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 22
A nursing assistant goes and check’s a patient’s oxygen saturation. It is at 89 percent. The patient is also receiving additional oxygen at 2LPM through a nasal cannula. The nursing assistant performs a check on the probe position and double-checks the oxygen saturation. Saturation is still at 89 percent. The patient is comfortable and calm, watching television in their bed. He informs the nursing assistant that he has a COPD and that all of the current readings are normal for his condition. In this situation, what should a nursing assistant do?CorrectIncorrect
It is important for the nursing assistant to check with the nurse to make sure that these levels are all normal for the particular patient. Because the patient is not in any kind of pain or distress it is not necessary to call in a code. Going to the nurse manager breaks the nursing chain of command. Whenever findings are new for the nursing assistant it is important for the individual to check and clarify with the current nurse and to not just take the patient at their word.
- Question 2 of 22
At the beginning of a shift, a nursing assistant discovers a popular celebrity has been admitted to a different unit within the facility. The nursing assistant wants to find out what room the celebrity is currently in and to also find out why the celebrity has been checked in. As in accordance with HIPAA, what exactly should be the nursing assistant’s course of action?CorrectIncorrect
Looking into health records of anyone that the nursing assistant is not directly providing care for (especially for non-medical reasons) is in direct violation of HIPAA. If a nursing assistant does look into the medical information the individual may be at risk of disciplinary action. Plus, attempting to look into the information through another health care team member is also a violation. The patient, regardless of who it is, has the right to privacy.
- Question 3 of 22
Which example is a form of nonverbal communication that can help with therapeutic communication?CorrectIncorrect
Providing excellent eye contact helps connect the patient with the nursing assistant and shows the nursing assistant is interested in helping and receiving the patient’s message. All other listed options are nonverbal barriers that make therapeutic communication more difficult.
- Question 4 of 22
Which is the proper way to abbreviate weight?CorrectIncorrect
WT is the most commonly used abbreviation for “weight.” KG and LB are measurements of weight.
- Question 5 of 22
When executing the correct lifting technique, what should a nursing assistant do? I: Balance on one foot. II: Avoid twisting and any odd positions. III: Lift with their legs, not their back. IV: Whenever possible, try to lift residents without asking for help as to not interrupt the work of other nursing assistants.CorrectIncorrect
Both II and III ARE excellent points of emphasis when lifting residents. Asking for help whenever someone needs it will help both the nursing assistant and the resident avoid injury. Attempting to balance on one foot is never recommended.
- Question 6 of 22
Delirium is different from dementia in which of the following way?CorrectIncorrect
Delirium is sudden (acute) and is, in most cases, treatable. On the other hand, Dementia has a very slow onset and is not reversible. Both decrease alertness and the cause of each is often identifiable.
- Question 7 of 22
In order for a nursing assistant to hold onto their certification for the position, most states in the US will require the nursing assistant to carry out…:CorrectIncorrect
A nursing assistant must offer proof of at least 12 hours of CE credits. Retaking the exam and performing community service is not required. Additionally, there is no waiver or special document created by an employer to exempt a nursing assistant from the continued education.
- Question 8 of 22
What is a standard flow rate for oxygen when given through a nasal cannula?CorrectIncorrect
2-4LPM is the correct answer.
- Question 9 of 22
A patient’s right to make his or her own healthcare decisions is referred to as:CorrectIncorrect
All patients have the right to make their own, informed, healthcare decisions. This is known as self-determination. The others all refer to other rights the patient has.
- Question 10 of 22
When a fax with information regarding a resident’s medical records and prescriptions is sent from a doctor’s office, what kind of communication does this represent?CorrectIncorrect
The documentation is written and as such, it is referred to as written. Nonverbal is unspoken communication, verbal is spoken and non-sequential is not a form of communication.
- Question 11 of 22
A nursing assistant is turning a resident in bed. At this time, they discover there is redness to the lower back. Beyond completing the turn and supporting the patient’s back, arms and heels with pillows to help decrease pressure on the lower back, what else should the nursing assistant do?CorrectIncorrect
Whenever there is a skin irregularity the nursing assistant needs to report the changes right away in order to prevent a breakdown in the skin. The nursing assistant is able to apply lotion whenever necessary, but this does not change the cause of the problem. Additionally, the nursing assistant needs to document the finding as well as all interventions.
- Question 12 of 22
While working at a long-term healthcare facility, the nursing assistant finds one of the patient’s family members is quick to check their mail before the actual patient is able to look at it. The nursing assistant knows for a fact the patient receives his or her Social Security check through the mail. What should the nursing assistant do here?CorrectIncorrect
When this occurs the family member might be financially abusing their relative. Due to this, the nursing assistant must report suspicious behavior to the nurse in order for it to be investigated. It is illegal to open someone else’s mail, so this is not an option and confronting and accusing the family member of financial abuse is inappropriate. It needs to be investigated before any accusations are put forward.
