CNA Nursing Exam Prep Test

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CNA Nursing Exam Prep Test - Quiz


This is probably the most challenging CNA nursing practice. A certified nursing assistant is tasked with taking care of a patient to get back to being healthy. The nurses help clean the patients, watch their vitals, and even tend to some of the problems patients may have. This is perfect for testing out if you have the skill set required for someone holding this position. Do give it a try!


Questions and Answers
  • 1. 

    Which body system controls and coordinates all body activities?

    • A. 

      Endocrine

    • B. 

      Musculoskeletal

    • C. 

      Nervous

    • D. 

      Reproductive

    Correct Answer
    C. Nervous
    Explanation
    The nervous system controls and coordinates all body activities. It consists of the brain, spinal cord, and nerves, which transmit signals throughout the body. This system is responsible for receiving sensory information, processing it, and sending appropriate motor responses. It regulates various bodily functions, including movement, sensation, thinking, and memory. The endocrine system, on the other hand, regulates body functions through the release of hormones, while the musculoskeletal system provides support and enables movement. The reproductive system is responsible for the production of offspring.

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  • 2. 

    Mrs. Anderson is experiencing pain in her muscles and joints. Which of her body systems if affected?

    • A. 

      Cardiovascular

    • B. 

      Musculoskeletal

    • C. 

      Endocrine

    • D. 

      Respiratory

    Correct Answer
    B. Musculoskeletal
    Explanation
    Mrs. Anderson is experiencing pain in her muscles and joints, indicating that her musculoskeletal system is affected. The musculoskeletal system includes the muscles, bones, joints, ligaments, and tendons, which work together to provide support, movement, and protection for the body. Pain in these areas suggests a problem within this system, such as muscle strain, arthritis, or a bone injury. The cardiovascular system is responsible for the circulation of blood, the endocrine system regulates hormones, and the respiratory system is involved in breathing. Therefore, these systems are not directly related to Mrs. Anderson's symptoms of muscle and joint pain.

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  • 3. 

    Which of the following is an observation to report regarding vital signs?

    • A. 

      Dilated pupils

    • B. 

      Gassiness

    • C. 

      Irregular pulse rhythm

    • D. 

      No appetite

    Correct Answer
    C. Irregular pulse rhythm
    Explanation
    An observation to report regarding vital signs is an irregular pulse rhythm. This refers to an abnormality in the regularity of the heartbeat, indicating potential cardiovascular issues. It is important to report this observation as it could be indicative of an underlying medical condition that needs further evaluation and treatment. Dilated pupils, gassiness, and no appetite are not related to vital signs and would not be considered observations to report in this context.

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  • 4. 

    Constant, comes and goes, sharp, dull, and aching are all possible descriptions of:

    • A. 

      Chills

    • B. 

      Halitosis

    • C. 

      Nausea

    • D. 

      Pain

    Correct Answer
    D. Pain
    Explanation
    The given descriptions - constant, comes and goes, sharp, dull, and aching - are all possible ways to describe pain. Chills, halitosis, and nausea do not fit these descriptions and are not typically associated with these qualities. Therefore, pain is the correct answer.

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  • 5. 

    Which of the following is a guideline for reporting observations in status change?

    • A. 

      Diagnose the resident's condition

    • B. 

      Don't make judgments; be objective

    • C. 

      Ignore symptoms that the resident mentions

    • D. 

      Report your personal feelings during incidents

    Correct Answer
    B. Don't make judgments; be objective
    Explanation
    When reporting observations in a status change, it is important to not make judgments and instead be objective. This means that the individual should focus on reporting the facts and what they have observed without adding their personal opinions or biases. By doing so, the information reported will be more accurate and reliable, allowing for appropriate actions to be taken based on the objective observations.

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  • 6. 

    Which of the following is the correct way for me to sign my name?

    • A. 

      T. Orick

    • B. 

      T. Orick, CNA

    • C. 

      Tiffany Orick

    • D. 

      Tiffany Orick, CNA

    Correct Answer
    B. T. Orick, CNA
    Explanation
    The correct way for the person to sign their name is "T. Orick, CNA." This includes their initial, last name, and professional designation.

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  • 7. 

    You have made an error in charting on a resident's chart. Which one of the following examples below is the procedure for correcting it?

    • A. 

      Draw one line through it, write the word "error," and sign your name

    • B. 

      Draw one line through it, write the words "mistaken entry," and initial

    • C. 

