CNA practice

Many elderly residents lose their appetite due to
a)a decrease in saliva
b)hardening of the arteries
c)decrease number of tastebuds
d)both a & c

d)both a&c

The thinning of the fatty layer under the skin could cause the resident to:
a)lose their appetite
b)have difficulty walking
c)develop pressure sores
d)have slowed mental responses

c)develop pressure sores

Elderly residents sometimes appear stooped over and like they have lose height due to:
a)the residence increase difficulty breathing
b)the deterioration of muscle tissue
c)lose of Ca causing changes in the spinal column
d)decreased cardiac tissue

c)lose of Ca causing changes in the spinal column

one of the major reasons the elderly are incontinent of urine is:
a)they are too lazy to go to the BR
b)they can't get a nurse aid to help them to the BR
c)the circulatory system is failing
d)the muscle that keeps urine in the bladder weakens

d)muscle in the bladder weakens

Constipation and indigestion can result from:
a)slowed restorations
b)slowed mental response
c)slowed peristalsis
d)slowed brain waves

c)slowed peristalsis

Strokes are seen in the elderly. Strokes are best described as:
a)when the muscle dies
b)when the brain is deprived of O2
c)when the heart fails
d)when the lungs fill with fluid

b)when the brain is deprived of O2

Which statement is TRUE concerning sexuality in the elderly:
a)sex and intimacy aren't important
b)elderly men and women are not interested in sex
c)the elderly men and women are attracted to each other
d)elderly people are only interested in their health

c)elderly men and women are attracted to each other

One of the major causes of depression in the elderly is:
a)inability to run their own lives
b)going to nursing home activities
c)living with their children
d)lack of money

a)inability to run their own lives

which of the following statements about aging is true:
a)most elderly are confused
b)most older people live in nursing homes
c)most older people are alert and oriented
d)most older people are sick and helpless

c)most older people are alert and oriented

When dry, hard stool fills the rectum and will not pass is called:
a)edema
b)incontinence
c)atrophy
d)impaction

d)impaction

a sitting or semi-setting position with the head of the bead elevated is called:
a)prone
b)supine
c)lateral
d) fowlers

d)fowlers

which of the following statements about nursing home admissions is FALSE:
a)most families prefer to care for elderly relatives at home
b)some elderly people are unsafe at home
c)most people prefer to put elderly relatives in a long term care facility
d)fa

c)most people prefer to put elderly relatives in a LTC facility

Wasting or a decrease in the size of a muscle is called:
a)decubitus
b)atrophy
c)impaction
d)edema

b)atrophy

A confused resident tells you there is a monster in the closet. The nurse aid should:
a)pretend to kill the monster in the closet
b)tell the resident there is no such thing as monsters
c)open the closet and show the resident nothing is there
d)tell the re

c)open the closet and show the resident nothing is there

All of the following are clues to aggressive behavior EXCEPT:
a)clenched jaw
b)depressed mood
c)pacing
d)rocking

b) depressed mood

The primary reason for combative behavior in a resident is:
a)anger and fear
b)confusion
c)the resident is evil
d)stubborness

a)anger and fear

Hospice specializes in the care of persons who are:
a)on Medicare
b)chronically ill
c)on Medicaid
d)terminally ill

d)terminally ill

Which of the following is a proper way to correct an error in charting:
a)scribble it out with several lines
b)erase it completely
c)use correction fluid
d)draw a single line through it

d)draw a single line through it

Headache, nausea and pain would be called:
a)symptoms
b)observations
c)charting
d)recording

a)symptoms

The nurse aide is giving care to Mr. T and Mr. T calls the nurse aide by of his son who died several years ago. The nurse aide's best responds is to:
a)quickly finish the care and leave Mr. T alone
b)pretend to be Mr. T's son
c)ignore Mr. T because he is

d)ask Mr.T about his favorite memories of his son

Who supervises the work of a NA:
a)the nurse
b)the social worker
c)the office manager
d)the resident's family

a)the nurse

Various factors will change pulse rate. Increased pulse rates can be caused by:
a)depression
b)exercise
c)sleep
d)coma

b)exercise

The NA notices on the flow sheet that a resident has not had a BM for 5 days. The NA should:
a)report this to the charge nurse
b)ask the other NA's if the resident had a BM and it wasn't recorded
c)ask the residents roommate if she saw the resident use th

