CHAPTER 1 QUESTIONS

1.Your work as a CNA is supervised by

A) An RN or LPN/LVN

B) The Doctor

C) The director of nursing

D) A more experienced CNA

2. As a CNA you never give medication unless

A) The nurse is busy and asks you to

B) The resident is in the shower and the nurse leaves medication at the bedside

C) You have completed a state required medication training program

D) You are feeding the resident and the nurse asks you to mix medication with the food

3. Who can tell the resident or his family a diagnosis or prescribe treatment?

A) Director of nursing

B) Doctor

C) RN

D) Experienced CNA

4. The nurse asks you to carry out a task you do not know how to do. You should

A) Ignore the order

B) Perform the task as well as you can

C) Ask another CNA to show you how

D) Explain to the nurse why you cannot carry out the task

5. When a resident is confined to his room by a caregiver, he is victim of

A) Physical abuse

B) False imprisonment

C) Invasion of privacy

D) Battery

6. Which of the following is NOT acceptable?

A) An RN delegates a task to an LPN/LVN

B) An LPN/LVN delegates task to a CNA

C) An RN delegates a task to a CNA

D) A CNA delegates a task to another CNA

7. Which of the following is not good conduct for a CNA?

A) Carry out every task assigned whether you are familiar with it or not

B) Take only drugs prescribed by a doctor

C) Know the limits of your role and knowledge

D) Consider the resident’s needs to be more important than your own.

8. A CNA writes a note to a friend that injures the name and reputation of a person by making a false statement. This is called

A) Libel

B) Slander

C) Malpractice

D) Negligence

9. It is appropriate for a CNA to share information regarding a resident’s treatment with

A) Anyone she wants

B) The resident’s family

C) The next shift’s staff

D) The resident’s roommate

10. Which department of a long term health care facility is the CNA part of?

A) Administration

B) Nursing

C) Dietary

D) Housekeeping

11. The responsibilities of a CNA are listed in the

A) Job description

A) Resume

B) Procedure manual

C) Policy manual

12. Some of a CNA’s tasks include

A) Giving medication

B) Diagnosing residents

C) Helping residents with oral care

D) All of the above

13. CNA’s of both sexes

A) Only work with their own sex

B) Work in different units of the facility

C) Care for residents of both sexes

D) Work with CNAs of the opposite sex

14. Ethical behavior for a CNA means to

A) Cooperate with others

B) Know what is right and wrong

C) Have good physical conditioning

D) Only helping residents who are cooperative

15. The CNA assigned to room 204 is on break. The call bell for that room is on. You should

A) Find the CNA assigned to that room

B) Inform the nurse

C) Answer the call bell

D) Tell resident to wait until her CNA is back from break

16. A resident tells you about a financial matter. She says not to tell her family about money she has. You should

A) Tell her family

B) Tell CN

C) Say nothing to anyone

D) Advise her to tell her doctor

17. A resident tells you that you are her favorite CNA and tries to give you a gift. You should

A) Thank her and accept it

B) Do special favors for her in return

C) Tell her you are not allowed to accept gifts, but you appreciate her gesture

D) Tell her you can only accept the gift from her family since the facility doesn’t allow you to accept gifts from residents

18. A CNA who applies restrains without doctor’s orders is guilty of

A) Negligence

B) Intimidation

C) Battery

D) False imprisonment

CHAPTER 1 ANSWERS: 1.A; 2.C; 3.B; 4.D; 5.B; 6.D; 7.A; 8.A;

