CNA State Exam Flashcards
Who is the supervisor of the nurse assistant?
Charge nurses
What is Title 22?
It establises the minimum standards for patient care including regulations for certification, cna training requirements, etc
What is the minimum theory and clinical hours for CNA program?
50 for theory and 100 for clinical training
How many CEUs should a CNA take when renewing their certification (within a 2 year period)?
48 hours of ceu
What is Medicare?
Medical benefits for persons of 65 +
What is an ombudsmam?
They are in charge of resolvin resident conflict. They advocate for residents
When do CNAs submit fingerprints?
Once, when enrolling in a CNA course
Before working with residents the CNA must have?
TB clearance
What is OBRA?
The omnibus budget reconciliation act is the requirement (by law) that requires nurse assistants to successfully pass a CNA course and state exam and establish standards for providing residential care
How many times can a state exam be taken?
3
What is the residents bill of rights?
It is a document that ensures all of the rights the resident has. It is provided to ALL residents upon admission
What are advanced directives?
The documents that have specific instructions about the resident’s wishes for treatment if they are unable to communicate
What is a grievance?
Complaint
Do healthcare workers have to be familiar with the patient’s bill of rights?
Yes
If a resident asks to see their chart, what do you do?
Report to charge nurse
If a residents discusses their feelings, you should…
listen to the concerns
Can residents and their families meet roomates?
Yes
What will reveal the most information about a resident’s true feelings?
Their body language
What is given at the end of shift report?
Facts and informationthat was observed and the care give by the CNA
If a resident misses religious activities, what should the cna do?
Talk about their religion to encourage some discussion
If a resident was moved rooms, what should cnas understand?
that it can produce anxiety since it is a new change
What is objective data?
information that is seen, heard, smelled,etc
What is stress defined as?
a response to any demand made on any individual
If a nurse assistant has to care for a resident that doesn’t speak english, what should the nurse assistant do?
Ask the charge nurse to interpret
What does the term STAT mean?
immediately
If there is a fire inside the room of a resident, what is the first thing to do?
Remove the resident from the room
When should restraints for postural be applied?
ONLY if they are ordered, if they are unauthorized, it can result in accusation of false imprisonment
What is RACE?
R: rescue
A: Alarm
C: Contain
E: extinguish
What is PASS?
P: pull the pin
A: aim at the fire
S: squeeze handle
S: sweep side to side
Reporting frayed electrical cords help prevent ______?
fires
If a resident is on oxygen and requests shaving, what should the cna do?
Shave with a safety razor and with soap
If there is water on the floor, what should the nurse assistant immediately do?
Clean it up
When are falls most likely to occur?
Changes of shift
When should wheelchairs be locked?
when transferring in or out of it
If you get injured during your shift, what should you do?
File an incident report
If a resident who uses crutches is being transferred, what should the nurse assistant do before ambulating?
Have them wear non-skid shoes
If there is a fire, what is the correct order of events the nurse assistant should take?
Remove resident, activate alarm, contain the fire, extinguish the fire
If the code for fire is heard, what should the nurse assistant do?
Close all rooms and report to nurse
If a resident is wearing wrist restraints, the cna must perform rom every…
2 hrs
If a resident tells the nurse assistant that their wheelchair is broken, what should the cna do first?
Report to charge nurse
What should the cna avoid if they are clenaing the nose of a resident who receives oxygen?
Oil based lubricants
Why is proper bodhy mechanics important?
Because it prevents injury to the patient and the nurse assistant
What is semi-fowlers position?
sitting in a 15-45 degree angle
What is supine position?
Laying down completely
What is sims position?
laying on one side
When providing support pillows, where should the pillows be placed for best body alignment?
Head, upper arm, upper leg, and behind the back
If a resident needs help with ambulation, what should the nurse assistant do?
Walk slightly behind the resident and to the side when using gait belt
If a heavy object has been lifted, the nurse assistant should keep the object
As close to the body as possible
When a nurse assistnat is pulling a resident to the head of the bed, they should…
Remove the pillow behind their head and place it in the headboard
If assisting a resident that has left sided weakness with a transfer, where should the chair be located?
at the head of the bed, on the right side
When moving a resident to a side lying position, the nurse assistant must
Log roll the resident to the side of the bed where the nurse assistant is standing
What shows good body alignment for the resident?
