Ivy Tech CNA Program Exam 1 Study Guide

Questions and Answers

What are alcohol-based hand rubs used for?

Only when hands are not visibly soiled.

What vaccine must health care facilities offer for free?

HBV

When washing your hands, how many seconds do you use friction?

At least 20 seconds

What do you do when someone asks you a question?

Stay within your scope, find out the answer if you do not know it. Signup and view all the answers

What does the acronym AMB stand for?

Ambulate Signup and view all the answers

What does the acronym BM stand for?

Bowel Movement Signup and view all the answers

What does the acronym CPR stand for?

Cardiopulmonary Resuscitation Signup and view all the answers

What does the acronym OOB stand for?

Out of Bed Signup and view all the answers

What does the acronym VS stand for?

Vital Sign Signup and view all the answers

What type of care does OBRA (Omnibus Budget Reconciliation Act) set standards for?

Long-Term Care Facilities Signup and view all the answers

Are we responsible for supervising anyone as a CNA?

False Signup and view all the answers

As a CNA, what is our goal when assisting residents?

We want to help the resident keep their skills as long as possible. Signup and view all the answers

Which blood borne pathogens affect our immune system?

Hepatitis B (HBV), Hepatitis C (HCV), Human Immunodeficiency Virus (HIV) Signup and view all the answers

Regarding a resident's information, what must you ensure?

Keep the resident's information confidential. Signup and view all the answers

Example of ADL's includes?

Bathing, Oral Hygiene, Grooming, Dressing, Toileting, Feeding Signup and view all the answers

What is the purpose of the Indiana State Survey?

To review care and safety of residents. Signup and view all the answers

Where do we come into contact with microorganisms?

Everywhere Signup and view all the answers

When would you wear gloves?

Any time you come into contact with bodily fluids. Signup and view all the answers

Would a hospital be considered a long-term facility?

False Signup and view all the answers

What are airborne precautions?

Special precautions taken for diseases transmitted by microorganisms suspended in the air. Signup and view all the answers

If you have someone on airborne precautions, would you also use standard precautions?

True Signup and view all the answers

Are airborne precautions the same as standard precautions?

False Signup and view all the answers

Does every resident need the exact same amount of assistance?

False Signup and view all the answers

Can a nurse ask a CNA to give medication to residents?

False Signup and view all the answers

Can a nurse ask a CNA to catheterize a patient?

False Signup and view all the answers

Can a nurse ask you to perform a procedure that requires sterile technique?

False Signup and view all the answers

Can a CNA feed a resident a special diet?

True Signup and view all the answers

Anytime you handle anything clean or dirty, it is best to handle it how?

To hold it away from our body. Signup and view all the answers

Why can we not wear artificial nails in long-term care?

They harbor bacteria, can scratch residents, and make it difficult for tasks. Signup and view all the answers

What is the chain of command for long-term care?

The order of authority within a facility starting from DON to QMA's/CNA's. Signup and view all the answers

What are some symptoms of abuse?

Suspicious marks, bite marks, fractures, dislocations, burns, mood/behavioral changes. Signup and view all the answers

Why do we give a resident a call light?

It allows the resident to communicate with us. Signup and view all the answers

Can a resident vote?

True Signup and view all the answers

Can a resident share a room with a significant other?

True Signup and view all the answers

Can a resident work within a facility if they want to?

True Signup and view all the answers

What type of abuse is it if you make rude and insensitive remarks to a resident?

Psychological abuse Signup and view all the answers

Is vomiting a symptom of influenza?

False Signup and view all the answers

Know the following infection: MRSA. What does it stand for?

Methicillin-Resistant Staphylococcus Aureus Signup and view all the answers

What is an activities director responsible for?

They plan activities for the residents and assist them to socialize. Signup and view all the answers

Which symptom should you report immediately?

Rash/Bruise Signup and view all the answers

What is a nosocomial infection?

An infection acquired in a healthcare setting. Signup and view all the answers

What is palliative care?

Care that focuses on comfort and dignity in terminal illness stages. Signup and view all the answers

What are the two most common nosocomial infections?

Urinary System, Respiratory System Signup and view all the answers

In a patient's room, where can you put clean lining?

The back of the chair, the head of the bed, on the overbed table, top of the bedside cabinet. Signup and view all the answers

What is the scope of practice for CNA set by the state of Indiana?

Standard 14 Signup and view all the answers

What is a care plan?

A written plan of action developed to meet each resident's needs. Signup and view all the answers

Are CNA's responsible for reporting any changes of a resident to the nurse?

True Signup and view all the answers

What is the term that means misuse of property?

Misappropriation Signup and view all the answers

What are the correct order of initial steps of RCP #1?

<ol> <li>Ask a nurse about the resident's needs, 2. Knock and identify yourself, 3. Greet the resident, 4. Identify yourself, 5. Explain what you will do, 6. Gather supplies, 7. Close curtains, 8. Wash your hands, 9. Wear gloves, 10. Use proper body mechanics.</li> </ol> Signup and view all the answers

Is making a promise that you don't intend to keep a form of abuse?

