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1. In the nursing care plan, you note that it is written O2 n/c at 3L orthopnea p as needed. As a CNA, you know that this means which of the following?
Consider the terms related to oxygen administration and respiratory issues, particularly focusing on the method of delivery and the specific patient condition that affects their breathing position.
2. Which of the following is associated with smoking?
Consider the serious health conditions and diseases that are commonly linked to tobacco use, particularly those affecting the lungs and heart.
3. Mrs. Shamway has an order for intake and output. You have picked up her breakfast and note that she drank half of a 6 oz glass of juice, 4 oz of milk, and 8 oz of coffee; therefore, you document:
Make sure to sum the total liquid intake after converting each individual drink from ounces to milliliters, using the conversion factor of 30 milliliters per ounce.
4. You are caring for Mr. Brown who has a diagnosis of COPD; his SPO2 is 82%. He is currently receiving O2 via nasal cannula at 2 l/min. What do you do?
Consider the importance of monitoring oxygen levels in COPD patients and the potential consequences of adjusting oxygen therapy without consulting a nurse.
5. The opening of the colostomy to the outside of the body is called a:
Think of the term that refers to the artificial opening created during a surgical procedure to allow waste to exit the body.
6. On what side should the patient lie for an enema?
Consider the anatomical layout of the colon and how gravity can aid in the process.
7. Mrs. Shamu’s nursing care plan lists CHF (congestive heart failure) as her primary diagnosis. You would expect her ADL routine to include:
Consider incorporating daily monitoring of weight to assess fluid status and manage potential complications associated with CHF.
8. The circulatory system consists of which of the following?
Think about the key structures that facilitate blood flow and exchange throughout the body, focusing on the main organ that pumps blood and the vessels that distribute and return it.
9. Which of the following should be reported immediately?
Consider conditions that indicate a critical change in a patient’s status, particularly those that could lead to severe complications if not addressed swiftly.
10. You should be careful when changing ___ as this is a common site for unintentionally discarded needles.
Think about the area where patients rest and receive care, and consider the potential hazards associated with sharp objects.
11. Mrs. Johnson is an 83-year-old female patient who suffers from the late effects of a CVA. She has left-sided hemiplegia. This is:
Consider how brain damage from a stroke affects motor function on the opposite side of the body.
12. A patient appears paler than usual; the nurse aide should:
Observe for any signs of distress and communicate your findings promptly to ensure timely assessment.
13. Postpartum refers to:
Think about the time frame that follows childbirth and the changes a mother experiences during this phase.
14. In a report, the nurse aide is told that one of her patients has been ordered NPO after midnight. The aide should:
Remember that NPO means nothing by mouth, including water. Ensure the patient has no access to fluids and provide mouth care for comfort.
15. Alcohol-based hand cleansing is appropriate for all of these situations except:
Consider the scenarios where hands may not be clean despite the use of a sanitizer. Remember, visible contaminants require thorough washing beyond what alcohol-based products can offer.
16. A patient who was given insulin in the morning is pale and sweaty and appears confused 2 hours later. It would be helpful to find out whether the patient:
Consider whether the patient consumed food after insulin administration, as this could reveal important information about their current state.
17. A resident with an ostomy evacuates feces through the:
Think about the surgically created opening in the abdomen that allows for waste to exit; it’s specifically designed to facilitate the elimination of feces.
18. To obtain the most accurate patient weight, the nursing assistant should weigh the patient:
Consider the time and conditions under which you take the weight measurement to ensure consistency and accuracy.
19. Normal urine color is:
Consider the spectrum of urine color that reflects hydration levels, with lighter shades indicating hydration and darker shades suggesting a need for more fluids.
20. The safest way to confirm a resident’s identity is:
Refer to the identification method that directly involves a physical item worn by the resident, ensuring accuracy and safety in healthcare interactions.
21. Signs and symptoms of shock may include:
Consider signs that reflect insufficient blood flow and oxygen to tissues, such as changes in heart rate, blood pressure, and skin condition.
