CNA State Exam Practice Quiz

Questions and Answers

Nursing assistants are responsible for

Planning client care.

Doing tasks assigned by the charge nurse. (correct)

Performing without ever asking for help.

Comparing assignments with coworkers.

A patient turns on the call light when he needs to urinate. The appropriate action is to

Answer the call light and get the urinal. (correct)

Announce on the intercom that there are two patients ahead of him.

Ignore the light, since he is not the aide's own client.

Answer the call light when the aide has the time.

A client is on CMR and in the prone position. The nurse aide finds the client vomiting bright red blood. The nurse aide should first

Provide the client with an emesis basin.

Place the client in the side-lying position. (correct)

Clean up the vomit.

Call the charge nurse.

When performing catheter care, the nurse aide should wash the catheter

Away from the meatus. Signup and view all the answers

A nurse aide who applies restraints on a client without directions from the charge nurse may be accused of

False imprisonment. Signup and view all the answers

H.S. care is care that is given

Before bedtime. Signup and view all the answers

The best food choices for a geriatric client with no teeth would include

Baked fish, whipped potatoes, spinach souffle, and tapioca. Signup and view all the answers

A client's family wants to talk about the client's impending death, but the client does not want to talk about it. The family should be encouraged to

Carry on the conversation away from the client. Signup and view all the answers

A nurse aide notices that a water pitcher has spilled onto the floor. The best action for the aide to perform is to

Wipe it up immediately. Signup and view all the answers

Upon entering a room, the nurse aide notices that a patient is not breathing. The aide's first action is to

Call for help. Signup and view all the answers

When should postmortem care be performed?

Immediately after the doctor pronounces. Signup and view all the answers

The purpose of correctly positioning the client is to:

All of the above. Signup and view all the answers

A surgical bed should be left in what position?

Highest position Signup and view all the answers

A female resident's husband has asked for some time alone with his wife in her room. What should the nurse aide do?

Let the husband visit in private. Signup and view all the answers

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

"I understand, but try working slowly and resting often." Signup and view all the answers

A nurse aide enters a room to check on a resident who is in restraints. The nurse aide finds that the resident has gotten out of the restraint and is partly out of the bed. What should the nurse aide do?

Call for help to get the resident back into bed and put the restraint back on. Signup and view all the answers

A resident does not want to wear her dentures. She says she has a sore in her mouth. The nurse aide should

Leave the dentures out and ask the nurse to check the resident's mouth. Signup and view all the answers

After a resident has died, the nurse aide is often assigned to do which of the following?

Prepare the resident's body. Signup and view all the answers

A resident complains that he cannot fall asleep. What can the nurse aide do first to help him relax?

Give the resident a back rub. Signup and view all the answers

A resident is to start range of motion (ROM) exercises. When performing ROM exercises on a resident, what does the nurse aide do to each joint?

Move it to its fullest range or until the resident feels discomfort. Signup and view all the answers

A sign on the resident's door says NPO. What does this sign tell the nurse aide about the resident?

The resident is not to be given anything by mouth. Signup and view all the answers

A resident is smoking a cigarette in the smoking area on the outside porch of the nursing home. The resident keeps dropping the cigarette in his lap. What should the nurse aide do first?

Stay with the resident until he is finished smoking. Signup and view all the answers

A nurse aide is assigned to care for a resident who asks her to stay with her because she thinks she is dying. What should the nurse aide do?

Ask the resident why she feels this way. Signup and view all the answers

A resident is able to dress himself, but he is very slow. What should the nurse aide do to assist this resident to get to breakfast on time?

Start the resident dressing earlier. Signup and view all the answers

A nurse aide is caring for a resident on bedrest. The resident is not able to turn herself. What is the longest time that the nurse aide is allowed to leave the resident in one position?

2 hours Signup and view all the answers

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

Allow the resident to choose a better time to ambulate. Signup and view all the answers

A nurse aide notices that a resident has very dry skin on the feet. How should the nurse aide care for the resident's feet?