a)report this to the charge nurse

A resident has refused to eat breakfast and lunch. The NA should:
a)tell the resident's family to make him eat
b)tell the resident he will die if he doesn't eat soon
c)force feed the resident
d)report the refusals to the nurse for further assessment

d)report the refusals to the nurse for further assessment

A resident weighs over 300lbs and needs to be repositioned in bed. The NA should:
a)tell resident to lose weight so she can be moved easier
b)tell the resident to wait until a strong person comes on shift
c)get another NA to assist in repositioning the re

c)get another NA to assist you in repositioning the resident

A resident has just been admitted to the facility. The NA should...
a)ignore the new resident, he has too much to remember anyways
b)introduce him to his roommate
c)announce her arrival at dinner
d)do whatever the charge nurse says

b)introduce him to his new roomate

A diabetic resident asks the NA to cut her toenails. The NA should...
a)go ahead and do it,it is part of the job
b)tell the resident ok, but the resident will have to soak her feet first
c)tell the resident "not on your life"
d)tell the resident can not d

d)tell the resident can not do this, but will report it to the charge nurse

To count respirations, a respiration includes:
a)one inhalation
b)one exhalation
c)one inhalation and two exhalations
d) one inhalation and one exhalation

d)one inhalation and one exhalation

The fire alarm has sounded. The NA should FIRST:
a)ask the charge nurse for direction
b)make sure all the residents are out of the hallway and close all doors
c)take the nearest fire extinguisher to the nurses station
d)call the fire department

b)make sure all residents are out of the hallway and close all doors

If the resident is smoking and the NA needs to take an oral temperature, what should the NA do:
a)brush the residents teeth first
b)take a rectal temp
c)tell the next shift to take the temp
d)wait 15mins to take the temp

d)wait 15mins to take the temp

What can a NA give the resident who has an order for NPO:
a)unlimited fluids
b)no food of liquid
c)small amounts of ice
d)only clear liquid

b)no food or liquid

Which action would help prevent skin breakdown around the stoma if the resident has a colostomy?
a)clean stoma with alcohol
b)clean the stoma with water and mild soap
c)use Vaseline around the stoma site
d)wipe the stoma site with tissues until clean

b)clean the stoma sight with water and mild soap

Residents in a long term facility depend on who for their safety:
a)the director of nursing
b)the risk/safety manager
c)all employees of the facility
d)the NA

c)all employees of the facility

Mouth care should be given to an unconscious person:
a)once a day
b)every 2 hrs
c)every shift
d)every night

b)every 2 hrs

A Hep B vaccine protects the person receiving against a disease that affects:
a)liver
b)heart
c)kidneys
d)skin

a) liver

Why should heat NOT be applied to a diabetics feet?
a)the feet have more oil glands
b)diabetics have decreased sensitivity which means they cannot feel the heat and could cause a burn
c)their feet are dirty
d)it makes their feet wrinkle

b)diabetics have decreased sensitivity which means they cannot feel the heat and could cause a burn

Which of the following WILL NOT assist in bowel elimination?
a)drinking a lot of water
b)using a B/C
c)taking a walk
d)reading the newspaper

c)taking a walk

Which will NOT prevent pressure sores?
a)repositioning/turning every 2 hrs
b)applying lotion to dry skin
c)keeping bed linens clean, dry and free of wrinkles
d)scrubbing and rubbing the skin vigorously

d)scrubbing and rubbing the skin vigorously

Water for the resident's bath should be:
a)75 degrees F
b)160 degrees F
c)110 degrees F
d)90 degrees F

c)110 degrees F

When assisting a resident with a weak left side from a wheelchair, the NA should support the client's:
a)weak side
b)strong side
c)front side
d)back side

a)weak side

How should the NA position a resident to apply elastic stalkings:
a)lying down in bed
b)sitting on the edge of the bed
c)standing at the side of the bed
d)sitting in a wheelchair

a)laying down

A resident's dentures should be stored in:
a)tissue paper
b)an emesis basin
c) a labeled cup in water
d)the utility room

c)a labeled cup in water

The Heimlich maneuver should be used if a resident is:
a)confused
b)choking
c)vomiting
d)diabetic

