CNA Practice Exam 1

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  • 1. 
    Which of the followin should you observe and record when admittin a client?
    • A. 

      Color of the stool and amount of urine voided

    • B. 

      How much the client has eaten and drunk

    • C. 

      Bruises,marks,rashes,or broken skin

    • D. 

      Insurance information


  • 2. 
    When responding to a client on the intercom you should
    • A. 

      Ask for the client's name.

    • B. 

      Say,"What do you want?"

    • C. 

      Give your name and position and sy "may I help you?"

    • D. 

      Say,"The nuse will answer your call."


  • 3. 
    Which of the following things should you do to familiarize a new client with his or her surroundings?
    • A. 

      Show the client where the call light is and how to work it.

    • B. 

      Tell the client no to operate the TV.

    • C. 

      Ask visitors to leave the room while you finish admittin th client.

    • D. 

      Raise the side rails of the bed and raise the bed to high position.


  • 4. 
    When arranging a patient's room, you should do all of the following EXCEPT
    • A. 

      Check signal cords.

    • B. 

      Adjust the back and knee rests as directed,

    • C. 

      Administer medications.

    • D. 

      Check lighting


  • 5. 
    When assistin a client in and out of bed, the nurse aide should always
    • A. 

      Employ body mechanic techniques.

    • B. 

      Get another person to help.

    • C. 

      Pull the client's fee out first, and then lift the back up.

    • D. 

      Put shoes on the client because the patient may slip


  • 6. 
    When should you wash your hands?
    • A. 

      When you notice they look or feel dirty

    • B. 

      When the charge nurse tells you to

    • C. 

      At least twice daily

    • D. 

      Before and after contact with a patient


  • 7. 
    Which of the following is correct procedure for serving a meal to a client who mut be fed?
    • A. 

      Serve the tray along with all the other trays, and then come back to feed the client

    • B. 

      Bring the tray to the client last; feed after you have served all other clients

    • C. 

      Bring the tray into the room when yo are ready to feed the client

    • D. 

      Have the kichen hold the tray for one hour


  • 8. 
    The MOST serious problem that wrinkles in the bedclothes can caues is
    • A. 

      Restlessness.

    • B. 

      Sleeplessness.

    • C. 

      Decubitus ulcers.

    • D. 

      Bleeding and shock.


  • 9. 
    An important way to reduce the incidence of decubitus ulcers is to
    • A. 

      Keep the clientin bed.

    • B. 

      Force fluids every 2 hours.

    • C. 

      Change position every 2 hours.

    • D. 

      All of the above.


  • 10. 
    You are told to put a client in Fowler's position. Before changing the position of the client's bed you should
    • A. 

      Open the window.

    • B. 

      Explain the procedure to the client.

    • C. 

      Check with the client's family.

    • D. 

      Remaike the bed.


  • 11. 
    During had washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The NEXT action is to
    • A. 

      Allow the water to run over the hands for two minutes.

    • B. 

      Dry the hands and turn off the faucet with th paper towel.

    • C. 

      Repeat the wash form the beginning.

    • D. 

      None of the above


  • 12. 
    When giving mouth care to an unconscious patient, the safest position to privent aspiraion is
    • A. 

      On her aor his back.

    • B. 

      In semi-Fowler's position.

    • C. 

      With the head turned to the side.

    • D. 

      In the supine position


  • 13. 
    Mr. Roark, a newly admitted conscious client, has been put to bed. Before leaving him alone, the FIRST ction would be to
    • A. 

      Ask him if he is hungry.

    • B. 

      Inspect his skin.

    • C. 

      Complete the listing of clothing and valuables.

    • D. 

      Make sure he knows how to use the call light.


  • 14. 
    Whe lifting a heavy object, the correct method would be to bend at the
    • A. 

      Wast, keeping your legs straight.

    • B. 

      Wast, rounding your shoulders.

    • C. 

      Knees, keeping your back straight.

    • D. 

      Knees and waist.


  • 15. 
    When cleaning a client's dentures at the sink the reason th either line the emesis basin wiht a paper towel or to fill the sink with water is to
    • A. 

      Prevent contamintion of the dentures.

    • B. 

      Hide the dentures from view.

    • C. 