- Question 13 of 22
How can a nursing assistant help alleviate dry mouth caused by the mouth breathing of a dying patient?CorrectIncorrect
Mouth sponges are available for these situations. Encouraging additional fluids may lead to the patient choking. Not doing anything is a failure to offer proper end of life care. A patient may not be alert enough to consciously close his or her mouth.
- Question 14 of 22
What does a sign saying NPO on a patient’s door mean?CorrectIncorrect
The sign is an abbreviation for “nothing by mouth.” It might indicate the patient is to have a medical procedure later that day. It is important the nursing assistant doesn’t allow the patient to eat or drink anything that day.
- Question 15 of 22
A nursing assistant is asked to remove a patient’s IV. The nurse is busy and the patient needs to be discharged. However, the nursing assistant knows this is against policy and it is outside of the nursing assistant’s certifications. What should the nursing assistant do?CorrectIncorrect
The nursing assistant should never perform actions they are not certified to conduct. They need to inform the nurse (who may not be aware). To help reduce the nurse’s workload they can offer to help with something else. Going over the nurse’s head to the change nurse is not necessary and ignoring the problem will lead to larger problems.
- Question 16 of 22
A nursing assistant has been picking up additional shifts in order to save up extra money for a vacation. In order to cope with the lack of sleep and added stress, she’s been consuming alcohol every night and binging on fast food. What does the nursing assistant recognize within these actions?CorrectIncorrect
Consuming alcohol, abusing drugs or binge eating are negative coping mechanisms. The nursing assistant needs to find different ways to cope with stress or reduce the amount of time he or she is working.
- Question 17 of 22
A nursing assistant discovers there is a puddle of tube feeding on a patient’s floor while their nasogastric (NG) tube is sitting beside the patient, who’s calmly watching TV. What actions should the nursing assistant carry out?CorrectIncorrect
The nursing assistant should prevent further mess by turning off the tube feeding and notify the nurse. The patient is not in distress so checking vitals isn’t necessary. Once the nurse has been notified and assessed the situation everything can be cleaned up.
- Question 18 of 22
A nursing assistant needs to best prioritize their time. Which should take the highest priority on his or her to-do list?CorrectIncorrect
The patient who fell may have seriously injured him or herself so this needs to be addressed right away. All other issues can wait as these are not urgent or in dire need.
- Question 19 of 22
A nursing assistant just took a picture of an unconscious resident’s hand because she thought it was interesting and posted it on her social media account. Which of the following might not occur to the nursing assistant?CorrectIncorrect
The nursing assistant just violated the patient’s rights and, due to this, they now will face disciplinary action, potentially the loss of work and they might have their certification revoked. This is an unethical form of behavior and these kinds of actions need to be prevented right away in order to prevent any further kind of consequences.
- Question 20 of 22
A nursing assistant needs to help a patient out of their bed and into a nearby chair. There is a gait belt on the resident’s sink, but the nursing assistant decides not to use it because they have other tasks they need to take care of. By not using the gait belt, which of the following might happen because the nursing assistant rushed the task: I. Nursing assistant strains their back trying to lift the patient. II. The resident slips and falls because the nursing assistant is not able to lift them. III. Nothing happens as gait belts are often more hassle than necessary. IV The task of moving the patient takes longer and requires more energy without the help of the provided gait belt.CorrectIncorrect
The nursing assistant will run the risk of straining and seriously injuring their back. The resident might fall under the weight and it might take longer when not using the gait belt. The gait belt is there to assist with lifts. When not using the gait belt the nursing assistant runs the risk of injuring both parties.
- Question 21 of 22
A nursing assistant discovers there is a doctor who wears a small, round hat on the back of his head every day. The nursing assistant thinks it looks odd and makes fun of it to other nursing assistants. Her nursing supervisor takes her aside and talks to her about which of the following:CorrectIncorrect
This shows the lack of cultural awareness on the behalf of the nursing assistant. Such clothing is a Jewish hat known as a yarmulke or kippah. Making fun of such clothing demonstrates a lack of cultural awareness and is also disrespectful towards religious beliefs. Choice C is somewhat relevant if the conversations take place during inappropriate times. The other answers are not connected with her behavior.
- Question 22 of 22
A nursing assistant discovers a patient currently has a temperature of 101 degrees Fahrenheit while taking vital signs with their morning checks. The patient also just requested the nursing assistant for assistance ambulating to the bathroom prior to breakfast. What should the nursing assistant do in this situation?CorrectIncorrect
The nursing assistant needs to help the patient to the bathroom first. Following this, the nursing assistant needs to then inform the nurse on staff about the rise in the patient’s temperature. Option A is incorrect, as the patient needs assistance walking to the bathroom. If they attempt to do this on their own they are at greater risk of slipping and injuring himself or herself. Option B is incorrect because the nursing assistant needs to inform the nurse on staff about the change in temperature. Option D is incorrect because providing medication is outside of the nursing assistant’s scope of practice.