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WorksheetsCNA Quiz NEW
Total questions: 62
Worksheet time: 33mins
How many pumps of soap are recommended for hand-washing?
3-4
1-2
Over a period of at least _____, scrub front/back of hands, between fingers, under nails, around cuticles, & wrists. *do NOT shake hands - use paper towel to dry & use barrier paper towel to turn faucet on/off.
20 seconds
45 seconds
A normal resting heart rate for an adult is between _____ bpm.
60-100
12-20
40-80
How long are you required to measure the patient's pulse? *check pulse TWICE. *record the measurements TWICE.
1 full minute
30 seconds
At the end of each skill, you should leave the _____ in the patient's hand.
call light
the TV remote control
a glass of water
Supplies for measuring & recording radial pulse?
black pen, clock/watch, & measurement recording sheet
any pen and paper
it doesn't matter
pen
What should you tell/ask the resident when performing a procedure?
your name and title
what you are doing is
are they ok with having this procedure completed
nothing at all
What do you tell the proctor when you're ready to start counting the resident's pulse?
nothing just start the pulse
ready to begin
lets go
1 inhalation & 1 exhalation = ?
pulse
respiration
What's the average respiration rate?
60-100
15-28
10-22
12-20
How long should you measure the patient's respiration rate?
2 min
1 full min
30 seconds
it doesnt matter
Make sure the patient's bed is always left in the ____.
low position
with bed locked
highest poition
What should you tell/ask the resident when measuring & recording a resident's respiration?
please don't speak or move
this will take 1 min.
this will take 20 seconds
When you want the patient to adjust their position while lying in bed, ask them to ____ & ____.
scoot toward, roll
move over
don't ask them just move them over yourself
When changing an occupied bed, what should you be aware of?
avoid fluffing linens
don't let linens touch you, your clothing, nor the floor (whether clean or dirty)
never allow patient to lie directly on the mattress
avoid placing soiled linens directly on overbed table
Supplies to change an occupied bed?
pad and pillow case
fitted sheet, flat sheet, bed pad & pillowcase
fitted sheet and pillow case
When changing an occupied bed, clean sheets go _____ dirty sheets.
under
on top
It's important that there are no _____ in the sheets when changing an occupied bed, because they can shear the patient's skin.
a bed can be made any way
Why shouldn't you fluff the linens when changing an occupied bed?
makes it harder to make the bed
it doesn't matter if the sheets are fluffed a little it makes it comfortable for the patient
because doing so can spread airborne pathogens
After securing the patient's top sheet with hospital corners, you should lift the top sheet above the resident's feet & ask them what? *Top sheet should be placed loosely over resident reaching shoulder length.
Are you comfortable, is the sheet to tight on your toes
nothing, you know how to make a bed
When changing an occupied bed & trying to change out the pillowcase, what should you do?
Avoid contact with your torso and face
Change the pillow like you would at home
When unrolling dirty pillowcase from pillow, it's important to?
nothing, unroll the pillowcase like you would at home
hold it close to you so you dont drop the pillow on the floor
remove the dirty pillow case away from you careful not to place on your torso
When changing occupied bed & replacing the pillow with its clean pillowcase, what should you do?
Supporting resident's head, cue resident to lift head on 1-2-3
State out loud I'm checking to see if you have any wrinkles beneath you
Replace pillow, so that it's positioned behind neck & head only
Never leave patient alone with a___________?
raised bed
low bed
Supplies needed to change a resident's position to a supported side-lying position? *Be sure to place pillows on bedside table on a barrier pads/ chux pads to avoid cross-contamination.
4 pillows
6 pillows
3 pillows
2 pillows
What should you ask the patient before attempting to change their position to a side-lying position? *Only uncover the resident as needed. *Ensure resident is positioned correctly.
Ask resident if they have a preference as to which side they'd like to lay on
Then, ask resident to scoot toward you (be sure you're on the opposite side of which they want to lay on) & bend the leg that's closest to you.
Then, assist resident in rolling away from you onto the side they chose to lay on.
Ask the resident before removing their top sheet
Where does the 1st pillow go when changing a resident's position to a supported side-lying position?
under the feet
between the legs
under the arm
behind the patients back
Where do the 2nd & 3rd pillows go when changing a resident's position to a supported side-lying position?
bony prominences of knees & ankles should be separated.
under or between arms to ensure bony prominences are supported and separated
it doesn't matter as long as the patients position is changed
During the exam, you're required to PHYSICALLY wash hands before AND after what?
only if your hands get solid
before providing care to patients
after providing care to patients
when you give a bed bath only
How often should you change your resident's position?
once per shift
every hour
every 2 hours
the resident should change their own position
When ambulating a resident using the transfer/gait belt, the resident is supposed to walk _____ steps forward & _____ back for a total of _____ steps.
