Which of the following client observations should the nurse aide report immediately to the nurse?

Q: What is the first area of a clients body that the nurse aide should wash when providing a bed bath?

Make sure not to lather the soap too much or youll risk getting suds in their eyes or mouth (this is one of the reasons many people use baby shampoo for bed baths). Once youre done washing above the neck, its time to wash one side of the body at a time. Start with the shoulder, upper body, arm and hand.

CNA Roles, Roles of Others and Teamwork

1.	Nursing assistants work in a lot of different places. One place that CNAs work is a skilled nursing facility. This type of facility is also called a ______________.
		a. hospital
		b. rehab center
		c. hospice
		d. nursing home

2.	Many people, particularly older people, go to what kind of healthcare facility after they are discharged from a hospital after a stroke?
		a. A subacute care center
		b. A hospice
		c. A respite center
		d. A group home

3.	A CNA, MA, and RN all provide care for 10 patients in a sub-acute facility. What is the term for this collaborative approach to patient care?
		a. Group Care
		b. Primary Care
		c. Team Nursing
		d. Rehab

4.	A CNA is covering another CNA's lunch break on another floor. She answers the light for a patient who complains of chest pain. Who should the CNA report this finding to?
		a. Nurse
		b. Provider
		c. Director of Nursing
		d. The other CNA when back from lunch break

5.	You are asked to complete a bed change for a 300 lb. patient who is immobile and difficult to turn. You feel uncomfortable changing the bed yourself. What is your next course of action?
		a. Schedule a time with another nurse or CNA to have assistance during the bed change.
		b. Complete the bed change yourself even though you are uncomfortable.
		c. Wait until shift change to let the next shift take care of it.
		d. Tell the patient that they do not need a bed change.

6.	Which duties would be performed by a CNA in team nursing?
		a. Assessment of the heart and lungs
		b. Teaching physical therapy exercises
		c. Taking Vital Signs and Blood Sugars Readings
		d. All of the above.

Legal and Ethical Aspects of the CNA Role

7.	The CNA can legally ____________.
		a. supervise other CNAs
		b. teach other CNAs
		c. mentor other CNAs
		d. None of the above

8.	The director of nursing at your long term care nursing home has assigned you to be in charge of the nursing home for the weekend because she is going away on a cruise vacation to the Caribbean. What should you do?
		a. Refuse to do the assignment
		b. Do the best you can do
		c. Ask about the details
		d. Call the owner

9.	Which of the following actions is ethically wrong in the care of nursing home residents?
		a. The CNA remains right outside the bathroom door and instructs the patient to pull the call light when they have finished urinating.
		b.The CNA wipes the patient's finger with an alcohol swab prior to taking a blood glucose level.
		c. The CNA does not let a confused high-fall risk patient ambulate in the halls without assistance.
		d. The CNA chooses to complete an incontinence change every 4 hours on a patient who is incontinent every hour.

10.	A patient requires a dressing change for the first time after surgery. Which of the following staff cannot legally change the patient's dressing immediately after surgery?
		a. CNA
		b. LPN
		c. RN
		d. MD

11.	Which of the following is now the minimal requirement to be able to legally record and document data, such as vital signs and blood sugar readings, within a hospital setting?
		a. Experience
		b. Certification
		c. Licensure
		d. College Degree

Priorities and Priority Setting

12.	Who developed the Hierarchy of Needs?
		a. Erikson
		b. Piaget
		c. Maslow
		d. Nightingale

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Inhaltsverzeichnis Show

CNA Roles, Roles of Others and Teamwork
Legal and Ethical Aspects of the CNA Role
Priorities and Priority Setting
Acceptable and Unacceptable Abbreviations
Observation, Reporting and Abbreviations
Safety and Managing Behavior
Disasters and Emergencies
Personal Care Skills
Infections, Infection Control and Blood Borne Pathogens
Caring for All Ages and Health Maintenance and Restoration
Common Physical and Emotional Problems
Care of the Dying Person at the End of Life
Which of the following clinical information would need to be reported immediately to the nurse?
Which urine observation the nursing assistant should report to the nurse immediately?
Which of the following should the nursing assistant observe and record when admitting a client?
What is the first area of a clients body that the nurse aide should wash when providing a bed bath?