      Guard against breaking the dentures.

    • D. 

      Protect the basin from scratches.


  • 16. 
    When assistin a client with eating, one of the FIRST things the nurse aide should do is
    • A. 

      Cut the food into large bite-size pieces.

    • B. 

      Wash his/her hads and the client's hands.

    • C. 

      Butter the client's bread.

    • D. 

      Provide the client with privacy.


  • 17. 
    A patien has a new cast on his right arm. While caring for him, it is improtant to FIRST observe for
    • A. 

      Pulse above the cast.

    • B. 

      Color and hardness of the cast.

    • C. 

      Warmth and color of fingers.

    • D. 

      Signs of crumbling at the cast end.


  • 18. 
    Encouraging a client to take part in activities fo daily living (ADLS) such as bathing, combing hair, and feedin is
    • A. 

      Done only when time permits.

    • B. 

      The family's reponsibility.

    • C. 

      Necessary for rhabilitation.

    • D. 

      A violation fo client rights.


  • 19. 
    In carin for a confused ederly man, it is improtant to remember to
    • A. 

      Keep the dedrails up excrpt when you are at the deside.

    • B. 

      Close the door to the room so that he does not disturb other patients

    • C. 

      Keep the room dark and quiet from becoming upset.

    • D. 

      Remind him each mourning to showe and shave independently.


  • 20. 
    Before assisting a client into wheelchair, the FISRT action would be to check if the
    • A. 

      Client is adequately covered.

    • B. 

      Floor is lippery.

    • C. 

      Door to the room is closed.

    • D. 

      Wheels fo the chair are locked.


  • 21. 
    While giving an unconsious patient a bath, it is important to
    • A. 

      Passive range of motion to all joints,

    • B. 

      Let the charge nurse exercie the patient's joints.

    • C. 

      Call the physical therapist to exercise the patient afterwards.

    • D. 

      Exercise the patient only if the doctor has ordered it


  • 22. 
    Yor are assigned to assist Mrs. Kelley with her lunch. She is on bed rest. The BEST position for her, if permitted, would be
    • A. 

      Tredelenberg position.

    • B. 

      Hyperextension.

    • C. 

      Legs dangling at the side of the bed.

    • D. 

      Fowler's position.


  • 23. 
    When moving a wheelchair onto and elevator, you should stay
    • A. 

      Behind the chair, pulling it toward you.

    • B. 

      Behind the chair, pushing it away from you.

    • C. 

      In fron of client to observe his or her condition.

    • D. 

      To the side and hold the door open.


  • 24. 
    The Foley bag must be kept lower than the client's bladder so that
    • A. 

      Urine will not leak out, soiling the bed.

    • B. 

      Urine will not return to the bladder, causing infection.

    • C. 

      The bag will be hidden and theclient will not be embarrassed.

    • D. 

      The client will be more comfortable in bed.


  • 25. 
    Mrs. Black is a diabetic. For her midafternoon nourishment, the kitchen has sent a cartoon of chocolate ice cream.Your FIRST action should be to
    • A. 

      Substitue diet cola for ice cream.

    • B. 

      Hold the nourishment adn report to the charge nurse.

    • C. 

      Ask the secretary to notify the kitchen of an errir,

    • D. 

      Ask Mrs. Black if she like ice cream.


  • 26. 
    When assisting a client to use the bedside commode, it is important to
    • A. 

      Leave the call light within reach.

    • B. 

      Place toilet tissue close by.

    • C. 

      Return to check on the client periodically.

    • D. 

      All of the above.


  • 27. 
    When assistin Mr. Byrd, a blind client, with his meal, it is NECESSARY to
    • A. 

      Sit next to him to help.

    • B. 

      Identify each item on his tray.

    • C. 

      Feed him so he won't spill his food

    • D. 

      Insist that he use only a spoon.


  • 28. 
    The purpose of cold applications is usually to
    • A. 

      Speed the flow of blood to the area.

    • B. 

      Prevent heat exhaustion.

    • C. 

      Prevent or reduce swelling.

    • D. 

      Prevent the formation of scar tissue.


  • 29. 
    The hot water bottle is an example of a
    • A. 

      Local dry heat application.

    • B. 

