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WorksheetsCNA Certification Review
Total questions: 132
Worksheet time: 1hrs 6mins
The CNA observes a client taking money from the purse of a visitor. What is the CNA's BEST action?
Tell the visitor about the theft.
Inform the nurse about what happened.
Approach the client and demand the money.
Continue to do assigned work as usual.
Before transferring a client from their bed to a wheelchair, what is the FIRST thing the CNA should do?
Raise the head of the client's bed.
Lock the wheels of the bed and the wheelchair.
Assist the client to a full sitting position.
Let the client dangle their legs before standing.
When the CNA delivers a breakfast tray to a Muslim client, the client refuses to eat because the tray includes bacon. What should the CNA do?
Tell the client to eat everything except the bacon.
Remind the client that the hospital dietitian knows best.
Take the tray and give the client juice and crackers.
Ask the nurse to order a halal breakfast for the client.
The CNA is giving a bed bath. After washing the client's chest and stomach, which area of the body will the CNA wash next?
Face
Legs
Back
Arms
Which of the following is the BEST way to clean the indwelling urinary (Foley) catheter tubing?
Use a gentle back and forth circular motion all along the length of the tubing.
Use a firm up and down motion all along the length of the tubing.
Start at the collection bag and move up to where the tubing enters the body.
Start where the tubing enters the body and move down to the collection bag.
The CNA who works at a long-term care facility is introducing themself to a new resident, Mary Hudson. What is the BEST way to learn how the resident wishes to be addressed?
Wait until learning what the nurse calls her.
Call her by her first name, Mary.
Ask her how she would like to be addressed.
Ask her family how to address her.
What is the MOST effective way to prevent the spread of infection?
Appropriate use of gloves
Getting recommended vaccinations
Proper hand hygiene
Remaining home when sick
The CNA finds a terminally ill client crying alone in their bed. What is the CNA's BEST action?
Encourage the client to watch TV.
Offer to sit with the client for awhile.
Tell the client that everything will be okay.
Leave the room to provide privacy.
The CNA enters a client’s room and finds that the client has fallen to the floor. What is the MOST important thing for the CNA to do?
Call for help and start CPR.
Call for help and turn the client on their side.
Call for help and return the client to their bed.
Call for help and remain with the client.
A resident with dementia has difficulty understanding explanations about their care. What is the MOST appropriate way to communicate with this resident?
Speak slowly and loudly to make sure the client hears.
Avoid as much verbal communication as possible to reduce confusion.
Give detailed instructions so the client has more information.
Use simple words and demonstrate what is happening.
After helping a client to use the toilet, the CNA prepares to provide perineal care before returning the client to their bed. If the CNA discovers there are no washcloths or wipes in the bathroom, what is the BEST action?
Return the client to their bed and then perform perineal care.
Use the bathroom call light to ask a team member to bring supplies.
Wait until the next toileting to provide complete perineal care.
Tell the client to remain still and quickly leave to get supplies.
For most residents, the range of normal respiration is:
28 to 30 inspirations per minute.
8 to 16 inspirations per minute.
20 to 28 inspirations per minute.
12 to 20 inspirations per minute.
The nurse aide enters a client’s room, and the client states that he has pain. What should the nurse aide do?
Turn on the television to distract the client.
Report to the nurse in charge.
Help the client get out of bed and move around.
Tell the client that the pain will go away soon.
Many elderly residents lose their appetite because of:
depression
social isolation
decrease in number of taste buds
any of the above
To count respirations, one respiration includes:
exhalation
inhalation
inhalation and two exhalations
inhalation and exhalation
A Hepatitis B vaccination protects the person receiving it against a disease that affects:
the skin.
the liver.
the heart.
the kidneys.
The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should:
ask the other nurse aides if the resident had a bowel movement that wasn't recorded.
report this to the charge nurse.
ask the resident's roommate if she saw the resident use the bathroom.
wait to see if she uses the bathroom tomorrow.
Which of the following happens when a patient has a stroke?
The patient urinates themselves.
The patient may foam at the mouth.
The patient may roll their eyes back in their head.
The patient may have drooping of one side of the face.
Which of these are important for the care of a diabetic patient?
