathing.

Question 10 of 60

Which of these may depend on facility rules when performing nail care on a resident?

Nails are easier to trim if the feet or hands soak for 10 minutes before starting.
When providing nail care, report blue or pale nail beds to the nurse.
Nail care is best provided if the resident can sit in a chair, although it can be done with the resident in bed.
The policy on cutting toenails.

Question 11 of 60

To obtain the most accurate patient weight, the nursing assistant should weigh the patient

Directly after a meal.
With two different scales.
3 to 4 hours after eating.
At the same time every day.

Question 12 of 60

A nursing assistant is instructed to take the oral temperature of a patient who just had a cold drink. The patients temperature should be taken

3 to 5 minutes after the drink was finished.
15 minutes after the drink was finished.
immediately; a cold drink should not affect the reading of most oral thermometers.
20 to 30 minutes after the drink was finished.

Question 13 of 60

A nursing assistant is caring for a patient with MRSA and is wearing a gown and gloves whenever she provides the patient care. When she needs to go care for another patient, she should dispose of her gown and gloves .

In the dirty utility room.
In the hallway.
In the current patients room.
In the next patients room before touching that patient.

Question 14 of 60

Another term for decubitus ulcer is

Pressure sore.
Perforation.
Ulcerated cyst.
Ulcerated tumor.

Question 15 of 60

Why is taking a residents oral temperature the most common means of obtaining a reading?

It is the only method residents will accept.
It is the most cost effective means of taking a temperature.
It offers the most ease of access and least inconvenience to the resident.
It is more accurate than other methods.

Question 16 of 60

When transferring a resident from a wheelchair to stationary chair, the nursing assistant should stand

In front of the wheelchair.
To the right side of the wheelchair.
Behind the wheelchair.
To the left of the side of the wheelchair.

Question 17 of 60

Which of these could be considered neglectful when assisting a resident with showering?

Respecting the fact that bathing and showering can be a scary activity for residents and assuring them you will help them through the process.
Being patient and calm and explaining what you are going to do before you do it.
Leaving the resident alone so they are motivated to care for themselves.
Being sensitive to water temperature and testing it before beginning the procedure.

Question 18 of 60

A resident in your care is suffering chest pains. Which of these is not a direction to follow?

Offer support and reassurance.
Talk and act in a calm manner.
Have the resident take small sips of water and place them in a downright position.
Call for help immediately.

Question 19 of 60

All of these are ways to prevent pressure sores except

Avoiding wrinkles in sheets.
Providing extra blankets.
Changing positions regularly.
Changing soiled sheets quickly.

Question 20 of 60

Which of these describes stage 4 of a decubitus ulcer?

Superficial ulcer that looks blackened or like a deep crater.
Open area with redness.
Open area with damage reaching to the bone, joint, or tendons.
Redness on the skin.

Question 21 of 60

As dementia progresses, incontinence can become an issue. How can the nurse aide assist?

Avoid outings to minimize accidents and possible embarrassment.
Remind the resident to let you know when they need to use the bathroom.
Start to use an adult diaper to keep clothing and linens clean.
Watch for signs of discomfort so you can take the resident to the bathroom.

Question 22 of 60

When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?

Hide the favorite outfit for a few days so she forgets.
Tell the resident that the outfit is dirty and she will have to choose another.
Ask the family to get several identical outfits.
Explain the benefits of variety and offer several other outfits.

Question 23 of 60

A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to ____.

ask the resident about his job and if he is hungry.
remind him that he is retired from his job and in a nursing home.
tell him that residents are not allowed in the nurses’ station.
help the resident back to his room and into bed.

Question 24 of 60

A resident who has not been discharged insists she is going home. What should the nurse aide do?

Notify the charge nurse immediately.
Put her in physical restraints until she calms down.
Tell her she cannot leave without a doctor’s order.
Advise her that she can leave if she wants to.

Question 25 of 60

When caring for a confused resident what should a nursing assistant do?

Say nothing to avoid more confusion.
Give simple directions.
Allow the resident to plan daily activities.
Give the resident activities.

Question 26 of 60

Reality orientation should include

Calling the resident by his name.
Using nicknames like Granny.
Talking about your interests.
Telling imaginative stories to the resident.

Question 27 of 60

The primary reason for combative behavior in a resident is

confusion.
resentment.
stubbornness.
hunger.

Question 28 of 60

Which of the following is NOT true of dementia?

