Seni 2

Final Exam
Test A
True and False
1. Rehabilitation helps persons return to their highest level of physical and psychological
functioning.
2. Nursing assistants may supervise other nursing assistants.
3. Lying on a job application is illegal
4. When answering the phone in a patient's home, simply answer

with "Hello."
5. Patients have the right to refuse treatment.
6. Male sex cells are called sperm.
7. OBRA requires that nursing assistants have formal training and pass
competency tests.
8. Raised bed rails are safe for patient's who are able or trying to get out of bed by themselves.
9. If you feel threatened in a person's home, you should leave and call your supervisor.
10.The person is called by name to accurately identify the person before giving care.
11.To properly wash your hands, hold your hands and forearms higher than your elbows
throughout the procedure.
12.Using a lift sheet to move a person up in bed reduces shearing and friction.
13.Base of support is the area on which an object rests.

14.Persons with spinal cord injuries or hip surgeries should be log rolled.
15.Mr. Jones hoards food in the drawer of his bedside stand. You should report
this to the nurse.
16.When removing dirty linens. roll the linens toward you.

17.Wash your hands before handling clean linens and after handling dirty linens.
18.Hot water is used for cleaning dentures
19.Pressure ulcers usually occur over bony area

20.You never trim or shave a beard or moustache without the person's consent
21.Clothing is removed from the person's strong side first.
22.Catheters treat the cause of urinary incontinence.

23.Adhesive tape is used to secure condom catheters.
24.The person is positioned in the right side lying position for a cleansing enema
25.When preparing meats, roasting, broiling, and baking are healthier than frying
26.Nursing assistants are responsible for IV therapy.
27.Axillary temperatures are more reliable than oral temperatures.

28.Persons should be unaware that you are counting their respirations. Done while your fingers
are still on their radial pulse site.
29.If a person starts to fall, ease him or her to the floor.

30.Acute pain is felt suddenly and generally lasts less than six months. With hundred percent
recovery.
31.Changes in a person's usual environment can affect the amount and quality of
sleep.
32.The person will feel safer and more secure if you explain what you are doing and why.
33.The same amount of clothing is worn when the person is weighed and measured.
34.Nursing assistants are responsible for obtaining the person's written consent for surgery.
35.Wound care involves preventing infection and preventing further injury

36.Pins are used to secure the aquatherma (K pad) in place.
37.Moist cold applications penetrate deeper than dry ones.
38.A person with breathing difficulties often prefer to sit up in bed and lean forward
39.Hearing loss may cause speech problems
40.Traction is removed when making the person's bed.
41.Acute confusion is usually permanent.
42.Persons with Alzheimer's disease choose to be agitated and rude.

43.Sexuality is not important to older people.
44.Basic life support procedures support breathing and circulation.
45.Choking can lead to cardiac arrest.
46.Internal bleeding is easily controlled by applying direct pressure to the bleeding

site.
47.Attitudes about death are closely related to culture and religion.
48.The right to privacy and the right to be treated with dignity and respect apply
after death.
49.Restraints are used only after trying all other alternatives.
50.Transmission-based Precautions are used in the care of all persons.

51.Push, slide. or pull heavy objects rather than lift them.
52.You are going to transfer Mrs. Jones from the bed to a chair. Move her weak side first to
prevent injury.
53.Plastic bags or dry cleaning bags can be used to protect the mattress.
54.Depression is uncommon in older persons.
55.Anxiety is seen in all mental health disorders.
56.The alarm on Mr. Adams' ventilator sounds. You should turn off the alarm and
call the nurse.
57.Cardiopulmonary resuscitation (CPR) is done for fainting residents
Multiple Choice
1. A health care agency or program for persons who are dying is

a. Case management
b. Hospice
c. Managed care
d. A preferred provider organization
2. The goal of the health care team is to

a. Provide quality care
b. Make money
c. Provide case management
d. Assign tasks and responsibilities
3. Who is responsible for the entire nursing staff and the activities involved in providing safe
care.
a. The case manager
b. The director of nursing
c. The supervisor
d. A registered nurse
4. Without their permission, a person is tied in a chair to prevent the person from wandering,
This is called
a. Slander
b. False imprisonment
c. Assault
d. Verbal abuse
5. A task in your job description, which statement is false

A. The RN must always delegate every task to you
B. The RN delegates the task to you if the person's circumstances are right.
C. The RN must make sure you have the necessary education and training
D. You must have clear directions before you perform the task.
6. The intentional attempt or threat to touch a person's body without the person's consent is
A. Assault
B. Batter
C. Defamation
D. False Imprisonment
7. You are ill and cannot come to work., which is correct

A. Call a coworker to report your illness
B. Do not call anyone. You are sick and need your rest.
C. Call your supervisor
D. Call the administrator
8. The most important thing a nursing assistant can do to prevent the spread of disease is:
A. Wear gloves and other PPE
B. Get vaccinated for common illnesses
C. Wash her hands
D. Use lotions to reduce the risk of broken skin
9. Which is incorrect when recording on a patient's chart

A. Communicate clearly and concisely
B. Use a pencil in case you make a mistake
C. Record in a logical manner
D. Record only what you observed and did yourself
10.These statements are about recording, which is false

A. Use the person's exact words when possible
B. Record only what you observed and did yourself
C. Do not skip lines
D. To save time, chart a. procedure before completing it
11.The values and beliefs of a group passed from one generation to the next is
A. Self actualization
B. Religion
C. Holism
D. Culture
12.Which is false
A. A person's culture influences health and illness practices
B. Culture and religion influence food practices
C. A person's religious and cultural practices are not allowed in the health care agency.
D. A person may not follow all of the beliefs and practices of his or her religion or culture.
13.Beside earing, the EAR is involved with
A. Regulating body movement
B. Balance
C. Smoothness of body movements
D. Controlling involuntary muscles
14.A resident refuses a bath. you must

A. Call the resident's family
B. Get help and give the bath
C. Report the refusal to the nurse
D. Change the resident's care plan
15.Death of a partner results in the loss of a

A. Friend
B. Lover
C. Companion
D. All of the above
16.Who decides how to style a resident's hair
A. The resident
B. The nurse
C. The nursing assistant
D. The family
17.Paralysis on one side of the body is called

A. Hemiplegia
B. Paraplegia
C. Coma
D. Quadriplegia
18.A restraint attached to the person's body and to a stationary object is a (an)
A. chemical restraint
B. Passive physical restraint
C. Active physical restraint
D. Full bed rail
19.An infection acquired after admission to a health care facility or agency is called
A. Communicable disease
B. Nosocomial infection
C. Non pathogen
D. Hepatitis infection
20.A mask prevent the spread of microbes from

A. The GI tract
B. The skin
C. The respiratory tract
D. All of the above
21.When cleaning equipment, do all the following except

A. Rinse the item in cold water before cleaning
B. Wash the item with soap and hot water
C. Use a brush if necessary
D. Clean from the dirtiest area to the cleanest
22.The back lying position is the

A. Sims position
B. Semi fowler position
C. Dorsal recumbent position or the supine position
D. Prone position
23.To provide full visual privacy for a persons, you must

A. Provide care with the room door open
B. Pull the curtain around the bed only if the person has a roommate
C. Pull the curtain around the bed only if the person asks you to
D. Always pull the curtain completely around the person's bed when care is
given.
24.Which does not prevent or reduce odors

A. Placing fresh flowers in the room
B. Emptying bedpans promptly
C. Using room deodorizers
D. Practicing good personal hygiene
25.The type of bed used for a person arriving on a stretcher is

A. Closed bed
B. Surgical bed
C. Open bed
D. Occupied bed
26.Good oral hygiene

A. Prevents mouth and odor and infection
B. Is only done once a day
C. Is not important for unconscious persons
D. Allows buildup of tartar and plaque
27.Hair loss is
A. Hirsutism
B. Pediculosis
C. Alopecia
D. Decubitus
28.Which of the following about foot care is incorrect

A. Feet are easily infected and injured
B. Nursing Assistants use scissors to cut toenails
C. Dirty feet and dirty socks can harbor microbes
D. Cleaning toenails is easier afer soaking
29.Mrs. Andrews has an indwelling catheter. Which is incorrect

A. Attach the drainage bag to the bed rail
B. She should not lie on the tubing
C. Keep the bag below the bladder
D. Provide perineal care daily and after bowel movements
30.You are instructed to strain Mr. Powers' urine. You know that straining the urine is done to
find
A. Hematuria
B. Stones
C. Nocturia
D. Urgency
31.Mrs. Harvey complains of abdominal discomfort. Watery stool has been leaking from her
rectum. This is probably
A. Diarrhea
B. Anal incontinence
C. Fecal impaction
D. Constipation
32.You note a black tarry stool. This is called

A. Melena
B. Feces
C. Hemostool
D. Fecal Impaction
33.The breathing food or fluid into the lungs is called

A. Gavage
B. Aspiration
C. Dysphagia
D. Regurgitation
34.Which vegetable is not allowed on a low sodium diet

A. Steamed carrots
B. Steamed Broccoli
C. Sauerkraut or pickles
D. Lettuce
35.Standard or Universal precautions:
a. Prevent the spread of pathogens through the air
b. Are used for all patients and residents
c. Require gowns, masks, and gloves
d. All of the above
36.A person is bleeding from an IV site. You should
A. Remove the IV catheter or needle
B. Pay no attention, its not part of your scope of practice
C. Call for the RN immediately
D. Apply a dressing to the site
37.A person with a persistent blood pressure measurement above 140/90 has
A. Tachycardia
B. Hypertension
C. Hypotension
D. Anxiety
38.When taking a blood pressure ,you should do all of the following except
A. Take the blood pressure in the arm with an IV
B. Apply the cuff to a bare upper arm
C. Turn off the television and radio
D. Locate the brachial artery
39.Muscle atrophy is
A. The abnormal shortening of a muscle
B. Bending backward
C. A decrease in the size or wasting away of the muscle tissue
D. Excessive straightening of a body part
40.Mr. Brown has an ankle brace, you notice a reddened area on the ankle bone when you
remove the brace. You should
A. Put a bandage on the reddened area
B. Massage the reddened area
C. Report, your observations to the nurse
D. All of the above
41.Passive range of motion is performed by
A. The person
B. A health team member
C. The person with little help
D. The person with the use of a trapeze
42.Which of the following is not a measure used in health care to promote sleep
A. Drinking alcoholic beverage at bedtime
B. Following bedtime rituals
C. Eating a bedtime snack
D. Reducing noise
43.Objective data is:

a. Information that is collected through the care giver's senses about the patient
b. Information that is reported by the patient
c. A verbal account of patient care and observation
d. The exchange of information
44.A person with dementia is being admitted to a nursing center, which statement is correct.
a. Family members are asked to leave to help the person adjust
b. The admission process is completed as quickly as possible
c. The person's confusion may increase in new surroundings
d. All of the above
45. Lopez. is confused. He resists your efforts to prepare him for a physical examination.
Which is incorrect
a. The examination may need to be tried at another time
b. He is restrained if he continues to resist
c. Having a family member present may help calm him
d. His rights are respected
46.Hypothermia is a
a. Very low body temperature
b. Bluish discoloration of the skin
c. Very high body temperature
d. Moist cold application
47.These statements are about sitz. baths. Which is false