Giving the patient a heating pad for his feet when they are cold.
Soaking his dry calloused feet in a warm tub daily.
Keep his feet dry and warm with dry, clean socks
Ensuring his toe nails are always clipped short for cleanliness.
Which of the following interventions should the CNA use to promote skin integrity?
Pad bony prominences when in bed
Leave TEDS stockings on during the night
Provide client with additional blankets so they are warm
Slide the client up to reposition them higher in the bed
The patient that is bed bound is at risk for which of the following?
Dysphasia
Polydipsia
Atrophy
Neck paralysis
A resident wants a copy of their medical records. The CNA should
Make a copy of the record and give it to them.
Inform them that copies cannot be given to residents directly.
Notify the resident's family about the request.
Provide the record release forms and advise the supervisor.
Which is the BEST way to take an apical pulse?
To the right of the sternum underneath the clavicle
On the back at the 5th intercostal space
To the right of the sternum at the 5th intercostal space at the midclavicular line.
To the left of the sternum at the 5th intercostal space at the midclavicular line
What does an Ombudsman do?
legal resident advocate that investigates resident complaints
person who handles money and payment
legal resident admission clerk
legal medical records clerk
If a resident has a problem that is not being taken care of at a long term care facility, who would they reach out to
Ombudsman
Medical Records Clerk
Charge Nurse
Admission Clerk
How many millilitres of water should a resident be getting per day?
1400-2000 ml daily
6-8 ounces daily
800-1000 ml daily
1400-1900 weekly
How many ounces of water should a resident on average be getting per day?
64 ounces or 8 x (8 ounce) cups
32 ounces or 4 x (8 ounce) cups
450 ounces per week
100 ounces or 10 x (10 ounce) cups
What is the Reconciliation Act of 1987?
OSHA
OBRA
OBA
ROBA
Which of the following is NOT considered a way to restrain a client?
Lap Buddy/tray
Hand mitt
Pain Management
Sedative
If the nurse aide is concerned about client care, who should the nurse aide speak to FIRST?
The Nurse in charge
The Administrator
The Director of Nursing
Another nurse aide
Proper use of a waist restraint requires that the nurse aide
tie the restraint to the side rail and check every 30 minutes.
apply the restraint tightly to prevent movement and check every hour.
release the restraint every four hours
monitor for skin irritations every 15 minutes.
The nurse aid reports directly to (and should always go to FIRST) the
Administrator
Staff Development Nurse
Physician
Licensed Nurse/Charge Nurse
To communicate clearly with a client who has a hearing loss, what should you do?
Speak loud and in a slow manner
Stand behind the client when you speak
Look directly at the client when you speak
Speak in a high-pitched tone
You are assigned to care for a new resident, but you don't know what to call her. You should introduce yourself and then
ask her what name she would like to be called by
call her by her first name
call her "Dear" or "Honey" to be friendly
ask a family member what name to call her
The nurse aide finds a resident sobbing. What is the best thing for the nurse aide to say to the person?
"Crying doesn't solve anything."
"Please stop crying. It upsets others."
"You seem sad. Can you tell me about it?"
"Cheer up. Let's go to the activity room."
What is the primary purpose of a gait belt when assisting a client?
To use as a restraint if needed.
To keep the client's clothes in place.
To provide support and stability during transfers.
To measure the client's waist size.
Which of the following is a sign of dehydration in elderly residents?
Increased appetite
Frequent urination
Excessive sweating
Dry mouth and lips
When providing oral care to an unconscious client, what is the most important safety measure?
Using a toothbrush with hard bristles
Positioning the client on their side
Using a large amount of water
Brushing the teeth quickly
Hungry and tired, frequent urination, being very thirsty, having a dry mouth, itchy skin, and blurry vision can be symptoms of
Diabetes Mellitus
Hypertension
Heart attack
Stroke
Chest pain or discomfort, often described as pressure or squeezing, along with other symptoms like shortness of breath, sweating, heartburn, indigestion, nausea, and dizziness can be symptoms of
Heart attack
Diabetes Miletus
Hypertension
Stroke
B – Balance, loss of balance as well as headache and dizziness
E – Eyes, a sudden loss of vision in one or both eyes
F – Face, does the face appear uneven or drooping?
