CNA Practice Exam 4 01:30:00 Welcome to your CNA Practice Exam 4 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. A pulse can be taken in all of these areas except ____. Behind the knee. The back of the head. The inner wrist. The side of the neck. None 2. Which statement is incorrect regarding the Heimlich maneuver? If the resident is coughing violently, proceed with the Heimlich maneuver immediately. Place your hands around the resident between the xiphoid and the umbilicus. To properly apply the Heimlich maneuver, make a fist with your hands. If you are alone and choking, you can perform the Heimlich maneuver on yourself using the back of a chair. None 3. A nursing assistant may help in alleviating the use of restraints on a resident using all of these suggestions except ____. Bringing out a restraint so the resident is reminded they will be used if the behavior continues. Redirect or distract a resident. Becoming aware of the triggers that make a resident agitated. Learning what activities calm a resident down. None 4. Transmission-based precautions are ____. Part of the standard-based precautions for all residents. Added to standard-based precautions when a resident is known or suspected of having a communicable disease Only used during times when an epidemic is declared. Not as stringent as other precautions. None 5. Which of these is not true about condom catheters? They are a treatment used to avoid urinary tract infections. They are internal catheters and not as effective as external catheters. They are more effectively used if pubic hair is removed around the area. They should be changed frequently. None 6. After assisting a resident onto a bedpan, it will help to make the patient more comfortable if you Turn on the television for distraction. Raise the head of the bed. Lower the head of the bed. Have a trusted loved one assist with the procedure. None 7. A resident has the following symptoms: expelled brown fluid from the rectum, excessive amounts of flatus, and light abdominal cramping. Which of these is most likely the cause of these symptoms? A blood clot. A stroke. A heart attack. An enema. None 8. Which of these is not a signal for notifying the charge nurse regarding a residents ostomy bag? Pus draining out of a stoma. A sudden increase in the amount of stool in the pouch. Skin around the stoma is bulging. A temperature of 98.8. None 9. The medical term for a device with two soft plastic prongs that attach to a plastic tube delivering oxygen is: An oxygen diffuser. A nasal shunt. A nasal antihistamine. A nasal cannula. None 10. A resident with venous stasis has developed pressure sores under elastic stockings. What is the most likely cause? The resident is allergic to the elastic. The elastic stockings are the wrong treatment and should be remove. There are wrinkles in the elastic stockings. The resident has been scratching his or her legs. None 11. To avoid pulling the catheter when turning a patient, the catheter tube should be taped to the patients ____. Knee. Outer thigh. Bed frame. Upper thigh. None 12. Which is the standard for measuring urinary output? Milliliters. Cups. Ounces. Liters. None 13. Which is the best advice if you are uncertain you are able to move an obese patient on your own when it is time for their scheduled re-positioning? Try to move the client alone. Ask the family members to assist you. Give the patient something sturdy to grab onto and encourage him or her to move to himself or herself. Ask another nursing aide to help. None 14. Which of these best describes the purpose of padded side rails? To protect a resident from injury. To prevent skin breakdown. To keep a resident in the proper temperature. To use as a restraint. None 15. A CNA is recording the 24-hour urine output of a patient with kidney issues. What 24-hour urine value would warrant a report to the nurse? 800 cc 1400 cc 1900 cc 600 cc None 16. A resident drinks 8 ounces of milk during lunch, but the standard measurement of documentation in the facility is cubic centimeters (cc). What value would the nursing assistant record? 240 cc 360 cc 120 cc 8 cc None 17. You are caring for a patient with a strict dysphagia diet. Which item on the patients tray would you question? Peanut butter. Chocolate pudding. Applesauce. Mashed potatoes and gravy. None 18. There is a sign that says “NPO” on your patients door. You know this means ____. The patient is at risk for falls. The patient is under isolation precautions. The patient can only have liquids. The patient can not have anything by mouth. None 19. Your patient has a low pulse, seems slightly confused, and has sweet, fruity-smelling breath. You suspect ____. Hypertension Hypoglycemia Hypotension Hyperglycemia None 20. Which of these would be inappropriate when caring for a diabetic patient? Keeping the patients feet clean and dry. Carefully monitoring and reporting the patients food consumption. Ensuring the patient has plenty of snacks to eat throughout the day. Offering the patient a thermal foot soak once a day to relax. None 21. A fractured hip is ____. The most difficult injury from which to recover. The most frequent injury when a resident falls. The most expensive injury for rehabilitation. The injury that generates the most complaints from residents. None 22. As a CNA, you become an advocate for the resident(s) that you care for. This means that you ____. Help them make difficult decisions regarding their care. Ask questions regarding their care. Complain when something that they don't like is done. Communicate their needs when they might not be able to. None 23. You should be careful when changing, as this is a common site for unintentionally discarded needles. A residents bed linens. A residents clothing. A residents bath towels and washcloths. A residents trash bag. None 24. Which of the following is NOT true of dementia? People