CNA Practice Exam 3 Welcome to your CNA Practice Exam 3 This test is designed to prepare you mentally for the actual CNA Exam with the same number of (60 questions) and the same time allowed (90 minutes) as the actual exam. The CNA Exam is breakdown into Nine (9) Parts. Here are the Nine (9) Domains of the CNA Exam with the weightage and number of questions in this practice exam: 1. Basic Nursing Skills [23 Questions] - 39% 2. Activities of Daily Health [09 Questions] - 14% 3. Restorative Skills [05 Questions] - 08% 4. Emotional and Mental Health Needs [06 Questions] - 11% 5. Spiritual and Cultural Needs [02Questions] - 02% 6. Communication [04 Questions] - 08% 7. Client Rights [04 Questions] - 07% 8. Legal and Ethical Need [02 Questions] - 03% 9. Member of the Healthcare Team [05 Questions] - 08% Please click NEXT to start your Free CNA PRACTICE EXAM right away. Best of Luck! 1. Hypertension is a medical term for: High blood pressure. High anxiety. Hyperactivity. Tense muscles. None 2. To minimize the spread of bacteria, further infection and contamination, which procedure should be used for washing the perineum of a resident with a catheter? Wash from the meatus out. Wash from the rectum to the scrotum. Wash with peroxide. Wash from the rectum to the meatus. None 3. Which of these should not be part of the process for cleaning a residents dentures? Rinsing thoroughly. Placing clean dentures on top of a tissue on the residents table. Padding the sink. Washing your hands. None 4. A resident in your care has called you for help. He claims he can’t find his dentures. As a nursing assistant, it is your responsibility to ____. Notify the supervising nurse. Document the loss in the patients medical record. Tell the resident that you will notify the family contact member Ask the resident to refrain from eating until the dentures are located. None 5. Applying friction in the handwashing process is very important. According to CDC recommendations, the scrubbing portion of hand washing should take ____. 60 seconds 10 seconds 20 seconds Any amount of time, as long as you scrub until hands feel clean. None 6. All of these precautions should be followed when using a transfer-gait belt, except ____. Never using a frayed or worn transfer-gait belt. Placing transfer belts around the residents waist. Not worrying about proper body mechanics. Slightly rocking and pulling when using a gait belt on a resident in a sitting position. None 7. Which of these is considered an accurate method for counting respiration rate? The resident counts to 30 while the nursing assistant counts respirations. The nursing assistant watches the abdomen while the nurse looks at her watch to time 30 seconds. The nursing assistant looks at the residents abdomen and a watch at the same time. None 8. The medical term tetraplegia—meaning paralysis of all four extremities—is often used interchangeably with the term ____. Quadriplegia Hemiplegia Paraplegia Cardioplegia None 9. Which of these is not true when taking a blood pressure reading? The optimum position for the resident is sitting with both feet on the floor. It is best if the resident does not talk while his or her blood pressure reading is being taken. Blood pressure readings can be a little higher in the mornings. The optimum position for the resident is lying down with his or her feet elevated. None 10. A resident has the following symptoms: dizziness, feeling faint, blood pressure below 90/60 and cold, sweaty skin. The resident is most likely suffering from ____. Hypertension Hypodermia Hypoglottis Hypotension None 11. The normal pulse rate for an adult is 60-100 beats per minute. The normal pulse rate for children is ____. 70 to 120 beats per minute. 60 to 100 beats per minute. 55 to 105 beats per minute. 40 to 60 beats per minute. None 12. Alcohol-based hand cleanser is appropriate for all of these situations except ____. When soap and water are not available. After walking a resident down the hall. When hands have observable dirt. After handling a residents clothes. None 13. Which of these is not true about the proper procedure for taking a tympanic membrane temperature with an electric thermometer? Use a speculum cover that is twisted securely in place. Be sure the ear is free of cerumen (earwax) before inserting the unit. Wait for the unit to signal before removing the speculum. Be sure that the speculum fits snugly by pulling gently on the ear pinna. None 14. If you are helping a resident put on a clean night shirt and it falls to the ground before you get started, it is best to ____. Ask the resident if they want to go ahead and use the dropped shirt. Place the shirt on the chair and go to get a clean garment. Tell the resident to wear the shirt until you can go and get a clean one. Put the shirt in the hamper for cleaning and get another clean garment. None 15. Convulsions are associated with ____. A spasm A tear A seizure A sprain None 16. When muscle tissues shorten and then a joint becomes hard to move it is called _____. A perforation A contracture A twitch A rupture None 17. Which of these tasks related to intravenous therapy is in the scope of responsibilities for a nursing assistant? Get the intravenous feed into the patient and then call the supervising nurse to assess. Nursing assistants are not allowed to be involved in the intravenous process. Prepare the proper solution. Watch the drip and report any problems None 18. A resident is ill with the following symptoms: fever, swelling, redness, and chills. The resident most likely has ____. Arthritis. An infection. An allergy. Food poisoning. None 19. Which of these would most likely be used to protect a resident from inflicting immediate harm to themselves in a care facility setting? Isolation. A watch schedule 24/7. Additional staff. Restraints. None 20. Which of these applies to proper hand washing procedures? Use friction for 15 seconds. Use only antibacterial soap when washing hands. If the soap doesn't lather, it is important