CNA State exam

Question 1

Donning personal protective equipment should be done in the following order:

A. mask, goggles, gown, gloves
B. Gown, gloves, goggles, mask
C. Gown, mask, goggles, gloves
D. Gloves, gown, mask, goggles

Answer 1

C. Gown, mask, goggles, gloves

Question 2

The federal legislation that regulates the physical requirements of long-term care facilities is:
A. HIPAA
B. OBRA
C. OSHA
D. JACHO

Answer 2

B. OBRA

Question 3

Mrs. Black is a diabetic. For her mid-afternoon nourishment, the kitchen has sent a carton of chocolate ice cream. Your first action should be to:

A. Substitute the ice cream with a sugar-free cola
B. Hold the nourishment and report to the nurse
C. Notify the kitchen of the error so they can send a substitution
D. Ask Mrs. Black if she usually gets ice cream for her afternoon snack

Answer 3

B. Hold the nourishment and report to the nurse

Question 4

It is time to bathe a resident with Alzheimer’s who has had visitors in the room for most of the shift. The most appropriate action for the nursing assistant to take is:

A. Perform the bath as the first task when the visitors leave
B. Ask the visitors to step out until the bath is complete
C. Ask the charge nurse to have the visitors leave
D. Ask the resident if they would like to wait until tomorrow to be bathed

Answer 4

A. Perform the bath as the first task when the visitors leave

Question 5

An example of battery might be:

A. Not repositioning a resident according to the care plan
B. Telling a resident that if she refuses her meal, you will call her daughter
C. Giving a resident a shower after she states she doesn’t want one
D. Leaving the facility before your relief arrives

Answer 5

C. Giving a resident a shower after she states she doesn’t want one

Question 6

You are assisting with a resident’s shower when you slip on the wet floor. Luckily, you were able to catch yourself and don’t think you have been hurt. You should:

A. Fill out an incident report
B. Report the incident if you start feeling pain
3. Ask to go home and rest
4. Do nothing since you weren’t hurt

Answer 6

A.Fill out an incident report

Question 7

You are ambulating Joe in the hallway with his walker and a gait belt. A coworker is following behind with Joe’s wheelchair. Joe becomes shaky and weak. The best thing to do is:

A. Walk him back to his room and lay him down
B. Lower him to the floor using the gait belt
C. Immediately sit him in his wheelchair
D. Call out to the nurse or coworker for assistance

Answer 7

C. Immediately sit him in his wheelchair

Question 8

Charles is on a fluid restriction and must have all his fluid intake measured. This evening he had an 8-ounce glass of apple juice, an 8-ounce carton of milk, and a 4-ounce cup of ice cream. The total amount you should document is:

A. 480 mL
B. 600 mL
C. 16 ounces
D. 20 ounces

Answer 8

B. 600 mL

Question 9

The inability to speak or form words is called:
A. Receptive aphasia
B. Hemiplegia
C. Expressive aphasia
D. Dyspnea

Answer 9

C. Expressive aphasia

Question 10

Increased swelling in the legs, frequent urination at night, and shortness of breath are common symptoms of:

A. Peripheral vascular disease
B. Chronic pulmonary obstructive disease
C. Congestive heart failure
D. Diabetes mellitus

Answer 10

C. Congestive heart failure

Question 11

Q: You work at a local nursing home as a nursing assistant. One of your residents has fallen while trying to self-transfer. In order to activate EMS, you should:

A. Contact the administrator
B. Call for the charge nurse
C. Dial 911 and wait for the ambulance
D. Call the nearest emergency room

Answer 11

B. Call for the charge nurse

Question 12

Q: The goal of activities therapy is to:
A. Maintain a resident’s hobbies and interests
B. Keep residents busy throughout the day
C. Maintain the resident’s ability to care for themselves
D. Restore gross motor skills

Answer 12

A. Maintain a resident’s hobbies and interests

Question 13

Signs and symptoms of an anaphylactic reaction include:

A. Bleeding and confusion
B. An unsafe rise in blood pressure and pulse
C. Shock, shortness of breath, wheezing, and facial and airway swelling
D. Dizziness, lack of appetite, and nausea

Answer 13

C.Shock, shortness of breath, wheezing, and facial and airway swelling

Question 14

The nursing assistant should lock the resident’s wheelchair when:

A. Ambulating the resident down the hallway
B. Assisting the resident with brushing their teeth
C. Transferring the resident from the bed to a wheelchair
D. Placing the resident at the dining room table

Answer 14

C. Transferring the resident from the bed to a wheelchair

Question 15

You are caring for Dorian, a 58-year-old resident who is dying of prostate cancer. Today when you are assisting Dorian with his breakfast, he coughs with each bite and shakes his head. You should:

A. Continue to offer him his breakfast
B. Stop, ensure that he is safe, and then update the nurse
C. Give him only his fluids until he is no longer coughing
D. Tell him that he won’t feel better unless he eats something

Answer 15

B. Stop, ensure that he is safe, and then update the nurse

Question 16

Q: When helping a resident who is recovering from a stroke to walk, the nurse aide should assist:
A. On the resident’s strong side
B. On the resident’s weak side
C. From behind the resident
D. With a wheelchair

Answer 16

B. On the resident’s weak side

Question 17

Q: A nurse aide can assist residents with their spiritual needs by:

A. Taking residents to the nurse aide’s church
B. Allowing residents to talk about their beliefs
C. Avoiding any religious discussions
D. Talking about the nurse aide’s own spiritual beliefs

Answer 17

B. Allowing residents to talk about their beliefs

Question 18

A nurse aide must wear gloves when:

A. Feeding a resident
B. Performing peri-care
C. Giving a back rub
D. Doing range of motion exercises

Answer 18

B. Performing peri-care

Question 19

If the nurse aide discovers fire in a resident’s room, their first step should be to:
A. Call the nurse in charge
B. Try to put out the fire
C. Close the door
D. Remove the resident

Answer 19

D. Remove the resident

Question 20

The role of the ombudsman is to:
A. Run a group of nursing homes
B. Work with the nursing home to protect residents’ rights
C. Control the nursing home budget
D. Enforce nursing home rules and regulations set by the state

Answer 20

B. Work with the nursing home to protect residents’ rights

Question 21

All of the following situations are examples of abuse or neglect except:
A. Restraining a resident according to a physician’s order
B. Leaving a resident alone in a bathtub
C. Threatening to withhold a resident’s meals
D. Leaving a resident in a wet and soiled bed

Answer 21

A. Restraining a resident according to a physician’s order

Question 22

The last sense a dying resident will lose is:
A. Smell
B. Hearing
C. Taste
D. Sight

Answer 22

B. Hearing

Question 23

If a resident is confused, the nurse aide should:

A. Ignore the resident until he starts to make sense
B. Restrain the resident so that he does not hurt himself
C. Keep the resident away from other residents
D. Help the resident to recognize familiar things and people

Answer 23

D. Help the resident to recognize familiar things and people

Question 24

The nurse aide finds a conscious resident lying on the bathroom floor. The first thing the nurse aide should do is:

A. Help the resident into a sitting position
B. Call for assistance from the nurse in charge
C. Offer the resident a drink of water
4. Check for signs of injury

Answer 24

B. Call for assistance from the nurse in charge

Question 25

Proper use of a wrist restraint requires that the nurse aide:

A. Release the restraint every four hours
B. Watch for skin irritation
Tie restraints to the siderail
Apply the restraint tightly so the resident cannot move

Answer 25

B. Watch for skin irritation

Question 26

Which of the following methods is the correct way to remove a dirty isolation gown?
A. Pull it over the head
B. Let it drop to the floor and step out of it
C. Roll it dirty side in and away from the body
D. Pull it off by the sleeve and shake it out

Answer 26

C. Roll it dirty side in and away from the body

Question 27

A new resident refuses to wear a clothing protector at lunch. The nurse aide should:

Tell the resident that they must wear it for all meals
Put the clothing protector on the resident
Report this to the nurse in charge
Respect the resident’s wishes

Answer 27

D. Respect the resident’s wishes

Question 28

The nurse aide is preparing to lift a resident using proper body mechanics. The nurse aide should:

Keep both feet close together
Lift with abdominal muscles
Bend at the knees and keep back straight
Hold the object away from the body

Answer 28

C. Bend at the knees and keep back straight

Question 29

The nurse aide is assisting a resident with eating. The resident begins to choke and turn blue. The nurse aide should:

