CNA Pracitce Flashcards
an itchy skin condition caused by a mite that burrows under the skin is called…
scabies
To become certified a nursing assistant must pass a written test and skills examination. This process is called
competency evaluation
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
inappropriate professional behavior
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
denial
a resident with TB (tuberculosis)…
can spread it to others
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)
delusions
the best sources of carbohydrates are
past, broccoli, bread, and candy
oral care should be given to a dying resident
every two hours and when needed
An external catheter that is placed on the penis is called a(n) _________ catheter.
condom
a common fear of LGBT residents is
loss of a comfortable and accepting environment
a pulse requiring a stethoscope to obtain is
apical
a risk factor for diabetes is
obesity
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 licensed nurse
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
ask the nurse about the resident
when caring for the body after death, you should
treat the body with respect
a terminal resident is making gurgling noises, you should
report the observations to the nurse
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
attach the foley bag to a non-movable part of the bed
Peripheral Vascular Disease affects the
cardiovascular system
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
420 mL
When ambulating a resident with a walker and a gait belt, the resident begins to fall. The nursing assistant should
lower the residents safely to the floor
an example of a life skill would include
using a show horn to help put on your shoes
Dry mouth, sweating, nausea, diarrhea, rapid pulse and respiration, increased blood pressure, difficulty sleeping, and loss of appetite are symptoms of
anxiety disorder
A resident can safely be left on a bedpan
ten minutes
body powder used after a bath or shower to
reduce friction between the skin and surfaces that touch it
bloodborne pathogens can be transmitted by
contact with blood or body fluids
A resident was unable to get to the bathroom in time to relieve himself and accidentally urinated on his trousers. You should
help him change his clothing if he needs assistance
the purpose for padding side rails on the resident’s bed is to
protect the resident form injury
oral care should be preformed
at least twice a day
the nursing assistant is allowed to take orders from
the nurse
Mr king cannot get out of bed you place him in _____ position for a meal
high fowlers
Transfers and discharge preparations are the responsibility of the
nurse
the best way to control the spread of MRSA is by
proper hand washing
when caring for a resident with a pacemaker
be sure to report bradycardia
the best description of inspiration is
breathing in
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
false inprisonment
a DNR order means that
CPR should not be started
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
respect the resident’s beliefs
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
attend training on how to use it
When performing perineal care on a female resident, the nursing assistant should
wipe from front to back
If a resident with Alzheimer’s disease has problems with bathing, the nursing assistant should
schedule bathing when the resident is least agitated
A task within the nursing assistant’s scope of responsibility is
providing hygiene measures
Mrs. February tells you that she wants to modify her advanced directive. You will
notify the nurse
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
tell the charge nurse STAT
A function of the endocrine system is
to produce and release hormones
The state agency that is responsible for approving nursing assistant programs and granting certification to qualifying nursing assistant candidates is
UNAR
when do you use a transfer belt or gait belt
unsteady or weak
a nursing assistant can be charged in a court of law if they
take money form a resident
tuberculosis is a
airborne disease
The most important guideline for safe diabetic foot care is to
inspect and clean resident’s feet every day
A resident has a catheter. It is best to monitor intake and output
as soon as the resident drinks the liquids
To take an oral temperature after a resident drinks, eats or smokes wait
10-20 minutes
An injury to the spinal cord in the neck area can result in
quadriplegia
The government agency helping to define NA’s scope of responsibility in long-term care facilities and define what the CNA curriculum is
OBRA
When a resident is dying, the family should
be allowed to spend as much time with the resident as the wish
A true statement regarding hair care would be
hair should be brushed gently to avoid pulling
OBRA requires that on admission, residents must be told of their legal rights. You know that
they must be provided with a written copy of these rights
You are a nursing assistant working at Good Samaritan Care Center today. The LPN delegates Mr. Young’s bath to you. You should
give Mr. Young’s bath according to the LPN’s directions
Hospice is available to the resident and their family
whenever needed
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
ask the registered nurse to supervise you as you do the procedure
Cystitis is an inflammation of the
bladder
Hospice care operates on the principle that
dying is a natural process, during which the resident should be made comfortable
When performing a bed bath, the nursing assistant should
keep the resident covered
A major safety risk of depression is that the resident may
have thoughts of suicide
A normal oral temperature falls between
98.6-99
The most accurate method of obtaining a temperature is
rectal
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
strong side
Utah State Rule requires at least ___ hours of instruction for a nursing assistant program.