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13.	The levels of the Hierarchy of Needs are ___________________.
		a. physical needs, safety and security needs, love and belonging needs, esteem needs and self actualization
		b. need for freedom, need for resources, needs of self and needs of others
		c. subjective needs, objective needs, data analysis and needs for resolution
		d. integumentary system, respiratory system, nervous system and cardiac system

14.	The CNA is working on a busy med-surg hospital floor and is caring for 10 patients. Vital signs are taken every 4 hours, with meals delivered at 0730, 12:30 and 5:30. It is currently 0900 and all patients have received their breakfast trays. Last vital signs were taken at 0400. Which of the following is the highest priority?
		a. A patient is requesting a full bed bath right now.
		b. Taking vitals on all patients since they were not taken at 0800.
		c. The patients have finished their meals and are requesting the trays to be taken from the room.
		d. A patient is complaining of chest pain after surgery and is requesting pain medicine.

15.	It is nearly time for your lunch break. A nurse is requesting assistance with an incontinence bed change. Which of the following is not a proper response?
		a. Gather supplies and assist the nurse with the bed change
		b. Tell the nurse you cannot help as you are going on lunch
		c. Delay your lunch if needed to assist the nurse as possible
		d. Request the CNA covering your lunch to assist the nurse

Acceptable and Unacceptable Abbreviations

16.	You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states, "ambulate at least 10 yards qid". This patient will be assisted with ambulation at which of the following times?
		a. 10 am
		b. 10 am and 2 pm
		c. 10 am, 2 pm and 6 pm
		d. 10 am, 2 pm, 6 pm and 10 pm

17.	The RN asks you to bring the unit's collected lab specimens to the lab "stat". You should ______________.
		a. not do this errand because CNAs do not do "stats".
		b. run this errand as soon as you can.
		c. run this errand immediately and without delay.
		d. Before the end of your shift or after your lunch.

18.	Hospital policy states that patients on the medical floor should have vital signs taken every 4 hours. Which of the following is an appropriate abbreviation for this order?
		a. V. Signs QID
		b. VS q4 hrs
		c. Vital signs QOD
		d. Vitals QD x 4

19.	What does the medical abbreviation ADL stand for?
		a. Activities of Daily Living
		b. Advantages of Disability and Life Insurance
		c. Assessment of Depth and Length
		d. All Day Long

20.	You are caring for a patient with a BKA. What do you expect to see when entering the patient's room related to this abbreviation when working with the patient?
		a. A patient with an amputation below the knee
		b. A patient with tubes coming out of both kidneys
		c. A blood sugar of 600 once you take a finger stick glucose
		d. A patient with swollen legs from heart failure

Observation, Reporting and Abbreviations

21.	Which of the following lists the five senses?
		a. sight, hearing, taste, smell and common sense.
		b. hearing, taste, smell, common sense and auditory.
		c. sight, taste, smell, auditory and visual.
		d. hearing, smell, taste, sight and touch.

22.	What senses do nursing assistants use to observe patients and residents?
		a. Sight, hearing and touch
		b. Sight and hearing only
		c. Sight and common sense only
		d. Taste and hearing only

23.	A CNA is caring for an immobile patient and notices a new open sore to the patient's sacrum. What should the CNA do?
		a. Report this finding to the nurse.
		b. Place barrier cream over the sore.
		c. Ask the patient how they got the sore.
		d. Do nothing.

