CNA PRACTICE STATE TEST 1 Flashcards

For you to practice before taking your CNA state exam.

1
Q
1. In which of the following locations would a nursing assistant stand when assisting a resident who has experienced a stroke to ambulate?
❍ A. On the resident’s affected side
❍ B. Behind the resident
❍ C. On the resident’s unaffected side
❍ D. In front of the resident
A

A. On the resident’s affected side

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2
Q
  1. Which of the following is appropriate care for a resident who is agitated and talking loudly?
    ❍ A. Tell the resident he or she needs to be quiet because he or she is disturbing the other
    residents.
    ❍ B. Speak to the resident in a calm, comforting manner.
    ❍ C. Ask to have your assignment changed.
    ❍ D. Report the behavior to the nurse.
A

B. Speak to the resident in a calm, comforting manner.

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3
Q
  1. Gloves are to be worn when performing which of the following activities?
    ❍ A. Changing the resident’s clothes
    ❍ B. Feeding the resident
    ❍ C. Performing Peri-care
    ❍ D. Changing the resident’s position in the chair
A

C. Performing Peri-care

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4
Q
  1. Which of the following is an example of neglect?
    ❍ A. Changing the resident as soon as you discover he or she is soiled
    ❍ B. Leaving the floor after reporting to your supervisor
    ❍ C. Calling for assistance when needed to care for the resident
    ❍ D. Applying a restraint too tight
A

D. Applying a restraint too tight

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5
Q
5. When a resident is dying, which sense is lost last?
❍ A. Taste
❍ B. Smell
❍ C. Hearing
❍ D. Sight
A

C. Hearing

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6
Q
6. Which of the following is the first sign of a decubitus ulcer?
❍ A. Bleeding
❍ B. Redness
❍ C. Bruising
❍ D. Swelling
A

B. Redness

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7
Q
  1. The nursing assistant demonstrates correct listening skills by which of the following activities?
    ❍ A. Speaking at the same time as the resident
    ❍ B. Leaning toward the resident and responding when appropriate
    ❍ C. Talking to the resident while continuing to work
    ❍ D. Asking the right questions to lead the direction of the conversation
A

B. Leaning toward the resident and responding when appropriate

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8
Q
8. Which of the following locations is the body temperature of a resident taken most often?
❍ A. Oral
❍ B. Rectal
❍ C. Axillary
❍ D. Tympanic
A

A. Oral

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9
Q
9. Which of the following is performed to increase muscle strength and joint mobility of a resident who is unable to voluntarily move his or her limbs?
❍ A. Resistance exercises
❍ B. Aerobic exercises
❍ C. Active range of motion exercises
❍ D. Passive range of motion exercises
A

D. Passive range of motion exercises

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10
Q
10. When a resident is being transferred to a wheelchair by the nursing assistant, which of the following is the position for the nursing assistant during the transfer?
❍ A. Left side of the wheelchair
❍ B. Right side of the wheelchair
❍ C. In front of the wheelchair
❍ D. Behind the wheelchair
A

C. In front of the wheelchair

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11
Q
  1. What is the first action of a nursing assistant before performing a procedure?
    ❍ A. Informing the nurse that you are going to the resident’s room to perform the procedure
    ❍ B. Checking the resident’s identification
    ❍ C. Providing privacy
    ❍ D. Documenting the procedure
A

B. Checking the resident’s identification

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12
Q
12. Which muscles are injured most often when a nursing assistant does not use proper body mechanics for a procedure?
❍ A. Back muscles
❍ B. Shoulder muscles
❍ C. Neck muscles
❍ D. Leg muscles
A

A. Back muscles

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13
Q
  1. Which of the following choices is not a safety precaution used for showering a resident?
    ❍ A. Checking the water temperature before assisting the resident into the shower
    ❍ B. Locking the wheels on the shower chair
    ❍ C. Leaving the resident unattended in the shower
    ❍ D. Promptly drying and covering the resident after the shower is completed
A

C. Leaving the resident unattended in the shower

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14
Q
14. Which of the following phrases best defines the term STAT?
❍ A. As soon as possible
❍ B. Within the next 2–3 hours
❍ C. By the end of the shift
❍ D. Immediately
A

