Hdmaster CNA 1 Competency Practice Quiz

Questions and Answers

When you are communicating with residents, you need to remember to:

Speak rapidly and loudly

Finish all their sentences for them

Look away when they make direct eye contact

Face the resident and make eye contact (correct)

You are measuring Mrs. Clark's pulse and it is 98 beats per minute, which is significantly different than her normal pulse. You should:

Call the doctor immediately

Report this to the charge nurse (correct)

Ignore this, as pulse rates always fluctuate in older people

Encourage Mrs. Clark to exercise more

All of these devices can be used to help a person to use regular toileting facilities with more ease EXCEPT:

Eggcrate mattress (correct)

Bedside commode

Grab bars on the wall next to the toilet

Elevated toilet seat

Mr. Russell keeps getting up from his wheelchair. Instead of using a restraint you should ask him if:

He needs to go to the toilet Signup and view all the answers

All of the following are in the Resident Bill of Rights EXCEPT:

The right to form militant groups in the facility Signup and view all the answers

Increased respiratory rate is:

Tachypnea Signup and view all the answers

A male staff member is overheard telling Mary, 'What a sexy top you have on today.' Mary walks away red-faced. This could be considered:

Sexual harassment Signup and view all the answers

Mrs. White has turned on her call light four times in the last hour. When the nursing assistant goes to her room she should say, 'Mrs. White,'

Is there something I can help you with? Signup and view all the answers

A nursing assistant is allowed to:

Empty the resident's Foley catheter bag Signup and view all the answers

When nursing assistants complain of frequent back aches, the most likely factor contributing to their back problem would be:

Bending over to tie their resident's shoelaces Signup and view all the answers

You walk into the dining room. The conscious resident has his hands to his throat and is making no sounds. The first thing you will do is:

Ask, 'Are you choking?' Signup and view all the answers

The nursing assistant is transferring a resident from the bed to the chair. The nursing assistant should:

Stand with feet apart Signup and view all the answers

Casually sharing personal information about a resident with co-workers outside the workplace is considered:

Inappropriate Signup and view all the answers

All behavior has meaning to the:

Person performing the behavior Signup and view all the answers

A prerequisite for becoming a successful nursing assistant will include:

Possessing maturity and sensitivity Signup and view all the answers

A contracture is the lack of joint mobility caused by abnormal shortening of a muscle. This causes the muscle to be:

Fixed into position, deformed and cannot stretch Signup and view all the answers

Before trimming a resident's fingernails or toenails, the nursing assistant soaks them in warm water. How many minutes should you soak the resident's hands and/or feet?

4-6 and 8-10 Signup and view all the answers

Care that is focused on comfort and symptom relief rather than cure is:

Palliative Signup and view all the answers

You are caring for a resident who has a diagnosis of Clostridium difficile. You understand:

The resident will have his own dedicated equipment such as blood pressure cuffs Signup and view all the answers

The organ that pumps the blood around the body is:

Heart Signup and view all the answers

A type of card file that summarizes information found in a medical record, includes drugs, treatment, diagnosis, and routine cares is:

Kardex Signup and view all the answers

A resident with a diagnosis of Chronic Obstructive Disorder may breathe best when in:

The orthopneic position Signup and view all the answers

Libel is:

Written defamation Signup and view all the answers

Which of the following is a Federal and State funded health care reimbursement program?

Medicaid Signup and view all the answers

List the order in which these body parts are washed during bathing:

Eyes, face, ears, neck, arms, chest Signup and view all the answers

A male resident who is on bed rest after having surgery for a broken hip tells the nursing assistant he needs to void. The nursing assistant would:

Assist the resident to use a urinal Signup and view all the answers

Residents are often admitted to long term care facilities because they:

Want the security of being around other people Signup and view all the answers

To help a resident who has insomnia, you should:

Offer a back rub and soft music Signup and view all the answers

Mrs. Grunder has her hearing aid in, yet she does not respond when you talk to her. Which one of the following actions should you take?

Check her hearing aid to make sure it is turned on Signup and view all the answers

All of the following are signs of clinical depression EXCEPT:

Increased ability to make decisions Signup and view all the answers

A shortened form of a word or phrase is called?

Abbreviation Signup and view all the answers

Moving a body part away from the mid-line of the body is called?

Abduction Signup and view all the answers

The willful infliction of injury, unreasonable confinement, intimidation, or punishment that results in physical harm is known as?

Abuse Signup and view all the answers

Moving a body part toward the mid-line of the body is called?

Adduction Signup and view all the answers

The activities usually done during a normal day in a person's life are known as?

ADL Signup and view all the answers

The act of walking is referred to as?

Ambulation Signup and view all the answers

The loss of appetite is called?

Anorexia Signup and view all the answers

At or toward the front of the body or body part; ventral is referred to as?

Anterior Signup and view all the answers

A drug that kills certain microbes that cause infection is called?