22. The charge nurse has asked you to take Miss Shamu’s vital signs. You know you must first:
Ensure patient safety and establish rapport before beginning any procedure.
23. Before performing any procedure, a nurse aid must:
Remember to prioritize patient safety and infection control before starting any procedure.
24. To help ensure adequate circulation to prevent skin breakdown, you could:
Consider techniques that enhance blood flow and alleviate pressure on vulnerable skin areas. Frequent repositioning and gentle movement can significantly help.
25. A patient complains that her hand hurts where the IV is running; the nurse assistant notices that the hand is puffy. The best thing to do is:
Consider the possibility of infiltration when you notice swelling and pain at an IV site; timely communication with a licensed nurse is crucial for appropriate intervention.
26. To take a rectal temperature, the nurse aid should:
Remember to keep the thermometer securely in place and monitor the time closely for an accurate reading while ensuring the patient’s comfort and safety.
27. Mrs. Shamway has an order for NPO. You have picked up her breakfast and note she drank half of a 6 oz glass of juice, 4 ounces of milk, and 8 ounces of coffee. You document: A) 450 cubic cm B) 920 cubic cm C) 240 cubic cm D) 685 cubic cm
Remember to convert each liquid from ounces to cubic centimeters by using the conversion factor: 1 ounce equals 30 cubic centimeters. Calculate the total for all liquids consumed to find the correct documentation.
28. Who can order a warm or cold application?
Consider the level of authority required for medical treatments and who typically holds that responsibility within a healthcare team.
29. A nurse aid notices blood in a patient’s IV tubing; the aid should:
Ensure immediate communication with a registered nurse to assess and manage potential complications related to the IV.
30. Mrs. Hernandez had a hip replacement and is admitted to the long-term care facility for rehabilitation. Her condition is considered a:
Consider the nature of Mrs. Hernandez’s surgery and her anticipated recovery timeline; think about whether her situation involves a sudden change that necessitates rehabilitation for a return to normal function.
31. A patient has a diagnosis of psoriasis; her nurse aid should:
Remember that psoriasis is a non-contagious autoimmune condition. Focus on providing compassionate care without treating the patient differently due to their skin condition. Maintain standard hygiene practices, but there are no special precautions needed for infection control.
32. A nurse assistant notices red marks on a resident’s back and buttocks. The aid acts in the knowledge that:
Red marks on a resident’s skin signal potential pressure-related issues; timely repositioning and monitoring are essential to prevent further complications.
33. The brain is part of the A) endocrine system B) locomotive system C) nervous system D) exocrine system
Think about the system that processes information and controls responses in the body. This system includes the brain and spinal cord, which play a central role in communication and coordination.
34. Most of our calories should come from:
Focus on the food group that provides quick energy and makes up the largest portion of a balanced diet, as recommended by dietary guidelines.
35. Your resident consumed a bowl of soup that was 180 cubic cm of liquid. How many ounces was that?
Remember that to convert cubic centimeters to ounces, you can use the conversion factor where 1 ounce is about 30 cubic centimeters. Divide the total cubic centimeters by this number to find the equivalent in ounces.
36. Which of the following measurements that you obtain from Miss Shamway should be reported immediately to the charge nurse?
Consider the importance of recognizing and promptly reporting any critical vital signs, particularly those indicating severe hypertension, to ensure patient safety and immediate intervention.
37. Continuing education is necessary for recertification in many states, a professional standard, or important for keeping abreast of new developments?
Consider the role of education in maintaining professional competence and adapting to advancements in a rapidly changing field.
38. Which of the following statements about blindness are false?
Consider how blindness is defined and the spectrum of visual impairment. Many people categorized as blind still have residual vision, so be wary of statements that generalize this condition as a complete lack of sight.