b)choking

The NA is going to take Mr. H's vital signs. What should the NA do to get Mr. H to cooperate and reduce his anxiety?
a)wash her hands before and after the procedure
b) gather all equipment before beginning
c) wear disposable gloves for all procedures
d)ex

d) explain the procedure

What is the purpose of using th chain of command in a long term care facility:
a)to keep communication about a problem flowing smoothly
b)to be sure the residents follow the rules
c)to prevent residents from going behind the nursing station
d)to provide m

a)to keep communication about a problem flowing smoothly

Signs of poor circulation are:
a)paleness, cold skin, edema
b)perspiration, red skin
c)warm, dry, pink skin
d)hot flashes

a)paleness, cold skin, edema

A foley cath is used:
a)to drain the bladder and remove urine
b)to use a rectal tube
c)for gastric feeding
d)a suction stomach contents

a)to drain the bladder and remove urine

When transferring a heavy resident from bed to a wheelchair for the first time:
a)a mechanical lift should never be used
b)one person should always try to transfer the resident
c)the NA should review review the care plan or check the nurse
d)tell the resi

c)the NA should review the care plan or check with the nurse

A pressure ulcer is caused by:
a)burns
b)abrasions
c)inadequate turning
d)fatigue

c)inadequate turning

Diabetes mellitus make a resident more prone to develop:
a)chills
b)fever
c)infections
d)cancer

c)infections

A resident is NPO for tests. The NA should:
a)encourage fluids for hydration
b)allow the residents to eat ice chips
c)remove the water pitcher and glass from room
d)allow the resident to drink water only

c)remove the water pitcher and glass from the room

The NA is assigned to a resident with a diagnoses of aphasia. The NA knows:
a)the resident can not walk
b)the resident can not swallow
c)the resident can not talk
d)none of these

c)the resident can not talk

The NA is caring for a diabetic resident. The NA finds the resident trying to scrape off a callous on the little toe. The NA should FIRST:
a)scold the resident
b)report the behavior to the nurse
c)help the resident remove the callous
d)put socks on the re

d)put socks on the resident to keep the resident from scraping

The exchange of O2 and CO2 takes place:
a)in the lungs
b)in the heart
c)around the kidneys
d)in the intestines

a)in the lungs

A resident who has not been discharged insists she is going home. What should the NA do:
a)tell her that she can not leave without a doctors order
b)notify the charge nurse immediately
c)restrain her immediately
d)tell her she can leave if she wants

b)notify the charge nurse immediately

The NA is making a bed with an unconscious resident in it. Which of the following is most appropriate:
a)be quiet and concentrate on your work
b)don't explain because the resident can't hear
c)explain what you are doing to the resident
d)talk to your co-w

c)explain what you are doing to the resident

The most important way for the NA to gather information about safety and well being of the residents
a)listen to other NA at break
b)listen to the nurses talk in the med room
c)observation
d)flow sheets

c)observation

When communicating with a non-ambulatory resident, the NA should use all following except:
a)block view so the resident will listen
b)position yourself eye level with the resident
c)avoid talking about the resident as if he is not present
d)include the re

a)block the view so the resident will listen

The loss of the ability to express one's self is:
a)verbal communication
b)empathy
c)speech therapy
d)aphasia

d)aphasia

To remove a hearing aid the NA should:
a)turn it off with the volume set at low
b)leave it on set at high
c)call the nurse
d)turn the hearing aid off and set on high

a)turn it off with the volume set at low

Negative body language would include:
a)placing your hand on your hips
b)leaning toward the resident to communicate
c)shaking hands
d)touching a resident's shoulder while talking

a)placing hands on hips

Which is the best way to talk to a vision impaired resident?
a)touch the resident before you begin talking
b)verbally announce your presence before touching the resident
c)use hand gestures and body movements
d)talk loudly and use exaggerated lip movement

b)verbally announce your presence

The most basic rule of body mechanics is to:
a)keep arms flexed
b)bend from the knees and hips
c)twist as you lift
d)never use a lift belt

b)bend from the knees and hips

Proper body mechanics dictates that when lifting an object, the NA should place their feet:
a)3-5 ft apart
b)6-12 inches apart
c)12-18 inches apart
d)it doesn't matter