      Erase the error, write the words "mistaken entry," and sign your name

    • D. 

      Mark several lines through it, write the word "error," and initial

    Correct Answer
    B. Draw one line through it, write the words "mistaken entry," and initial
    Explanation
    To correct an error in charting on a resident's chart, the correct procedure is to draw one line through the error, write the words "mistaken entry," and initial it. This method ensures that the original information is still visible, but clearly marked as an error. By writing the words "mistaken entry" and initialing it, it provides a clear indication that the entry was made in error and who made the correction. This helps maintain the accuracy and integrity of the resident's chart.

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  • 8. 

    Which of the following is correct about a mercury manometer?

    • A. 

      The dial is marked off from 10 to 400

    • B. 

      The dial has measurements for each five points

    • C. 

      The small lines between the lines represent two-point intervals

    • D. 

      View the dial with your eye above the top of the mercury column

    Correct Answer
    C. The small lines between the lines represent two-point intervals
    Explanation
    The correct answer is that the small lines between the lines on the dial of a mercury manometer represent two-point intervals. This means that each small line on the dial represents a difference of two units or points. This information is important for accurately reading and interpreting the measurements on the manometer.

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  • 9. 

    Which of the following is correct about the use of a stethoscope in taking blood pressure?

    • A. 

      Place your thumb on the diaphragm for support

    • B. 

      Use your fingers to hold the diaphragm in place

    • C. 

      Position for use with the earpieces facing backward

    • D. 

      Place the bell side of the diaphragm on teh brachial pulse

    Correct Answer
    B. Use your fingers to hold the diaphragm in place
    Explanation
    When using a stethoscope to take blood pressure, it is correct to use your fingers to hold the diaphragm in place. This helps to ensure that the diaphragm is properly positioned and allows for accurate sound transmission. By holding the diaphragm with your fingers, you can also control the pressure applied to the patient's skin, which can affect the quality of the sound heard. This technique helps to improve the accuracy of blood pressure measurements.

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  • 10. 

    Which of the following statements is correct about measuring blood pressure?

    • A. 

      Don't take a BP on an arm with an IV

    • B. 

      A noisy room is not a problem when taking a BP

    • C. 

      The diastolic readisng is the first sound you hear

    • D. 

      The arm should be above teh heart for an accurate reading

    Correct Answer
    A. Don't take a BP on an arm with an IV
    Explanation
    Taking blood pressure on an arm with an IV is not correct because it can lead to inaccurate readings. The presence of an IV can affect the blood flow and cause interference with the measurement. It is recommended to choose an arm without an IV for accurate blood pressure measurement.

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  • 11. 

    Care plan is described as a:

    • A. 

      Plan of action for a few resident with special problems

    • B. 

      Form of vebal communication

    • C. 

      Plan of action developed only by the resident and family

    • D. 

      Plan of action for all residents to fulfill their basic needs

    Correct Answer
    D. Plan of action for all residents to fulfill their basic needs
    Explanation
    A care plan is a comprehensive plan of action that is developed for all residents in order to fulfill their basic needs. It includes various aspects such as medical care, personal care, social activities, and emotional support. The purpose of a care plan is to ensure that each resident receives the necessary care and support to maintain their overall well-being. This plan is typically developed by a team of healthcare professionals, including doctors, nurses, and therapists, in collaboration with the resident and their family. It is regularly reviewed and updated to ensure that it continues to meet the changing needs of the residents.

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  • 12. 

    The care plan is developed by:

    • A. 

      Considering teh schedule of teh physician and other specialized medical staff

    • B. 

      Setting short- and long-term goals and means of achieving them

    • C. 

      Having the nurse assistant assess the resident's needs

    • D. 

      Creating a weekly schedule of activities for the resident

    Correct Answer
    B. Setting short- and long-term goals and means of achieving them
    Explanation
    The care plan is developed by setting short- and long-term goals and means of achieving them. This involves identifying the specific needs of the resident and creating a plan to address those needs. By setting goals, the care team can work towards improving the resident's health and well-being. The means of achieving these goals may include medical treatments, therapies, and interventions. This process ensures that the care provided is tailored to the individual resident and their unique needs.

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  • 13. 

    One goal of the care plan is to:

    • A. 

      Allow the resident's family to make all decisions concerning care given

    • B. 

      Assist the resident in fulfilling basic human needs and ADLs

    • C. 

      Tell the physician and medical staff what the resident's needs are

    • D. 

