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1. The first step in a bed bath is to wash:
Consider starting your routine with the area that is most visible and sensitive, ensuring comfort and hygiene.
2. The CNA should wash from the underscore when washing a patient’s eye area.
Remember to begin at the area closest to the nose and move outward to ensure hygiene and reduce the risk of infection.
3. Your resident is complaining of chest pain. What should you do?
Quickly assess vital signs and ensure the resident is kept NPO while notifying the nurse promptly, as chest pain can signify serious conditions.
4. You are caring for a diabetic patient who has jagged toenails that need trimming. What should you do?
Consider the risks associated with foot care in diabetic patients and the importance of involving qualified healthcare providers for specialized treatment.
5. When providing routine care to the resident’s feet, you should:
Ensure to thoroughly dry between the toes to prevent moisture-related issues and maintain skin health.
6. You are preparing your new resident for a shower in the tub room and she begins yelling and becoming agitated. What should you do?
Focus on the resident’s emotional state. Prioritize her comfort and well-being, and seek guidance from a nurse to explore alternative options that respect her feelings.
7. 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?
Consider interventions that improve circulation and reduce swelling, particularly in the morning. Think about garments designed to support blood flow in the legs.
8. You have accidentally nicked the patient’s neck when you are shaving him. What should you do?
Focus on controlling the bleeding first, and remember to communicate the incident to the supervising nurse for further assessment and action.
9. While providing perianal care and cleansing to a female patient who was incontinent of urine and stool, you should:
Remember to clean from the front to the back to prevent bacteria from spreading and maintain hygiene.
10. Dried beans are part of the ______ group of foods.
Consider the food group that is a primary source of protein, often including both animal sources and plant-based alternatives.
11. You take an adult’s blood pressure and it is 40/20. You immediately report this to the nurse. That the nurse returns to the patient room with you, she instructs you to place the patient in a Trendelenburg position. How do you put the patient into the Trendelenburg position?
To position the patient in Trendelenburg, start by lowering the head of the bed, then raise the foot of the bed to elevate the legs above heart level for improved blood flow.
12. How do you handle the hearing aids at bedtime?
Consider the resident’s preferences first, ensuring safe storage and battery conservation for the hearing aids.
13. You have just arrived for the night shift in a report you were told that Mrs. Kip kept her hearing aids in at bedtime. What action should you take?
Consider Mrs. Kip’s preferences regarding her hearing aids and ensure there’s a safe place for them nearby.
14. You are performing oral 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?
Check Mr. Jack’s mouth for sores or injuries that may be causing the bleeding, and ensure his dentures are not causing any trauma. Following your assessment, communicate your findings to the nurse for appropriate follow-up.
15. You have a new Resident who has a history of frequent pneumonia 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?
Focus on strategies that enhance swallowing safety and encourage nutrition, such as adjusting meal positions and modifying food textures. Consideration of the resident’s comfort and their ability to manage meals is key in your care approach.
16. Your resident has essential tremors in her hands. How can you assist her at meal time?
Consider using specialized utensils designed for better grip and stability to facilitate your resident’s ability to eat independently and comfortably.
17. 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 red area on her coccyx. Your best action is to:
Consider how to address the risk of skin breakdown, particularly in vulnerable areas. Look into reporting your findings to ensure a professional evaluation and employ preventive measures to enhance comfort and care.
18. How many ccs are there in 25 oz?
Remember that 1 ounce is roughly equal to 30 cubic centimeters. To find the total in cc for a specific number of ounces, multiply that number of ounces by 30.
19. When giving a back rub, the nurse aide should:
Ensure the resident is comfortably positioned to promote safety and dignity while applying gentle pressure during the rub.
20. You are ready to wash your patient’s face. You would start by washing what area of the face?
Start with the area that requires the most caution due to its sensitivity and susceptibility to infection.
21. Miss Jones asks if you can wash her hair today while she is in bed. What is the most important consideration?
Consider the need for physician’s orders or guidelines to ensure patient safety and appropriateness of the procedure.
22. You have a home care client who is on a 1,200 mg sodium restricted diet. You are very careful how you plan her meals to accommodate this. What else can you do to ensure she remains in the 1,200 mg limit?
Consider all sources of sodium, including medications and over-the-counter products. Check labels and consult with a pharmacist to ensure compliance with dietary restrictions.
23. You are ready to give your resident a complete bed bath. The temperature of this bath water should be which of the following?
Aim for a water temperature that feels warm but not hot, ensuring comfort and safety for the resident throughout the bath.
24. Your resident had a stroke or CVA 5 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:
Position the wheelchair to facilitate the use of the resident’s stronger side for a safe transfer.
25. Now you are ready to dress this resident who had the CVA 5 years ago. The resident chooses a long sleeve button shirt to wear. You should:
Focus on encouraging the resident’s independence while providing just the right amount of assistance to ensure they can dress comfortably in their chosen clothing. Consider how to adapt your help to their specific needs post-CVA.
26. Mrs D has expressive aphasia; her only response is no. How can you determine if she consents or agrees with what you are doing for her?
Consider using visual aids or alternative communication methods to assess her preferences, as verbal responses may not capture her true feelings.
27. A good diet must have all four food groups. The four food groups are:
Consider the foundations of a healthy diet and think about the variety of nutrients each major category contributes to your overall health.
28. The Sims position is most similar to the underscore position.
Think about a position where one leg is bent and the body is turned, resembling a comfortable seated posture. Focus on the arrangement of the limbs to distinguish it from standard side-lying positions.
29. A stage three pressure ulcer has:
Consider the depth and tissue involvement when identifying the characteristics of this ulcer stage; it typically presents with significant skin loss but does not reveal deeper structures like bone or muscle.
30. 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?
Focus on hygiene practices that minimize bacteria spread, such as proper wiping technique and staying hydrated.
31. When providing personal care for a resident, the CNA should:
Focus on promoting the resident’s independence and preferences during care, encouraging their involvement in even small tasks to enhance dignity and self-esteem.
32 you are getting the patient ready to eat the patient is on complete bed rest you will put the head of the bed up at underscore degrees or more
Consider the standard safe angle for elevating a patient’s head during mealtime, particularly for those unable to sit up fully due to bed rest.
33. You weigh the primary care patients using a floor scale. You must be sure that the scale is underscore before the weight is done.
Ensure the scale displays zero to guarantee accurate weight measurements for each patient.