c)12-18 inches apart

When lifting a heavy object, which muscle should be utilized:
a)muscles of stomach
b)muscles of legs
c)muscles of back
d)muscles of hands

b)muscles of legs

The NA knows to wear which of the following to preform resident care:
a)comfortable, clean uniforms
b)non-skid shoes
c)loop earrings
d)a and b only

d)a and b only

When lifting, the NA should have his feet separated in the standing position to:
a)relieve the pressure on his corns
b)distribute body weight evenly
c)provide wide base of support
d)to prevent straining his knees

c)provide wide base of support

Which environment promotes the growth of bacteria
a)cold,dark, moist places
b)warm,dark, dry places
c)warm, sunny, moist place
d)dark, warm, moist places

d)dark, warm, moist places

Used disposable supplies and equipment should be discarded:
a)in the resident's wastebasket
b)in the dirty utility room
c)in the clean utility room
d)in the bathroom wastebasket

b)in the dirty utility room

The most important way to prevent the spread of infection is:
a)isolating sick residents
b)wearing gloves
c)hand washing
d)wearing masks

c)hand washing

Mrs. Jones is in her wheelchair in the hallway stating she needs a pillow behind her back. The NA should:
a)get Mrs. Jones' pillow from her room and place it behind her back
b)get any pillow and put it behind Mrs. Jones so she will stop complaining
c)tell

a)get Mrs. Jones' pillow from her room and place it behind her back

Mr.Spaulding's daughter requests that the NA perform mouth care for Mr. Spaulding. The NA should:
a)wash his/her hands, put on gloves and perform the requested care
b)put on gloves and preform requested care
c)tell Mr, Spaulding's daughter that mouth care

a)wash his/her hands, put on gloves and perform the requested care

When charging the bed linens on a soiled bed,the NA should:
a)make sure there is enough linens on the linen cart
b)comment to the other NAs about how many beds have to be changed in a day
c)wear gloves
d)let the next shift re-make the bed

c)wear gloves

After Mr. Johnson's bath, the NA realizes she needs another towel to completely dry Mr. Johnson. She should:
a)use what appears to be a clean towel left in the shower room by the other aid
b)ask another staff member to obtain a clean towel for her from th

b)ask another staff member to obtain a clean towel for her from the clean linen cart

During a bed bath, Mrs. Smith uses a washcloth to clean her perineal area and puts the washcloth into the basin of water, but the NA needs to wash Mrs. Smith's face. The NA should:
a)scold Mrs. Smith for washing her peri area first
b)do nothing, continue

c)obtain a clean cloth, change the water in the basin and continue the bath

What is the best response if you are not sure how to use a piece of equipment:
a)do the best you can
b)don't use the equipment
c)find a different way to complete the task
d)ask the nurse to explain

d)ask the nurse to explain

The NA is making an occupied bed. Which of the following is the most restorative approach?
a)ask the resident to help
b)do everything for the resident
c)tell the resident to get out of bed
d)lower both side rails

a)ask resident to help

The primary goal of restorative care is:
a)keep the resident comfortable in the nursing home
b) take care of the residents personal needs
c)do everything for the resident
d)return the resident to a normal life at home

d)return the resident to a normal life at home

Equipment used to help the resident maintain correct body alignment includes all of the following EXCEPT:
a)foot supports
b)cones
c)splints
d)bed cradles

b)cones

The plan, which begins on the resident's admission that assists when the resident goes home is called:
a)treatment plan
b)NA flow record
c)discharge plan
d)nursing care plan

c)discharge plan

The NA just admitted a new resident. Which of the following is the most restorative approach:
a)unpack all of his clothes and put them away for him
b)encourage a family member to unpack for him
c)tell him he'll need unpack for himself
d)encourage the resi

d)encourage the resident to participate in unpacking

A mentally challenged resident is having difficulty cutting and eating her roast beef. What should the NA do:
a)feed the resident
b)cut the meat into small pieces allowing her to feed herself
c)tell her to chew the big pieces longer
d)take away the roast

b)cut the meat into small pieces allowing her to fed herself

When the NA moves a joint during ROM exercises, and the residents complain of pain, the NA should:
a)ask the nurse to give pain medication so the exercise can continue
b)push past the point where the pain occurs to see if it hurts worse
c)stop the movemen