5, 5, 10
15, 15, 30
30,30,60
When ambulating a patient what should you always use?
a cane
nothing just hold on to the resident to ensure they don't fall
a walker
a gaitbelt
What side of the resident should you walk on when transferring the patient using a gait belt?
any side
strong side
weak side
When ambulating a resident using a gait belt, how should you position yourself & the resident before having them stand up?
with both of your legs outside of the patients legs
with one leg between the patients leg, and the other leg facing the position the patient is going
whatever is most comfortable for you
Don't bend over, always _____.
squat
lean
When transferring a resident who is lying in a bed into a wheelchair, a _____ technique is required. *Resident is able to stand but not able to take steps.
twist
What are the automatic fails when transferring a resident from a bed to a wheelchair using a pivot technique?
failure to brake wheelchair before pivot
failure to release brake before leaving
failure to put resident's shoes on
How should you get the resident to adjust their position before placing their shoes on their feet before the pivot to wheelchair skill?
resident should be laying down
resident should be assisted to the side of the bed and gait belt should be applied
After placing non-skid footwear on the patient during pivot to wheelchair skill, what should you do next?
After placing non-skid footwear on the patient during pivot to wheelchair skill, the next step is to assist the patient to pivot to the wheelchair using proper body mechanics and gaitbelt
allow patient to transfer alone
after placing footwear on resident & having them position themselves on edge of bed so their feet are flat on the floor, what should you do?
place gait belt around the patients waist securely
have patient place their hands on your shoulders
give them a prompt- one the count of 3 we will stand and pivot
nothing just transfer patient
before transferring the patient using a gait belt to the wheelchair, what should you?
Assess the patient's ability to stand
ensure the gait belt is properly secured around the patient's wais
have the wheelchair positioned nearby for a smooth transfer.
Leave wheelchair unlocked to move faster
after the resident is transferred to the wheelchair using the pivot technique, what should you do? SELECT ALL THAT APPLY
ENSURE THE PATIENT IS COMFORTABLE AND OK
GIVE PATIENT THE CALL LIGHT
ASK IS THERE ANYHTING I CAN DO FOR YOU
REMOVE THE GAITBELT
before touching body fluid that, you should use ____.
nothing you are used to the patient
paper towels
What are the 1st, 2nd, 3rd, & 4th paper towels used for in the bedpan skill?
turn sink on/off
dry whatever you're cleaning
used to open/close drawers
used to give patient the wet one wipe when they're finished
You should keep the drawer that contains the toilet paper & bedpan during the entire bedpan skill? (a)
After placing the bed pad or chux pad underneath the patient's perineal area, you should gather the bed pan toilet paper from the drawer & cue the resident on 1-2-3 to place the _____ underneath them in appropriate position.
toilet
After you've placed the bedpan underneath the patient and given them toilet paper, what should you do?
raise the head of the bed to Semi-Fowler's position.
give patient call light & let them know you're stepping out of the curtain for privacy.
Match the following instructions with the correct actions to take after the resident is finished using the bedpan.
let the patient know you're going to place the bed back to normal position.
What should you do after the resident is finished using the bedpan?
then, put on gloves.
What should you do before handling the bedpan?
ask resident if they're finished w/ toilet paper, & place it back into drawer.
What should you do with the toilet paper after the resident is finished?
After you have put the toilet paper away during bedpan skill, what should you do?
cue resident on 1-2-3 to lift their hips, so you can remove bedpan & bed pad simultaneously (pay attention to how you handle bed pad).
cue resident to rest his or her hips & place dirty bed pad into dirty linens.
let resident know you're going to step out to clean supplies.
rinse, dry, store bed pan & close bedside drawer w/ paper towel.
During bed pan skill, after you've stored the bed pan, you should (a)
Match the following instructions with their correct actions during ROM:
that you're following the correct side of the patient that is listed on your care plan (automatic fail if not performed on correct side of patient).
Ensure you are on the correct side as per the care plan.
that you're supporting areas that are risk of skin shearing.
Support areas prone to skin shearing.
that you leave the top sheet on the patient at end of care.
Leave the top sheet on the patient after care.
do not hold/support the patient by their joints?
Avoid holding or supporting by the joints.
what's the last thing you do before leaving the room after any skill?
place call light in hand & say goodbye.
ask if they'd like a magazine or the TV on.
leave resident completely covered w/ top sheet.
ask if they're comfortable & if there's anything else you can do for them.
open curtain on your way out.
the client should tell you when to stop raising the head of the bed (a)
what part of the body should you not use soap on during bed bath?
back
feet
how should you wash the eyes of the patient during bed bath?
outer to inner
supplies needed for partial bed path & back rub skill?
barrier pad
drying towel
4 -6 wash cloths
bed pads
hospital gown
privacy blanket
if you're performing a skill that requires a wash basin, when should you put gloves on?
after providing care
what's the order of the stack you should make on the table towel during the bed bath/back rub skill? what other supplies do you gather & how are they arranged?
- 1 gown, 2 towels, 1 bed pads.
- next to that stack 4 washcloths.
- gather soap, lotion, gloves, & basin w/ warm H2O.
What is the first step in performing hand hygiene?
turn on water with paper towels
Wet hands with water
Rub hands together
Dry hands with a paper towel
When should you wear gloves during patient care?
When touching blood, body fluids, secretions, excretions, and contaminated items
Only when performing surgery
Only when the patient is in isolation
Only when you have a cut on your hand
How should you position a resident's arm when taking their blood pressure?
At heart level, supported, with the palm facing up
Above heart level, unsupported, with the palm facing down
Below heart level, supported, with the palm facing up
At heart level, unsupported, with the palm facing down
What should you do if you notice the patient has a rapid, irregular pulse?
Ignore it, it's normal
Continue with the procedure
Report it to the nurse immediately
Ask the patient to take deep breaths