D. Immediately

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15
Q
  1. Which of the following is the most appropriate action of the nursing assistant when a resident complains of chest pain?
    ❍ A. Provide the resident with water
    ❍ B. Place the resident in prone position
    ❍ C. Call for help immediately
    ❍ D. Check the resident’s blood sugar
A

C. Call for help immediately

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16
Q
16. A bed that is free of wrinkles is necessary to prevent which of the following omplications?
❍ A. Pressure sore
❍ B. Agitation
❍ C. Hypertension
❍ D. Infection
A

A. Pressure sore

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17
Q
17. In which of the following food groups is Vitamin D found?
❍ A. Bread and cereals
❍ B. Fruits and Vegetables
❍ C. Protein
❍ D. Dairy
A

D. Dairy

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18
Q
  1. Which of the following is a true statement regarding religious beliefs?
    ❍ A. Employees are to impose their religious beliefs on the residents.
    ❍ B. Employees are never to discuss religious beliefs with residents.
    ❍ C. Residents have a right to practice their own religious beliefs.
    ❍ D. Family members are responsible to bring the religious leaders in to speak to the
    residents.
A

C. Residents have a right to practice their own religious beliefs.

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19
Q
19. Which of the following choices is needed to communicate with a completely deaf resident?
❍ A. An amplified phone system
❍ B. A loud voice
❍ C. Reduced noise
❍ D. Pen and paper
A

D. Pen and paper

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20
Q
20. The nurse administering the wrong medication to a resident is an example of which of the following?
❍ A. Negligence
❍ B. Malpractice
❍ C. Slander
❍ D. Assault
A

B. Malpractice

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21
Q
21. A nursing assistant threatening to restrain a resident is an example of which of the following?
❍ A. Assault
❍ B. Battery
❍ C. Slander
❍ D. Negligence
A

A. Assault

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22
Q
22. Select the appropriate equipment to use when giving mouth care to an unconscious resident.
❍ A. Toothbrush
❍ B. Toothpaste
❍ C. Mouthwash
❍ D. Soft Toothette
A

D. Soft Toothette

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23
Q
23. Which of the following is a description of a stage one decubitus ulcer?
❍ A. Redness
❍ B. Open area with redness
❍ C. Black area
❍ D. Open area with visible bone
A

A. Redness

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24
Q
24. Which of the following is the medical term for intestinal gas?
❍ A. Feces
❍ B. Flatus
❍ C. Flank
❍ D. Friction
A

B. Flatus

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25
Q
  1. Which of the following statements by a nursing assistant suggests that he or she has an understanding of cultural awareness?
    ❍ A. All cultures are the same.
    ❍ B. Once a person enters this country, he or she should learn the culture.
    ❍ C. Care is planned to include a resident’s cultural needs.
    ❍ D. Culture does not influence the care of residents.
A

C. Care is planned to include a resident’s cultural needs.

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26
Q
  1. The nursing assistant is offered a $10 tip by a family member for taking good care of her mother. Which of the following is the best course of action for the nursing assistant?

❍ A. Ask another nursing assistant what they would do.
❍ B. Say thank you and take the money.
❍ C. Refuse to accept the money.
❍ D. Instruct the family member to give the money to the supervisor.

A

C. Refuse to accept the money.

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27
Q
  1. Which of the following is the best action of the nursing assistant when assisting a resident with a.m. (morning) care to encourage independence?
    ❍ A. Allowing the resident to do as much as possible for himself or herself and then assisting
    him or her with the rest of the a.m. care
    ❍ B. Waiting until the resident is well rested and then offering a.m. care
    ❍ C. Providing the resident with the needed materials and then leaving him or her alone to
    complete the a.m. care without further assistance
    ❍ D. Waiting until the resident complains of the need to be cleaned and then he or she will
    want to do more for himself or herself
A

A. Allowing the resident to do as much as possible for himself or herself and then assisting

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28
Q
  1. It is appropriate for the nursing assistant to share resident information with all of the following persons, except
    ❍ A. The physician caring for the resident
    ❍ B. A member of the resident’s church
    ❍ C. The nurse caring for the resident
    ❍ D. The nursing assistant who will be caring for the resident
A

