Are you a CNA, looking to learn how to collect and report data accurately? If so, take our CNA data collection and reporting practice test! This test will help you understand how to gather and report data in a way that is both accurate and useful. By taking this test, you will be able to improve your data collection skills and increase your chances of success when working as a CNA in a clinical environment.
This is a timed quiz. You will be given 90 seconds per question. Are you ready?
The RN asks you to bring the unit's collected lab specimens to the lab "stat". You should ______________.
Stat is the acceptable abbreviation for immediately and without any delay. Doing errands, like bringing lab specimens to the lab, can be done by CNAs.
Which of the following would be an objective observation?
Objective observations are those that can be seen, heard, smelled and felt by the CNA. Subjective observations can only be experienced by the resident.
The care plan states your resident may be out of bed ad lib. This means:
Ad lib, meaning "at liberty" is used to indicate at the preference or choosing of the resident.
A resident on your unit experiences cardiac arrest and the nurse calls for someone to bring the AED. What is the nurse asking for?
The AED delivers programmed electrical shocks to re-set the abnormal heart rhythm of victims of cardiac arrest. CNAs should know the exact location of the AED at the workplace and the protocols for its retrieval and use.
Mr. Golden's chart has a notation on the spine that reads "DNR." This means:
If Mr. Golden experiences cardiac arrest and is not breathing and has no pulse, he does not wish to receive any medical interventions designed to sustain or prolong life. A DNR is a type of Advance Directive.
When you are emptying your resident's catheter, you notice the urine is cloudier and there are bloody streaks in it. What should you do with the urine?
You should report your findings to the nurse before you empty the bag and document your observation and actions.
The purpose of HIPAA regulations is to:
HIPAA laws limit who can access patient private and medical information. "Need to know," not licensure, determines who can access information.
The nursing assistant has gone home when she remembers she forgot to document one of her residents. The best procedure to follow now is:
That standard procedure for documenting a late entry is to note the documentation is a "late entry." Then note the date and time the entry was written, the date and time the entry should have been written and enter the documentation.
CNAs are responsible for reporting. The primary purpose of reporting is to __________________.
The primary purpose of reporting is to inform the nurse about the patient, the patient condition and the patient's needs so the nurse can modify this care based on significant patient changes.
Which of the following lists the five senses?
The five senses are hearing, smell, taste, sight and touch. Auditory is the same as hearing and visual is the same as seeing. Common sense is not one of the five senses.
What kinds of things must the CNA immediately report to the nurse?
All significant physical, emotional and behavioral changes and problems must be immediately reported to the nurse.
Your resident has a history of skin allergies and needs to be careful about what soap she uses and what detergent she uses in her wash. You notice red bumps with no pus or oozing on her back when you bathe her. What is the proper term for these spots?
Papules are small raised pimples that have no pus or oozing and often form a rash on the skin.
Under HIPAA, what is PHI?
The acronym PHI means "protected health information" under HIPAA) It is the information which may be passed from one health care provider or entity to another and the manner in which this may be passed.
You are the CNA taking care of Lorraine T. She has a urinary drainage bag. You notice that her urinary output is scant and it is dark amber. What should you do?
You must immediately report this observation to the nurse. The urinary output for all patients, including those who are not taking fluids by mouth, should not be dark and it should be at least 30 cc per hour. This observation indicates that Lorraine's urinary output is not normal, and, therefore, it must be reported to the nurse.
You enter Ms. Diamond's room and observe she is having difficulty speaking after she awoke from a nap. You should next:
Any observed change in condition should be reported promptly to the nurse. Waiting or offering fluids when her speech or swallowing ability has been compromised could be dangerous. Pencil and paper may be helpful but the nurse must be notified immediately.
You are the CNA caring for Mr. Charles Y. You see a notation on the nursing care plan that states, "remind the patient to use the incentive spirometer tid". This patient will be reminded at which of the following times?
Tid is the abbreviation for 3 times a day. These times are usually 10 am, 2 pm and 6 pm
Match the abbreviation with the correct definition:
The abbreviation ac means before meals. Bid is twice a day; tid is three times a day and pc is after meals.
CNAs are very important in terms of observation and reporting. Why is this role so important?
Observation and reporting are extremely important components of CNA care. CNAs serve as the eyes and ears of the nurse when the nurse is not in the patient room.
You are the CNA caring for Mrs. Thomas. You see a notation on the nursing care plan that states, "ambulate at least 10 yards qid". This patient will be assisted with ambulation at which of the following times?
Qid is the acceptable abbreviation for four times per day. These times, in most facilities, are 10 am, 2 pm, 6 pm and 10 pm.
A loud crash at the end of the hall is coming from a room that you are not assigned to. What should you do first?
You must immediately rush to the room and use your senses to observe what has happened. If it is a life threatening emergency or an urgent matter, you must insure the safety of the patients and immediately report your observations to the nurse. If it is a minor accident, like a falling telephone, you can manage it yourself. You cannot ignore this because it is not one of your assigned rooms. It can be an emergency.
As the CNA you know that Mr. Thames has CHF. What specific observations should you make when doing AM care?
CHF or Congestive Heart Failure shows symptoms of increased swelling in the extremities, as well as dyspnea on exertion even from simple tasks. The color and amount of urine can indicate if he is holding water and not urinating enough or if he is diuresing and therefore getting some of the fluid off. While this may be his normal conditions, you will want to report your observations to the nurse. Answer B is incorrect because if he is retaining water his urinary output will decrease unless he has been medicated with a diuretiC) Answer C is incorrect because a fruity smell on his breath would be from diabetes and a sugar imbalance. Answer D is incorrect because a swollen abdomen and bowel habits would be indicative of a constipation or a gastrointestinal problem.
You are working the 4 pm to 12 midnight evening shift. You are taking care of a group of patients. The RN identifies 5 patients who get a therapeutic backrub at "HS". When will you give these therapeutic backrubs?
HS is the acceptable abbreviation for at the hours of sleep or at bedtime.
You are giving care to a 76 year old patient. You noticed an unusual fruity mouth odor when you are providing oral care to this patient. What should you do?
You must immediately report this abnormal physical finding to the nurse. It could be a sign of high blood sugar.
Mr. Banks has a Foley catheter in place. You have observed him pulling at the catheter and handling his penis on several occasions. How should you address this problem?
You should approach the patient to assess the discomfort source and level. You should then assess the catheter insertion site and urine appearance to see if there is drainage or bleeding. Then you inform the nurse so that he/she can assess the need for intervention. Answer A is incorrect because you have not fully assessed the situation at your level before approaching the nurse. Answer option C is incorrect because telling Mr. Banks not to touch or pull the catheter does not address his discomfort or inform the nurse. Answer D is incorrect because it is not in your scope of practice to assess or discuss physician ordered care such as catheters.
After documenting a set of vital signs for Mr. Alvarez, you realize you wrote in the spot for another patient. You should:
Never erase, white-out or scribble out an incorrect entry. Follow your facility's procedure for correcting errors of documentation. Notifying the director of nursing is not standard practice.