      Generalized dry heat application.

    • C. 

      Local moist heat appliction.

    • D. 

      Generalized moist heat application.


  • 30. 
    Clients receiving an enema are usully placed
    • A. 

      On the right side.

    • B. 

      On the left side.

    • C. 

      Flat on the back.

    • D. 

      In a semisitting position


  • 31. 
    A female client's perineal are should be cleansed before which specimen is collected?
    • A. 

      24-hor urine specimen

    • B. 

      Midstream clean-catch urine specimen.

    • C. 

      Pediatric routine urine specimen

    • D. 

      Routine urine specimen


  • 32. 
    The most common site for counting the pulse is the
    • A. 

      Carotid artery.

    • B. 

      Fermoral artery.

    • C. 

      Brachial artery.

    • D. 

      Radial artery.


  • 33. 
    Whe counting respirations, the nurse aide should
    • A. 

      Wait until after the client has exercised.

    • B. 

      Not tell the patient what you are going to do.

    • C. 

      Count five respirations and then check your watch.

    • D. 

      Have the client count respirations whilse you take her pulse.


  • 34. 
    With catherized patients, which of the following is NOT the nurse aide's responsibilty?
    • A. 

      Insertion of catheter

    • B. 

      Prevention of inferction

    • C. 

      Checking to make sure the catheter is drainin properly

    • D. 

      Recording output


  • 35. 
    When giving information to the charge nurse for an incident report, the nurse aide should
    • A. 

      Write in the client's chart that an incident occurred.

    • B. 

      Keep the report in you personal file.

    • C. 

      Stat the facts clearly.

    • D. 

      Give you opinions as to the cause of the incident.


  • 36. 
    All long-term-care nurse aides must be competency evaluated and must complete a distinct ecducaion course, These requiremnets are set by
    • A. 

      OBRA.

    • B. 

      OSHA.

    • C. 

      CDC.

    • D. 

      FDA.


  • 37. 
    Sexuality changes in aging can result in
    • A. 

      Decreased sexual desire.

    • B. 

      Unchanged sexual desire.

    • C. 

      Increased sexual desire.

    • D. 

      All of the above


  • 38. 
    When family members visit a client, the visitors should
    • A. 

      Stay in the day room.

    • B. 

      Stay a short while so as not to tire the client.

    • C. 

      Be expected to help with care.

    • D. 

      Be allowed privacy with the client.


  • 39. 
    You may attend resident council meetings in an eldercare facilty (ECF) if
    • A. 

      You are invited to attend.

    • B. 

      Your superior assigns you to attend.

    • C. 

      You are interested in what the residents are discussing.

    • D. 

      None of the above


  • 40. 
    Which of the followin is considered a client's right?
    • A. 

      Having curtains pulled during personal care

    • B. 

      Having pesonal information kept confidential

    • C. 

      Receiving and sending private mail

    • D. 

      All of the above


  • 41. 
    An ECF resident wishes to wash her own underwear. You should
    • A. 

      Ignore the request.

    • B. 

      Tell her that clothing must go to the laundry.

    • C. 

      Tell her you will do it.

    • D. 

      Help her obtain suppies.


  • 42. 
    In the long-term-care facility, the family members shuld be ased to
    • A. 

      Leave during treatments.

    • B. 

      Attend care-planning meetings.

    • C. 

      Avoid visiting during mealtimes.

    • D. 

      Help perform client care.


  • 43. 
    Sexuality in long-term-care clients may include all the following except
    • A. 

      Needing private time with a partner.

    • B. 

      Caring about one's physical appearance.

    • C. 

      Engaging in public fonding.

    • D. 

      Desirin sexual interaction.


  • 44. 
    Which statement about some patients with developmental disabilities is correct?
    • A. 

      They usually have no ADL skills.

    • B. 

      They are usually bed bound.

    • C. 

      They can learn, but at a slow pace.

    • D. 

      They are dangerous because they are always strong.


  • 45. 
    A goal for an ECF resident is that she not swear at times or aides. Whe she calls you by your name, your appropriate action is to
    • A. 

      Smile and give the appropriate reward.

    • B. 

      Continue whatever task that is being done.

    • C. 

      Tease the resident about not swearing.