Immediately remove the resident’s food tray and go find the nurse in charge
Slap the resident on the back until the food dislodges
Call for assistance and perform the Heimlich maneuver (abdominal thrust)
Start CPR on the resident

Answer 29

C. Call for assistance and perform the Heimlich maneuver (abdominal thrust)

Question 30

The nurse aide is responsible for all of the following fire prevention measures except:

Taking cigarettes and matches away from all residents and visitors
Being aware of the locations of fire extinguishers
Reporting all damaged wiring and/or sockets in residents’ rooms
Participating in fire drills

Answer 30

A. Taking cigarettes and matches away from all residents and visitors

Question 31

The nurse aide should refuse to perform a task if:
A. The nurse aide has not been trained to do it
B. The task is outside the nurse aide’s scope of practice
C. The resident is difficult to deal with
D. Both A and B

Answer 31

D. Both A and B

Question 32

Q: The nurse aide is caring for a resident who becomes incontinent of urine right before dinner. The nurse aide should:

A. Take the resident to the dinner table and clean up after dinner
B. Clean the resident and take to dinner as soon as possible
C. Tell the resident not to eat until the resident has cleaned and changed self
D. Insist that the resident eat dinner in the room

Answer 32

B. Clean the resident and take to dinner as soon as possible

Question 33

The nurse aide notices a resident spill water on the floor in the hall. Another resident is walking down the hall. The nurse aide should:

Report it to the charge nurse
Clean up the spill
Call housekeeping immediately
Leave the spill and advise the resident to avoid that area

Answer 33

B. Clean up the spill

Question 34

The nurse aide is concerned about a resident’s care. Which of the following should the nurse aide speak to first?

A. Another nurse aide
B. The nurse in charge
C. The Director of Nursing
D. The Ombudsman

Answer 34

B. The nurse in charge

Question 35

The nurse aide should understand that pressure ulcers can often be prevented if the resident is:

A. Placed in an incontinence brief
B. Positioned with a pillow under the head
C. Dressed in loosely fitting clothing
D. Turned or repositioned every two hours

Answer 35

D. Turned or repositioned every two hours

Question 36

Q: The nurse aide should provide oral hygiene to a resident who is unconscious at least every:
A. 2 hours
B. 4 hours
C. 6 hours
D. 8 hours

Answer 36

A. 2 hours

Question 37

Q: The nurse aide is caring for a resident who is confused and disoriented. The resident starts begging to go home. Which of the following would be the best action for the nurse aide to take?

A.Tell the resident, “this is your home”
B. Take the resident to the activity room to distract them
C. Ask the resident to tell the nurse aide about their home
D. Tell the resident, “we can’t take you home right now”

Answer 37

C. Ask the resident to tell the nurse aide about their home

Question 38

The nurse aide is caring for Sally, a resident with Alzheimer’s disease who wanders from room to room moving the belongings of other residents to different locations. The other residents, who are alert and oriented, are angry that their things have been moved. The nurse aide should:

A. Return Sally to her room and close the door
B. Attempt to find the missing belongings and return them
C. Stay with Sally at all times to keep her from wandering
D. Assure the other residents that Sally will not harm them

Answer 38

B. Attempt to find the missing belongings and return them

Question 39

The nurse aide can provide the resident with a sense of security by:

Rushing through care if a resident is confused
Leaving the room without speaking
Explaining all routines and procedures when providing care
Always getting the assistance of another nurse aide while providing care

Answer 39

C. Explaining all routines and procedures when providing care

Question 40

The nurse aide is caring for a resident taking blood thinners. Which of the following would be best for the nurse aide to use when shaving the resident?

A. Safety razor
B. An electric razor
C. A disposable razor
D. A straight edge razor

Answer 40

B. An electric razor

Question 41

Q: The nurse aide is preparing to ambulate a resident who is unsteady at times. It would be best for the nurse aide to use a:

A. Walker
B. Gait belt
C. Quad cane
D. Wheelchair

Answer 41

B. Gait belt

Question 42

A family member asks the nurse aide what medication the resident is receiving. The nurse aide should:

A. Allow the family member to read the resident’s medication list
B. Tell the family member what medications are given
C. Refer the family member to the nurse
D. Give the family member the resident’s chart

Answer 42

C. Refer the family member to the nurse

Question 43

The nurse aide is caring for a resident who only speaks and understands a foreign language. Which of the following actions should the nurse aide take?