Apply lotion after washing and drying the feet. Signup and view all the answers

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

Report the confusion to the charge nurse. Signup and view all the answers

A nurse aide has found a fire in a resident's waste can. What should the nurse aide do first?

Move residents out of immediate danger. Signup and view all the answers

What is the first thing a nurse aide should do after receiving the resident assignments for the shift?

Make rounds and see each resident briefly. Signup and view all the answers

A nurse aide is walking with a resident. The resident says that she is going to faint. What should the nurse aide do?

Assist the resident to sit slowly on the floor. Signup and view all the answers

A resident is upset after a family visit. The resident tells the nurse aide not to allow the family to visit again. Which of the following is the nurse aide's best response?

Can you tell me why you are so upset? Signup and view all the answers

A nurse aide is feeding a resident a pureed diet. How should the nurse aide feed the resident?

By giving portions from each food on the tray. Signup and view all the answers

A resident is on oxygen. He tells the nurse aide that he is not getting enough oxygen through the tubing. What should the nurse aide do first?

Check the tubing. Signup and view all the answers

Which of the following is a true statement about the elderly?

They often have problems with vision. Signup and view all the answers

A resident refuses to have a bath and to shave every day. He has not bathed for a week. What should the nurse aide do?

Ask the charge nurse for assistance with the problem. Signup and view all the answers

A resident usually dresses himself for breakfast. Today the nurse aide finds him in pajamas at 10:00 am. What should the nurse aide do?

Ask him 'Is there anything wrong today?' Signup and view all the answers

A nurse aide finds a male resident in bed with a female resident who is confused. What should the nurse aide do?

Report this to the charge nurse. Signup and view all the answers

A resident with poor vision was admitted to the unit. What should the nurse aide do to ensure the resident's safety?

Help the resident become familiar with the location of the furniture in the room. Signup and view all the answers

When assisting a client in learning how to use a cane, the nurse aide stands:

Slightly behind the client on the client's weak side. Signup and view all the answers

When working with a client who has urinary retention, the nurse aide can expect that the client will:

Be unable to urinate. Signup and view all the answers

Aging-related hearing changes result in older clients gradually losing their ability to hear:

High-pitched sounds. Signup and view all the answers

The best way to safely identify your patient is by:

Checking the name tag. Signup and view all the answers

A client is on a bowel and bladder training program and has not had a bowel movement in three days. The nurse aide should:

Report it to the charge nurse. Signup and view all the answers

The proper medical abbreviation for before meals is:

a.c. Signup and view all the answers

A client diagnosed with hypertension will most likely have a history of:

High blood pressure. Signup and view all the answers

A patient who has difficulty chewing or swallowing will need what type of diet?

Mechanical soft. Signup and view all the answers

An elderly resident with Alzheimer's disease cannot find her room. How can the nurse aide help the client feel more independent?

Place a familiar object on the client's door. Signup and view all the answers

How often should a patient's intake and output records be totaled?

Once each shift. Signup and view all the answers

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

Bruises. Signup and view all the answers

When responding to a client on the intercom, the nursing assistant should say:

"This is [nursing assistant name and position], can I help you?" Signup and view all the answers

Which of the following things should the nurse aide do to familiarize new clients with their surroundings?

Demonstrate the location and use of the call light. Signup and view all the answers

When arranging a client's room, the nursing assistant should do all of the following EXCEPT:

Administering the client's medications. Signup and view all the answers

When assisting a client out of bed, the nurse aide should always:

Employ body mechanic techniques. Signup and view all the answers

How often should clients be repositioned during an eight-hour shift?

q2h Signup and view all the answers

Which of the following is the correct procedure for serving a meal to a client who must be fed?