A. The pelvic area is immersed in warm 100' for no more than 20 minutes
B. The sitz bath can Iast up to 30 minutes
C. They clean the perineum. relieve pain, and increase circulation
D. Weakness and fainting can occur
48.You are frying bacon for your home health care patient when a grease fire suddenly flares up
in the frying pan, you should
A. Douse the frying pan with cold water
B. Put a tight fitting cover on the pan
C. Call the fire department
D. Sprinkle the fire with oil
49.If you fail to raise the bed rails of a patient who has an order for the rails to be raised, this is
considered an act of
A. Fraud
B. Malpractice
C. Negligence
D. Breaking a criminal law
50.The preferred way to remove a bed pan from a client who is unable to lift their buttocks is to
A. Use a mechanical lifting device
B. Have another person lift the client
C. Turn the patient on their side while holding the pan
D. Slowly slide the pan out from under the client
51.Which of the following procedures destroys all bacteria

A. Soaking in alcohol
B. Washing with bleach
C. Sterilizing
D. All of the above
52.You approach your client's home late in the afternoon and notice that several adolescent
males are standing on her porch. She has never mentioned a son or grandson. What should
you do?
A. Stop and go into the house for our visit
B. Drive to a safe area and telephone the client
C. Call your supervisor for instructions
D. Drive home and visit the client the next day
53.A client who is on a low cholesterol diet should not eat

A. Peanut butter
B. Red meat
C. Bread and cereal
D. Fruits
54.A client who requires a high fiber diet should eat
A. Meat, cheese and milk
B. Fruits, vegetables and whole grains
C. White bread and meat
D. Ice cream
55.Which of the following statements about trimming a diabetic patients toenails is correct
A. Nail care is not needed for the elderly
B. Obtain a doctor's order first
C. Use safely scissors
D. Nursing Assistants do not do this
56.The first thing that you should do when entering a client's home is to
A. Yell to the client
B. Tell the client what you are going to do
C. Identify yourself
D. Touch the client's arm gently
57.When giving a bed bath the last area to be cleaned is the

A. Eyes
B. Feet
C. Armpits
D. Perineum
58.A cane should be used on the

a. Weak side
b. Strong side
c. Preferred side
d. Right side always
59.A partial bed bath includes

A. Washing the face, abdominal area, legs, back and buttocks
B. Washing the legs and feet
C. Washing the perineal area only
D. Washing the face, hands, axillary, back & buttocks and perineal area
60.If your client does not take all of his medication in the home health setting you should
A. Notify your supervisor
B. As them why they did not take it
C. Remove the medication
D. Urge them to take it
61. Intake and Output deals with

A. Solid foods
B. Liquids
C. Mashed or pureed foods
D. All the above
62. Paraphrasing information is

A. Dealing with certain information
B. Restating the person's message in your own words
C. Asking a question to get clear information
D. Asking a question so the resident can give their opinion
63. When logrolling a person you must

a. Make sure the bed is in the Fowler's position
b. Lower the bed to the lowest position
c. Lower both bed rails
d. Turn the person as a unit, in good body alignment, and with one motion
64. Which is not an example of an open-ended question

a. Tell me about your son
b. What kind of things did you do when you were my age?
c. What will you do when you get home?
d. Do you like the view from your window?
65. Which is not an example of Clarification

A. Could you say that again?
B. I don't understand, could you say that in a different way?
C. I'm not sure what you mean. could you repeat what you just said?
D. What was your wife like?
66. To convert ounces to milliliters multiply by
A. 30
B. 20
C. 60
D. 15
67. Which part of the patient's chart is an easy quick source of information about the patient?
a. The admission sheet
b. The kardex
c. The flow sheet
d. The nursing history
68. You have come upon your patient who is lying on the floor and not moving, your first response
is to
a. Call for help
b. Shake the victim gently and ask, Are you OK?
c. Check the victim to find if he is breathing
d. Check the victim for a pulse
69. After Mr. Hall stroke, his right arm is weak, he should be taught to
a. Put his right arm into his shirt first
b. Put his left arm into his shirt first
c. Put both arms in the shirt at the same time
d. It does not matter which side is put on first
70. If a resident become combative, a nursing assistant should:

A. Try to find out what triggered the behavior
B. Leave the resident alone
C. Tell the resident that he will be in a lot of trouble if he doesnt stop what he is doing
D. Argue with the resident to make him understand what is best
71. If a resident drinks four ounces of water with a meal, how many milliliters (mL) has he
consumed?
A. 16
B. 30
C. 64
D. 120
72. What basic need is most essential

A. Safety and security
B. Love and Belonging
C. Self-esteem
D. Self actualization
73. Mrs. Allen has a gastrostomy and the nurse just finished giving her ensure through the feeding
tube. The CNA needs to put her in position for the next 1-2 hours.
a. Left side lying
b. Fowler position
c. Supine position
d. Lying on her back
74. RACE as a safety rule means:

A. Run to A Close Exit
B. Remove residents, Activate 911, Contain fire, Extinguish
C. Residents Are to be Cared for Excellently
D. Remove A Canister Extinguisher
75. Which method of taking temperature is considered to be the most accurate?

A. Oral
B. Rectal
C. Tympanic
D. Axillary
76. The function of insulin is to:

A. Regulate metabolism and growth
B. Stimulate the growth of nervous tissue
C. Trigger the "fight or flight" response in the body
D. Regulate the amount of glucose available to the cells for metabolism
77. A terminally ill resident, John Castillo, visits with his family. He discusses his funeral
arrangements with them. He lets them know that he is concerned about their well-being after
he is gone. He says he wants to spend as much time as possible with them before he dies.
Mr. Castillo is going through the ________ stage of grief.
A. Denial
B. Anger
C. Bargaining
D. Acceptance
78. Ms. Fleming, a resident who has recently been diagnosed with terminal cancer, has accused
the nursing assistants in her unit of taking poor care of her and causing her disease. What
stage of grief is Ms. Fleming in?
A. Denial
B. Anger
C. Bargaining
D. Depression
79. If you patient is in traction you should not

a. Monitor the patient's vital signs
b. Change the position of the weights
c. Give a total bed bath
d. Report weights that are on the floor
80. Mr. Burns just smoked a cigarette. You should wait to take his oral temperature
e. 15-20 minutes
f. You dont need to wait
g. 10 minutes
h. 5 minutes
81. Non verbal communication includes

a. Talking
b. Body language
c. Shouting
d. All of the above
82. Mr. Greens water pitcher holds 1000 ccs and is full when you came on shift. You refill it once
during your shift. At the end of the shift it is half full. How much water has Mr. Green had to
drink?
A. 500 ccs
B. 1000 ccs
C. 1500 ccs
D. 2000 ccs
83. List the seven warning signs of cancer.
1-The R.N., LPN, and nursing assistants are members of the

a-nursing team
b-medical assistant team
c-the perfect team
d-medical team
2- One of the differences between RNs, and nursing assistants is that only RNs can
a-provide patient care
b-give medication
c-report abnormalities
d-make important observations about their patients
3-Nursing assistants are supervised by

a-RNs
b-LPNs
c-RNs and LPNs
d-other nursing assistants
4-Unauthorized touching of a persons body without the persons consent is called

a-assault
b-negligence
c-battery
d-slander
5-Nursing Assistants
a-give medication
b-take telephone orders from a doctor
c-take vitals
d-perform a procedure that requires sterile technique
6-A nurse assigns you a task. You do not understand the instructions. You should
a-try your best
b-ask the resident what to do
c-ask the nurse for clarification
d-refuse to carry out the request
7-What are your legal and ethical responsibilities if you have access to medical records
a-to write everything down
b-to share information with everyone that walks by
c-to keep all information confidential
d-to talk with your family about a persons medical record
8-Which statement about charting is incorrect

a-all entries must be signed
b-all entries must be in pencil
c-no blank lines are left in the entry
d-all entries must be dated and signed
9-What are the parts that make up the whole person

a-physical, social, psychological
b-psychological, social
c-spiritual, psychological, social
d--spiritual, social, physical, psychological
10-The following are patients rights EXCEPT

a-to be treated with consideration and respect
b-to abuse others
c-confidentiality
d-to refuse treatment
11-The branch of medicine concerned with the problems and diseases of old age and the elderly is called
a-pediatrics
b-elderlyology
c-geriatrics
d-obstetrics
12-When care MUST be given to your patient and visitors are in the room you should
a-come back later
b-wait until the visitors leave them give the person care
c-politely ask then to leave the room, and show them where they can wait comfortable
d-do the care in front of the visitors
13-What body system provides framework for the body and allows the body to move
a-musculoskeletal
b-integumentary
c-nervous
d-central nervous
14-Insulin is released by the pancreas to regulate the amount of

a-gas in the stomach
b-sugar in the blood
c-insulin in the blood
d-protein in the blood
15-The functions of the urinary system are to remove waste products from the blood and to maintain
a-water balance within the body
b-mineral balance within the body
c-hormone balance within the body
d-sugar balance within the body
16-The causes of confusion in the elderly can result from all EXCEPT
a-diseases
b-infection
c-physical changes
d-normal aging process
17-If abuse is suspected within a facility

a-the incident must be reported immediately to the administrator and officials as required by law
b-only some of the claims of abuse must be thoroughly investigated
c-corrective action must me taken if the claim is found false
d-all of the above
18-In a reality orientation program you would do all of the following EXCEPT
a-face the person and speak clearly and slowly
b-call the person sweetie
c-state your name and show him/her your nametag
d-tell the person the date and time each morning and PRN during the day
19-The best way to identify a patient is

a-call the person by their name
b-check to persons armband
c-ask the roommate the persons name
d-ask another nurse
20-Restraints are used for all of the following EXCEPT

a-to protect the person from harming him/herself or others
b-to prevent the person from falling out of bed or w/c
c-for the convince of the staff
d-to prevent the person from pulling out tubes or dressings
21-If you see a fire, your first action should be

a-get the nearest fire extinguisher
b-pull the fire alarm
c-call the operator
d-to move the people who are in the immediate area of the fire to a safe place
22-Restraints are removed

a-every 20 minutes
b-every hour
c-every shift
d-every 2 hours
23-You are using a fire extinguisher. The hose is aimed at the

a-top of the flame
b-middle of the flame
c-base of the fire
d-area around the flame
24-You must be especially careful about fire if the resident is receiving

a-oxygen
b-heat treatments
c-intravenous fluids
d-sleeping medications
25-Microorganisms that lives in the body all of the time are called
a-normal bacteria
b-normal microorganisms
c-normal flora
d-non-pathogens
26-An infection acquired after the admission to the hospital is called

a-surgical asepsis
b-poor care
c-pathogen
d-nosocomial
27-Medical Asepsis is
a-the process by which pathogens are sterilized
b-being free from a disease-producing organism
c-the practice used to remove or destroy pathogens to prevent their spread
d-absence of all microorganisms
28-When performing patient care you must wash your hands

a-before patient care
b-after patient care
c-before and after patient care
d-when you think your hands are dirty
29-Universal precautions are used for

a-all people
b-persons who have AIDS
c-persons with colds
d-persons with Hepatitis B
30-After drying your hands, you should

a-turn off the faucet
b-throw the paper towel away
c-clean the sink with paper towels
d-turn off the faucet with a clean, dry paper towel
31-All microorganisms are destroyed, this process is called

a-sterilization
b-disinfections
c-contamination
d-medical asepsis
32-Good body Mechanics require using

a-good posture
b-a good base of support
c-the largest and strongest muscles
d-all of the above
33-To protect a persons skin when moving him/her up in bed, you would
a-pull him/her over
b-sprinkle talcum powder of the person
c-use a draw sheet or lift sheet
d-ask the person to help you
34-When the nurse instructs you to put Mrs. Jackson in a prone position, you position her so she is
a-lying flat on her back
b-lying on her stomach with her head turned to one side
c-lying on her left side
d-lying on her right side
35-You have just put Mr. Woo in bed with he head of the bed elevated to a semi-sitting position. This position
is called
a-Fowlers
b-prone
c-lateral
d-Sims
36-The most common cause of noise in the health care facilities is