A. Use gestures and nonverbal communication
B. Speak slower
C. Only listen and say nothing
D. Use an interpretation service

Answer 43

D. Use an interpretation service

Question 44

Which of the following is the correct procedure for serving a meal to a resident who must be fed?

A. Serve the tray along with all the other trays, and then come back to feed the resident
B. Bring the tray to the resident last; feed after you have served all the other residents
C. Bring the tray to the resident when you are ready to feed the resident
D. Have the kitchen hold the tray for one hour

Answer 44

C.Bring the tray to the resident when you are ready to feed the resident

Question 45

You touch the inside of the sink while rinsing soap off your hands. You should:

A. Allow the water to run over your hands for two minutes
B. Dry your hands and turn off the faucet with the paper towel
C. Repeat the wash from the beginning
D. All of the above

Answer 45

C. Repeat the wash from the beginning

Question 46

Nursing orders frequently instruct you to assist residents to cough and deep breathe. This activity helps the resident avoid:
A. Decubitus ulcers
B. Pneumonia
C. Internal bleeding
D. Dyspnea

Answer 46

B. Pneumonia

Question 47

In order to feed themselves, a blind resident would need:

A. A dysphagia diet
B. A large spoon as the only utensil
C. Help to identify items on the tray
D. A clothing protector

Answer 47

C. Help to identify items on the tray

Question 48

You should clean a female resident’s perineal area before you collect a:

A. 24-hour urine specimen
B. Midstream clean-catch urine specimen
C. Routine urine specimen
D. None of the above

Answer 48

B. Midstream

Question 49

The most common site for counting the pulse is the:
A. Carotid artery
B. Femoral artery
C. Brachial artery
D. Radial artery

Answer 49

D. Radial artery

Question 50

The nursing assistant must use a stethoscope to determine the:
A. Apical pulse rate
B. Manual blood pressure
C. Respiratory rate
D. Both A and B

Answer 50

D. Both A and B

Question 51

When you complete an incident report, you should:

A. Write in the resident’s chart that an incident occurred
B. Keep the report in your personal file
C. State the facts clearly
D. Give your opinions as to the cause of the incident

Answer 51

C. State the facts clearly

Question 52

You can safely identify your resident by:
A. Asking their name
B. Calling their name and waiting for them to respond
C. Checking the label on the room door
D. Checking the name band they are wearing

Answer 52

D. Checking the name band they are wearing

Question 53

When performing catheter care, the nursing assistant should wash the catheter:

A. Toward the meatus
B. With castile soap
C. Away from the meatus
D. Using sterile procedure

Answer 53

C. Away from the meatus

Question 54

The nursing assistant must report abuse of a resident by:
A. The family
B. The staff
C. Another resident
D. All of the above

Answer 54

D. All of the above

Question 55

Systolic blood pressure is determined by:
A. Reviewing previous readings
B. Listening for the first clear sound
C. Waiting for a change in sound
D. Listening for the last clear sound

Answer 55

B. Listening for the first clear sound

Question 56

Accurate daily weights should be measured:

A. At the same time each day
B. With the resident in the same clothing each time
C. n the morning
D. All of the above

Answer 56

D. All of the above

Question 57

You are removing a soiled gown from a resident who has an IV. You should remove the:

A. Unaffected arm from the gown first
B. Have the nurse remove the IV so it doesn’t get pulled out
C. Disconnect the bag and IV tubing
D. Pull the gown over the IV bag

Answer 57

A. Unaffected arm from the gown first

Question 58

Confidentiality refers to:
A. Never sharing information with anyone
B. The right of the resident to privacy
C. Only sharing information with those involved in the resident’s care
D. Both B and C

Answer 58

D. Both B and C

Question 59

When assisting a resident to ambulate, a cane should be used on:
A. The affected (weak) side of the body
B. The unaffected (strong) side of the body
C. The side with the strongest arm
D. Only if the resident requests it

Answer 59

B. The unaffected (strong) side of the body

Question 60

When a resident turns on the call light every few minutes, the appropriate response is:

A. Ask the resident not to call so often
B. Stop by the room more often
C. Place the call light out of reach
D. Remind the resident how busy you are

Answer 60

B. Stop by the room more often