People with dementia are often frightened and anxious.
Grooming is difficult for patients with dementia.
People with dementia act uncooperative in order to be spiteful.
Patients can have vivid hallucinations.

Question 29 of 60

In a reality orientation program you would do all of the following EXCEPT

Ask them to identify the smells of their meal.
Show them the weather outside their window.
Ask the resident about their childhood.
Tell them the date and time each morning.

Question 30 of 60

When preparing to give peri-care to an incontinent female resident with dementia, the CNA knows

the resident may become tearful.
the resident may feel sexually assaulted.
the resident may become combative.
all of the above.

Question 31 of 60

It is appropriate for the nursing assistant to share personal client information with

The clients wife.
The nursing assistant on the next shift.
The clients roommate.
The clients children.

Question 32 of 60

It would not be appropriate to share health care information about a resident with

The physical therapist who is doing rehabilitation with the resident.
The physician who cares for the resident.
The charge nurse who supervises you.
The residents best friend who visits weekly to play games with him.

Question 33 of 60

A resident in your care tells you that he does not like his current physician and wishes to be seen by another doctor. Your response to this should be

To gently tell the resident that the doctor has been assigned to him and he cannot change physicians without a legal procedure.
To reassure the resident that his doctor is qualified and capable and encourage the resident to respect the doctor.
To acknowledge the residents concerns and suggest a different medical provider.
To help the resident contact the social worker or RN for assistance in this matter.

Question 34 of 60

The family members of a resident ask you to check what the residents record says about resuscitation wishes in the event the resident was to expire. Upon looking at the records, you see that the resident has given permission to share all medical information with these family members. You also see the initials DNR in the residents advance directive. You tell the family

“The residents file has a notation indicating, Decision not recorded which means no decision has been made.”
“The residents file has a notation indicating, Do necessary resuscitation.”
“The residents file has a notation indicating, Do not resuscitate.”
“The residents file has a notation indicating, Do not record so that the decision is left up to the family.”

Question 35 of 60

Which of these does not show caring behavior?

Making extra stops during the week to talk with a resident who gets no visitors.
Stopping to ask a co-worker to finish up your duties so you are not late to lunch.
Stopping to listen to a resident who is concerned about an upcoming procedure.
Stopping to see if there is anything you can do to help a resident who is crying.

Question 36 of 60

When you walk in to begin your shift, a resident is being put in restraints by the charge nurse. This means

You need to call the family and notify them at once that restraints are being used
You need to leave all of this residents care in the hands of the charge nurse until the restraints have been removed.
You need to avoid the patient so as not to escalate his or her agitation.
You need to check the resident at least every two hours to assess basic needs, circulation, and bathroom necessities.

Question 37 of 60

When a resident has visitors, it is important for a nursing assistant to

Leave the patients intercom on so you can monitor conversations that might agitate the resident.
Restrict the visitors time spent with the resident.
Give the resident and the guests privacy.
Offer one of the empty rooms reserved for visitors to spend the night.

Question 38 of 60

As a nursing assistant, when a resident refuses a bath it is your responsibility to

Call the family and request that they try to persuade the resident to change his or her mind.
Give the resident a bath anyway, but make it shorter than usual.
Respect the residents wishes.
Tell the resident he or she cannot have visitors until he or she allows bathing.

Question 39 of 60

Which of these is a violation of a residents right to privacy?

A charge nurse discussing a residents medical condition with a nurse who is getting ready to take over her shift.
A nurse sharing medical information about a resident with the EMT who is transporting the resident to a hospital.
Two nursing assistants discussing a residents medical condition in the lunchroom.
A physical therapist, charge nurse, and nursing assistant discussing a residents rehabilitation needs with the resident.

Question 40 of 60

A residents right to information involves all of these except

The resident seeing and discussing his or her medical record.
The resident receiving information about the complete medical history of his or her roommate.
The resident seeing in detail and discussing his or her medical bill.
The resident receiving information about possible unanticipated outcomes of a procedure.

Question 41 of 60

The nurse asks you to ambulate a patient BID during your shift. This means you will ambulate the patient times

Four.
Three.
Two.
One.

Question 42 of 60

Sometimes the best response for a nursing assistant is to assure the resident you are listening. Which of these behaviors is the best way to exhibit good listening skills?

Speaking about your own experiences on the topic to direct the conversation.
Asking questions that direct the conversation further.
Talking to the resident while you continue to work.
Turning in the residents direction and responding when it is appropriate.

