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
Your patient is progressively getting frustrated. He is upset and begins to raise his voice. Which of the following would be the best way to respond to his behavior?CorrectIncorrect
It shows concern for your patient’s needs when you show them genuine care and support. You will receive a more positive response if you use a calming and comforting manner with your patients. The other options are more negative and this could escalate the patient’s frustration. They may even avoid dealing with the issue.
- Question 2 of 20
When a patient is dying, which of the five senses do they lose last?CorrectIncorrect
A patient’s family members and visitors must know that even if a patient cannot communicate anymore, they may still be able to hear what is being said to them. While the other sense may have diminished, the hearing is the last sense to be lost for most dying patients.
- Question 3 of 20
One of your patients just found out that one of their family members has passed away. What is the best way that you can assist them with their grieving process?CorrectIncorrect
When you sit and listen to your patient, they are apt to feeling more comfortable to talk to you about what they are feeling. The other options would more than likely make your patient feel like you are discounting their feelings of sadness and despair.
- Question 4 of 20
In Elizabeth Kübler-Ross’s description of the grieving process, she states that a person goes through various stages when they lose someone close to them. She believes that the first stage of the grieving process is:CorrectIncorrect
Kübler-Ross’s believes that denial is a person’s first natural reaction in the grieving process. People then move on to the other stages that are listed above, but usually, denial would be the first stage.
- Question 5 of 20
From time-to-time, nursing assistants will encounter residents who are feeling anxious or unsettled about their surroundings or circumstances. The best way that you can help them deal with their anxiety is:CorrectIncorrect
Reducing any stimulation around your patient during times where they are felling anxious can bring relief to their anxiety. The other options will create additional stimulation and add to an already tense environment. This can cause your patient to feel even more anxious and confused.
- Question 6 of 20
If your patient regularly becomes increasingly confused during dusk, early evening or during the night, they are most likely suffering from:CorrectIncorrect
Sundowner’s Syndrome is the term that medical professionals use to describe when a patient becomes primarily disoriented at night. The other options indicate disorientation, but are not specifically consistent with a specific time of day.
- Question 7 of 20
Your patient catches you off guard with a sexual comment. Your best response to them should be:CorrectIncorrect
The resident must know that you will not allow any further comments of this nature. This will establish a boundary for their future behavior with you. You must also inform your supervising nurse immediately so that the incident can be documented.
- Question 8 of 20
Your patient is upset because he has learned that his roommate has passed away. He would like to discuss this with you. What is the best course of action for you to take?CorrectIncorrect
Patients need to be able to express their feelings in these types of situations. Allowing them to do so will help them cope better and alert you if further counselling may be necessary. The other options discredit your patient’s feelings and do not actually help him in any way.
- Question 9 of 20
One of your patients is pacing around, yelling and screaming. He is even blurting out profanities. What is the FIRST action that a nursing assistant should take in this type of situation?CorrectIncorrect
The best thing to do in this kind of situation would be to call your charge nurse. The nurse may have to medicate your patient to calm him down or even call another member of the medical team to assist with the situation. The other options given could aggravate the patient and trying to restrain the patient may actually put the nursing assistant in harms way if the patient tries to resist.
- Question 10 of 20
Our bodies naturally change due to the aging process. Which of the following is NOT a normal biological change?CorrectIncorrect
A patient’s inability to make decisions would be linked to disease rather than to a normal biological change. Biologically, during the aging process, bones become thinner and weaker. Joints become stiffer and less flexible and the movement of food through our digestive system slows down. These are all normal biological changes.
- Question 11 of 20
There are a number of common causes for constipation. Which of the following is NOT a common cause?CorrectIncorrect
When a person’s intestinal mobility slows down, they have a higher chance of becoming constipated. Therefore and increase in intestinal mobility would be an incorrect answer. Ignoring the urge to go, a lack of fibre in the diet and not drinking enough water, are all common causes of constipation.
