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
You have a stroke patient whom you are caring for. As their nursing assistant, you have been asked to assist with the patient’s ambulation. The best position to do this would be:CorrectIncorrect
When one of your patients has suffered a stroke, they will need the most support on the side that was affected, during ambulation. The affected side will be quite weak.
- Question 2 of 21
When another medical practitioner asks you to do something “STAT.” This means that you need to do it:CorrectIncorrect
“STAT” is a term which medical practitioners use for emergencies and when the safety of a patient is in jeopardy. The other options are not fast enough to deal with a patient’s immediate safety.
- Question 3 of 21
Whenever you are performing care duties on any of your patients, when must you wear gloves?CorrectIncorrect
Whenever you perform duties such as peri-care, it can increase the likelihood of exposure to blood and bodily fluids. Therefore you must always wear gloves during these duties. The other options have less of a risk for contamination.
- Question 4 of 21
Which food contains the best source of vitamin D?CorrectIncorrect
The best source of Vitamin D is found in the dairy food group.
- Question 5 of 21
As a nursing assistant, you will be delegated tasks throughout your shift. This is a part of your role in this profession. In which of the examples below, would it be acceptable to refuse to do a task?CorrectIncorrect
There is only one time where it would be appropriate to refuse to do a task and that is when it is something that you have a legal obligation to uphold. One example if this may be that you would refuse to administer medications for a nurse. Remember, Nursing Assistants are not allowed to administer medications to any patients.
- Question 6 of 21
Your shift has just ended, and your fellow nursing assistant comes onto the floor to relieve you. While giving your shift’s report, you notice that your colleague is under the influence of alcohol. As a member of the healthcare team, your best course of action would be to:CorrectIncorrect
If anyone is coming to work under the influence of alcohol or any other substance, this would pose an immediate threat to the safety and security of the patients who would be cared for by your colleague. Should you choose not to report this, you could also be held responsible for any negligence that occurs. The other choices only conceal the problem and the possible threat to the safety of the patients.
- Question 7 of 21
You discover that your patient’s room is on fire. You have managed to get your patient out of harm’s way. What is the next action that you must take?CorrectIncorrect
When you’re dealing with a fire, the first step you must take is to get any of your patients who are anywhere near the fire, out of harm’s way. The second step is to pull the fire alarm so that the remaining patients can be evacuated safely and in a timely manner. Calling your patient’s family is not something that would ensure their immediate safety. All the remaining options are a part of the fire safety process.
- Question 8 of 21
Part of your role as a nursing assistant is to document your patient’s fluid intake and output. The standard unit of measure for doing this is:CorrectIncorrect
The correct unit of measure is milliliters. Ounces can also be used to measure fluids, however they are not considered to be the standard unit of measurement for a patient’s fluid intake and output. Meters are used for measuring distance, and milligrams are mostly used to measure solids.
- Question 9 of 21
You have just entered your patient’s room and he is having trouble breathing. What is your proper response?CorrectIncorrect
Any time there is an issue with a patient’s breathing; it needs to be reported to the nurse in case there is a serious health issue developing. The other options will only delay immediate aid for the patient.
- Question 10 of 21
Each member of a patient’s healthcare team has different duties. Which member is responsible for determining socialization and communication skills of the patients and then finding the resources to match those skills?CorrectIncorrect
Social workers are tasked with the duty of matching the patient’s social and emotional needs to any treatments and resources that are available. The patient’s physician and nurse will be in charge of executing the patient’s medical plan and a chaplain would assist with any of the patient’s spiritual needs.
- Question 11 of 21
When cleaning a patient’s urinary drainage bag, which of the following options would be incorrect?CorrectIncorrect
Peroxide should not be used. Firstly, it is not always available and secondly, it is not adequate for cleaning a urinary drainage bag. Alcohol is the best thing to use for cleaning, and all the other choices are important precautions for conducting this process.
- Question 12 of 21
There is a substantially large spill on the floor and you are unable to clean it up yourself. You have already notified someone that you need help. What can you do while you’re waiting for help to arrive?CorrectIncorrect
If you are faced with a spill that you are unable to clean up without further help or equipment, you must immediately block the area off so that others are not in danger of slipping and falling. Keeping the patients in their rooms is not a practical choice and placing towels can make it even more slippery and dangerous. Involving other vulnerable patients is not a safe option.
- Question 13 of 21
You are the nursing assistant on shift. You walk in on your patient, who is having a seizure. Which of the following necessary actions should you take first?CorrectIncorrect
A nursing assistant must always stay by their patient’s side and try to prevent him or her from getting hurt while they are seizing. Restraining your patient or putting a tongue blade in their mouth could potentially injure your patient. A physician should always be notified when your patient has had a seizure, but it is not your responsibility as a nursing assistant to do so; nor is it the primary action that should be taken.
- Question 14 of 21
Which member of your patient’s healthcare team is responsible for carrying out your patient’s medical plan?CorrectIncorrect
The patient’s treating physician is responsible for creating the patient’s medical plan, and the registered nurse is responsible for making sure that the plan is executed. The nursing assistant aids in the care duties, which support that medical plan, but the nursing assistant is not ultimately responsible for carrying out the plan.
- Question 15 of 21
What exactly is a “care plan”?CorrectIncorrect
All of the above options are true statements regarding a care plan.
- Question 16 of 21
Which of the choices below is not true regarding a patient’s care plan?CorrectIncorrect
Every single patient in a care facility needs a plan of care established, so that everything that is being done is documented.
- Question 17 of 21
As a vital member of the healthcare team, it is important for you as the CNA to report certain situations to the nurse. Some conditions may require immediate intervention. Which of the choices below requires immediate reporting to the nurse?CorrectIncorrect
Of course all of the above are important to document in your patient’s file, difficulty breathing is an immediate problem and immediate action should be taken without any delay. The other choices are not life threatening and are therefore incorrect answers.
- Question 18 of 21
Which of the conditions below would require extra care when performing a patient’s nail care?CorrectIncorrect
There are times when anticoagulation therapy may cause excessive bleeding. Also, diabetes patients are at risk of ulceration from any type of cut or abrasions. These two conditions will require extreme caution, when administering nail care. The other conditions listed above are incorrect answers, because they pose little or no threat as long as regular and proper nail care procedures are used.
- Question 19 of 21
Which of the following would best describe the advantage of being a CNA while considering future career options?CorrectIncorrect
While all of these choices provide a CNA with many different experiences, there is something to be said about having the opportunity to witness nurses, physicians and medical technicians doing their daily work. This will provide you with the best advantage while you are considering future career options.
- Question 20 of 21
As the CNA, what is your primary role in assessing your patients?CorrectIncorrect
The CNA’s primary role in patient assessment is to report physical data and observations to the nurse in charge. The nurse is a member of the patient’s healthcare team that makes the full assessment and then advises the patient’s treating physician. The other answers above are incorrect.
- Question 21 of 21
Which of the choices below, best describes how accurate documentation assists the patient’s entire healthcare team?CorrectIncorrect
Accurate documentation is mainly there for the patient’s benefit. It is absolutely crucial for assessing if the patient’s medical care plan is working or if it may need adjustment. While accurate documentation can also serve as a record of the CNA’s behaviour, this is not the main reason for it. Accurate documentation is vital, even if this means that you would have a little less time to converse with your patients.