The personal care practice test for CNAs is designed to test the candidate’s ability to provide basic care for patients in various medical settings. It tests the skills of the CNA with regards to bathing, grooming, feeding, dressing, and transferring. The test also evaluates knowledge of infection control measures. It is recommended that you take this practice exam before taking your certification exam so that you know what you are getting into.
This is a timed quiz. You will be given 90 seconds per question. Are you ready?
When cleansing the genital area during perineal care, the nurse aide should
It is important to retract the foreskin of uncircumcised male patients in order to remove the smegma that collects under the foreskin. This smegma can lead to bacterial growth and infection. The foreskin is then replaced after the penis is cleaned.
You are providing mouth care to a patient who is in a coma. You should _______ to provide good and safe mouth care.
Patients in a coma also need mouth care. You have to modify the mouth care procedures to meet the special needs of people in a coma. There are special foam mouth swabs that are used to clean all areas of the mouth, including the cheeks and the tongue. You cannot use water for mouth care when a patient is in a coma, so there is no need to keep the bed up to avoid aspiration.
The abbreviation ac is defined as
The abbreviation ac is defined as before the meal.
You are doing home care for a person on a high fiber diet. Which of the following are high fiber foods?
Each of the others has an item which is not high in fiber- pork chop, white rice and pasta are not high fiber.
Routine oral hygiene for residents should be performed how frequently?
Three times a day is the standard of practice.
Mr. Green is to receive a partial bed bath today. Which parts of the body will you bathe?
Partial bed bath refreshes and removes dirt and secretions from those areas of the body most likely to be affected by moisture and perspiration.
The abbreviation pc is defined as
The abbreviation pc is defined as after the meal.
Your patient ate an 8 ounce cup of Italian ice. How much will you record on the patient's Intake and Output form in terms of this patient's fluid intake?
You will record 240 cc of fluid intake. Italian ice is considered a fluid.
You have recently started to do daily weights on your patient, Mary Q. Her first daily weight was 154 lbs on Monday and it is 176 lbs today, on Tuesday. You recheck the weight and the scale and it is still 176 lbs. This weight gain most likely indicates that Mary has
This weight gain indicates that Mary Q. has retained fluid. It is not possible to gain 22 pounds from eating too much in one day and it is pretty unlikely that the weights on both days are inaccurate.
How will you position Mr. Grayson, an unconscious resident, when you provide mouth care?
To avoid aspiration keep the residents head elevated, not flat, and turned to one side to allow secretions to drain. Prone and Trendelenburg positions or keeping the head flat places the resident at risk for aspiration.
Cheryl M. has a serious swallowing disorder. She has asked you for a glass of water. The doctor has ordered honey thickness fluids for her. Water is not a honey thickness fluid. It is much thinner. What should you do?
You can give Cheryl the water that she has requested, however, you must thicken it with a commercial thickener before giving it to her.
You are working in a community primary care center. It is your job to get the heights and weights of all patients. You are trying to measure a patient's height and you see that the patient is somewhat slouched. You should
You should ask the patient to stand up straight and erect so that you are better able to get an accurate height. The patient may just be carelessly slouching. If the person cannot stand up straight, report it to the nurse in the primary care center. It is not the job of a CNA to refer people to a physical therapist.
Which of the following is not a social barrier to communication?
Bad breath is a physical barrier to communication, as others may avoid you or you may avoid talking but this can be solved with a physical intervention of proper mouth care. The other listed answers can be social barriers to communication.
When performing perineal care for a female, you should:
The standard of practice that follows infection control guidelines is to cleanse the perineal area from the front to the back of the body.
Mrs. Oliver's feet are sensitive to the weight of the sheets and blankets on her bed. What device can you put in place to increase her comfort?
A bed cradle keeps the weight of the bedclothes off certain parts of the body. A bed board makes the mattress firmer and must be ordered by the physician. A footboard is used to prevent foot drop. A trochanter roll prevents external rotation of the hip.
You are preparing to give Mr. Smith a bath in the whirlpool tub. Which of the following should not be done?
Leave the door unlocked in case of an emergency. Provide for the resident's privacy. Follow infection control precautions, including cleaning the jets of the whirlpool bath before and after the bath and wear gloves when touching blood, body fluids, secretions or excretions.
Mr. Stewart has requested a back rub. Which of the following is true?
Back rubs provide therapeutic benefit when done properly and safety precautions observed.
You are assigned to give foot care to Mrs. James who is a diabetic and has not taken care of her feet and toenails before her admission to your facility. Which of the following must not be done as part of this task?
A CNA must never trim or clip a diabetic's toenails. In most states it is out of the scope of practice. You should clean the feet and file the toenails. You should use lotion to prevent skin drying and cracking as long as you dry the excess but you should not use lotion between the toes.
Your resident has a colostomy and it is your duty to keep it clean and intact. Which duties fall within your scope of practice?