A – Arm, a feeling of weakness in them
S – Speech, difficulty speaking and forming sentences
T – Time, it is time to call 9-1-1
These are all signs of a
Heart attack
Hypertension
Stroke
Diabetes Mellites
As people age, the fatter layer under the skin thins this could cause:
A resident may be more like to develop pressure sores
A resident to lose his/her appetite
A resident to be more likely to fall
A resident to have a slowed response time
When helping a resident who has had a stroke the BEST way to promote independence is to:
Teach the resident to always wash their hands
Do the task for the resident and allow them to rest
Let the resident attempt the skill and call for help if needed
Encourage the resident to do as much as possible and help the resident as needed
OBRA laws are passed to:
Oversee CNA training programs and improve the quality of care in nursing homes
Protect the health care worker
Protect Patient Health Information(PHI)
Provide legal advocates
If you see a fire, your first action should be:
Make sure that the residents are in a safe place and then close the doors
pull the fire alarm
Get the nearest fire extinguisher and use it
Call 911
The correct statement regarding religious beliefs of residents is?
Each resident has a right to his or her own religious beliefs
A resident needs to be exposed to each CNAs religious beliefs
Each resident should be invited equally to a persons church so that they will not feel left out.
TED hose (Elastic stockings) are applied to the resident's legs to help reduce venous stasis. what is a critical step to remember with the application and monitoring?
Make sure that the stockings are wrinkle free at all times
Make sure that the hose match the residents attire
Make sure that the stockings have been laundered
The female perineum should be cleansed
without soap
from back to front
with a disinfectant
from front to back
The term atrophy refers to an organ or tissue becoming
larger because of underuse
smaller because of underuse
larger because of overuse
smaller because of overuse
Restraints must be checked every 15 minutes and at a minimum must be removed how often?
Restraints are removed every 2 hours (q2h) for range of motion, toileting, and offer of fluids.
Restraints are removed every 3 hours (q3h) for range of motion, toileting, and offer of fluids.
Restraints are removed every 4 hours (q30h) for range of motion, toileting, and offer of fluids.
Restraints are removed every 30 minutes (q2h) for range of motion, toileting, and offer of fluids.
Who should be able to see or have access to a client's records?
All health care team because you never know when you will need to know about each client
all of the doctors will need to know about each client
only health care team that are directly involved in the care of that resident
all of the clients family members that are involved with the client
A customized meal plan designed to manage or treat specific medical conditions are
Therapeutic diet
Diabetic diet
Low sodium diet
low fat diet
Bowel training is a program designed to help individuals regulate their bowel movements, particularly those experiencing chronic constipation or incontinence. What are some of the key steps to Bowel training? (pick 3)
Establish a regular schedule: Choose a specific time each day to attempt a bowel movement, often in the morning or after a meal.
dietary adjustments: Increase fiber intake, drink plenty of fluids, and consider incorporating foods like prunes or prune juice.
Physical activity: Regular exercise can help stimulate bowel movements.
When training bowels, place the individual on the toliet randomly throughout the day.
If a client chart says BID what does that indicate
After meals and at bedtime
Every 2 hours
With lunch and dinner
Twice a day
A client chart says AC
Before meals
Before meals and at bedtime
Every day
Every 5 minutes
A clients chart says that she is to take a medications BID AC. When is the medicine to be taken?
Twice a day before meals
Twice a day after meals
Every day before meals
Every 36 hours
If a client has an an artificial body part, such as a leg, a heart, hearing aid, glass eye or a breast implant, this patient has a/an …
Appliance
Prosthesis
Amputation
Ambulatory issue
Conveying information and messages without using words, relying instead on gestures, facial expressions, body language, and other physical cues.
Nonverbal Communication
Verbal Communication
Signals
Smoke Signals
Avoiding eye contact, Crossed Arms, Frowning, Hands on Hips and a Closed posture would all be types of ____________________?
