Knowledge Exam Flashcards
Which of the following best helps reduce pressure on the bony prominences?
Flotation mattress
A client is paralyzed on the right side. The nurse aide should place the signaling device
On the left side of the bed near the clients hand
The equipment you need for oral care of an unconscious client includes
Toothette and mouth swab
Clean bed linen placed in a client’s room but NOT used should be
Put in the dirty linen container
Which of the following people provide treatment for persons who have difficulty talking due to disorders such as a stroke or physical defects?
Speech therapist
When transferring a client, MOST of the client’s weight should be supported by the nurse aide’s
Legs
To avoid pulling on the catheter while you’re turning a male client, the catheter tube must be taped to his
Upper thigh
To convert four ounces (oz) of liquid to milliliters (mL), the nurse aide should multiply 4 by
30 ml
A client is to be assisted out of bed to sit in a wheelchair. How can this procedure be made safe?
Place the bed in the lowest position
What is the term for a device used to take the place of a missing body part?
Prosthesis
The nurse aide notices that the client’s radio cord is draped across a chair to reach the nearest outlet. The FIRST thing the nurse aide should do is
See if any changes can be made so that the radio can be plugged in safely
When taking a client’s radial pulse, the nurse aide’s fingertips should be placed on the client’s
Wrist
While making an empty bed, the nurse aide sees that the side rail is broken. The nurse aide SHOULD
Report the broken side rail immediately
Physical restraints are used most often when
Used to prevent client injury
The nursing care plan states, “Transfer with mechanical lift.” However, the client is very agitated. To transfer the client, the nurse aide SHOULD
Get assistance to move the client
NPO
nothing by mouth
The nurse aide is responsible for the following fire prevention measures EXCEPT
Taking cigarettes and matches away from all clients and visitors
While eating dinner, a client starts to choke and turn blue. The nurse aide SHOULD
Call for assurances and perform the Heimlich maneuver (abdominal thrusts)
What type of fir can be put out with water?
Paper
To take an oral temperature the nurse aide should
Place the thermometer under the tongue
The nurse aide is going to help the client walk from the bed to a chair. What should the nurse aide put on the client’s feet?
Rubber-soiled shoes or socks
To lift an object using good body mechanics, the nurse aide SHOULD
Bend the knees and keep the back straight
If the nurse aide discovers fire in a client’s room, the FIRST thing to do is
Remove the client
The purpose of padding side rails on the client’s bed is to
Protect the client from injury
Which of the following is NOT considered a way to restrain a client?
Pain management
For safety, when leaving a client alone in a room, the nurse aide SHOULD
Place the signaling device within the clients reach
The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD
Clean up the spill
When caring for a client who uses a protective device (restraint), the nurse aide SHOULD
Check the clients body alignment
When helping a client who is recovering from a stroke to walk, the nurse aide should assist
On the clients weak side
To be sure that a client’s weight is measured accurately, the client should be weighed
At the same time of day
A client needs to be repositioned but is heavy, and the nurse aide is not sure that she can move the client alone. The nurse aide should
Ask another nurse aide to help
The Heimlich maneuver (abdominal thrusts) is used on a client who has
A blocked airway
How many tips does a quad-cane base have?
4
What is the FIRST thing a nurse aide should do when finding an unresponsive client?
Call for help
Insulin, a hormone, regulates
The amount of sugar in the blodd
When operating a manual bed, the nurse aide should remember to
Fold the cranks under the bed
The nurse aide is walking with a client confined to a wheelchair when the facility fire alarm system is activated. The client becomes excited from the noise. The nurse aide SHOULD
Comfort the client while moving the person to a safe place
The electric shaver that the nurse aide is using to shave a client begins to spark and smoke. What should the nurse aide do FIRST?
Unplug the shaver
Which of the following is a correct measurement of urinary output?
Ml
300ml
Which of the following is the most comfortable position for a client with a respiratory problem?
Fowler’s
In the Nursing Care Plan, you note that it is written, “O2 per N/C @3L, Orthopnea pos. as needed”. As a CNA, you know that this means which of the following?
The resident is on oxygen with a cannula on three liters. Assist to sit in the Fowlers position
Before performing any procedure, a nurse aide must
Wash his or her hands
Identify the resident
Explain the procedure
You are caring for Mr. Brown, who has a diagnosis of COPD. His SpO2 is 82%. He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?
Report it immediately to the nurse
Which of the following is the recommended position for giving an enema?
Left sims
Postpartum refers to
The period of time after delivery of a baby
The brain is part of the
Nervous system
Meal trays have arrived. Before serving each tray, the nurse aide should
Check each armband even on familiar patients
Which of the following are associated with smoking?