a-the heating system
b-the visitors
c-the whispering at the nurses stations
d-the talking and laughing in the hallway and nurses station
37-A persons call light should always be

a-within reach
b-clipped to the bed
c-on the wall
d-pinned to the persons clothing
38-You can reduce odors in a persons room in all of the following ways EXCEPT
a-emptying and washing bedpans and emesis basins promptly
b-using room deodorizes
c-opening the windows
d-practicing good personal hygiene
39-The following rules apply when making a bed EXCEPT

a-never shake the linens
b-hold the linens away from your body so they do not touch your uniform
c-practice the rules of medical asepsis
d-bring more than enough linens to the room
40-When making a bed

a-raise the bed 12 inches
b-raise the bed to the lever of your waist
c-raise the bed to an appropriate level for good body mechanics
d-do not raise the bed
41-Mr. Dills sheets are damp, they must be changed

a-right away
b-before the next shift
c-within the hour
d-later
42-Dirty linens can only be placed

a-on the floor
b-on the chair
c-on the bedside table
d-in linen bag or hamper
43-You are making an occupied bed. To remove the bottom linens, you should
a-tuck the bottom linens under the resident
b-roll the linens up from the bottom of the bed
c-remove them when the person gets out of bed
d-raise the person off the bed with a mechanical left
44-You tell an unconscious person what you are going to do because

a-he/she may be able to refuse
b-he/she still may be able to hear you
c-he/she will respond
d-the visitors may be interested
45-For mouth care, the unconscious resident should be in

a-the prone position
b-the position of comfort
c-the side-lying position
d-the Fowlers or Semi-Fowlers position
46-When cleaning dentures, you should hold them
a-firmly in both hands
b-over an emesis basin
c-over a sink full of water
d-over a basin of water lined with a towel
47-You are giving a complete bed bath. Which area is bathed LAST?
a-abdomen
b-genitals
c-buttocks/rectum
d-feet and legs
48-Mr. Wood wants to have his face shaved. Before starting, you
a-ask him if he knows what day it is
b-apply shaving cream to his face
c-apply a warm washcloth or face towel to the face for a few minutes
d-offer him a glass of water
49-Mrs. Wood wants to have her toenails trimmed. You should tell her
a-OK Ill get the toenail trimmers
b-I refuse to trim your nails
c-Only trained nurses can do that
d-I will let the nurse know, so she can talk to your doctor about having someone come and cut your
toenails
50-The person just voided 400cc of cloudy yellow urine that has a strong smell and complains of pain with
urination. What should you report?
a-color, amount
b-color, amount, odor
c-color, clarity, amount, odor, dysuria
d-nothing, just record it
51-Mrs King wants to know why her indwelling catheter must always be kept below the level of her bladder.
You reply
a-that is the way the doctor ordered it
b-it looks better that way
c- to prevent blood clotting
d-to keep urine from flowing backward into the bladder
52-The surgical creation of an artificial opening of the large intestine is called
a-colostomy
b-gastrostomy
c-a pouch
d-an appliance
53-When giving an enema to a person you ask the person to lie on

a-the right side
b-the left side
c-their abdomen
d-their back
54-Some common causes of constipation include all of the following EXCEPT

a-decreased fluid intake
b- being active
c-medication
d-aging
55-The nutrient used for tissue growth and repair is

a-fats
b-protein
c-carbohydrates
d-minerals
56-A type of food a person cannot be given if on sodium restricted diet for heart disease is
a-pickles, olives
b-fish and potatoes
c-carrots or bananas
d-hamburger and pears
57-Edema means
a-increased appetite
b-decreased appetite
c-body tissues are swollen with water
d-there is a decreased amount of water in body tissues
58-How much fluid do adults need per day to maintain normal fluid balance
a-5000 cc to 7000 cc
b-1000 cc to 1250 cc
c-2000 cc to 2500 cc
d-500 cc to 750 cc
59-A normal adult blood pressure is

a-120/110
b-80/40
c-130/70
d-180/80
60-The period of heart muscle contraction is called

a-systole
b-contraction
c-diastole
d-relaxation
61-Which site is usually used to take a pulse

a-apical
b-radial
c-brachial
d-femoral
62-A apical pulse is counted for

a-1 full minute
b-30 seconds, then multiplied by 2
c-15 seconds, then multiplied by 4
d-as long as it takes to hear a regular beat
63-When making an occupied bed remember

a-the area is not screened
b-the patient is usually uncomfortable
c-finish the bottom, then top of bed
d-complete one side and then the other
64-The first sign of a decubitus ulcer are

a-redness and tenderness
b-white and insensitive skin
c-tender broken skin
d-mottled and cold skin
65-The patient who has suffered from a stroke usually

a-speaks clearly
b-is easily able to do his own cares
c-recovers completely in space of few days
d-is paralyzed on one side of the body
66-A person has a slow heart rate less than 60 beats per minute the nurse tells you she is having
a-tachypnea
b-bradycardia
c--tachycardia
d-bradypnea
67-Mr. Mac begins to fall as you are ambulating him. The first thing you do is
a-call for help
b-try to hold him up
c-ease him to the floor and protect his head
d-take him back to his room
68-The person you are caring for is on bed rest. You can help the person prevent development of contractures
by
a-positioning the person in good body alignment
b-performing range-of-motion/ exercises
c-using supportive devices
d-all of the above
69-Measures the nursing assistant can do to help relieve pain include all EXCEPT
a-distracting the persons attention
b-encourage slow, deep breathing
c-instructing the person on guided imagery
d-giving the person pain medication
70-When preparing a persons room, the nursing assistant will collect
a-a patient pack and gown
b-an admission checklist and scale
c-a stethoscope and sphygmomanometer
d-all of the above
71-The admission process includes all EXCEPT

a-completing an admission checklist
b-orientating the person to the room, nursing unit and facility
c-weighing and measuring the person
d-completing a physical assessment by the CNA
72-To prepare a person for discharge you will do all of the following EXCEPT
a-help pack the belongings
b-transport the person out of the facility
c-explain the discharge orders to the patient
d-help the person change into street clothes
73-When heat is applied to the skin, the blood vessels

a-dilate
b-constrict
c-narrow
d-remain the same
74-Mr. Bing is receiving oxygen. Which statement is FALSE?

a- Never adjust the O2
b-make sure the person is not lying on any part of the tube
c-remove the oxygen when you need to perform any hygiene
d-report signs and symptoms of respiratory distress to the nurse
immediately
75-When helping a disabled person with ADLs, the nursing assistant should
a-do everything for the person
b-encourage the person to watch
c-encourage the person to participate as much as possible
d-not praise the person
76-Mr. Hawkins has a hearing aid that does not seem to work properly. The first action that you would take is
a-check if the hearing aid is on
b-tell the nurse
c-insert a new battery
d-immerse it in water
77-Mr.Francis is blind. When ambulating him, you should walk

a-in front of him
b-behind him
c-on the left side
d-on the right side
78-Caring for eyeglasses is a nursing assistants responsibility. Which of the following is TRUE
a-use hot water to clean the glasses
b-dry the lens with an abrasive cloth
c-clean the glasses with cool water
d-clean the glasses with warm water
79-A warning sign of cancer is
a-an obvious change in a wart or mole
b-a sore that does not heal
c-a change in bowel or bladder habits
d-all of the above
80-Mr. Francis complains of pain in the left chest area. The first thing you do is
a-call the doctor
b-give him nitroglycerin
c-activate the emergency medical system
d-tell the nurse
81-The treatment for mental health disorders is

a-therapy
b-medication
c-having the person explore their thoughts or feelings
d-all of the above
82-Which of these steps would be helpful in caring for a confused person

a-call the person by sweetie
b-have no clocks and calendars in the persons room
c-maintain a daily routine of activities
d-explain all of the days planned activities in the morning
83-Which of these statements about sexuality and the elderly is TRUE

a-after menopause, women are no longer interested in having sexual relations
b-a man cannot have an erection as he gets older
c-sexual relationships are psychological and physically important to the elderly
d-as a person ages they are not able to be sexual
84-Directional terms are terms used to describe the position of one body part in relation to another. These terms
are used assuming the person is
a-standing facing forward
b-standing backwards
c-standing sideways
d-lying down
85-The medical abbreviation for before meals is

a-ac
b-pc
c-BM
d-NPO
86-Paralysis on one side of the body is called

a-hemiplegia
b-paraplegia
c-hemiparesis
d-quadriplegia
87-The medical abbreviation for twice a day is

a-qd
b-bid
c-tid
d-qid
88-The physician has ordered that Mrs. Jones is to go to physical therapy qod that means that she will go
a-everyday
b-every other day
c-four times a day
d-every four hours
89-Your client has a very cluttered home and is reluctant to throw away anything. Your main safety goal
should be to
a-throw away anything you feel is not needed
b-encourage the client to enter a nursing home
c-use many soft scatter rugs to cushion falls
d-maintain a clear pathway through the home
90-Your client has been placed on I & O. This means that you should
a-keep the patient NPO
b-keep track of the solid foods the client eats
c-record all the fluid intake and output
d-measure the first voiding each morning
91-After caring for a client for four hours, you are exhausted from hearing her ask to use the bathroom every 15
minutes. You should
a-request a different assignment
b-put her to bed with a waterproof pad
c-discuss the behavior with the supervisor
d-ignore the behavior and requests
92-A client with a paralyzed left arm may be able to feed himself if he uses
a-a plate guard
b-a built up spoon
c-extended silverware
d-all of the above
93-When applying anti-embolitic hose (TEDS), it is important to remember that the

a-toe and heel are interchangeable
b hose should be laundered in bleach
c- hose should be very loose fitting
d-hose must properly fit the client without wrinkles
94-In the event of a fire in a clients home, your first action is to

a-call the supervising nurse
b-turn on the fire alarm
c-move the client to a safer place
d-get the fire extinguisher
95-Your client has fractured a hip. The best way is to turn him would be to
a-roll him toward the affected side
b-cross the legs and roll
c-never use an abduction pillow
d-check with the nurse for the doctors orders 7 restrictions
96-Sexuality includes all of the following EXCEPT

a-caring about ones appearance
b-needing private time with partner
c-wanting sexual interaction
d-holding the aides hand for support for pain
97-Which of the following foods is allowed in a clear liquid diet

a-jello
b-tomato juice
c-pudding
d-milkshake
98-After Marys death, her husband wishes to share his feelings and emotions. You should
a-listen to and comfort him
b-change the subject
c-tell him to go a counselor
d-tell him that Marys death was expected and he must accept it
99-After Mr. Halls stroke his right arm is weak and stiff. He should be taught to
a-put his right arm in his shirt first
b-put his left arm in his shirt first
c-put both arms in at the same time
d-have someone else dress you
100-During which of the following stages of dying would be terminal client be most likely to say the Doctor
must be wrong
a-denial
b-anger
c-bargaining
d-acceptance
Written Practice Exam