B. A member of the resident’s church

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29
Q
  1. When assisting a resident who has right-sided weakness to get dressed in the morning, which arm is placed in the sleeve of the shirt first?
    ❍ A. Right side (the affected side)
    ❍ B. Left side (the non-affected side)
    ❍ C. Both sides at the same time
    ❍ D. Which ever side is easiest for the nursing assistant
A

A. Right side (the affected side)

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30
Q
30. Which of the following products are applied to a resident’s skin before shaving?
❍ A. Shaving cream
❍ B. Soap
❍ C. Warm water
❍ D. Lotion
A

A. Shaving cream

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31
Q
  1. A resident has just been told of a family member’s death. The best way to help the resident deal with the death is by which of the following actions?
    ❍ A. Assuring him or her that everyone eventually dies
    ❍ B. Allowing him or her to grieve alone
    ❍ C. Sharing with him or her that the family member is in a better place
    ❍ D. Staying with the resident and encouraging him or her to talk
A

D. Staying with the resident and encouraging him or her to talk

32
Q
Which of the following is not part of the procedure when documenting in the medical record?
❍ A. Write in pencil
❍ B. Write in pen
❍ C. Do not erase
❍ D. Use correct spelling
A

A. Write in pencil

33
Q
  1. As a nursing assistant, you can refuse to do a delegated task when which of the following occurs?
    ❍ A. It is not part of your assignment
    ❍ B. It is not a task a nursing assistant should perform
    ❍ C. When you have already completed the task once this shift
    ❍ D. When the nurse is sitting at the desk talking
A

B. It is not a task a nursing assistant should perform

34
Q
  1. Which of the following is the last action taken by the nursing assistant when making a resident’s bed?
    ❍ A. Handwashing
    ❍ B. Removing all wrinkles from the bed
    ❍ C. Repositioning the bed to a low position
    ❍ D. Fastening the call light near the resident
A

A. Handwashing

35
Q
  1. Which of the following is the correct definition for NPO?
    ❍ A. Nothing by mouth
    ❍ B. Only liquids by mouth
    ❍ C. Resident may only have ice chips
    ❍ D. Resident may have only thickened liquids
A

A. Nothing by mouth

36
Q
  1. Who is responsible to ask visitors to leave the resident’s room before giving the resident a bath?
    ❍ A. The charge nurse
    ❍ B. Someone in housekeeping
    ❍ C. The nursing assistant preparing to give the bath
    ❍ D. The nurse assigned to the resident
A

C. The nursing assistant preparing to give the bath

37
Q
  1. Which of the following is true regarding the resident’s phone rights?
    ❍ A. Telephones are provided to each resident.
    ❍ B. Access to phones and privacy is provided to each resident.
    ❍ C. Telephones can be used under supervision.
    ❍ D. Resident access is provided during daytime hours only.
A

B. Access to phones and privacy is provided to each resident.

38
Q
38. Which of the following is the first stage of grief as presented by Elizabeth Kübler-Ross?
❍ A. Denial
❍ B. Acceptance
❍ C. Anger
❍ D. Bargaining
A

A. Denial

39
Q
39. Which of the following best defines restorative nursing?
❍ A. Helping to regain strength
❍ B. Promoting well-being
❍ C. Increasing self-care ability
❍ D. All of the above
A

D. All of the above

40
Q
40. Who should the nursing assistant report to when the resident is threatening to leave the facility without physician permission?
❍ A. Physician
❍ B. Supervisor
❍ C. Nurse
❍ D. Dietician
A

C. Nurse

41
Q
41. Which of the following is least likely to cause a skin tear?
❍ A. Ring or watch
❍ B. Friction
❍ C. Short cropped nails
❍ D. Pulling on an extremity
A

A. Ring or watch

42
Q
  1. A fellow nursing assistant comes to work under the influence of marijuana. As a member of the health-care team, your best action is which of the following?
    ❍ A. Inform the nurse immediately
    ❍ B. Ignore it
    ❍ C. Tell the nursing assistant to get help
    ❍ D. Give the nursing assistant coffee to drink
A

