Advanced Certified Nursing Assistant Practice Test!

53 Questions | Total Attempts: 18621

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Advanced Certified Nursing Assistant Practice Test!

A nurse's job is not a nut job but more of a serious duty which must be carried out with dedication and persistence. But before reaching their you must have the certification exam cleared which again requires hard work. So, that's why this quiz is created to help you prepare for the exam. Take it, examine and keep your knowledge updated. All the best!


Questions and Answers
  • 1. 
    It is important to practice standard precautions when:
    • A. 

      Dressing a patient

    • B. 

      Feeding a patient

    • C. 

      Providing oral hygiene

    • D. 

      Ambulating a patient

  • 2. 
    What position should a patient be in to receive an enema?
    • A. 

      Supine

    • B. 

      Fowler's

    • C. 

      Prone

    • D. 

      Left Sim's

  • 3. 
    Which of the following lists only items that would be included in the fluid intake?
    • A. 

      Milk, ham sandwich, and ice cream bar

    • B. 

      Water, mashed potatoes, and gelatin

    • C. 

      Milk, custard, and soup

    • D. 

      Orange juice, soft boiled eggs, and toasts

  • 4. 
    The nurse aide must use a stethoscope to determine:
    • A. 

      The apical pulse rate

    • B. 

      The carotid pulse rate

    • C. 

      The popliteal pulse rate

    • D. 

      The brachial pulse rate

  • 5. 
     Another name for urination:
    • A. 

      Defecation

    • B. 

      Voiding

    • C. 

      Wetting the bed

    • D. 

      Flatus

  • 6. 
    • A. 

      Massage her legs with lotion

    • B. 

      Ask the nurse to check the client immediately

    • C. 

      Have the client walk to relieve the cramp

    • D. 

      Assess the soreness every hour for a few hours

  • 7. 
    An example of possible contamination through direct contact is:
    • A. 

      Cleaning a bedpan

    • B. 

      Touching used linens

    • C. 

      Being sneezed on

    • D. 

      Using a doorknob

  • 8. 
    • A. 

      Attempt to get the resident out of the room and close the door

    • B. 

      Get the fire extinguisher and put out the fire

    • C. 

      Take away the resident's cigarettes

    • D. 

      Pull the fire alarm

  • 9. 
    To place a client in good alignment, the nurse aide should:
    • A. 

      Keep the client's joint well lubricated.

    • B. 

      Keep the clients straight as possible.

    • C. 

      Keep bed linens wrinkle free.

    • D. 

      Ambulate the client at least twice day.

  • 10. 
    When a dressing a client with left-sided weakness, it is important for the nurse aide to begin dressing him:
    • A. 

      On the right side.

    • B. 

      On the left side.

    • C. 

      When he is lying flat in bed.

    • D. 

      As he lies on either side.

  • 11. 
    Which of the following conditions need to be reported immediately to the charge nurse?
    • A. 

      Rash that appears suddenly

    • B. 

      Warm, dry, and pink skin

    • C. 

      Tough skin on the feet

    • D. 

      Scarred skin

  • 12. 
    • A. 

      Scold him and tell him never to smoke unsupervised again.

    • B. 

      Remain with the patient until he finishes smoking.

    • C. 

      Tell another coworker.

    • D. 

      Call the charge nurse to supervise.

  • 13. 
    A client with a broken hip needs an enema. The best bedpan to use would be a:
    • A. 

      Fracture pan

    • B. 

      Plastic pan

    • C. 

      Pediatric pan

    • D. 

      Metal pan

  • 14. 
    Which of the following is true about visually challenged clients?
    • A. 

      They prefer to eat alone.

    • B. 

      They use a "clock" system to find their food.

    • C. 

      They prefer to be fed.

    • D. 

      They need liquid diets.

  • 15. 
    Before ambulating a client who has a Foley catheter, the nurse aide should first:
    • A. 

      Clamp off the catheter and disconnect it.

    • B. 

      Let the bag dangle between the client's legs.

    • C. 

      Carry the bag below bladder level.

    • D. 

      Hide the bag in a pillow case.

  • 16. 
    A resident is walking back and forth in the hall. The nurse aide should:
    • A. 

      Restrain the resident.

    • B. 

      Walk with the resident.

    • C. 

      Place the resident in a locked room.

    • D. 

      Continue to observe the client.

  • 17. 
    • A. 

      Hold the transfer belt and lean against the wall.

    • B. 

      Call for help.

    • C. 

      Grasp the belt and lower the client to the floor.

    • D. 

      Hold the client tightly to prevent falling.