c)stop the movement at the point the pain occurs and report it to the nurse

A contracture is caused by:
a)too much exercise
b)lack of movement of the muscle
c)pressure on the muscle
d)old age

b)lack of movement of the muscle

The NA documents that about 45 mins after the resident is put to bed for an afternoon nap, the resident urinates the bed. To help with bladder training, the NA should:
a)take the resident to the bathroom right before going to bed
b)scold the resident for

a)take the resident to the bathroom right before bed

Mr. Schwartz is concerned about his son and asks to speak to his rabbi. The NA should:
a)ask the nurse if rabbis are allowed in the facility
b)ask the nurse to contact Mr. Schwartz's rabbi and invite him to visit
c)tell Mr. Schwartz his son is going to be

b)ask the nurse to contact Mr. Schwartz's rabbi and invite him for a visit

The NA reported bruises on Mr. Jenkins' arm last week. Today during A.M. care there were more bruises. The NA should:
a)report the abuse again, this time to a different nurse or call the abuse hotline at the state office
b)do nothing, Mr. Jenkins did not

a)report the abuse again, this time to a different nurse or call the abuse hotline at the state office

Once a NA's name is on the abuse registry for neglect he may:
a)never work as a NA again
b)continue to work as a NA as long as he abuses no one else
c)work only with young children
d)petition the NA program to have his name removed from the abuse registry

d)petition the NA program to have his name removed from the abuse registry after 1 yr

A NA reclines a resident in a geri-chair so that the resident cannot attempt to stand. This is a violation of:
a)the resident's right to cooperation
b)the resident's right to be free of restraints
c)the NA to practice safety for the restraints
d)the resid

b)the residence's right to be free of restraints

Mr Joseph overhears the NA speaking to the RN about his roommate's diagnosis and demands that the NA discuss the roommate's condition with him. The NA should
a)firmly but politely explain that she cannot discuss another resident's condition
b)tell Mr. Jos

a)firmly but politely explain she cannot discuss another residents condition

Respect is demonstrated by the NA for the residents by:
a)correcting the residents mistakes
b)keeping the resident's room free of clutter
c)agreeing with the resident
d)always listening to what the resident has to say

d)always listening to what the resident has to say

Mr. Black was admitted this morning to the facility. The NA should:
a)give him a list of tasks to complete before morning
b)encourage other residence to welcome Mr. Black
c)introduce Mr.Black to the others
d)both b and c

d)both b and c

There are 2 kinds of restraints
a)masks and goggles
b)chemical and medication
c)belts and wristbands
d) chemical and physical

d)chemical and physical

Mr. Smith refused to take a bath. The NA bathed him anyway. What resident right was violated:
a)the right to be free from odor
b)the right to refuse treatment
c)the right to privacy
d)the right to complain

b)the right to refuse treatment

You observe your co-worker verbally abuse a resident. What should the NA do?
a)talk to her after work
b)tell the resident's family
c)so nothing, words won't hurt the resident
d)report it to the charge RN

d)report it to the charge RN

If a resident has long hair, which procedure can NOT be done by the RN:
a)shampooing
b)daily brushing and combing
c)braiding or styling the hair
d)cutting the hair to remove tangles

d)cutting the hair to remove tangles

Forgetting to raise the side rails as ordered causes a resident to fall and be injured. This could be called:
a)an accidental fall and could not be helped
b)neglect to keep the resident safe
c)unreported incident
d)safety standard

b)neglect to keep the resident safe

You hear another NA tell a confused resident,"if you don't eat, I'll lock you in your room" You should:
a)do nothing, the resident is too confused to understand
b)tell the other aides so they can watch this NA with alert residents
c)tell the charge RN
d)t

c)tell the charge RN

A NA refuses to discuss a resident's condition with a neighbor. Which one of the resident's rights is being protected?
a)informed consent
b)privacy
c)confidentiality
d)respect

c)confidentiality

Each resident in a LTC facility has the right:
a)to be free of chemical and physical restraints
b)to have their hair done weekly at the beauty shop free of charge
c)to use any supplies their roommate has
d)to call long distance from the RN's station to re

a)to be free of chemical and physical restraints