24.	A CNA is working in the resident dining hall and notices a resident grabbing at her throat without making any noise. What should the CNA's response be?
		a. Perform the Heimlich maneuver
		b. Start chest compressions
		c. Slap the residents back
		d. Call for help and wait

25.	A CNA is bathing a child on a Pediatric hospital unit. She notices the child has bruising to his arms and legs. What should be the CNA's first response be?
		a. Call Child Protective Services
		b. Ask the child what happened
		c. Confront the parents
		d. Report the finding to the charge nurse per hospital protocol

Safety and Managing Behavior

26.	Which risk factor places patients and residents at the greatest risk for falls?
		a. Old age
		b. Middle years
		c. Pneumonia
		d. COPD

27.	Which sensory impairment places residents and patients at risk for falls?
		a. Blindness
		b. Confusion
		c. Weakness
		d. Aging
		e. A and c only

28.	You are caring for a resident in an Alzheimer's unit in a nursing home. The resident is repeatedly pushing on the locked door trying to exit the building. Which of the following would be your first response?
		a. Unlock the door and allow the resident to exit the building
		b.Take hold of the resident's elbow and direct them toward the room
		c. Attempt to verbally reorient or redirect the resident back to their room
		d. Assist the resident to their room and apply restraints to prevent her from leaving

29.	You are working in a dual occupancy room in a long-term care facility when the residents start arguing back and forth from their beds. What is the best response?
		a. Tell the residents they must stop arguing
		b. Notify the nurse or resident care manager
		c. Change the room for one resident
		d. Pull the curtain between the two residents

30.	Which of the following is most likely to de-escalate a disoriented patient who is starting to become verbally abusive?
		a. Address their concerns in a slow and calm manner
		b. Shout at them to snap out of it
		c. Close the door to their room
		d. Physically assist the patient back into a supine position in bed

31.	A CNA notices an uncapped syringe lying on the floor in the patient's room. What is the CNA's response?
		a. Safely pick up the syringe and place in the sharps container, then report it to the nurse.
		b. Ignore the syringe, the cleaning staff will find it and dispose of it.
		c. Safely pick up the syringe and place it in the trash can.
		d. Leave the syringe in place and report it to the nurse.

Disasters and Emergencies

32.	The fire alarms in your nursing home begin ringing. Nobody on your unit is in immediate danger. You must now ____________.
		a. evacuate the patients laterally.
		b. evacuate the patients vertically.
		c. close the patient doors.
		d. open the patient doors.

33.	A small contained fire breaks out in a small trash can near the lobby of the nursing home. No visitors or residents are in immediate danger. You have pulled the alarm, what should you do next?
		a. Extinguish the fire if you can do so safely and without harm.
		b. Run away from the fire.
		c. Cover the fire with a blanket.
		d. Open the windows and exit the floor.

34.	Which of the following locations would provide you with the most up-to-date information on how to respond to a disaster within your facility?
		a. Google Search
		b. Ask another CNA
		c.The Facility's Policy and Procedures Manual
		d. Human Resources Handbook

35.	In the event of a tornado spotting near the proximity of the building, what is the CNA's response to maintain patient safety?
		a. Move patients as far away from windows as possible.
		b. Assist ambulatory patients to exit the building.
		c. Do nothing, the building is secure.
		d. Take patients down to the basement using the elevator.

36.	Which patients should be evacuated first in the event of a fire within the area?
		a. Immobile patients or patients on life support
		b. Small children and ambulatory patients
		c. Patients requiring transfer assistance or use of a stretcher
		d. Patients in wheelchairs or who can ambulate with walkers

37.	You hear the code for an infant abduction over the intercom in the hospital. You notice a suspicious person walking with a large bag quickly through the halls. What is your response?
		a. Tell the person to give you their bag.
		b. Ignore the suspicious person.
		c. Block the exit to prevent the suspicious person from leaving.
		d. Safely attempt to detain the person until security arrives.