9.C; 10.B; 11.A; 12.C; 13.C; 14.B; 15.C; 16.C; 17.C; 18.D

CHAPTER 2 QUESTIONS

1. Which of the following statement is true

A) All people have the same basic needs

B) All people have exactly the same needs

C) Men and women have exactly the same needs

D) Some people have no basic needs

2. What are psychosocial or psychological needs?

A) Needs of the body

B) Emotional needs

C) Elimination needs

D) Food, liquid, air needs

3. CNAs can help residents meet their nutritional needs by

A) Distracting them during meal time

B) Keeping the HOB down during meal time

C) Providing privacy

D) Keeping meal time pleasant

4) A resident’s need for love and acceptance can be met by

A) Isolating the resident

B) Bathing the resident often

C) Listening to and showing interest in the resident

D) Making sure resident is well rested

5. Responses people develop in life to handle stress are called

A) Copying mechanisms

B) Psychological developments

C) Grieving process

D) Development task

6. Calling a resident by the name she prefers is one way of meeting the need for

A) Identity

B) Love

C) Spiritual beliefs

D) Privacy

7. When caring for a dying resident you should

A) Never let the resident see family members cry

B) Keep the lights off

C) Keep friends out

D) Continue to care for and treat resident normally

8. Physical signs that death is approaching include

A) Pale skin

B) Weak, rapid pulse

C) Loss of vision

D) All of above

9. Which sense is lost last in a dying person

A) Taste

B) Hearing

C) vision

D) All of above

10. When a CNA finds a crying resident she should

A) Ignore the resident

B) Tell the resident’s friends

C) Call the resident’s doctor

D) Ask the resident if something is wrong

11. After a resident has died, a CNA often

A) Prepares the body

B) Calls the priest

C) Calls the resident’s friends

D) Calls the resident’s family

12. When a CNA is assigned to a resident who thinks she is dying and asks the CNA to stay with her, the CNA should

A) Ignore the resident

B) Ask her why she feels this way

C) Tell her she isn’t dying

D) Scold her for asking

13. The level of needs least often met for most people is

A) Security needs

B) Love and belongings needs

C) Esteem needs

D) Self-actualization needs

14. A CNA can assist residents with their spiritual needs by

A) Taking residents to the CNA’s church

B) Allowing residents to talk about their beliefs

C) Avoiding any religious discussions

D) Talking only about the CNA’s own beliefs

15. Which of the following stages of dying or grief is usually the final stage?

A) Acceptance

B) Anger

C) Bargaining

D) Depression

16. A resident is upset and crying over the recent death of her husband. How should the CNA respond

A) Tell her not to cry because it will make her feel sad

B) Close the door and leave the resident to cry alone

C) Take the resident to an activity to help her forget her husband

D) Sit with the resident and allow her to talk about her feelings

17. If a resident says “God is punishing me” or “Why me?”, how should the CNA respond?

A) Replay “God doesn’t punish people”

B) Listen quietly

C) Ignore the resident

D) Make jokes

18) The CNA can best show that she is listening to the resident by

A) Changing the subject frequently

B) Responding when appropriate

C) Correcting the resident’s wishes

D) Directing the conversation

19. It is important to remember that dying residents

A) Have the same needs for care as other residents

B) Need to be by themselves in a quiet room

C) Do not need to be consulted regarding their care

D) Are usually in pain

20. The family wants to talk about Bob’s approaching death, but Bob does not. The family should be encourage to

A) Hold the conversation away from Bob

B) Talk freely regardless of Bob’s wishes

C) Wait until Bob dies

D) Try to encourage Bob to take part in the conversation

    CHAPTER 2 ANSWERS:   1.A; 2.B; 3.D; 4.C; 5.A; 6.A; 7.D;

      8.D; 9.B; 10.D; 11.A; 12.B; 13.D; 14.B; 15.A;         

      16.D; 17.B; 18.B; 19.A; 20.A

CHAPTER 3 QUESTIONS

1.The purpose of the Patient’s Bill of Rights is to

A) Limit the cost of health caregivers

B) List the costs associated with services provided

C) Ensure respect and dignity for all residents

D) Provide a list of rules for the resident to follow

2. Which of the following is in the Patient’s Bill of Rights?

A) Privacy while receiving care

B) The cost of services

C) Send and receive mail

D) All of the above

3. An example of a resident’s right to privacy being violated is

A) Discussing the resident’s condition during a staff conference

B) Reporting an observation to a nurse

C) Discussing a resident’s condition at home

D) Recording a resident’s BP on a chart

4. When a resident complains about conditions in a facility, you should

A) Tell the family to transfer resident to another facility

B) Listen carefully to the complaint and report it to CN

C) Help the resident write a complain letter to the state

D) Explain that some things cannot be changed

5. Resident’s possessions should be

A) Placed in the facility’s safe

B) Sent home with family members

C) Handled with respect

D) Thrown away

6. When a resident feels her rights have been violated, she has the right to

A) Leave the facility without paying

B) Remain in the facility for free

C) Call law enforcement

D) File a grievance

7. If you see another CNA abusing a resident, you should

A) Call the resident’s family

B) Report the incident to CN

C) Tell the CNA you won’t report her if she doesn’t do it again

D) Do nothing since it’s not your responsibility

 8. Help Residents retain dignity and self-worth by

 A) Complete your tasks for each resident in the same way

 B) Call residents by endearing terms

 C) Do everything for residents so you finish quickly

  D) Allow residents to make as many choices as possible

 9.What should you do when tidying upa resident’s room?