The following questions are samples of the kinds of questions that you will find on the written examination.
1. Reality orientation therapy should include:
A. Talking about your interest
B. Using nicknames like "granny"
C. Calling the resident by his name
D. Telling imaginative stories to the resident
2. You are giving mouth care to an UNCONSCIOUS resident. You must be especially careful to prevent the
resident
from: A. Aspirating any fluid
B. Eating the toothpaste
C. Talking during procedure
D. D. Biting down on the toothbrush
3. While dressing a post CVA resident with one-sided weakness, which arm should be put through the sleeve
first?
A. Weak arm
B. Strong arm
C. It doesn't matter
D. Both arms at the same time
4. If a resident refuses to eat a certain food because of a religious preference, the CNA should:
A. Allow the resident to go hungry
B. Ask the family to bring in special foods
C. Respect the residents religion and notify the dietician
D. Tell the resident to eat the food, no preference is given
5. Which of the following best helps reduce pressure on the bony prominences?
A. Several pillows
B. Sheepskin
C. Flotation mattress
D. Repositioning every shift
6. While an unsteady resident is showering you should:
A. Leave to respect privacy
B. Go start another shower
C. Use a shower chair
D. Ambulate a resident just outside the door
7. If the CNA is confused about instructions of a task that the nurse told the CNA to do, the CNA should:
A. Do the best job possible and not bother co-workers with the misunderstanding
B. Ask the other CNA's to do the job
C. Ask the nurse to clarify the instructions
D. Ask the patient what to do
8. When caring for a confused resident what should a nursing assistant do?
A. Give simple directions
B. Give the patient activities
C. Say nothing
D. Allow the patient to plan daily activities
9. When removing soiled bed linen, they should be:
A. Rolled dirty side out
B. Shaken to get all the crumbs off
C. Put on the floor, it's dirty also
D. Rolled dirty side in
20
10. You are assigned to care for a new resident. You do not know what to call her. You should introduce
yourself then:
A. Call her by her first name
B. Call her "dear" or "honey" to be friendly
C. Ask her by what name she would like to be called
D. Ask a family member what name to call him/her
11. Insulin, a hormone, regulates:
A. The rhythm of the heart
B. The amount of salt retained in the blood
C. The strength of the skeletal muscles
D. The amount of sugar in the blood
12. When assisting a blind resident to walk it is important to:
A. Hold the resident's elbow
B. Stand slightly behind them
C. Have him use a white cane
D. Allow the resident to hold your arm
13. A nursing assistant closes the door, pulls curtains between beds, and covers the resident with a bath sheet
when
giving a bath. This is an example of maintaining a resident's:
A. Choice
B. Privacy
C. Confidentiality
D. Right of expression
14. When you are giving hair care you should particularly observe for the following:
A. Hair curl
B. Split ends
C. Hair color change
D. Lice, nits, and sores
15. What can you do to allow a helpless resident some independence when he must be fed?
A. Feed the resident lying down
B. Feed the resident with a fork
C. Always stand to feed the resident
D. Ask which foods the resident would like to eat first
16. ROM exercises will help prevent:
A. Obesity
B. Depression
C. Contractures
D. Pressure sores
17. Keeping information confidential about a client is:
A. Not important
B. Fairly important
C. Applies only to medical records
D. A legal responsibility
18. NPO means:
A. Nothing by mouth
B. Nothing per ostomy
C. Only ice chips per mouth
D. Nothing by mouth except water
19. Which of the following is a right of residents in a nursing facility?
A. Smoking in their room
B. Making as much noise as they want
C. Refusing treatment ordered by the doctor
D. To take all the drugs they want
21
20. A nursing assistant is helping a resident to walk. If the resident becomes faint and begins to fall, the
assistant should:
A. Hold the resident up and call for help
B. Hold the resident up and continue walking
C. Ease the resident to the floor and call for help
D. Carry the resident back to bed and then go for help
21. A resident's call light:
A. May be answered when you have time
B. May be kept out of the residents reach
C. Should be answered as quickly as possible
D. May only be answered by the nursing assistant assigned to that client
22. You don't answer a call light because the patient is always hitting it accidentally. This would be considered:
A. Unethical
B. Neglect/abuse
C. Breaking confidentiality
D. False imprisonment
23. The most comfortable position for a resident with a respiratory problem is:
A. Prone
B. Supine
C. Lateral
D. Fowler's
24. Restraints should be unfastened or released:
A. Daily
B. Never
C. Q1-2 hours
D. Q3-5 hours
25. Which of the following people provide treatment for persons who have difficulty talking due to disorders such
as a
stroke or physical defects?
A. Speech therapist
B. Registered nurse
C. Physical therapist
D. Occupational therapist
Answers: 1. c., 2. a., 3. a., 4. c., 5. c., 6. c., 7. c., 8. a., 9. d., 10. c., 11.d., 12.d., 13.b., 14.d., 15.d., 16.c.,
17.d.,
18.a., 19.c., 20.c., 21.c., 22.b., 23.d., 24.c., 25.a.
PRACTICE EXAM
1. What is the term for a device used to
take the place of a missing body part?
(A) Pronation
(B) Abduction
(C) External rotation
(D) Prosthesis
2. When a client has left-sided
weakness, what part of a sweater is
put on first?
(A) Both sleeves
(B) Left sleeve
(C) Clients choice
(D) Right sleeve
3. It is appropriate for a nurse aide to
share the information regarding a
clients status with:
(A) any one the nurse aide sees fit
(B) the clients family members
(C) the clients roommate
(D) the staff on the next shift
4. When helping a client who is
recovering from a stroke to walk, the
nurse aide should assist:
(A) on the clients strong side
(B) on the clients weak side
(C) from behind the client
(D) with a wheelchair
22
5. The nurse aide is caring for a client
who is agitated. The nurse aide
SHOULD:
(A) speak loudly so the client can hear
the instructions
(B) ask to reassign the care of this
client
(C) talk in a slow, calm, reassuring
manner
(D) tell the client to be quiet
6. The purpose for padding side rails on
the clients bed is to:
(A) use them as a restraint
(B) have a place to connect the call
signal
(C) protect the client from injury
(D) keep the client warm
7. Exercises that move each muscle and
joint are called:
(A) adduction
(B) range of motion
(C) abduction
(D) rotation
8. How can the nurse aide BEST help a
client who is not accepting a loss?
(A) Leave the client alone
(B) Convince the client to accept the
loss
(C) Encourage the client to talk
(D) Discourage individual activity
The Heimlich maneuver (abdominal
thrust) is used for a client who has:
(A) a bloody nose
(B) a blocked airway
(C) fallen out of bed
(D) impaired eyesight
10. To BEST communicate with a client
who is totally deaf, the nurse aide
should:
(A) smile frequently and speak loudly
(B) smile often and talk rapidly
(C) avoid eye contact
(D) write out information
11. The nurse aide is asked by a confused
client what day it is. The nurse aide
should:
(A) explain that memory loss is
natural and the date is not
important
(B) ignore the request
(C) point to the date on a calendar
and say the date
(D) provide the date and then test
the client later
12. To avoid pulling the catheter when
turning a male client, the catheter
tube must be taped to the clients:
(A) bed sheet
(B) upper thigh
(C) bed frame
(D) hip
13. A nurse aide can assist clients with
their spiritual needs by:
(A) taking clients to the nurse aides
church
(B) allowing clients to talk about
their beliefs
(C) avoiding any religious discussions
(D) talking about the nurse aides
own spiritual beliefs
14. A nurse aide MUST wear gloves
when:
(A) feeding a client
(B) doingperi-care
(C) giving a back rub
(D) doing range of motion
15. When getting ready to dress a client,
the nurse aide SHOULD:
(A) get the first clothes the nurse aide
can reach in the closet
(B) give the client a choice of what to
wear
(C) use the clothes the client wore
the day before
(D) choose clothes that the nurse aide
personally likes
16. If the nurse aide discovers fire in a
clients room, the FIRST thing do is:
(A) call the nurse in charge
(B) try to put out the fire
(C) open a window
(D) remove the client
In order to communicate clearly with
a client who has hearing loss, the
nurse aide should:
(A) speak in a high pitched tone of
voice
(B) stand behind the client when
speaking
(C) speak in a loud and slow manner
(D) look directly at the client when
speaking
23
18. Which of the following stages of
dying is usually the final stage?
(A) Anger
(B) Acceptance
(C) Bargaining
(D) Depression
19. If a client says, God is punishing me
or Why me?, how should the nurse
aide respond?
(A) Reply, God doesnt punish
people.
(B) Listen quietly
(C) Ignore the client
(D) Make jokes
20. The role of the ombudsman is to:
(A) run a group of nursing homes
(B) work with the nursing home to
protect clients rights
(C) control the nursing home budget
(D) prepare classes that nurse aides
take to learn about client hygiene
21. 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:
(A) help the client understand the
nurse aides faith
(B) tell the client that it is important
for the client to join some church,
even if it is not the nurse aides
church
(C) respect the clients beliefs and
avoid starting religious discussions
(D) arrange to have the nurse aides
clergyman visit the client
22. The nurse aide notices that a clients
mail has been delivered to the clients
room. The nurse aide SHOULD:
(A) open the mail and leave it on the
clients table
(B) open the mail and read it to the
client
(C) read the mail to make sure it
doesnt contain upsetting news
(D) give the client the unopened mail
and offer help as needed
23. Which of the following is a correct
measurement of urinary output?
(A) 40 oz
(B) 300 cc
(C) 2 cups
(D) 1 quart
24.The client offers a nurse aide a
twenty dollar bill as a thank you for
all that the nurse aide has done. The
nurse aide SHOULD:
(A) take the money so as not to
offend the client
(B) politely refuse the money
(C) take the money and buy
something for the floor
(D) ask the nurse in charge what to do
25. All of the following situations are
examples of abuse or neglect EXCEPT:
(A) restraining a client according to a
physicians order
(B) leaving a client alone in a bathtub
(C) threatening to withhold a clients
meals
(D) leaving a client in a wet and
soiled bed
26. If a client is sitting in a chair in his
room masturbating, the nurse aide
SHOULD:
(A) report the incident to the other
nurse aides
(B) tell the client to stop
(C) laugh and tell the client to go in
the bathroom
(D) leave the client alone and provide
Privacy
27. To convert four ounces of juice to
milliliters (ml), the nurse aide should
multiply:
(A) 4 x 5 ml
(B) 4 x 10 ml
(C) 4 x 15 ml
(D) 4 x 30 ml
28. In giving care according to the clients
Bill of Rights, the nurse aide SHOULD:
(A) provide privacy during the clients
personal care
(B) open the clients mail without
permission
(C) use the clients personal
possessions for another client
(D) prevent the client from
complaining about care
29. The LAST sense a dying client will
lose is:
(A) smell
(B) hearing
(C) taste
(D) sight
30. A client wakes up during the night
24
and asks for something to eat. The
nurse aide SHOULD:
(A) check clients diet before offering
nourishment
(B) tell the client nothing is available
at night
(C) explain that breakfast is coming in
three hours
(D) tell the client that eating is not
allowed during the night
31. The normal aging process is BEST
defined as the time when:
(A) people become dependent and
childlike
(B) Alzheimers disease begins
(C) normal body functions and senses
decline
(D) people are over sixty-five years of
Age
If a client is confused, the nurse aide
should:
(A) ignore the client until he starts to
make sense
(B) restrain the client so that he does
not hurt himself
(C) keep the client away from other
clients
(D) help the client to recognize
familiar things and people
33. What is the process of restoring a
disabled client to the highest level of
functioning possible?
(A) Responsibility
(B) Retention
(C) Rehabilitation
(D) Reincarnation
34. When changing an unsterile dressing,
the nurse aide should wash hands:
(A) before the procedure
(B) after the procedure
(C) before and after the procedure
(D) before, after removal of the soiled
dressing, and after the procedure
35. Clean bed linen placed in a clients
room but NOT used should be:
(A) returned to the linen closet
(B) used for a client in the next room
(C) taken to the nurse in charge
(D) put in the dirty linen container
36. The nurse aide finds a conscious client
lying on the bathroom floor. The FIRST
thing the nurse aide should do is:
(A) help the client into a sitting
position
(B) call for assistance from the nurse
in charge
(C) offer the client a drink of water
(D) check for signs of injury
37. If a nurse aide finds a client who is
sad and crying, the nurse aide should:
(A) ask the client if something is
wrong
(B) tell the client to cheer up
(C) tell the client to stop crying
(D) call the clients family
38. Clients have the right to:
(A) smoke in any area of the facility
(B) have access to a telephone
(C) go anywhere in the facility
(D) see other clients medical reports
39. Proper use of a waist restraint
requires that the nurse aide:
(A) release the restraint every four
hours
(B) watch for skin irritation
(C) tie restraints to the side rail
(D) apply the restraint tightly so the
client cannot move
40. To prevent the spread of infection, how
should the nurse aide handle the soiled
linens removed from a clients bed?
(A) Shake them in the air
(B) Place them in a neat pile on the
floor
(C) Carry them close to the nurse
aides body
(D) Put them in the dirty linen
container
41. A client needs to be repositioned but
is heavy, and the nurse aide is not
sure she can move the client alone.
The nurse aide should:
(A) try to move the client alone
(B) have the family do it
(C) ask another nurse aide to help
(D) go on to another task
42. To prevent dehydration of the client,
the nurse aide SHOULD:
(A) offer fluids frequently while the
client is awake
(B) wake the client hourly during the
night to offer fluids
(C) give the client frequent baths
(D) feed the client salty food to
increase thirst
25
43. When transferring a client, MOST of
the clients weight should be
supported by the nurse aides:
(A) back
(B) shoulders
(C) legs
(D) wrists
44. To be sure that a clients weight is
measured accurately, the client should
be weighed:
(A) after a meal
(B) by a different nurse aide
(C) at the same time of day
(D) after a good nights sleep
45. How many tips does a quad-cane
base have?
(A) 1
(B) 2
(C) 3
(D) 4
Please refer to the following tables to score your examination. If there is a question you had incorrect, you can
refer to the content area listed next to that question number.
PracticeExamAnswerKey
Question, Number Answer, Category
1 D MEMBER OF THE HEALTH CARE TEAM
2 B ACTIVITIES OF DAILY LIVING
3 D CLIENT RIGHTS
4 B BASIC NURSING SKILLS
5 C EMOTIONAL AND MENTAL
HEALTH NEEDS
6 C BASIC NURSING SKILLS
7 B RESTORATIVE SKILLS
8 C COMMUNICATION
10 D COMMUNICATION
11 C COMMUNICATION
13 B SPIRITUAL AND CULTURAL
NEEDS
15 B CLIENT RIGHTS
16 D BASIC NURSING SKILLS
17 D COMMUNICATION
18 B EMOTIONAL AND MENTAL
HEALTH NEEDS
19 B COMMUNICATION
20 B MEMBER OF THE HEALTH
CARE TEAM
21 C SPIRITUAL AND CULTURAL
NEEDS
22 D CLIENT RIGHTS
Revised 5-9-13
24 B LEGAL AND ETHICAL
BEHAVIOR
25 A CLIENT RIGHTS
26 D CLIENT RIGHTS
28 A CLIENT RIGHTS
30 A CLIENT RIGHTS
31 C EMOTIONAL AND MENTAL
HEALTH NEEDS
32 D EMOTIONAL AND MENTAL
HEALTH NEEDS
33 C MEMBER OF THE HEALTH
CARE TEAM
36 B MEMBER OF THE HEALTH
CARE TEAM
37 A EMOTIONAL AND MENTAL
HEALTH NEEDS
38 B CLIENT RIGHTS
39 B LEGAL AND ETHICAL
BEHAVIOR
42 A ACTIVITIES OF DAILY LIVING
45 D MEMBER OF THE HEALTH
CARE TEAM
1. To use facility phones in the nursing station for personal calls, except in an emergency is
a. Acceptable in most facilities
b. O.K., if no one notices
c. Appropriate
d. Unacceptable
2. Select the answer that is NOT a microorganism