Bring the tray into the room when you are ready to feed the client. Signup and view all the answers

The most serious problem that wrinkles in the bedclothes can cause is:

Decubitus ulcers. Signup and view all the answers

Restorative care begins:

As soon as possible. Signup and view all the answers

Before placing a client in Fowler's position, the nurse aide should:

Explain the procedure to the client. Signup and view all the answers

During hand washing, the nurse aide accidentally touches the inside of the sink while rinsing the soap off. The next action is to:

Repeat the wash from the beginning. Signup and view all the answers

How should a nurse aide dress for a job interview?

Wearing a business suit, dress, or pants and dress shirt. Signup and view all the answers

An ambulatory client is newly admitted. Before leaving the client alone, the nurse aide should:

Make sure the client knows how to use the call bell. Signup and view all the answers

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

Knees, keeping your back straight. Signup and view all the answers

When should nurse aides wash their hands?

After client care. Signup and view all the answers

When assisting a client with eating, one of the first things the nurse aide should do is:

Wash his own hands and the client's hands. Signup and view all the answers

A patient has a new cast on her right arm. While caring for her, it is important to first observe for:

Warmth and color of fingers. Signup and view all the answers

Encouraging a client to take part in activities of daily living (ADLs) such as bathing, combing hair, and feeding is:

Necessary for rehabilitation. Signup and view all the answers

In caring for a confused elderly man, it is important to remember to:

Keep the bedrails up except when you are at the bedside. Signup and view all the answers

Before assisting a client into a wheelchair, the first action would be to check if the:

Wheels of the chair are locked. Signup and view all the answers

A client has a weak left side. When transferring the client from the bed to the wheelchair, the nurse aide should stand:

On the left side. Signup and view all the answers

While making rounds at 5:30 A.M., a nurse aide finds a patient lying on the floor. What should the nurse aide do first?

Assess the client's pulse and respirations. Signup and view all the answers

When moving a wheelchair onto an elevator, the nurse aide should stay:

Behind the chair and pull it toward the aide. Signup and view all the answers

The Foley bag must be kept lower than the client's bladder so that:

Urine will not return to the bladder, causing infection. Signup and view all the answers

As an afternoon snack, the kitchen sent a diabetic client a container of chocolate ice cream. The nursing assistant should first:

Hold the afternoon snack and report to the charge nurse. Signup and view all the answers

When assisting a client who is using the commode, it is important to:

Leave the call light within reach. Signup and view all the answers

Ensuring adequate circulation to tissues is a major factor in preventing skin breakdown. This can be accomplished by doing all of the following EXCEPT:

Positioning the patient every four hours. Signup and view all the answers

The purpose of cold applications is usually to:

Prevent or reduce swelling. Signup and view all the answers

The hot water bottle is an example of a:

Local dry heat application. Signup and view all the answers

Clients receiving an enema are usually placed:

On the left side. Signup and view all the answers

A female client's perineal area should be cleansed before which specimen is collected?

Midstream clean-catch urine specimen. Signup and view all the answers

The most common site for counting the pulse is the:

Radial artery. Signup and view all the answers

When counting respirations, the nurse aide should:

Not tell the patient what he is going to do. Signup and view all the answers

Which of the following is NOT the nurse aide's responsibility when caring for clients who have urinary catheters?

Inserting the catheter. Signup and view all the answers

When giving information to the charge nurse for an incident report, the nurse aide should:

State the facts clearly. Signup and view all the answers

All long-term-care nurse aides must be competency evaluated and must complete a distinct educational course. These requirements are set by:

OBRA. Signup and view all the answers

A resident is blind. It is important not to:

Rearrange the furniture. Signup and view all the answers

When family members visit a client, the visitors should:

Be allowed privacy with the client. Signup and view all the answers

A resident asks, "If I need help during the night, who will be there?" The nursing assistant should respond:

"There are people here all night to help you." Signup and view all the answers

Which of the following is a client's right?

Having personal information kept confidential. Signup and view all the answers

A resident often cries while she is receiving her P.M. care. What should the nurse aide do?

