CNA Practice Test for Personal Care Skills – Updated 2022

A CNA practice test is a valuable tool for those seeking to become certified nursing assistants. The test covers personal care skills that are important for CNAs to know. The questions on the practice test are verified and updated regularly to ensure they reflect the latest information and practices in the field of personal care.

The practice test consists of 30 questions that cover a range of topics related to personal care. These topics include bathing, grooming, and dressing a patient. The questions are accompanied by explanations that help you understand why each answer is correct or incorrect.

The practice test is an excellent way to prepare for the real certification exam. It can help you identify any areas where you need more study and practice. It also allows you to familiarize yourself with the format and content of the certification exam.

This is a timed quiz. You will be given 90 seconds per question. Are you ready?

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The Sims' position is MOST similar to the ________ position.

Correct! Wrong!

The Sims' position is most similar to the lateral position. The patient is on their side for both; it is the position of the arms and legs that differ.

You are caring for Adele T. She is a 56 year old diabetic who was admitted to the hospital for breast cancer surgery. You notice that her toe nails are jagged and they need trimming. You should do which of the following?

Correct! Wrong!

CNAs cannot cut the toe nails for diabetic patients. Therefore, you should report the condition of the nails to the nurse so the nurse can assess the nails and plan the appropriate interventions. CNAs can only cut the toe nails of patients and residents that are not diabetic. We should not "tell" patients that toe nail clipping is their job, but you could ask them if they would prefer that they clip them, rather than you.

You are doing Mrs. Kipp’s HS care. You know she wears bilateral hearing aids. How do you handle the hearing aids at bedtime?

Correct! Wrong!

The resident has the right to wear either or both hearing aids to bed if she wishes. You first need to ask her if she wants them removed. If she does not want them removed, be sure to pass this information on in a report so they do not come out overnight and get broken or lost in linen. If she wants them removed, the hearing aids need to be turned off and placed in a proper container. You do not need to remove the batteries. Do not leave them on the bedside stand unprotected, as they may get lost or damaged.

Now, you are ready to dress this resident who had the CVA five years ago. The resident chooses a long sleeve, buttoned shirt to wear. You should ______.

Correct! Wrong!

The CNA should encourage the person to choose their own shirt. They should also help the person put the shirt on only if the person needs help. We must promote independence and a sense of dignity for our patients and residents.

Miss Jones asks if you can wash her hair today while she is in bed. What is the most important consideration?

Correct! Wrong!

Shampooing may be safely and legally done by one CNA while the resident is in bed, but a doctor's order may be needed depending upon the resident's diagnoses. Always check with the nurse.

The CNA should wash from the __________ when washing a patient's eye area.

Correct! Wrong!

You would wash from the inner canthus of the eye near the nose to the outer canthus of the eye. This is done because you are moving from the cleanest area of the eye to the "dirtiest" part of the eye. The nares are the nasal passages.

When giving a backrub, the nurse aide should _______________.

Correct! Wrong!

The resident should be placed on their side (the lateral position) or in the prone position(on the chest) so that the entire back is visible to the nurse aide. The back, not the entire body, is exposed. The lotion should be warmed up a bit for added comfort and there should be no extra, dripping lotion left on the back.

Your resident has essential tremors in her hands. How can you assist her at mealtime?

Correct! Wrong!

Residents may have a place where others are used to her disabilities and she should have her special utensils. Answer A is incorrect because she has the right to go to the dining room if she is able. Often times there are different dining rooms depending on the level of function. Group dining is a social function and should be encouraged. Answer C is incorrect because getting her there early to feed her defeats the social dining event and may discourage her from going to the dining room. Answer D is incorrect because if the resident needs assistance in set up or cutting, it must be done and can be handled quietly and quickly so as to not embarrass her.

The first step in a bed bath is to wash:

Correct! Wrong!

The resident's face is washed first, beginning with the eyes. No soap is used on the face.

Your resident is a very skinny malnourished woman who refuses to eat and lies on her back all the time. When you give her a bath, you notice a reddened area on her coccyx. Your best action is to:

Correct! Wrong!

Pressure ulcer prevention requires teamwork and clear communication of methods of treatment and responsibilities of each team member.

You have a new resident who has a history of frequent pneumonias, and seems to be reluctant to eat. His voice is hoarse and he coughs a lot. How should you tailor your care for him to counteract these things?

Correct! Wrong!

He is probably aspirating his food when he eats. You should sit him up as much s possible preferably at a table and cut his food into manageable sizes. Thickened liquids is a physician order usually preceded by a swallow study or speech therapy consult. Answer B is incorrect as his symptoms are more likely the result of a fear of choking than illness. Answer C is incorrect because this discourages his independence and does not address the problem. Answer D is incorrect because he may go to the dining room. Denying him this is denying him social interaction. Discussing it with the dietitian is alright but the nurse is the one who will interact with the doctor to make her aware of this condition. Diet and liquid consistency are physician orders

When providing routine care to the resident's feet, you should:

Correct! Wrong!

Cutting toenails is not routine care and in some facilities can only be done by a nurse or doctor. Excess lotion can contribute to skin breakdown and risk of infection. Cool water can be uncomfortable for the resident.

You are preparing your new resident for a shower in the tub room and she begins yelling and becoming agitated. What should you do?

Correct! Wrong!

The resident is indicating by her behavior that she is uncomfortable with the procedure. Rushing through, overpowering or coercion is not acceptable. A partial bed bath may be more acceptable and less upsetting to the resident.

A stage III pressure ulcer has:

Correct! Wrong!

A stage III pressure ulcer has full thickness skin damage with yellow tissue at the bottom of the crater.

A good diet must have all four food groups. The four food groups are _____________.