Negative non-verbal communication
Positive non-verbal communication
Positive Communication
Negative verbal communication
Good eye contact, Facial expressions, Posture, Smiling, Kind Tone of voice, nodding, Firm handshake are all forms of
Positive Non Verbal Communication
Negative Non Verbal Communication
Positive Verbal Communication
Negative Verbal Communication
When shaving a patient, make sure that the skin is _____________?
Loose
Tight
Clean
90 degree angle
When shaving a patient
Shave in the same direction of hair growth
Shave in the opposite direction of hair growth
Hold the razor at a 90 degree angle and shave in the opposite direction of hair growth
Hold the razor at a 90 degree angle and shave in the same direction of hair growth
When taking a client's temperature, which one is considered the most accurate?
Axillary
Oral
Rectal
Tympanic
What is the best position for giving a patient bed bath?
Supine
Fowlers
Lateral
Prone
What is the best method to clean a wheelchair?
Chemical Disinfectant
Hot steam
Cold Steam
Boiling Water
_________ aims to eliminate all forms of microorganisms, including spores
antiseptic
Cleaning technique
Sterilization
Disinfecting
_________ aims to kill or inactivate most pathogenic microorganisms, but may not eliminate all microorganisms or their spores.
Sterilization
Disinfection
Contamination
Cleaning Technique
__________ canes are the most common
Standard
Quad
Offset
Folding
______________canes provide more stability with their four support points.
Quad
Standard
Offset
Seat
A long-term approach focused on helping individuals maintain and improve their functional abilities, to support their independence and quality of life
Restorative Care
Hospice
Long Term Care
Hopital
Why do you leave a pleat of extra fabric at the foot of a bed sheet?
prevents pressure sores and improve circulation by allowing feet to move freely even when tucked in.
It is standard procedure and therefore must be done
It is done to keep circulation and prevent diabetes militias complications
A nurse aid should always follow the rules
What should you do if a nurse hands you medicine to give to a patient?
Politely Refuse and tell her that you are not allowed to give medicine
Give the medicine to the client and document carefully
Tell the Nurse that you are reporting her immediately
Go give the medicine to the medication aide
How far apart should your feet be when lifting?
Shoulder Width
12-18 inches
Shoulder Width
6-12 inches
Shoulder Width
18-24 inches
Hip Width
16-25 inches
When should nail care be preformed on a client?
On the day designated as nail day by the Long Term Facility
Whenever the family requests it
Whenever the nails are dirty and preferably after a shower or bath
Whenever the nails are dirty and preferably before a shower or bath
While the nurse aide is giving care to Mr. T., he calls the nurse aide by the name of his son who died several years ago. The nurse aide’s BEST response is to
Quickly finish the care and leave Mr. T alone.
Pretend to be Mr. T's son.
Ignore Mr. T. because he is confused.
Ask Mr. T about his favorite memories of his son.
If an alert and oriented client touches a nurse aide inappropriately, the nurse aide’s BEST response is to
slap the client's
refuse to care for the client
step back and ask the client not to do that again
warn the client that the behavior may be punished
A nurse aide who is active in her church is assigned to care for a client who is not a member of any religious group. The nurse aide SHOULD
arrange to have his or her clergyman visit the client
explain how religion has helped her during difficult times
respect the client's beliefs and not try to change them
tell the client that it is important to have some type of spiritual belief
A client wakes up during the night and asks for something to eat. The nurse aide SHOULD
check client’s diet before offering nourishment.
check with the client’s doctor/family before offering nourishment.
tell the client that eating is not allowed during the night.
explain that breakfast is coming in three hours.
It is appropriate for a nurse aide to share the information regarding a client’s status with
the client’s roommate.
the staff on the next shift.
the client’s family members.
social media friends.
A good way to reduce confusion or agitation for residents with dementia is
follow a familiar schedule every day.
include a variety of activities for stimulation.
ask them what they want to do.
trade assignments so they get to know all staff.
A nurse aide finds a resident looking in the refrigerator at the nurses’ station at 5 a.m. The resident, who is confused, explains that he needs breakfast before he leaves for work. The best response by the nurse aide is to __________.
remind him that he is retired from his job and in a nursing home
tell him that residents are not allowed in the nurses’ station
help the resident back to his room and into bed
ask the resident about his job and if he is hungry
When preparing to give peri-care to an incontinent female resident with dementia, the CNA knows
the resident may become combative.
the resident may become tearful.
the resident may feel sexually assaulted.
all of the above
If a resident's behavior becomes combative, the nurse aide should
Tell him to calm down or restraints may be necessary.