  • 18. 
    The best way to measure accurate daily weights is to:
    • A. 

      Weigh the client without clothing.

    • B. 

      Weigh the client fully clothed.

    • C. 

      Weigh the client at the same time and day.

    • D. 

      Weigh the client after breakfast.

  • 19. 
    • A. 

      Tell her not to worry because the baby will be fine.

    • B. 

      Tell her the aide will call the baby's doctor.

    • C. 

      Ask her if she is upset with her doll.

    • D. 

      Tell her the bay is not real.

  • 20. 
    Padded side rails are used to:
    • A. 

      Keep the client in bed.

    • B. 

      Protect the client from injury.

    • C. 

      Provide additional warmth.

    • D. 

      Remind the client of home.

  • 21. 
    A nurse aide is recording the output of a resident who has a Foley catheter. She sees the urine bag is empty.  What should she do first?
    • A. 

      Irrigate the catheter.

    • B. 

      Check for kinks in the tube.

    • C. 

      Replace the drainage bag.

    • D. 

      Replace the catheter.

  • 22. 
    • A. 

      Call for help.

    • B. 

      Offer her drink of water.

    • C. 

      Hit her on the back.

    • D. 

      Perform the Heimlich maneuver.

  • 23. 
    A client who has not had a bowel movement in five days. He may also complain of:
    • A. 

      Nausea

    • B. 

      Headache

    • C. 

      Leg cramps

    • D. 

      Chest pain

  • 24. 
    A client who is weak and unsteady needs to urinate. The nurse aide can safely leave him alone to use a:
    • A. 

      Commode

    • B. 

      Toilet

    • C. 

      Bedpan

    • D. 

      Urinal

  • 25. 
    • A. 

      Placed in the linen hamper.

    • B. 

      Discarded.

    • C. 

      Bagged before removing from the room.

    • D. 

      Taken directly to the laundry.

  • 26. 
    If a resident begins to choke while being fed and is unable to speak, the nurse aide should call for help and begin doing:
    • A. 

      Back blows.

    • B. 

      Mouth-to-mouth ventilation.

    • C. 

      A finger sweep.

    • D. 

      Abdominal thrusts.

  • 27. 
    When making a bed, the nurse aide should place the soiled linen:
    • A. 

      In a red plastic bag.

    • B. 

      On the bedside table.

    • C. 

      On the floor.

    • D. 

      In a laundry bag.

  • 28. 
    The ABC's of emergency care stands for:
    • A. 

      Airway, breathing, and circulation

    • B. 

      Action before calling

    • C. 

      Airway before circulation

    • D. 

      Action, benefit, and contact

  • 29. 
    When forcing fluids, the nurse aide should offer:
    • A. 

      Clear fluids only.

    • B. 

      At least 5,000 cc of fluid per shift.

    • C. 

      Fluids every hour.

    • D. 

      High calorie fluids.

  • 30. 
    When caring for a hearing impaired client, the nursing assistant should do all of the following except:
    • A. 

      Stand or sit facing the client.

    • B. 

      Speak clearly and softy.

    • C. 

      Raise your voice.

    • D. 

      Use simple words and sentences.

  • 31. 
    Security of a client's dentures includes:
    • A. 

      Keeping them in a tissue in a dresser drawer.

    • B. 

      Placing them in a labeled denture cup.

    • C. 

      Insisting the client wear the denture.

    • D. 

      Placing an identifying mark on the dentures.

  • 32. 
    While caring for a client, a nurse aide accidentally gets blood in her eyes. The nurse aide should first:
    • A. 

      Rinse them out with clear water.

    • B. 

      Call 911.

    • C. 

      Report the incident to the charge nurse.

    • D. 

      Document it.

  • 33. 
    A client drinks four ounces of juice. The nurse aides would document this as:
    • A. 

      4 ounces.

    • B. 

      Four ounces.

    • C. 

      One cup.

    • D. 

      120 cc.

  • 34. 
    When using client restraints, the nurse aide should:
    • A. 

      Observe skin irritation.

    • B. 

      Disallow the client to drink.

    • C. 

      Release the restraints every four hours.

    • D. 

      Leave the client alone to rest.

  • 35. 
    Which of the following vital signs should be reported immediately?
    • A. 

      T-98.6, P-70, R-14, BP-120/60

    • B. 

      T-95.4, P-40, R-10, BP-80/40

    • C. 

      T-98.8"R", P-60, R-20, BP-132/70

    • D. 

