This is our first free CNA basic nursing skills practice test. The question pattern is (NNAAP) standard and up to date for 2021. This practice test has 70 questions and you will be given 90 seconds per question to answer. To pass the test, you have to correct at least 80% which is 56 questions. At the end of the test you can review all of the questions and retake the test if necessary. Good Luck!
This is a timed quiz. You will be given 90 seconds per question. Are you ready?
A resident is ill with the following symptoms: fever, swelling, redness, and chills. The resident most likely has ____.
Given all of these symptoms combined, infection is the correct answer. The swelling and redness, coupled with the fever, indicate a local infection. The other options do not commonly have all of these symptoms combined.
After assisting a resident onto a bedpan, it will help to make the patient more comfortable if you
Raising the head of the bed once a resident is set on a bedpan will make them more comfortable. Turning on the television may actually interfere with the process and the other options may make the resident more uncomfortable.
A nursing assistant is instructed to take the oral temperature of a patient who just had a cold drink. The patient’s temperature should be taken ____.
A delay of 15 minutes should be enough time for the oral cavity to return to a more accurate body temperature.
A resident in your care has called you for help. He claims he can’t find his dentures. As a nursing assistant, it is your responsibility to ____.
The supervising nurse should be notified. He or she will determine the appropriate documentation of the incident. It is not a nursing assistants role to contact the family members or make a decision that the resident should stop eating.
A resident has the following symptoms: dizziness, feeling faint, blood pressure below 90/60 and cold, sweaty skin. The resident is most likely suffering from ____.
Hypotension is low blood pressure and all these symptoms are associated with it. Hypodermia is the medical term for tissue under the epidermis, hypoglottis is the underside of the tongue, and hypertension is high blood pressure.
Which of these would be inappropriate when caring for a diabetic patient?
Patients with diabetes can have diabetic neuropathy, which means they have a decreased sensation in their extremities. If the patient soaks his or her feet in hot water, he or she could sustain tissue damage as he or she may not be able to tell if the water is too hot. Keeping the feet clean and dry is an appropriate care tactic for diabetic patients. Diabetic patients should eat several snacks throughout the day to keep their blood sugar stable, and their overall intake should be monitored and reported to prevent large blood sugar swings.
You should be careful when changing, as this is a common site for unintentionally discarded needles.
As many procedures requiring the use of needles and other “sharps” are done at the bedside, the bed linens may be a place where extra precaution is needed when changing as they may be a common site for unintentionally discarded needles.
A CNA is recording the 24-hour urine output of a patient with kidney issues. What 24-hour urine value would warrant a report to the nurse?
The normal 24-hour urine output for a patient should between 800 and 2000 cc. 600 cc of urine in 24 hours could indicate a complication and should be reported
You are caring for a patient with a strict dysphagia diet. Which item on the patients tray would you question?
Those with a strict dysphagia diet have difficulty swallowing, so the foods they eat must be pureed and of thin consistency. Peanut butter, jell-o, and fruited yogurt would all be considered too textured for someone on a strict dysphagia diet.
Transmission-based precautions are ____.
When a resident is suspected or confirmed of having a disease that can be transmitted to others, transmission-based precautions are added to standard-based precautions and are designed to interrupt the spread of disease. The other options are not true as transmission-based precautions are not applicable for all residents, can be more stringent than other precautions and are used more than just during an epidemic.
Which of these applies to proper hand washing procedures?
Using a paper towel to turn off the faucet prevents transferring germs from the faucet to your hands. The other options are incorrect because friction needs to be longer than 15 seconds, using only antibacterial soap may not be an option, and some soaps can be effective even if they do not produce a lot of lather.
Which of these is not true about the proper procedure for taking a tympanic membrane temperature with an electric thermometer?
Do not attempt to remove cerumen from the ear canal before taking a tympanic membrane temperature. All of the other answer choices are procedures that should be followed.
A pulse can be taken in all of these areas except ____.
A pulse is not taken at the back of the head, but can be taken at any of the other options.
Which of these is the least likely to signal impending death?
Impending death will often lead to a decreased appetite rather than an increase in appetite. The other answer options are all common signs of a body shutting down.
Alcohol-based hand cleanser is appropriate for all of these situations except ____.