Correct! Wrong!

The four food groups are dairy, meat, fruits/vegetables and grains.

You have a home care client who is on a 1200mg sodium restricted diet. You are very careful how you plan her meals to accommodate this. What else can you do to insure she remains in the 1200 mg limit?

Correct! Wrong!

When planning meals you should be aware of and take in to consideration the sodium content in all medications. It can be quite significant. Answer B is incorrect because there is a varying mount of salt in almost every cereal product and this should be taken in to consideration. Most fresh fruit has no sodium content. Answer D is incorrect because a 1200mg sodium restriction for a heart patient or a kidney patient is quite routine.

Mrs. Dee has expressive aphasia. Her only response is "no". How can you determine if she consents or agrees with what you are doing for her?

Correct! Wrong!

If you have a picture board and she is able, you can tell her what you are going to do and she can agree. Answer B is incorrect because even with expressive aphasia, you should allow the resident the opportunity to decline or agree with treatment at the level she is able. Answer C is incorrect because it may be a habitual response and it may not show cognition to agree. Answer D is incorrect because while expressive aphasia deters response regarding treatment, it does not assure her understanding.

You are ready to give your resident a complete bed bath. The temperature of this bath water should be which of the following?

Correct! Wrong!

The temperature of all bath and shower water should be about 106 degrees. A bath thermometer should be used to determine the temperature of all bath water to make sure that it is not too hot. Hot water can scald and burn a patient or resident. You must also be sure that the temperature is not too cool. Cool water is not comfortable for a bath or shower and it can lead to shivering and chilling.

How many cc s are there in 25 ounces?

Correct! Wrong!

There are 30cc per ounce. There are 750 cc in 25 ounces.

Dried beans are part of the _________ group of foods.

Correct! Wrong!

Dried beans are part of the meat group of foods. Dried beans are high in protein.

You have been taught that it is easier for females to contract a urinary tract infection than for males. How can you be vigilant to help prevent this from happening?

Correct! Wrong!

All of the answers can be used to encourage a female patient to prevent urinary tract infections.

You have accidentally nicked the patient's neck when you are shaving him. You should ________________.

Correct! Wrong!

You should apply pressure to the area, observe the bleeding area and report the bleeding to the nurse. It is not your decision to bring the patient to the emergency room. Such decisions are made by the nurse after a nursing assessment. You cannot put an antibiotic on the area because an antibiotic is a medication and CNAs do not administer medications of any kinD) Although it is easier to use an electric razor, many patients do not like them and they prefer a regular razor.

While providing perineal care and cleansing to a female patient who is incontinent of urine and stool, you should ________________.

Correct! Wrong!

The procedural steps for female perineal care, in order, are cleaning the internal labia, then the external labia, and then the groin from the front to back toward the rectum. The rationale for these procedural steps is the prevention of infection by moving from the cleanest area to the dirtiest area, rather than from the dirtiest to the cleanest area.

You are ready to wash your patient's face. You would start by washing what area of the face?

Correct! Wrong!

The eyes are the first area to be cleaned. The eye area is considered the priority in terms of moving from an area that can be potentially infected to areas of the face and body that are least able to become infected with a washcloth.

You are performing AM care on Mr. Jack. While you are cleaning his dentures, he rinses his mouth out. When he spits into the emesis basin, you notice blood in the fluid. You have him rinse again to see if there is additional blood. What action should you take next?

Correct! Wrong!

Bloody sputum is not normal. Since there was blood in the sputum, you should check the mouth for obvious physical causes of the blood. Check the dentures for any rough spots or cracks that may have caused openings or sores. If the dentures seem to be intact and you do not see sores or open areas, you can have the resident put his dentures back in. Report the event and your findings to the nurse in the event that Mr. Jack has any underlying immunity compromise or is on anticoagulant medication.

You have just arrived for the night shift. In a report you were told that Mrs. Kipp kept her hearing aids in at bedtime. What action should you take?

Correct! Wrong!

If the resident takes the hearing aids out or if they fall out, the proper container should be available to put them in.

Peripheral Vascular Disease (PVD) is very common and a CNA can perform certain functions that can help with it. What might you do in your daily care with this in mind?

Correct! Wrong!

A TED hose should be applied first thing in the morning to prevent venous stasis and edema which support venous return. Answer A is incorrect, as massaging feet is a nice gesture, but the leg veins in PVD are prone to blood clots and massaging them might dislodge them. Answer C is wrong because a TED hose should be on when the resident is up to prevent venous stasis from occurring. Answer D is incorrect because administering medication of any kind is out of a CNA's scope of practice.

Your resident is complaining of chest pain. What should you do?

Correct! Wrong!

The causes of chest pains can vary from minor indigestion to a heart attack. The vital signs need to be available when you report to the nurse. Keeping the resident NPO insures that any intervention such as cardiac catheterization will not be delayed because he has eaten. It also is a positive thing because digestion requires oxygen and physical work which may take away from the heart muscle being oxygenated and the body resting

Your resident had a stroke, or CVA, five years ago. The resident still has right sided weakness. You are ready to transfer the resident from the bed to the wheelchair. The wheelchair should be positioned at the _______________.

Correct! Wrong!

The wheelchair should be positioned at the head on the bed on the resident's left side so the resident can assist with the transfer with their stronger left side.

You take an adult's blood pressure and it is 40/20. You immediately report this to the nurse .The nurse returns to the patient room with you. She instructs you to place the patient in a Trendelenberg position while the nurse rechecks the blood pressure. You will ____________to put the patient into the Trendelenberg position.

Correct! Wrong!

The Trendelenberg position is used for low blood pressure. This position involves raising the foot of bed and lowering the head of the bed so the blood pressure will rise.

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