Heart attacks
Pneumonia
Vitamin c deficiency
The charge nurse has asked you to take Mrs. Shumway’s vital signs. Before doing so, you must
Gather all appropriate equipment
Identify the patient and introduce yourself
Wash your hands
A nurse aide notices blood in a patient’s IV tubing. The aide should
Notify the IV nurse
Mrs. Shumway’s nursing care plan lists CHF (Congestive Heart Failure) as her primary dx. (diagnosis). You would expect her ADL routine to include which of the following
Daily am weight measurements
Ok which sided should the patient lie for an enema
Left
In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should
Take away the water pitcher at midnight
A patient appears paler than usual. The nurse aide should
Ask the patient how he feels and take his vital signs immediately
A patient has a diagnosis of psoriasis. Her nurse aide should
Treat her the same way as any other patient with a non-infectious disease
The circulatory systems includes
Hearts, arteries, capillaries, veins
A nurse assistant notices red marks on a resident’s back and buttocks. The aide acts in the knowledge that
The skin can break down if nothing is done
Mrs. Shumway has an order for I&O. You have picked up her breakfast and note that she drank half of a 6 oz. glass of juice, 4 oz. of milk, and 8 oz. of coffee. Therefore, you document
450ml
Who can order a warm or cold application?
A doctor
A patient who was given insulin in the morning is pale and sweaty and appears confused two hours later. It would be helpful to find out whether the patient
Had breakfast
Signs and symptoms of shock may include
Low blood pressure; tachycardia; and clammy, pale skin
Mrs. Sparks is an 83-year-old female patient who suffers from the late effects of a CVA. She has {L} sided hemiplegia. This is
Paralysis on the left side of the body
Most of our calories should come from
Carbohydrates
Drainage bags from urinary catheters should always
Be kept below the level of the bladder
Continuing education is
important for keeping abreast of new developments.
necessary for recertification in many states.
a professional standard
A professional and safe working appearance would include which of the following?
Clean, wrinkle free uniform; short fingernails; and off the shoulders hair
Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation. Her condition is considered
Acute
Which of the following measurements that you obtained from Mrs. Shumway should be reported immediately to the charge nurse?
Blood pressure: 190/114
Which of the following should be reported immediately?
Blood pressure of 90/40
Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?
6 ounces
To help ensure adequate circulation to prevent patient skin breakdown, you should
give back massages.
change the patient’s position frequently.
perform active or passive range-of-motion exercises.
To take a rectal temperature, the nurse aide should insert the thermometer and
Hold onto the thermometer until it can be removed
Which of the following statements about blindness are false?
Most legally blind or visually impaired ripple have no sight at all
Normal urine color is
Yellow
Normal characteristics of stool are?
Brown and soft
Which of the following is the safest way to confirm a resident’s identity?
Check the ID bracelet or tag attached to the resident
A patient complains that her hand hurts where the IV is running. The nurse assistant notices that the hand is puffy. The nurse assistant should
Notify the IV nurse that the infusion appears to have infiltrated
The opening of the colostomy to the outside of the body is called
The stoma
A resident with an ileostomy evacuates feces through the
Ileum
When caring for a resident with an indwelling Foley catheter, you should
Check the bagging and tubing frequently for adequate ordinary flow
If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do?
Wait 15 minutes to take the temperature
When lifting a heavy object, which muscle groups should you use?
Muscles of the legs
All of the following statements about type 2 diabetes are true EXCEPT
Type 2 diabetes is very rare in adults
Why should heat NOT be applied to a diabetic resident’s feet?
Diabetics have increased sensitivity to heat 
The loss of the ability to express oneself is known as
Aphasia
There are two kinds of restraints
Physical and chemical
What can the nurse aide give a resident who has an order for NPO?
No food or liquids
When dry, hard stool fills the rectum and will not pass, it is called
Impaction
A Hepatitis B vaccination protects the person receiving it against a disease that affects
The liver
Elderly residents sometimes appear stooped over and seem to have lost height. This is due to
Osteoporosis in the spinal column
A hospice specializes in the care of people who are
Terminally ill
The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should
Report this to the charge nurse
Constipation and indigestion can result from
Slowed peristalsis
Who supervises the work of a nurse aide?