with dementia are often frightened and anxious. Grooming is difficult for patients with dementia. People with dementia act uncooperative in order to be spiteful. Patients can have vivid hallucinations. None 25. In a reality orientation program you would do all of the following EXCEPT Ask them to identify the smells of their meal. Show them the weather outside their window. Ask the resident about their childhood. Tell them the date and time each morning. None 26. When preparing to give peri-care to an incontinent female resident with dementia, the CNA knows the resident may become tearful. the resident may feel sexually assaulted. the resident may become combative. all of the above. None 27. What is an important way to help the resident feel comfortable in a long-term facility? Discourage visitors until the resident has settled in. Allow the resident to establish their own schedule. Bring the resident to all activities. Provide space for personal possessions. None 28. Residents with cognitive impairments often have difficulty sleeping. What can be helpful? Keep residents up as late as possible, so they will fall asleep more quickly. Turn on the television and allow the residents to watch until they fall asleep on their own. Establish a bedtime schedule and make sure the residents go to bed within 15 minutes of that time. Avoid physical activity during the day because it can overstimulate the residents. None 29. Which of the following can be a cause of intellectual disability? Down syndrome. Childhood illness. Birth complications. All of the above. None 30. The end of the day can bring a common behavior for residents with dementia, called Sundown Syndrome. Overstimulation Fatigue. Depressive Disorder. Evening Paranoia. None 31. All of the following are clues to aggressive behavior EXCEPT Pacing Clenched jaw Rocking Depressed mood None 32. A resident with dementia has wandered to another unit. What should the nurse aide say after finding the resident? "Let's go. Don't you know I have work to do?" "Let's walk back together, okay?." “Do you think you're Christopher Columbus?" "How on Earth did you get here?" None 33. Which of these is the best example of restorative care skills? Use of a heating pad for a stiff neck. Use of pads or adult briefs for incontinence. Use of a denture soaking dish. Use of adaptive, assistive, and therapeutic equipment. None 34. Why is the knowledge of common disease processes and conditions important to restorative care? All of these are correct. Disease processes and conditions may impede progress. Knowledge of disease processes and conditions can affect what kind of care management is appropriate. Disease processes and conditions affect body system functions and it relates to the residents aptitude for success with restorative care. None 35. What is the correct medical term for muscle wasting? Anorexia Atrophy Shrivel Hypoxia None 36. What does the term PROM stand for? Positive range of motivation. Passive range of motion. Position reversing motion. Positioning references on machines. None 37. What is the difference between abduction and adduction? Abduction moves the extremity toward the body and adduction moves it away from the body. Abduction is moving the extremity away from the body and adduction is moving it toward the body. Abduction requires two or more persons and adduction can be done with one person. Abduction involves moving the entire body and adduction involves moving an extremity. None 38. All of these are ways that a nursing assistant can help a resident who is dealing with his or her impending death, except ____. Spending more time with the resident than you normally would so you are available to offer support. Sitting and listening if the resident wants to talk about it. Giving the resident privacy if they ask for it. Spending less time with the resident so there is no pressure to be sociable. None 39. A resident recently learned that her spouse has died. The best response the nursing assistant can give is to ____. Sit and offer support if the resident wants to talk about it. Introduce humor to lighten the mood. Bring in other residents frequently so it occupies the residents time. Ignore the topic and switch the conversation if the resident gets emotional so it takes his or her mind off of it. None 40. Which of these is not an appropriate way to deal with the stress of being a caregiver? Join a new club. Talk to your co-workers about your patients during lunch to vent frustrations. Exercise and get outside for fresh air. Learn something new. None 41. A family member is angry that her loved one is unhappy. As a nursing assistant, the best way to handle the situation is to ____. Ask her to put the complaints in writing. Tell her you will leave for a few minutes so she can calm down. Calmly explain it is not your responsibility to discuss the residents care. Listen politely and tell her you will share her concerns with the nurse. None 42. Encouraging residents to participate in their care and in activities helps with emotional and mental health needs by ____. Improving their sense of independence and outlook. Making them more mobile. Relieving the burden on the caregiver, who already has too many tasks to complete. Holding them accountable for completing tasks. None 43. Which of these could be a major contributing factor to a resident’s resentment of family members? A feeling of abandonment because of being placed in others care. Missing annual birthday parties. A feeling of spiritual unrest by missing church attendance with family. Missing family meals together. None 44. Participation in religious activities can provide all of these important patient benefits, except ____. Allowing more time for the CNA to get a break from their duties. Reducing a residents isolation. Increasing a residents sense of belonging. Promoting social contact with