Antibiotic Signup and view all the answers

A vague, uneasy feeling in response to stress is known as?

Anxiety Signup and view all the answers

The total or partial loss of the ability to use or understand language is called?

Aphasia Signup and view all the answers

Joint inflammation is referred to as?

Arthritis Signup and view all the answers

Breathing fluid, food, vomitus, or an object into the lungs is known as?

Aspiration Signup and view all the answers

The shrinkage or decrease in size or wasting away of tissue is called?

Atrophy Signup and view all the answers

Items contaminated with blood, body fluids, secretions, or excretions are referred to as?

Biohazardous waste Signup and view all the answers

The amount of force exerted against the walls of an artery by the blood is known as?

Blood pressure (BP) Signup and view all the answers

The way the head, trunk, arms, and legs are aligned with one another; posture is known as?

Body alignment Signup and view all the answers

Messages sent through facial expressions, gestures, posture, hand and body movements, gait, eye contact, and appearance are collectively known as?

Body language Signup and view all the answers

Using the body in an efficient and careful way is referred to as?

Body mechanics Signup and view all the answers

The amount of heat in the body that is a balance between the amount of heat produced and the amount lost by the body is called?

Body temperature Signup and view all the answers

A job stress resulting in being physically or mentally exhausted, having doubts about your abilities is known as?

Burnout Signup and view all the answers

A tumor that invades and destroys nearby tissues and can spread to other body parts is known as?

Cancer/malignant tumor Signup and view all the answers

The heart stops suddenly and without warning is referred to as?

Sudden cardiac arrest (SCA) Signup and view all the answers

A surgically created opening between the colon and the body's surface is called?

Colostomy Signup and view all the answers

The exchange of information -- a message sent is received and correctly interpreted by the intended person is known as?

Communication Signup and view all the answers

Trusting others with personal and private information is referred to as?

Confidentiality Signup and view all the answers

The passage of a hard, dry stool is called?

Constipation Signup and view all the answers

The process of becoming unclean is referred to as?

Contamination Signup and view all the answers

The lack of joint mobility caused by abnormal shortening of a muscle is called?

Contracture Signup and view all the answers

Passing microbes from one person to another by contaminated hands, equipment, or supplies is known as?

Cross-contamination Signup and view all the answers

Bluish color to the skin, lips, mucous membranes, and nail beds is referred to as?

Cyanosis Signup and view all the answers

The excessive loss of water from tissues is known as?

Dehydration Signup and view all the answers

The loss of cognitive and social function caused by changes in the brain is called?

Dementia Signup and view all the answers

An artificial tooth or a set of artificial teeth is referred to as?

Denture Signup and view all the answers

A group of conditions caused by physical, learning, language, or behavior impairments is known as?

Developmental disabilities Signup and view all the answers

A skill that must be completed during a stage of development is referred to as?

Developmental task Signup and view all the answers

The process of removing waste products from the blood is known as?

Dialysis Signup and view all the answers

The frequent passage of liquid stools is referred to as?

Diarrhea Signup and view all the answers

The process that breaks down food physically and chemically so it can be absorbed by the cells is called?

Digestion Signup and view all the answers

The process of killing pathogens is referred to as?

Disinfection Signup and view all the answers

Difficulty swallowing is known as?

Dysphagia Signup and view all the answers

Difficult, labored, or painful breathing is referred to as?

Dyspnea Signup and view all the answers

Painful or difficult urination is known as?

Dysuria Signup and view all the answers

The swelling of body tissues with water is referred to as?

Edema Signup and view all the answers

Food and fluids expelled from the stomach through the mouth are called?

Emesis/vomitus Signup and view all the answers

The support and care given during the time surrounding death is known as?

End-of-life care Signup and view all the answers

The introduction of fluid into the rectum and lower colon is referred to as?

Enema Signup and view all the answers

Straightening a body part is known as?

Extension Signup and view all the answers

Normal vital signs include which of the following?

All of the above Signup and view all the answers

Normal urine color is:

Yellow Signup and view all the answers

Study Notes

Communication with Residents

Always face the resident and maintain eye contact to foster effective communication.

Pulse Monitoring

Report significant changes in pulse rates; for instance, if Mrs. Clark's pulse is unusually low or high, notify the charge nurse.

Toileting Aids

Devices that assist with regular toileting include elevated toilet seats, bedside commodes, and grab bars. Eggcrate mattresses do not fit this purpose.

Resident Mobility

If a resident frequently attempts to leave their wheelchair, inquire about their needs (e.g., bathroom use) rather than using restraints.

Resident Bill of Rights

Residents have rights, including freedom from abuse but not the right to form militant groups in facilities.

Respiratory Rate Terminology

Increased respiratory rate is termed tachypnea.

Workplace Conduct

Comments such as "What a sexy top you have on today" can be classified as sexual harassment, not a compliment.

Responding to Call Lights

When responding to a resident's repeated call lights, ask calmly how you can assist, rather than expressing frustration.