 A) Ask before throwing anything away

 B) Throw out old reading materials

 C) Clean the room without permission from the resident

D) Remove flowers from the room

10.  You violate the resident’s privacy if you

A) Open her mail without permission

B) Close the door when feeding the resident

C) Expose only the part of the body being     cleaned

D) Keep medical information confidential

11. Restrains should

A) Be used to make your tasks easier

B) Be used to punish uncooperative residents

C) Only be used upon the resident doctor’s orders

D) Be used only occasionally

12. A sign of sexual abuse can be

A) Small burns on the body

B) Bruising in the genital area

C) Weight loss and signs of poor nutrition

D) Lack of personal hygiene

13. The ombudsman’s job is to

A) Entertain residents

B) Regulate nursing homes

C) Work with the nursing home to protect resident’s rights

D) Manage the budget

14. Residents have the right to

A) Smoke anywhere in the facility

B) Use the telephone

C) Have access to the entire facility

D) See other residents’ medical records

15. In caring for residents while following the patient’s Bill of Rights, the CNA should

A) Provide privacy during caregiving

B) Ignore complains

C) Share information about the resident with family

D) Take residents’ belongings if they aren’t using them

16. If a resident wakes up during the night and requests food, the CNA should

A) Tell resident to wait for breakfast

B) Check the care plan for diet requirements before offering food

C) Tell resident there is not food available

D) Tell resident there is not food allowed after dinner

17. If a female resident’s husband asks for time alone with his wife, a CNA should

A) Leave and listen outside the door

B) Let the husband visit with the door open

C) Tell the husband “NO”

D) Let the husband visit in private

18. Padding rails on a bed is to

A) Be used as restrains

B) Hang the call bell on

C) Protect the resident from injury

D) Keep the resident warm

19. When preparing to dress a resident, a CNA should

A) Get the clothes first at hand

B) Give the resident a choice

C) Use yesterday’s clothes if they are clean

D) Choose clothes that the roommate likes

20. These are examples of abuse or neglect except

A) Restraining a resident per doctor’s order

B) Leaving a resident alone in the bathtub

C) Threatening to withhold food

D) Leaving a resident’s bed soiled

21. Proper use of a waist restrain requires that the CNA

A) Release the belt every 4 hours

B) Watch for skin irritation

C) Tie restrain to sail rails

D) Put restrain on tightly so resident cannot move

22. If a resident refuses to use a clothing protector during meal time, the CNA should

A) Tell the resident she must wear it

B) Put it on the resident

C) Report it to CN

D) Respect her wishes

23. A newly admitted resident has been put to bed. Your first action should be

A) Ask if she is hungry

B) Brush her teeth

C) List her belongings

D) Make sure she knows how to use the call bed

24. Encouraging a resident to participate in daily activities at the facility is

A) Done when time permits

B) Not your responsibility

C) Necessary for rehabilitation

D) A violation of the resident’s rights

25. When family visit the resident, they should

A) Stay in the day room

B) Not stay long

C) Help with care

D) Be allowed to visit in private

26. You may attend resident council meetings in a facility if

A) The residents invite you

B) Your CN assigns you to attend

C) You are interested in the meeting

D) None of the above

27. If a resident wants to wash her own underwear, you should

A) Ignore her request

B). Tell her it must go through the laundry

C) Tell her you will wash it

D) Help her obtain supplies

28. If a resident does not speak English, you should

A) Have the family interpret

B) Request an interpreter to the CN

C) Call the doctor to interpret

D) Ignore the resident

29. Your CN instructs you to clean the resident’s closet. You should

A) Throw away torn clothing

B) Ask the family to do it

C) Have the resident help

D) Tell the nurse you are too busy

CHAPTER 3 ANSWERS: 1.C; 2.D; 3.C; 4.B; 5.C; 6.D; 7.B; 8.D; 9.A; 10.A; 11.C; 12.B; 13.C; 14.B; 15.A; 16.B; 17.D; 18.C; 19.B; 20.A; 21.B; 22.D; 23.D; 24.C;

25.D; 26.A; 27.D; 28.B; 29.C.