a. Bacteria
b. Progeny
c. Virus
d. Fungus
3. The most common sterilization process in use today is

a. Alcohol
b. Steam
c. Iodine
d. Chlorine
4. To assure that a chair does not move while transferring a resident you should
a. Position the chair facing the bed
b. Position the chair facing away from the bed
c. Position the chair against a wall
d. Position the chair near the foot of the bed
5. The cardiovascular system is NOT responsible for

a. Carrying substances from where they are formed to where they can be used
b. Carrying waste products away from the cells
c. Carrying oxygenated blood throughout the body
d. Carrying electrical pulses from the brain
6. All of the following may prevent a resident doing their own ADLs except
a. Decreased strength
b. Lack of endurance
c. Full range of motion
d. Paralysis
7. Reasons for restraining a confused resident include all except

a. The resident is a wanderer
b. The resident may fall
c. The resident ways to be restrained
d. The resident may slip from their wheel chair
8. The membrane covering of the heart is called

a. Pericardium
b. Pericare
c. Pleura
d. Serous
9. The act of eliminating urine from the ladder is known by various terms. Which term is NOT
appropriate?
a. Micturation
b. Voiding
c. Termination
d. Urination
10. All the following are part of the respiratory system EXCEPT
a. Pharynx
b. Larynx
c. Bronchi
d. Liver
11. Disorientation can be described as

a. A disease
b. An attention getting tactic
c. A side effect
d. Mental retardation
12. When the valves in the legs weaken it can result in

a. Heart failure
b. Alzheimers disease
c. Varicose veins
d. Cerebral vascular accident
13. Solid waste excreted from the digestive tract would NOT be called
a. Extractions
b. Feces
c. Stool
d. BM
14. Supportive equipment for positioning includes all the following except
a. Bath blankets and towels
b. Pillows
c. Footboard
d. Close contact with the family
15. Nutrients are essential to our bodies for all the following reasons EXCEPT
a. Building a reparing tissues
b. Performing bodily functions
c. Providing energy for the work the body does
d. Limiting a persons life if taken externally
16. Rheumatoid arthritis may

a. Cause pain, muscle spasms, flexion
b. Have times of remission
c. Cause deformities
d. All of the above
17. A major risk factor for a stroke is

a. Hypotension
b. A history of TIAs
c. Being underweight
d. Excessive use of antioxidants
18. Signs of a stroke may include all of the following EXCEPT

a. Aphasia
b. Paralysis on one side of the body
c. Clearer vision
d. Memory loss
19. Mrs. Jones has been diagnosed with insulin dependent diabetes. What care would you NOT perform on
her?
a. Bathing in warm water
b. Feeding with a plastic spoon
c. Clipping finger nails
d. Ambulating with a gait belt
20. Gloves DO NOT need to be worn when

a. Doing perineal care
b. Emptying a catheter bag
c. Taking a rectal temp
d. Feeding a resident
21. When caring for a resident with a tracheostomy, which of the following should you report immediately
a. Resident needs suctioning
b. Resident is having breathing difficulties
c. The trachea tube came out
d. All of the above
22. To be an effective care giver for residents with memory loss, you should include all EXCEPT
a. Give them many choices at once, so they will at least remember one of the choices
b. Answer all questions about time, place, and recent events no matter how many times the
resident has asked you
c. Give simple, one stem instructions
d. Be calm, understanding, and always treat them with respect
23. All of the following are signs of approaching death EXCEPT

a. Cold extremities
b. Low blood pressure
c. Circulation increase
d. Breathing is labored
24. Elderly residents who live in long-term care facilities that use reality orientation have
a. Fewer opportunities to satisfy emotional needs
b. More opportunities to satisfy emotional needs
c. Minor stresses to their emotional security
d. No significant emotional stress
25. Persons with Alzheimers disease need to have simple uncomplicated lives. This includes all the
following EXCEPT
a. Simple words
b. Simple one step tasks
c. Simple examples
d. Simple jigsaw puzzles
26. The causes of dementia are not fully know, but some cases of dementia are related to
a. Diabetes mellitus
b. Changes in the brains blood vessels
c. Arthritis
d. Cancer
27. Alzheimers disease is a condition hat

a. Is nearly always fatal in 3-20 years and death is usually caused by Alzheimers disease
itself
b. Normally strikes in the age group of 20-30 year olds
c. Is nearly always fatal in 3-20 years and death is usually caused by viral or bacterial
infection
d. Is lingering, but not fatal.
28. Delusions are defined as

a. Being caused by catastrophic reactions
b. False benefits or opinions
c. Invalid sensory information processing by the brain
d. Large quantities of rain that tends to depress residents
29. Which one of the following statements is true about the theory of validation therapy
a. The identity and dignity of the residents may be maintained
b. Oriented people with dementia can feel good about themselves
c. There no real reason for human behavior
d. Validation therapy doesnt work with older residents
30. The medical terminology used when a person repeats a phrase or action over and over is called
a. Preservation
b. Repetition
c. Senility
d. Persistence
31. Complaints from residents are confidential. This procedure is guaranteed by

a. The facility policy
b. The Resident Bill of Rights
c. The laws if the state
d. The rules of the state Health Department
32. To assist residents who are anxious, you should do all EXCEPT
a. Pay attention when they tell you they are nervous
b. Allow them to talk about their fears
c. Keep telling them everything will be okay
d. Notify your nurse of their condition
33. The best care for a person suffering from depression would be to
a. Encourage them to avoid activities until they are better
b. Speak rapidly to snap tem out of it
c. Make sure the resident has their hearing aid if needed
d. All of the above
34. When a resident is receiving nasogastric (NG) tube feeding, what should the nursing assistant do?
a. Provide no mouth care until it is removed
b. Keep the head of the bed flat
c. Report any signs of choking or vomiting immediately
d. All of the above
35. To correct a charting mistake you made, you would:

a. Scribble it out
b. Erase it
c. Use white out
d. None of the above
36. When nursing assistants find equipment in need of repair, they should:
a. Throw it away
b. Fix it themselves
c. Continue to use the item
d. Report it to the appropriate personnel
Basic Nursing Skills
The equipment you need to gather to do unconscious oral care would include:
A. Toothpaste
B. Toothbrush
* C. toothette/mouth swab
D. All of the above
Who orders a warm or cold application?