    • D. 

      Tell all of the staff that she didn't swear.


  • 46. 
    An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to
    • A. 

      Turn on the light.

    • B. 

      Speak quietly and calmly.

    • C. 

      Touch her shoulder.

    • D. 

      Shout her name.


  • 47. 
    If a client objects to certain food for religious or cultural reasons, the appropriate action would be to
    • A. 

      Tell him to wait for the next meal.

    • B. 

      Offer to substitute something different for him.

    • C. 

      Call the dietician on the next day.

    • D. 

      Tell him he needs to eat what is on his tray.


  • 48. 
    The client's religion forbids eatin pork. Bacon is being served for breakfast. The MOST appropriated response is to
    • A. 

      Encourage the client to eat it because she needs protein.

    • B. 

      Tell the client it is all right since her doctor ordered the diet.

    • C. 

      Call the kitchen for a tray without bacon.

    • D. 

      Tell the client that restricion don't pertain in times of illness.


  • 49. 
    If a client asks a question you cannot answer, the best response is to
    • A. 

      Tell the client you will ask another aide.

    • B. 

      Ask the charge nurse to talk to the client.

    • C. 

      Call the doctor to talk to the client.

    • D. 

      Tell the client that you cannot answer the question.


  • 50. 
    Befor bathing a client, the nursina assistant should
    • A. 

      Close the door and pull the curtain

    • B. 

      Gather a change of clothing

    • C. 

      Check for a doctor's order

    • D. 

      All of the above


  • 51. 
    On enterin a room, you noticee that the client is no breathing. Your FIRST action should be to
    • A. 

      Call for help.

    • B. 

      Lay the client down onhis back.

    • C. 

      Give four qiuck breaths.

    • D. 

      Give 8-10 abdominal thrusts.


  • 52. 
    A client's dentures are lost, The first action would be to
    • A. 

      Notify the administrattor.

    • B. 

      Look for them.

    • C. 

      Notify the doctor.

    • D. 

      Notify the charge nurse.


  • 53. 
    As a nurse aide, it is you reposibility to
    • A. 

      Plan the client's care.

    • B. 

      Do the tasks the supervisor assigns to you.

    • C. 

      Do the best you can without asking for help.

    • D. 

      Compare assignments with your coworkers.


  • 54. 
    A patient turns on the call light when he needs to urinate. The apporpriate action is to
    • A. 

      Ignore the light since he is not your client.

    • B. 

      Announce on the intercom that there are two patients ahead fo him.

    • C. 

      Answer the call light and get the urinal.

    • D. 

      Answer the call light when you have the time.


  • 55. 
    A prosthesis is
    • A. 

      An artificial substitute for a missing body part.

    • B. 

      A device for moving patients.

    • C. 

      An expected condition of the aging process.

    • D. 

      A disease fo the circulatory system.


  • 56. 
    When performin catheter care, the nurse aide should wash the catheter
    • A. 

      Toward the meatus.

    • B. 

      With Betadine soap.

    • C. 

      Away from the meatus.

    • D. 

      With alcohol.


  • 57. 
    A nurse aide who applies restraints on a client without directions from the charge nurse may be accuesd of
    • A. 

      Slander.

    • B. 

      Battery.

    • C. 

      False imprisonment.

    • D. 

      Negligence.


  • 58. 
    H.S. care is care that is given
    • A. 

      Before meals.

    • B. 

      Before bedtime.

    • C. 

      After meals.

    • D. 

      Upon awakening,


  • 59. 
    The BEST food choices for a geriatric client with no teeth would include
    • A. 

      Hamburger,french fries, corn, and ice cream..

    • B. 

      Baked chicken, dressin, green beans, and coconut macroons.

    • C. 

      Spare ribs, macaroni and cheese, coleslaw, and fruit cicktail.

    • D. 

      Baked fish whipped potatoes, spinach souffle.


  • 60. 
    The family wants to talk about Bill's approaching death,but Bill does not.The family should be encouraged to
    • A. 

      Carry on the conversation away from Bill.

    • B. 

      Talk freely in the room regardless of Bill's wishes.

    • C. 

      Wait until Bill dies.

    • D. 

      Try to encourage Bill to take part in the cnoversation.


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