CHAPTER 4 QUESTIONS

1. A CNA is asked the date by a confused resident. The CNA should

A. Say the date is not important

B. Ignore the request

C. Say and show the resident the date

D. Tell the resident’s family

2. If a resident is confused, the CNA should

A. Ignore the resident

B. Restrain the resident so she doesn’t get hurt

C. Keep resident isolated

D. Help the resident become familiar with her surroundings

3. A resident’s weight should be done

A. After eating

B. By a different CNA every time

C. At the same time of  the day

D. First thing in the morning

4. If a resident states she is in pain the CNA should

A. Report it to the CN

B. Have the resident get out of bed

C. Ignore the resident

D. Give the resident aspirin

5. Which temperature is most accurate?

A. Oral

B. Axillary

C. Groin

D. Rectal

6. When reporting an incident to the CN, a CNA should

A. Write the incident on the resident’s chart

B. Keep the report in a personal file

C. State the facts clearly

D. Give your opinion of the incident

7. An agitated resident must be turned every 2 hours at night. The first thing the CNA should do is

A. Turn on the light

B. Speak quietly and calmly

C. Touch her shoulder

D. Shout at her

8. If a resident’s TPR is 98.8-80-30 the finding that should be reported immediately is

A. Pulse

B. Respiration

C. Temperature

D. All of the above

9. What can cause an inaccurate oral temperature reading?

A. Drinking cold or hot liquids shortly before reading

B. Not shaking down the thermometer

C. Vigorous exercise before measuring temperature

D. All of the above

10. The rules for recording include all, except

A. Use the ink color required by facility

B. Erase all errors

C. Sign all entries with name and title as required

D. Record only what you observe or do yourself

11. The order “weigh resident q.o.d.” means to weigh resident every

A. Other week

B. Other day

C. Morning

D. Week

12. Reporting exactly what you see is a (an) _______ observation

A. Clinical

B. Objective

C. Personal

D. Subjective

13. When you make an error recording information, you should

A. Be sure to erase it completely

B. Use correction fluid to cover mistake completely

C. Draw a single line through the error and write “error” next to it, then initial

D. Report the error to the RN

14. The military time is used

A. So there is not confusion with A.M. versus P.M

B. To reduce the possibility of harm to the resident

C. To improve communication

D. All of the above

15. The CNA is caring for a resident who is agitated. The nurse assistant should

A. Talk in a slow, calm manner

B. Tell the resident to be quiet

C. Ask to be reassigned to a new resident

D. Speak loudly to the resident

16. To BEST communicate with a deaf resident, the CNA should

A. Smile and talk under her breath

B. Avoid eye contact

C. Write out information

D. Talk quickly

17.  Before taking the oral temperature of a resident who has just finished a hot beverage, the CNA should

A. Take 3 degrees off the temperature

B. Wait 10 to 20 minutes before taking the temperature

C. Wait an hour before taking the temperature

D. Take a rectal temperature

18. A resident needs range of motion (ROM) exercises every day. When the CNA tries to help her doing the exercises, the resident says she will not do them. She says that they are too hard. What is the CNA’s best response?

A. “Try harder and the exercises will be easier”

B. “I understand, but try working slowly and resting often”

C. “The doctor ordered the exercises because they are important”

D. “Think of something good during the exercises and they may not be so hard”

19. A sign on the resident’s door says NPO. What does it mean?

A. The resident is receiving AM care

B. The resident is receiving oxygen therapy

C. The resident is not to be given any solid food

D. The resident is not to be given anything by mouth

20. An elderly resident is normally alert, but today she is slightly confused. What should the CNA do?

A. Say, “It’s not like you to act like this”

B. Report the confusion to the RN

C. Not worry because all old people get confused sometimes

D. Ignore the confusion because the resident may only be trying to get extra attention

21. A resident’s care plan calls for the resident to ambulate 50 feet twice a day. The Resident tells the CNA that she is unable to do it now. What should the CNA do?

A. Ask the resident to be more helpful

B. Ask the RN to change the care plan

C. Tell the resident that she can skip her walk today

D. Allow resident to choose a better time to ambulate

22. When you notice that a resident has not had a bowel movement in 3 days, you should

A. Immediately give him a laxative

B. Call the kitchen and order him food to stimulate his bowels

C. Take the resident on a short walk to stimulate his bowels

D. Report this to the RN

23. Verbal communication is

A. Sending a message using words

B. Using touch to send a message

C. The same as nonverbal communication

D. Sending a message without the use of words

24. When communicating with a resident who has a vision impairment, it is important to

A. Speak louder than usual

B. Encourage resident to wear his glasses

C. Give resident written instructions

D. Keep the room as dark as possible to avoid eyestrain

25. Which of the following is important for you to report to the RN?

A. Gifts brought to the resident

B. Television shows resident watches

C. Changes in resident’s health

D. All of the above

26. What does BP at HS mean?

A. Take blood pressure at bed time

B. Give resident the bed pan at his side

C. Take blood pressure at resident’s side

D. Give the resident the bedpan at hour of sleep

27. When caring for residents with vision or hearing loss, you should

A. Be as quiet as possible when you are in the room so the resident is not disturbed

B. Make as much noise as possible when you are in the room so the resident knows what you are doing

C. Announce yourself by name and title when entering the room

D. None of the above

28. When caring for a person who is mentally retarded, you should

A. Treat the resident with courtesy and respect

B. Not explain procedures

C. Never smile because it is upsetting the resident

D. All of the above

29. An abnormal change in the digestive system that you should report is

A. Dark and hard stools

B. Pain while urinating

C. Shortness of breath

D. Dry, red skin

CHAPTER 4 ANSWERS: 1.C; 2.D; 3.C; 4.A; 5.D; 6.C; 7.B; 8.B; 9.D; 10.B; 11.B; 12.B; 13.C; 14.D; 15.A; 16.C; 17.B; 18.B; 19.D; 20.B; 21.D; 22.D; 23.A; 24.B; 25.C; 26.A; 27.C; 28.A; 29.A