others. None 45. When encountering residents with culturally or linguistically diverse backgrounds, one of the actions that can help caregivers provide effective care is to ____. Avoid interactions with diverse residents until you feel totally comfortable. Recognize when stereotyping occurs and work to correct it. Ask a coworker to take over care for diverse residents who make you feel uncomfortable. Talk slowly and loudly so that you are understood. None 46. Which of these is not part of the process upon entering a residents room for the first time? Showing the resident your licensing card. Knocking and waiting a few seconds before entering. Speaking to the resident using his or her name. Telling the resident your name. None 47. A resident’s input and output must be documented in a patient’s record ____. At the end of your shift. By the nurse; the nursing assistant does not record this. Every two hours. In the early morning, noon, and late evening. None 48. A resident with memory difficulties often needs a nursing assistant who will ____. Remind the resident of the forgotten information. Make jokes and laugh to lighten the residents mood. Make eye contact, sit with the resident, and listen. Leave the resident alone to minimize his or her agitation. None 49. All of these are indications of visual impairment except ____. The resident squints or tilts his or her head to one side to focus on an object. The resident spills or knocks over food. The resident withdraws from social activities he or she once enjoyed. The resident has difficulty navigating on stairs. None 50. Which of these is a violation of a residents right to privacy? A charge nurse discussing a residents medical condition with a nurse who is getting ready to take over her shift. A nurse sharing medical information about a resident with the EMT who is transporting the resident to a hospital. Two nursing assistants discussing a residents medical condition in the lunchroom. A physical therapist, charge nurse, and nursing assistant discussing a residents rehabilitation needs with the resident. None 51. A residents right to information involves all of these except ____. The resident seeing and discussing his or her medical record. The resident receiving information about the complete medical history of his or her roommate. The resident seeing in detail and discussing his or her medical bill. The resident receiving information about possible unanticipated outcomes of a procedure. None 52. You have two residents in your care who belong to your church. Both have been asking you questions about the medical condition of the other. They are both worried and know you care. What is your best response? Tell both residents that you would be violating facility policies and violating their own rights by sharing information. Tell them you have to wait until your supervisor returns from vacation to ask her permission. Ask to be reassigned to a different area so you will not be around these two residents. Share the information because you know both of them and they are active in your church. None 53. Which of these statements is true for “restorative nursing”? Restorative nursing helps a resident gain and then maintain functionality and well-being. Restorative nursing returns the duties of the residents exercise plan back into the hands of the family. Restorative nursing is out of the scope of duties for a nursing assistant. Restorative nursing allows the resident to return home and do self-care. None 54. There is a contained fire in the residents room. What is the first action a nursing assistant should take? Pull the fire alarm. Yell for help. Move the resident to safety. Grab the fire extinguisher. None 55. Which of these could cause a nursing assistant to be charged with battery? Raising a hand to threaten a slap. Using restraints on a resident without a physicians order. Administering medications. Ignoring or delaying a response to a residents call for help. None 56. The primary role of the CNA in patient assessment is to ____. Provide a weekly assessment to the patients physician. Give the family members and friends an assessment of the patient when they come for their next visit. Give the patient a physical exam and assess the patients condition in a report for the nurse. Assist the nurse with physical data such as height, weight, vital signs, food/fluid intake and output. None 57. Which of these is true about the term care plan? A care plan promises care will be delivered as written. All of these are true. A nurse can face strict penalties for not following the written care plan. A care plan is a legal document. None 58. Which of these is not true about a patients care plan? A good care plan is designed to assist team members in delivering high-quality, consistent care. A care plan is not necessary for every single resident in a care facility. A good nurse will solicit input from the CNA for the patients care plan to make it more effective. Effective care plans take the patients wishes into consideration. None 59. Which of these best describes how accurate documentation assists the entire healthcare team? Accurate documentation is important, but it is more important to initiate conversations with residents under your care. Accurate documentation is a precautionary action to serve primarily as a means for defending a CNAs behavior should a problem arise. Accurate documentation is emphasized throughout a CNA and nurses training; however, realistically, it does not happen as often as it should. Accurate documentation is crucial for determining if interventions listed in the care plan are effective. None 60. Which member of the healthcare team is responsible for carrying out the patients medical plan? The doctor. Every member of the healthcare team. The nursing assistant. The registered nurse. 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