Observable dirt that is visible on hands requires soap and water. The other options are all considered times that alcohol-based hand cleanser could be used.
Which is the standard for measuring urinary output?
Urinary output is measured in milliliters (ml). Some facilities may still use cubic centimeters (cc), which are volumetrically equivalent to milliliters. However, the use of cubic centimeters is not considered best practice due to the abbreviation “cc” often being confused for the abbreviation “u” (meaning units). The other answers are not the correct standard of measure for this type of output.
Which medical position can be described as, “The patients head is elevated with legs either bent or straight”?
In Fowlers position the head is elevated. In Trendelenbergs position the head is lower than the feet. In Sims position the resident is lying on one side. In Roses position the head is over the end of a table.
If you are helping a resident put on a clean night shirt and it falls to the ground before you get started, it is best to ____.
Picking up something that has dropped to the floor and then using it on a resident can cause contamination and infection. The resident may not make the best decision and should not choose. Placing the shirt on a chair can be easily forgotten and the resident could pick it up at a later time and put it on.
Which of these is not true when taking a blood pressure reading?
It is not optimum to have a resident lying down for a blood pressure reading. All of the other options are true considerations for optimum results.
Applying friction in the handwashing process is very important. According to CDC recommendations, the scrubbing portion of hand washing should take ____.
20 seconds is the suggested recommendation for proper friction. To make sure you are scrubbing for the correct amount of time, it is often suggested you sing or hum “Happy Birthday” to yourself twice while washing.
Which of these is least likely to contribute to skin tears?
The length of a resident or caregivers hair is the least likely element to cause a skin tear. The other options are all considered common causes of skin tears for both the elderly and the very young.
A fractured hip is ____.
A fractured hip is the most frequent of all injuries when a resident falls. The other options are varied depending on the residents age, the overall health of the resident, or how fractured the hip may be.
The medical term tetraplegia—meaning paralysis of all four extremities—is often used interchangeably with the term ____.
Quadriplegia is another word used for tetraplegia—both of which mean paralysis of all four extremities. Hemiplegia is paralysis of one side, cardioplegia is paralysis of the heart, and paraplegia is paralysis of just the legs.
Making a bed, whether occupied or unoccupied, should end with ____.
Hands should be washed after making the bed. The other options are part of the process but not the last step.
Which of these treatments would be best to decrease swelling?
Cold packs are applied to reduce swelling. Heat compressions are common treatments for back pain. Dry bandage pressure is used to stop bleeding and moist bandages are used on burns.
Which of these is the correct step in taking a radial pulse?
Taking a radial pulse requires fingers placed on the inside of the wrist against the radial bone. The count is for 60 seconds. The other options are incorrect.
All of these might be used in dealing with contractures except ____.
Contractures involve the degeneration and stiffening of joints. Bandaging is not used as a method of prevention or treatment. The other options are all possible ways of preventing contractures from happening or loosening joints after contraction has occurred.
The best use of alcohol-based sanitizer is:
Alcohol-based sanitizers are best used for hands that are not visibly soiled. Soap and water are used when soiling is visible. The other options are not appropriate times to use alcohol-based sanitizer.
A resident has the following symptoms: expelled brown fluid from the rectum, excessive amounts of flatus, and light abdominal cramping. Which of these is most likely the cause of these symptoms?
These are common symptoms following an enema procedure. If the cramps become severe, contact the charge nurse. These are not primary symptoms indicating a heart attack, blood clot, or stroke.
Why is an axillary reading generally lower than the other forms of taking a temperature?
Axillary temperatures are taken in the armpit. They are not actually inside the body such as in the mouth, rectum, or ear. The other answers are incorrect.
If you smell smoke and discover a resident smoking in his room, it is best to ____.
The resident needs to stop and to know you will not allow his behavior to continue. He also may need to be reminded of the policies and hazards. The other options are not the proper way to immediately deal with the situation.
Why is taking a residents oral temperature the most common means of obtaining a reading?
Ease of using this method makes it the most preferable. The other answer options are not necessarily true.
When having a conversation with a dysphasic patient (someone who has trouble speaking), it is important not to ____.