A. Nurse
B. Director of nursing
* C. doctor
D. You as a CNA can if you think it is necessary
A resident with an ileostomy evacuates feces through the

A. Anus
* B. ileum
C. Jejunum
D. Colon
Normal urine color is

A. Red
B. Yellow
* C. Brown
D. Colorless
Your resident consumed a bowl of soup that was 180 cc of liquid. How many ounces was that?
A. 4 oz
B. 5 oz
* C. 6 oz
D. 7 oz
BASIC NURSING
Mrs. Shumways nursing care plan lists CHF (Congestive Heart Failure) as her primary dx.
(diagnosis). You would expect her ADL routine to include:
A. Encourage oral fluids

B. Daily am weight measurement *
C. Daily jog around the facility for 1 hour
D. Placement of TED hose after ambulation
Signs and symptoms of shock may include:

A. Increased blood pressure, bradycardia, and flushed skin
B. Hyperventilation
C. Low blood pressure, tachycardia, clammy, pale skin*
D. Absence of respirations and pulse
The safest way to confirm a residents identity is:

A. Call the person by name and see if they answer
B. Ask the residents room mate
C. Look at the door number and compare to your room list
D. Check an ID bracelet or tag attached to the resident *
A professional and safe working appearance would include:

A. Carefully manicured acrylic nails
B. Jewelry that reflects your fun personality
C. Clean, wrinkle free uniform, short fingernails, off-the-shoulder hair*
D. Sandals, t-shirt and name-tag
In the Nursing Care Plan you note it is written; O2 per N/C @3L, Orthopnea pos. as needed. As a
CNA you know this means:
A. Resident is to be ambulated every 3 hours
B. Resident has oxygen with a nasal cannula on three liters, assist to sit in Fowlers *
C. Oral care every 3 hours
D. Orient new client @ 3:00 to orthopedic unit
The basic foundation of medical asepsis is:

A. Handwashing *
B. Wearing goggles
C. Wearing a mask
D. Wearing a gown
To help ensure adequate circulation to prevent skin breakdown, you could:

A. Change the patients position frequently
B. Perform active or passive range-of-motion exercises
C. Give back massages
D. All of the above *
When caring for a resident with an indwelling Foley catheter it is important to:
A. Check the bag and tubing frequently for adequate urinary flow *
B. Tuck the tubing under the patients leg to keep it off the floor
C. Pin the tubing to the resident gown
D. Withhold fluids if the bag is too full
The charge nurse has asked you to take Mrs. Shumways vital signs. You know you must first:
A. Wash your hands
B. Gather appropriate equipment
C. Identify the patient and introduce yourself
D. All of the above *
Which of the following measurements you obtained from Mrs. Shumway should be reported
immediately to the charge nurse?
A. B/P 190/114 *
B. Pulse 74
C. Respiration 20
D. Temperature 99F
The recommended position for giving an enema is:

A. Semi-fowlers
B. Prone
C. Left Sims *
D. Supine
Mrs. Shumway has an order for I&O. You have picked up her breakfast and note she drank half of a
6oz. glass of juice, 4oz of milk, and 8oz of coffee, you document:
A. 920cc
B. 240cc
C. 540cc *
D. 685cc
Emergency
You walk into the dining room. The conscious resident has his hands to his throat and is making no
sounds. The first thing you will do is
A. Panic
B. Call the nurse
C. Start chest compressions
D. Ask, Are you choking?*
A resident with an obstructed airway:

A. Can speak
B. Cannot speak*
C. Can breathe
D. Is always unconscious
The first aid treatment for hemorrhage is:

A. Lower the arm below heart level
B. Put on a tourniquet
C. Run and get the nurse
D. Apply direct pressure*
When caring for a resident who is hemorrhaging, you should:

A. Apply the principles of Standard precautions
B. Stay with the resident and call for help
C. Apply direct pressure to the area
D. All of the above*
When a seizure occurs:

A. Move objects away from which may cause injury*
B. Restrain to prevent injury
C. Leave resident and get help
D. Place fingers in the mouth to hold tongue in place
If a home care client burns his hand, you should:

A. Call the ambulance
B. Cover burn with butter
C. Apply cool water*
D. All of the above
You arrive at the clients home for care. She shows you a burn on her arm. It is blistered and client is
complaining of severe pain. You should:
A. Call the clients daughter
B. Call the clients doctor
C. Call the Home Health case manager/RN*
D. Drain the blisters and cover
Your home health client is diabetic. When you go to his home, you find him very lethargic, but able to
follow commands. He cant tell you when he last ate. You should do what first?:
A. Call the case manager/RN
B. Give orange juice with sugar*
C. Call the ambulance
D. Do nothing, he will be OK
A person who has stopped breathing and has no heartbeat:

A. Requires full Cardio Pulmonary Resuscitation (CPR)*
B. Do mouth to mouth resuscitation
C. Start chest compressions only
D. Perform abdominal thrusts
Mrs. Jones has been throwing up for several days. You now find her lying in her bed. She is pale,
lethargic, and her eyes are dull. She is suffering from:
A. Congestive heart failure
B. Multiple sclerosis
C. Fecal impaction
D. Shock*
Orientation
The act that regulates training and certification of Certified Nursing Assistants are guided by
legislation?
A. State Board of Nursing
B. OBRA*
C. OSHA
D. DOPL
Which Federal Agency regulates employee safety on the job?

A. OSHA*
B. JCAHO
C. OBRA
D.COBRA
Which of the following is a Federal and State funded health care reimbursement program?
A. HMO
B. Medicare
C. PPO
D. Medicaid*
Mrs. Hernandez had a hip replacement and is admitted to the long term care facility for rehabilitation.
Her condition is:
A. Chronic
B. Acute*
C. Obstetric
D. Tonic
MENTAL HEALTH QUESTIONS
A resident who is disoriented is:

A. Usually retarded
B. Confused as to time and place*
C. Violent
D. Over 65 years old
A resident with dementia needs:

A. Increased activity to stay alert
B. To be isolated from others
C. A structured, safe environment*
D. Freedom from rules
All behavior has meaning to the:

A. Facility psychologist
B. Person doing the behavior*
C. Person observing the behavior
E. Person who is talking
When you empathize with residents, you are

A. Putting yourself in their place*
B. Feeling pity for them
C. Telling them to cheer up
D. Letting them stay in bed
Which of the following is an acceptable way for the CNA to cope with feelings of anger and
frustration?
A. Refuse to care for a frustrating resident
B. Call your best friend and vent
C. Discuss your feelings with several staff members over lunch
D. Talk with your supervisor*
Mrs. Branden is a resident at your LTC. She is diagnosed with depression. The best way for you to
help Mrs. Branden is to
A. Avoid spending much time with her because it doesnt help her
B. Remind her of all the things she has to be thankful for
C. Spend time with her, just listening or sitting quietly*
D. Listen to her troubles and concerns, being very sympathetic and agreeable with her
perceptions
Mrs. Patton husband died several months ago. She continues to talk about him and expects him to
come visit daily. She is experiencing
A. Schizophrenia
B. Denial *
C. Displacement
D. Acceptance
Mrs. Lee is an alert, demanding resident who uses the call signal
often. If you dont answer it immediately, she yells, Help! Help!
When you answer the call signal, her requests are never urgent. She speaks sharply to you when you
are in the room. Mrs. Lee is demonstrating
A. Being spoiled and pampered
B. That she doesnt like you
C. Anxiety*
D. Psychotic behavior
Your best response to Mrs. Lee is:

A. Tell the nurse that Mrs. Lee doesnt like you and ask not to be assigned to her
again
B. Take Mrs. Lees call signal away or unplug it
C. Tell Mrs. Lee that you have sick people to take care of and to not use the call signal
unless it is an emergency
D. Give Mrs. Lee some choices and control over her care*
A good listening approach to use when communicating with residents is:

A. Stay at least 6 feet away from the resident
B. Sit beside the resident*
C. Give him advice
D. Avoid looking directly in his eyes
Mental Health Questions
Which of following actions by the nursing assistant can help meet a residents social needs?
A. Serve his meal tray promptly while the food is hot.
B. Keep his side rails up and postural supports as necessary.
C. Keep his room clean and neat, with personal items put away.
D. Praise him for his accomplishments and for trying new things. *
Mrs. Melvin is a demanding patient who is difficult to please. Which of the following would be
appropriate for you to do when caring for Mrs. Melvin?
A. Ask Mrs. Melvin before you leave the room if you have done everything she
needs. *
B. Require Mrs. Melvin to bath and dress when you are available, not when she
wishes to.
C. Avoid Mrs. Melvins room once you have done her care so she wont keep
asking for things.
D. Tell Mrs. Melvin you have other residents who need your help more than she
does.
When cleaning dentures, why do you line the sink with paper towels?
A. To keep the sink clean
B. To keep the teeth from breaking if they are dropped*
C. To dry the teeth
D. To lay the denture on after you are through cleaning them.
You are caring for Mr. Brown who has a diagnosis of COPD. His SPO2 is 82%.
He is currently receiving O2 via Nasal Cannula @ 2 liters/min. What do you do?
A. Turn up the O2 to 4 liters/min
B. Ask Mr. Brown to take breaths more frequently.
C. Report it STAT to your nurse.*
D. Switch the nasal cannula to a mask.
When giving perineal care to a female patient, always clean:

A. Back to front
B. Front to back*
C. Side to Side
D. In a circular motion
Mr. Jones is unconscious. What are some guidelines you need to remember when giving oral care?
A. Give it at least q 2 hours
B. Explain the procedure to him.
C. Clean mouth, tongue, and gums
D. All of the above*
ADLs are:
A. Activities during life
B. All daily learning
C. All done lovingly
D. Activities of daily living*
A Sitz bath is helpful:

A. After rectal surgery *
B. After all surgical procedures
C. When a patient has been sitting for too long.
D. When residents refuse to take a shower.
You are assigned to give Mr. Brown a partial bath. You know that this means to wash
A. Face, underarms, perineum, and feet.
B. Face, arms, hands, perineum, and legs.
C. Face, hands, underarms, back and perineum.*
D. Face, abdomen, legs, underarms and feet.
Mrs. Smith, your patient, reports to you that her hearing aid is missing. What do you
do?
A. Give her another patients hearing aid for the day
B. Tell her she will do OK without it for the day.
C. Report it to the nurse *
D. Call the family
Post-partum refers to:

A. The period of time right after death.
B. The period of time right before delivery of a baby
C. The period of time after a delivery of a baby*
D. The period of time just before death.
The opening of the colostomy to the outside of the body is called the:
A. Rectum
B. Insertion site.
C. Stoma*
D. None of the above
Mr. Johnson has just returned from surgery. Which of the following things do you do?
A. Turn, cough, and deep breathe, leg exercises *
B. Give 7 up immediately to control nausea
C. Check vital signs every 4 hours.
D. Notify family about the surgery results.
RESIDENTS RIGHTS AND OTHER
Mr. Smith, a 72-year-old male Alzheimers patient, has been stopped several times today wandering
from unit. He is ambulatory, confused, and combative. The C.N.A. would first
A. Notify the charge nurse
B. redirect resident or provide alternative activity*
C. Call the Physician for a restraint
D. Place the resident in a w/c and place a soft waist restraint
Mrs. Featherhat has been diagnosed as dying. Her family wishes to perform a ceremony with candles
and incense. The facility should
A. Allow the ceremony with proper safety measures*
B. Not allow the ceremony because of the Fire Code
C. Transfer Mrs. Featherhat to a private facility for Native Americans
D. Teach the family that the ceremony will not help her condition
Hitting, slapping, pinching or kicking is which type of abuse?

