This is a free personal care skills practice test for CNAs.
This is a timed quiz. You will be given 90 seconds per question. Are you ready?
At supper, Mrs. Sparks needs feeding assistance. Her diet is low Sodium, mechanical soft. Which food selection is appropriate?
A diet that is low sodium cannot have added table salt. Foods that are processed, such as hot dogs, sausage, and luncheon meat are not allowed because of their high salt level. Other foods that have surprisingly high sodium levels include cheese , soup, and salad dressing. Mechanical soft diets are easy to chew and swallow. The client may be too ill, have a swallowing disorder, or no teeth to properly chew the food.
While an unsteady resident is showering you should
Showers and baths present a risk for falls. If there is any doubt about a client’s ability to maintain balance, use a shower chair. Sitting in a chair lets the client be safe while enjoying the warm spray. Before having the client sit, make sure the shower chair is clean and sturdy. The client’s feet should touch the floor.
While dressing a post CVA resident with one-sided weakness, which arm should be put through the sleeve first?
When dressing a client with one-sided weakness, teach the client to use their unaffected (strong) side to dress the affected (weak) side first. When getting undressed, take the unaffected side out of the sleeve first. Clothing should be loose fitting and comfortable.
Mr. Jones is unconscious. What are some guidelines you need to remember when giving oral care?
The nurse aide should provide oral care at least every two hours to make the client comfortable. Even if you are not certain if the client can hear, explain what you are going to do. Proceed to give oral care after opening the mouth with a padded tongue blade. (Do NOT use your fingers, in case the client suddenly bites down.) Use mouth swabs or soft toothbrush to clean the teeth, gums, tongue, and inside of the mouth. Gently rinse with water. Finish with a lip lubricant.
An aide is pushing a resident down the hall with a wheelchair when a call light lights up. The aide should
Prioritizing and teamwork are necessary to give excellent patient care. If possible, stopping to respond to a call light, after safely parking the wheel chair, is the best action. The nurse aide can find out what is needed and ask another team member to follow up. Or, if it’s an emergency, the aide can call for help and begin to assist the patient.
A nurse aide should give an unconscious client oral hygiene at LEAST every
Unconscious clients are not able to keep their mouths moist and clean. The nurse aide should provide oral care at least every two hours to make the client comfortable. Even if you are not certain if the client can hear, explain what you are going to do. Proceed to give oral care. Finish by applying a lip moisturizer to prevent the lips from becoming dry and cracked.
When transferring a heavy resident from the bed to a wheelchair for the first time
Each resident has an individualized care plan that covers all aspects of their treatment and needs. It includes the type of services needed, who can provide the services, special equipment needed, and diet. If the resident is new, or has a new diagnosis or situation, always refer to the care plan before giving care. Ask the nurse if you have questions or need more information about how to proceed.
In what position should the nurse aide place the unconscious person when giving oral care?
When giving oral care to an unconscious client, place the client in a lateral (side-lying) position, with their head turned toward you. The bed can remain flat or the head can be raised to a semi-Fowler’s position. With a lateral position, the fluids can drain out of the mouth into the mouth basin, rather than down the client’s throat. Aspiration can be serious, leading to pneumonia. Always have a bulb syringe available to clear the client’s mouth as needed.
Which will NOT prevent pressure sores?
Pressure sores (also called bedsores and decubitus ulcers) develop when there is prolonged pressure on a part of the body that has little padding. Common areas are elbows, shoulders. Hips, tailbone, and heels. Because the skin is delicate, it should never be rubbed or massaged vigorously, especially if it is reddened. This damages the tissue under the skin and can contribute to the development of a pressure sore.
The nurse aide is caring for a diabetic resident. The nurse aide finds the resident trying to scrape off a callous on the little toe. The nurse aide should FIRST
Residents with diabetes can have complications from nerve damage and poor circulation. This means they may not even know their feet are injured. Wounds can be very slow to heal. Even a small cut on their feet can develop into a severe foot infection. Diabetics should always wear shoes and socks, and their feet should be checked daily for any signs of injury. Many facilities provide professional foot care specialists for their diabetic patients.
How should the nurse aide position the patient to apply elastic stockings?
Elastic stockings, or anti-embolism stockings, are used for patients who have had surgery or are unable to ambulate. Make sure the size is correct for the patient before starting. Assist the patient to lie down in a supine position. The patient’s feet and legs should be dry. Roll the stocking inside out all the way to the heel. Fit it on the foot and heel, then roll it up onto the patient’s leg. Smooth any wrinkles and make sure the stockings are straight. Talcum powder can be helpful to prevent friction and rubbing on the skin.
The BEST razor to use when shaving a diabetic client is
It is important to avoid any nicks or cuts when shaving, so an electric razor is the safest way for a client with diabetes to shave. High blood sugar levels and poor circulation cause wounds to heal slowly. Also, bacteria can thrive when blood sugar levels are high, putting the client at risk for skin infections.
To prevent dehydration of the client, the nurse aide SHOULD
Adequate hydration can be done during the day. Besides offering the client fluids, make sure there are beverages available during meals. Foods such as fruits, vegetables, and frozen ice pops are also good sources of liquid. Do not add extra salt or give salt tablets. Early signs of dehydration are dark urine, fatigue, dizziness, and a dry mouth.
A resident’s dentures should be stored in
Dentures are important for the client’s nutrition, as well as for their appearance and self-esteem. Handle dentures carefully, because they are expensive to replace. After cleaning, place the dentures into a clean denture cup filled with cold water and labeled with the client’s name. Do not place dentures in a tissue or paper towel; they could be accidentally thrown away.
When cleaning dentures, why do you line the sink with paper towels?
Dentures are important for the client’s nutrition, as well as for their appearance and self-esteem. They are expensive to replace, so ensure they are not damaged while you clean them. Before cleaning the dentures, place a paper towel or washcloth in the sink to provide a cushion in case the dentures fall. Hold the dentures over the sink, brush them with toothpaste, and rinse under running water.
Before helping a client into a bath or shower, the nurse aide should FIRST
Never let a client enter a bath or shower without checking the temperature of the water. The water should be warm, 95-105 degrees F (35-40 degrees C). Test the water against your inner forearm. The flow or spray should be gentle and directed at the client’s body to keep them warm.
A sitz bath is helpful
A sitz bath is warm bath that covers the client’s buttocks and hips. Some reasons for taking a sitz bath include post-rectal surgery, to soothe hemorrhoids, following childbirth, and to clean the perineum. With a sitz tub or the bathtub, use about 3 to 4 inches of warm water. Depending on the reason, medications may be added. A sitz bath lasts 15 to 20 minutes. After the bath, dry the perineum well.
There is an order to give a female patient a shower, but she refuses. The nurse aide should
If a patient is competent, they can refuse care or treatment. A patient who has dementia may simply need a different approach to bathing that day. In either case, try to reschedule the shower or offer a bed bath. If the patient continues to refuse, document what was offered. If the patient gave a reason, include their statement. The nurse aide should show that care was offered and refused, not that the care was skipped.
When assisting a resident with a weak left side from a wheelchair, the nurse aide should support the client’s
When helping a resident with one-sided weakness transfer or ambulate, support the weak side. The resident may not have feeling on the affected side or be aware of where their leg is. The nurse aide should stand on the resident’s weak side to be ready to assist or prevent a fall.
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 should refer to the
Before performing any procedure or giving care to a client, you must first be trained and demonstrate that you know what to do. After training, review procedures in the Policy and Procedure Manual that is on your unit or online at your facility. Do not begin a procedure if you aren’t certain how to do it.
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 of 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.