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Hartman CNA Chapter 21,22,23,24,27

Total questions: 85

Worksheet time: 3hrs 43mins

Name
Class
Date
1.

Which of the following is a function of the skeletal system?

a)

stores phosphorus and calcium

b)

eliminates heat build up in the muscles

c)

limits movement

d)

stores potassium and chloride

2.

What is the basic working unit of the nervous system?

a)

spinal cord

b)

brain

c)

spinal nerves

d)

neuron

3.

What regulates the levels of phosphate, calcium and vitamin D in the bloodstream?

a)

thyroid

b)

parathyroid

c)

pancreas

d)

adrenals

4.

Immunity that is acquired by vaccine.

a)

nonspecific

b)

active

c)

passive

d)

vaccination

5.

A disease or condition that will eventually cause death.

a)

palliative

b)

benign

c)

terminal

d)

malignant

6.

A resident was admitted for rehab after a recent BKA. He keeps telling you his toes hurt. He is having.......

a)

phantom sesation

b)

hallucinations

c)

an infection

d)

phantom limb pain

7.

What is care given to people who have a serious, chronic disease, or people who are dying?

a)

hospice

b)

palliative

c)

holistic

d)

person centered

8.

A resident who has AD thinks it is 1960 and he is living with his mother. What type of therapy will help him?

a)

validation

b)

reminiscence

c)

remotivation

d)

delusional

9.

A resident has graves disease. What symptoms would you expect?

a)

weight loss, decreased appetite, low BP

b)

weight gain, brittle hair and nails, elevated HR

c)

weight gain, dry skin, irritability

d)

weight loss, appetite increase, sweating

10.

An autoimmune disorder where the body is unable to recognize its own tissue.

a)

automatic

b)

autologous

c)

autolymph

d)

autoimmune

11.

A resident has osteoporosis and has a fracture in her spine this is called a__________fracture

a)

comminuted fracture

b)

compression fracture

c)

pathologic fracture

d)

greenstick fracture

12.

A resident with AD keeps repeating "My socks are in the drawer, I need to put them on" this repetition is known as____________.

a)

OCD

b)

hallucinations

c)

delusion

d)

perseveration

13.

Another term for insulin reaction is.....................

a)

hypoglycemia

b)

hyperglycemia

c)

hypothyroidism

d)

hyperthyroidism

14.

Which of the following is a right for someone who is dying?

a)

right to honest and accurate information

b)

right to be free from pain

c)

right to privacy

d)

right to refuse treatment

15.

Which of the following are not functions of the endocrine system?

a)

influence growth and development

b)

maintina blood sugar levels

c)

regulate the ability to reproduce

d)

regulate levels of vitamin D, phosphorus, and potassium

16.

A resident who keeps washing his hands over and over again might have_______________

a)

bipolar

b)

bursitis

c)

OCD

d)

PTSD

17.

When applying a cast what is one important thing a CNA will do to avoid injury to the patient?

a)

wet the cast to keep it moist

b)

leave an opening so the patient can used a hangar to scratch if necessary

c)

edges of the cast need to be padded to make sure there are no sharp areas

d)

take off the cast when the pain subsides it will be healed by then

18.

Bereavement is........

a)

varying emotional responses to grief

b)

therapy to try to help a person cope after someone's death

c)

period in which people work to adapt to a loss

d)

period following a loss in which mourning occurs

19.

You have a resident who has end-stage COPD and is dying. What is one thing you can do to make her more comfortable?

a)

Offer ice chips or fluids

b)

give her oxygen

c)

suction her

d)

turn the lights on bright so she can see better

20.

What is a common complication for a person who is Diabetic.

a)

Impaired circulation

b)

COPD

c)

decrease estrogen production

d)

decrease risk of infection

21.

A resident with AIDS just developed pneumocystis pneumonia this is a/an _______________infection.

a)

cancerous

b)

autoimmune

c)

nonspecific

d)

opportunistic

22.

A normal FBS is __________

a)

126 and above

b)

100-125

c)

70-100

d)

55-75

23.

A resident is shuffling and pill rolling, he might have.............

a)

MS

b)

muscular dystrophy

c)

parkinson's disease

d)

CVA

24.

What are tiny sacs of fluid near joints?

a)

alveoli

b)

bursae

c)

lymph

d)

edema

25.

Dementia is a normal part of aging.

a)

TRUE

b)

FALSE

26.

A resident with bipolar is extremely happy this morning, she is in the ___________phase

a)

indecisive

b)

happy

c)

manic

d)

excited

27.

A CPM is used for a person who has had a____________

a)

TKR

b)

THR

c)

TMR

d)

TRK

28.

Immunity that is present at birth is called_____________.

a)

specific

b)

nonspecific

c)

active

d)

passive

29.

What is the last sense to leave the body?

a)

sight

b)

touch

c)

hearing

d)

taste

30.