Nursing Assistant Duties

Nursing assistants are authorized to empty Foley catheter bags but not to administer medications or accept physician orders over the phone.

Back Safety

Frequent back pain in nursing assistants is often due to bending over rather than using proper lifting techniques.

Choking Response

Upon observing a resident clutching their throat, first ask if they are choking before taking further action.

Safe Transfer Techniques

When transferring a resident, maintain a wide stance for stability and balance.

Confidentiality

Sharing personal information about a resident outside of work is deemed inappropriate.

Understanding Behavior

All behavior has meaning to the individual performing it, impacting how their actions should be interpreted.

Essential Qualities of Nursing Assistants

Successful nursing assistants must demonstrate maturity and sensitivity toward residents.

Contractures

A contracture signifies joint immobility resulting from muscle shortening, rendering the muscle fixed and difficult to stretch.

Nail Care Procedure

Soaking a resident's nails before care should last 4-6 minutes for hands and 8-10 minutes for feet.

Palliative Care

This type of care prioritizes comfort and relief from symptoms over seeking a cure.

Infection Control

Residents diagnosed with Clostridium difficile require dedicated equipment to prevent cross-contamination.

Heart Function

The heart functions as the organ responsible for pumping blood throughout the body.

Kardex Definition

A Kardex is a card file summarizing significant medical information, such as treatments and medications for residents.

Breathing Positions

Residents with Chronic Obstructive Pulmonary Disorder often breathe easiest in an orthopneic position.

Libel Explanation

Libel refers to written defamation that can harm a person's reputation.

Healthcare Programs

Medicaid is a federal and state-funded health care reimbursement program.

Bathing Procedure

The correct order for washing body parts during a bath is eyes, face, ears, neck, arms, chest.

Urination Assistance

Support a resident on bed rest needing to void by assisting them to use a urinal.

Long-Term Care Admissions

Residents often choose long-term care for the security of companionship rather than for lack of ability to perform daily activities.

Insomnia Assistance

To aid a resident suffering from insomnia, offer a back rub and soft music.

Hearing Aid Check

If a resident with a hearing aid does not respond, check if the device is functioning properly before assuming uncooperativeness.

Signs of Clinical Depression

Signs include diminished interest in activities, feelings of worthlessness, and fatigue; increased decision-making ability is not a sign.

Medical Terms Explained

Abbreviation: A shortened form of a word.
Abduction: Moving a body part away from the midline.
Abuse: Willful infliction of harm or injury.
Adduction: Moving a body part toward the midline.
ADL: Activities of Daily Living.
Ambulation: The act of walking.
Anorexia: Loss of appetite.
Anterior: Toward the front of the body.
Antibiotic: A drug killing microbes that cause infections.
Anxiety: A vague feeling in response to stress.
Aphasia: Loss of ability to use or understand language.
Arthritis: Joint inflammation.
Aspiration: Inhaling fluids or objects into the lungs.
Atrophy: Decrease in tissue size or wasting away.
Biohazardous waste: Contaminated items with bodily fluids.
Blood pressure (BP): Force of blood against artery walls.
Body alignment: Posture alignment of limbs.
Body language: Communication through non-verbal cues.
Body mechanics: Efficient and careful use of the body.
Body temperature: Balance of heat produced and lost.
Burnout: Physical or mental exhaustion due to job stress.
Cancer/malignant tumor: Tumors that invade and destroy tissue.
Sudden cardiac arrest (SCA): Heart stops unexpectedly.
Colostomy: A surgically created opening from the colon.
Communication: Exchange of information.
Confidentiality: Trust in sharing personal information.
Constipation: Hard, dry stools.
Contamination: Becoming unclean.
Contracture: Loss of joint mobility due to muscle shortening.
Cross-contamination: Transfer of microbes between individuals.
Cyanosis: Bluish discoloration of the skin.
Dehydration: Excessive loss of water from tissues.
Dementia: Cognitive and social function loss.
Denture: Artificial teeth.
Developmental disabilities: Conditions caused by various impairments.
Developmental task: Skill needed at a specific growth stage.
Dialysis: Removal of waste from the blood.
Diarrhea: Frequent liquid stools.
Digestion: Breakdown of food for cellular use.
Disinfection: Killing pathogens.
Dysphagia: Difficulty swallowing.
Dyspnea: Difficulty or labored breathing.
Dysuria: Painful urination.
Edema: Swelling with fluid in tissues.
Emesis/vomitus: Expulsion of stomach contents.
End-of-life care: Support given during death.
Enema: Fluid introduction into the rectum.
Extension: Straightening a body part.
Normal vital signs: Defined ranges for body temperature, pulse, respiration, and blood pressure.
Normal urine color: Typically yellow.

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Description

Prepare for the CNA state competency exam with these flashcard-style questions. Test your knowledge on essential communication skills and health assessment techniques relevant to resident care. Build your confidence and ensure you are ready for the exam with these practice questions.