      T-97.6 "ax:, P-78, R-16, BP-110/60

  • 36. 
    Examples of client abuse include all of the following except:
    • A. 

      Forcing clients fingers off the side rail.

    • B. 

      Deliberately leaving the call bell out of reach.

    • C. 

      Turning the light out against the client's wishes.

    • D. 

      Using gloves to provide peri-care.

  • 37. 
    When bathing a client, the nurse aide recognizes which of the following as the first sign of a pressure sore?
    • A. 

      Redness

    • B. 

      Swelling

    • C. 

      Numbness

    • D. 

      Pain

  • 38. 
    Nurse aide should wash their hands in all of the following situations except:
    • A. 

      Before going to the bathroom.

    • B. 

      After each client contact.

    • C. 

      Before eating.

    • D. 

      After changing dressings.

  • 39. 
    • A. 

      Ignore it if the resident does not complain.

    • B. 

      Wash if it see if it disappears.

    • C. 

      Rub it with alcohol to dry it out.

    • D. 

      Notify the charge nurse of the rash.

  • 40. 
    The nursing assistant should tell clients:
    • A. 

      How to dress.

    • B. 

      How to call for help.

    • C. 

      That things will get better.

    • D. 

      That there is nothing to worry about.

  • 41. 
    A client begins to have a seizure while the nurse aide is bathing him. The nurse aide should:
    • A. 

      Hold him down to prevent him from falling.

    • B. 

      Put a tongue depressor in his mouth.

    • C. 

      Protect him from injuring himself.

    • D. 

      Run out of the room and get help.

  • 42. 
    Sputum is best collected:
    • A. 

      Just before bedtime.

    • B. 

      In the afternoon.

    • C. 

      Upon awakening in the morning.

    • D. 

      Anytime.

  • 43. 
    To change direction, a nurse aide should:
    • A. 

      Turn her whole body by moving her feet.

    • B. 

      Twist from the waist.

    • C. 

      Move her body in sections.

    • D. 

      Move her body very slowly.

  • 44. 
    When repositioning a heavy client, the nurse aide should:
    • A. 

      Attempt to move the client alone.

    • B. 

      Let the family move the client.

    • C. 

      Get another aide to help.

    • D. 

      Move the client later.

  • 45. 
    • A. 

      At the side of the bed, facing the head of the bed.

    • B. 

      At the foot of the bed.

    • C. 

      At the head of the bed.

    • D. 

      At the sided of the bed, facing the foot of the bed.

  • 46. 
    Transferring a client from a bed to a stretcher requires that the nurse aide use:
    • A. 

      Proper body mechanics.

    • B. 

      A Hoyer Lift.

    • C. 

      A minimum of three coworkers.

    • D. 

      A mobility mattress.

  • 47. 
    • A. 

      Dressing is a waste of time for a handicapped resident.

    • B. 

      Residents are used to dressing in front of others.

    • C. 

      Residents care about what they wear.

    • D. 

      Residents like the nurse aide to dress them.

  • 48. 
    Which of the following is an example of a client's delusion?
    • A. 

      Seeing demons.

    • B. 

      Feeling imaginary bugs crawl on his arms.

    • C. 

      Thinking that the CIA is secretly watching him.

    • D. 

      Hearing voices demand the he escapes from the facility.

  • 49. 
    Reality orientation techniques include all of the following except:
    • A. 

      Labeling items in the client's room.

    • B. 

      Putting up calendars and clocks.

    • C. 

      Using familiar items in the client's room.

    • D. 

      Reminding a client that his spouse is deceased.

  • 50. 
    A young resident with muscular dystrophy talks about wanting a boyfriend. This feeling is best described as:
    • A. 

      Normal

    • B. 

      Hopeless

    • C. 

      Unrealistic

    • D. 

      Confused

  • 51. 
    A nurse aide walks in a client masturbating in his bathroom. The nurse aide should:
    • A. 

      Insist that the client stop.

    • B. 

      Ask the client why he is engaging in this behavior.

    • C. 

      Report it to the charge nurse.

    • D. 

      Allow the client privacy.

  • 52. 
    When providing postmortem care, the nurse aide must:
    • A. 

      Ensure that a family member is present.

    • B. 

      Having a coworker assist her.

    • C. 

      Wear gloves.

    • D. 

      Contact the funeral director for instructions.

  • 53. 
    • A. 

      Unconscious clients may be able to hear you speak to them during the bath.

    • B. 

      Unconscious clients can turn in bed when asked.

    • C. 

      Unconscious clients do not need to be observed for decubiti.

    • D. 

      Unconscious clients have very moist skin.