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 20
The RN assigns you a task that is in your job description. Which statement is FALSE?CorrectIncorrect
While the RN can assign or delegate tasks that are in your job description, they must ensure that you know how to do the task and that it’s beneficial to the patient. Some non-RN tasks may be outside the scope of your CNA practice. If so, inform the RN.
- Question 2 of 20
Who is responsible for the entire nursing staff and the activities involved in providing safe care?CorrectIncorrectThe Director of Nursing (DON) is a registered nurse who oversees all patient care at a facility. The DON supervises all nursing staff, manages budgets, and handles patient and family issues that staff RNs can’t resolve.
- Question 3 of 20
The type of bed used for a patient arriving by stretcher or wheelchair is called _________.CorrectIncorrectAn open bed is the term used for a bed that is ready for a patient to enter. The sheets are folded back, so that it’s easy for the patient to get in. Open beds are for new patients, as well as preparing the bed when patients get up for a short time.
- Question 4 of 20
How would a nursing aide identify a problem with a diabetic patient?CorrectIncorrectEvery CNA should know the basic signs of problems of diabetes. Cold, clammy skin is abnormal and should be reported immediately to the nurse. The patient likely has a low blood sugar (hypoglycemia) and needs glucose quickly: orange juice, hard candy, or glucagon. Other warning signs of hypoglycemia are shakiness, anxiety, irritability, rapid heart beat, and dizziness.
- Question 5 of 20
A nursing aide has four patients to assist. Who should she address first?CorrectIncorrectWhen prioritizing, start with the patient that has the most urgent need. Assist the patient to the bathroom, to prevent incontinence and clean up. The patient will be comfortable, and you can then attend to the other patients.
- Question 6 of 20
You notice that a patient has passed a black tarry stool. This is calledCorrectIncorrectBleeding in the upper gastrointestinal (GI) system causes a stool that is black, tarry, and foul smelling. The bleeding comes from the esophagus, stomach, or small intestine. Immediately report any unusual stools to the nurse.
- Question 7 of 20
When documenting in a patient’s record, which statement is FALSE?CorrectIncorrectNever chart a procedure or care before doing it. If you forget to do it, or is something happens to the patient, you have made a false entry. Besides compromising the patient’s care, you could be disciplined or lose your job.
- Question 8 of 20
Three liquid ounces equals how many milliliters?CorrectIncorrectWhen converting milliliters (ml) to ounces (oz.) remember that 30 ml = 1 ounce. Although an ounce is slightly more, the amounts are considered to be equal by doctors and pharmacists.
- Question 9 of 20
9. QuestionIntake and Output deals withCorrectIncorrectIntake and output measure the fluid balance in the body. To calculate input, add all liquids, plus foods that are liquid at room temperature, such as ice cream, ice pops and jello.
- Question 10 of 20
Besides hearing, what other function does the ear have?CorrectIncorrectThe inner ear is responsible for helping maintain balance. Three tiny fluid-filled tubes, called the vestibular, send impulses to the brain. The brain uses the impulses to adjust the body’s position.
- Question 11 of 20
Which does NOT prevent or reduce odors?CorrectIncorrectThe best way to prevent unpleasant odors is to treat them promptly. Keeping a patient clean, emptying the bedpan, and using an ongoing deodorizer are all good methods. Flowers cannot disguise or cover an odor that is already in place.
- Question 12 of 20
You observe that a patient is bleeding from an IV site. You shouldCorrectIncorrectAs a CNA, you may observe that an IV site is not normal. Bleeding, redness, or swelling should immediately be reported to the nurse. The IV will need to be removed and a sterile dressing applied. These procedures are beyond the scope of practice for a CNA.
- Question 13 of 20
The back-lying position is theCorrectIncorrectThe supine (pronounced “soo-pine”) position is when the patient is on their back. Hint: both “supine” and “sky” start with an S. “When supine, I look at the sky.”).
- Question 14 of 20
The earliest identifying sign for a developing pressure sore is a local _______.CorrectIncorrectOne of the primary responsibilities of a nurse aide is to monitor the client’s skin for any signs of breakdown. During baths, dressing, or position changes, inspect the skin for redness, pallor, warmth, or bruising. Reposition at least every two hours, protecting areas that rub together, as well as the bony prominences. Massages to the back and buttocks can promote circulation. Range-of-motion exercises are also helpful. Always report any signs of redness or breakdown to the nurse.
- Question 15 of 20
A health care agency or program for patients who are dying isCorrectIncorrectHospice is a special type of care that works with patients who have life-limiting conditions, their families, and their caregivers. The goal is to maintain the patient’s dignity and quality of life, while supporting each person. Hospice care does not prolong life or hasten death.
- Question 16 of 20
Which is INCORRECT when recording on a patient’s chart?CorrectIncorrectAll documentation must be done in permanent ink. If you make a mistake, follow your facility’s policy for correction. Usually it is a single line through the error, with the date, time, and your initials.
- Question 17 of 20
Paralysis on one side of the body is calledCorrectIncorrectA client with hemiplegia has paralysis on one side of the body. The paralysis can be partial or total. It occurs on the opposite side of the CVA (stroke) or brain disorder. The paralysis occurs on the opposite site of the brain where the brain injury happens. If the injury is on the right side of the brain, the left side of the body is affected.
- Question 18 of 20
When taking a blood pressure, you should do all of the following EXCEPTCorrectIncorrectBlood pressure should never be taken in an arm with an IV. The compression of the cuff could cause the IV site to be damaged. Also, never take a blood pressure on an arm with a fistula for hemodialysis or a special line that has been inserted to deliver antibiotics
- Question 19 of 20
19. QuestionWhat does afebrile mean?CorrectIncorrectA medical term that begins with “A” means the absence of. Afebrile means no fever. Other examples: Asystole (no heart beat), apnea (no breathing) and anuria (no urine).
- Question 20 of 20
What is the definition of Aphasia?CorrectIncorrectAphasia occurs after a stroke or injury to the part of the brain that controls language, usually the left side of the brain. Aphasia can affect the ability to speak, understand words, as well as reading and writing. Intelligence is not affected, which can lead to frustration for the person.