Ask a co-worker to witness the situation.
Show him that the nurse aide is in control.
Communicate calmly while stepping out of the way.
A 90 year-old resident tells you that his mother is coming to visit on Sunday. What is your most appropriate response?
"Okay, let's figure out how old your mother could be."
"That is impossible! Your mother is dead."
"How nice! What are you going to do when she gets here?"
"Are you wishing you could see your mother?"
If a resident becomes confused, you should
Put him in restraints so he won’t fall.
Sit him down until you have time to assist him.
Help the resident recognize familiar items.
Place him in his room so he won't wander.
Reality orientation therapy should include
Addressing the resident by their proper name
Creating imaginative stories to amuse the resident
Calling the resident by a name such as "Gramps."
Telling the resident that they will be going home soon.
A client always wants to wear her favorite clothes when getting dressed. What makes a good solution?
Tell the resident that the outfit is dirty and she will have to choose another.
Ask the family to get several identical outfits.
Explain the benefits of variety and offer several other outfits.
Hide the favorite outfit for a few days so she forgets.
The main cause of a resident's belligerent behavior is
resentment
hunger
confusion
stubbornness
The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should
ask the resident’s roommate if she saw the resident use the bathroom
report this to the charge nurse
report this to the charge nurse
ask the other nurse aides if the resident had a bowel movement that wasn’t recorded
There are two kinds of restraints
physical and chemical
masks and goggles
belts and wristbands
chemical and medication
Three liquid ounces equals how many milliliters?
120
60
30
90
Who supervises the work of a nurse aide?
the social worker
the nurse
the resident’s family
the office manager
The plan, which begins on the resident’s admission and assists when the resident goes home, is called
nurse aide flow record
nursing care plan
treatment plan
discharge plan
A sitting or semi-sitting position with the head of the bed elevated is called
prone
lateral
supine
Fowler's
The exchange of oxygen and carbon dioxide takes place
in the intestines
around the kidneys
in the heart
in the lungs
A Hepatitis B vaccination protects the person receiving it against a disease that affects
liver
skin
kidneys
heart
A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should
ask another nurse aide to help
tell the resident that the nurse aide can not do this, but will report it to the charge nurse
tell the resident ok, but the resident will have to soak her feet first
go ahead and do it, it is part of the job
If a resident has edema, what type of diet would they likely be on?
High Fluid
Low carb
Low sodium
High protein
What is the medical term for swelling caused by a collection of fluid in the spaces that surround the body's tissues and organs?
Eczema
Glaucoma
Edema
COPD
A medical procedure involving the introduction of a liquid solution into the rectum to cleanse the lower bowel or for administering medication
Enema
Adema
Arrhythmia
Hypertension
Clean bed linen placed in a client’s room but NOT used should be
returned to the linen closet
put in the dirty linen container
taken to the nurse in charge
used for a client in the next room
The nurse aide sees a client spill water on the floor in the hall. Another client is walking down the hall. The nurse aide SHOULD
call the nurse
clean up the spill
call housekeeping
leave the spill
To avoid pulling on the catheter while you're turning a male client, the catheter tube must be taped to his
upper thigh
bedsheet
hip
bed frame
A client needs to be repositioned but is heavy, and the nurse aide is not sure that she can move the client alone. The nurse aide should
ask another nurse aid to help
try to move the client alone
go on to another task
have the family do it
What is the term for a device used to take the place of a missing body part?
Prosthesis
External rotation
Abduction
Pronation
What is the purpose of the chain of command in a long-term care facility?
To prevent residents from going behind the nurses' station
To provide more jobs in nursing
To keep communication about a problem flowing smoothly
To be sure that residents and nurses follow the rules
If the resident is smoking and the nurse aide needs to take an oral temperature, what should the nurse aide do?
Tell the next shift to take the temperature.
Wait 15 minutes to take the temperature.
Take a rectal temperature.
Brush the resident's teeth first.
