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CNA Pracitce Flashcards

1
Q

an itchy skin condition caused by a mite that burrows under the skin is called…

A

scabies

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2
Q

To become certified a nursing assistant must pass a written test and skills examination. This process is called

A

competency evaluation

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3
Q

You find an extra set of headphones in your resident’s room. He said he doesn’t need 2 pair and gives them to you. You may be charged with

A

inappropriate professional behavior

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4
Q

Mr Winters goes to the physician and is told that he has a terminal illness and has six months to live. When he gets home, his daughter asks what the physician said. He tells his daughter that he got a clean bill of health. Mr. Winters is showing

A

denial

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5
Q

a resident with TB (tuberculosis)…

A

can spread it to others

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6
Q

A resident you are caring for suddenly refuses to eat and tells you his food is being poisoned. He is convinced there is a conspiracy against him with attempts to kill him. This is a(n)

A

delusions

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7
Q

the best sources of carbohydrates are

A

past, broccoli, bread, and candy

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8
Q

oral care should be given to a dying resident

A

every two hours and when needed

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9
Q

An external catheter that is placed on the penis is called a(n) _________ catheter.

A

condom

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10
Q

a common fear of LGBT residents is

A

loss of a comfortable and accepting environment

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11
Q

a pulse requiring a stethoscope to obtain is

A

apical

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12
Q

a risk factor for diabetes is

A

obesity

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13
Q

While taking a resident’s vital signs, you (the nursing assistant) realize that the pulse rate is elevated and needs to be reported. You should first report the information to

A

a licensed nurse

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14
Q

As you are walking down the hall, a recently admitted stroke resident who is not one of your assigned residents, asks you for a drink of water. You should

A

ask the nurse about the resident

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15
Q

when caring for the body after death, you should

A

treat the body with respect

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16
Q

a terminal resident is making gurgling noises, you should

A

report the observations to the nurse

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17
Q

Your resident has an indwelling catheter and is able to get up and down on her own when needed. You come in to check on the resident and notice that the Foley bag is hanging on the side rail, you should

A

attach the foley bag to a non-movable part of the bed

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18
Q

Peripheral Vascular Disease affects the

A

cardiovascular system

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19
Q

Mrs. Jones is on a fluid diet. When recording her intake you notice she drank half of a 16oz cup of coffee, one fourth of an 8oz glass of milk and a 4oz glass of juice. Her intake was

A

420 mL

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20
Q

When ambulating a resident with a walker and a gait belt, the resident begins to fall. The nursing assistant should

A

lower the residents safely to the floor

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21
Q

an example of a life skill would include

A

using a show horn to help put on your shoes

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22
Q

Dry mouth, sweating, nausea, diarrhea, rapid pulse and respiration, increased blood pressure, difficulty sleeping, and loss of appetite are symptoms of

A

anxiety disorder

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23
Q

A resident can safely be left on a bedpan

A

ten minutes

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24
Q

body powder used after a bath or shower to

A

reduce friction between the skin and surfaces that touch it

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25
Q

bloodborne pathogens can be transmitted by

A

contact with blood or body fluids

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26
Q

A resident was unable to get to the bathroom in time to relieve himself and accidentally urinated on his trousers. You should

A

help him change his clothing if he needs assistance

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27
Q

the purpose for padding side rails on the resident’s bed is to

A

protect the resident form injury

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28
Q

oral care should be preformed

A

at least twice a day

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29
Q

the nursing assistant is allowed to take orders from

A

the nurse

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30
Q

Mr king cannot get out of bed you place him in _____ position for a meal

A

high fowlers

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31
Q

Transfers and discharge preparations are the responsibility of the

A

nurse

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32
Q

the best way to control the spread of MRSA is by

A

proper hand washing

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33
Q

when caring for a resident with a pacemaker

A

be sure to report bradycardia

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34
Q

the best description of inspiration is

A

breathing in

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35
Q

Mr. Dodds is in a bad mood and yelling profanities at you. You tell him if he doesn’t stop you will lock him in his room. This would be

A

false inprisonment

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36
Q

a DNR order means that

A

CPR should not be started

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37
Q

A dying resident tells you that he does not believe in God and that there is no heaven. You have a strong belief in God. You should