Dysphasia may occur as the result of a neurological problem (stroke or Alzheimers disease) or a past surgery to remove a cancer from the mouth, tongue, oral cavity, or larynx (voice box). It is important to remember that although the patients ability to communicate has been affected, their intelligence has not. Be patient and do not hurry them. Do not try to finish what you believe they are trying to say. Use visual aids and devices to help them communicate, encourage them to use all of their senses to convey their needs, and always praise their efforts to communicate.
All of these are ways to prevent pressures sores except:
Providing extra blankets will not necessarily help with pressure sores. The other options all assist in pressure sore prevention.
A nursing assistant may help in alleviating the use of restraints on a resident using all of these suggestions except ____.
Threatening the use of restraints makes it a punishment and is not the appropriate action. Restraints are only used when a physician has prescribed them and is not determined by a nursing assistant. The other options can be used to help diffuse the use of restraints and may or may not work depending on the situation.
Which of these best describes the purpose of padded side rails?
Padded side rails are to protect the resident from injury. The other answers are incorrect
Which medical term is often used for “burping, belching and passing gas”?
The medical term for intestinal gas is flatus. Familial refers to a condition more common in certain families than in the general population. Fascia is the medical term for a tissue lining under the skin. Flank is used for a side of the back.
Which statement is incorrect regarding the Heimlich maneuver?
If the resident can cough, there is a good chance the object will be dislodged. If the resident cannot speak or cough it is a sign you need to do the maneuver. All of the other options are correct.
A resident in your care is suffering chest pains. Which of these is not a direction to follow?
Patients suffering chest pains should not have water or foods until they can be assessed by other members of the healthcare team. A prone position is not appropriate for chest pains. All of the other options are important in the treatment of your resident.
When transferring a resident from a wheelchair to stationary chair, the nursing assistant should stand ____.
Standing in front of the wheelchair is the most ergonomic way for the nursing assistant to pivot a resident into a stationary chair. The other options are not as effective for allowing this.
A resident drinks 8 ounces of milk during lunch, but the standard measurement of documentation in the facility is cubic centimeters (cc). What value would the nursing assistant record?
There are approximately 30 cc in every ounce, so 8 ounces is equal to approximately 240 cc of fluid.
Which of these is not true about condom catheters?
Condom catheters are external catheters and often described as more convenient than internal catheters. All of the other options are facts about their use.
Which of these is considered an accurate method for counting respiration rate?
The nursing assistant monitors a watch for a 30 second interval while observing the residents abdomen. The other options could produce an inaccurate result.
Which of these should not be part of the process for cleaning a residents dentures?
Placing dentures on a tissue could lead to dentures being knocked off and damaged or a housekeeper removing the tissue and, inadvertently, throwing the dentures in the trash. The other options are extremely important to the washing process.
Another term for decubitus ulcer is ____.
The term pressure sore is actually a more accurate term to use than decubitus ulcer. The other options are incorrect.
Which of these is incorrect in reference to wearing gloves?
Latex gloves may not necessarily be the best choice because of latex allergies. The other options are all necessary precautions that should be used.
Which is the best advice if you are uncertain you are able to move an obese patient on your own when it is time for their scheduled re-positioning?
Always ask another nursing aide to help if a resident is too heavy and you are not sure if you can manage on your own. You do not want to risk injury to the patient or yourself. The same applies to family members. The patient is not able to move himself/herself, so this option is not appropriate in this scenario.
Which of these is not a signal for notifying the charge nurse regarding a residents ostomy bag?
A temperature of 98.8 is considered within a normal range. Pus or bulging around the stoma or a sudden increase in stool should all be reported to the charge nurse immediately.
To obtain the most accurate patient weight, the nursing assistant should weigh the patient ____.
Weighing the patient at the same time every day will yield the most accurate results, as the patient is likely in similar circumstances.
A resident with venous stasis has developed pressure sores under elastic stockings. What is the most likely cause?
Wrinkles in stockings or bed sheets are a common cause of pressure sores. While the other options may cause different symptoms, pressure sores develop when there is an article pressing against the body for a period of time.
To avoid pulling the catheter when turning a patient, the catheter tube should be taped to the patients ____.
Taping the catheter to the upper thigh can help prevent inadvertent removal and physical trauma. Taping it to the outer thigh, bed frame, or knee can cause pulling and removal when you are turning a patient.
Which statement is false with regard to taking a rectal temperature?