A. Verbal
B. Confidentiality
C. Physical*
D. Privacy
As you finish your shift, a patient with a history of bowel incontinence has a strong odor. Your
responsibility is to:
A. Leave the building, your shift is over
B. Shout to the oncoming shift that they have a Code Brown.
C. Provide peri-care in a dignified and private manner*
Misuse of Residents money or property by family, friends, or staff, is known as

A. Malpractice
B. Chemical Restraint
C. Financial Abuse*
D. All of the above
Mr. Smith has started yelling after being in the restraint for about two hours. The C.N.A. should:
A. Push him into his room and shut the door so as not to disturb other residents
B. Threaten him in strong, low tones to be quiet or leave the common area
C. Release the restraint, offer toileting and reposition*
D. Tighten the restraint knot so the patient cannot release them
Mr. Jackson is having a phone conversation with is son. You accidentally pick up the line and hear the
conversation. You should:
A. Hang up immediately*
B. Keep listening because you think Mr. Jackson is complaining about your care
C. Tell him that hes been on the phone too long and its time to hang-up
Jeremy, a mentally challenged resident, is masturbating in his private room. The C.N.A. should:
A. Tell him to stop
B. Restrain his wrists
C. Call a family member to sit with him
D. Pull the privacy curtains and close the door*
You observe two adult residents sharing the same bed after lunch. You know these residents are
capable of exercising their own rights. This means:
A. They can perform R.O.M. for each other
B. They have the right to share the same bed
C. They have the right to privacy *
D. Both B and C
Mrs. Sparks is an 83-year-old female patient who suffers c the late effects of a C.V.A.
She has {L} sided hemiplegia. This is
A. Paralysis on the left side of the body*
B. Rash to the L arm
C. L arm contracture
D. L arm and leg itching
You are delegated to provide passive R.O.M. to L lower and upper extremities. This means you:
A. Extend Rt. Arm over the Left side of the body
B. Have patient raise left arm and leg ten times
C. Support each joint and provide extension and flexion movements on the Left
side of the body*
D. Watch how many times she moves left lower and upper extremities in 15
Minutes
At supper, Mrs. Sparks needs feeding assist. Her diet is low Sodium, mechanical soft.
Which food selection is appropriate?
A. Hot Dog c relish
B. Chicken Broth c bologna sandwich
C. Mashed potatoes, hamburger patty*
D. All of the above
Which position would you place Mrs. Sparks in to best assist her with feeding?
A. Fowlers in bed
B. (L) Lateral
C. High Fowlers in w/c*
D. Dorsal Recumbent
When transferring Mrs. Sparks onto the toilet,

A. Use a gait belt to stand her*
B. Put her right arm around your neck
C. Have her put all of her weight on her Right leg when moving
D. All of the above
You have been assigned to administer a S.S.E. to Mr. Taylor. It has been several months since you
have performed this procedure. To refresh your memory, you would refer to the
A. M.S.D.S. manual
B. Patient Care Plan
C. Policy and Procedure Manual*
D. Disaster Plan
You observed a coworker being physically abusive to a resident. You did not report the incident to the
Nurse Supervisor. You can be charged with:
A. Negligence
B. Malpractice
C. Aiding and Abetting*
D. Theft
You observe your charge nurse holding a residents nose to get him to take his medications. You
should:
A. Clock out and go home
B. Do nothing. She is your supervisor
C. Report the incident immediately to the D.O.N.*
D. Discuss the incident with other C.N.A.s at break time
You are sitting at the dining room table feeding a total care resident. You are talking
With the resident, but another C.N.A. who is also feeding a resident keeps trying to talk to you about
last nights party. You should:
A. Continue feeding the resident and talk to the C.N.A.
B. Tell the C.N.A. you will talk with her at break time*
C. Get the residents to talk to each other so you can hear all about the party
D. Stop feeding, document the intake, and take a break
Utah State Certification Exam for

Nursing Assistants
Test Version 3, January 2003
1. Reality orientation therapy should include:

A. Talking about your interest
B. Using nicknames like "granny"
C. Calling the resident by his name
D. Telling imaginative stories to the resident
2. You are giving mouth care to an UNCONSCIOUS resident. You must be especially careful to
prevent the resident from:
A. Aspirating any fluid
B. Eating the toothpaste
C. Talking during the procedure
D. Biting down on the toothbrush
3. While dressing a post CVA resident with one-sided weakness, which arm should be put through the
sleeve first ?
A. Weak arm
B. Strong arm
4. If a resident refuses to eat a certain food because of a religious preference, the CNA should:
A. Allow the resident to go hungry
B. Ask the family to bring in special foods
C. Respect the residents religion and notify the dietician
D. Tell the resident to eat the food, no preference is given
5. Which of the following best helps reduce pressure on the bony prominences
A. Several pillows
B. Sheepskin
C. Flotation mattress
D. Repositioning every shift
6. While an unsteady resident is showering you should:

A. Leave to respect privacy
B. Go start another shower
C. Use a shower chair
D. Ambulate a resident just outside the door
7. The case management for a client requiring skilled care and assistance in the home is usually done
by:
A. A nutritionist
B. The physician
C. A registered nurse
D. The home health aide
8. When caring for a confused resident what should a nursing assistant do?
A. Give simple directions
B. Give the patient activities
C. Say nothing
D. Allow the patient to plan daily activities
9. When removing soiled bed linen, they should be:

A. Rolled dirty side out
B. Shaken to get all the crumbs off
C. Put on the floor, it's dirty also
D. Rolled dirty side in
10. You are assigned to care for a new resident. You do not know what to call her. You should
introduce yourself then:
A. Call her by her first name
B. Call her "dear" or "honey" to be friendly
C. Ask her by what name she would like to be called
D. Ask a family member what name to call him/her
11. Insulin, a hormone, regulates:

A. The rhythm of the heart
B. The amount of salt retained in the blood
C. The strength of the skeletal muscles
D. The amount of sugar in the blood
12. When assisting a blind resident to walk it is important to:
A. Hold the resident's elbow
B. Stand slightly behind them
C. Have him use a white cane
D. Allow the resident to hold your arm
13. A nursing assistant closes the door, pulls curtains between beds, and covers the resident with a
bath sheet when giving a bath. This is an example of maintaining a resident's:
A. Choice
B. Privacy
C. Confidentiality
D. Right of expression
14. When you are giving hair care you should particularly observe for the following:
A. Hair curl
B. Split ends
C. Hair color change
D. Lice, nits, and sores
15. What can you do to allow a helpless resident some independence when he must be fed?
A. Feed the resident lying down
B. Feed the resident with a fork
C. Always stand to feed the resident
D. Ask which foods the resident would like to eat first
16. ROM exercises will help prevent:

A. Obesity
B. Depression
C. Contractures
D. Pressure sores
17. Keeping information confidential about a client is:

A. Not important
B. Fairly important
C. Applies only to medical records
D. A legal responsibility
18. NPO means:

A. Nothing by mouth
B. Nothing per ostomy
C. Only ice chips per mouth
D. Nothing by mouth except water
19. Which of the following is a right of residents in a nursing facility?

A. Smoking in their room
B. Making as much noise as they want
C. Refusing treatment ordered by the doctor
D. To take all the drugs they want
20. A nursing assistant is helping a resident to walk. If the resident becomes faint and begins to fall,
the assistant should:
A. Hold the resident up and call for help
B. Hold the resident up and continue walking
C. Ease the resident to the floor and call for help
D. Carry the resident back to bed and then go for help
21. Continual oozing or diarrhea may be a symptom of:

A. Impaction
B. Too many vegetables
C. Renal failure
D. Liver problems
22. You don't answer a call light because the patient is always hitting it accidentally. This would be
considered:
A. Unethical
B. Neglect/abuse
C. Breaking confidentiality
D. False imprisonment
23. The most comfortable position for a resident with a respiratory problem is:
A. Prone
B. Supine
C. Lateral
D. Fowler's
24. Restraints should be unfastened or released:

A. Daily
B. Never
C. Q1-2 hours
D. Q3-5 hours
25. Which of the following people provide treatment for persons who have difficulty talking due to
disorders such as a stroke or physical defects?
A. Speech therapist
B. Registered nurse
C. Physical therapist
D. Occupational therapist
26. Vomiting can be dangerous because of the possibility of:

A. Stroke
B. Aspiration
C. Hypertension
D. Cardiac arrest
27. Care of lacerations include:

A. Rinse with water for 5 min
B. Apply direct pressure
C. Tourniquet
D. Lower the extremity
28. If the CNA is confused about instructions of a task that the nurse told the CNA to do, the CNA
should:
A. Do the best job possible and not bother co-workers with the misunderstanding
B. Ask the other CNA's to do the job
C. Ask the nurse to clarify the instructions
D. Ask the patient what to do
29. To prevent permanent muscle and joint damage, you should encourage:
A. Staying flat in bed
B. High intake of fluids
C. Active and passive exercises
D. Frequent coughing and deep breathing
30. After you have visited a client, learned some information about him/her, and feel you want to talk
about it, you should:
A. Call a close relative of yours
B. Call the client's sister and tell her what happened
C. Call your office and relate the information to your supervisor
D. Discuss it during lunch in the diner with the waitress because she is a stranger
31. A resident's call light:

A. May be answered when you have time
B. May be kept out of the residents reach
C. Should be answered as quickly as possible
D. May only be answered by the nursing assistant assigned to that client
32. Bed cradles are used to:

A. Keep weight of top linens off the feet
B. Keep hips abducted
C. Prevent plantar flexion
D. Prevent mattress from sagging
33. Pulses can be taken :

A. Only with a stethoscope
B. For 15 seconds and then multiply by 4, if irregular
C. Only if the pulse rate is above 80 beats per minute
D. On the inside of the wrist at the base of the thumb
34. If a resident is vomiting in bed, position him immediately in the:

A. Lateral position
B. Supine position
C. Fowler's position
D. Prone position
35. You have suspicions your patient is being abused. What is your first response.
A. Call the police
B. Call the family
C. Ask another health care assistant for help
D. Immediately report your suspicions to your immediate supervisor
36. To correct a charting mistake you made, you would:
A. Scribble it out
B. Erase it
C. Use "White Out"
37. The most common cause of accidents in the home results from
A. Burns
B. Abrasions
C. Falls
D. Cuts
38. Which should you use to clean dentures?

A. Hot water and soap
B. Cold water and dental floss
C. Toothpaste or a denture cleaner
D. Toothettes and lemon glycerin swabs
39. When you have taken care of the immediate emergency of a burn, you should:
A. Apply cold cream
B. Give some juice
C. Notify your nursing supervisor
D. Scold the resident for not being careful
40. When caring for a client, all home health team members need to:
A. Work individually on their part only
B. Communicate with each other
C. Put all the responsibility on the case worker for care
D. Do as little as possible
41. A restraint should always be tied to the

A. Side rail
B. Bed frame
C. Head board
D. Bedside table
42. Compared to a regular diet, a high-protein diet would include greater amounts of:
A. Fats, oils, sweets
B. Fruits and vegetables
C. Breads, cereals, pasta
D. Meat, poultry, fish, milk
43. When caring for a resident whose religion is different from your own, you should:
A. Make sure they follow each part of their religion
B. Try to convert the resident to your religion
C. Show the resident how wrong his/her religion is
D. Accept and try to understand differences in beliefs
44. A fracture-type bedpan is used for residents who

A. Are in traction
B. Have had hip surgery
C. Have a back injury
D. All the above
45. The goal of bladder training is to

A. Gain voluntary control of urination
B. Allow the person to walk to the bathroom
C. Use a straight catheter for bowel control
D. All the above
46. When you are caring for an elderly resident who has dentures, but seldom wears them, what
should you do?
A. Call the resident's dentist
B. Force the resident to wear the dentures
C. Ask the resident why he doesn't wear his dentures
D. Check through other resident's dentures to see if there is a pair that will fit your resident
better
47. Which of the following blood pressures would you consider abnormal?
A. 120/80
B. 110/68
C. 200/90
D. 130/80
48. When muscles atrophy, they become

A. Larger
B. Smaller
C. Stretched
D. Hardened
49. A resident has not been eating or sleeping well and has lost all interest in ADL's. These behaviors
may indicate
A. Anger
B. Denial
C. Depression
D. Acceptance
50. Sexual desire and activity in the elderly

A. Is non existent
B. Should not be encouraged
C. May be a need
D. Stops at age 75
51. How often should mouth care be done for an unconscious resident?
A. Daily
B. Before bedtime
C. Only after meals
D. As frequently as needed, at least Q2h
52. On Monday, Mrs. Green and her family requested and received a no resuscitation order from
her doctor. When you bathe her on Thursday, she stops breathing and dies. Her son is not
home. You should
A. Call her doctor
B. Call your supervisor
C. Leave a note for her son
D. Stop. There is no use finishing the bath
53. Which of the following is recorded as the systolic blood pressure?