A resident that takes things that belong to others is said to be......

a)

pillaging

b)

hoarding

c)

rummaging

d)

sundowning

31.

A resident who c/o constipation, hoarseness, heavier than normal periods might have.............

a)

hypoglycemia

b)

hyperglycemia

c)

hypothyroidism

d)

hyperthyroidism

32.

When caring for a resident with Diabetes, a CNA should do foot care__________

a)

QD

b)

QOD

c)

Q weekly

d)

Biweekly

33.

A resident who is on hospice has hypotension, rattling with shallow and irregular respirations, and decreased sense of touch. He may be showing signs of ............

a)

hypoglycemia

b)

low oxygen level

c)

approaching death

d)

rigor mortis

34.

What is the common treatment for a person with social anxiety disorder.

a)

medication

b)

psychotherapy

c)

medication and psychotherapy

d)

isolation

35.

A resident has a BP 144/96 P 98 and RR 24 his FBS is 181. He is ..........

a)

hypotensive, tachycardia, tachypnea and hypoglycemic

b)

hypertensive, normal HR, normal RR and hypoglycemic

c)

hypertensive, normal HR, normal RR, and hyperglycemic

d)

hypertensive, normal HR, tachypneic, and hyperglycemic

36.

A resident is A&O during the day and at 4:30 pm starts to become agitated and restless he is showing signs of............

a)

pillaging

b)

hallucinations

c)

delusions

d)

sundowning

37.

The largest cluster of lymph in the body that stores blood is the _____________

a)

liver

b)

tonsils

c)

spleen

d)

pancreas

38.

Osteoarthritis symptoms worsen with

a)

hot showers

b)

exercise

c)

cold damp weather

d)

anti-inflammatory medication

39.

Apathy is a symptom of

a)

bipolar disorder

b)

major depressive disorder

c)

schizophrenia

d)

OCD

40.

An incomplete fracture where only 1 side of a bone is broken and is more common in children is a __________ fracture.

a)

hariline

b)

greenstick

c)

comminuted

d)

pathologic

41.

What is something a CNA can do for the spiritual needs of a dying resident?

a)

keep them comfortable

b)

ask them to pray with you

c)

notify the nurse immediately if clergy is requested

d)

give them privacy

42.

Common signs of approaching death include all of the following except...........

a)

mottling

b)

tachycardia

c)

constricted pupils

d)

loss of muscle tone

43.

A resident with AD keeps trying to leave the nursing home saying she has to walk her dog. This is known as

a)

pillaging

b)

rummaging

c)

elopement

d)

sundowning

44.

Osteoporosis is more common in _________ especially after___________.

a)

men, age 60

b)

women, age 60

c)

men, testosterone decreases

d)

women, menopause

45.

The part of the nervous system that is made up of nerves that extend throughout the body

a)

CNS

b)

PNS

c)

brain

d)

spinal cord

46.

A resident consistently runs a blood sugar around 118. He has______________ .

a)

pre-diabetes

b)

type 1 diabetes

c)

type 2 diabetes

d)

nothing it is normal

47.

HIV and AIDS are the same thing.

a)

FALSE

b)

TRUE

48.

A resident who has a long term illness that is painful and needs help preventing side effects and controlling symptoms may be placed in ____________care.

a)

hospice

b)

palliative

c)

holistic

d)

person centered

49.

A resident who dies unexpectedly may need to have an autopsy done. An autopsy is..............

a)

a doctor with advanced training in examination of organs and tissues

b)

a religious service

c)

an examination of a body

d)

a process that is completed by a funeral home

50.

Immunity where the body is given the antibodies needed, example from mother to baby.

a)

nonspecific

b)

specific

c)

active

d)

passive

51.

Meniere's disease is caused by...........

a)

a buildup of fluid in the middle ear

b)

a buildup of fluid in the inner ear

c)

a build up of fluid in the outer ear

d)

an increase of pressure in the middle ear

52.

Insulin regulates the amount of glucose available to the cells for destruction.

a)

TRUE

b)

FALSE

53.

You enter a residents room to get him up for the morning, he does not really respond to you. You realize he has a hearing aid, before you put it in his ear you should_______________

a)

Turn it on and make sure the volume is turned on high, then place loosely in the ear.

b)

Make sure it is in off position turn volume to high and place snugly in the ear.

c)

Wash the hearing aid before placing it in the residents ear.

d)

Make sure the volume is turned down before inserting, insert gently turn it on after placing it snugly in the ear.

54.

Tough bands of connective tissue that anchor muscle to bone.

a)

ligaments

b)

tendons

c)

joints

d)

cartilage

55.

The most common treatment for skin, breast and colon cancers is...............

a)

surgery

b)

radiation

c)

chemotherapy

d)

alternative treatment

56.