Mercury thermometers are no longer used in medical facilities due to the dangers of mercury. The other answers are all correct pertaining to rectal temperatures. The insertion depth would be less in a child or infant.
The normal pulse rate for an adult is 60-100 beats per minute. The normal pulse rate for children is ____.
A range of 70 to 120 is normal for young children. Babies up to 1 year old can have even higher pulse rates. The other options could apply to adults or conditioned athletes but are incorrect for children.
Which of these describes stage 4 of a decubitus ulcer?
Damage to the bone, joint, or tendons signals stage D: Stage 1 is redness, stage 2 is both redness and an open sore, and stage 3 may indicate a blackened or crater-like appearance.
To minimize the spread of bacteria, further infection and contamination, which procedure should be used for washing the perineum of a resident with a catheter?
Washing from the meatus out is correct because it avoids further spread of contamination. Peroxide is not a cleanser and the other two options are in the opposite direction they should be in.
Which of these examples demonstrates using proper body mechanics when helping to lift a resident in bed?
Keeping knees flexed and using leg muscles to lift are the best options to avoid injury. The other options are not using body mechanics properly and increase the likelihood for injury.
All of these precautions should be followed when using a transfer-gait belt, except ____.
Proper body mechanics are always used to avoid injury and should never be ignored. The other options are all useful precautions.
Convulsions are associated with ____.
Convulsion is a term often used interchangeably with seizures. The other options are all incorrect.
When muscle tissues shorten and then a joint becomes hard to move it is called _____.
Contracture is the shortening of muscle tissue making stretching difficult. A rupture is when something bursts open. A twitch is a sudden, jerking movement. A perforation is an opening.
The medical term for a device with two soft plastic prongs that attach to a plastic tube delivering oxygen is:
A nasal cannula is the device that goes into the nose and helps deliver oxygen. The other options are all incorrect.
As a CNA, you become an advocate for the resident(s) that you care for. This means that you ____.
Because you will likely spend more time with your resident(s) than any other member of the healthcare team, you will have very close interactions with them. This will lead to you befriending them and becoming their advocate, which is communicating their needs when they might not be able to.
There is a sign that says “NPO” on your patients door. You know this means ____.
If patients are “NPO,” they are not allowed to have any food or fluids by mouth.
Which of these would most likely be used to protect a resident from inflicting immediate harm to themselves in a care facility setting?
Restraints are only used with an order from the physician and only when the resident is in danger of harm to themselves or others. Isolation increases the chance for harm and additional staff or a 24/7 watch schedule are likely unmanageable with the number of residents and staff in a care facility. This is the correct answer, given the answer choices, however, please check the regulations in your state concerning the use of restraints. There is at least one state that does not permit their use.
If you are walking with a resident and they fall, which of these is not an action you should take?
Helping the resident off the floor and in to the nearest chair is not an immediate action to take. A serious injury might become worse if the resident is moved. The other actions are all necessary in the process of dealing with a resident who has fallen.
Hypertension is a medical term for:
The medical term for high blood pressure is hypertension. The other options are incorrect.
Which of these could be considered neglectful when assisting a resident with showering?
Residents left alone in the shower could slip and fall; leaving a resident alone is considered neglect. All of the other options show care for the patient and his/her rights.
A nursing assistant is caring for a patient with MRSA and is wearing a gown and gloves whenever she provides the patient care. When she needs to go care for another patient, she should dispose of her gown and gloves:
Taking the gown and gloves off in the patients room before leaving to care for another patient helps reduce the spread of infection to staff and other patients.
A resident is supposed to have 240 milliliters of juice every 2 hours. Which of these choices would be the most convenient to meet this requirement?
There is approximately 30 milliliters for every ounce, so an 8 oz. can of juice is the exact requirement. The other options could be used but are not the most convenient.
Which of these tasks related to intravenous therapy is in the scope of responsibilities for a nursing assistant?
A nursing assistant can watch the flow of solution and then report any problems to the charge nurse. The nursing assistant cannot start the feed nor prepare the solution.
Your patient has a low pulse, seems slightly confused, and has sweet, fruity-smelling breath. You suspect ____.
Hyperglycemia, or high blood sugar, is marked by slurred speech, low pulse, warm skin, sluggish or confused demeanor, deep respirations, and fruity or sweet-smelling breath.