A

respect the resident’s beliefs

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38
Q

There is a new mechanical lift at Good Samaritan Care Center that you have not been trained to use. Before using it on a resident, you should

A

attend training on how to use it

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39
Q

When performing perineal care on a female resident, the nursing assistant should

A

wipe from front to back

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40
Q

If a resident with Alzheimer’s disease has problems with bathing, the nursing assistant should

A

schedule bathing when the resident is least agitated

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41
Q

A task within the nursing assistant’s scope of responsibility is

A

providing hygiene measures

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42
Q

Mrs. February tells you that she wants to modify her advanced directive. You will

A

notify the nurse

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43
Q

As you are helping your resident dress, you notice several bruises on his back. You ask how he received the bruising and he does not know, but mentions that his son visited last evening. Your responsibility is to document and

A

tell the charge nurse STAT

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44
Q

A function of the endocrine system is

A

to produce and release hormones

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45
Q

The state agency that is responsible for approving nursing assistant programs and granting certification to qualifying nursing assistant candidates is

A

UNAR

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46
Q

when do you use a transfer belt or gait belt

A

unsteady or weak

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47
Q

a nursing assistant can be charged in a court of law if they

A

take money form a resident

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48
Q

tuberculosis is a

A

airborne disease

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49
Q

The most important guideline for safe diabetic foot care is to

A

inspect and clean resident’s feet every day

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50
Q

A resident has a catheter. It is best to monitor intake and output

A

as soon as the resident drinks the liquids

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51
Q

To take an oral temperature after a resident drinks, eats or smokes wait

A

10-20 minutes

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52
Q

An injury to the spinal cord in the neck area can result in

A

quadriplegia

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53
Q

The government agency helping to define NA’s scope of responsibility in long-term care facilities and define what the CNA curriculum is

A

OBRA

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54
Q

When a resident is dying, the family should

A

be allowed to spend as much time with the resident as the wish

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55
Q

A true statement regarding hair care would be

A

hair should be brushed gently to avoid pulling

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56
Q

OBRA requires that on admission, residents must be told of their legal rights. You know that

A

they must be provided with a written copy of these rights

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57
Q

You are a nursing assistant working at Good Samaritan Care Center today. The LPN delegates Mr. Young’s bath to you. You should

A

give Mr. Young’s bath according to the LPN’s directions

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58
Q

Hospice is available to the resident and their family

A

whenever needed

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59
Q

A registered nurse delegates Mrs. Johnson’s colostomy care to you. You have never done it on a real resident and it has been five years since you were trained as a nursing assistant so you don’t feel comfortable performing the task on your own. You should

A

ask the registered nurse to supervise you as you do the procedure

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60
Q

Cystitis is an inflammation of the

A

bladder

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61
Q

Hospice care operates on the principle that

A

dying is a natural process, during which the resident should be made comfortable

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62
Q

When performing a bed bath, the nursing assistant should

A

keep the resident covered

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63
Q

A major safety risk of depression is that the resident may

A

have thoughts of suicide

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64
Q

A normal oral temperature falls between

A

98.6-99

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65
Q

The most accurate method of obtaining a temperature is

A

rectal

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66
Q

When a left-sided stroke resident needs to use a cane, the nursing assistant should direct the resident to put the cane on his/her

A

strong side

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67
Q

Utah State Rule requires at least ___ hours of instruction for a nursing assistant program.

A

100 hours

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68
Q

You are at a party and you see one of your friends whose grandmother is one of the residents, where you work. You explain to him that the grandmother has been acting out in the evenings and trying to hit the nursing assistants. You are violating the resident’s right to

A

privacy

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69
Q

A function of the cardiovascular system is to

A

carry food and oxygen to cells

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70
Q

MRSA

A

Methicillin Resistant Staphylococcus Aureus

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71
Q

The third stage of the grieving process is

A

bargaining

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72
Q

Tuberculosis is most likely transmitted by

A

coughing

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73
Q

In order to best protect the mattress of the bed of a resident who is incontinent of urine, the nursing assistant dresses the bed with

A

a bed protector

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74
Q

A nursing assistant can promote dignity when helping a resident with personal hygiene care by