CHAPTER 5 QUESTIONS

1. Practices used in healthcare facilities to prevent the spread of disease are called

A. Sterilization

B. Disinfection

C. Medical asepsis

D. Techniques

2. Which of the following is NOT true regarding microorganisms?

A. All microorganisms are harmful to humans

B. Microorganisms are present in living plants and animals

C. Microorganisms need food, warmth, and moisture to grow

D. Microorganisms are present in many places

3.  What is the most important measure to prevent spread of infection?

A. Sterilize all items

B. Wear isolated gowns

C. Wash hands

D. Wear gloves

4. Proper handling of lines include

A. Hold lines away from your uniform

B. Avoid shaking linens

C. Wear gloves if linens have moist body fluid, secretions, or excretions on them

D. All of the above

5. Infection is spread

A. In the air

B. In droplet secretions

C. By contact

D. All of the above

6. Microorganisms live best in

A. Cool, dry areas

B. Warm, sunny areas

C. Cold, bright, wet areas

D. Dark, damp, warm areas

7. Microorganism can be spread by all of the following except,

A. Contaminated dresses

B. Sterile items

C. Food and water

D. All of the above

8. Principles of standard precautions include wearing gloves

A. All all times when given care to residents

B. For residents in isolation only

C. For contact with all moist body fluids, secretions, and excretions ( except sweat)

D. For contact only with body fluids that contain visible blood

9. Microorganisms that cause disease are called

A. Toxins

B. Pathogens

C. Disinfections

D. Aseptic

10. Personal protective equipment includes

A. Gloves

B. Gowns

C. Masks

D. All of the above

11. An example of indirect contact is

A. Touching the resident

B. Touching a tissue used by a resident

C. Sneezing

D. All of the above

12. You should wear gloves for contact with the resident’s

A. Arm

B. Perspiration

C. Hair

D. Saliva

13. Clean bed linens placed in a resident’s room, but not used should be

A. Returned to the linen cart/ closet

B. Used for the resident needing it next

C. Placed in the dirty linen hamper

D. Placed in the chair until the resident needs it

14. When removing soiled linens from the bed, the CNA should

A. Place them in the dirty linen hamper

B. Shake the linens in the air

C. Pile them on the floor

D. Carry them under arm

15. A CNA must wear gloves when

A. Feeding a resident

B. Doing perineal care

C. Giving a back rub

D. Doing range of motion exercises

16. When changing an un-sterile dressing, the CNA should wash hands

A. Before procedure

B. After procedure

C. Before and after procedure

D. Before, after removal of the soiled dressing, and after procedure

17. Which of the following methods is the correct way to remove a dirty isolation gown?

A. Pull it over the head

B. Let it drop to the floor and step out of it

C. Roll it dirty side in and away from the body

D. Pull it off by the sleeve and shake it out

18. Which of the following procedures destroys bacteria?

A. Soaking in alcohol

B. Washing with bleach

C. Sterilization

D. All of the above

19. If a CNA needs to wear a gown to take care for a resident in isolation, the CNA must

A. Wear the same gown to care for all other assigned residents

B. Leave the gown untied

C. Take the gown off before leaving the resident’s room

D. Take the gown off in the dirty utility room

CHAPTER 5 ANSWERS: 1.C; 2.A; 3.C; 4.D; 5.D; 6.D; 7.B; 8.C; 9.B; 10.D; 11.B; 12.D; 13.C; 14.A; 15.B; 16.D; 17.C; 18.C; 19.C