Personal Care Skills

38.	A patient is confined to their bed and needs assistance at meals. What position should you place the bed in as you are feeding the patient?
		a. Supine
		b.High Fowler's
		c. Reverse Trendelenburg
		d. Lateral

39.	When cleansing the genital area during perineal care, the nurse aide should _______________.
		a. cleanse the penis with a circular motion starting from the base and moving toward the tip.
		b. replace the foreskin after it has been pushed back to cleanse an uncircumcised penis.
		c. cleanse the rectal area first and then clean the patient's genital area.
		d. use the same area on the washcloth for each washing and rinsing stroke for a female resident.

40.	Which of the following tasks would more likely be performed by a nurse?
		a.Feeding an Alzheimer's patient who does not have trouble swallowing
		b. Ambulating a low fall-risk patient with a walker
		c. Bathing a surgical patient prior to surgery
		d. Trimming the toenails of a patient with Diabetic Neuropathy

41.	____________ may result when patients or residents ignore the urge to defecate.
		a. Constipation
		b. Diarrhea
		c. Incontinence
		d. Hemorrhoids

Infections, Infection Control and Blood Borne Pathogens

42.	The chain of infection includes the ________________.
		a. germ, agent, reservoir, exit portal, mode of transmission, entry port, and susceptible host
		b. active natural, active artificial, passive natural and passive artificial
		c. opportunism, weakness, immunity, and colonization
		d. intrinsic, extrinsic, internal and external transmission

43.	Asepsis is defined as ________________.
		a. the absence of all microorganisms
		b. the absence of disease causing germs
		c. a urinary infection
		d. a pathogenic infection

44.	Which of the following patients is likely to be placed on contact precautions in a hospital setting?
		a. A patient with MRSA
		b. A patient who is coughing
		c. A patient who just had hip surgery
		d. An elderly patient

45.	What are standard precautions?
		a. Hand washing or hand sanitizing between patients, wearing gloves if handling bodily fluids
		b. Wearing gloves at all times, only hand washing between patients
		c.Wearing gloves and a mask while in the patient's room
		d. Gloves and hand washing is not required between patient rooms

46.	Which of the following hospital floors would you most likely expect to see Reverse Isolation Precautions?
		a. Surgical
		b. Oncology
		c. Obstetrics
		d.Alzheimer's

Caring for All Ages and Health Maintenance and Restoration

47.	Mobility is an important human function. The hazards of immobility lead to many physical problems and emotional problems. Immobility can lead to detrimental cardiac, muscular, respiratory, skeletal, urinary, gastrointestinal, skin and emotional changes. Which of the following is an example of a skeletal hazard of immobility?
		a. Contractures
		b. Constipation
		c. Calcium loss
		d. Catabolism

48.	An emotional consequence of immobility is: ________________.
		a. depression
		b. dementia
		c. delirium
		d. diversion

49.	Which of the following age groups are at the highest risk for injury-causing falls?
		a. Elderly
		b. Middle-Aged
		c. Young Adult
		d. Children

50.	All of the following are preventive measures to avoid pressure ulcers in the elderly, except:
		a. Repositioning every 2 hours
		b. Applying skin barrier cream to high pressure areas
		c. Changing incontinence pads as soon as they are soiled
		d. Applying contracture boots in an immobile patient

51.	Where should the wheelchair be placed when transferring a stroke patient from their bed to the chair?
		a.On the patient's weak side
		b. At the foot of the bed
		c. At the head of the bed
		d.On the patient's strong side

52.	Which of the following would not be considered a fall risk intervention?
		a. Fall Mats
		b. Bed Alarm
		c. Non-skid Socks
		d. Restraints

53.	Two CNAs are caring for a total care elderly patient with dementia. Which of the following scenarios is incorrect?
		a. The CNAs stand on either side of the bed to help turn the patient
		b. One CNA holds the patient while the other cleans the peri-area
		c.The CNAs discuss another patient's care while caring for this patient
		d. The CNAs boost the patient up in bed using the draw sheet

Common Physical and Emotional Problems

54.	Your patient is saying that they have chest pain and "a pounding heart". You touch the person's arm and you feel moisture. The patient is sweating and your also see that the person's lips are blue. These signs and symptoms indicate that the person is most likely _______________.
		a. nervous and anxious
		b. having a panic attack
		c. having a heart attack
		d. calling out for emotional attention