Tell her that it's all right to cry, and that the aide is there for her if she wants to talk. Signup and view all the answers

When providing denture care, the nurse aide must:

Place them on a towel in the sink with cool water. Signup and view all the answers

Sexuality in long-term-care clients may include all of the following EXCEPT:

Engaging in public fondling. Signup and view all the answers

A client is scheduled for a partial bed bath. This means that the nurse aide must wash the client's:

Face, hands, axillae, genitals, and buttocks. Signup and view all the answers

An agitated resident must be turned every two hours all night long. The first action of the nurse aide when waking up this resident is to:

Speak quietly and calmly. Signup and view all the answers

If a client objects to certain food for religious or cultural reasons, the appropriate action would be to:

Offer to substitute something different for him. Signup and view all the answers

The client's religion forbids eating pork. Bacon is being served for breakfast. The most appropriate response is to:

Call the kitchen for a tray without bacon. Signup and view all the answers

Which type of communication can often be most powerful?

Silent. Signup and view all the answers

A client refuses to allow the nurse aide to bathe her. The nurse aide tells the client that she will not be allowed to eat lunch or go to bingo if she does not have her bath. This is an example of:

Verbal abuse. Signup and view all the answers

On entering a room, an aide notices that the client is not breathing. The aide's first action should be to:

Call for help. Signup and view all the answers

A client's dentures are lost. The first action should be to:

Look for them. Signup and view all the answers

Study Notes

Cane Assistance

When assisting a client using a cane, position the nurse aide slightly behind the client's weak side to provide support.

Urinary Retention

Clients with urinary retention commonly experience an inability to urinate.

Hearing Changes in Aging

Older adults often lose the ability to hear high-pitched sounds due to aging-related hearing changes.

Patient Identification

The safest method for identifying a patient is by checking the name tag.

Bowel and Bladder Training

If a patient on a bowel and bladder training program has not had a bowel movement in three days, it is essential to report it to the charge nurse.

Medical Abbreviations

The abbreviation for "before meals" is "a.c."

Hypertension History

Patients diagnosed with hypertension typically have a history of high blood pressure.

Diet for Chewing Difficulties

A client with chewing or swallowing difficulties requires a mechanical soft diet.

Alzheimer’s and Independence

To help a resident with Alzheimer’s who cannot find her room, placing a familiar object on the door enhances her independence.

Intake and Output Records

Patient intake and output records should be totaled once each shift.

Observations at Admission

During client admissions, the nursing assistant should observe and document any bruises.

Responding to Intercom Calls

When responding to a client on the intercom, provide your name and position for clarity.

Familiarizing Clients

To help new clients acclimate, demonstrate the location and usage of the call light.

Room Arrangement

Nursing assistants do not administer medications while arranging a client's room.

Assisting Out of Bed

Employ proper body mechanics and techniques when helping a client out of bed.

Client Repositioning

Clients should be repositioned every two hours during an eight-hour shift to prevent discomfort and promote circulation.

Serving Meals

Meals should be brought to clients ready to be fed to ensure timely and appropriate care.

Bed Wrinkles

Wrinkles in bed linens can lead to serious skin issues, such as decubitus ulcers (bed sores).

Restorative Care

Begin restorative care as soon as possible to enhance recovery and rehabilitation.

Fowler's Position

Always explain the Fowler's position procedure to the client before assisting them.

Handwashing Protocol

If the inside of the sink is touched during hand washing, repeat the washing process from the beginning.

Job Interview Attire

A business suit, dress, or dress shirt and pants is the preferred attire for a nurse aide job interview.

Client Safety

Before leaving a newly admitted ambulatory client alone, ensure they know how to use the call bell.

Lifting Objects

For safe lifting techniques, bend at the knees while keeping the back straight.

Hand Hygiene

Nurse aides must wash their hands after providing client care to reduce infection risks.

