Certified Nursing Assistants
Certified Nursing Assistants are crucial members of any health care team. They are continuously working under the direction of a nurse. (RN or LPN/LVN) CNAs also provide hands on nursing care to patients, residents, clients and customers in various health care settings. CNAs usually provide assistance with self-care, such as bathing, dressing, eating, toileting and oral care to patients who are unable to complete these tasks on their own. CNAs are often often the staff member, who will read the patient’s vital signs, weigh the patients and they measure the patient’s height.
CNA exams are normally taken in two parts. There is a written component and a hands-on skills component. The written component of the test is typically in a multiple-choice format and will evaluate the CNAs knowledge of the subjects that all CNAs are expected to know.
Anyone writing a CNA exam must have a high school diploma or GED.
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Question 1 of 21
1. Question
While eating dinner at his bed, your patient begins coughing forcibly and begins to turn red. What step should you take immediately?
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Question 2 of 21
2. Question
You have already encouraged the patient to keep coughing and after approximately 30 seconds, he ceases coughing and begins to turn blue. He immediately becomes unconscious and is lying on the bed in front of you. What are the appropriate steps you must take to manage this patient?
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When a patient becomes unconscious, you must perform CPR right away in order to remove the foreign object, which is obstructing their airway. Always get help, call 911, and begin CPR immediately.
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Question 3 of 21
3. Question
The staff has called 911, you are now completing a set of 30 compressions; some food appears to be coming out of the patients mouth, what must you do?
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You must recheck your patient’s airway after every set of 30 compressions that you administer. You must also remove any food particles that are easily reached and visible, and then try to ventilate the patient twice in order to be sure that you have re-established an airway.
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Question 4 of 21
4. Question
You have now used the bag valve mask to give your patient two full breaths and your patient’s chest rises. What is the next thing you should do?
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Question 5 of 21
5. Question
You now check for a pulse and there isn’t one, you immediately start chest compressions again. You are doing CPR at a ratio of 30 compressions to 2 breaths, for two minutes. After all this, what should your next step be?
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Question 6 of 21
6. Question
A fellow staff member is continuing chest compressions on the patient for you; another staff member enters the room with an AED and applies the pads on the patient. You immediately turn on the AED. It states that it is analyzing heart Rhythm, and asks you to shock. You request everybody to step away from the patient, once everyone is cleared and you shock the patient. What should your next step be?
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After a patient receives a shock, 96% of them will not immediately have a renewed pulse. This particular period of time is when it is most important to resume CPR in order to get oxygenated blood pumping to the heart.
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Question 7 of 21
7. Question
A patient is screaming because he has slipped and fallen off his bed. What should you do?
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Question 8 of 21
8. Question
As you are doing your rounds, you walk into one of your patient’s rooms and you notice that her pulse oximetry reads 78%. The patient is on 2 litres of oxygen via a nasal cannula. What are the initial steps that you must take because of her pulse oximetry reading?
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Question 9 of 21
9. Question
Your patient has gone into cardiac arrest and is not breathing; one of the other CNAs mentions that the patient has a DNR order, what does that mean?
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Question 10 of 21
10. Question
Your current patient is breathing at a rate of 32 breaths per minute and the patient’s pulse is over 134. Would this be considered an emergency?
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Question 11 of 21
11. Question
Which of the options below is the most appropriate time to use a soft toothette?
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Question 12 of 21
12. Question
One of your patients is recovering from a stroke and is weak on their left side. They ask you to assist them with putting on a sweater. Help should be given ________.
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Assisting on the side of the patient that is the weakest allows you to offer them support and also helps the patient to keep their balance. The other options would not offer the best means of support.
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Question 13 of 21
13. Question
Out of the four options below, which one would be considered aninappropriate action while providing nail care to your patient?
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Lotion can be an appropriate and necessary part of nail care, but you should avoid applying lotion between the patient’s fingers and toes as it may serve as a medium to promote bacterial growth. Always check your facility’s guidelines for rules and regulations regarding the process of nail trimming for diabetic residents.
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Question 14 of 21
14. Question
You have to bathe an Alzheimer’s patient who has had visitors in the room for most of your shift. Out of the following actions, which is the most appropriate one for the nursing assistant to take?
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It is absolutely crucial, and within the scope of your duties as a nursing assistant, to take charge of your patient’s privacy. Visitors may wait in another area while you care for your patient. Also, a patient with Alzheimer’s may not make the best decision when it comes to their bathing schedule.
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Question 15 of 21
15. Question
Your patient is on the DASH diet. He reduces his food intake and shows very little interest in eating. What would be the best way for a nursing assistant to handle this situation?
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The most appropriate action for a nursing assistant to take would be to provide the patient with his or her prescribed daily nutritional supplements. It may be helpful to discuss the issue with the patient, but it is unlikely to make them eat more. Any food that the family brings in may be more appealing to the patient, but likely would not comply with the patient’s prescribed DASH diet. The nutritionist may need to be involved at some point, but the RN or physician on duty would be the one to make that decision.
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Question 16 of 21
16. Question
What would be the incorrect procedure for shaving a patient?
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Shaving a face from the chin upwards to the sideburns is an incorrect technique for shaving a patient. You must begin shaving at the sideburns and shave downwards. All the other options above are part of the correct procedures when shaving a patient.
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Question 17 of 21
17. Question
Of the options below, which one is not a common mealtime and eating challenge that patients will often face?
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If a care facility is doing its job properly, the patients will be reminded of their eating schedule, the staff will feed the patients using caregivers, or have nourishment given intravenously. Being reminded of their eating schedules, is the only option that would not be a problem when it comes to the proper care of patients. The other answers are frequent and common challenges, which patients may face.
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Question 18 of 21
18. Question
Of the following four statements regarding the care of a resident’s dentures, which one is considered false?
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This statement is false because many of the residents are incapable of taking care of their own dentures properly. All of the other options must be taken into consideration for the proper care of a patient’s dentures.
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Question 19 of 21
19. Question
Each of the following statements are proper precautions for patients who are unable to move by themselves,except:
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Question 20 of 21
20. Question
A Hoyer lift is used to ______________.
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A Hoyer Lift is a safety device, which is used to assist in moving an immobile patient from a bed to a chair and back. The other options are not the primary uses of the Hoyer Lift.
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Question 21 of 21
21. Question
Why is AM Care (also known as Morning Care) important to complete before the resident eats breakfast?
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Morning care decreases harmful bacteria, it adds to the patient’s sense of well-being and it provides a more pleasant appearance for the patient and to others. Therefore, all of the above answers are correct.
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