      Provide a plan that only the nurse assistant will know what has to be done for the resident

    Correct Answer
    B. Assist the resident in fulfilling basic human needs and ADLs
    Explanation
    The goal of the care plan is to assist the resident in fulfilling basic human needs and ADLs. This means that the care plan aims to provide support and assistance to the resident in meeting their daily needs such as eating, bathing, dressing, and mobility. It focuses on promoting the resident's independence and well-being by helping them maintain their physical and emotional health. By addressing these basic needs, the care plan aims to improve the resident's quality of life and overall functioning.

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  • 14. 

    Which of the following is the correct technique for answering the telephone?

    • A. 

      Tell the caller the charge nurse is busy and to call back later

    • B. 

      Identify yourself and the facility

    • C. 

      Tell the caller you are too busy to take a message

    • D. 

      Identify the facility but do not give your name

    Correct Answer
    B. Identify yourself and the facility
    Explanation
    The correct technique for answering the telephone is to identify yourself and the facility. This is important for professional communication and to provide clarity to the caller. By stating your name and the facility, the caller knows who they are speaking with and where they have reached. This helps to establish trust and ensures that the caller's needs can be addressed appropriately.

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  • 15. 

    Which of the following is an age-related change affecting the sensory system?

    • A. 

      Less hormone and adrenal production

    • B. 

      Decreased number of olfactory bulbs

    • C. 

      Stiffening of muscles and joints

    • D. 

      Loss of teeth and weakened gums

    Correct Answer
    B. Decreased number of olfactory bulbs
    Explanation
    As individuals age, they may experience a decreased number of olfactory bulbs, which are responsible for the sense of smell. This age-related change can result in a reduced ability to detect and differentiate smells. It is a natural part of the aging process and can contribute to a decreased enjoyment of food and a diminished ability to detect odors in the environment.

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  • 16. 

    An example of a loss that the resident may have experienced is:

    • A. 

      A lifetime of experience

    • B. 

      Spouse, friends, or pet

    • C. 

      Spiritual values and concerns

    • D. 

      Right to vote

    Correct Answer
    B. Spouse, friends, or pet
    Explanation
    The loss of a spouse, friends, or pet is an example of a loss that a resident may have experienced. Losing someone close to them, whether it be a spouse, friend, or beloved pet, can be a significant loss that can cause emotional pain and grief. These relationships provide companionship, love, and support, and losing them can leave a void in the resident's life. This loss can be particularly difficult for older adults who may have relied on these relationships for a sense of purpose and connection.

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  • 17. 

    The nurse assistant can help meet the resident's spiritual needs by:

    • A. 

      Providing time for pleasant meals

    • B. 

      Sharing the same spiritual beliefs

    • C. 

      Talking with and listening to the resident

    • D. 

      Enabling the confused resident to communicate

    Correct Answer
    C. Talking with and listening to the resident
    Explanation
    The nurse assistant can help meet the resident's spiritual needs by talking with and listening to the resident. This is because spiritual needs often involve the need for emotional support, understanding, and someone to talk to. By engaging in conversation and actively listening to the resident, the nurse assistant can provide a safe space for the resident to express their thoughts, concerns, and beliefs. This can help foster a sense of connection, comfort, and validation for the resident, ultimately meeting their spiritual needs.

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  • 18. 

    The definition of "confusion" is:

    • A. 

      Overreacting to circumstances

    • B. 

      Sensory perceptions that seem real

    • C. 

      Behavior problem that is worse in the evening

    • D. 

      Disoreintation to time, place, and/or person

    Correct Answer
    D. Disoreintation to time, place, and/or person
    Explanation
    The correct answer is "disorientation to time, place, and/or person." Confusion refers to a state of mental disarray or lack of clarity, where an individual may struggle to understand or make sense of their surroundings. This can manifest as a difficulty in recognizing the current time, location, or even the people around them. It is characterized by a sense of being lost or unsure of one's surroundings, leading to a state of disorientation.

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  • 19. 

    Which of the following is a correct nursing approach for the resident who is confused?

    • A. 

      If you treat the resident like a child, he/she will be happier

    • B. 

      It is important to create a calm, orderly routing for the resident who is confused

    • C. 

      Keep resident's glasses or hearing aid because he/she might lose them

    • D. 

