CNA Practice Test 2024

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Questions and Answers

The CNA is caring for a client who is experiencing an infection with Clostridium difficile (C.DIFF). Which of the following should be used when caring for this client?

Surgical mask

Hand sanitizer

Apron only

Gown and Gloves (correct)

The CNA is providing a back rub to a client as part of evening care. Which of the following should be included in the correct technique for this intervention?

Use a rough cloth

Rub vigorously

Use a light circular motion on skin over bony prominences (correct)

Only rub the back

What should the CNA do when a red rash is noted on a client's groin area?

Notify the nurse

What should be completed prior to bringing a client into the shower?

Test the water temperature Signup and view all the answers

What should the CNA do next upon finding a client who is not responsive?

Call for help Signup and view all the answers

The CNA is caring for a client who is on precautions for Methicillin-resistant staphylococcus aureus (MRSA). Which of the following precautions should the CNA utilize?

Contact Precautions Signup and view all the answers

How can the CNA promote autonomy in self-image of the client?

Ask the client how they would like their hair styled Signup and view all the answers

The care plan for a client indicates they should be repositioned every two hours when in bed. What is the rationale for this nursing intervention?

Prevent skin breakdown Signup and view all the answers

What should the CNA utilize to transfer an immobile client from a chair to their bed?

Mechanical lift Signup and view all the answers

When assisting a new client to reposition from bed to chair, what should be done to ensure safety?

Ask an additional staff member to assist Signup and view all the answers

What should the CNA do next after noticing an area of redness on a client’s elbow that does not turn pink with pressure?

Notify the nurse Signup and view all the answers

What interventions should the CNA use to promote autonomy for a client regarding sleep and rest?

Ask the client what their preferences are for bedtimes and waking Signup and view all the answers

If you need to use a Hoyer lift to transfer a patient who requires a two-assist, what should you inform the patient?

Yes, I will get another CNA to help. Your safety comes first. Signup and view all the answers

How should you respond if a nurse asked you to take orange juice to a resident, but you can't remember if it was orange or apple juice?

I apologize. I forgot what kind you asked me to bring. Next time I will try to remember. Please be kind and remember that we are all human. Signup and view all the answers

How would you enter the room of a hospice patient who is unable to speak?

Knock, introduce yourself, and explain to the daughter and the patient why you are there. Signup and view all the answers

What should you explain to a resident who is refusing a shower after 3 days?

Explain to him that it is his right to not take a shower and that you can try again tomorrow. Signup and view all the answers

What should you say to a resident who loves bingo but is currently upset and doesn't want to go?

It's okay if you don't want to go, but do you want to talk about why you don't want to go to bingo? Signup and view all the answers

How should you respond to a resident's son who is concerned about the care his parent is receiving?

Listen silently and offer support to the son. Explain to him that he is welcome to speak to the administrator if he would like. Signup and view all the answers

What does it signify when you see your coworker walking away from the computer without logging off?

HIPAA Violation Signup and view all the answers

Who does the nursing aide directly report to?

The licensed nurse Signup and view all the answers

What should you consider before reaching out to a patient who has received bad news?

What is the patient's cultural background Signup and view all the answers

How should you respond when a patient with dementia makes a sexual pass at another patient with dementia?

Report it to the charge nurse because a patient with dementia cannot give consent. Signup and view all the answers

What should you do when witnessing a patient fall?

State facts only Signup and view all the answers

What should you tell a nurse who asks you to give medication to a resident?

Tell the nurse that giving medication is out of your scope of practice and report this to the nursing supervisor. Signup and view all the answers

How should a CNA assist a client with lower right-sided weakness to ambulate using a cane?

Place the cane in their left hand Signup and view all the answers

When should universal precautions be practiced?

For all client encounters Signup and view all the answers

What is the purpose of eliminating wrinkles in the sheets when making a bed?

Prevent pressure sores Signup and view all the answers

Which of the following demonstrates a CNA intervention to foster client independence?

Encouraging the client to fully participate in bathing activities as they are able Signup and view all the answers

What should care for a Foley catheter include?

Keeping the collection bag below the level of the bladder Signup and view all the answers

If a patient consumes 8 ounces of ice chips, what amount should be recorded on the intake log?

120 ml Signup and view all the answers

What should the CNA do to respect a resident's decision-making capabilities?

Actively listen to the resident Signup and view all the answers

How can you assist a patient who has just received news of the passing of their best friend?

Ask the patient if she would like you to sit and talk about her experience Signup and view all the answers

What behavior might indicate that a long-term care resident is manipulating the staff?

Constant complaints of pain or discomfort each time a new staff member is on their shift Signup and view all the answers

How should you approach a patient who is upset and crying due to a complaint?

Use a calm reassuring tone to speak to the patient Signup and view all the answers

What symptoms might a resident with delirium exhibit?

Resident sees or hears things that other residents and staff do not Signup and view all the answers

What may indicate that a resident is suffering from depression?

Sleeping more than usual, lack of interest in once-loved activities, and withdrawal from family and friends Signup and view all the answers

During your shift, what is important to assess for a patient with a broken foot in a cast?

Color and temperature of the toes Signup and view all the answers

What is necessary for patients with stress incontinence?

