CNA Exam Practice 3

To flex both the hip and the knee at the same time ________.

• is unethical and should be avoided

• bend the knee to the chest while supporting underneath the knee and the ankle

• lift the lower leg below the knee with 2 hands in an overhand grip and push the knee upwards toward the chin

• saves time but does not provide adequate ROM

When explaining ROM exercises to patients, using examples of common movements can help the patient understand what is going to be done. Which of the following would be an appropriate statement?

• "I am going to perform adduction/abduct-ion to your right lower extremity now."

• "Pain lets us know the exercise is working but let me know if it gets too bad."

• "I am going to bend your wrist up and down like you are revving up a motorcycle."

• "Pronate your palm and abduct your lower arm laterally to full extension."

Shoe rules remind us that ________.

• slipper socks are not enough

• shoes are not worn by patients in a clinical setting

• the test focuses on stupid details

  that really don't matter

• all patients will put their own shoes on when necessary

When assisting a patient to stand using a gait belt, the CNA should stand ______.

• with both feet to the patient's feet, toe to toe, knee to knee

• with one leg in between the patient's knees, snug against their body

• at an oblique angle with a wide base of support

• between the chair and bed, slightly behind and to one side of the patient

The care plan reads:

Provide the following ROM exercise to the resident's left shoulder: flexion/extension and abduction/adduction. Provide 3 repetitions of each exercise. The resident will not be able to help with the exercises.

• 3 repetitions of abduction/adduct-ion

• 3 repetitions of flexion/extension, adduction/abduct-ion and rotation

• 3 repetitions of flexion/extension, and 3 repetitions of adduction/abduct-ion

• 30 repetitions of flexion/extension and adduction/abduct-ion in 10 sets of 3

You are taking care of Mr. Jones, who remains in a wheelchair all day. What is the most important safety consideration for this patient?

• make sure the wheelchair wheels are locked during transfers when the patient is stationary

• make sure the wheels are unlocked so it is not a restraint

• do not use foot pedals unless the patient asks for them

• the wheelchair should be tied to a heavy object in his room so he doesn't escape the facility

A reason a patient might refuse a skill is ________.

• the are old and mean and want to make your life difficult

• they do not like you

• they think you don't like them

• they do not understand what you are going to do.

Prior to transferring a patient into a wheelchair, they must have ______.

• slipper socks on with the non-skid tread along the sole of the foot

• shoes on and tied securely with their feet on the ground

• a walker in front of them to help with balance

• 2 staff members, 1 on each side, to support their weight

Older patients will often have decreased energy levels, due to the aging process. What is a possible way to accommodate the change?

• insist that the patient conform to the facility schedule

• perform all tasks for the patient at all times

• schedule ADLs and activities during the times when the patient has more energy

• enroll the patient in a comprehensive exercise program to enhance strength and endurance

Tags

NGSS.HS-ETS1-3

When performing ROM exercises on an ankle, if the patient is lying in bed, what is a safety concern.

• always perform this exercise last

• they must be moved to a chair prior to performing the exercise

• moderate upward force is required to flex the foot to a 45 degree angle

• lift the heel off the bed from below to prevent abrasions from the sheet