CNA Final Flashcards

1
Q

What are some examples of ADL’s?

A

bathing, skin, nail, hair care, assistance with walking, eating, dressing, transferring, toileting

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2
Q

What is the definition of a policy?

A

A course of action that should be taken during certain situations

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3
Q

HIPPA stands for …

A

Health Insurance Portability and Accountability Act

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4
Q

Medicare is defined as …

A

A health insurance program for people aged 65 years or older
It is separated into 2 parts
Part A: Hospital Insurance
Part B: Medical Insurance

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5
Q

Medicaid is defined as…

A

Medical assistance program for low-income people

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6
Q

The supervisor of the Nurse Assistant is…

A

The charge nurse

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7
Q

What is the minimum theory and clinical hours to become a nurse assistant?

A

50 hours of theory and 100 hours of clinicals

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8
Q

If a CNA wanted to renew their certification, how many hours of ceu’s must they take?

A

48 hours of continuing education units in a 2 year period

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9
Q

How often do Nurse Assistants submit their fingerprints?

A

Once in a lifetime, when enrolling in the course

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10
Q

Before working with residents, what MUST a CNA have?

A

TB test

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11
Q

After successfully completing the CNA course, how much time do you have before taking the state exam?

A

2 years

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12
Q

What is the maximum number of times that the state exam may be taken?

A

3 times

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13
Q

What is the code of ethics?

A

It may vary in facilities but it is an overall guideline for ethical concerns that the care team must follow

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14
Q

What is OBRA?

A

The Omnibus Budget Reconciliation Act is a law that was passed to improve quality of life for residents by setting standards for nursing assistant training.

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15
Q

What is the MDS?

A

The minimum data set is a form with guidelines for assessing residents, and it is completed during admission and each year after

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16
Q

What is the Americans with Disabilities Act?

A

It is a law that prohibits discrimination against disabilities and allows persons of disabilities to obtain equal opportunities.

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17
Q

What is active neglect vs passive neglect?

A

Active: harming a person by purposely failing to provide basic care
Passive: unintentionally harming a person by failing to provide care, in this case, the caregiver may not know how to properly care for the resident or may not understand the resident’s needs

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18
Q

What is negligence?

A

Failure to provide care that results in an unintended injury such as, not locking wheelchair

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19
Q

What is malpractice?

A

When a person is injured due to professional misconduct (lack of skills)

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20
Q

What are Advanced Directives?

A

Documents that provide instructions for patient’s wishes in treatment if he/she cannot communicate

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21
Q

What is a grievance?

A

A complaint

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22
Q

In long-term care facilities, the resident has the right to…

A

Bring personal items

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23
Q

What are mandated reporters?

A

People that are legally required to report suspected or observed abuse/neglect. As CNA’s, you must give the nurse as much factual information.

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24
Q

What is an ombudsman?

A

A legal advocate for residents that help resolve resident’s concerns about health, safety, welfare, rights, etc

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25
Q

Can you release information about a resident to a visitor?

A

No, it is against HIPPA regulations

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26
Q

Are advance directive required for admission?

A

No

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27
Q

What is PHI?

A

Protected health information means taking appropriate measures to ensure that patient records are private

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28
Q

Nursing assistants cannot give information about a resident to anyone not directly linked to their care UNLESS

A

The resident gives official consent or the law requires it

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29
Q

What is the fine for HIPPA violation?

A

$100-250,000 or up to 10 years in prison

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30
Q

What are some main examples of Advanced Directive?

A

Living Will
Power of attorney for health care
DNR order

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31
Q

What should you do if a resident asks to see their chart?

A

Report it to the charge nurse

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32
Q

Can residents and their families interact with their roommates family?

A

Yes

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33
Q

What type of communication shows the most about a resident’s real feelings?

A

Body language

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34
Q

What is objective data?

A

Information that can be seen, heard, smelled, etc

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35
Q

When should changes in a resident’s condition be updated?

A

Right away

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36
Q

What is incontinence?

A

The inability to control the bladder oe bowels

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37
Q

What does NKDA mean?

A

No known drug allergies

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38
Q

Wat does PRN mean?

A

as necessary

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39
Q

What does TPR mean?

A

Temp, pulse, rate

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40
Q

What does W/c mean?