A nurse
When lifting, the nurse aide should have his or her feet separated in the standing position to
Provide a wide base of support
Diabetes mellitus makes a resident more prone to develop
Infections
Many elderly residents lose their appetite because of
Social isolation, decrease in number of taste buds, depression
Wasting or a decrease in the size of a muscle is called
Atrophy
Various factors will change pulse rate. An increased pulse rate can be caused by
Exercise
A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should
Tell the resident that the nurse aide can not do it but will report it to the charge nurse
A Foley catheter is used
To drain urine from the bladder
A nurse aide is going to take Mr. Heath’s vital signs. What should the nurse aide do to reduce Mr. Heath’s anxiety and get him to cooperate?
Explain the procedure to Mr. Heath
The exchange of oxygen and carbon dioxide takes place
In the lungs
The thinning of the fatty layer under the skin could cause a resident to
Develop pressure sores
What is the purpose of the chain of command in a long-term care facility?
To keep communication about a problem flowing smoothly
The best way for a nurse aide to gather information about the safety and well-being of a resident is
Observation
Signs of poor circulation include
Paleness; cold skin; and edema
Which of the following is true regarding the use of side rails on a bed?
Side rails should not be raised unless listed in the care plan
Which of the following is a proper way to correct an error in charting?
Draw a single line through it
Use correction fluid
A resident is NPO for tests. The nurse aide should
Remove the water pitcher and glass from the room
To count respirations, one respiration includes
One inhalation and one exhalation
A bedsore or decubitus ulcer is caused by
Inadequate turning
Headaches, nausea, and pain are considered
Symptoms
A sitting or semi-sitting position with the head of the bed elevated is called
Fowlers
The plan that starts on the resident’s admission and assists when the resident goes home is called
The discharge plan
Which of the following is a major reason for urinary incontinence in the elderly?
The muscle that keeps urine in the bladder weakens
For most residents, the range of normal respiration is
12 to 20 inspirations per minute
A nurse aide is assigned to a stroke patient with a diagnosis of aphasia. The nurse aide knows that
The resident cannot talk
The nurse aide knows to wear which of the following when performing care for clients?
Clean uniform and scrubs, shoes with non-skid soles, name badge with job on it
Exercises that move each muscle and joint are called
Range of motion
You are delegated to provide passive R.O.M. to L lower and upper extremities. This means you must
Support each joint and provide extension and flexion movements in the left side of the body
Goals of arthritis care include
Preventing contractures, strengthening bones and muscles, decreasing inflammation and preserving joints
ROM exercises will help prevent
Contractures
The nurse aide documents that about 45 minutes after the resident was put to bed for an afternoon nap, the person urinated in bed. To help with bladder training, what should the nurse aide do?
Take the resident to the restroom right before he or she goes to bed
A patient is leaving the hospital. The family has been told to give her medications “bid.” The wife asks what that means. The nurse aide tells her to give the medications
Twice a day
After assisting with evening care, the nurse aide notices the client has bilateral hearing aids. The nurse aide understands that if a hearing aid is not in use
The battery should be disengaged
A nurse aide moves a resident’s joint during range-of-motion (ROM) exercises. If the resident complains of pain, what should the nurse aide do?
Stop the movement at the point that the pain occurs and report it to the nurse
The primary goal of restorative care is
To return the resident to a normal life at home
A button hook and a sock assist are part of what kind of nursing care?
Restorative and rehabilitative
Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT
Cones
A patient has had hip surgery. Her legs should be
Abducted
A nursing assistant is helping a resident to walk. If the resident becomes faint and starts to fall, what should the nursing assistant do?
Ease the resident to the floor and call for help
The role of an ombudsman is
To work with the nursing home to protect clients’ rights
The nurse aide is making an occupied bed. Which of the following is the most restorative approach?
Encourage the resident to help
What is the process of restoring a disabled client to the highest level of functioning possible?
Rehabilitation
According to the principles of proper body mechanics, a nurse aide who is lifting an object should place his or her feet
12-18 inches apart
A contracture (tightening or shortening of a muscle) is caused by
Lack of movement of the muscle
How can you give a helpless resident some independence when he or she must be fed?
Ask the resident which food he or she would like to eat first
Pressure sores can often be prevented if the client is
Turned or repositioned every two hours
If a client has hand tremors, the nurse aide should
Assist the client with the activities of daily living as needed
The nurse aide just admitted a new male resident. Which of the following is the most restorative approach?
Encourage the resident to participate in unpacking his clothes
When ambulating an unsteady client, it is BEST for the nurse aide to use a
Gait belt
The most basic rule of body mechanics is to
Bend from the knees and hips
Mr. Johnson has just returned from surgery. Which of the following things do you do?
Perform turns, coughs and deep breathing exercises, leg exercises
A way to make sure a resident with dementia gets adequate nutrition is to
Offer small meals and snacks that match the residents limited attention span
If a resident exhibits paranoid behavior, what should the nurse aide know?