      Never talk about the past with a resident who is confused

    Correct Answer
    B. It is important to create a calm, orderly routing for the resident who is confused
    Explanation
    Creating a calm, orderly routine for a resident who is confused is a correct nursing approach because it helps provide structure and familiarity, which can reduce anxiety and confusion. A routine can help the resident feel more secure and comfortable in their environment, making it easier for them to navigate their day-to-day activities. By establishing a consistent schedule, caregivers can also anticipate and meet the resident's needs more effectively, promoting their overall well-being and quality of life.

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  • 20. 

    Which of the following changes is a normal part of the aging nervous system?

    • A. 

      Mild slowing of movement

    • B. 

      Severe confusion

    • C. 

      Continuous forgetfulness

    • D. 

      Mild personality change

    Correct Answer
    A. Mild slowing of movement
    Explanation
    As individuals age, it is common for their nervous system to experience a mild slowing of movement. This can be attributed to the natural decline in nerve cell function and the decrease in neurotransmitter production. This slowing of movement may result in a decrease in reaction time and a slight decrease in overall mobility. However, severe confusion, continuous forgetfulness, and mild personality changes are not considered normal parts of the aging nervous system and may indicate underlying medical conditions such as dementia or neurodegenerative diseases.

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  • 21. 

    A sudden damage to the brain due to either hemorrhage or blockage of an artery is called:

    • A. 

      Multiple sclerosis

    • B. 

      Agnosia

    • C. 

      A catastrophic reaction

    • D. 

      A cerebrovascular accident

    Correct Answer
    D. A cerebrovascular accident
    Explanation
    A sudden damage to the brain can occur due to either hemorrhage or blockage of an artery, which is known as a cerebrovascular accident. This condition, also commonly referred to as a stroke, can lead to various neurological symptoms depending on the area of the brain affected. It is a medical emergency that requires immediate attention and treatment to minimize brain damage and prevent further complications. Multiple sclerosis, agnosia, and a catastrophic reaction are unrelated conditions and do not specifically refer to sudden brain damage caused by hemorrhage or artery blockage.

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  • 22. 

    The NA is responsible for:

    • A. 

      Checking the activity calendar daily

    • B. 

      Assessing how well the resident performs activities

    • C. 

      Developing new activities for the resident

    • D. 

      Contacting the family if the resident is unwilling to participate

    Correct Answer
    A. Checking the activity calendar daily
    Explanation
    The correct answer is checking the activity calendar daily. The NA, or Nursing Assistant, is responsible for ensuring that the resident's daily activities are properly scheduled and organized. By checking the activity calendar daily, the NA can ensure that the resident is aware of their activities and can participate in them as needed. This helps to promote a structured and engaging environment for the resident's overall well-being.

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  • 23. 

    The NA can participate in the activity program by:

    • A. 

      Assessing how well the resident performs the activity

    • B. 

      Selecting activities that the NA enjoys

    • C. 

      Devising new ways to conduct the activity

    • D. 

      Playing checkers with the resident

    Correct Answer
    D. Playing checkers with the resident
    Explanation
    The correct answer is playing checkers with the resident. This is because the question is asking how the NA can participate in the activity program. Out of the given options, playing checkers with the resident is the only choice that directly involves the NA actively participating in the activity program. Assessing the resident's performance, selecting activities the NA enjoys, and devising new ways to conduct the activity are all important tasks, but they do not involve the NA directly participating in the activity program.

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  • 24. 

    Which area of an individual's life is affected by his/her culture?

    • A. 

      Life expectancy

    • B. 

      Physical appearance

    • C. 

      Personal values

    • D. 

      Genetic coding

    Correct Answer
    C. Personal values
    Explanation
    An individual's culture significantly influences their personal values. Culture shapes the beliefs, attitudes, and behaviors that individuals adopt and consider important. It provides a framework for understanding what is considered right or wrong, acceptable or unacceptable within a particular society or community. Personal values, such as honesty, respect, or loyalty, are often deeply rooted in cultural norms and traditions. They guide individuals' decisions, relationships, and overall outlook on life. Therefore, culture plays a crucial role in shaping an individual's personal values and subsequently influencing various aspects of their life.

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  • 25. 

    Culture is NOT

    • A. 

      Genetically determined

    • B. 

      Continuous and ongoing

    • C. 

      Passed on from generation to generation

    • D. 

      Socially learned

    Correct Answer
    A. Genetically determined
    Explanation
    Culture is not genetically determined because it is not inherited through genes or biological factors. Instead, culture is acquired through socialization and learning from one's environment and society. It is a result of the interactions, beliefs, values, traditions, and practices that are passed on from generation to generation. While individuals may inherit certain physical traits from their ancestors, culture is a product of social learning and not determined by genetics.