A person goes to the doctor with c/o excessive thirst and excessive urination. The doctor will test him for possible..............

a)

hypothyroidism

b)

diabetes

c)

UTI

d)

MS

57.

Rheumatoid arthritis is a type of ______________disease

a)

arthritic

b)

non specific

c)

autoimmune

d)

anti inflammatory

58.

A shroud kit is used to cover a person after death before transport to the funeral home or morgue

a)

FALSE

b)

TRUE

59.

A resident with a right AKA is c/o itching and tingling on his right ankle. He is experiencing...................

a)

phantom sensation

b)

phantom limb pain

c)

hallucinations

d)

delusions

60.

The first symptom of a cataract is ..................

a)

blindness

b)

yellowing of vision

c)

blurred vision

d)

pain in the eyes

61.

When caring for a resident's eye glasses what do you need to do?

a)

scrub them with hot soapy water

b)

do not get them wet use a tissue to rub the lenses

c)

transfer them in a basin to a sink lined with a towel to clean

d)

CNA's do not clean eye glasses

62.

Voluntary muscles are also known as ...........

a)

skeletal

b)

smooth

c)

cardiac

d)

permanent

63.

Which of the following groups are at a lower risk for developing HIV?

a)

people who unprotected vaginal sex

b)

people who share drug needles

c)

Monogamous married couples

d)

healthcare workers who are not careful with blood and body fluids

64.

A resident who has end-stage liver disease has been yelling at the staff, saying they don't do anything right. What stage of grief is he experiencing?

a)

denial

b)

anger

c)

depression

d)

bargaining

65.

You are caring for a resident who had a CVA. You enter her room and ask her how she is doing today, she responds with garbled sounds. She may be having...........................

a)

expressive aphasia

b)

receptive aphasia

c)

aphasia

d)

a seizure

66.

A resident who has breat cancer has a burn on her breast. What type of treatment would cause this?

a)

surgery

b)

chemotherapy

c)

radiation therapy

d)

hormone therapy

67.

A resident with AD has become very angry and is trying to hit residents and staff who come near her. What should the CNA do?

a)

hit her back

b)

yell at her that she is not allowed to hit people

c)

attempt to remove the triggers and step back

d)

call the nurse to sedate her

68.

Some memory loss is normal with aging.

a)

TRUE

b)

FALSE

69.

A resident with a THR should not bend his leg more than____________

a)

45 degrees

b)

90 degrees

c)

135 degrees

d)

he should not bend it all

70.

A daughter who has been caring for her mother with AD for the past 3 years is experiencing mental and physical exhaustion. This is called_______________.

a)

cognition

b)

burnout

c)

catastrophic

d)

depression

71.

Strong bands of fibrous tissues that connects bone to bone are called...............

a)

tendons

b)

ligaments

c)

muscles

d)

joints

72.

A high blood sugar is called ____________

a)

hypothyroid

b)

hyperthyroid

c)

hypoglycemia

d)

hyperglycemia

73.

The "master gland"

a)

parathyoid

b)

thyroid

c)

pituitary

d)

adrenals

74.

The disappearance of signs and symptoms of cancer or other diseases-can be temporary or permanent

a)

metastasize

b)

remember

c)

autoimmune

d)

remission

75.

A resident's family is gathered around him as the doctor told them he had a short time left to live. The type of grief they are experiencing is

a)

anticipatiory

b)

bereavement

c)

complicated

d)

acceptance

76.

Everyone experience grief the same way.

a)

FALSE

b)

TRUE

77.

A resident has the legal right to all of the following except.....

a)

right to privacy

b)

right to have his dog visit

c)

right to refuse treatment

d)

right to honest and inaccurate information

78.

A resident who has repeated episodes of intense fear along with CP, rapid HR and dizziness may have.....

a)

GAD

b)

bipolar disorder

c)

PTSD

d)

panic disorder

79.

The most common cause of blindness in the US is caused by

a)

cataracts

b)

hemianopsia

c)

AMD

d)

glaucoma

80.

A resident who had femur fracture will be......

a)

NWB

b)

PWB

c)

FWB

d)

TWB

81.

Moving a body part towards the midline of the body is called

a)

abduction

b)

adduction

c)

flexion

d)

extension

82.

Your are giving postmortem care to your resident, you note that he is mottled on his heels, buttocks and shoulder blades. This is called ....

a)

algor mortis

b)

livor mortis

c)

rigor mortis

d)

cyanotic mortis

83.

It is expected that a CNA put lotion between the toes when bathing a resident.

a)

TRUE

b)

FALSE

84.

Sudden, severe pain that occurs even though pain medication has recently been given is called................

a)

unexpected

b)

surprise

c)

breakthrough

d)

remission

85.

A BP over 140/90 is considered to be.............

a)

normal

b)

hypotensive

c)

hypertensive

d)

life threatening