QUESTIONS CHAPTER 6

1. A resident who is disoriented is

A. Usually retarded

B. Confused as to time and place

C. Not allowed to eat

D. Also destructive

2. Changes in the resident’s personality may be a sign of

A. Mental illness

B. Too much socializing

C. Lack of exercise

D. All of the above

3. Alzheimer disease causes changes in

A. The brain

B. The heart

C. The lungs

D. All of the above

4. A resident with dementia needs

A. Increase activity to stay alert

B. To be isolated from others

C. A structured, safe environment

D. Freedom from rules

5. Inappropriate behavior may cause by

A. Frustration

B. Loss of control

C. Unmet needs

D. All of the above

6. When residents have feelings of positive self-esteem, behavior problems

A. Decrease

B. Increase

C. Stay the same

D. Get started

7. When you empathize with residents, you are feeling,

A. Like you think the resident feels

B. Very sorry for them

C. Very happy for them

D. All of the above

8.  You can expect the following from a resident who has dementia

A. Paranoid behavior

B. Repeatedly not remembering people, places, or events

C. Irritable moods and foul language

D. All of the above

9. A sign of dementia in elderly residents is

A. A need to eat regular meals

B. Not knowing who and where they are

C. An ability to figure out problems

D. A good memory for recent events

10. A good example of providing choices to a resident would be

A. Tell the resident to go for a walk outside

B. Allow the resident to choose a dessert if all of the dinner is eaten first

C. Explain that if the resident chooses to be angry there will be no bingo games

D. Allow the residents to pick out clothes to wear today

11. A good listening approach to use when communicating with residents who have mental impairment

A. Tell the resident to stop talking

B. Stay at least six feet away from the resident

C. Sit by a resident who is in a chair

D. Avoid making eye contact

CHAPTER 6 ANSWERS: 1.B; 2.D; 3.A; 4.C; 5.D; 6.A; 7.A; 8.D; 9.B; 10.D; 11.C

QUESTIONS CHAPTER 7

1. Which of the following residents are at a high risk of injury?

A. The confused resident that wanders

B. The newly admitted resident

C. The resident with vision and hearing impairment

D. All of the above

2. Which is the safest way to prevent residents from having contact with hazardous substances, such as cleaning supplies and medications?

A. Label containers with the poison sign

B. Tell the resident to stay away from hazardous materials

C. Lock cabinets where hazardous materials are stored

D. Tell other residents to watch confused residents

3. Which of the following floor conditions pose a threat to a resident’s safety

A. A shiny surface

B. Spilled liquids

C. Beige colored tile

D. All of the above

4. If the resident begins to fall while you are walking with him, you should

A. Gently ease the resident to the floor

B. Ask another resident to help you

C. Quickly go and get the nurse

D. Get a pillow for the resident immediately

5. Which is true regarding the use of restrains

A. Restrains may be applied when the nursing staff is busy

B. Restrains are applied to all confused residents to keep them safe

C. Restrains may be applied to any resident who will not stay in bed

D. Restrains may be applied only if ordered by a doctor to protect the resident from harm

6. Restrains should be release at least

A. Once every shift

B. Every two hours

C. Every three hours

D. Every four hours

7. Which of the following rules should you follow when using restrains

A. Restrains should be the proper size to fit the resident

B. Restrains must always be tied in a slip knot

C. The nurse assistant should visually check the restrained resident every 15 to 30 min

D. All of the above

8. In case of fire, what should be done first?

A. Call the fire department

B. Remove residents who are in danger

C. Alert other staff

D. Announce the location of the fire over the intercom

9. If a resident is coughing and able to breath, you should

A. Perform the Heimlich maneuver

B. Use finger sweeps to remove the object

C. Stay with the resident and let him continue coughing

D. Hit the resident on the back

10. When using a fire extinguisher, you should point the nozzle at

A. The yellow part of the flame

B. The base of the fire

C. The space just above the flames

D. All areas of the fire

11. The CNA sees smoke coming from vent in a resident’s room. What should she do first?

A. Open a window

B. Call for assistance

C. Remove the resident from the room

D. Investigate the source of the smoke

12. A CNA enters a room to check on a resident who is in restrains. The CNA finds the resident has gotten out of the restrain and is partly out of bed. What the CNA should do?

A. Call for help and get the resident back into the bed and put the restrain back on

B. Put the restrain back on tightly so that the resident cannot move

C. Leave the restrain off and report the problem to the CN

D. Put a different type of restrain on the resident

13. A resident is smoking a cigarette in the smoking area outside. The resident keeps dropping the cigarette on his lap. What should the CNA do first?