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  • 26. 

    A NA can become familiar with a resident's customs or cultural beliefs by:

    • A. 

      Reading books on cultural diversity

    • B. 

      Asking the resident where he/she is from

    • C. 

      Revieing the information in the care plan

    • D. 

      Talking to coworkers who have a similar background

    Correct Answer
    C. Revieing the information in the care plan
    Explanation
    The correct answer is reviewing the information in the care plan. The care plan is a comprehensive document that contains important information about the resident, including their cultural beliefs and customs. By reviewing the care plan, a NA can gain knowledge about the resident's background and preferences, allowing them to provide culturally sensitive care. Reading books on cultural diversity and talking to coworkers may provide some general knowledge, but they may not provide specific information about the resident in question. Asking the resident where they are from may be an option, but it is not always appropriate or necessary.

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  • 27. 

    When giving postmortem care, the CNA should

    • A. 

      Perform this procedue alone to ensure respect for resident

    • B. 

      Elevate the HOB slightly to prevent discoloration of the face

    • C. 

      Arrange for legal and financial counseling

    • D. 

      Be sure dentures stay in the body

    Correct Answer
    B. Elevate the HOB slightly to prevent discoloration of the face
    Explanation
    When giving postmortem care, it is important to elevate the head of the bed (HOB) slightly. This helps to prevent blood pooling and discoloration of the face. By elevating the HOB, gravity helps to redistribute the blood and fluids in the body, reducing the likelihood of discoloration. This is an important aspect of providing respectful and dignified care to the deceased resident.

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  • 28. 

    The goal of hospice care is to:

    • A. 

      Encourage aggressive treatment in attempt to cure the patient

    • B. 

      Provide comfort to terminally ill patients and their families

    • C. 

      Assist the patient when making out his/her will

    • D. 

      Ensure that all patients are in the hospital when they are dying

    Correct Answer
    B. Provide comfort to terminally ill patients and their families
    Explanation
    Hospice care aims to provide comfort to terminally ill patients and their families. This type of care focuses on enhancing the quality of life for patients who are nearing the end of their lives. It involves managing pain and symptoms, offering emotional and spiritual support, and ensuring that the patient's physical, emotional, and psychological needs are met. Hospice care does not aim to cure the patient or provide aggressive treatment but rather focuses on providing compassionate and holistic care during the end-of-life journey.

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  • 29. 

    What is a method of entry for microorganisms

    • A. 

      Secretions from the reproductive tract

    • B. 

      Breaks in the skin or mucus membrane

    • C. 

      In the resident's bloodstream

    • D. 

      Through drainage from wounds

    Correct Answer
    B. Breaks in the skin or mucus membrane
    Explanation
    Microorganisms can enter the body through breaks in the skin or mucus membrane. These breaks can be caused by injuries, cuts, or even small openings in the skin. Similarly, the mucus membrane, which lines various body cavities, can provide a pathway for microorganisms to enter. Once inside, these microorganisms can cause infections and spread throughout the body. Therefore, breaks in the skin or mucus membrane serve as a common method of entry for microorganisms.

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  • 30. 

    Which of the following is considered a BOdy Substance Precaution

    • A. 

      Wear gloves when there is contact with body fluids

    • B. 

      Store lab specimens in a refrigerator containing food and drink

    • C. 

      Use label from the Centers from Diesease Control and Prevention to identify infections

    • D. 

      Recap disposable razors and store in clean location

    Correct Answer
    A. Wear gloves when there is contact with body fluids
    Explanation
    Wearing gloves when there is contact with body fluids is considered a Body Substance Precaution because it helps to protect against the transmission of infectious diseases and reduces the risk of exposure to potentially harmful substances. Gloves act as a barrier between the healthcare worker and the body fluids, preventing direct contact and minimizing the chances of contamination or infection. This precaution is important in healthcare settings to ensure the safety of both the healthcare workers and the patients.

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  • 31. 

    For the resident in contact precautions, the NA would use:

    • A. 

      Mask only

    • B. 

      Gown and gloves

    • C. 

      Mask and gloves

    • D. 