A. Inform the nurse immediately

43
Q
43. An assigned resident does not want lifesaving measures to be performed if he expires. You know the term written on the chart is which of the following?
❍ A. NPO
❍ B. DNR
❍ C. CPR
❍ D. ADL
A

B. DNR

44
Q
  1. Which of the following behaviors is considered a demonstration of caring?
    ❍ A. The timely completion of an assignment
    ❍ B. Taking the time to listen to the resident
    ❍ C. Obtaining the vital signs for the unit before lunch
    ❍ D. Not changing the resident when soiled
A

B. Taking the time to listen to the resident

45
Q
  1. If the nursing assistant recognizes that a resident is not eating enough, he or she should do which
    of the following?
    ❍ A. Offer dietary supplements as prescribed
    ❍ B. Administer vitamins to the resident
    ❍ C. Provide an additional tray
    ❍ D. Tell the nurse the resident needs tube feedings
A

A. Offer dietary supplements as prescribed

46
Q
46. When a resident falls, what is the most frequent injury that occurs?
❍ A. Broken wrist
❍ B. Fractured ankle
❍ C. Strained ligament
❍ D. Fractured hip
A

D. Fractured hip

47
Q
47. In which of the following conditions is a cold pack applied?
❍ A. To decrease a burn injury
❍ B. To stop bleeding
❍ C. To decrease swelling
❍ D. To stop back pain
A

C. To decrease swelling

48
Q
48. Which of following is not a sign of impending death?
❍ A. Decreased respirations
❍ B. Irregular, weak, and thready pulse
❍ C. Skin cool and moist
❍ D. Stable vital signs
A

D. Stable vital signs

49
Q
49. Select the observation that should be reported to the nurse STAT?
❍ A. Cloudy yellow urine
❍ B. Brown loose stools
❍ C. Respiratory rate of 38
❍ D. Radial pulse of 80
A

C. Respiratory rate of 38

50
Q
  1. The resident is to be placed in Fowler’s position. Which of the following is the correct definition of this position?
    ❍ A. Head of bed 45–60 degrees with legs either bent or straight
    ❍ B. Head of bed flat
    ❍ C. Bed flat with feet higher than the head
    ❍ D. Head of bed 15 degrees with legs either bent or straight
A

A. Head of bed 45–60 degrees with legs either bent or straight

51
Q
  1. When helping to lift a resident up in bed, which of the following positions demonstrates proper use of body mechanics?
    ❍ A. Keep your back and knees straight, and lift using your thigh muscles.
    ❍ B. Bend slightly at the waist, keep knees partially flexed, and lift with your legs muscles.
    ❍ C. Bend slightly at the waist, keep knees partially flexed, and lift with your back muscles.
    ❍ D. Use whatever position and muscles you feel most comfortable.
A

B. Bend slightly at the waist, keep knees partially flexed, and lift with your legs muscles.

52
Q
  1. Washing your hands appropriately is important to reduce the spread of infection. Which of the following directions is false?
    ❍ A. Rub hands vigorously with soap and water for at least 30 seconds.
    ❍ B. Use a clean paper towel to dry hands.
    ❍ C. If hands are visibly soiled, you may use an alcohol-based hand sanitizer.
    ❍ D. Use paper towel to turn off faucet.
A

C. If hands are visibly soiled, you may use an alcohol-based hand sanitizer.

53
Q
  1. When wearing gloves, remember to do which of the following to ensure adequate protection?
    ❍ A. Wash your hands before and after glove use.
    ❍ B. Wash your hands after taking off gloves only.
    ❍ C. A small tear will still keep out germs.
    ❍ D. Always wear latex gloves because they are less costly.
A

A. Wash your hands before and after glove use.

54
Q
  1. When caring for a resident who is anxious, it is important for the nursing assistant to do which of the following?
    ❍ A. Have restraints available in case of escalation to violence.
    ❍ B. Remain calm and speak softly.
    ❍ C. Keep the room bright.
    ❍ D. Turn on the television to distract the resident.
A

B. Remain calm and speak softly.

55
Q
  1. When a confused resident is placed in restraints by the nurse, the nursing assistant knows which of the following is true?
    ❍ A. The resident should not be touched because the resident might cause harm to others.
    ❍ B. The resident is being punished.
    ❍ C. Assessment of the resident needs such as bathroom, repositioning, and circulation
    must be conducted at least every 2 hours.
    ❍ D. Residents are not allowed to have any visitors.
A

C. Assessment of the resident needs such as bathroom, repositioning, and circulation
must be conducted at least every 2 hours.