A. The point where the last sound is heard
B. The point where the first sound is heard
C. The point when the pulse is no longer felt
D. The point 30 mm Hg above where the pulse was felt
54. TED hose (anti-embolism) are applied

A. Four times a day
B. After the resident has ambulated
C. While the resident sits in a chair
D. Before the resident gets out of bed
55. Documentation should always be

A. Written in pencil
B. Written in pen
C. Inaccurate
D. Written in a foreign language
56. As death becomes imminent the last sense to leave the body is
A. Taste
B. Sight
C. Smell
D. Hearing
57. The skin is

A. Sterilized before surgery to prevent infection
B. Disinfected before surgery to prevent infection
C. Not worried about until after surgery
D. Prone to sterilization after surgery
58. The best position to place a resident in when giving an enema is

A. Orthopneic
B. Sitting on the toilet
C. Left Sims position
D. Right Sims position
59. Enteric precautions prevent the

A. Person from coming in contact with nonpathogens
B. Spread of pathogens found in wounds
C. Spread of pathogens through fecal material
D. Spread of pathogens through the air
60. Restorative/rehabilitative nursing is the process of

A. Residents Rights
B. Focusing on what the resident cannot do
C. Doing everything we can for the resident to conserve energy
D. Providing care to meet the needs of the whole person
61. "Sundowning" in a patient with Alzheimer's disease means

A. The patient is withdrawn and depressed on cloudy days
B. Patient behaviors worsen in the late afternoon and evenings
C. The patient is in the third stage of Alzheimers disease.
D. The patient is more alert and oriented at night.
62. Which statement best describes ADL's

A. Going to work
B. Bathing, feeding, dressing, ambulation
C. Watching TV, sleeping, playing games
D. Driving a car, shopping, cooking meals
63. You are instructed to strain Mr. Petersons urine. You know that straining urine is done to
find
A. Hematuria
B. Nocturia
C. Urgency
D. Stones
64. The resident has just had lunch. It included roast beef, mashed potatoes, gravy, Jell-O, green
beans, juice, cake, and ice cream. What should you calculate as part of I&O?
A. Jell-O and gravy
B. Jell-O, juice and ice cream
C. Juice and gravy
D. Ice cream only
65. The rehabilitation patient is experiencing anger, depression, and hostility. What action should
the CNA take?
A. Provide support and realistic reassurance.
B. Leave the patient alone to work through these personal feelings
C. Tell the person to just work harder in therapy
D. Tell the person that he or she will never be totally independent again
66. While dressing a POST CVA resident with one-sided weakness, which arm should be put through
the sleeve first?
A. Weak arm
B. Strong arm
67. Conditions that are favorable for growth of an infections is

A. Warm and dark
B. Warm and light
C. Cool and dark
D. Cool and light
68. A paraplegic is a person who has paralysis of the

A. Entire body
B. Upper body
C. Left side or right side
D. Lower portion of the body
69. A stethoscope is used in the measurement of

A. Apical pulse
B. Blood pressure
C. Temperature
D. A and B
70. Linens that are wet, damp or soiled must be

A. Changed immediately
B. Changed h.s.
C. Changed each shift
D. Changed a. c.
71. If a diabetic resident exhibits signs and symptoms of being cold and clammy, has double vision,
shallow breathing, and is hungry, the nursing assistant should
A. Make sure the nurse gives insulin
B. Report it to the charge nurse, immediately
C. Report the incident at the end of the shift
D. Wait for 15 minutes the re-check the resident
72. Shaving is
A. A p.m. care
B. Performed going against the hair growth
C. Done carefully, but dont worry about nicks, it happens
D. Performed shaving with the hair growth
73. Which of the following is true about people and their sleep needs?
A. Everyone must be in bed by 10 p.m.
B. Let each person choose their own bed time
C. Tell the nurse if a person is not asleep by 11 p.m. They need a sleeping pill.
D. Illness does not affect a person's need for sleep.
74. The condition of a resident may be freely discussed:

A. In the lunch room
B. At team conference
C. During visiting hours
D. In the assistant's home
75. When a resident ambulates for the first time, the nursing assistant should:
A. Take his temperature first
B. Help him to sit up quickly
C. Watch for signs of dizziness and fatigue
D. Stay with him only until he is standing without assistance
76. When bathing a resident who has fragile and dry skin, the nursing assistant must remember to:
A. Use only cool water and soap
B. Scrub the resident daily
C. Do not bathe bony prominences
D. Pat the resident dry and apply lotion
77. One long-term complication for the resident with diabetes is:
A. Goiter
B. Cancer
C. Liver disease
D. Poor circulation in the feet
78. When the area between the genitals and the anus is cleaned for a female resident, the area should
be wiped:
A. Upward from the anus
B. Up and down the labia
C. Downward toward the anus
D. Around and around the labia
79. While bathing and doing a.m. cares on Mr. Jones you observe a large bruised area on his back,
you should:
A. Tell the family
B. Massage the area
C. Ignore the problem
D. Report it to the charge nurse
80. Normal respirations are usually

A. Between 12-20 per minute (adult)
B. Quiet and effortless
C. Regular
D. All of the above describe normal respirations
81. If a resident is incontinent of urine, you should chart each time the resident:
A. Vomits
B. Wets the bed
C. Drinks anything
D. Does something unusual
82. When logrolling:

A. Place bed in Fowlers
B. Lower bed to lowest position
C. Lower both side rails
D. Turn the person in alignment with one motion
83. Aphasia is the loss of:

A. Memory
B. Appetite
C. Ability to swallow
D. Ability to speak
84. An example of negligence is when a nursing assistant:

A. Promptly answers the residents call light
B. Leaves a resident unattended in the bath tub
C. Changes a wet resident prior to going on break
D. Reports the resident who does not take all of his/her medicine
85. Type of card file that summarizes information found in a medical record, includes drugs,
treatment, diagnosis, and routine cares
A. Kardex
B. Medical record
C. Nurses orders
D. Chart
86. In the first stage of death and dying, the most common reaction of a person who has a terminal
disease is:
A. Anger
B. Denial
C. Depression
D. Bargaining
87. Remember in caring for residents with poor circulation that:

A. Injuries heal well
B. Skin will be pink and warm
C. A cool room is most comfortable
D. Hot pack may cause serious burns
88. If a resident suddenly begins to have difficulty breathing, the nursing assistant should:
A. Start and administer oxygen
B. Give the resident a glass of water
C. Put him in the supine position
D. Position the resident with his head elevated and report to the charge nurse immediately
89. A nosocomial infection occurs

A. Before admission to a health care facility
B. After admission to a health care facility
C. Only in infants and the elderly
D. Only in hospitals
90. Angina is
A. Joint pain
B. Chest pain
C. A heart attack
D. A skin disease
91. Protein is needed for:

A. Tissue growth and repair
B. Fiber for bowel elimination
C. Improving the taste of food
D. Protection of organs from injury
92. Health insurance plan administered by the Social Security Administration providing health
benefits for the elderly
A. Medicaid
B. Medicare
C. Private insurance
D. DRG
93. How long is a CNA certificate good before it needs to be renewed?
A. Every year
B. Every two years with 200 hours worked
C. Doesnt need to be renewed if you continue to work
D. Every year with 200 hours worked
94.Which agency requires training about blood borne pathogens?

A. Omnibus Budget Reconciliation Act (OBRA)
B. Occupational Safety Health Administration (OSHA)
C. Center for Disease Control (CDC)
D. American Medical Association (AMA)
95.Which part of the heart receives blood from the body?

A. Atria
B. Ventricles
C. Aorta
D. Pericardium
96. Which resident is most likely to develop a pressure sore:

A. A resident who is ambulating but has the flu
B. A resident who eats well, has diabetes, and can walk
C. An underweight resident who is incontinent and has left-sided paralysis
D. All of the above
97.Which of the following functions can a CNA perform?

A. Giving medications to patients
B. Performing procedures requiring sterile technique
C. Taking doctors orders over the phone
D. Assisting with a patients ADLs as necessary
98.Dispose of contaminated linens:

A. In the hallway on the floor
B. Over the clean linens
C. In a covered soiled linen container
D. On the bathroom floor
99.It is okay to call a resident by a nickname if:

A. The resident requests it
B. The family uses that name
C. The nickname is appropriate
D. Everyone else calls them that
100.Which action is important when bathing a resident?

A. Dont use soap on anyone, it is not recommended
B. Cover the patient for warmth and privacy
C. To conserve water hurry through the bath so you dont have to change it
D. Rub vigorously for warmth

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Final Exam

2. Nursing assistants may supervise other nursing assistants.

3. Lying on a job application is illegal

4. When answering the phone in a patient's home, simply answer

5. Patients have the right to refuse treatment.

6. Male sex cells are called sperm.

13.Base of support is the area on which an object rests.

16.When removing dirty linens. roll the linens toward you.

19.Pressure ulcers usually occur over bony area

22.Catheters treat the cause of urinary incontinence.

27.Axillary temperatures are more reliable than oral temperatures.

29.If a person starts to fall, ease him or her to the floor.

35.Wound care involves preventing infection and preventing further injury

42.Persons with Alzheimer's disease choose to be agitated and rude.

46.Internal bleeding is easily controlled by applying direct pressure to the bleeding

50.Transmission-based Precautions are used in the care of all persons.

1. A health care agency or program for persons who are dying is

2. The goal of the health care team is to

5. A task in your job description, which statement is false

7. You are ill and cannot come to work., which is correct

9. Which is incorrect when recording on a patient's chart

10.These statements are about recording, which is false

14.A resident refuses a bath. you must

15.Death of a partner results in the loss of a

17.Paralysis on one side of the body is called

20.A mask prevent the spread of microbes from

21.When cleaning equipment, do all the following except

22.The back lying position is the

23.To provide full visual privacy for a persons, you must

24.Which does not prevent or reduce odors

25.The type of bed used for a person arriving on a stretcher is

26.Good oral hygiene

28.Which of the following about foot care is incorrect

29.Mrs. Andrews has an indwelling catheter. Which is incorrect

32.You note a black tarry stool. This is called

33.The breathing food or fluid into the lungs is called

34.Which vegetable is not allowed on a low sodium diet

43.Objective data is:

47.These statements are about sitz. baths. Which is false

51.Which of the following procedures destroys all bacteria

53.A client who is on a low cholesterol diet should not eat

57.When giving a bed bath the last area to be cleaned is the

58.A cane should be used on the

59.A partial bed bath includes

61. Intake and Output deals with

62. Paraphrasing information is

63. When logrolling a person you must

64. Which is not an example of an open-ended question

65. Which is not an example of Clarification

70. If a resident become combative, a nursing assistant should:

72. What basic need is most essential

74. RACE as a safety rule means:

75. Which method of taking temperature is considered to be the most accurate?

76. The function of insulin is to:

79. If you patient is in traction you should not

81. Non verbal communication includes

83. List the seven warning signs of cancer.

1-The R.N., LPN, and nursing assistants are members of the

3-Nursing assistants are supervised by

4-Unauthorized touching of a persons body without the persons consent is called

8-Which statement about charting is incorrect

9-What are the parts that make up the whole person

10-The following are patients rights EXCEPT