to use longer friction time. Use a paper towel to turn off the faucet. None 21. Why is an axillary reading generally lower than the other forms of taking a temperature? It is placed deeper in the body. It is taken for a shorter period of time. It is not inside the body. It is taken at the back of the body. None 22. Which of these is the correct step in taking a radial pulse? Press lightly on the side of the neck with the pads of two fingers. Press lightly against the radial bone with your fingers. If the pulse rate is erratic, count an extra 90 seconds. Count the number of beats in 30 seconds and then triple it. None 23. Which statement is false with regard to taking a rectal temperature? The thermometer should be inserted 1.5 inches in an adult. A rectal temperature reading may be slightly higher than an oral temperature reading. Mercury thermometers are preferred for accuracy. Wipe the residents rectum when finished, if needed. None 24. Behaviors that may signal pain in the elderly may include all of these except _____. Not participating in social activities. Insomnia Not eating or drinking. Excessive talking. None 25. Which of these is not a way to assist a resident to rest more comfortably and effectively? Remove all positioning devices so they don't interfere with sleep. Create a quiet environment. Pacing their ADLs, recreational activities, and visiting times to allow for proper rest. Offer diversion activities such as reading, listening to music, and meditation. None 26. As dementia progresses, incontinence can become an issue. How can the nurse aide assist? Avoid outings to minimize accidents and possible embarrassment. Remind the resident to let you know when they need to use the bathroom. Start to use an adult diaper to keep clothing and linens clean. Watch for signs of discomfort so you can take the resident to the bathroom. None 27. When getting dressed, a client always wants to wear her favorite outfit. What is a good solution? Hide the favorite outfit for a few days so she forgets. 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. None 28. 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 ____. tell him that residents are not allowed in the nurses’ station. remind him that he is retired from his job and in a nursing home. ask the resident about his job and if he is hungry. help the resident back to his room and into bed. None 29. A resident who has not been discharged insists she is going home. What should the nurse aide do? Notify the charge nurse immediately. Put her in physical restraints until she calms down. Tell her she cannot leave without a doctor’s order. Advise her that she can leave if she wants to. None 30. When caring for a confused resident what should a nursing assistant do? Say nothing to avoid more confusion. Give simple directions. Allow the resident to plan daily activities. Give the resident activities. None 31. Reality orientation should include Calling the resident by his name. Using nicknames like "Granny". Talking about your interests. Telling imaginative stories to the resident. None 32. The primary reason for combative behavior in a resident is confusion resentment stubbornness hunger None 33. The definition: “Nursing interventions that promote the residents ability to adapt and adjust to living as independently and safely as possible,” best describes ____. Proactive Nursing Therapeutic Nursing Restorative Nursing Occupational Nursing None 34. You are a nursing assistant and a resident you are assisting with ambulation has pain while using splints. The best response is to ____. Tell the resident that the pain is normal until they adjust to the splint. Tell the resident that this is a sign that he or she overdid the therapy and should shorten his or her time on the floor. Notify the charge nurse promptly. Administer topical pain medication to the area that is sore. None 35. One of the residents you care for is seeing a physical therapist. You’ve been asked to follow up with some “range of motion” activities. Which of these is the best term for this type of care? Emotional and mental care. Spiritual and cultural care Hygiene care. Restorative care. None 36. Restorative care can help prevent complications that develop due to immobility, such as constipation, contractures, pressure sores, and ____. Low blood pressure. Blood clots. Dry skin. Labored breathing. None 37. “To turn upward” defines which of these terms? Lateral Supination Eversion Extension None 38. A resident catches you off guard with a comment that is sexual. Your best response would be to ____. Change the conversation to a different subject. Walk away and pretend you did not hear it. Make a humorous comment in return. Let the resident know that the comment is not acceptable to you. None 39. A resident died and his roommate is upset and wants to discuss it with you. What is the best action to take? Remind the patient that death is a natural part of life and reassure him his roommate had a great life and is in a better place. Talk to the patient about a time you lost someone you loved and how you dealt with it. Try and distract the patient by changing the subject and bringing up something happy. Talk with the roommate and allow him to express his feelings. None 40. A resident is pacing around his room, yelling and swearing. What is the first action the nursing assistant should take? Tell the resident to calm down. Call the residents family to assist with the situation. Call the charge nurse. Attempt to apply restraints. None 41. Which of these is not a normal biological change to the body from the aging process? The ability to make decisions is weakened. Joints become stiffer and less flexible. Bones become thinner and less strong. The movement of food from the digestive system becomes slower. None 42. Which of these is not a common cause of constipation? An increase in intestinal motility. A low fiber diet. Ignoring the urge to go. Not drinking enough water. None 43. Which of these is not a sign of