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CNA Quiz

When a CNA is helping a client to get dressed the CNA should:

Encourage the client to do as much as possible

Decide which clothing matches for the client

Insist that the client allos the CNA to do all the work

Borrow another person's clothing if the client is missing something

When a CNA is cleaning a client's glasses that have plastic lenses the CNA must dry the plastic lens using a:

Hand/bath towel

Brown paper towel

Facial tissue

Soft Cloth

Ms Cole is being transferred to a new unit within the long-term care facility. During the transfer procedure, the nurse assistant must:

Support and reassure the client

Tell the client that "it will be OK"

Avoid touching the client as much as possible

Insist that a family member be present during the transfer procedure

Mrs Stuart is a client with an illeostomy bag. The CNA has been instructed to change Mrs Stuarts ostomy pouches. Why is it imporatnt that the CNA wear gloves?

To avoid skin irritation to the CNAs hands

To avoid contact with potentially infectious body fluids

To keep the CNA from having to wash his/her hands often

To avoice sensual contact with the clients skin

Active range of motion exercises are prescribed to prevent:

Loss of joint motion

Arthritis

Circulation

Skin breakdown

Abuse of a client by a family member can be hard to prove because often times the client may:

Not be able to afford a lawyer

Not recognize the activity as abusive

Be afaird that he/she will not get visitors

Wish to protect the family member from toruble

When the CNA addresses the client, the name that the CNA uses is determined by the:

Client

Client's family member

CNA

Charge Nurse of Supervisor

Mr London is a patient with an infectious disease. His grandchildren are visitng him at the facility. The CNA should:

Remain quiet and let the visit proceed uninterrrupted

Instruct the family on the proepr isolation technique

Refuse to let any visitors see Mr London due to his serious illness

Ass Mr London to visit with his grandchildren in the dining room so his room stays sterile.

When the CNA applies petroleum jelly to an irritated area on a client's skin, the petroleum jelly is considered to be a

Anti-perpirant

Skin Deodorant

Topical Ointment

Medicated Ointment

Mr Ford has dementia. The CNA would like to find out what Mr Ford wants to eat for lunch. When talking to him, the CNA should:

Speak loudly so they can be heard

Give Mr Ford a lot of choices to keep him happy

Ask clear simple questions while allowing Mr Ford time to answer without interruption.

Give inconsistent responses since Mr Ford is already confused

When a CNA is instructed to place a client into a supine position, the CNA would place the client lying on his/her:

Abdomen

Back

Side

Side with pollow supporting the spine

When a CNA is administering a hot soak to a client's body part, the body part should remain in the soak for:

3-5 minutes

8-10 minutes

15-20 minutes

30-40 minutes

Mr Phillips, a deaf client, is having trouble communicating what he wants to eat for lunch. The nurse assistant should:

Decide the menu for the client

Have Mr Phillips write down what he wants to eat

Warn everyone nearby that Mr Phillips is in a bad mood

Skip Mr Phillips and have the charge nurse decide.

Mr Ross has an indwelling cathether and the tubing has accidentally become disconnected. After putting on gloves, the CNA should:

Immediately whipe ends with alcohol, reconnects the tubing and tells the nurse

Drain the tubing intoa bedpan before reconnecting it, reconnect it, and then tell the nurse

Reconnect the tubing and make sure the drainage bag is firmly attached to bedrail

Reconnect the tbing and discard any used wipes into the patient's garbage can

Passive range of motion exercises are ordered for clients who:

Cannot exercise by themselves

Can move and exercise without assistance

Can get out of bed and walk by themselves

Exercises too frequently

Mr Winters is a client who is always pleasant and likes to talk. After a morning doctor visit, the nurse assitant enters Mr Winter's room to give him a bath. Mr winters andrily tells the nursehe wants to be left alone. The CNA should:

Skip the bath and report Mr Winter's behavior change in the care notes and to the charge nurse

Ask another CNAto persuade Mr Winters into taking a bath

Argue with Mr Winters telling him he will stink if he does not bathe

Tell Mr Winters he is being child-like and must take a bath immediately

Which area on the client should the CNA clean last when giving a client a complete bath?