When the head is in a striaght line with the spine
When performing any task at the bedside, the cna must
elevate the bed to a comfortable position (make sure to lower it when done)
What is prone position?
Lying on the stomach
When performing a transfer, it is best if the nurse assistant
Has a wide base for support and keeps resident close
What is fowlers position?
a sitting position at 45-60 degree angle
Paralyzed from the waist down is
paraplegia
What equipment can we use if a resident wants to move themselves in bed and has good upper strength but suffers from paraplegia?
Trapeze
Before moving a resident in bed, we must ensure the bed is
locked
When transferring residents to the bathroom, what should the cna do?
close the door and stay in the room
if a weak resident wants to shower, it is best to use
A shower chair
If using a hoyer lift, the residents arms should be
On their chest
What is a microorganism?
A small living thing that cannot be seen without a microscope
What is sterilization?
The process where all microorganism are destroyed
How does the body protect itself best from infections?
by maintaining the skin intact
What is Hepatititis B?
A virus
Invasion of ________ can cause streptococccal throat condition.
Bacteria
Where do microorganisms grow best in?
Moist places
What is a sign of infection?
Fever
When can the chain of infection be broken?
At any link of the chain
What is asepsis?
Being free from disease-producing microbes
What are nosocomial infections?
Those that are developed in the hospital and are passed onto residents
How can we prevent infection from occurring and spreading?
By following standard precautions
What is meant by a wet gown?
A contaminated gown
How many injections is the Hepatitis B vaccine
3
Ounce to milliliter conversion
1 ounce=30 mL
Pint to milliliters conversion
1 pint = 500 ml
foot to cm conversion
1 foot =30 cm
Quart to milliliters conversion
1 quart =1000ml
What is a causative agent in the chain of infection?
A microorganism that can produce disease in humans
What is a reservoir in the chain of infection?
This is where the pathogen lives, multiplies, and survives.
What is the portal of exit in the chain of infection?
It is where the pathogen leaves the reservoir of the human body through body secretions. This includes excretions, wound drainage, urine, feces, blood saliva.
What is the method of transmission?
This is how the pathogen spreads it can be through direct and indirect contact.
What is the portal of entry?
this is where organisms enter the body it can be non-intact skin mucus membranes, respiratory or urinate tract or through reproductive tract
What is a susceptible host?
This is a person who can become infected with a pathogen this includes resident, workers, families and visitors, etc.
What does a partial bath include?
The face, hands, underarms, back, buttocks, and genital area
Which type of residents do we give complete bed baths to?
Residents that are unconscious.
What is a good temperature for the water when bathing a resident?
105 F
When doing oral care on unconscious resident, what position should they be in?
Lateral (side)
What is an orange stick?
A tool used to clean under the nails
How do we dress a resident who is paralyzed?
First we can dress the affected side and then the unaffected.
When do we change the colostomy bag?
When it starts leaking
Which areas do residents most likely develop bed sores?
Bony areas such as shoulder blades, elbows, heels, and knees
When should nurse assistants clean the resident’s genital areas?
Once a day and when the resident is soiled
When are dentures cleaned?
Before breakfast, lunch, supper, and bedtime
What is an enema?
Come back
Which linens must be tight and wrinkle free?
The bottom ones
If you need a random urine specialist, what measures should you take before?
None, collect it as is
Mucus from the respiratory system that is expelled through the mouth is
Sputum
Before collecting a sputum, what should we do?
Oral care and rinse with clear water
When collecting a sputum specimen, the person coughs it up from the?
Upper airway
What is a closed bed?
A closed bed is a bed that remains empty until occupied by another patient. the linen is beneath the spread to protect from dirt and dust.
What is an open bed?
This is a bed to a patient who already has it designed
What is an occupied bed?
This is a bed where the patient is physically in the bed.
What is an unoccupied bed?
A bed that is made when the patient is not there, but it belongs to them
What can cause skin tears?
It can occur while bathing, dressing, repositioning, or transferring.