Question 43 of 60

There are certain steps to follow from start to finish when beginning a procedure on a patient. As a nursing assistant, it is extremely important to start with which of these tasks?

Enter the date in the patients medical record.
Document what you did.
Provide privacy in the immediate area.
Verify the residents identification.

Question 44 of 60

If you have a resident who is completely deaf, which of these would be the most important for effective communication?

A laptop or pen and paper.
A loud voice that projects over noise.
An alarm that rings louder than in non-hearing impaired rooms.
A phone system with amplifiers.

Question 45 of 60

When you are documenting in a medical record, which of these is not part of the process?

Author identification.
Using correct spelling.
Dating your entries.
Writing in pencil so erasures can make the record clean.

Question 46 of 60

A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth?

MN
NOC
NPO
NKA

Question 47 of 60

A resident calls his relatives and then tells you he is frustrated and plans on leaving the building without medical approval. Your first line of communication should be

Reporting it to the physician.
Reporting it to the facility administrator.
Reporting it to the nurse.
Calling the relatives and asking them to wait.

Question 48 of 60

Which of these should be reported to the charge nurse “STAT”?

Urine that is cloudy.
A respiratory rate of 18.
Loose stools.
A radial pulse of 135.

Question 49 of 60

Which of these is not part of the process upon entering a residents room for the first time?

Showing the resident your licensing card.
Knocking and waiting a few seconds before entering.
Speaking to the resident using his or her name.
Telling the resident your name.

Question 50 of 60

A residents input and output must be documented in a patient’s record

At the end of your shift.
By the nurse; the nursing assistant does not record this.
Every two hours.
In the early morning, noon, and late evening.

Question 51 of 60

A resident in your care is frustrated, upset, and raising his voice in complaint. Which of these is the best response to his actions?

Report the incident to the supervising nurse.
Walk away from the patient in an effort to show you won't tolerate the behavior.
Offer support and care using a comforting and calming manner.
Ask the resident to lower his voice in courtesy to other residents who are getting upset.

Question 52 of 60

When a patient is dying, the last of the five senses the patient loses is?

Hearing.
Touch.
Taste.
Sight.

Question 53 of 60

A resident in your care has just received news of a death in the family. What is the best way to assist them with the grieving process?

Tell the resident about an experience you had with death and what helped you cope with it.
Remind the resident that death is inevitable.
Spend some time with the resident, particularly offering support if he or she wishes to talk about it.
Suggest that the resident get his or her mind off of things by thinking of something pleasant.

Question 54 of 60

Elizabeth Kübler-Ross describes the stages of grief a person goes through when they lose someone close to them. She believes the first stage of the grieving process is .

Acceptance.
Anger.
Depression.
Denial.

Question 55 of 60

As a nursing assistant, you may encounter residents who are anxious or feeling unsettled about either their circumstances or surroundings. The best response in dealing with this anxiety is to

Open the shades to let in more light and brighten the surroundings.
Leave the room so the resident can re-group and re-focus in private.
Speak in a calm voice and exhibit a calm and comforting demeanor.
Turn on the radio or television to distract the resident from their immediate thought.

Question 56 of 60

A resident who consistently becomes more confused during dusk, early evening, or during the night is most likely suffering from

Psychosis.
Alzheimer's disease.
Sundowners Syndrome.
Dementia.

Question 57 of 60

A resident catches you off guard with a comment that is sexual. Your best response would be to

Change the conversation to a different subject.
Walk away and pretend you did not hear it.
Make a humorous comment in return.
Let the resident know that the comment is not acceptable to you.

Question 58 of 60

A resident died and his roommate is upset and wants to discuss it with you. What is the best action to take?

Remind the patient that death is a natural part of life and reassure him his roommate had a great life and is in a better place.
Talk to the patient about a time you lost someone you loved and how you dealt with it.
Try and distract the patient by changing the subject and bringing up something happy.
Talk with the roommate and allow him to express his feelings.

Question 59 of 60

A resident is pacing around his room, yelling and swearing. What is the first action the nursing assistant should take?

Call the charge nurse.
Tell the resident to calm down.
Call the residents family to assist with the situation.
Attempt to apply restraints.

Question 60 of 60

Which of these is not a normal biological change to the body from the aging process?

The ability to make decisions is weakened.
Joints become stiffer and less flexible.
Bones become thinner and less strong.
The movement of food from the digestive system becomes slower.

CNA Practice Test 4

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