55.	You are caring for Thomas N. Thomas is 77 years old. He has edema, or swelling, in his legs and he has a fluid restriction in terms of his fluid intake. You have been assigned to weigh him daily. Based on these symptoms and the care that he is being given, what disorder is he most likely affected with?
		a. Diabetes
		b. Dementia
		c. Congestive heart failure
		d. Continguous heart disease

56.	You are caring for a diabetic patient who reports dizziness and is shaky and sweaty. The patient is alert and oriented. The patient's vital signs were normal one hour ago. After reporting your findings to the nurse, what do you expect the nurse to ask you to do?
		a.Take the patient's blood sugar
		b.Take the patient's vital signs
		c. Call a Rapid Response or Code
		d. Answer the call light of a patient who is requesting a walk

57.	You are assisting an elderly female patient to the bathroom. Which of the following would be important to emphasize to the patient to prevent Urinary Tract Infections?
		a. Wipe from front to back.
		b. Stand up slowly to prevent dizziness.
		c. Make sure to press the call light when you are done.
		d. Put one hand on the walker and one hand on the seat to press yourself us.

58.	You notice a patient is walking with a shuffling gait with a walker and has jerky movements of the arms and legs. The patient has some difficulty speaking but is alert and oriented. What do you suspect is causing this patient's symptoms?
		a.Alzheimer's
		b. Heart Failure
		c.Parkinson's Disease
		d. Stroke

59.	A patient is complaining of shortness of breath and requesting his breathing treatment. You notice the patient is wearing a nasal cannula with oxygen flowing at 2 L/min. What disease do you suspect this patient suffers from?
		a. Coronary Artery Disease
		b. COPD
		c. UTI
		d. Constipation

Care of the Dying Person at the End of Life

60.	Which is considered a "normal" or "healthy" type of grief?
		a. Anticipatory grief
		b. Complicated grief
		c. Unresolved grief
		d. Inhibited grief

61.	The Grant family has just lost a loved one. A family member informs you that their culture does not permit a dead person to be left alone before burial. Hospital policy states that all bodies are to be stored in the hospital morgue. How would you best handle this situation?
		a. Gently explain the policy to the family and then implement it.
		b. Notify the nurse about this cultural concern.
		c. Call the deceased patient's primary care provider for advice.
		d. Move the deceased patient to an empty room and stay with the body yourself.

62.	A CNA is caring for a patient on hospice care. She notices the patient's lips, hands and feet are blue and mottled. There is no rise and fall of the patient's chest. What should the CNA's next action be?
		a. Start chest compressions
		b. Call 911
		c. Shout at the patient to wake up
		d. Notify the nurse

63.	Which of the following hospice tasks should not be performed by a CNA?
		a. Taking vital signs as requested for the family
		b. Providing repositioning and perineal care for the patient
		c. Providing emotional support for the family
		d. Determining time of death for the family

Which of the following clinical information would need to be reported immediately to the nurse?

Examples are bleeding, pain, or injury. Restraints (ordered by a doctor) require reporting to the nurse. Other circumstances that require immediate reporting: skin changes, falls, patient complaints, difficult behavior, suicidal or dangerous behavior, and discovery of alcohol or drugs.

Which urine observation the nursing assistant should report to the nurse immediately?

If the output of urine falls below 30 mL in an hour, it is important to notify the nurse immediately (Hegnar & Acello, 2014). Vital signs, particularly blood pressure should be taken daily.

Which of the following should the nursing assistant observe and record when admitting a client?

Nursing.

What is the first area of a clients body that the nurse aide should wash when providing a bed bath?

Make sure not to lather the soap too much or you'll risk getting suds in their eyes or mouth (this is one of the reasons many people use baby shampoo for bed baths). Once you're done washing above the neck, it's time to wash one side of the body at a time. Start with the shoulder, upper body, arm and hand.