- Question 12 of 20
Which of the symptoms below is NOT a sign of depression?CorrectIncorrect
If a patient is suffering from depression, their desire to become involved in social activities, would not increase. In fact that desire would decrease. An increase in time sleeping, a decrease in appetite and withdrawing from social situations are all signs of depression.
- Question 13 of 20
There are a number of ways that a nursing assistant may help their patient who is dealing with their impending death. All of the following are correct methods EXCEPT:CorrectIncorrect
Sometimes your patient may want you to just sit quietly with them, so that they don’t feel alone in dealing with their thoughts. They may also want someone to listen as they talk about their fears and emotions. Leaving a patient alone may add to a patient’s feelings of isolation while dealing with this difficult time.
- Question 14 of 20
Your patient recently learned that her spouse had passed away. What is the best way for the nursing assistant to deal with the patient?CorrectIncorrect
If your patient has lost a loved one, they may need to talk about their feelings of memories of the loss of their loved one. Sometimes, just sitting with your patient and providing them comfort is all they really need. If you were to ignore the subject or change the conversation, use humor or even bring other people into the room when they may not feel like talking to anyone, could prevent your patient from actually dealing with their grief.
- Question 15 of 20
Which of the following is an absolutely inappropriate way to deal with the stress of being a caregiver?CorrectIncorrect
It can definitely be therapeutic to share similar issues with your co-workers and get advice from your peers; it is inappropriate to talk about your patients, as it is a violation of their privacy. The best way to release your work stresses, is to do something positive and healthy, such as exercising, getting outside for some fresh air, learning something new or joining a new club.
- Question 16 of 20
Your patient’s family member is upset that their loved one is unhappy at the facility. As the patient’s nursing assistant, the best way for you to handle this situation is:CorrectIncorrect
The best response to any issue is always to listen politely and then share any concerns with your charge nurse. Any other options do not suggest a resolution therefore removing hope of any positive outcome for the family member. You don’t want to sound dismissive or block any further communication by suggesting that the family member put their complaints in writing or by telling them that you cannot discuss the issue. You don’t want to insult them by telling them that you will walk away until they calm down as this implies that they are unjustified in being upset.
- Question 17 of 20
Encouraging your patients to take part in their care and in activities within the facility helps with their emotional and mental health needs by…CorrectIncorrect
A predominant struggle which patients who have to rely on others for assistance tend to have, is dealing with the loss of independence. This loss affects their personality and overall outlook. By participating in their own care and activities, your patients will feel a great improvement in their mood. You don’t want to add pressure on the patient, so do not make them full accountable for everything. They definitely need your support. Therefore, allow them to participate but not for the reason to create less tasks for the nursing assistant.
- Question 18 of 20
Out of the four choices below, which could be a primary contributing factor to a patient’s resentment towards their family members?CorrectIncorrect
The above issues definitely can all contribute to resentment, however it is mostly felt – and extremely normal and common for your patients to feel abandoned if family members can no longer handle caring for them at home. Being placed in a stranger’s care can be scary and wouldn’t necessarily be a choice that the patient would make for himself or herself.
- Question 19 of 20
Empathy is a characteristic that helps a nursing assistant care for their patients. Which of the following is the best example of a definition of this term?CorrectIncorrect
All of the statements above are factors, which define empathy. Empathy towards your patients is one of the most important qualities that a nursing assistant can possess.
- Question 20 of 20
Your patient is showing signs of a change in their mental health. The best course of action for you as their nursing assistant to take would be:CorrectIncorrect
Should you notice a change in one of your patient’s mental state, you must immediately report it. If you do not report these subtle or even overt changes, a more serious situation could arise. This type of situation could be prevented if the nursing assistant is more aware of the changes in their patients’ behaviors. Your patient may not notice a change in their own behavior or they may not admit to any changes, so asking him or her would not be a wise decision. Increasing your level of patience or using your sense of humor, can of course assist in the adjustment to change that your patients have to face, but these should never be a substitution for reporting mental health condition situations. Always report to your supervisors, anything that a patient does which deviates from normal behavior.