      Gown, gloves, and mask

    Correct Answer
    B. Gown and gloves
    Explanation
    In contact precautions, the NA would use a gown and gloves. Contact precautions are used to prevent the spread of infectious diseases that are transmitted through direct contact with the resident or their environment. Wearing a gown and gloves provides a barrier between the NA and the resident, reducing the risk of transmission of pathogens. Using a mask is not necessary unless there is a risk of respiratory droplet transmission. Therefore, the correct answer is gown and gloves.

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  • 32. 

    The water temperature for the tub bath should be:

    • A. 

      98*

    • B. 

      100*

    • C. 

      105*

    • D. 

      110*

    Correct Answer
    C. 105*
    Explanation
    The correct answer is 105*. This temperature is considered ideal for a tub bath as it is warm enough to provide relaxation and comfort, but not too hot to cause discomfort or burns. Water at this temperature can help soothe muscles, relieve tension, and promote relaxation. It is important to ensure that the water is not too hot to avoid any potential harm or discomfort to the person taking the bath.

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  • 33. 

    The resident in a shower chair should be placed:

    • A. 

      Facing the door of the shower stall

    • B. 

      As close as possible to the shower nozzle

    • C. 

      Facing the inside of the shower stall

    • D. 

      About 2 feet from the shower nozzle

    Correct Answer
    A. Facing the door of the shower stall
    Explanation
    The resident in a shower chair should be placed facing the door of the shower stall to ensure their safety and comfort. This position allows the resident to easily enter and exit the shower, as well as have a clear view of their surroundings. Placing them facing the inside of the shower stall may cause them to feel claustrophobic or disoriented. Being as close as possible to the shower nozzle or about 2 feet from it may result in water splashing onto the resident, potentially causing discomfort or a safety hazard.

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  • 34. 

    Observations to make during a tub bath or shower bath include

    • A. 

      Redness and rashes

    • B. 

      Halitosis and plaque

    • C. 

      Dysphagia and nausea

    • D. 

      Confusion and unsteady gait

    Correct Answer
    A. Redness and rashes
    Explanation
    During a tub bath or shower bath, it is important to observe for any signs of redness and rashes on the skin. This could indicate an allergic reaction or irritation caused by the water, soap, or any other products used during the bath. Identifying redness and rashes early on allows for prompt treatment and prevention of further discomfort or complications.

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  • 35. 

    Which of the following statements is correct regarding a tub bath or shower bath

    • A. 

      The resident should remain in the tub for 20-25 min

    • B. 

      Lock the bathroom door to ensure privacy for the resident

    • C. 

      Leave the resident alone during the bath so he/she has privacy

    • D. 

      Oil added to a bathtub makes the tub slippery and is a hazard

    Correct Answer
    D. Oil added to a bathtub makes the tub slippery and is a hazard
    Explanation
    Adding oil to a bathtub can indeed make the tub slippery and pose a hazard. Oil creates a slick surface, increasing the risk of slips and falls during a bath or shower. This can be especially dangerous for older adults or individuals with mobility issues. Therefore, it is important to avoid adding oil to a bathtub to ensure the safety of the resident.

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  • 36. 

    When feeding a resident, the NA prevents a resident from choking by:

    • A. 

      Cutting food in large pieces that are convenient

    • B. 

      Providing food quickly to avoid cooling and gagging

    • C. 

      Ensuring that the resident's dentures are in his/her mouth

    • D. 

      Establishing a time limit for chewing and swallowing the food

    Correct Answer
    C. Ensuring that the resident's dentures are in his/her mouth
    Explanation
    The correct answer is ensuring that the resident's dentures are in his/her mouth. This is because dentures help the resident properly chew and swallow their food, reducing the risk of choking. Without dentures, the resident may have difficulty breaking down the food into smaller pieces, increasing the chances of choking.

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  • 37. 

    If a choking resident can speak, cough, or breathe, do not intervene because starting the procedure may cause the resident to:

    • A. 

      Breathe in harder and force the object further down the respiratory tract

    • B. 

      "pop" the object out of his/her respiratory tract

    • C. 

      Exhale too deeply, causing further choking

    • D. 

      Vomit and force the object further down the respiratory tract

    Correct Answer
    A. Breathe in harder and force the object further down the respiratory tract
    Explanation
    If a choking resident can speak, cough, or breathe, it indicates that their airway is partially blocked but not completely obstructed. Intervening by starting the procedure may cause the resident to breathe in harder, which can create a stronger suction effect and force the object further down the respiratory tract. This can potentially worsen the situation and make it more difficult to remove the object. Therefore, it is recommended to encourage the resident to continue coughing and breathing while monitoring their condition closely.