56
Q
  1. The nursing assistant is walking a resident around the unit, and the resident starts to fall. The first action of the nursing assistant should be which of the following?
    ❍ A. Leave the resident and quickly grab the nearest chair.
    ❍ B. Get behind the resident and ease the patient to ground slowly.
    ❍ C. Get to the nearest phone and call for assistance.
    ❍ D. Grab the resident by the arms and lift him or her up.
A

B. Get behind the resident and ease the patient to ground slowly.

57
Q
57. Which of the following terms is used to define when a resident becomes more confused each day during the evening or night hours?
❍ A. Alzheimer’s Disease
❍ B. Dementia
❍ C. Psychosis
❍ D. Sundowner’s Syndrome
A

D. Sundowner’s Syndrome

58
Q
  1. The nursing assistant is ready to enter Mrs. Jane Smith’s room to care for her. Which of the following is the best way to approach Mrs. Smith?
    ❍ A. “Hi, I am assigned to care for you today.”
    ❍ B. “Hi Jane, I am Sue your nursing assistant.”
    ❍ C. “Good morning, Mrs. Smith. I am Mrs. Jones the nursing assistant on duty today. How
    may I help you?”
    ❍ D. “Time to wake up and get moving, Mrs. Smith. I have a lot to accomplish today.”
A

C. “Good morning, Mrs. Smith. I am Mrs. Jones the nursing assistant on duty today. How
may I help you?”

59
Q
  1. A nursing assistant smells smoke in the nursing facility. A resident is found smoking a cigarette. Which of the following actions is correct?
    ❍ A. Tell the resident to be more careful so no one catches him or her.
    ❍ B. Tell the resident that it is against the law and to go outside.
    ❍ C. Tell the resident that it is a safety hazard and ask him or her to go outside.
    ❍ D. Do nothing as long as the resident isn’t bothering anyone.
A

C. Tell the resident that it is a safety hazard and ask him or her to go outside.

60
Q
60. The resident consumed 3 ounces of juice. How many milliliters should the nursing assistant document on the flow sheet?
❍ A. 120 mL
❍ B. 60 mL
❍ C. 45 mL
❍ D. 90 mL
A

D. 90 mL

61
Q
  1. When a resident refuses a bath, the nursing assistant should perform which of the following actions?
    ❍ A. Inform the resident that everyone must take a bath when it is scheduled
    ❍ B. Communicate the resident’s refusal to the charge nurse
    ❍ C. Go ahead and bathe the resident
    ❍ D. Respect the resident’s wishes
A

D. Respect the resident’s wishes

62
Q
  1. Which of the following is an appropriate response to a resident who is making sexual comments?
    ❍ A. “Thank you, no one has flirted with me in a long time.”
    ❍ B. “I am going to ignore that comment.”
    ❍ C. “The comment is not acceptable to me.”
    ❍ D. “I bet you tell all the girls that.”
A

C. “The comment is not acceptable to me.”

63
Q
63. Which of the following devices is used to prevent contractures?
❍ A. Hand roll
❍ B. Cane
❍ C. Back support
❍ D. Ace bandage
A

A. Hand roll

64
Q
64. What is the medical term for high blood pressure?
❍ A. Tachycardia
❍ B. Hypertension
❍ C. Bradypnea
❍ D. Hypotension
A

B. Hypertension

65
Q
  1. When residents have visitors, it is important for the nursing assistant to do which of the following?
    ❍ A. Provide snacks for the resident and family members
    ❍ B. Provide privacy
    ❍ C. Remain close enough to hear the resident’s conversation
    ❍ D. Leave the intercom on in case the resident needs assistance
A