You can clean out the bag without dislodging it or disturbing the wafer. You can also release gas without disturbing the wafer or bag. Answer A Is incorrect because, unless you have been trained and certified in ostomy care, changing the wafer is out of your scope of practice.
Which fact about dentures and denture care is true?
Dentures collect germs and debris in the same way that natural teeth do. They, therefore, must be cleaned at least once a day. A paper towel is placed in the sink to prevent breakage if they happen to fall from your hands, not to dry them.
Your patient has had a cardiopulmonary arrest and is being coded. After the code team arrives and you have given your report, what should you do for your other patient who is the roommate?
Try to work with other staff to find her another room and arrange a transfer. Returning to the room will be distressing and cleaning up and resettling the room could take hours. Answer A is incorrect because, after you give your report to the code team, you need to attend to your patient. Answers C and D are incorrect because even if you close the curtain you cannot block out the chaotic activity or sound. Taking her to the waiting room is good but leaving her there to return to the room after the code is not correct.
You have been asked to record the amount of food that the person has eaten during each meal. What kinds of words or numbers would you use to record this food intake?
Food intake is measured in terms of the percentage (%) of food that has been eaten. For example, you would record 25% of the vegetables if the patient has eaten about ¼ of the vegetables on the plate. The terms little and moderate are too vague and not specific enough. Fluids, not solid foods, are measured in terms of cc.
Mr. Johnson's electric razor is broken, so you report this to the nurse. Before switching to a safety razor, what must be done?
Anti-coagulants increase the risk of internal and external bleeding, so using a safety razor may risk bleeding. Having diabetes will not affect the use of a safety razor.
Which of the following is not an example of a moist application?
A cooling blanket is a dry application.
Mr. Grayson is an unconscious resident. How often will you provide mouth care on Mr. Grayson?
The standard of care is to provide mouth care every two hours if a resident is unconscious. Care should include removing excess secretions, moistening dry mucous membranes and maintaining skin integrity.
CNA Personal Care Tips
Ensuring client care and assisting them in their activities are the main responsibilities of a CNA. A certified nursing assistant is not aware of the mentality and the reaction of clients; still, he/she needs to take care of them. Sometimes it is easy for them to handle the patients, while sometimes it becomes difficult. A CNA cannot complain about it as the facility expects him/her to perform the duties effectively.
Even the clients are unaware of the problems they create in the state of irritation or depression during treatment. So, you cannot blame them. Thus it is a necessity for certified nurse aides to perform their functions efficiently. They are also responsible for checking vital signs, CPR, the safety of patients, maintaining records, and on-time reporting.
Right from changing/adjusting drips to assisting in daily activities like
- Brushing teeth
- Walking and exercise
a certified nurse aide takes care of everything. Some client care tips can be very helpful if implemented. Let us go through it.
CNAs must be calm and patient. They must take care of each and every need of a patient with honesty. They must consult their seniors if they are facing any problem in dealing with the patients. They must be proactive and good at communication. They must be polite and intelligent enough to convince clients who are not listening to them. You should not force them. You must try to adapt positively according to his/her condition and make him/her comfortable in your company. You need to take care of patients especially at the time of bathing, dressing, grooming and feeding.
For bathing, a certified nursing assistant must ensure following the same routine for the patients as with the one they started with. You must not take the client for bathing if he/she is very weak and feeling drowsy. Instead, for such clients, you must switch to a sponge bath. The bathroom must be well lit and must have good ventilation.
Bathing ensures freshness and increases the rate of blood circulation. It also prevents patients from infection. Praise them when they perform any activity on their own and make them aware that this is leading them towards a quick recovery. You must never ask a patient to take a bath on their own, especially if they are severely weak.
Grooming is also an essential task for certified nursing assistants. Proper grooming makes patients feel better psychologically. Mostly, you must allow clients to perform their activities on their own, as this increases their morale. Regular dressing around the wound is necessary to keep it safe and avoid any infection.
Hair grooming is also important to keep hair and scalp strong and healthy. When you assist them in grooming and if they carry out most of the tasks, it also leads to muscle movement making it more flexible than before.
Mouth Care Tips
Mouth care is important as well. You must concentrate on the patient’s facial expressions, as they are not open enough to reveal their pain. You must always check that the body of a client is free of rashes, any redness, or any other skin problem.
Resting and taking a healthy diet are the basic needs that ensure a faster recovery. A CNA must take care of these things. Make sure you provide/feed clients with food and medicines at the right time and in the right quantity. You must never pressurize them to eat (food), as they will hesitate to eat it. Instead, you must assure them that eating well will help them to recover easily. This will enlighten their minds.
Thus a CNA must be careful enough to make things and the conditions better for the clients. This will ensure a quick recovery and is not only good for the growth of the facility/hospital but also for the progress of all the employees of the facility including CNAs.