True Signup and view all the answers

How do you respect a resident's privacy?

By pulling their curtains, shutting the door, keeping them covered, knocking before entering. Signup and view all the answers

Would it be an invasion of privacy for a patient if you touched their belongings without permission?

True Signup and view all the answers

Can slander be intentional and/or unintentional?

True Signup and view all the answers

What is our first line of defense against infection?

Skin Signup and view all the answers

What can contribute to infection in a resident?

Dehydration, Poor Hygiene Signup and view all the answers

Do you need to use hand hygiene before resident contact?

True Signup and view all the answers

Do you use hand hygiene after being exposed to blood?

True Signup and view all the answers

Do you use hand hygiene after having contact with a resident?

True Signup and view all the answers

Do you use hand hygiene after contacting a resident's surroundings?

True Signup and view all the answers

Do you use hand hygiene when performing an aseptic task?

False Signup and view all the answers

What is the sequence of putting on personal protective equipment?

<ol> <li>Gown, 2. Mask, 3. Goggles, 4. Gloves</li> </ol> Signup and view all the answers

What type of precautions are needed for someone who has tuberculosis (TB)?

Airborne precautions Signup and view all the answers

Where can we place dirty linens?

At the foot of the bed, on the seat of a chair. Signup and view all the answers

What is the government agency that protects workers from safety hazards on the job?

OSHA Signup and view all the answers

What can you never use to clean with a patient who has c-Diff?

Alcohol-based hand sanitizers. Signup and view all the answers

What are the two positions to prevent aspiration if a resident is vomiting?

Lateral (on their side), Semi-Fowler's. Signup and view all the answers

What are symptoms of a heart attack?

Anxiety, confusion, crushing sensation, chest pain, sweating. Signup and view all the answers

What is the first thing you do (as a CNA) when you see a patient having a seizure?

Stay with the patient and call for a nurse. Signup and view all the answers

What are the three things that we need to start a fire?

Fuel, Heat, Oxygen. Signup and view all the answers

What is the term when a resident gets stuck in their siderail?

Entrapment. Signup and view all the answers

Study Notes

Hand Hygiene and Infection Control

Alcohol-based hand rubs are effective only when hands are not visibly soiled.
Wash hands with friction for at least 20 seconds to ensure cleanliness.
Wear gloves when coming into contact with bodily fluids, while shaving someone, or assisting with bathroom needs.
Hand hygiene is crucial after exposure to blood, contact with a resident, or in a resident's surroundings.
Do not use alcohol-based hand sanitizers for cleaning after a patient with C-Diff; use soap and water instead.
Skin is the body's first line of defense against infections.

Resident Care Principles and Rights

Follow the scope of practice; ensure to find answers if questions arise about patient care.
Resident rights include the ability to vote, share a room with a partner, and work within the facility.
Confidentiality must be maintained regarding residents' personal information.
Ensure residents' privacy by pulling curtains, shutting doors, and keeping them covered during care.

Infection Awareness

Common bloodborne pathogens affecting the immune system include HBV, HCV, and HIV.
MRSA is an antibiotic-resistant staph infection commonly acquired in healthcare settings and can spread through direct and indirect contact.
Scabies is caused by mites, leading to rashes and itching, and it's highly contagious.
C-Diff results from antibiotic overuse, causing severe diarrhea and requires stringent infection control.
Nosocomial infections refer to infections acquired in healthcare settings, notably affecting the urinary and respiratory systems.

Abuse and Neglect

Types of abuse include psychological abuse, which can involve harsh remarks or broken promises.
Symptoms of abuse may present as suspicious marks, changes in behavior, or signs of fear.
Misappropriation refers to the misuse of a resident's property.

Care Procedures and Protocols

Initial steps of resident care include verifying resident needs, gaining permission to enter, and ensuring a hygienic environment.
A care plan outlines residents' needs, goals, and approaches to ensure personalized care.
Report any significant changes in a resident's condition, such as rashes or bruises, to nursing staff immediately.

Safety and Emergency Procedures

Standard precautions must be integrated with airborne precautions when dealing with patients on those protocols.
In case of a patient experiencing a seizure, stay with them and call for a nurse immediately.
In case of fire, be aware that fuel, heat, and oxygen are essential components that can contribute to the fire.
Make sure to position a vomiting resident in Lateral or Semi-Fowler's positions to prevent aspiration.

Equipment and Safety Regulations

Personal protective equipment should be donned in the order of gown, mask, goggles, and gloves to maximize safety.
OSHA (Occupational Safety and Health Administration) is responsible for protecting workers from job hazards.
Proper handling techniques involve keeping clean or dirty items away from the body to minimize contamination risks.

Activity and Engagement

Activities directors play a crucial role in organizing resident activities to promote social interaction and mental engagement.

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Description

Prepare for the Ivy Tech Certified Nurse Assistant (CNA) Exam 1 with these informative flashcards. Each card covers essential topics such as hand hygiene, vaccination, and communication in healthcare settings. Test your knowledge and ensure you're ready for your exam!