Many elderly residents lose their appetite because of
social isolation
depression
all of these
decrease in the number of taste buds
Which of the following is a major reason for urinary incontinence in the elderly?
They can not tell when they need to urinate.
The muscle that keeps urine in the bladder weakens.
Their circulatory system is failing.
They are too lazy to go to the bathroom.
Which of the following is true regarding the use of side rails on a bed?
Side rails should not be raised unless stated in the care plan.
Side rails should be raised at night.
Side rails on one side of a bed should be raised at all times.
Side rails should be raised on both sides when making an occupied bed.
What you should you do for a patient who has an order for NPO?
encourage fluids for hydration
remove the water pitcher and glass from the room
allow the resident to drink water only
allow the resident to eat ice chips
The exchange of oxygen and carbon dioxide takes place
in the heart
around the kidneys
in the lungs
in the intestines
To count respirations, one respiration includes
one inhalational and two exhalations
one inhalational and one exhalations
one exhalation
one inhalationa
When lifting a heavy object, which muscle groups should you use?
Muscles of the back
Muscles of the shoulders
Muscles of the hands
Muscles of the legs
A hospice specializes in the care of people who are
On Medicaid
Terminally ill
Chronically ill
On Medicare
Why should heat NOT be applied to a diabetic resident’s feet?
The feet have more oil glands
It makes diabetics' feet wrinkle
Diabetics have decreased sensitivity to heat and cold
Diabetics have increased sensitivity to heat and cold
For most residents, the range of normal respiration is
12 to 20 inspirations per minute
8 to 16 inspirations per minute
28 to 38 inspirations per minute
20 to 28 inspirations per minute
The plan that starts on the resident’s admission and assists when the resident goes home is called
the treatment plan
the discharge plan
the nursing care plan
the nurse aide flow record
A sitting or semi-sitting position with the head of the bed elevated is called
supide
Fowler's
lateral
prone
Who supervises the work of a nurse aide?
The resident's family
A social worker
The office manager
A Nurse/Charge nurse
A diabetic resident asks the nurse aide to cut her toenails. The nurse aide should
tell the resident that the nurse aid cannot do it but will report it to the charge nurse
do it because it is part of the job
tell the resident OK, but the resident will have to soak her feet first
ask another nurse aide to help
Headaches, nausea, and pain are considered
Charting
Observations
Symptoms
Assessments
A Hepatitis B vaccination protects the person receiving it against a disease that affects
the kidneys
the heart
the skin
the liver
The nurse aide notices on the flow sheet that a resident has not had a bowel movement for five days. The nurse aide should
ask the resident's roommate if she saw the resident use the bathroom
ask the other nurse aides if the resident had a bowel movement that wasn't recorded
wait to see if she uses the bathroom tomorrow
report this to the charge nurse
The loss of the ability to express oneself is known as
empathy
speech therapy
verbal communication
aphasia
Diabetes mellitus makes a resident more prone to develop
cancer
chills
infections
fever
There are two kinds of restraints
belts and wristbands
masks and goggles
chemical and medications
physical and chemical
When dry, hard stool fills the rectum and will not pass, it is called
atrophy
impaction
edema
incontinence
Forgetting to raise the side rails as ordered causes a resident to fall and be injured. This could be called
an unreported incident
a faulty safety standard
malpractice
neglect to keep the resident safe
If the nurse aide is concerned about client care, whom should the nurse aide speak to FIRST?
Another nurse aide
The Director of Nursing
The nurse in charge
The Administrator
A patient's chart is a legal document. If something is mistakenly written on the chart, what is the correct action to take?
Use a black or blue marker to cover the mistake completely. Then put the correct information. Add your name, title, date and time.
Get a new chart page and copy everything, including all the correct information, in blue or black ink. Add your name, title, date and time.
Use correction fluid (white out) to cover the mistake. Then put the correct information over it. Add your name, title, date and time.
Draw a single line through the mistake with blue or black ink. Write your initials and the date and time. Then write the correct information.
A family member asks the nurse aide what medications the client is receiving. The nurse aide should
refer the family member to the nurse
allow the family member to read the client's medication list
give the family member the clients chart
tell the family member what medications the client is being given