depression? Increased amount of time sleeping. A decrease in appetite. Withdrawal Increased interest in participating in social activities. None 44. All of these could be described as positive benefits of the role religion can play, except ____. Helping to facilitate a sense of meaning and comfort. As a means for increasing tolerance to cope with difficulties. Serving as a way for the resident to gain independence and separate from his or her family. Helping to facilitate a more positive and hopeful attitude about the residents care that in turn can improve health outcomes. None 45. Talking to residents about spiritual beliefs can have an effect on ____. A residents mental health. A residents physical health. All of these. A residents feeling of “connectedness” with their caregiver. None 46. When you are documenting in a medical record, which of these is not part of the process? Author identification. Using correct spelling. Dating your entries. Writing in pencil so erasures can make the record clean. None 47. A patient is having surgery the following day. Which of these notations in the orders indicates the patient should have nothing by mouth? MN NOC NPO NKA None 48. A resident calls his relatives and then tells you he is frustrated and plans on leaving the building without medical approval. Your first line of communication should be ____. Reporting it to the physician. Reporting it to the facility administrator. Reporting it to the nurse. Calling the relatives and asking them to wait. None 49. Which of these should be reported to the charge nurse “STAT”? Urine that is cloudy. A respiratory rate of 18. Loose stools. A radial pulse of 135. None 50. Which of these does not show caring behavior? Making extra stops during the week to talk with a resident who gets no visitors. Stopping to ask a co-worker to finish up your duties so you are not late to lunch. Stopping to listen to a resident who is concerned about an upcoming procedure. Stopping to see if there is anything you can do to help a resident who is crying. None 51. When you walk in to begin your shift, a resident is being put in restraints by the charge nurse. This means ____. You need to call the family and notify them at once that restraints are being used. You need to leave all of this residents care in the hands of the charge nurse until the restraints have been removed You need to avoid the patient so as not to escalate his or her agitation. You need to check the resident at least every two hours to assess basic needs, circulation, and bathroom necessities. None 52. When a resident has visitors, it is important for a nursing assistant to ____. Leave the patients intercom on so you can monitor conversations that might agitate the resident. Restrict the visitors time spent with the resident. Give the resident and the guests privacy. Offer one of the empty rooms reserved for visitors to spend the night. None 53. As a nursing assistant, when a resident refuses a bath it is your responsibility to ____. Call the family and request that they try to persuade the resident to change his or her mind. Give the resident a bath anyway, but make it shorter than usual. Respect the residents wishes. Tell the resident he or she cannot have visitors until he or she allows bathing. None 54. A nursing assistant threatens to slap a resident if he doesn’t stop yelling. This is classified as: Battery Assault Slander Libel None 55. A resident’s family is visiting when you arrive on duty and one of them hands you an envelope that contains a thank you card and a monetary gift in appreciation for your care of their loved one. The best response is to ____. Accept the gift and be sure this resident gets extra attention so he or she knows you are appreciative. Accept the gift and then check with your fellow colleagues about how they handled similar situations. Thank the family and use the money to purchase a gift for the residents birthday. Thank the family and resident but tell them you must decline until you can check with your supervisor and facility policies regarding the acceptance of gifts. None 56. Which of these statements is incorrect regarding cleaning a urinary drainage bag? The bag should be kept below the level of the bladder (hip level) to prevent urine from flowing back. Avoid touching the tube or catheter ends as you disconnect them to clean the bag. Wash your hands both before and after cleaning a urinary drainage bag. Use peroxide to cleanse the drain on the urinary bag. None 57. If you are unable to clean up a large spill on the floor yourself, what is the best alternative, once you have notified someone to help? Do not let any residents exit their rooms. Ask a resident walking by to help you stop traffic. Block off the area from traffic. Throw towels over the spill until it can be cleaned more completely. None 58. The nursing assistant walks in on a patient who is having a seizure. Which of these actions should the nursing assistant take first? Place a padded tongue blade in the patients mouth to keep the airway open. Call for the doctor immediately. Support the patients head and move anything that could injure the patient. Restrain the patient so the patient does not harm himself/herself. None 59. Which of these are conditions requiring extra care regarding the residents nail care? Incontinence issues. Obesity and irritable bowel syndrome. Dementia and insomnia. Anticoagulation therapy and diabetes. None 60. Which of these best describes an advantage to being a CNA when considering future career options? You have an opportunity to practice many different types of care roles to see which you like best. You have an opportunity to see several healthcare occupations and witness the role each plays in patient care. You have an opportunity to work with many different types of patients from varying backgrounds. You have an opportunity to work with many cultures and different family members of the residents you care for. None 1 out of 60 Time is Up! Time's upTime is Up!