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  • 38. 

    Which of the following are signs of normal respirations

    • A. 

      Effortless and irregular

    • B. 

      Effortless and regular

    • C. 

      Quiet and forceful

    • D. 

      Quiet and uneven

    Correct Answer
    B. Effortless and regular
    Explanation
    Effortless and regular respirations are signs of normal breathing. Effortless breathing indicates that the person is able to breathe without any difficulty or strain. Regular breathing means that the breaths are occurring at a consistent rhythm and rate. These signs suggest that the person's respiratory system is functioning properly and efficiently.

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  • 39. 

    Which of the following is a correct location to take a temperature

    • A. 

      Under the knee

    • B. 

      Behind the ear

    • C. 

      In the mouth

    • D. 

      In the nose

    Correct Answer
    C. In the mouth
    Explanation
    Taking a temperature in the mouth is a correct location because it is a common and convenient method. The mouth provides an accurate reflection of the body's core temperature. Using a digital or mercury thermometer, the thermometer is placed under the tongue, and the mouth is closed to ensure accuracy. This method is commonly used for adults and older children who can cooperate and keep their mouths closed for an accurate reading.

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  • 40. 

    When a resident is receiving an intravenous feeding, the NA should observe and report the resident's complaint of:

    • A. 

      Fatigue

    • B. 

      Pain at the site

    • C. 

      Shortness of breath

    • D. 

      Thirst

    Correct Answer
    B. Pain at the site
    Explanation
    When a resident is receiving intravenous feeding, it is important for the NA to observe and report any complaint of pain at the site. Pain at the site can indicate complications such as infection, infiltration, or phlebitis. Prompt reporting allows for early intervention and appropriate treatment to prevent further complications. It is crucial for the NA to monitor the resident's comfort and well-being during intravenous feeding to ensure their safety and proper care.

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  • 41. 

    When should peri care be given to the CONTINENT resident

    • A. 

      Daily with morning care

    • B. 

      After each voiding or stool

    • C. 

      At least once a shift

    • D. 

      Twice a day

    Correct Answer
    A. Daily with morning care
    Explanation
    Peri care, or perineal care, refers to the cleaning and hygiene of the genital and anal areas. It is important to maintain cleanliness in these areas to prevent infections and discomfort. Giving peri care daily with morning care ensures that the resident starts their day with a clean and fresh feeling. This regular routine helps maintain good hygiene and reduces the risk of infections.

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  • 42. 

    Which of the following statements is correct regarding peri care

    • A. 

      Gloves are optional during peri care

    • B. 

      Wash the peri area with soap and cold water

    • C. 

      Wash from front to back when providing peri care

    • D. 

      The resident lies on his/her stomach during peri care

    Correct Answer
    C. Wash from front to back when providing peri care
    Explanation
    When providing peri care, it is important to wash from front to back. This is because it helps to prevent the spread of bacteria from the anal area to the urethra and vagina. Washing in this direction helps to maintain good hygiene and reduce the risk of urinary tract infections and other complications.

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  • 43. 

    Complete dress for the resident for the resident includes

    • A. 

      Purse and umbrella

    • B. 

      Shoes and stockings

    • C. 

      Tie and suspenders

    • D. 

      Wrist watch and jewelry

    Correct Answer
    B. Shoes and stockings
    Explanation
    The complete dress for a resident includes shoes and stockings because these items are essential for completing an outfit and providing comfort and protection for the feet and legs. Shoes provide support and allow for easy movement, while stockings add an extra layer of warmth and can enhance the overall appearance of the outfit. Together, shoes and stockings complete the attire and ensure that the resident is appropriately dressed.

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  • 44. 

    Which of the following statements is correct regarding a bed bath?

    • A. 

      Water applied to the skin during a bath can make a resident feel llike he/she has to urinate

    • B. 

      A washcloth mitten is used as a restraint for the resident's hand during a bed bath

    • C. 

      Water used for a bed should be a cooler temperature than water used for a tub bath

    • D. 

      Wash the extremity closest to you first to avoid bending and dripping water on the resident

    Correct Answer
    A. Water applied to the skin during a bath can make a resident feel llike he/she has to urinate
    Explanation
    During a bed bath, water applied to the skin can stimulate the nerves and sensory receptors, causing a sensation that the resident needs to urinate. This is a common physiological response and can be managed by reassuring the resident and providing them with a bedpan or assistance to the bathroom if needed.

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  • 45. 