A

encouraging the resident to do as much as possible for him/her self

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75
Q

A reason a nursing assistant may refuse to perform a task that was delegated by the registered nurse would be if

A

it is beyond the nursing assistant’s scope of responsibility

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76
Q

The federal regulation that was established to improve the quality of care given in long-term care facilities is called

A

OBRA

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77
Q

The federal regulation that was established to improve the safety for workers is called

A

OSHA

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78
Q

If a resident with Alzheimer’s disease becomes violent, the nursing assistant should

A

step out of the way and remove triggers

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79
Q

Making sure the nursing assistant’s certification is renewed every 2 years is the responsibility of the

A

Utah Nursing Assistant Registry

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80
Q

The master gland that controls the hormone production of other glands is known as the ____________ gland.

A

pituitary

81
Q

If a resident refuses a shower or bath, the nursing assistant should

A

offer a partial bath

82
Q

A resident who was admitted to the facility a few days ago is particularly difficult to work with. To show empathy the nursing assistant would say,

A

“I’ll spend extra time with the resident to help him feel welcomed.”

83
Q

Ms. Howell has a terminal illness and is complaining of restlessness. To help Ms. Howell relax you should

A

reposition and offer a back rub every two hours

84
Q

MRSA is most often spread

A

by direct physical contact

85
Q

A resident had a hip fracture and wants to turn on his side. You should

A

use an abductor pillow

86
Q

A disorder that causes recurrent seizures is

A

epilepsy

87
Q

A resident has died and his wife is crying. The nursing assistant should

A

support the wife and listen if she wants to talk

88
Q

When you are communicating with residents, you need to remember to

A

face the resident and make eye contact

89
Q

You are measuring Mrs. Clark’s pulse and it is 98 beats per minute, which is significantly different than her normal pulse. You should

A

report this to the charge nurse

90
Q

While caring for Mr. Smith, the gastronomy tube falls out. You should

A

notify the charge nurse immediately

91
Q

Medical Asepsis is

A

the practice used to remove or destroy the spread of pathogens

92
Q

The patient who has suffered from a stroke usually

A

is paralyzed on one side of the body

93
Q

Which statement about charting is incorrect?

A

all entries must be in pencil

94
Q

What are the parts that make up the whole person?

A

spiritual, social, physical, psychological

95
Q

Nursing assistants are supervised by

A

RNs & LPNs

96
Q

Mr. Francis is blind. When ambulating him, you should walk

A

in front of him

97
Q

In the event of a fire in a client’s room, your first action is to

A

move client to a safer space

98
Q

Which of the following foods is allowed in a clear liquid diet

A

jello

99
Q

The best description of Tachycardia is a heart rate

A

greater than 100 bpm

100
Q

While ambulating a resident with a gait belt, the nursing assistant should place their hand

A

on the back of the belt

101
Q

to use facility phone in the nursing station for person calls, except it’s an emergency is

A

unacceptable

102
Q

Selected the answer that IS NOT a microorganism

A

progeny

103
Q

The most common sterilization process in use today is

A

steam

104
Q

To assure that a chair does not move while transferring a resident you should

A

position the chair against the wall

105
Q

The cardiovascular system is NOT responsible for

A

carrying electrical pulses form the brain

106
Q

All of the following may prevent a resident doing their own ADL’s except

A

full range of motion

107
Q

Reasons for restraining a confused resident include all except

A

the resident wants to be restrained

108
Q

The membrane covering of the heart is called the

A

pericardium

109
Q

The act of elimination urine from the bladder is know by various terms. Which term is NOT appropriate?

A

termination

110
Q

All of the following are part of the respiratory system except

A

liver

111
Q

Disorientation can be described as

A

a side effect

112
Q

Solid waste excreted from the digestive tract would NOT be called

A

extraction

113
Q

Supportive equipment for positioning included all the following except

A

close contact with the family

114
Q

Nutrients are essential to our bodies for all the following reasons except

A

limiting a person’s life if taken externally

115
Q

rheumatoid arthritis may

A

Causes deformities
Have times of remission
Causes pain, and flexion may be painful

116
Q

A major risk factor for a stroke is

A

a history of TIA’s or CVA’s

117
Q

Signs of a stroke may include all of the following except

A

clearer vision

118
Q

Mrs. Jones has been diagnosed with insulin dependent diabetes. What care would you NOT perform on her?