B. Provide privacy

66
Q
  1. Which of the following is the correct method of washing the perineum of a resident who has an indwelling catheter?
    ❍ A. Wash from the rectum to the meatus
    ❍ B. Wash the meatus with peroxide
    ❍ C. Wash away from the meatus
    ❍ D. Provide traction to the catheter while washing the meatus
A

C. Wash away from the meatus

67
Q
  1. The nursing assistant is cleaning a resident’s dentures. Which of the following is a correct safety precaution?
    ❍ A. The nursing assistant places a towel in the sink while cleaning the dentures.
    ❍ B. The nursing assistant keeps the dentures in a glass on the sink to soak.
    ❍ C. The nursing assistant places the dentures on the bedside table for easy access.
    ❍ D. The nursing assistant places a paper towel in the sink while cleaning the dentures.
A

A. The nursing assistant places a towel in the sink while cleaning the dentures

68
Q
  1. The resident calls the nursing assistant into his room to tell her that his dentures are lost. Which of the following is the best action of the nursing assistant?
    ❍ A. Tell the resident that he will be able to eat without them because he is on a pureed diet.
    ❍ B. Notify the charge nurse.
    ❍ C. Go through all the resident’s belongings in case he hid them.
    ❍ D. Notify the resident’s family
A

B. Notify the charge nurse.

69
Q
  1. Washing your hands as a nursing assistant is very important. Which of the following is a part of the handwashing procedure?
    ❍ A. Drying both hands thoroughly with a discarded towel
    ❍ B. Applying soap to both hands before turning on the water
    ❍ C. Applying friction for 15–20 seconds
    ❍ D. Wiping soiled hands on a towel as the first step in the procedure
A

C. Applying friction for 15–20 seconds

70
Q
  1. The nursing assistant overhears a conversation about a resident on the elevator at work. The nursing assistant knows this is a violation of which of the following?
    ❍ A. The resident’s right to be present when his care is discussed
    ❍ B. The resident’s right to refute any statements made
    ❍ C. The resident’s right to privacy
    ❍ D. The resident’s right to medical care
A

C. The resident’s right to privacy

71
Q
  1. Which of the following is true regarding the use of a gait belt?
    ❍ A. Use a rocking and pulling motion when using the belt to get up from a sitting position.
    ❍ B. Transfer to resident’s strong side.
    ❍ C. More than one caregiver might be needed.
    ❍ D. Proper body mechanics are not needed with use of a gait belt.
A

A. Use a rocking and pulling motion when using the belt to get up from a sitting position.

72
Q
  1. Which of the following is the correct method for counting respirations?
    ❍ A. Look at your watch and the resident’s abdomen at the same time.
    ❍ B. Look at your watch, count 10 respirations, and then examine your watch again.
    ❍ C. Look only at the abdomen and count to 30.
    ❍ D. Look at your watch and have a second nursing assistant count the respirations.
A

A. Look at your watch and the resident’s abdomen at the same time.

73
Q
  1. Which of the following is not included in the resident’s right to information?
    ❍ A. Latest hospital inspection results
    ❍ B. Notification in advance to change of room or roommate
    ❍ C. Right to file a complaint with the state survey agency
    ❍ D. Right to free or reduced medical care
A

D. Right to free or reduced medical care

74
Q
74. Which of the following best defines quadriplegia?
❍ A. Flaccid lower extremities
❍ B. No movement of all four extremities
❍ C. Inability to move the left side
❍ D. No feeling of both feet
A

B. No movement of all four extremities

75
Q
  1. One of the residents you care for is a member of your church. When someone from the church inquires about the resident’s medical condition, your best response should be which of the following?
    ❍ A. Inform the person that all information regarding all residents is confidential and you
    cannot disclose the information to him or her.
    ❍ B. Tell the person that the resident’s condition is unchanged and that he or she should
    visit the resident soon.
    ❍ C. Ignore the request for the information and talk about upcoming church activities.
    ❍ D. Tell the person to ask the resident’s nurse for information.
A

A. Inform the person that all information regarding all residents is confidential and you
cannot disclose the information to him or her.