A. Stay with the resident until he is finished smoking

B. Tell the resident that he must be more careful

C. Check on the resident every few minutes

D. Go and report it to the charge nurse

14. A CNA finds a fire in a resident’s waste can. What should she do first?

A. Pull the fire alarm

B. Pour water on the fire

C. Move residents out of immediate danger

D. Use the fire extinguisher to put out the fire

15. When you are securing a restrain with a knot, you should use

A. A bow, like when you tie your shoes

B. A triple knot for security

C. A slip knot, for quick release

D. A granny knot

16. The BEST time to prepare for a disaster is

A. While evacuating residents

B. During lunch

C. When everyone is safely in bed

D. Before it happens

17. Which of the following things should you do to familiarize a new resident with his or her surroundings?

A. Show resident where the call bell is and how it works

B. Tell the resident not to operate the TV

C. Ask visitors to leave the room while you finish admitting the resident

D. Raise the side rails of the bed until the resident becomes acquainted with his surroundings

18. When moving a wheelchair onto an elevator, you should stay

A. Behind the chair, pulling it toward you

B. Behind the chair, pushing it away from you

C. In front of the resident to observe his or her condition

D. To the side and hold the door open

19. Upon entering a room, you notice that the resident is not breathing. Your FIRST action should be to

A. Call for help

B. Lay resident down on his back

C. Give 4 quick breaths

D. Give 8-10 abdominal thrusts

20. A water pitcher has tipped over and you notice water on the floor. The BEST action is to

A. Wipe it immediately

B. Throw a towel over the water to prevent accidents

C. Notify the CN

D. Call housekeeping

CHAPTER 7 ANSWERS: 1.D; 2.C; 3.B; 4.A; 5.D; 6.B; 7.D; 8.B; 9.C; 10.B; 11.C; 12.A; 13.A; 14.C; 15.C; 16.D; 17.A; 18.A; 19.A; 20.A

QUESTIONS CHAPTER 8

1. The normal aging process is BEST defined as the time when

A. People become dependent and childlike

B. Alzheimer disease begins

C. Normal body functions and senses decline

D. People are over 65 years of age

2. The MOST serious problem that wrinkles in the bedclothes can cause is

A. Restlessness

B. Sleeplessness

C. Decubitus ulcers

D. Bleeding and shock

3. An important way to reduce the incidence of decubitus ulcers is to

A. Keep the resident in bed

B. Force fluids every 2 hours

C. Change position every 2 hours

D. All of the above

4. Mrs. Black is diabetic. For her snack, the kitchen has sent a carton of chocolate ice cream. Your FIRST reaction should be to