Delusions are a normal part of the progression of the dementia process
Residents with cognitive impairments often have difficulty sleeping. What can be helpful?
Establish a bedtime schedule and make sure the residents go to bed within 15 minutes of that time
For a resident, reality orientation should include
Calling the resident by his or her name
Communication with a resident who has late-stage dementia or Alzheimer’s includes
Speaking in one or two word sentences
Toward the end of the day, residents with dementia commonly experience which of the following?
Sundown syndrome
Which of the following is NOT true of patients with dementia?
They act uncooperative just to be spiteful
A confused resident tells you there is a monster in the closet. You should
Open the closet and show the resident that there is nothing in jt
A resident with Alzheimer’s disease tells the nurse aide that she smells smoke. The nurse aide should
Look around for a fire
A resident has difficulty remembering what day it is and where the person is. How can you best help the resident?
Tell the resident often what day it is and where the resident is
The primary cause of combative behavior in a resident with dementia is
Confusion
While the nurse aide is giving care to Mr. T., he calls the nurse aide by the name of his son who died several years ago. The nurse aide’s BEST response is to
Ask Mr. T about his favorite memories of his son
As dementia progresses, incontinence can become an issue. How can the nurse aide assist?
Watch for signs of discomfort so you can take the resident to the bathroom
A client with dementia has developed a fear of taking a shower. What can a nurse aide do?
Give the client a bed bath and try a shower a different day
When caring for a confused resident, what should a nursing assistant do?
Give simple directions
A resident is standing in the hallway, holding a bag. She asks the nurse aide when the train is due. The aide should tell her
Where she is, in a matter of fact time of voice
A resident who has not been discharged insists she is going home. What should the nurse aide do?
Notify the charge nurse immediately
Which of the following is an important way to help a resident feel comfortable in a long-term care facility?
Provide space for personal possessions
All of the following are signs of aggressive behavior EXCEPT
Depressed mood
When getting dressed, a client always wants to wear her favorite outfit. What is a good solution?
Ask the family to get several identical items
If a client says, “God is punishing me,” or asks, “Why me?” how should the nurse aide respond?
Listen and ask questions to learn more
A visitor enters the room while the nurse aide is changing the client. How SHOULD the nurse aide respond?
“Would you please wait in the lobby”
A female resident calls the nurse aide and says, “Someone spilled water on my bed.” The nurse aide observes a wet area on the pad, directly underneath the resident. The nurse aide should
Change the linens and make a mental note to offer the bedpan more often
After you’ve had to complete several assignments that a co-worker didn’t do, what is the best approach?
Ask the coworker is there is a reason
A resident complains that his children never visit. The aide should
Listen quietly as the talks about his feelings
You are assigned to care for a new resident, but you don’t know what to call her. You should introduce yourself and then
Ask her what name she would like to be called by
Which of the following is an acceptable way for the CNA to cope with feelings of anger and frustration?
Ask your supervisor for time to talk about your feelings
When communicating with a nonverbal resident, the nurse aide should do all of the following EXCEPT
Providing routine care while assuming the resident has no way to communicate
To BEST communicate with a client who is totally deaf, the nurse aide should
Write down information for the client to read
The nurse aide asks a resident how she feels, and she replies, “Fine.” Still, the nurse aide suspects the resident is in pain because
The resident is grimacing
The nurse aide finds a resident sobbing. What is the best thing for the nurse aide to say to the person?
“You seem sad. Can you tell me about it?”
Active listening is important because
It prevents misunderstandings
When interacting with clients, the nurse aide should remember that
More than half of all communication is nonverbal
How can the nurse aide BEST help a client who is not accepting a loss?
Encourage the client to talk about the loss
Which is the best way to talk to a resident with a visual impairment?
Announce your presence when entering the room
If you are unsure of the steps of a task that the nurse told you to do, you should
Ask the nurse to clarify the instructions
When communicating with the client’s family, the nurse aide SHOULD
Listen to their concerns and offer support 
Mrs. Smith, your patient, tells you that her hearing aid is missing. What do you do?
Immediately report it to the nurse
A confused client asks a nurse aide what day it is. The nurse aide should
Point to the date on the calendar and save the date 
A nurse aide is caring for a client who answers every question by nodding and saying “Yes.” How should the nurse aide handle this behavior?
Determine if the client is able to understand
To communicate clearly with a client who has hearing loss, what should you do?
Look directly at the client when you speak
How should you communicate with a client who only speaks and understands a foreign language?
Here’s a picture boards and gestures