    Soiled linens should be placed

    • A. 

      On the floor

    • B. 

      In the linen container

    • C. 

      On the bedside table

    • D. 

      On the chair

    Correct Answer
    B. In the linen container
    Explanation
    Soiled linens should be placed in the linen container to ensure proper disposal and prevent contamination. Placing them on the floor, bedside table, or chair can lead to the spread of germs and create an unsanitary environment. The linen container is specifically designed to hold dirty linens and keep them separate from clean ones, maintaining hygiene and preventing cross-contamination.

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  • 46. 

    When making a bed, make the:

    • A. 

      Far side of the bottom sheet first

    • B. 

      Near side of the entire bed first

    • C. 

      Far side of the entire bed first

    • D. 

      Entire bottom first

    Correct Answer
    B. Near side of the entire bed first
    Explanation
    When making a bed, it is recommended to start by making the near side of the entire bed first. This allows for a more organized and efficient process of bed-making. By starting with the near side, one can easily tuck in the sheet and ensure a smooth and neat appearance. This also prevents any wrinkles or creases from forming on the near side of the bed while making the far side. Once the near side is properly made, it becomes easier to move to the far side and complete the bed-making process.

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  • 47. 

    When placing a case on the pillow you should:

    • A. 

      Hold the pillow under your chin and insert pillow from bottom

    • B. 

      Lay the pillow on a chair and pull the case over the pillow

    • C. 

      Pull the case over while grasping the pillow with the other hand

    • D. 

      Lay the pillow on the bedside stand and pull the case over the pillow

    Correct Answer
    C. Pull the case over while grasping the pillow with the other hand
    Explanation
    When placing a case on the pillow, the correct method is to pull the case over the pillow while grasping the pillow with the other hand. This ensures that the case is securely fitted onto the pillow without causing any wrinkles or misalignment. By holding the pillow with one hand and pulling the case over it with the other hand, the pillow remains stable and the case can be easily adjusted to fit properly.

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  • 48. 

    Which of the following are complications that can develop due to immobility

    • A. 

      Contractures, blood clots, pressure sores, or constipation

    • B. 

      Contractures, diarrhea, pressure sores, or constipation

    • C. 

      Perssure sores, blood clots, diaphoresis, or constipation

    • D. 

      Halitosis, blood clots, pressure sores, or constipation

    Correct Answer
    A. Contractures, blood clots, pressure sores, or constipation
    Explanation
    Immobility can lead to various complications such as contractures (muscle or joint stiffness), blood clots (deep vein thrombosis), pressure sores (bedsores or ulcers), and constipation. These complications can arise due to prolonged periods of inactivity, reduced blood flow, pressure on specific body parts, and decreased gastrointestinal motility.

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  • 49. 

    Which of the following promotes the goals of restorative care

    • A. 

      Emphasizing the resident's disabilities, not abilities

    • B. 

      Praising the resident when he/she has accomplished a task

    • C. 

      Brushing the resident's teeth to get the activity done quickly

    • D. 

      Encouraging the resident to depend on the staff for all personal needs

    Correct Answer
    B. Praising the resident when he/she has accomplished a task
    Explanation
    Praising the resident when he/she has accomplished a task promotes the goals of restorative care because it acknowledges and reinforces the resident's abilities and accomplishments. Restorative care focuses on empowering residents to regain or maintain their independence and functional abilities. By praising the resident for their achievements, it encourages them to continue engaging in tasks and activities, promoting their physical and cognitive well-being. This positive reinforcement also helps to build the resident's self-esteem and motivation, which are essential for their overall rehabilitation and restoration of their abilities.

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  • 50. 

    Which of the following is correct regarding positioning of the resident in bed?

    • A. 

      The trunk of the body should be bent; change position at least every 2 hours

    • B. 

      The trunk of the body should be straight; change position at least every 2 hours

    • C. 

      The trunk of the body should be bent; change position at least every 4 hours

    • D. 

      The trunk of the body should be straight; change position at least every 4 hours

    Correct Answer
    B. The trunk of the body should be straight; change position at least every 2 hours
    Explanation
    The correct answer is that the trunk of the body should be straight and the position should be changed at least every 2 hours. This is important to prevent pressure ulcers and maintain proper alignment of the body. Changing positions frequently helps to relieve pressure on specific areas of the body and promotes blood circulation. Keeping the trunk straight also helps to maintain a good posture and prevent any strain or discomfort for the resident.

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