A

clipping her fingernails

119
Q

Gloves need not be worn when

A

feeding a resident

120
Q

To be an effective caregiver for residents with memory loss, you should include all except

A

give them many choices at once

121
Q

All of the following signs of approaching death except

A

circulation increases

122
Q

Persons with Alzheimer’s disease need to have “simple” uncomplicated lives. This includes all the following EXCEPT

A

simple jigsaw puzzles

123
Q

Some cases of dementia are related to

A

changes in the brain’s blood vessels

124
Q

Alzheimer’s disease is a condition that

A

Is nearly always fatal in 3-20 years and death is usually caused by viral or bacterial infection

125
Q

Complaints from residents are confidential. This procedure is guaranteed by

A

patient rights

126
Q

To assist residents who are anxious, you should do all except

A

keep telling them everything will be okay

127
Q

The best care for a person suffering from depression would be to

A

make sure the resident has their hearing aid if needed

128
Q

When a resident is receiving nasogastric (NG) tube feeding, what should the nursing assistant do?

A

report any signs of choking or vomiting immediately

129
Q

To correct a charting mistake you make, you would

A

line it out with ink

130
Q

When nursing assistants find equipment in need of repair, they should:

A

report it to the appropriate personnel

131
Q

When using disinfectants on a contaminated article, you remove

A

some of the disease-producing germs

132
Q

Which of the following is not a normal body defense

A

teeth

133
Q

A resident you are feeding starts to choke. You

A

do not interfere is they are talking or coughing

134
Q

The water temperatures of a hot soak or tub bath should be

A

100-105 degrees

135
Q

When the valves in the legs weaken it can result in

A

varicose veins

136
Q

An fecal impaction or obstruction may be indicated by what symptom

A

diarrhea seeping from the anus

137
Q

All of the following are basic position except

A

flexed position

138
Q

The musculoskeletal system does not

A

gets stronger with age

139
Q

Signs or symptoms of hypertension include all BUT

A

excessive hunger

140
Q

All of the following are nursing actions are recommended, when caring for residents who have has a stroke on the LEFT side of the brain EXCEPT

A

speak loudly to make sure they can hear you

141
Q

Lotion of resident’s skin would NOT be performed

A

before meal time

142
Q

Standard or Universal precautions

A

are used for all persons

143
Q

Persons who have suffered a stroke may be prone to depression due to all of the following EXCEPT

A

loss of dependence

144
Q

Elderly residents in long-term care facilities that use validation therapy have

A

more opportunities to satisfy emotional needs

145
Q

When you have empathy for a resident, you are showing

A

understanding

146
Q

The least likely emotion a person with Alzheimer’s disease would experience is

A

extreme happiness

147
Q

The practice that keeps equipment and supplies free of all microbes is

A

surgical asepsis

148
Q

Sexual abuse is all of the following EXCEPT

A

sex between two consenting adults

149
Q

All of the following are in the Resident Bill of Rights EXCEPT

A

the right to form militant groups in the facility

150
Q

When caring for confused residents you should NOT

A

rearrange furniture often to stimulate the resident

151
Q

A nurse aide is caring for a resident who is agitated. The aide should

A

talk in a slow calming manner

152
Q

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

A

give simple directions

153
Q

You don’t answer a call light because the patient is always hitting. This would be considered:

A

neglect/abuse

154
Q

An elderly Native American has been diagnosed as dying. Her family wishes to perform a ceremony with candles and incense. The facility should

A

allow the ceremony with proper safety measures

155
Q

If a resident refuses to eat a certain food because of a religious preference, the CNA should

A

respect the resident’s religion and notify the dietitian

156
Q

H.S. means

A

hour of sleep

157
Q

When you have taken care of the immediate emergency of a burn, you should:

A

notify your nursing supervisor

158
Q

If you take a rectal temperature, the normal range of the temperature would be

A

98-99

159
Q

Signs and symptoms of diabetes mellitus include:

A

excessive thirst and excessive urine production

160
Q

normal respirations are usually

A

12-20 per minute

161
Q

A resident consumed a bowl of soup that was 6 oz of liquid. How many cc’s or mL’s was that?