A

Wheelchair

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41
Q

What type of time do we use when charting?

A

Military time

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42
Q

What is the medical term for stroke?

A

Cerebrovascular accident (CVA)

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43
Q

Paralysis on one side of the body is called?

A

hemiplegia

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44
Q

What is the term for difficulty swallowing?

A

Dysphagia

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45
Q

What is the code for immediately?

A

STAT

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46
Q

What helps prevent the resident from being hurt during a fall?

A

Lowering the bed after procedures

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47
Q

What does CPR stand for?

A

Cardio[pulmonary Resuscitation

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48
Q

What is heimlic maneuver?

A

This is the abdominal thrusts performed on someone that is choking

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49
Q

When do we perform abdominal thrusts?

A

When the choking victim is conscious

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50
Q

When does shock occur?

A

When organs and tissues do not receive adequate blood supply

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51
Q

What should we do for shock victims>

A
  • lay down and place on side if bleeding or vomitting
  • control bleeding
  • check pulse and respirations
  • keep them calm
  • elevate feet UNLESS they have head or abdominal injury
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52
Q

What is the medical term for heart attack?

A

Myocardial Infarction

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53
Q

What is dyspnea?

A

Difficulty breathing

54
Q

What are the types of burns?

A

1st degree: epidermis
2nd degree: epidermis and dermis
3rd degree: all layers of skin, may expose bones

55
Q

What is hypoglycemia?

A

This is an insulin reaction from either too much insulin or too little food, both causing too much insulin in the body.

56
Q

What is hyperglycemia?

A

this is caused by having too little insulin and it can be from undiagnosed diabetes, low insulin,

57
Q

When a seizure is occurring, what is the main goal for the resident?

A

To make sure they are safe, prevent injury

58
Q

When dealing with body fluids, you must ALWAYS

A

wear gloves

59
Q

What is the medical term for vomitting?

A

emesis

60
Q

Restraints (supports) can be seen as false imprisonment if…

A

It was an unauthorized use

61
Q

What is the mnemonic that should be used in the event of a fire?

A
RACE 
R: Rescue 
A: Alarm 
C: Contain 
E: Extinguish
62
Q

How soon should we report frayed electrical cords?

A

Immediately

63
Q

If a resident requires assistance with shaving and requires oxygen, what should we do?

A

Shave only with soap and safety razor

64
Q

What are the types of razors?

A

Safety razor
Disposable razor
Electric razor: does not require soap or shaving cream but CANNOT be used wit oxygen or pacemaker

65
Q

Which patients are at a greater risk for falls?

A

People with dementia

66
Q

Fall most likely occur when?

A

During change of shift

67
Q

When should wheelchair brakes be locked?

A

When transferring into or out of wheelchair

68
Q

Before using a fire extinguisher you must

A

Remove safety pin

69
Q

What precaution should be visible when caring for oxygen patients?

A

No Smoking: Oxygen in Use

70
Q

when the fire emergency code is on, what must the nurse assistant do?

A

Close all room doors, report to nurse

71
Q

If a wheelchair is broken, what must the resident do?

A

Notify the charge nurse

72
Q

When cleaning the nose of a resident with oxygen, what products can be used?

A

Water based lubricant, warm water, soap and water

73
Q

Why should a Nurse Assistant report broken equipment?

A

Because they must care about resident and staff safety

74
Q

When do infections occur?

A

When harmful microorganisms (pathogens) enter and invade the body

75
Q

What is the difference between systemic and localized infection?

A

Systemic: In the blood stream, causing general symptoms
Localized: in a specific region of the body

76
Q

What is a nosocomial infection?

A

An infection that is hospital acquired

77
Q

What is surgical asepsis?

A

The state of being free of all microorganisms

78
Q

How do we describe the path of disease transmission?

A

Chain of infection

79
Q

What is the order of the chain of infection?

