CNA Chapter 2 Review

Questions and Answers

If a fire occurs, what should a CNA do?

Plug doorways to prevent smoke from entering.

What is the CNA's first concern if a fire occurs?

Getting residents to safety.

A CNA should check the temperature of hot water with a bath thermometer before using the water.

True

A higher center of gravity gives a more stable base of support.

False Signup and view all the answers

Cuts most often occur in a person's bedroom.

False Signup and view all the answers

Feet should be pointed toward the object that a person is lifting.

True Signup and view all the answers

Hot drinks should be placed on the edge of tables.

False Signup and view all the answers

If a resident starts to fall, the CNA should try to catch the resident to stop the fall.

False Signup and view all the answers

Keeping call lights within a resident's reach can help prevent falls.

True Signup and view all the answers

Keeping the feet close together gives the body the best base of support and keeps a person more stable.

False Signup and view all the answers

Knees should be bent when lifting an object.

True Signup and view all the answers

Liquids thickened to the consistency of honey are easier to swallow.

True Signup and view all the answers

Residents in wheelchairs should be facing the back of the elevator when in elevators.

False Signup and view all the answers

Residents must be identified before helping with feeding or placing meal trays at the table.

True Signup and view all the answers

The correct way to move a wheelchair is for a CNA to push it forward.

True Signup and view all the answers

The Safety Data Sheet (SDS) details chemical ingredients and chemical dangers of products.

True Signup and view all the answers

To avoid choking, residents should eat in a reclined position.

False Signup and view all the answers

To help guard against falls, all walkways should be cleared of clutter.

True Signup and view all the answers

Using proper body mechanics can help prevent an injury and save energy.

True Signup and view all the answers

When lifting an object, it is safer to hold it far away from the body.

False Signup and view all the answers

How can someone usually tell if a person is choking?

The choking victim will put his hands to his throat. Signup and view all the answers

How does a rescuer obtain consent to give a victim abdominal thrust?

The rescuer asks the victim, 'Are you choking?' Signup and view all the answers

If a CNA determines that an injured person is conscious, what should he do?

Tell the victim what is being done to help him. Signup and view all the answers

If a CNA suspects that a resident is having a heart attack, what should she do?

Loosen the clothing around that resident's neck. Signup and view all the answers

If a resident faints, what should the CNA do?

Lower the resident to the floor. Signup and view all the answers

What are signs of shock?

Pale or blush skin. Signup and view all the answers

To control bleeding, what should a CNA do?

Hold a thick pad against the wound and press down hard. Signup and view all the answers

To treat a minor burn, what should the CNA do?

Use cool, clean water. Signup and view all the answers

What should the CNA do if a resident needs CPR, but the CNA is not trained to perform CPR?

Not perform CPR. Signup and view all the answers

When a resident is first experiencing signs of insulin reaction, what needs to happen?

Food that can be rapidly absorbed, such as hard candy, should be consumed. Signup and view all the answers

Where should the hands be placed to give abdominal thrusts?

Under the person's arms and around the waist. Signup and view all the answers

Which of the following is true about assisting a resident who's having a seizure?

The CNA should move furniture away to prevent injury to the resident. Signup and view all the answers

A CNA will come into contact with microorganisms every time they touch something.

true Signup and view all the answers

Bloodborne diseases can be transmitted by?

Infected blood entering the bloodstream. Signup and view all the answers

The Centers for Disease Control and Prevention (CDC) defines hand hygiene as?

Handwashing with soap and water or using alcohol-based hand rubs. Signup and view all the answers

What does dedicated equipment refer to?

Equipment that is only used by one resident. Signup and view all the answers

How should dirty linen be handled?

Carried away from the CNA's uniform. Signup and view all the answers

Employers must offer a free vaccine to protect CNAs from?

Hepatitis B. Signup and view all the answers

Who is responsible for establishing infection prevention procedures and an exposure control plan?

Employer. Signup and view all the answers

Who is responsible for following all facility policies and procedures?

Employee. Signup and view all the answers

Who should follow resident care plans and assignments?

Employee. Signup and view all the answers

How long should a CNA use friction when lathering and washing their hands?

20 seconds. Signup and view all the answers

How many times can disposable equipment be used before it needs to be discarded?

How should dirty linen be rolled or folded?

Dirty area is inside. Signup and view all the answers

How should sharps, such as needles, be disposed of?

Sharps should be placed in biohazard containers. Signup and view all the answers

Who is responsible for immediately reporting any exposure to infection, blood, or body fluids?

Employee. Signup and view all the answers

In healthcare, the most common way to get a bloodborne disease is by?

Contact with infected blood or body fluids. Signup and view all the answers

Infections acquired in healthcare settings are called?

Healthcare-associated infections (HAIs). Signup and view all the answers

Who is responsible for participating in education programs covering infection prevention?

Employee. Signup and view all the answers

Who is responsible for providing continuous in-service education on infection prevention?

Employee. Signup and view all the answers

Who is responsible for providing free hepatitis B vaccinations?

Employer. Signup and view all the answers

Who is responsible for infection prevention?

Employer. Signup and view all the answers

What do Standard Precautions include?

Wearing gloves if there is a possibility of coming into contact with blood or body fluids. Signup and view all the answers

When should Standard Precautions be practiced?

On every single person under a CNA's care. Signup and view all the answers

What is the link in the chain of infection that is broken by wearing gloves?

Mode of transmission (a way for disease to spread). Signup and view all the answers

Transmission-Based Precautions (also known as contact precautions/contact isolation) are used?

In addition to Standard Precautions. Signup and view all the answers

Tuberculosis is?

An airborne disease. Signup and view all the answers

Who is responsible for using provided personal protective equipment (PPE) as indicated or as appropriate?