Frequent toileting breaks throughout the day Signup and view all the answers

What is the first thing you should do after a patient has fallen on the floor?

Assess the patient for injuries Signup and view all the answers

What is the medical abbreviation for before meals and at bedtime?

ACHS Signup and view all the answers

What item would you question on a tray sent for a patient on strict dysphagia precautions?

Regular orange juice Signup and view all the answers

What sign indicates dehydration in a patient?

Dark amber-colored urine Signup and view all the answers

If a patient does not drink adequate fluids, which condition are they least likely to develop?

Swollen gums Signup and view all the answers

What should a CNA realize about residents who prefer to bathe at night?

Cultural differences in bath-taking are often overlooked by healthcare professionals Signup and view all the answers

What is a correct step in shaving a resident's face?

Shave upward on the neck Signup and view all the answers

What type of diet would you expect a patient with dysphagia to be on?

Mechanical soft Signup and view all the answers

What transfer does a patient requiring a Hoyer lift usually need?

From the bed to the stationary chair Signup and view all the answers

What should you do if a patient is starting to fall while you are assisting them with ambulation using a gait belt?

Grab the gait belt and slowly lower the patient to the ground putting most of the weight on your legs. Signup and view all the answers

What should you do if a resident wants a copy of their medical records?

Provide the record release forms and advise the supervisor. Signup and view all the answers

What should you do for a resident who prefers to spend time alone?

Encourage the resident to notify staff if anything is needed. Signup and view all the answers

What should you do when a resident's room is sloppy and they won't tidy up?

Let the resident know that some of the things are safety hazards and help them relocate the items. Signup and view all the answers

What is appropriate action if two unmarried residents are cuddling in a common area?

Allow them to enjoy each other's company. Signup and view all the answers

What should the CNA do if a resident prefers to take a bath at night even though scheduled in the morning?

Help the resident as needed to bathe. Signup and view all the answers

What should you do if another staff member hides the call bell from a resident who frequently uses it?

Return the call bell within reach of the resident and report the staff member for neglect. Signup and view all the answers

How can the cause of death impact the grieving process?

Death often reminds us of our past losses and how that individual passed. Signup and view all the answers

What can you do to assist a patient who is grimacing and appears to be in pain?

Ask the nurse to administer pain medications. Signup and view all the answers

What is a good example of empathy?

Placing yourself in someone else's situation without pity Signup and view all the answers

What should you do to provide support to family members who have informed you about their relative's passing?

Sit with the family and/or the resident offering support. Signup and view all the answers

What is one way a caregiver can deal with stress?

Exercise on a daily basis. Signup and view all the answers

What is one thing you will need when providing postmortem care?

Supplies for a bed bath. Signup and view all the answers

Study Notes

Infection Control and Safety

Use gown and gloves when caring for clients with Clostridium difficile (C.Diff) to prevent transmission.
For clients on Methicillin-resistant staphylococcus aureus (MRSA) precautions, implement contact precautions.
Assess the client's temperature in water before showering to ensure safety.

Client Interaction and Communication

Promote autonomy by asking clients about personal preferences, such as hair styling or bedtimes.
Always notify a nurse when observing changes in a client's condition, like skin redness or unresponsiveness.
Show empathy towards clients by understanding their feelings and validating their preferences or emotions.

Mobility and Transfers

Utilize a mechanical lift for transferring immobile clients safely.
Place the cane in the client's stronger hand when teaching ambulation techniques.
In case of a fall, first assess the client for injuries before taking further action.

Personal Care and Hygiene

During bathing, apply light circular motions over bony prominences to avoid discomfort.
Encourage patient independence through involvement in personal care activities.
Maintain pressure sore prevention measures by using proper bed-making techniques, ensuring wrinkle-free sheets.

Dietary and Fluid Management

For clients on a dysphagia diet, only offer modified food and thickened liquids to prevent choking.
Calculate ice chip intake as half the volume for records; 8 ounces equals 120 ml of water.
Recognize signs of dehydration such as dark amber urine and implement frequent toileting for those with incontinence.

Emotional and Psychological Support

Respect client wishes regarding participation in activities and offer discussions about their feelings if they decline.
Support clients experiencing grief by being present and facilitating conversations about their loss.
Understand the impact of an individual's past losses on their current grieving process.

Legal and Ethical Considerations

Report HIPAA violations immediately; this includes unsecured computer access by staff.
Address family concerns about resident care by listening and providing options for further communication with administration.
Maintain confidentiality with medical records by providing necessary release forms as per protocol.

General Care Practices

Ensure client safety by being vigilant regarding surroundings and equipment.
Encourage clients who isolate themselves to communicate their needs to avoid neglect.
Respect cultural differences related to personal hygiene and assist clients according to their preferences.

Caregiver Well-being

Incorporate daily exercise to manage stress effectively.
Acknowledge the importance of understanding and being considerate in communication to foster better relationships with clients.

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Description

Prepare for your CNA exam with this comprehensive practice test featuring 60 questions in a flashcard format. Each card covers essential topics including infection control and patient care techniques. Test your knowledge and boost your confidence for the 2024 CNA exam!