39. When caring for a resident with an indwelling Foley catheter, you should:
Focus on ensuring proper drainage and preventing kinks in the tubing. Always keep the catheter bag positioned below the bladder level for optimal flow. Regular checks are essential, especially after position changes.
40. Which of the following is the safest way to confirm a resident’s identity?
Always verify the ID bracelet or tag attached to the resident, as this is the most reliable method for confirming their identity in a healthcare setting.
41. A professional and safe working appearance would include which of the following?
Consider the importance of hygiene, safety, and a polished appearance in a healthcare setting. Your focus should be on attire, grooming, and minimal accessories that align with professional standards.
42. Drainage bags from urinary catheters should always:
Remember to keep the drainage bag positioned lower than the bladder to facilitate proper urine flow and prevent backflow.
43. Meal trays have arrived; before serving each tray, the nurse aide should:
Always verify the patient’s identity before serving meals to ensure safety and adherence to dietary needs.
44. What is the best way to keep a skilled nursing facility from having an unpleasant odor?
Consider the importance of immediate action and regular cleaning in managing odors effectively. Focus on waste management and maintaining cleanliness in living spaces.
45. Another term for decubitus ulcer is:
Consider the primary cause of skin injuries due to prolonged immobility and pressure on bony areas.
46. All of these might be used in dealing with contractures except:
Consider interventions that focus on maintaining or improving joint flexibility and muscle function, rather than those that primarily provide support or compression.
47. 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:
Consider the relationship between blood pressure and circulation, focusing on the body’s response to inadequate blood flow.
48. Which of these treatments would be best to decrease swelling?
Consider treatments that cool the affected area to constrict blood vessels and minimize blood flow, which can help reduce swelling and inflammation.
49. When having a conversation with a dysphasic patient, someone who has trouble speaking, it is important not to:
Focus on allowing the patient to express themselves without interruption, as completing their sentences can be counterproductive and disrespectful.
50. Which of these would most likely be used to protect a resident from inflicting immediate harm to themselves in a care facility setting?
Consider the measures that prioritize the safety of residents while balancing their dignity and rights, focusing on interventions specifically designed to prevent them from harming themselves.
51. Which statement is incorrect regarding the Heimlich maneuver?
Consider the purpose of the Heimlich maneuver and when it is most appropriate to use it. Think about a situation where coughing indicates that a person can still breathe somewhat effectively, which may affect your response.
52. Which of these is not true when taking a blood pressure reading?
Consider the typical positioning recommended for accurate blood pressure measurements, particularly focusing on how seating affects circulation and readings.
53. To avoid pulling the catheter when turning a patient, the catheter tube should be taped to the patient’s:
Consider a location on the body that allows for minimal movement and stress on the catheter during patient mobility.
54. Which medical term is often used for burping, belching, and passing gas?
Think of the term that covers the release of gas from both the stomach and intestines. It’s commonly associated with digestion and includes all forms of gas expulsion from the body.
55. Which of these is incorrect in reference to wearing gloves?
Consider the importance of material choice for gloves and potential allergies when determining the appropriateness of glove types for various healthcare scenarios.
56. Why is an axillary reading generally lower than the other forms of taking a temperature?
Consider the location of the axillary measurement in relation to the body’s core and external factors that could influence temperature readings.
57. The normal pulse rate for an adult is 60 to 100 beats per minute. The normal pulse rate for children is:
Consider how pulse rates change with age, especially in younger populations, and remember that children’s rates are generally higher than those of adults.
58. Which of these applies to proper hand washing procedures?
Remember to use friction for at least 15 seconds and always dry your hands with a clean towel to prevent recontamination.
59. Which of these is the least likely to signal impending death?
Consider how the body typically reacts as health declines; unusual increases in appetite can be a sign of a different issue.
60. Why is taking a resident’s oral temperature the most common means of obtaining a reading?
Consider the factors that make this method convenient and non-invasive for both the caregiver and the resident, and think about how it compares to alternative methods in terms of comfort and ease of use.