Perineal (Genital) area

Pedal (Legs, ankles, feet)

Facial (eyes, mouth, nose)

Abdominal (chest, stomach, back)

The CNA has been instructed to provide active range of motion exercises to a client. The range of motion exercises calls for repeated pronation and puination 5 to 6 times for each arm. The CNA should instruct the client to:

Bend the arm so that the same-side shoulder is touched and hold the position for 30 seconds

Move the straightened arm up away from the side of the client's body and then back down to the side

Move the arm in front of the body and then move the arm to the back of the body

Hold the arm straight and turn the hand so the palm is dow, then turn the hand so the palm is up

Mrs Brants sister has come to tell her that her favorite aunt has passed away. What should the CNA do prior to the sister giving Mrs Brant the bad news?

Offer Mrs Brant his/her condolencses on the loss of her aunt

Inform Mrs Brant that her sister is bringing sad news when she visits

Remain in Mrs Brants room whil Mrs Brants sister delivers the bad news

Close the door to Mrs Brant's room and ensure that Mrs Brant and her sister are not interrupted during their grieving

When a CNA is providing care a terminally ill client who is in the acceptance stage 5 stages of dying, the client is most likely to:

Be calm and peaceful

Deny that he/she is dying

Make the CNA a target of anger

Discuss people and things that will be left behind

When a CNA uses a standing pivot transfer to assist a client with a left side weaknes from teh bed to a wheelchair, the best place for the CNA to stand is

Directly behind the client

Away from teh client

In front and to the left side of the client

In front and to the right side of the client

When a CNA provides a backrub to a client, kneading refers to:

The tapping of the CNAs fingers up and down on the client's skin

The use of the ciruclar motion with the palm of the CNA hand on the client's skin

Lightly striking the client's skin with the sides of the CNAs hand

Gently grasping the client's skin between the thumb and fingers of the CNAs hand

When a CNA is instructed to provde oral hygiene to an unconscious client, the CNA should clean the roal cavity using a:

Wash cloth

Soft Toothbrush

Tongue Blade

Sponge-tipped applicator

When a CNA applies a warm compress to a client's body part, the compress is covered with plastic and wrapped in a towel to keep the:

Compress moist

Compress warm

Client from getting wet

Compress from transfering hear to the body part

During evening shift, the CNA finds that Mr Tee's bed linens are soiled with blood and feces. After removing the dirty linens from Mrs Tee's bed, the CNA must:

Place the soiled linens on the floor for the family or next shift

Rinse the soiled linens in the client's bathroom and put the linens with the other laundry

Place the soiled linens in a leak proof container and take to the laundry room

Place the soiled linens directly into the uncovered linen hamper

When assisting a client with flossing his/her teeth and the CNA is holding the floss between his/her fingers, the CNA is preparing to floww the clients

Gums

Lower Teeth

Upper Teeth

Dentures

Mrs Green, an elderly woman, is complaining that she is cold. The CNAs should:

Offer Mrs Green a sweater or blanket and adjust the room temperature

Assure Mrs Green that the room is the correct temperature

Increase the room temperature by 10 degrees

Provide Mrs Green with a hot beverage

What can a CNA do to better identify with and understand a client's feelings?

Bring the client small inexpensive gifts

Share personal probelms with the client

Recognize and respect client's cultural and religious beliefs

Identify and share the cleint's likes and dislikes

Which of the following would be a way for a CNA to help a client to exercise his/her right to be informed and involved?

Encourage the client to rest as much as possible and to coserve energy

Encourage the client to watch television and listen to the radio

Provide the client with science fiction novels

Share intimate details about the other clients and staff members

When preparing to give a client a back massage, what should the CNA do before applying a non-medicated lotion to the client's skin

Inspect the area of the skin to be massaged for signs of skin breakdown

Check that the lotion to be used for the massage is cool to the touch

Wipe the area of skin to be massaged with a warm soapy cloth

Vigorously rub the area of skin to be massaged with bare hands to warm the skin

While preparing to provide a client with a.m. care, the CNA notices that the water in the client's bathroom gets extremely hot. The CNA should:

Turn off the water supply to the home.

Get the needed water from a neighbor

Tell the client to use only cold water

Report the water temperature problem to the family/office

What position has the CNA put the client when he/she is placed ina side-lying position with a pillow under the head and shoulders and a pillow supporting upper lefg and thigh

Prone

Fowler

Supine

Lateral

When a CNA is working with a client on the maintaining his/her thinking abilities, typically the orientation program begins each morning by:

Reading a magazine to the client

Telling the date and time to the client

Asking the client long, detailed questions

Explaining the entire days planned activities

When the CNA applies an anke foot orthosis (AFO) on a client, the CNA first positions the AFO:

Around the client's leg and calf area

On the weak side of the client's ankle

On the inside of the client's shoe

Around the weak side of the ankle

Mr Dupres is a client with a decubitus ulcer. The CNA taking care of Mr Dupres for the first time notices that the skin on the wound is open and drainage is present. What should the CNA do?

