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 31
Out of the following four options, which is the recommended position to check a patient’s blood pressure?CorrectIncorrect
- Question 2 of 31
If a patient wishes to pray before a medical procedure, what is the ideal response of a nursing assistant?CorrectIncorrect
- Question 3 of 31
How often should a nursing assistant record the totaled intake and output in a patient’s chart?CorrectIncorrect
- Question 4 of 31
A nursing assistant should know that the duties of their occupation do not include:CorrectIncorrect
It is not within the scope of practice of nursing assistants to administer medications; therefore they may not do so. Only RNs, LPNs, and other licensees may administer a patient’s medication.
- Question 5 of 31
Of the following four options, which would be considered to be an example of battery toward a patient?CorrectIncorrect
Bathing a patient without their permission is considered to be battery. When a patient is isolated from others as a form of punishment that would be an example of involuntary seclusion.
- Question 6 of 31
The nursing assistant suspects that a resident in the facility is being abused due to multiple unexplained bruises, refusal to answer most questions, and refusal of ADLs. Which of the following actions should the nursing assistant take next?CorrectIncorrect
When there is abuse or even suspected abuse in a nursing facility, it must be reported immediately to the nursing assistant’s supervisor. A nursing assistant’s scope of practice does not cover the level of intervention that the abuse of a patient requires. You may be preventing or delaying a patient from receiving the necessary help if you wait or if you only report bruising.
- Question 7 of 31
Which of the following describes MRSA?CorrectIncorrect
MRSA stands for Methicillin-Resistant Staphylococcus Aureus. It is extremely resistant to most antibiotic treatments.
- Question 8 of 31
Preventing the spread of infection is of utmost concern in any facility. What is the best way for a nursing assistant to aid in stopping the spread of infection?CorrectIncorrect
Frequent hand washing is the most effective method to prevent infection. The other options are supportive methods.
- Question 9 of 31
Which one of the options below is a key part of care when bathing a patient?CorrectIncorrect
Allowing your patient to participate in his or her care will raise their self-esteem and allow autonomy. Note that it is not correct practice to clean the perineal area before the face, or to use cool water rather than comfortably warm water.
- Question 10 of 31
A patient is in the care of a nursing assistant. Which of the following skin care practices are correct?CorrectIncorrect
It is the nursing assistant’s duty to report any red pressure spots on the patient to the supervising nurse. The nursing assistant may not administer any prescription ointments to the patient. A second staff member is not required for perineal care. The use of talcum powder is not recommended.
- Question 11 of 31
Which of the following items must the nursing assistant check for in the patient’s care plan, before shaving a resident?CorrectIncorrect
A nursing assistant must check the shaving instructions in the patient’s care plan in order to be aware of any clotting issues as well as the necessity of using an electric razor as opposed to a traditional razor.
- Question 12 of 31
Which of the following symptoms may be a sign of a bowel obstruction?CorrectIncorrect
The watery leakage of stool around a blockage is the most specific sign of a bowel obstruction, also known as fecal impaction.
- Question 13 of 31
The term Dyspnea, refers to difficulty with which of the following?CorrectIncorrect
Dyspnea is a term that is used when a patient has difficulty breathing.
- Question 14 of 31
Which of the statements below is correct about Alzheimer’s patients?CorrectIncorrect
Maintaining a routine is absolutely imperative for a patient with Alzheimer’s. And a decrease in appetite and hallucinations are often common. It is important to frequently re-orient the patient.
- Question 15 of 31
Of the four options below, which is the correct method of making an occupied bed?CorrectIncorrect
Lowering the bed to the lowest level is very important for the patient’s safety. Mitering the corners of sheets is recommended, as well as raising the bed’s side rails. Never place soiled linens on the floor to avoid spreading germs.
- Question 16 of 31
Which of the following options is an example of a pulse rate that must be reported to the nurse?CorrectIncorrect
For the patient’s safety, any pulse rate outside the range of 60 to 100 should be reported immediately to the nurse.
