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1. When performing perineal care for a female, you should:
Focus on maintaining hygiene and preventing infection by cleansing from front to back, using gentle motions, and ensuring the individual’s comfort.
2. Which of the following is not an example of a moist application?
Consider treatments that specifically require water or wetness for therapeutic effects, and think about examples that might not use water at all.
3. You are assigned to give foot care to Mrs. James, who is 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?
Remember that certain foot care tasks, like trimming toenails, are generally outside your scope as a CNA for diabetic patients due to the risk of injury and complications. Focus on gentle cleaning and moisturizing instead.
4. You are doing home care for a person on a high-fiber diet which of the following are high fiber foods?
Look for foods that are mostly whole and plant-based, such as grains, fruits, and legumes. Avoid items that have undergone processing, like white bread or sugary snacks, as they often contain less fiber.
5. Your patient ate an 8 oz 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?
Consider the liquid content of the Italian ice when calculating fluid intake. Remember that 1 ounce is about 30 cc to ensure accurate recording.
6. When cleansing the genital area during perineal care, the nurse aid should:
Consider the specific anatomical differences and hygiene needs when performing perineal care, particularly regarding uncircumcised males.
7. 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?
Consider a device that elevates the bedding to relieve pressure on sensitive areas.
8. The abbreviation AC is defined as:
Think about contexts where timing before eating is crucial, especially in medicine.
9. 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?
Consider using specific measurements or percentages to accurately document food intake, ensuring clarity and consistency in recording how much was eaten during each meal.
10. Which of the following is not a social barrier to communication?
Consider the nature of the barriers listed and whether they stem from social dynamics or physical conditions.
11. You are providing mouth care to a patient who is in a coma. You should underscore to provide good and safe mouth care:
When caring for the mouth of a comatose patient, prioritize safety by using foam swabs instead of liquids to prevent aspiration, and aim to perform care every two hours for effective hygiene.
12. You have recently started to do daily weights on your patient Mary Q. Her first daily weight was 154 lb on Monday and it is 176 lb today on Tuesday. You recheck the weight and the scale and it is still 176 lb. This weight gain most likely indicates that Mary has:
Think about conditions that could lead to rapid changes in weight within a short period, particularly those related to fluid accumulation.
13. Your resident has a colostomy and it is your duty to keep it clean and intact. Which duties fall within your scope of practice?
Focus on the routine care tasks that you are allowed to perform, such as cleaning and managing the colostomy pouch, while considering any restrictions on more advanced procedures like changing the pouch or wafer.
14. How will you position Mr. Grayson, an unconscious resident, when you provide mouth care?
Think about how to ensure the airway is clear and prevent any fluids from going down the wrong way. Positioning is key!
15. 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?
Consider the importance of following medical guidelines for fluid consistency in patients with swallowing difficulties to ensure safety and prevent aspiration.
16. You are preparing to give Mr. Smith a bath in the whirlpool tub which of the following should not be done?
Consider the importance of safety and accessibility in a caregiving environment; ensure that help can be reached easily if needed.
17. Mr Green is to receive a partial bed bath today which parts of the body will you bathe?
Consider the areas that are most exposed and prone to sweat or residue. Focus on ensuring cleanliness in key regions that maintain the patient’s comfort and hygiene.
18. 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:
Ensure the patient stands straight to obtain an accurate height measurement, as slouching can affect the results. Encourage proper posture for reliable data essential for health assessments.
19. Mr Johnson’s electric razor is broken so you report this to the nurse before switching to a safety razor what must be done?
Ensure you assess the patient’s medication status, particularly for any anticoagulant use, to determine safety precautions before switching grooming methods.
20. Mr. Stewart has requested a backrub which of the following is true?
Consider the benefits of back rubs in relation to relaxation, circulation, and skin observation during care.
21. Mr. Grayson is an unconscious resident; how often will you provide mouth care on Mr. Grayson?
Consider how often you would need to prevent complications for someone unable to care for themselves. Regularity is key to ensuring comfort and hygiene.
22. Which fact about dentures and denture care is true?
Consider how you care for your natural teeth and apply similar principles to dentures. Regular cleaning is essential for hygiene and to prevent potential health issues.
23. The abbreviation PC is defined as:
Think about medical scheduling related to meals; it indicates something that occurs after food consumption.
24. 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?
Ensure the roommate’s emotional needs are met by relocating her to a quiet space and providing reassurance during this distressing event.
25. Routine oral hygiene for residents should be performed how frequently?
Consider the importance of maintaining oral health and preventing potential complications. Think about how frequently you would want to reinforce good hygiene practices throughout the day for effective care.
27. You are assigned to feed Mr. Bayer; you have been told he is a picky eater and lactose intolerant. You know he is on a full liquid diet. What can you substitute for the cream of chicken soup that he is refusing?
Consider a liquid option that is dairy-free and fits the texture requirements of a full liquid diet. Look for alternatives that provide flavor and are easy to digest.
28. Your patient has shortness of breath. After you report this shortness of breath to the nurse, you should position the patient in the underscore position.
Consider positioning that promotes lung expansion and eases breathing difficulties.
29. When you’re feeding a patient who has paralysis on the left side of the face, you should place the food:
Consider which side of the face is functional when helping the patient eat; placing food on the unaffected side promotes safer chewing and swallowing.
30. Which of the following is not a part of CNA’s routine personal care of a patient?
Remember that routine personal care by CNAs focuses on hygiene and comfort, but some tasks require specialized skills and training that go beyond their scope. Think about activities that might need professional expertise rather than general personal assistance.
31. When a resident has an indwelling catheter, how can a CNA help prevent complications and infections?
Focus on regular cleaning around the catheter site and maintaining the correct positioning of the catheter bag to prevent backflow and contamination.