Assisting with Eating

The first step in assisting a client with eating is to wash both the nurse aide's and the client's hands.

Cast Care

When caring for a client with a new cast, check the warmth and color of the fingers for circulation.

Participation in ADLs

Encouraging clients to participate in activities of daily living is crucial for their rehabilitation.

Confusion in Elderly Care

Keep bedrails up for safety when caring for a confused elderly client.

Wheelchair Safety

Confirm that the wheels of a wheelchair are locked before assisting a client into it.

Transferring Clients

When transferring a client with a weak left side, the nurse aide should position themselves on the left side.

Emergency Response

If a patient is found lying on the floor, the first action is to assess their pulse and respirations.

Wheelchair Elevator Usage

When moving a wheelchair onto an elevator, pull it towards you while staying behind the chair.

Foley Bag Position

A Foley bag must be kept below the client’s bladder to prevent urine from returning and causing infection.

Dietary Restrictions

If a client’s dietary needs are not met, such as being served pork when it is not permitted, report to the charge nurse.

Effective Communication

Silent communication can be significantly powerful in patient interactions.

Rights of Clients

Clients have the right to have their personal information kept confidential.

Emotional Support

When a resident expresses distress during care, reassure them it is okay to cry and offer support.

Denture Care

Proper denture care involves placing them on a towel in the sink with cool water to avoid damage.

Client Rights in Sexuality

Long-term clients may require private time with a partner, but public fondling is considered inappropriate.

Partial Bed Bath Definition

A partial bed bath for a client includes washing the face, hands, axillae, genitals, and buttocks.

Client Restraint Protocol

Applying restraints without charge nurse directions could lead to allegations of false imprisonment.

H.S. Care

H.S. care refers to care provided before bedtime.

Geriatric Diet

Suitable food choices for clients without teeth include softer options such as baked fish and whipped potatoes.### Client and Family Communication
Families should discuss impending death privately to support the client's emotional comfort.

Hygiene and Safety Protocols

If a water pitcher spills, clean it up immediately to prevent accidents.
Upon entering a room and finding a patient not breathing, prioritize calling for help.
Postmortem care should begin immediately after the doctor pronounces the patient deceased.

Positioning and Mobility

Correct positioning of clients prevents skin breakdown, maintains joint function, and increases comfort.
A surgical bed should be left in the highest position for safety.
Encourage residents to ambulate according to their care plan, allowing them to choose a more suitable time if needed.

Resident Dignity and Comfort

Allow private visits for residents and their families when requested.
If a resident refuses ROM exercises, encourage them by promoting a slow-paced approach.
Address residents' complaints of discomfort (e.g., sore mouth) by seeking the nurse's assistance rather than dismissing their concerns.

Emergency and Response Situations

After a resident’s death, aides may be assigned to prepare the body.
In case of a fire in a resident's area, move residents out of immediate danger first; only use extinguishing methods after ensuring safety.
If a resident indicates they may faint, assist them by having them sit on the floor carefully.

Communication and Emotional Support

When residents express feelings of distress or confusion, it's essential to listen and ask about their feelings without dismissing them.

Daily Care and Assistance

For residents who take time getting dressed, assist by starting the process earlier to make meals on time.
Help residents maintain their hygiene without forcing them, and support them in expressing needs and wishes.

Safety Considerations for Residents

For residents with poor vision, facilitate their safety by familiarizing them with the room layout.
Regularly monitor residents for changes in behavior or health, reporting any concerns to the charge nurse.

General Observations and Reporting

Report any inappropriate or concerning resident interactions, like unexpected behavior between residents, to the charge nurse.
Understand that elderly residents may face specific challenges, such as vision problems, which require additional support.

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Description

Test your knowledge with these practice questions designed for the CNA state exam. The questions focus on key nursing assistant concepts, particularly client assistance techniques and care procedures. Ideal for anyone preparing for certification and looking to reinforce their skills.