- Question 17 of 31
Which of the symptoms below are signs of hypoglycemia?CorrectIncorrect
Sweating, as well as confusion and tremors, are all symptoms of hypoglycemia
- Question 18 of 31
For patients who are hard of hearing, which of the following guidelines would be considered correct?CorrectIncorrect
The key to helping hard-of-hearing patients understand what you’re saying, is speaking slowly and clearly.
- Question 19 of 31
Which of the following descriptions is the most accurate depiction of the High Fowler position?CorrectIncorrect
High Fowlers is a name for the position where the patient is sitting straight up in bed; in other words, the bed itself has to be at a 90-degree angle to support their upright position.
- Question 20 of 31
When changing an incontinent patient, what protective equipment must the nurse’s assistant wear?CorrectIncorrect
As correct contact precautions, the nursing assistant must wear a gown and gloves.
- Question 21 of 31
If a patient is fighting an infection, which of the following symptoms would the patient demonstrate?CorrectIncorrect
Especially in older patients, infection tends to cause sudden onset confusion. Tented skin as well as pale skin may be normal for an older patient. Aphasia could indicate the onset of a stroke.
- Question 22 of 31
There are a number of steps in the process to assess a patient’s radial pulse. Out of the following options, which one is a correct step in that process?CorrectIncorrect
If you notice that your patient’s pulse is irregular, you should re-count it for sixty seconds and then record it in the patient’s file. The rest of the options are not proper procedure in attaining a patient’s radial pulse.
- Question 23 of 31
When a nursing assistant is helping their patient with a partial bath, what is important for them to do?CorrectIncorrect
Providing privacy to your patients is one of the most important actions for any procedure that you conduct. Lukewarm water will not keep the patient warm enough, using a towel to cover your patient will not provide them with enough privacy and the patient’s feet are always washed last.
- Question 24 of 31
When dealing with the nail care of your patients, which of the following statements would be considered to be false?CorrectIncorrect
Warm and moist places are perfect places for funguses to grow. Putting lotion between your patient’s toes definitely increases the likelihood of a fungus developing. All the other options are parts of the procedure that you should follow for your patient’s nail care.
- Question 25 of 31
Which is the correct way for your patient to store their dentures?CorrectIncorrect
Your patient’s dentures must always be placed in a container, which is labeled correctly. The rest of the options could lead to the dentures being damaged or lost.
- Question 26 of 31
When your patient is using splints for ambulation, which of the following options should be reported immediately to the head nurse?CorrectIncorrect
Your patient should not feel pain when using a splint as long as it fits and is applied correctly. If they do feel pain, this should be reported to the nurse immediately. The other symptoms may mean that the splint needs adjustment or extra padding.
- Question 27 of 31
If your patient has been placed on _________________ precautions, you, as the nursing assistant must use a mask when entering their room.CorrectIncorrect
Masks will protect both the patient and staff and have to be worn for droplet or respiratory precautions.
- Question 28 of 31
When you are caring for a patient with a condom catheter, which of the following actions should you use?CorrectIncorrect
In order to be able to examine the patient’s skin underneath the condom catheter, it must be removed at least once a day. Never pull the catheter onto the penis, always roll it on. Too much lubrication can lead to the catheter becoming dislodged. Also, a drainage bag should never be attached to any movable part of the patient’s wheelchair or bed.
- Question 29 of 31
After your patient has received an enema, which of the following would you have to report immediately?CorrectIncorrect
After an enema, your patient shouldn’t have severe cramping. Mild cramping could occur, but not severe cramping. The rest of the options are expected responses after a patient receives an enema.
- Question 30 of 31
What is the reason that indwelling catheters are secured or taped to a patient’s leg?CorrectIncorrect
If the catheter is secured to the patient’s leg, this could prevent any kind of trauma to the patient, should the catheter accidentally be pulled. A catheter is already secure in the patient’s bladder with a balloon, so it cannot easily be dislodged.
- Question 31 of 31
Which member of the patient’s health-care team is responsible for carrying out the patient’s medical plan under the supervision of the Registered Nurse?CorrectIncorrect
The licensed practical nurse is the staff member who will carry out the patient’s medical plan under the supervision of the registered nurse. The physician is the one who prescribes the medical plan, the nursing assistant aids in the delivery of the patient’s care and the physical therapist carries out the orders, which the physician prescribes.