A

180 cc

162
Q

The condition of a resident may be freely discussed:

A

at team conference

163
Q

After you have visited a client, learned some information about him/her, and feel you want to talk about it, you should:

A

call your office and relate the information to your supervisor

164
Q

a resident who is disoriented is

A

confused as to time and place

165
Q

Which one of the following is a stage of death and dying/grieving process?

A

denial

166
Q

Mrs. Lee is an alert, demanding resident who uses the call signal often. If you don’t answer it immediately, she yells, “Help! Help!” When you answer the call signal, her requests are never urgent. She speaks sharply to you when you are in the room. Mrs. Lee is demonstrating:

A

anxiety

167
Q

A type of card file that summarizes information found in a medical record, includes drugs, treatment, diagnosis, and routine cares is:

A

kardex

168
Q

when transferring Mrs. Sparks onto the toilet

A

use a gait belt to stand her

169
Q

genital areas should be washed

A

from the cleanest to dirtiest

170
Q

You are assigned to give Mr. Brown a partial bath. You know that this means to wash:

A

face, hands, underarms, and perineum

171
Q

which statement best describes ADL’s

A

bathing, feeding, dressing, ambulating

172
Q

shaving is…

A

preformed shaving with the hair growth

173
Q

While dressing a post CVA resident with one-sided weakness, which arm should be put through the sleeve first?

A

weak arm

174
Q

the skin is (surgery)

A

disinfected before surgery to prevent infection

175
Q

The equipment you need to gather to do unconscious oral care would include:

A

toothette or mouth swab

176
Q

At supper, Mrs. Anderson needs feeding assistance. Her diet is low sodium, mechanical soft. Which food selection is appropriate?

A

mashed potatoes, rice, and ground chicken

177
Q

The act that regulates training and certification of Certified Nursing Assistants is guided by legislation known as:

A

OBRA

178
Q

the male genitals should be cleaned

A

from tip of the penis to the base

179
Q

Mr. Thompson needs assistance with his bath. He has never been circumcised so the nursing assistant will need to

A

push the foreskin back gently to wash and return

180
Q

You are delivering a meal tray to Mrs. Peabody. She is on a clear liquid diet. The meal should consist of

A

coffee, gelatin, and popsicle

181
Q

Mr. Smith has fallen in his bathroom. He hit his forehead on the sink and is bleeding from a small wound. To get help you should

A

stay with him and turn on the bathroom call light

182
Q

Correct weight is measured when the

A

scale is balanced to zero first

183
Q

In the event of a fire in a resident’s room, your first action should be to

A

remove the resident to a safe place

184
Q

Mr. Jelly is short of breath and has a diagnosis of emphysema. To help him be more comfortable you should

A

raise the head of the bed to a sitting position

185
Q

Because hearing is believed to be the last sense lost before death, the CNA should

A

speak in a normal voice

186
Q

The first basic need of every resident is

A

physical

187
Q

Mrs. Yellow is dying. She is very sad. She cries and says little. She is in the stage of grief known as

A

depression

188
Q

Miss Stevens is sitting in her bedside chair for lunch. After preparing her for lunch, you need to

A

giver her the call light

189
Q

You spill a hazardous substance you should do which one of the following

A

wear the proper equipment and clean up the spill

190
Q

elastic stockings are used

A

to decrease edema

191
Q

The practice used to separate a person from others to prevent the spread of infection is

A

isolation procedure

192
Q

Anti-embolic stockings should be applies

A

before the residents gets out of bed

193
Q

To serve a resident solid foods you should use a

A

spoon

194
Q

Resident with difficulty swallowing usually require

A

mechanical soft diet

195
Q

The period of heart muscle contraction is called

A

systole

196
Q

An eighty year old couple recently moved into the center. You walk in and they are in bed together, You should

A

leave the room to give them privacy

197
Q

Mr. Himey tells you that his children have sold all his belongings, but you know that he has no children. You should

A

notify your supervisor

198
Q

When you have change Mr. Adams’s bedpan you should immediately report to the charge nurse the

A

evidence of a rash

Flashcards (2 decks)

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