A
Causing agent 
Reservoir 
Portal of exit
Moe of transmission 
Portal of entry 
Susceptible host
80
Q

Causing agent

A

Microorgansism that can create disease

81
Q

Reservoir

A

This is where the pathogen multiplies and survives (can be resident, Nursing assistant, equipment, etc)

82
Q

Portal of exit

A

How the pathogen leaves the reservoir (usually through secretions, wound drainage, urine, feces, blood, etc)

83
Q

Method of transmission

A

Either direct contact or indirect contact

84
Q

Portal of entry

A

Where organisms enter the body (either non-intact skin, mucous membrane, respiratory/urinary tract)

85
Q

Susceptible host

A

Person who can become infected with a pathogen

86
Q

How can we stop the chain of infection?

A

By breaking one of the links

87
Q

What is the difference between disinfecting and sterilizing?

A

Disinfection: eliminating or killing most microbes
Sterilization: killing ALL microbes

88
Q

What are the 2 precautions that can be taken during infection control?

A

Standard precautions and isolation

89
Q

What are standard precautions?

A

Treating body fluids, wounds, secretions, etc as if they had an infection to ensure that you take appropriate measures

90
Q

What guidelines are considered standard precautions?

A
Wash hands 
Wear gloves 
immediately wash all skin surfaces (that may have been contaminated) 
Wear disposable gown 
Wear mask and goggles 
Dispose contaminated waste
91
Q

Hepatitis is caused by which microbe?

A

Viruses

92
Q

What is OSHA?

A

Occupational Safety and Health Administration: it is a federal gov. agency that makes rules about hazards to protect workers

93
Q

How does TB spread?

A

through droplets in air

94
Q

Which conditions do microbes grow best in?

A

Moist

95
Q

What is MRSA?

A

Resistant strain of Staph. Auereus that can cause community associated infections

96
Q

What is a wet gown?

A

A contaminated gown

97
Q

What does asepsis mean?

A

Free from pathogens

98
Q

How many injections for Hep. B

A

3

99
Q

What are the branches of Maslow’s Hierarchy of needs?

A
(Bottom to top)
Physiological needs 
Safety needs 
Love and belonging 
Esteem 
Self-actualization
100
Q

How do we deal with linen if patient is in isolation?

A

Double bag if required by facility

101
Q

Ounce to mL conversion

A

1 ounce= 30 ml

102
Q

Pint to mL conversion

A

1 pint = 500 ml

103
Q

Quart to ml conversion

A

1 quart = 1000 ml

104
Q

foot to cm conversion

A

1 foot = 30 cm

105
Q

What does I and O mean?

A

Intake and output

106
Q

When would we give complete bed bath?

A

To patients that are unconscious

107
Q

What temperature should the bed bath be when preparing items?

A

105 F

108
Q

When do we change the bed bath water (during complete bed bath)?

A

If water becomes soapy or cool

109
Q

When assisting a resident in the bathtub what should we do?

A

Have the resident hold on to the grab rail

110
Q

When is oral care done?

A

After each meal and breakfast

111
Q

What position should be done when performing oral care in unconscious patient?

A

Lateral

112
Q

Can NAs cut patients toenails?

A

No Report request to nurse

113
Q

What do we use to clean under fingernails?

A

Orange stick

114
Q

How do we help put a pair of pants on resident?

A

Side to side

115
Q

When is the colostomy bag changed?

A

When it leaks

116
Q

When do we clean the residents genital and anal areas?

A

Once a day and when soiled

117
Q

Normal oral temperature?

A

98.6

118
Q

What is BP?

A

The amount of force exerted against the wall of the artery by the blood

119
Q

What should we do before using stethoscope?

A

clean earpieces and diaphragm

120
Q

What is brachycardia?

A

Pulse below 60 bpm

121
Q

What is tachycardia?

A

Pulse above 90 bpm

122
Q

What is normal BP?

A

Above 90/60 but below 120/80

123
Q

Higher number of BP is represented by

A

Systolic pressure

124
Q

Lower number of BP is represented by

A

Diastolic pressure

125
Q

What do we use for BP?

A

Sphygomomanometer

126
Q

normal axillary temperature?

A

97.6

127
Q

Normal fluid intake for adult?

A

1,500 mL

128
Q

When are liquid nutritional supplements offered?

A

Between meals

129
Q

What is the normal oral, rectal and axillary temperature?

A

Oral: 97.6-99.6
Rectal: 98.6-100.6
Axillary: 96.6-98.6

130
Q

What is a normal blood pressure?

A

Systolic: 100-139
Diastolic: 60-89