A. Substitute cola for ice cream

B. Hold the snack and report to CN

C. Ask the secretary to notify the kitchen of an error

D. Ask Mrs. Black if she likes ice cream

5. Sexually changes in aging people can result in

A. Decreased sexual desire

B. Unchanged sexual desire

C. Increased sexual desire

D. All of the above

6. All long- term care CNAs must be competency evaluated. This requirement is set by

A. OBRA

B. OSHA

C. CDC

D. FDA

7. Decubitus ulcers can be prevented by

A. Changing the resident’s position frequently

B. Placing an egg-crate mattress on top of the mattress

C. Increasing the resident’s vitamin C consumption

D. Both a and b

8. What is the beginning sign of a pressure sore?

A. Numbness

B. Oozing of fluid

C. Discoloration of skin

D. Swelling

9. Someone who is classified as “old” is

A. Between 60-69 years of age

B. Between 70-79 years of age

C. Someone who is retired

D. Someone who has had his body system slow down

10. A resident is complaining of nausea, jaw pain, and is sweating. She is most likely experiencing

A. Indigestion

B. A heart attack

C. A stroke

D. A diabetic seizure

CHAPTER 8 ANSWERS:  1.C; 2.C; 3.C; 4.B; 5.D; 6.A; 7.D; 8.C; 9.D; 10.B

ADDITIONAL QUESTIONS

1. A CNA finds a conscious resident lying on the floor. The first thing he/she should do is

a. Help the resident back to bed

b. Offer the resident some water

c. Call for assistance from the CN

d. Checks for signs of injury

2. When performing ROM exercises on a resident, what does the CNA do to each join?

a. Stretch it until it hurts

b. Rotate it in both directions until it hurts

c. Bend it to a 90 degree angle while supporting the limb

d. Move it to its fullest range, or less if the resident feels discomfort

3. A confused resident has asked you if he can take a walk. You should

a. Just leave the resident alone

b. Tell the resident he cannot take a walk

c. Take the resident on a short walk

d. Ask another resident to take him for a walk

4. If a resident balls up his fist and comes toward you, what should you do first?

a. Call for assistance

b. Back up and avoid being struck

c. Push resident away, even though you have not been struck

d. Nothing

5. The pulse located in the wrist is called the

a. Carotid pulse

b. Apical pulse

c. Femoral pulse

d. Radial pulse

6. Which of the following is a correct measurement of urinary output?

a. 40 oz

b. 300 cc

c. 2 cups

d. 1 qt

7. To convert four ounces of juice to milliliters (ml), the CNA should multiply

a. 4×5 ml

b. 4×10 ml

c. 4×15 ml

d. 4×30 ml

8. What is the term for a device used to take the place of a missing body part?

a. Pronation

b. Abduction

c. Prosthesis

d. External rotation

9. When a resident has a left-sided weakness, what part of a sweater is put first?

a. Both sleeves

b. Left sleeve

c. Resident’s choice

d. Right sleeve

10. When helping a resident, who is recovering from a stroke, to walk, the CNA should assist

a. On the resident’s strong side

b. On the resident’s weak side

c. From behind the resident

d. With a wheel chair

11. Exercises that move each muscle and join are called

a. Adduction

b. Range of motion

c. Abduction

d. Rotation

12. To avoid pulling the catheter when turning a male resident, the catheter tube must be taped to a resident’s

a. Bed sheet

b. Upper thigh

c. Bed frame

d. Hip

13. What is the process of restoring a disabled resident to the highest level of functioning?

a. Responsibility

b. Retention

c. Rehabilitation

d. Reincarnation

14. A resident needs to be repositioned, but he is heavy, and the CNA is not sure she can move the resident alone. The CNA should

a. Try to move resident alone

b. Have the family do it

c. Ask another CNA to help

d. Go on to another task

15. To prevent dehydration of the resident, the CNA should

a. Offer fluids frequently while the resident is awake

b. Wake the resident hourly during the night to offer fluids

c. Give the resident frequent baths

d. Feed the resident salty food to increase thirst

16. How many tips does a quad-cane base have?

a. 1

b. 2

c. 3

d. 4

17. When transferring a resident, MOST of the resident’s weight should be supported by the CNA’s

a. Back

b. Shoulders

c. Legs

d. Wrist

18. What is the BEST way for the CNA to promote resident’s independence in bathing a resident who has had a stroke?

a. Give the resident a complete bath only when the resident request it

b. Encourage the resident to do as much as possible and assist as needed

c. Leave the resident alone and assume the resident will do as much as she can

d. Limit the resident to washing her hands

19. When assisting a resident in and out of bed, the CNA should always

a. Employ good body mechanics

b. Get another person to help

c. Pull the resident’s feet out first, then lift the back up

d. Put shoes on the resident because he may slip

20. The purpose of cold applications is usually to

a. Speed the flow of blood to the area

b. Prevent heat exhaustion

c. Prevent or reduce swelling

d. Prevent the formation of scar tissue

21. When lifting a heavy object, the correct method would be to bend at the

a. Waist, keeping your legs straight

b. Waist, rounding your shoulder

c. Knees, keeping your back straight

d. Knees and waist

22. A resident has a new cast on his right arm. While caring for him, it is important to FIRST observe for

a. A pulse above the cast

b. Color and hardness of the cast

c. Warmth and color of fingers

d. Signs of crumbling at the cast end

23. When assisting Mr. Byrd, a blind resident, with his meal, it is NECESSARY to

a. Sit next to him to help

b. Identify each item on his tray

c. Feed him so he won’t spill his food

d. Insist that he uses only a spoon

24. The hot water bottle is an example of a

a. Local dry heat application

b. Generalized dry heat application

c. Local moist heat application

d. Generalized moist heat application

25. Residents receiving an enema are usually placed

a. On the right side

b. On the left side

c. Flat on the back

d. In a semi-sitting position

26. The most common site for counting the pulse is the

a. Carotid artery

b. Femoral artery

c. Brachial artery

d. Radial artery

27. With catheterized residents, which of the following is not the CNA responsibility?

a. Insertion of the catheter

b. Prevention of the infection

c. Checking to make sure the catheter is draining properly

d. Recording output

28. When performing catheter care, the CNA should wash the catheter

a. Towards the meatus

b. With betadine soap

c. Away from the meatus

d. With alcohol

29. The first step in performing any procedure is to

a. Explain the procedure

b. Gather equipment needed

c. Wash your hands

d. Provide for privacy

30. The resident’s elbows are dry and red, you should

a. Report this to the charge nurse (CN)

b. Rub them with lotion

c. Apply elbow protectors

d. All of the above

31. If the resident is in traction, the CNA should never

a. Monitor affected skin temperature

b. Give a total bed bath

c. Change the position of the weights

d. Monitor distal pulses

32. When removing a soiled gown from a resident who has an IV, the best action is to

a. Remove the opposite arm from the gown first

b. Have the nurse remove the IV needle

c. Slip the gown over the IV solution bag

d. All of the above

33. Reasons for rubbing a resident’s back include

a. Improving circulation

b. Increasing one-on-one interaction time

c. Relaxing the resident

d. All of the above

ADDITIONAL QUESTIONS ANSWERS: 1.C; 2.D; 3.C; 4.B; 5.D; 6.B; 7.D; 8.C; 9.B; 10.B; 11.B; 12.B; 13.C; 14.C; 15.A; 16.D; 17.C; 18.B; 19.A; 20.C; 21.C; 22.C; 23.B; 24.A; 25.B; 26.D; 27.A; 28.C; 29.C; 30.A; 31.C; 32.A; 33.D