100 hours
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
privacy
A function of the cardiovascular system is to
carry food and oxygen to cells
MRSA
Methicillin Resistant Staphylococcus Aureus
The third stage of the grieving process is
bargaining
Tuberculosis is most likely transmitted by
coughing
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 bed protector
A nursing assistant can promote dignity when helping a resident with personal hygiene care by
encouraging the resident to do as much as possible for him/her self
A reason a nursing assistant may refuse to perform a task that was delegated by the registered nurse would be if
it is beyond the nursing assistant’s scope of responsibility
The federal regulation that was established to improve the quality of care given in long-term care facilities is called
OBRA
The federal regulation that was established to improve the safety for workers is called
OSHA
If a resident with Alzheimer’s disease becomes violent, the nursing assistant should
step out of the way and remove triggers
Making sure the nursing assistant’s certification is renewed every 2 years is the responsibility of the
Utah Nursing Assistant Registry
The master gland that controls the hormone production of other glands is known as the ____________ gland.
pituitary
If a resident refuses a shower or bath, the nursing assistant should
offer a partial bath
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,
“I’ll spend extra time with the resident to help him feel welcomed.”
Ms. Howell has a terminal illness and is complaining of restlessness. To help Ms. Howell relax you should
reposition and offer a back rub every two hours
MRSA is most often spread
by direct physical contact
A resident had a hip fracture and wants to turn on his side. You should
use an abductor pillow
A disorder that causes recurrent seizures is
epilepsy
A resident has died and his wife is crying. The nursing assistant should
support the wife and listen if she wants to talk
When you are communicating with residents, you need to remember to
face the resident and make eye contact
You are measuring Mrs. Clark’s pulse and it is 98 beats per minute, which is significantly different than her normal pulse. You should
report this to the charge nurse
While caring for Mr. Smith, the gastronomy tube falls out. You should
notify the charge nurse immediately
Medical Asepsis is
the practice used to remove or destroy the spread of pathogens
The patient who has suffered from a stroke usually
is paralyzed on one side of the body
Which statement about charting is incorrect?
all entries must be in pencil
What are the parts that make up the whole person?
spiritual, social, physical, psychological
Nursing assistants are supervised by
RNs & LPNs
Mr. Francis is blind. When ambulating him, you should walk
in front of him
In the event of a fire in a client’s room, your first action is to
move client to a safer space
Which of the following foods is allowed in a clear liquid diet
jello
The best description of Tachycardia is a heart rate
greater than 100 bpm
While ambulating a resident with a gait belt, the nursing assistant should place their hand
on the back of the belt
to use facility phone in the nursing station for person calls, except it’s an emergency is
unacceptable
Selected the answer that IS NOT a microorganism
progeny
The most common sterilization process in use today is
steam
To assure that a chair does not move while transferring a resident you should
position the chair against the wall
The cardiovascular system is NOT responsible for
carrying electrical pulses form the brain
All of the following may prevent a resident doing their own ADL’s except
full range of motion
Reasons for restraining a confused resident include all except
the resident wants to be restrained
The membrane covering of the heart is called the
pericardium
The act of elimination urine from the bladder is know by various terms. Which term is NOT appropriate?
termination
All of the following are part of the respiratory system except
liver
Disorientation can be described as
a side effect
Solid waste excreted from the digestive tract would NOT be called
extraction
Supportive equipment for positioning included all the following except
close contact with the family
Nutrients are essential to our bodies for all the following reasons except
limiting a person’s life if taken externally
rheumatoid arthritis may
Causes deformities
Have times of remission
Causes pain, and flexion may be painful
A major risk factor for a stroke is
a history of TIA’s or CVA’s
Signs of a stroke may include all of the following except
clearer vision
Mrs. Jones has been diagnosed with insulin dependent diabetes. What care would you NOT perform on her?
clipping her fingernails
Gloves need not be worn when
feeding a resident
To be an effective caregiver for residents with memory loss, you should include all except
give them many choices at once
All of the following signs of approaching death except
circulation increases
Persons with Alzheimer’s disease need to have “simple” uncomplicated lives. This includes all the following EXCEPT
simple jigsaw puzzles
Some cases of dementia are related to
changes in the brain’s blood vessels
Alzheimer’s disease is a condition that
Is nearly always fatal in 3-20 years and death is usually caused by viral or bacterial infection
Complaints from residents are confidential. This procedure is guaranteed by
patient rights
To assist residents who are anxious, you should do all except
keep telling them everything will be okay
The best care for a person suffering from depression would be to
make sure the resident has their hearing aid if needed
When a resident is receiving nasogastric (NG) tube feeding, what should the nursing assistant do?