Employee. Signup and view all the answers

Which of the following is true of hepatitis B (HBV)?

HBV can be transmitted through blood or needles that are contaminated with the virus. Signup and view all the answers

CNA's should remove PPE before exiting a resident's room.

True Signup and view all the answers

Why is it a bad idea for a CNA to wear artificial nails to work?

False Signup and view all the answers

A CNA does not need to wear gloves to clean up a very small spill.

False Signup and view all the answers

A CNA should use her hands to pick up large pieces of broken glass and use a broom and dustpan for smaller pieces.

False Signup and view all the answers

Both hand sanitizers and washing hands with soap and water are considered equally effective for dealing with C. difficile.

False Signup and view all the answers

Disinfectant should be placed on spilled fluid before absorbing and removing fluid.

False Signup and view all the answers

Frequent hand washing can help prevent the spread of VRE.

True Signup and view all the answers

Handwashing will not help control the spread of MRSA.

False Signup and view all the answers

Increasing the use of antibiotics helps lower the risk of developing C. difficile.

False Signup and view all the answers

MRSA can spread through indirect contact by touching objects contaminated by a person with MRSA.

True Signup and view all the answers

MRSA is almost always spread by direct physical contact.

True Signup and view all the answers

Sterilization is a cleaning measure that destroys only pathogens, not all microorganisms.

False Signup and view all the answers

VRE causes life-threatening infections in people with weak immune systems.

True Signup and view all the answers

Is the following subjective or objective: Red area on the skin?

Objective. Signup and view all the answers

Is the following subjective or objective: Vomiting?

Objective. Signup and view all the answers

Is the following subjective or objective: Itchy arm?

Subjective. Signup and view all the answers

Is the following subjective or objective: Swelling?

Objective. Signup and view all the answers

Is the following subjective or objective: Wheezing?

Objective. Signup and view all the answers

Is the following subjective or objective: Coughing?

Objective. Signup and view all the answers

A confused resident is behaving aggressively toward his roommate. What should a CNA do?

Smile and talk in a friendly voice as you approach the resident. Signup and view all the answers

If you want to be an effective listener for a resident in your care, what should you NOT do?

Encourage them to tell their story quickly. Signup and view all the answers

Is the following subjective or objective: Fever?

Objective. Signup and view all the answers

Is the following subjective or objective: Dizziness?

Subjective. Signup and view all the answers

Is the following subjective or objective: Nausea?

Subjective. Signup and view all the answers

Is the following subjective or objective: Headache?

Subjective. Signup and view all the answers

Is the following subjective or objective: Chest pain?

Subjective. Signup and view all the answers

Is the following subjective or objective: Toothache?

Subjective. Signup and view all the answers

Is the following subjective or objective: Feeling sad?

Subjective. Signup and view all the answers

Is the following subjective or objective: Skin rash?

Objective. Signup and view all the answers

Is the following subjective or objective: Cloudy urine?

Objective. Signup and view all the answers

Is the following subjective or objective: Rapid pulse?

Objective. Signup and view all the answers

Study Notes

Fire Safety

A CNA should plug doorways to prevent smoke from entering if a fire occurs.
The first concern during a fire is ensuring the safety of residents.

Lifting and Body Mechanics

Proper lifting technique includes keeping feet pointed toward the object being lifted and bending knees.
Holding objects close to the body while lifting is safer than holding them away.

Fall Prevention

Keeping call lights within reach helps prevent falls.
All walkways must be cleared of clutter to reduce the risk of falls.
If a resident starts to fall, instead of attempting to catch them, the focus should be on easing them down to the floor safely.

Feeding and Identification

Residents must be identified before feeding or serving meals to ensure safety.

Emergency Procedures

If choking is suspected, the choking victim will signal by placing hands on their throat.
Consent is crucial before administering first aid, such as abdominal thrusts, by asking if the person is choking.
For signs of a heart attack, clothing around the resident's neck should be loosened to support breathing.

Infection Control

Every contact made by a CNA increases the likelihood of encountering microorganisms.
Bloodborne diseases can spread through infected blood entering the bloodstream.
The CDC defines hand hygiene as the practice of handwashing with soap or using alcohol-based hand rubs.
Standard Precautions require gloves to be worn if there is potential contact with blood or bodily fluids.
Infections acquired in healthcare settings are referred to as Healthcare-associated infections (HAIs).

Equipment and Disposal

Dedicate equipment for individual resident use to prevent cross-contamination.
Dirty linens should be carried away from the CNA's uniform, and sharps must be disposed of in biohazard containers.

Health and Safety Regulations

Employers must provide free Hepatitis B vaccinations to CNAs.
Employees are responsible for following facility policies and infection prevention procedures.

Personal Protective Equipment (PPE)

PPE must be used as appropriate, and should be removed before exiting a resident's room.
Artificial nails should not be worn by CNAs due to the risk of harboring bacteria.

Communication and Documentation

Verbal communication consists of spoken interaction, while nonverbal includes gestures and facial expressions.
Understand and differentiate between subjective (feelings reported by residents) and objective (observable signs) information.

Conflict Resolution

In disagreements with colleagues, avoid defensiveness to foster constructive dialogue.
When facing demanding family members of residents, it’s advisable to refer them to the charge nurse for further assistance.

General Knowledge

Frequent handwashing helps prevent the spread of infections like VRE and MRSA.
MRSA is primarily spread through direct contact and can also be transmitted indirectly via contaminated objects.
It’s crucial to provide immediate care in emergencies, such as using cool water for minor burns and understanding signs of shock.

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Description

Test your knowledge on essential practices for Certified Nursing Assistants (CNA) regarding fire safety and resident care. This quiz covers key concepts and safety protocols to ensure a secure environment for patients. Prepare yourself for real-life situations with this effective review.