Gently wash the wound area with soap and water

Apply a dry dressing to absorb the drainage

Immediately notify the DON/office of the wound condition

Apply some medicine to the are and sterile bandage to the wound

In General, how many glasses of water should a client drink every day?

One to two

Two to four

Four to six

Six to Eight

Routine care tasks that the CNA helps the client perform before and after the client eats breakfast is referred to as:

P.M. Care

A.M Care

H.S Care

A.N Care

When a client has a scheduled appointment or activity, the CNA should:

Remind the client to on time

Ask another care team member or family member to remind the client

Verify the appointment and take the client to the appointment/activity

Arrange for a family member to come and take the client to the appointment/activity

Mr James has told the CNA that he wishes to talk with a minister. The CNA should:

Give the request promptly to the DON

Make note of the client's request in the client chart

Explain to the client that the minister will be informed the next time he/she visits

Immediately call the minister and tell him/her to come and talk to Mr James

While taking a client's blood pressure, the CNA notices an insect in the room. The CNA must:

Ignore the pest since it was small

Stop taking the BP and take care of the pest

Attempt to catch the pest

Complete the procedure and then take care of the pest

Which of the following would NOT be care the CNA would provide to a client's hearing aide.

Checking the batteries regularly

Cleaning with hot soapy water

Checking for wax buildup

Storing in proper container

While providing care for a client, a visitor makes the CNA angry. The CNA should:

Leave the room immediately

Glare at the visitor but say nothing

Stop what he/she is doing and verbally express his/her feeling to the visitor

Maintain composure, reply politely, and complete task

A CNA is preparing to empty Mr Johnson's urinary drainage bag. After putting on gloves, the CNA must:

Raise the drainage bag above the level of the client's bladder

Remove the Catheter tubing from the client;s bladder

Open the drainage port

Apply a clamp directly on the drainage tubing

A CNA has been assigned to assist an incontinent client with bladder training. During the bladder training period the CNA should:

Limit the amount of fluids the client consumes

Restrict the client's activities

Encourage the cleitn to remain close to a bathroom at all times

Offer fluids frequently and ensure thatthe client eats a well-balanced diet

When a CNA has been assigned to wash a client's hair the CNA should:

Use cool water

Open privacy curtains

Protect the client's eyes

Apply the shampoo and then use a comb to remove tangles

When a CNA is preparing to give a client a tub bath, the water in the bath should be:

At least 115 degrees Fahrenheit

No more than 80 degrees Fahrenheit

Cool to the client's touch

Approximately 105 degrees Fahrenheit

When applying a cold compress to a client's body part for 20 mins, how often must the CNA check the area of the client's skin that is in the direct contact with the cold compress?

Every minute

Every five minutes

Every ten minutes

Every fifteen minutes

When a CNA is ordered to calculate and record the output for a client on I & O the CNA must:

Not measure any fluids other than urine

Measure only the first urine elimination of the day

Record the amount of liquids eliminated and record the total ont he record

Remember the amount and tell the client

While changing Mrs Reed's colostomy bag, the CNA notices signs of skin breakdown around the stoma. The CNA must:

Put Petroleum jelly on the sotma and change the bag

Tell the nurse about the skin breakdown

Ignore the skin breakdown since this is normal

Instruct the patient to be more careful with their colostomy bag

When preparing an ice bag to be applied to a client's body part, the CNA should use crushed ice in the bag because the bag will be:

Faster to fill with ice

Warmer to the clients touch

Easier to mold to the body part

Forzen and reused again later

When a CNA is working with a client to maintain his/her thinking abilities, the CNA will typically begin a reality orientation program every morning by:

Asking the client what day and time it is

Reading the morning newspaper to the client

Asking complex questions about the client's entire activity plan to the client

Reading the cleint's entire activity plan tot he client

What is one of the most effective infection control measures a home health aide can use?

Using water as a disinfectant

Not touching residents

Washing hands

Shaking bed sheets before putting them in the laundry hamper

Which of the following is a principle of body mechanics?

Keep your knees locked

Keep the person far away from your body

Place your feet about 12 inches apart with one foot slightly ahead of the other and lift with your leg muscles

Twist your upper body as you lift

Your suspect that a client has been abused. What should you do?

Tell a family member

Call a hotline

Call the Director of Nursing (DON)

Discuss it with the patient

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