report any signs of choking or vomiting immediately
To correct a charting mistake you make, you would
line it out with ink
When nursing assistants find equipment in need of repair, they should:
report it to the appropriate personnel
When using disinfectants on a contaminated article, you remove
some of the disease-producing germs
Which of the following is not a normal body defense
teeth
A resident you are feeding starts to choke. You
do not interfere is they are talking or coughing
The water temperatures of a hot soak or tub bath should be
100-105 degrees
When the valves in the legs weaken it can result in
varicose veins
An fecal impaction or obstruction may be indicated by what symptom
diarrhea seeping from the anus
All of the following are basic position except
flexed position
The musculoskeletal system does not
gets stronger with age
Signs or symptoms of hypertension include all BUT
excessive hunger
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
speak loudly to make sure they can hear you
Lotion of resident’s skin would NOT be performed
before meal time
Standard or Universal precautions
are used for all persons
Persons who have suffered a stroke may be prone to depression due to all of the following EXCEPT
loss of dependence
Elderly residents in long-term care facilities that use validation therapy have
more opportunities to satisfy emotional needs
When you have empathy for a resident, you are showing
understanding
The least likely emotion a person with Alzheimer’s disease would experience is
extreme happiness
The practice that keeps equipment and supplies free of all microbes is
surgical asepsis
Sexual abuse is all of the following EXCEPT
sex between two consenting adults
All of the following are in the Resident Bill of Rights EXCEPT
the right to form militant groups in the facility
When caring for confused residents you should NOT
rearrange furniture often to stimulate the resident
A nurse aide is caring for a resident who is agitated. The aide should
talk in a slow calming manner
When caring for a confused resident what should a nursing assistant do?
give simple directions
You don’t answer a call light because the patient is always hitting. This would be considered:
neglect/abuse
An elderly Native American has been diagnosed as dying. Her family wishes to perform a ceremony with candles and incense. The facility should
allow the ceremony with proper safety measures
If a resident refuses to eat a certain food because of a religious preference, the CNA should
respect the resident’s religion and notify the dietitian
H.S. means
hour of sleep
When you have taken care of the immediate emergency of a burn, you should:
notify your nursing supervisor
If you take a rectal temperature, the normal range of the temperature would be
98-99
Signs and symptoms of diabetes mellitus include:
excessive thirst and excessive urine production
normal respirations are usually
12-20 per minute
A resident consumed a bowl of soup that was 6 oz of liquid. How many cc’s or mL’s was that?
180 cc
The condition of a resident may be freely discussed:
at team conference
After you have visited a client, learned some information about him/her, and feel you want to talk about it, you should:
call your office and relate the information to your supervisor
a resident who is disoriented is
confused as to time and place
Which one of the following is a stage of death and dying/grieving process?
denial
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:
anxiety
A type of card file that summarizes information found in a medical record, includes drugs, treatment, diagnosis, and routine cares is:
kardex
when transferring Mrs. Sparks onto the toilet
use a gait belt to stand her
genital areas should be washed
from the cleanest to dirtiest
You are assigned to give Mr. Brown a partial bath. You know that this means to wash:
face, hands, underarms, and perineum
which statement best describes ADL’s
bathing, feeding, dressing, ambulating
shaving is…
preformed shaving with the hair growth
While dressing a post CVA resident with one-sided weakness, which arm should be put through the sleeve first?
weak arm
the skin is (surgery)
disinfected before surgery to prevent infection
The equipment you need to gather to do unconscious oral care would include:
toothette or mouth swab
At supper, Mrs. Anderson needs feeding assistance. Her diet is low sodium, mechanical soft. Which food selection is appropriate?
mashed potatoes, rice, and ground chicken
The act that regulates training and certification of Certified Nursing Assistants is guided by legislation known as:
OBRA
the male genitals should be cleaned
from tip of the penis to the base
Mr. Thompson needs assistance with his bath. He has never been circumcised so the nursing assistant will need to
push the foreskin back gently to wash and return
You are delivering a meal tray to Mrs. Peabody. She is on a clear liquid diet. The meal should consist of
coffee, gelatin, and popsicle
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
stay with him and turn on the bathroom call light
Correct weight is measured when the
scale is balanced to zero first
In the event of a fire in a resident’s room, your first action should be to
remove the resident to a safe place
Mr. Jelly is short of breath and has a diagnosis of emphysema. To help him be more comfortable you should
raise the head of the bed to a sitting position
Because hearing is believed to be the last sense lost before death, the CNA should
speak in a normal voice
The first basic need of every resident is
physical
Mrs. Yellow is dying. She is very sad. She cries and says little. She is in the stage of grief known as
depression
Miss Stevens is sitting in her bedside chair for lunch. After preparing her for lunch, you need to
giver her the call light
You spill a hazardous substance you should do which one of the following
wear the proper equipment and clean up the spill
elastic stockings are used
to decrease edema
The practice used to separate a person from others to prevent the spread of infection is
isolation procedure
Anti-embolic stockings should be applies
before the residents gets out of bed
To serve a resident solid foods you should use a
spoon
Resident with difficulty swallowing usually require
mechanical soft diet
The period of heart muscle contraction is called
systole
An eighty year old couple recently moved into the center. You walk in and they are in bed together, You should
leave the room to give them privacy
Mr. Himey tells you that his children have sold all his belongings, but you know that he has no children. You should
notify your supervisor
When you have change Mr. Adams’s bedpan you should immediately report to the charge nurse the
evidence of a rash
